Thursday, March 13, 2008
Morning update...
Dr. Such-Neiber came by this morning and said that they are working on:
- Getting Charlie's meds grouped together
- Starting Bolus feeding (feeding all-at-once instead of continuous feeding)
- The ENT will be working on fitting his aids to see if he can tolerate something in his ears or maybe some hearing.
- She ordered a new kind of splint for Charlie's hands. They will be more like gloves. His boots are working great on his feet.
- The swallow test will be done today. that is putting fluid in his mouth while a live ex ray machine sees what is happening. We have seen him swallow some.
- She might have the test done again on his sputum to see about the flu results. She thought that it was "odd" to have it come back positive and she would like to see Charlie be able to leave the room for various things.
Charlie has been awake for 3 1/2 hours and he has been very calm and putting up with all of the pokes and probes from all of he nurses this morning. Now he has gone to sleep and resting peacefully.
I love that kid!!! Grandma Kathi
P.S. Rob, your friend, Dave, is Charlie's nurse today.
Wednesday, March 12, 2008
Found!
About 8:30 I got to hold him for over an hour and we both loved it. Actually Charlie slept through it and I loved it. But 10 minutes ago the nurse came in to let us know that the test that was done on March 8th (when Charlie had the fever) and originally came back negative, was cultured longer and is in fact positive for the flu virus. So that is the reason that he had the fever last week and still has mucus junk going on in his throat and nose. Also, that is the reason that he is needing oxygen from time to time. Those coming to the hospital may need to put on a mask or gown before coming into the room just as a precaution. This is mainly to prevent the virus from spreading to anyone else. The nurse said that they may wait a few days to take another culture from his sputum to see what is happening. However, Charlie is resting well and does not have any sign of a fever. Hopefully this is the way the whole night will be.
Utes Ahead by One
(Sorry Rob---but it's a really cool gift)
Cochlear Dilema
Charlie has done pretty well so far with the feeding tube in his stomach. He didn’t go to PT yesterday because they didn’t want him to jiggle too much for fear of aspiration or vomiting. His day involved (starting at 11:00am and ending at 4:00pm)
*Pulling the tube back from his intestines
*Going to X-ray,
*Waiting for results
*Doctor said it wasn’t pulled back far enough,
*Pulling the tube completely out through the nose
*Inserting a new shorter tube
*Going to X-ray,
*Waiting for doctor to say that it was too close to the opening of the intestines,
*Pulling the tube back some more
*Finally some food!!!
Charlie is OK missing a meal or two, because he is so chubby. Just look at his cheeks and double chin. He didn’t storm all day yesterday but then had two last night that each required Ativan.
Other things that are planned are repeat brain CT today at 12:00 to see if the ventricles have decreased after turning down the shunt. Speech therapy will be doing a swallow study Thursday at 12:00. We are waiting to hear if Dr Warren (ear surgeon) thinks it’s a good idea to do the cochlear implants now or not. The dilemma is that his cochleas are ossifying but the surgery is very expensive and a little risky so they are weighing the risk versus benefits. Charlie has to be medically stable and they have to think he will be cognitively capable of interpreting the signal. He is getting pretty stable but the second criterion is difficult to answer because neurologically we don’t know what he will be capable of. If his brain can’t interpret the signal then the cochlear implant is not worth the risk. Yet we don’t want his lack of hearing to hinder communication progress such as hearing and talking. Dr. Filloux, the neurologist, was consulted regarding this question. He said he couldn’t really predict what Charlie’s deficits will be although he is certain he will have some he doesn’t know if it would involve interpreting sounds. They will also be trying to consolidate Charlie’s nighttime medication so when we go home we don’t have to get up every 2 hours to medicate. We’ll see tonight how he likes the change (tranxene and Baclofen are changing tonight and then clonadine tomorrow night)
Good things I’ve seen lately- coughing more, sneezing, kicking both his legs (like an infant does), moving his head away when I try to wipe his mouth, eyes open more often, occasionally calming himself after agitated.
Tuesday, March 11, 2008
Photo Update :)
All tuckered out
Busy Morning
Monday, March 10, 2008
the paige is in...
sleep, sleep and more sleep
Sunday, March 9, 2008
Sunday Night Update
Side note: My wife and Roxey are going steady. Roxey made Ang a mixed tape and they have a date planned to hit up the black and white photo booth at K-Mart. What’s next, mini-put at the 49th street galleria or promise rings?
