tag:blogger.com,1999:blog-53282810222112963582024-03-17T23:02:46.016-04:00Our CDH Miracle: Demetri SilvaThis blog is about our beautiful blessing and miracle, Demetri. Our hope is that mothers, fathers, family and friends can somehow gain a bit of knowledge, maybe some form of comfort but at the least some inspiration, because this is what Demetri's story is to us: Inspiration.Anonymoushttp://www.blogger.com/profile/12958068948708748761noreply@blogger.comBlogger13125tag:blogger.com,1999:blog-5328281022211296358.post-86681674831809723512013-04-18T11:58:00.001-04:002013-04-19T01:43:21.273-04:00Wow, well first things first. I need to apologize to anyone and everyone out there that may be interested in Demetri's story or anyone who may be following this blog. I have failed at the blogging thing! No excuses, just the obvious. <br />
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<a href="http://1.bp.blogspot.com/-I8YgZ799O1E/UXDTGlaqM3I/AAAAAAAAAC8/EHCHboqO-08/s1600/NICOLES+MY+TOUCH+PICTURES+9-22-12+1096.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/-I8YgZ799O1E/UXDTGlaqM3I/AAAAAAAAAC8/EHCHboqO-08/s1600/NICOLES+MY+TOUCH+PICTURES+9-22-12+1096.jpg" /></a>As I type today the little man is hanging on my legs like a monkey and pressing any button he can reach on the computer at any given time. So, you ask, why so long between posts: DEMETRI! Demetri, is the "why" to just about everything in our lives and has been since his birth but that is not to say that my husband, Isabel and Jared aren't any less of the "why". Life gets ya and swings ya around, its your job to enjoy the breeze! My goal with this post is to 1. update on the past year and a half and 2. help myself and anyone else realize that though our CDH or special child an acutely dominant force in our lives, we must find balance and be happy. Cause as my amazing great aunt Marg always said, "you're here right... then it's not that bad" In fact, if you are here, I will stretch to say you are one lucky motha. <br />
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On this eve of the International Day of Congenital Diaphragmatic Hernia Awareness, I am reminded to stop and think about the hell CDH causes for so many. I figured, despite the wild toddler currently on steroids due to a cold, and hopping around me, yelling and dancing, I need find the time to share as much as I can. (...thank you again CDH for the absolute nightmare that we must suffer through every time our son gets a simple common cold)<br />
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Where we left off, I was reminding myself and all of you of the importance of being your child's advocate (duh.) but also knowing that fine line between your instinct and the doctors expertise. That great pediatrician I spoke of in the last post, is still amazing and thanks to CDH, I speak to him quite often. Just yesterday over the phone he told me, "Nicole, there is some art to medicine (that is where you come in) as well as some science. No doctor will ever know Demetri like you do". Wise words to remember. <br />
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Now continuing on from the last post: Following the nissen (to stop reflux, etc. from coming back up into lungs), that was completed in Spring 2011, we managed to stay out of Hokpins until June 2012 for a wild virus that even had me laid up (in hospital room, of course) for about 7 days. In between hospital stays, (that Spring '11- June '12 span) Demetri celebrated his first birthday!!! To have a big bash or not to have a big bash, that is the question. Well, here is your answer, in case you are asking this question yourself.... NOT THE BIG BASH! We of course, opted for the Big Bash. Over fifty invites including Demetri's favorite singer, surgeons, nurses, doctors, family, therapists and friends. Giant beautiful and supper cool four tier Yo Gabba cake, moon bounce, giant water slides, tents and food galore. It was a blast but looking back, I must have been suffering from temporary insanity! <br />
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Demetri received tons of presents including....wait for it.... Hand, Foot and Mouth Disease! Funny thing is, as gross as that sounds and <em>is</em> to me, it was a relief to know that my child had finally contracted something that wasn't going to affect his life or specifically his lungs. Hey, it was the first sick visit to the doctors that we were able to happily (rash covered) walk out of. <br />
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Within a few months following Demetri's birthday, Cardiology performed their 6 month echo and found that the PPHN had improve enough for them to no longer require his need for continuous oxygen!!! Now we just needed a release from the pulmonary team. Ha, I remember a time that no one was controlling me or my children but me....Boy, have I been humbled. In September 2011, the pulmonary team agreed to let us try to take Demetri off of the 1/8 of a liter of oxygen that he had been weaned down to just prior to his coming home almost two years prior. It went perfectly! Well, besides the blister or skin breakdown that mommy caused from keeping the pulse ox on soooo much. Whoops, and thank God for therapists and nurses who have helped me get through without majorly injuring the little guy. Upon notice of the pre-skin breakdown, doctors and I agreed that I could let go a little and back off the pulse ox machine, because whether I was able to accept reality or not, our boy was finally off oxygen and sating in the high 90's! [Now quick, take a look back at the images of Demetri and ventilator and many many other machines in the first few posts.] One machine to go now. Feeding pump...<br />
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Now, I find myself saying things like, "thought surgeries were tough until...", "thought withdrawing was tough until..." Well, let's make it official, "I thought all of it tough, hell actually, until feeding became our focus!" Logically I understand that it is all difficult and traumatic. Plain and simple this whole thing has been traumatic for all of us, though we fully appreciate what we have, thus far the outcomes could not be improved upon and we are truly blessed but I would be a flat out liar if I didn't say it has been horrible at times. Correction, it IS horrible at times. <br />
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I read a research article once on CDH and long term effects of ECHMO (Demetri did not get). The article went on to discuss how parents were "seriously" bothered by things such as scoliosis (sometimes a side effect of CDH) as the patient became older and other major issues were no longer a concern. I remember nothing else about that article. How human of us to go from crying about our (in most CDH cases) our baby lying on their death bed, to whining about the amount of time it takes them to learn to eat or the even, and yes I know scoliosis is serious, but complaining about the curvature in the spine. STOP: Demetri is alive! This is something I have to remind myself because I am human (surprise to many. lol) and I whine a lot! <br />
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<a href="http://4.bp.blogspot.com/-s8YbN07ORY4/UXDTVPcUSVI/AAAAAAAAADk/lSJMWwGMdwo/s1600/NICOLES+MY+TOUCH+PICTURES+9-22-12+1169.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://4.bp.blogspot.com/-s8YbN07ORY4/UXDTVPcUSVI/AAAAAAAAADk/lSJMWwGMdwo/s1600/NICOLES+MY+TOUCH+PICTURES+9-22-12+1169.jpg" /></a>It is so easy to loose touch, not forget, but loose touch with what you have been through and naturally want your child to be the happiest, healthiest and strongest. Then you remember: he is. That is, in comparison to what he has been through. That is the only gauge. Other kids should never be the gauge CDH or not. As I type, I remember crying because Demetri didn't walk like others his age, he didn't eat like others his age and you know what, I realized that he didn't do much of anything like other kids. He is special. Just like every child, special in their own right. <br />
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Okay, back to getting rid of that last machine, the feeding pump. Once, the O2 was gone, I stopped using the feeding pump. Period. I started to just use gravity bolus (amount ordered by docs) four times a day. I still use the feeding pump here and there like when Demetri is sick but when we found out that he would no longer be connected to O2, we decided that just maybe if we also disconnected him from the feeding pump, he may actually at the ripe age of 15 months begin to walk or at least crawl. We were right! It happens.... Demetri was crawling within a week of being off the O2 and feeding pump and then around 18 months, he began to walk!!!<br />
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<a href="http://3.bp.blogspot.com/-lXJ6CqBAK54/UXDTNBEukGI/AAAAAAAAADU/vb7hTWO1zqI/s1600/D+Blog+Ravens.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="200" src="http://3.bp.blogspot.com/-lXJ6CqBAK54/UXDTNBEukGI/AAAAAAAAADU/vb7hTWO1zqI/s200/D+Blog+Ravens.jpg" width="111" /></a><br />
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Off the pump is one thing, actually eating and feeding is a whoooole different thing. Oh boy, eating. Never in all my years thought such an enjoyable experience, something so treasured around the world since the beginning of time, could be such a nightmare for Demetri. This is the part of the post that I could get most carried away with but is only important to a few of us so I will briefly bullet and if you, yeah you, ever have any specific questions, please comment or email me directly. This is what worked for me, looking back...<br />
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<tr><td class="tr-caption" style="text-align: center;">Dad & I on Capital Hill</td></tr>
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-chew toys and oral stim from the hours following extubation<br />
-a taste, a literal drip on the whoobi (pacifier) is a great start<br />
-if the little one is eating 1/8 of a teaspoon of puree for a year, remember, they are eating!<br />
-remember what you have been through<br />
-eat together and always give the little one a chance to play with food WITH HANDS and utensils <br />
-get those hands dirty with yogurt, playdough, etc. that connection is more important than you can imagine<br />
-feeding clinics <br />
<a href="http://1.bp.blogspot.com/-Hvf32Qdpx6g/UXDTX1I8SkI/AAAAAAAAADs/w3vAsR8TEFw/s1600/NICOLES+MY+TOUCH+PICTURES+9-22-12+1201.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://1.bp.blogspot.com/-Hvf32Qdpx6g/UXDTX1I8SkI/AAAAAAAAADs/w3vAsR8TEFw/s1600/NICOLES+MY+TOUCH+PICTURES+9-22-12+1201.jpg" /></a>-honey bear, nuk brush, z vibe, chew tube...search these <br />
-it will happen, on their time NOT yours or anyone elses <br />
-keep it light and fun with structure<br />
-and one of my personal favs...use what ya got to get what ya want....really, I can't get Demetri to swallow anything but goldfish, so I give him a bite of pizza and then follow with a goldfish. Its the only way he will swallow that pizza, so I use it to get what I want.<br />
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I could go on forever especially since I am still fighting this battle with Demetri. And please remember officially that I am in no way a "professional" simply a mom stating what works for us. <br />
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So, long story short, eating is still a major battle we are fighting daily but we are having fun doing it. I am so lucky to be able to stay home with Demetri and work effortlessly on preparing him for his next milestones. HIS next milestones are eating, potty training and potentially getting the opportunity to learn social skills with other toddlers, not doctors and nurses who he is most comfortable with but other toddlers. <br />
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<tr><td style="text-align: center;"><a href="http://3.bp.blogspot.com/-1G3qxQ1emhA/UXDTJGihiHI/AAAAAAAAADE/ST6PYy0RxV8/s1600/D+Blog+Hooters.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="162" src="http://3.bp.blogspot.com/-1G3qxQ1emhA/UXDTJGihiHI/AAAAAAAAADE/ST6PYy0RxV8/s320/D+Blog+Hooters.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">1st Trip to Hooter's!</td></tr>
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It has been an amazing couple of years. We play, laugh and try really hard to expose him to all the joys that life has to offer (minus, anything that has a high germ risk). He is still the little fighter that he was at birth. He has made our family stronger all the while testing our every nerve. He is all boy and is therefore sporting a goose egg on his forehead at least 75% of the time. Just yesterday as he yelled "I a flyer" he flipped off the back of our couch. On the other hand, Demetri is still fighting CDH related battles. Just this week, he was sat'ing in the mid 80's and had to go back on oxygen for about 24 hours until his steroids kicked in. Minor cold. Huh! And though I never seem to overcome the "oh my God, he has a cold!" freakout, we did avoid the hospital as we have now (knock on wood) for the last three colds. <br />
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<tr><td class="tr-caption" style="text-align: center;">We use a lot of frozen peas.</td></tr>
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As a family, we are all still learning to make it work day to day. Everyone in the house knows how to give neb treatments and feed with a g-tube. The kids know to "vent" when he gags and have even taken a g-tube and syringe to school for show and tell. We have had to learn since "diagnosis day" many years ago to remember that we are all equal parts of a family filled with love and most of all support. We are now fortunate enough to have Isabel and Jared (9 and 12) cheer on D at meals as he cheers them on at football and soccer games. <br />
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So, I hope I have in some way I redeemed myself for the year between posts and I hope that someone somewhere is getting something out of this. <br />
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Anonymoushttp://www.blogger.com/profile/12958068948708748761noreply@blogger.com0tag:blogger.com,1999:blog-5328281022211296358.post-65247854667249487332012-01-05T23:40:00.000-05:002012-01-05T23:40:16.576-05:00First Year Home: Part OneSo for the past year, probably as a result of my having Demetri home with me and having to care for him, I have neglected to journal our feelings, surgeries, events, etc. So here I am. Trying to find the words to put together and write about the last year and... blaaaaah. Nada. As the thoughts run through my mind I quickly try to avoid them. I don't want to think about any of it. Just want to focus on today, but for the sake of this blog and sharing our story I will try to write the most honest, good and bad, account of the past year. I will sum up a lot into short sentences that will never be able to effectively justify the actual moment. Nevertheless, you will get the whole story.<br />
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Christmas morning, the day after Demetri's arriving at home... What a blessing! We couldn't imagine a happier moment. Nor could we imagine a more nerve racking one. Cords, monitors, tanks, medicines, appointments, visits (by nurses and therapists) and NO SLEEP. As much as we knew Demetri, we quickly learned that without the close comfort of the best doctors, nurses and medical facilities, we were scared.<br />
As Christmas night came to a close and the kids began to fall asleep, Demetri began crying and just could not be comforted. Within 48 hours of coming home, we rushed Demetri back to the hospital. After hearing my laundry list of Demetri's medical history, the great doctor picked our six month old bundle of joy off the hospital bed and said, "young man, I think you are withdrawing." Demetri was given a dose of morphine and was comfortably sleeping within minutes. We took Demetri home that night and weaned him off the morphine within 24 hours. (Great CDH SIDE NOTE: [dependency built upon as a result of the surgeries, etc] Narcotics SUCK... outside of their absolute necessity, and even then they still suck. Narcotic and diazapam weaning one of the worst things Demetri had to suffer through. It was horrendous for us as well)<br />
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So that was <i>just</i> the beginning. Literally. Within the next couple of weeks, we learned how to survive on less than 2 hours of sleep a night, fix breakfast lunch and dinner for ourselves and three other children, clean house, oh and take care of a special needs baby. "Special Needs". Ha, I used to deny the crap out of that term, but no more. My son has many special needs and that is that. At the time (beginning of 2010) Demetri's "specials" as I like to call them, to name a few, were puking/changing bed linens and clothing at least three times a day due to severe reflux, continuous feeds via feeding pump/g-tube, 1/8 of a liter continuous oxygen a.k.a. heavy tanks to carry around, 4 different medications twice a day, home nursing, occupational and physical therapy and then of course there are the "non-specials" that come with every baby like your standard diaper change. I am certain that had I wrote this back then when I was just learning these processes and techniques, I would have written a lot more with a lot more detail. Nevertheless, we did it all and we did it tired, grouchy but never without a true feeling of genuine appreciation for all that we have.<br />
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I remember taking Demetri to the doctors (pediatrician) for the first time. It had been a little over a week since he came home because of the holidays. So there I was, walking into the doctors office with Demetri, carrier, stroller, two monitors, O2 tank, diaper bag, feeding pump and enough hoses and cords to stretch across the Grand Canyon. I remember someone asking if I needed help. I kindly replied that I needed to learn and declined any assistance. Then we met with Demetri's doctor. I didn't look at the other kids in the office or notice if the nurse or doctor washed their hands (though I am sure they did). Nor did I notice the tissue paper on the scale and whether or not Demetri touched anything other than that tissue.<br />