Sunday :(
Saturday, March 8, 2008
Come out, come out wherever you are...
Sorry for the delayed post but I have been gone most of the day while Aunt Paige (from Pheonix) had some bonding time with the little guy. Charlie had several tests done today in order to figure out this dang fever. He had his blood cultured, snot cultured, and urine cultured (which involved a catheter), all of which were unpleasant and came back negative. So, that only left one more fluid in his little body to culture---his brain fluid (CSF). The neurosurgery resident came in and inserted a needle in his head where the tube comes out to get a sample. It didn’t seem to hurt Charlie very bad because Rob said he just moved his feet. The first report is that it looks clear (if you watch “House” on TV clear means it’s not infected- but as we have found out this is not necessarily true in real life). She also mentioned that the pressure must be OK because the fluid just dripped into the syringe slowly. We will take any good news no matter how small---right? We will find out in the morning what the gram stain looks like and then they will culture the sample of fluid for the usual 48 hours. His oxygen has been dropping a little so he has been put back on 1L of O2 through a nasal canula (tube in his nose) instead of the blowby (funnel shaped thing by his head). The respiratory therapist was called in to do a more thorough suction and she said he has a weak gag reflex and even coughed some. His coloring is a little paler and he has been sleeping a lot. Good news is that he has only had one storm today because he has been so sleepy and all the tests so far are negative for infection. Bad news is the tests so far are negative for infection and he still has a fever. I was really hoping to find an infection elsewhere so we didn't have to look in the brain.
Poor Charlie :(
(I was told before sugery that and an unexplained fever could be an indication of shunt problems so I hope we find a reason for the fever)
Friday, March 7, 2008
More Results :(
Test Results
PS= Last night Roxey and I saw him sneeze (twice actually) for the first time in a long time. I don't know if that is a reflex related to his cold or if he is becoming more alert but I thought I would mention it.
More imaging
Thursday, March 6, 2008
Run Forrest! Run!
RSV… syke!
Wednesday, March 5, 2008
Charlie has a cold :(
She is also going to pull his NJ-tube (the feeding tube that goes from his nose to the first part of the intestines) back into a NG-tube (go from his nose to his stomach). See picture above. This is a little more risky because if there is food in his stomach he can easily reflux and if his gag does not react the food could go into his lungs (aspirate). So when that is done we are supposed to watch him closely for any signs of vomiting or reflux.Audiology wants to repeat hearing testing after all fluid in his ears has dried out to verify results probably right before we go home. They said that hearing aid trials can actually do further damage in certain situations so they would rather repeat testing instead of trying hearing aids. We will be going up to their sound chamber tomorrow to test any behavioral reaction to sound. For this test he needs to be awake and they will apply noise in the chamber and watch for any physical sign that he can hear.
Addendum: The results of the chest CT came back as no fluid in the lungs. One side has a little less volume capacity than the other but that usually returns when he starts feeling better or sitting up more. We will have a member of the Pediatric team come take a look at him to see what they would recommend. They could possibly suggest a steroid treatment to help him breathe better or humidifier. Since he isn’t coughing he is not able to clear his own secretions. Right now his lungs sound and look fine, but because of the gunkiness (yes that is the word everyone is using) we are not going to pull his feeding tube into his stomach until after he feels a little better.
Moonlight Sonata
Tuesday, March 4, 2008
ZZZZZZZZzzzzzzz
Another rough night but a good day :0
PS- He was so calm that the therapist and nurse are letting him stay in the swing while they have staff meeting in the gym. So far he has been in there for an hour and a half just slightly swinging.
Monday, March 3, 2008
Smooth Sailin' :)
Snot Patrol :-)
Side note: One of Charlie’s Nurses is a guy named Dave and while I was watching Jeff Gordon turn his car into a crumpled soda can in the NASCAR race yesterday he came in and let us know what a HUGE race fan he is. He told me all about his love of horsepower, trackbars, wedge adjustments and restrictor plates. In general, how NASCAR is his life. I am so glad there is a fellow red-neck here at PCMC, thanks Dave!