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The doctor and I started talking. He received Demetri's "book" from Hopkins, so he was pretty up to speed on everything we were and had dealt with. I felt very comfortable with him and his knowledge of CDH, ASD, and PPHN (three of our biggest concerns at the time). The doctor told me an amazing story about a CDH baby girl he delivered 20 years ago. He told me that she just sent him an invitation to her graduation! I cried. Then I asked him if Demetri could live that long. Amazingly enough, I was still asking that question. I should know better. No one knows, outside of the lord, the answer to this question, but I kept trying to find a human to give me this guarantee. He looked at me and told me that Demetri may very well end up back in the hospital and that his life, like any of ours could be cut short by many things but if I wanted a clearer answer as far as Demetri's heart and lungs were concerned, well then I should talk in depth with his cardiologist and pulmonologist. With that said, oh and a brief mention of my getting more sleep, he sent us on our way.<br />
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I was so sure of everything the doctor said except the part about us ending up back in the hospital...that comment, I was sure, was wrong and quite negative...And then we wound up back in the hospital!<br />
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Sometime in late January,early February Demetri began coughing more than normal so we took him to his pulmonologist. NOTE: Not his Hopkins pulmonologist but one that came highly recommended from another CDHstenosis and pneumonia. The pulmonary vein stenosis was very scary. Is very scary. The fact is that it may be a life threatening issue in which each pulmonary vein closes off one at a time leading to death OR (and "most likely" per cardiology) that pulmonary vein has a "kink" as a result of the movement in the chest following the CDH repair.<br />
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After a week of antibiotics Demetri improved enough to come back home! But not without a new tube... An ND tube was placed for feeding to reduce the possibility of him aspirating and getting pneumonia again.<br />
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SIDE NOTE: There is a very, verrry, fine line between advocating for your child and listening to the men and women who study for YEARS to know exactly how to advocate for your child. The doctors sent us home with the ND because they knew that Demetri's reflux was bad and that his puking may have led to his getting pneumonia, which could lead to his PPHN coming back or worsening, and either or both of those could lead to his very premature death. Unfortunately we didn't get that very serious memo. I mean, we were probably told, we just didn't <i>get</i> it. WE DO NOW.<br />
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After a few days at home, tired and sick of the ND. We pulled it. After all, Demetri was better. He was happy again, he wasn't coughing and really wasn't puking that bad. Maybe once or twice a day. Okay, I take it back, we didn't pull it, we thought that it pulled out of place so we figured we might as well pull it the rest of the way out. Remember what I said about the doctors who studied so hard and the whole possibility of another, harsher pneumonia bout...Yep, that were to follow.<br />
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So back to Hopkins with us all. Initially we all thought the worst. We all, including the doctors, thought that maybe Demetri's pulmonary vein stenosis was worsening.. After many more test and a very scary trip back to the PICU, it was determined that Demetri again had pneumonia. Our GI doctor and surgeon discussed the only happy and safest alternative which would be another surgery. When Demetri improved enough, he went into surgery for the nissen to reduce the possibility of anything coming up and out of his belly. This, if you have been playing close enough attention, was the procedure that I refused when the g-tube was placed during that surgery back in December. Again, there is that fine line between advocating and placing a certain trust with the doctors who have mucho knowledge when it comes to this stuff. I guess looking back, I should have just listened a lot more and listened <i>to</i> a lot more. Meaning: I should have asked a lot more questions and really pondered on what the doctors and I discussed.<br />
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After a short recovery from the nissen Demetri and I headed home again!<br />
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We'll call this part one. I am physically and mentally exhausted just from rehashing this stuff. Part two of D's first year at home to come. Heads up...It gets much better!Anonymoushttp://www.blogger.com/profile/12958068948708748761noreply@blogger.com2tag:blogger.com,1999:blog-5328281022211296358.post-15507710237648640352011-09-18T01:27:00.000-04:002011-09-18T16:08:01.194-04:00The Long Awaited HomecomingDecember 24, 2010<br />
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Today you are coming home!!! <br />
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It has been a while since I have written. We have been very busy. After Halloween we all decided that it probably a good thing to get you into a smaller, more therapeutic setting. So for the first time, you saw the light of day as you were shipped off to Mount Washington Pediatric Hospital. I loved it from day one but couldn't help from feeling sad as we rolled away from the family at JHH and NICU that we have grown to know and love. <br />
At Mount Washington the goal was to get you off the narcotics and to get you eating. The narcotic wean went terribly slow and the eating...well, that didn't go great either. On Jared's [Demetri's big bro] birthday, December 17th, we shipped you back to JHH to have the g-tube surgery. Side note: make sure Jared has an awesome birthday in 2011, because he officially got robbed this year. <br />
We decided to go ahead with the g-tube, no nissen at a family meeting in early December, we agreed that though I was 100% against another surgery, we want you home where you can thrive. You, of course, whooped up on that surgery and per my request didn't even get more than 12 hours of pain medicine following. So, needless to say you were ready to be shipped back to Mt Washington in a couple of days. From there, we continued the last of the methadone weans and enjoyed some much needed play time. <br />
Mount Washington was just what the doctor ordered, <i>no pun intended, </i>to prepare us for the transition home. I remember the therapists coming into the room and asking if I would bring you to the playroom. Not an odd request at all for the average mommy?!... But for you and I... I instantaneously realized that I had never walked anywhere with you! As we walked down the hall, she beside me pulling your O2 tank, I felt as though my legs might buckle. I mention this because I never want you or anyone who reads this to ever take for granted one second with their baby. Imagine <i>someone... finally</i>, granting you the opportunity to walk down a hall with your baby. Unthinkable. <br />
Though we LOVE Mount Washington, we are ready to go! I think we have all had enough and I am looking forward to not spending 3+ hours a day in the car. Today is finally the day! Though, in true Demetri form, not without drama and pain. Yesterday you lost a family member that I would have loved for you to have known. He would have been like a grandpa to you. And you to him, a grandson. I know, though you two never met, that he loved you to pieces and will now watch over you as well as he will me and your mom-mom/yaya. But don't you worry, I'm gonna tell you all about Uncle Mickey as now that you are going to be home, we'll have plenty more time to chat, you and I. <br />
In addition to Uncle Mickey leaving us, you created a little drama this morning. The doctor just called and said that she may not want to send you home because your heart rate is high and you have a fever which may mean that you have a little virus. Good thing for you that I know you better than her, and I know that you are just withdrawing off that stupid methadone and your gonna be just fine. Suck it up tough guy, cause momma is on her way!<br />
<div class="separator" style="clear: both; text-align: center;"></div>Getting your belongings and putting you in the car seat is just surreal. I thought this moment may never come so many times. We cringe with excitement. I will never forget your father and I gazing at each other with the purest joy. It was finally our turn to get outta here. We take pics and see nothing as we head for the exit but the doors and our car warming just beyond them. <a href="http://1.bp.blogspot.com/-V7xnORWnm20/TnZN4a6onxI/AAAAAAAAABs/YnZqss22vFo/s1600/february11+037.jpg" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="240" src="http://1.bp.blogspot.com/-V7xnORWnm20/TnZN4a6onxI/AAAAAAAAABs/YnZqss22vFo/s320/february11+037.jpg" width="320" /></a>As we pull away from the hospital, you look as happy yet as concerned as we do! Then...blaaaaaah. You spit up everywhere! Yep, I am with you buddy. That is exactly how i felt! Just know how to control myself a little better I suppose. Don't worry, we have plenty of time to work on that. <a href="http://1.bp.blogspot.com/-V7xnORWnm20/TnZN4a6onxI/AAAAAAAAABs/YnZqss22vFo/s1600/february11+037.jpg" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"></a><br />
Home was never so close. So close. Our hour and a half drive felt like ten minutes. As we entered the house and your sisters and brother joyfully bounced around in disbelief, it hit us that you were now ALL ours. Machines, tubes, monitors and all. You were ours. Finally! Santa could officially skip our house because we, even if just for that night, had all that we needed, we had each other. A complete family, at home and together at last. Merry Christmas to all and to all a good night.Anonymoushttp://www.blogger.com/profile/12958068948708748761noreply@blogger.com0tag:blogger.com,1999:blog-5328281022211296358.post-7266449856333746092011-09-17T15:07:00.000-04:002011-09-17T15:24:19.082-04:00Following the ASD Repair & Some JHH Fashion10-17-2010<br />
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</a></div>Funny how I stop writing during the most critical of times. So now I play catch up...Demetri, I pray that your desire to survive is always as strong as it has been during the first 3 months of your life. Almost two weeks ago you had open heart surgery. Docs said that it was critically needed. The ASD repair is supposed to reduce your PPHN. You look so much better and your breathing is so much better. Anyway, a week ago I was so scared and frustrated. Really I couldn't see the positives. Only heard the doctors saying again, that this would be tricky as your anatomy would create a load of challenges that this surgery normally wouldn't present.With that said, at around 5:30am, daddy and I held you, we cried and we prayed. We then rolled you, again, with a team of doctors, into the OR. We said, "see you in a little while buddy" as they closed the doors.Wait....Pause...let me just stop to note that it was raining again. Seems to be a trend developing here with you and the rain....Okay continue...You were in surgery this time for 5 looong hours but everytime the doctors and nurses called to give us an update, they told us that you were doing just fine. Well, DUH!!! Cause you are super baby! After surgery, your stunning Italian surgeon met with daddy and I to let us know that you did super awesome and that even though your heart is somewhat upside-down and backwards, it works great!<br />
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In the days following the surgery, back to the PICU, you now covered in tubes, tape, IV poles and more, your heart did stop a couple of times. Once they even had to begin chest compressions. They were just pumping you with tooo much narcotic. So I stopped that really quick, and needless to say, no more heart stopping and off the vent!<br />
Now you are back in the NICU where everyone was so happy to see you again. Cool thing is, as odd as this may sound, on the day of surgery you tested positive for mrsa [yuck and ughhh] so they put you on precaution. Every test [mrsa] that they did after that first one came back negative but they still have to keep you on precaution which means we get a huge private room. Bad news is that I am not supposed to touch you with skin, [yeah right] so its gloves and gowns until the precaution is removed... Really cute. More like HOT! No really, your dad might actually catch on fire in one of those gowns!<br />
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Outside of the gowns and gloves, all is great, we are working on feeding you more and drugging you less. I am enjoying our private time together while Isy is in school. I bring my computer and books so that you can watch movies and learn about more than medicine and these drab walls. For Halloween you will be a doctor and we will all come to visit you in costume. Well, not me and daddy but Isabel and Jared.<br />
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Now we pray and ask for prayer that you are really on your way outta here this time, healed and healthy. In the meantime, I truly could be the luckiest mother on earth to have two of the most strong willed, perfect angels on earth to call mine. I love you Isabel and Demetri.Anonymoushttp://www.blogger.com/profile/12958068948708748761noreply@blogger.com0tag:blogger.com,1999:blog-5328281022211296358.post-34703152384054975222011-08-26T21:45:00.000-04:002011-08-27T22:21:22.142-04:00Just Kidding...10-4-2010<br />
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We'll call this entry "JK" because when the docs told us that Demetri would not need surgery on his heart until he was older due to his little leaky heart, they were JUST KIDDING, because now a week or so later, they are saying in a certain blunt and awkward tone that they "will need to do open heart surgery on Demetri this week." WTH... Now I am tired and frustrated. Just stick a fork in me, cause I am done! I was so sure that this was all about to be behind us and now another surgery. Open-heart surgery! Remember the "talk" that followed our last surgery...The "we don't think he is going to make it" talk... This is horrible!!! Back to square one: another trip and stay in the frickin PICU, possible death, loads of IV poles filled with dangerous meds, another scary, scary scar, days of horror and intubated again. This is the pits. So I guess I should switch my prayer back from "speedy healthy trip home" to "survive another second." I am allowed to say at this point that I am exhausted and so frickin mad at CDH and ASD and everything that I just wanna run as fast and as far as I can from it all. No family should have to go through this. The baby is suffering, the kids are all suffering, and Hector and I are barely hanging onto consciousness let alone our sanity. This experience gets crazier every darn day.<br />
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I am so happy for the families that we meet who all give us inspiration, prayers and love. On the other hand, I am sick of seeing them watch that darn car seat video and get to leave with their baby. Why God, why won't you just let this be fixed and let us go home.Why hasn't God forgiven us yet. I do feel forgiven and blessed every single moment that I get to spend with our angels (Isabel and Demetri) but why must we all suffer like this? Oh I remember, and now I call it our <i>life lesson</i>, the only one we all will ever need.... Never ask the man, the man, the G..O...D, God, never ever ask him, "What else!" Because ladies and gentlemen, he WILL show you what else in ways you can never imagine!!! For the record, I asked God "what else" just days before our 20 week ultrasound. It was something to do with $$$ and bills. Stupid! Well, he told me... he is still telling me. Guess he wants to make sure that I REALLY get it. So, again, NEVER ask God, "what else."<br />
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In the meantime, we prepare again for another round of paralytics, surgery, fear, crying, joy, thankfulness, uncertainty, etc. Today as I wonder, why us, I thought I knew the life lesson and learned from it, but I guess the real life lesson [in addition to, maybe even trumping the one above] is that NOTHING is certain, nothing ever. I love. I love a lot. And that is all I can do to try to fullfill my spirit as I let God take care of the rest. Now let's do this and get the heck home... <br />
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Anonymoushttp://www.blogger.com/profile/12958068948708748761noreply@blogger.com1tag:blogger.com,1999:blog-5328281022211296358.post-15404376854284485042011-08-05T15:56:00.000-04:002011-08-05T15:56:29.681-04:00Sophie's Choice: good film but could have done w/o the real life experience9-25-10 It doesn't matter that every possible awaken moment is spent as Hopkins or whether the nurses and doctors tell me to leave b/c I need a break too, I can't get enough of the little guy and I can't help feeling disgusted by the fact that I am not the baby's primary care giver. I am like an extra special guest or visitor to him. It's degrading, as a self respecting mother, to leave <i>your</i> child at the end of everyday, or call and check on <i>you</i> child as someone else cares for him, especially when he is sick! When Isy is sick, I do not leave her side. Wouldn't think of it, but I am force to leave him. <br />
Speaking of Isy, the love of my life and best friend, I have had to leave her too. Can someone say, SOPHIE'S CHIOCE! I have an amazing sister in law, who has made my life a million times easier this summer by taking awesome care of my angel girl, but that doesn't change the fact that my angel girl is not with me. I hate this SO much it stinks!<br />
I guess my reason for this nagging entry is that I am leaving the Children's House this week. No more will I be steps away from my son. I must return to Frederick. I have to get back to some normalcy. I must return to my daughter. But returning to my daughter means leaving my son and it hurts like hell. LOL, and what am I talking about "normalcy"!? I will get home to Isabel and start to prepare her for 1st grade, but not without making a trip to this hellish city [a city I truly adore, its just hot, humid and dangerous here right now] everyday, at least once a day and sometimes twice. My plan is to get Isabel and Jared on the bus and then head straight to Baltimore, visit the baby, then make it home for the bus by 4pm, and then some nights return after I get Isabel to bed at 8. This will get me back to the hospital around 9:30. And then I will head back to Frederick around 12am. But on school days (Mondays and Thursdays) I will take them to the bus, get to the hospital by 10ish, leave for class around 12, get done with classes at 10:45pm, catch a cab back to Hopkins and sit with baby until about 12am and then drive home...Guess I won't see Isy on those nights. But I promise her that I will climb right in her bed to snuggle when I do make it home on my school nights. Another thing not normal about all this is the frickin $$$. Gas! I shall say no more.... but I will....eating every meal downtown...and not hood downtown where one can get some slammin chow!!!, no we are talking university downtown...where apparently someone hasn't gotten the memo that us college kids...especially JHH students are BROKE!!!... and in addition to the food and gas, there is parking. I have to park my car and pay for 12 hours of parking everyday and then take a cab back and forth to school which also costs about $20 a day. Regradless, its time for me to go home.I must prepare for the little man to come home! Not that anyone has breathed a word of such nonsense.... however, if the lord allows,Demetri will continue to heal and be home soon, snuggling with me and Isabel!<br />
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In the meantime we are still in this up and down, up and down world. Residents have moved on, meds have disappeared!, reappeared, and disappeared again. I am starting to get a little pushier with the docs because, though I respect them, I am the mom... Therefore, I AM THE BOSS! Ha! Who am I kidding! Demetri is the boss, and that is the Golden Rule these days!<br />
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Tomorrow will be a blessed awesome day, if you are willing Demetri! Isabel has picked a book to read to you as she courageously holds your precious little body still covered in cords. I can't wait! <br />
<div class="separator" style="clear: both; text-align: center;"><a href="http://1.bp.blogspot.com/-WdBnqGO5xBA/TjxKoByfEFI/AAAAAAAAABY/KipCYbTTaFM/s1600/sept10+002.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="212" src="http://1.bp.blogspot.com/-WdBnqGO5xBA/TjxKoByfEFI/AAAAAAAAABY/KipCYbTTaFM/s320/sept10+002.jpg" width="320" /></a></div>Anonymoushttp://www.blogger.com/profile/12958068948708748761noreply@blogger.com0tag:blogger.com,1999:blog-5328281022211296358.post-25608876193479164732011-08-01T16:22:00.000-04:002011-08-01T16:22:46.766-04:00Some Smiles & Welcoming L!9-15-2010 What a glorious day! After two days more of putting my beautiful son through hell, we now have word that his brain and heart are working pretty good. I have been well trained now, like batman style training, (harsh!), to follow statements like, "brain and heart are working pretty good", with the very specific phrase, "FOR NOW"... Because I officially know now that everything can change in seconds. But I can't help but think, despite my hardening/realist training, that everything is going to be just fine. Days like this bring the spark back into my eyes. I do know that we have a looooooong road ahead but you, my dear boy, smiled today!!! They have all said that you have smiled before. Hard to believe with all the withdrawing and sedation and sickness and poking and pronging, but they say you have (nurses and daddy). I know that today you smiled at <i>me</i>, and you weren't even terribly stoned. Stop now, whomever may read this. Please pause and really think about how awesome and how life altering, one tiny little smile can be. LOOK and STOP, for just a minute and think about someone you love and how awesome being able to see their smile anytime is. To my babies, smile at yourselves...You have made it through hellish circumstances. Smile every second you have here. Back to the present...Demetri, you smiled such big beautiful and meaningful smile at me today. What a sight! You must know (with all intentions that you and your sister will read this someday), that I literally worship you two. You both are my entire being, my desire for being, and under the worst of cases, you are the root of my desire for not wanting to be as I could simply not "be" without you two. Thank you both for smiling, you Isy, every single day simply because you know it makes mommy happy, and Demetri, thank you dear for this first smile, this first smile being your way of preparing me for a long lifetime more to come. I love you both.<br />
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Another CDH baby was born tonight. To see things happen from this end was overwhelming to say the least. I saw Sam and other transport nurses and RT running out of the NICU and felt more mumble-jumble than ever before. Happy and joyful-there is a baby being born...Sick-that baby has a CDH....I wanted to break through those labor and delivery doors and hug and squeeze those parents and foresee and withdraw all of the pain that I knew they were about to face. Crap. But that wasn't happening, b/c 1. everyone would assume that I had finally lost it...and 2. I may not be able to visit my SMILING boy anymore. Instead, I will pray, pray and pray some more for that family and their new baby. I will pray that they be granted the strength that we have all been granted.<br />
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Speaking of strength, your father Demetri, that big brown thing that apparently has ants in his pants b/c he cannot sit in here for more than ten minutes, but yet he can't sit in the waiting room for more than ten minutes, oh and yet he can't walk around for more than ten minutes because then he starts wondering about you again. Yeah, that guy, he is the biggest, baddest warrior ever. This is part of where you get it from..you are strong like him...Mostly from me though. lol.Your father, no matter how much of a fricken handful he can be, is a true warrior. With that other CDH baby being born tonight, made me think a lot about the night you were born. When I pushed you into this glorious world, I couldn't hear you or feel you but I saw your beauty. Oh God what beauty. Then you were ripped away with great intensity. Horrifying but lovely. Now look at you!!! You are one tough cookie. I love you and your equally as strong sister with all my heart and body and pray that the lord have mercy and allow us a long life together on this earth. You get to go into a crib!!!! For the first time!!! Amen! Can't wait to come back to see you tomorrow. <br />
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Update: That CDH baby born on 9/15 and his awesome family turned out to be just as blessed and as strong as Demetri and our family. The two, Demetri and his buddy L, spent months upon months moving about Hopkins together and even slept just feet away from one another in some of their most turbulent weeks in the PICU. Demetri and this CDH pal are today BFF's and are planning their first play date since attending NICU graduation together. And to his mommy, I love you girl, and could not have made it through this year without you.Anonymoushttp://www.blogger.com/profile/12958068948708748761noreply@blogger.com2tag:blogger.com,1999:blog-5328281022211296358.post-12859674748396518662011-07-08T11:35:00.000-04:002011-07-08T11:35:48.110-04:00The One that Every CDH Mom-to-be Should Read...Maybe9-14-2010 What a journey we have all experienced thus far! Up and down, up and down and around we go. No one, no tour, no consultation, no testing, or research could EVER have prepared us for this. I can't help but cry over and over for the pain that my son has had to endure. They say he will never remember, but I will. I have laughed, cried, and prayed like no other time in my life. We are now eight weeks into Demetri's life (I think..time has slipped from comprehension these days) and eight months into this nightmare. Right now I have no idea when it will end. I have lost total control of everything. I want him to be better SO BAD but I can do nothing but touch him and let him know I am there. So, today, after weeks of NICU, PICU, High Frequency Vents, conventional vents, CPAP, supplements, lines, central lines, viagra?!, [I get it now but initially it sounded a little silly]PPHN, intubated, extubated, re-intubated, diuretics, nitrix oxide, wacky anatomy, hypertension, hypotensive, lung disease, de-sat, bradying,seizures, strokes,EEG,EKG, "Shooting X-Ray", ERG, MRI, Cardiac Cath, Echocardiogram, Blood Gases, PIO2, NG, ND, suction, ECMO, death, oh and by the way, a diaphragmatic hernia....cerebral fluid, blockages, shunt, splints, brain damage, upper gi, lower gi, acid reflux... [oh that's one that would stick!]...So today we know, oh wait, ASD, PDA, hole in the heart... So today as I sit...more... messed up bowls and intesitnes, (can't even remember what that one is called off the top of my head). So today as I sit I can only wonder what new condition or tube Demetri will have in the morning. Tomorrow Demetri will get a MRI, and the lord willing, will let him prepare for a healthy normal trip home. Today Demetri went to the Cath Lab. No need for heart surgery now they say! Another awesome day because we are all alive and breathing but another night of uncertainty and fear of what tomorrow will bring. Thanks Amie [best RN/friend EVER] for this journal!<br />
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In regards to the title of this post...I see this entry as a eight week sum-up... I think that though many, like us, continue to deal with new complications even today, overall the first eight weeks either numbed us or prepared us perfectly for the future. Though still turbulent and uncertain at times, what we lived during those first weeks was indescribable. My goal with this entry is NOT to scare off anyone, it is to share what may be and what can be...For us what can be has become pure beauty: Our life with Demetri today is hard work but rewarding and precious. We value every moment, every moment, with of course the occasional break down. Usually the break down comes with a silly incident like his g-tube leaking on his sheets while he sleeps...AHHH! But always within seconds we remember and our tantrums turn to glory once again.<br />
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I am looking forward to the next post. Hopefully I will have time post soon but with Demetri's birthday !!! coming in the next couple of weeks, posting may have to wait....As the next post will tell, Demetri's Cath Lab results as everything else were not a sure thing...And as a matter of fact he was no where near coming home...Stay Tuned. And Thank You for reading our story. Anonymoushttp://www.blogger.com/profile/12958068948708748761noreply@blogger.com0tag:blogger.com,1999:blog-5328281022211296358.post-12097749081766278852011-06-15T00:29:00.000-04:002011-06-15T00:31:37.894-04:00Paralytics, Extubating & You In My Arms... Oh my!8/31/10- Demetri was "asleep" for days, maybe weeks, but everyday the doctors said that he "is doing remarkably well" and slowly improving. They said that the lungs are little by little pumping themselves back up. Apparently this whole PICU adventure began with Demetri's already crappy lungs collapsing. Hector's amazing family continues to visit, along with a couple of our friends, as much as they can. I shouldn't even say that. I mean they don't visit as much as they can, I mean they take time out of their crazy busy lives just to stare at my son a couple hours a week. Maybe they are praying, maybe they are there for us, but either way they are there and that means a ton. I mention this not b/c I am not mad at who can't visit by any means, it is just that I notice things now. I notice my family and more importantly, I notice that people love me. They genuinely love our family and our son. Some days, no matter how mad I can be at the world for all this, I find myself coming to happy tears thinking about just how much love and support we have received. Anyway, back to the baby. In the past three weeks I have really neglected this journal. So this entry is, well, like the others, is clearly going to be action packed.<br />
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Back to the "asleep" days. Having this funky jelly over Demetri's eyes was hard to explain to our visitors. The jelly was to keep Demetri's eyes moist and protected as he slept and was, I guess paralyzed to the point that he didn't have control of them. It was never, like the high frequency or ossilator vent [the ventilator that provided Demetri with well over a hundred breathes a minute and made his little body pounce about like a...hmm... can't think of anything but maybe like a massaging chair that kind of thumps really quick down your back], it was never, freakish or scary to me; it just was. But to explain it to others, the high frequency vent or the jelly in the half opened blank eyes of my son, made me realize how horrifying it must have looked [how horrifying it was]. Really, a little baby covered in tubes and wires going into unthinkable holes [belly button, wrist, side of chest, head, nose, mouth, hiney, penis, foot, oh and inner right thigh] and chest pouncing several hundred times per minute and eyes glazed over with a morbid blankness covered in jelly. Ughh. Even sounds bad in my head as I write it, can't imagine what it actually looked like. Cause really, I didn't see it. Just saw my baby. Maybe it was because I was there everyday and I was just used to it. I mean, I saw the stuff, I still see "the stuff" but they only bother me because I just want the gone and therefore him better. <br />
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<div class="separator" style="clear: both; text-align: center;"></div>Still in the PICU, Demetri was slowly weaned from the high frequency vent to the conventional one and then.... Drum roll please..... EXTUBATED!!! WoooHooo! Well, not all woohoo but woohoo. The time has come where we had to return to a little, just a little bit of normalcy. With the kids and I returning to school, Hector and I had begun taking turns staying at the Children's House while the other stayed at home [an hour and a half away from Hopkins]. On the day the docs decided to attempt the extubating, I was home with the kids. So, Hector went. All went well but Hector said that while they were pulling the tube he [Hector] thought he was going to pass out from holding his breathe! What a sight that must have been! The nurses always warn Hector that they only take care of the little ones, so if his big butt passes out they are not going to know what to do with him! Anyway, once extubated, the nurses had strict orders from me to shove that pacifier right in his mouth to get his sucking instinct going. They did and he went right with it! Then came that infamous cry that we had waited so long for! It wasn't long at all before that came. Once the kids were in bed, I was able to drive to Hopkins that night and by then Demetri was already making all kinds of little noises. I say little because it wasn't this belting baby cry that we are used to. It was this faint and very horse whisper of a cry but what a glorious one. My baby was breathing all on his own!!! What a moment when I walked in that room. Every nurse and doctor that passed our bed side [knowing them all quite well at this point] smiled and hugged me with joy! It was so exciting!<br />
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<div class="separator" style="clear: both; text-align: center;"></div><div class="separator" style="clear: both; text-align: center;"></div>Within minutes of my standing there in utter amazement, Demetri's nurse asked if I was ready to hold him! AHHHHH! Yeah! What a freaking day! All this time and pain and joy and pain and joy and now I finally get to hold and hear my son! As the nurse prepared Demetri, still all tubed up with IV's, ng, and then some, for me to hold him I began to go a little numb. I remember her asking if I wanted a chair or if I wanted to stand. lol. I thought to myself, we better get that chair. My knees were shaking and maybe it was adrenaline but I felt funny all over. I remember thinking, just for a slither of a second, how much it sucked that Hector wasn't there. But I got over that real quick. Hector, another reason for me to realize his awesomeness. He was asked earlier when he watched Demetri get extubatedWhata guy! He was probably quite scared himself to hold the little guy. So anyway back to the moment! Oh what a feeling when his little warm body laid on mine. In my arms finally. I heard nothing and saw nothing but him. Close to four hours later when the nurse insisted that I not get a blood clot in my leg and she be able to give him his meds and change his diaper, I placed him back in his bed and returned home to the rest of my peacefully resting family.<br />
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So there it is. Our days in the PICU. With this monumental forward progress including breathing on his own, Demetri has been gladly booted out of the PICU today. He just is not PICU worthy anymore and I am totally cool with that. However, things are still no where near perfect as Demetri sets up shop back down in the NICU with his old buddies. Demetri didn't last long without oxygen as his pulmonary hypertension is still bad and his tachypnea [rapid breathing] is scaring the docs but he is still breathing on his own. Just needs quite a bit of a flow of O2 coming in to do so.He also is still on a massive amount of drugs that we now have to begin to very slowly wean him off of. Either way, we are totally blessed and looking forward to our future together. Thank you God for getting us through this. Everyday, thank you.Anonymoushttp://www.blogger.com/profile/12958068948708748761noreply@blogger.com0tag:blogger.com,1999:blog-5328281022211296358.post-54503025313141889662011-06-10T00:30:00.000-04:002011-06-10T00:30:14.562-04:00Surgery & The Drama That Followed7/28/10- Why didn't someone say this was NOT just about a silly hole in my son's diaphragm? Guess that wouldn't have mattered anyway. Staying at the Children's House across the street from Hopkins and have been here since discharge. What a blessing this place is. Every night there is a different group of wonderful people making us dinner and even giving massages. But not really out of the ordinary for me, I just stay in my room. Maybe as things improve I will want to be out there chatting and enjoying the company of others. In some ways it is hard being here. The Children's House is for family of sick kids which means running around just outside my room door is a bunch of sick kids. More pain. I can't see right now, the beauty in the fact that these children, hairless, morbidly thin or otherwise, are smiling and giggling as they roll or run through the halls. Why would one with the power to make our world great do this?<br />
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A few hours ago I met with Dr. Stewart. Hector couldn't be there so I met with him alone against his wishes. Following our meeting I understood why he wanted the both of us there. Now as I gaze with a true hatred toward a church steeple beyond my window pane, I brace myself for Demetri's repair surgery tomorrow. Dr. Stewart pulled me into one of those "rooms" and proceeded to tell me how he is doing surgery tomorrow b/c he just doesn't see anything getting any better and that to keep waiting probably wouldn't make things any better. He is not confident at all in what may come of tomorrow's surgery as Demetri's pulmonary hypertension is still pretty severe despite every effort to curb it. I kept it together as much as possible as we spoke and then raced to this room to call Hector. I told Hector the only words I could really remember, Dr. Stewart saying, "I am really concerned that Demetri might not make it through surgery tomorrow." And coming from Dr. Stewart, that is terrifying. I have worshiped him since day one [D or Diagnosis Day back at 20 weeks] mainly b/c of his educated optimism and now he too is questioning Demetri's ability to survive this. As if surgery wasn't scary enough. So tomorrow it is. Now we pray. Funny, a few statements ago I mentioned staring at this damn steeple that almost seems to be staring back at me. I can't help being mad at my God. And that stinks b/c I really don't need him being mad at me. I read today in the Bible about those who question faith and the mother who suffers as a result [in so many words]...Let me make this clear, I may be mad but my faith has never been so strong. It all makes sense. My growing up in this hellish city, now results in our being patients at the best hospital in the nation. That's all you God, and I get it. But golly, you sir have seen my life thus far, right? Did you really think I needed more pain? More drama? You wanted me listening! Here I am! Closer than ever and this time for good.<br />
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Hours Later- Lol. So I go to eat after quiet time begins and all is asleep. [didn't want to spread my yucky mood and puffy eyes] Really, how would it look for those beautiful little sick children out there to be asking<em> me</em> what was wrong and telling <em>me</em> that everything would be okay.. God give me their strength. Anyway, so I go eat alone and in the dark, quietly not to wake anyone. I start to eat and low and behold another stinkin steeple just right there out the kitchen window. That thing was just standing all tall above the other city buildings seemingly just waiting for me to catch it with my eyes. Weird. Nope. That is what this faith is all about. So I start to walk around this pretty big building peeking out of every window, this time on the hunt for them. He was there. His channels were there. Out of every window I quietly crept to, there stood, one more gorgeous than the next: a church steeple. Thank you. Thank you for letting me know you are there.<br />
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My anger is fading. My patience is limited. My faith is broadening. Bring it on CDH, because tomorrow your gonna meet your match.<br />
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7/29/10- What a day. Raining. Dreary as hell, but a cautious celebration is in the air. Demetri not only survived surgery, he aced it. Such an awesome little guy. He didn't even have to go to the PICU. Back in the NICU to the surprise of all and doing great. This morning bright and early our troops met in the NICU for prayers and comforting. Crowds of nurses and doctors prepared Demetri as we looked on. I can't explain now the fear in me, but it was thick. I wanted to just cry and cry. Not b/c I was afraid he wasn't going to make it. See now, another thing I read in the Bible yesterday was about forgiveness and how when it rained you would know you were forgiven. Whaaatmeds, even more tubes and lines, and a new scar at the ripe age of 10 days old. Is it Dr. Dre that said, "today was a good day." Either way, today was a good day!<br />
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8/5/10- The 'honeymoon" phase has officially ended. After a few days of up and down Demetri has ended up in the PICU for ECMO consideration. Yep, DID NOT see that coming. Let's start at the beginning. First of all, I am never ever drinking alcohol again. Last night, [I think, not even sure what day it is at this point] Hector and I decided to relax, watch Big Brother, have a nice quiet dinner and have a glass of wine. Just one glass. So I pumped my last keeper pump of the night, called over to the NICU to check on the little guy who was doing okay and was stable, another words, no new news, and laid down to watch Big Brother and drink this ONE glass of wine. It was wonderful. This sense of happiness and calm came over me like everything was coming into place. On the other hand, I was thinking, what if I have to go to the hospital for some reason. Well, when in doubt.... A few hours later as Hector and I slept, the phones began to ring. All at once it seemed. The Children's House phone. My cell phone. Hector's cell phone. Hector had to answer. I couldn't. Too scared. It was <em>that</em> call. Demetri had taken a turn for the worse and the doctor suggested that we walk over to the hospital immediately. I think it was about 2 or 3 in the morning. We were in the NICU within 3 minutes. The worst was happening. Demetri's color was just not right. I didn't look at his numbers on the monitors. I just stared at him. I know there were about 15 doctors and staff around him but I didn't pay them any attention either. Accept for Amie. I saw her. Amie is D's primary. I saw her eyes and though she was in full professional focus mode, she looked scared. The doctor told me to place my hands at Demetri's head and feet and to get close for him to sense me. I did so gladly until they told us to go. They transported Demetri to the PICU. The worst. PICU for ECMO. We know this. Only problem. Demetri is like rare art inside sto ECMO for him would mean open-heart surgery and in his condition... For the next 3 hours [felt like days] we sat in another one of those "rooms" waiting. When the PICU officially took over and Amie was released, she came to us and cried with me. She said nothing, but she cried with me. Oh it was hell. Hector and I sat and sat. Hector. As much hell as we had been through and as much as we had tried to bite each others heads of through this, this morning I couldn't have thought of anyone else in the world I would have rather have been sitting with. Nothing could ever threaten us. This would bond us like nothing else. I love you Hector Silva and I am so sorry that you have to go through this. hector just held me and told me how everything was going to be fine. When the doctor came to tell us that there was nothing else to be done and it was going to be up to Demetri but it wasn't likely that Demetri would make it, Hector grabbed my arm as I ran for the room. He ask was I sure. Did I want to see the baby on what the pregnant doctor said was his death bed. I ran to our son and Hector closely followed.<br />
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The nurses, just as angel-like as our NICU friends, warned us that Demetri would be on paralytics for a while but told us that we should bring music and talk to him as much as possible. This will be our relationship with Demetri for now. FOR NOW. No ECMO, not an option, just faith and music and our voices. We got this, but first I need some sleep. That was dramatic as hell. Sleep now son, and dream of the brother and sisters and other family and friends that you have met, dream of everything we have spoke of and everything you will be on this great Earth. We will be right here after you have rested waiting to again to look into your precious eyes. I will bring you some tunes shortly.Anonymoushttp://www.blogger.com/profile/12958068948708748761noreply@blogger.com0tag:blogger.com,1999:blog-5328281022211296358.post-89565366703108445672011-06-09T15:28:00.000-04:002011-06-09T15:28:17.503-04:00The Big Day...Well, not as big as the many days to follow.7/21/10- Well that was interesting. Gotta love the hospital/university...AKA...We are are really really smart but we are still learning. Yikes. Plus why didn't I pay attention earlier to the fact that these folks [the docs] start their residency or whatever programs in July! One of them actually made a joke that one should never have their appendix bust in July b/c it is a first year surgery that they all must do. Geezzz. Either way I know that this little angel is in the best-i-ty-best of hands. Me on the other hand. Well, I guess I should start with labor. No epidural! Not that I was one of those crazies who wanted to attempt a natural child birth, it was just that the docs couldn't find the spot to make me numb. Yikes! So here comes Demetri just as quick and easy as his sister. Push, push, baby. Only this time baby wasn't dropped onto my chest. This time baby wasn't being suctioned to cry. This time, once the docs let me look at his beautiful little body with their hand over his mouth, they rushed him to the other side of the room where a blilliant team of RT's, nurses and doctors formed what I can only describe as a human igloo. They hovered over him with a seriousness that I have never witnessed. They were mumbling at each other but I couldn't hear a word. As a stared over toward them, one of the doctors came to me and said that everything is going as fine as it could right now and that they would call me as soon as they we ready for me to see him. My thoughts: well, its literally not in my control anymore.<br />
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One would think that the next few hours waiting would be the worst but I knew that as long as they didn't come pilng into the room with their somber, no, blank, expressions on their faces[the docs], everything was going okay. When the time came that we were able to see Demetri, I didn't go. [there is some honesty for ya] I couldn't, I even pretended that I was asleep for a while. And I can't remember if it were my mom or Hector, but someone pushed me. I didn't want to and I told them that I didn't want to even see him knowing that maybe he would die soon. I went reluctantly b/c I knew it was the right thing to do. Oh, and by the way, every time Hector would go or anyone else, and they would come back to the room, I could so tell that they had just seen hell on earth: our baby on a vent fighting for his life.My family. like the hardest and toughest people around looked terrified! They had this look of pity like they felt so bad for me. Yuck, no pity please we just had a baby! Horay, or congrats would be nice. <br />
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Hector wheeled me into the room where, I don't know, like ten other babies were also being treated. But they didn't have nothin on our guy. Whoa. Holy machines. There are even more today. The wonderful nurse started talking and explaining. I must have looked like a drugged zombie to her b/c I had no idea what she was talking about and I know my medicine. All I could see was a room full of pain. Horrible pain and NOTHING could have prepared me for that moment. Demetri was so beautiful. Still is. His little body was just pumpin and machines and tubes were coming from everywhere. That really didn't phase me. Maybe I just can't remember b/c I was in so much shock. It was only a couple of days ago. Hmm. Nope, I didn't hear the nurse, in fact I didn't even see her, I just saw horrid pain in little itty bitty bodies that could not have done anything to deserve what they were enduring. It was, and still is, like I knew somehow my boy would just have to tough this out. He is tough. It's in his blood to prevail, but what about the rest of them?<br />
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Well, that was birth, it was the baddest [like Micheal Jackson "bad"] roller coaster ride I have ever been on.<br />
In the few days since, I am oddly really happy. Dr. Stewart [surgeon] keeps telling us how proud he is of Demetri. I keep pumping like an industrial cow and visiting Demetri in very small intervals. Hope the nurses don't think I am terrible. Guess they know everyone copes differently. I feel useless when I sit there. They are just working away on him, my kid, while I just sit there. Sucks. They are freaking awesome. What a person it takes to do that job. Love them already. And Demetri's little "primary" crew...couldn't get a better bunch.<br />
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<div class="separator" style="clear: both; text-align: center;"><a href="http://4.bp.blogspot.com/-uOOPri-Sc1M/TfEetwVa5eI/AAAAAAAAABQ/Q03RBQ9ImTI/s1600/hospital+007.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="212" src="http://4.bp.blogspot.com/-uOOPri-Sc1M/TfEetwVa5eI/AAAAAAAAABQ/Q03RBQ9ImTI/s320/hospital+007.jpg" width="320" /></a></div>Going to try to sleep now. The next few weeks are sure to be crazy with surgery and recovery. Prayer, prayer and more prayer. Slow and steady I guess. In the meantime, I want to be sure to write this so I can remember these things that most of us totally take for granted: No taking baby and car seat home when you get discharged, "live birth certificate" and SS card application process has a whole new fricked up meaning (kind of crappy thinking that by the time these things arrive in the mail, baby, well., nevermind... no crying baby, and the #1 thing that SUCKS with this situation and we generally take for granted...holding our precious little babies.I have not been able to hold Demetri and will not be able to in the near future so I am gonna go hold Isabel like she was a baby all over again even if she is a long a lanky 6 year old string bean, and she is gonna like it. May have to bribe her with a donut or two but I got squeeze her. It'll make me feel good. Anonymoushttp://www.blogger.com/profile/12958068948708748761noreply@blogger.com0tag:blogger.com,1999:blog-5328281022211296358.post-22943303161380181642011-06-08T16:58:00.000-04:002011-06-08T16:58:55.484-04:00CDH Pregnancy and Then SomeDisclaimer: Some of what is in these journals may not be what others want or need to read, but in the grand scheme, I just hope to get our <i>real</i> CDH story out there.<br />
I am beginning the journal entries in June. The 2 months between our diagnosis and the beginning of these entries was pretty much filled with shock, horrid anguish, shame and everyday life with 3 other kids and husband.<br />
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6/3/10- Waiting outside Jas's [Jasmin, my troubled 14yr old step-daughter] counseling appointment. Suggested to be on "liberal" bed rest b/c of my blood pressure but this girl needs to talk to someone and with all we have going on I am afraid to admit we are not the ones to help her at this point. As a matter of fact I feel like some of her acting out, next to her mother's neglect, is rooted in this whole beginning of a nightmare called CDH. Anyway, I am feeling quite lonely.Hector doesn't seem to handle this in the way I do at all. He is just stayin really busy. Which means that he is never around. He doesn't see anything wrong with us and says he is just trying to prepare financially for this birth. I don't see an "us" anymore. We used to be so close. He seems closer to anyone but me. Does he think this is my fault? Historically this would have been the case. A mother would have been seen as the "obvious" cause of anything wrong with her baby.<br />
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In addition to this family stuff, I keep trying to figure out who to pray to. Ughh. Never in my life have I questioned faith like today. I keep getting depressed that my prayers are not being answered NOW. Guess as long as baby comes home healthy eventually, our prayers have been answered. But when I read and find out more and more about CDH, I just can't help thinking and feeling the worst. It is making me crazy.Like, what if, what if.What if baby doesn't come home? What if baby has long term disabilities that I can't handle? What if he is so messed up he will not be able to enjoy life? WHY! So with these thoughts comes, major anxiety, hate, hurt, and anger toward everyone around me.<br />
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Thank you, thank you GOD for my healthy angel, Isabel. She, at least, brings me the most joy any human could ask for. This situation makes me question, outside of Isabel, everything in life. I am afraid to even speak b/c I feel like anything I even say or believe can be questioned or thrown into a chaotic mess by some wacky power that feels like messing with me. I feel total uncertainty.Please God, whatever and whoever you are, please give my family peace and health and grant me acceptance.<br />
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6/14/10- After one to many anxiety attacks and a trip to the ER, I have decide that I have to really chill. No more screaming matches with Jasmin, no more feeling lonely. For the love of God, I have a baby inside of me kicking away and a 6yr old angel who doesn't leave my side. I am the least lonely woman in the world! I am still very scared. Scared. Fear is like over taking my body. I freak when no one is with me that I may go into labor or something else and no one will be there. This is stopping now! As far as Jasmin's sick and selfish attempts for attention during these times, and others in my life who are driving me insane!, I have to keep reminding myself that I can share my love with the world but do not have the ability to change it.<br />
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7/1/10-Relaxing! Baby is almost here!!!! Hard b/c I still feel like Hector is separating himself from this but I do understand somewhere inside that he is just coping the best he can. We are so scared yet just so excited. Lord just please see that we do deserve this baby. Well I do. Please one with the highest of power, see that I am a great woman and a great mother and will stop at nothing to protect and cherish my children. I just keep telling myslef that everything is going to be just fine. But I am not certain and I am scared. I am aslo sticking with the "No Baby Stuff" in the house rule.This must mean that I do not have total faith in this situation. I pray everyday for strength and the healthy of my children. What else can I do.<br />
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7/7/10-Just read through previous posts. I am a mess! lol. I can't wait to have more good to write about. I keep thinking even after laughing at myself as I look back, how pee-ed off I am that this is happening to us. There is something wrong with this. I have personally had the unfortunate pleasure of meeting or knowing plenty of child bearing women who absolutely did not deserve or for that matter want the children they have and this is happening to me? Crazy.<br />
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Hector is thinking that the CDH will miraculously be gone at the baby's birth. Bottom line is that we are not in each others shoes even though one would think we are. I mean, we are going through the same thing technically but we are living two different lives and I am a mother and he is a father and we just think different. I personally feel like no one feels the way I do and that is wrong b/c it marginalizes Hector and his feelings about all this. He is, I am certain, terrified and just as affected by this as I am.<br />
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At this point I will stop. The next chapter in this is "Birth."Boy, this is already quite dramatic for me as I write. I am crying and getting mad all over again. And as you CDH mom's know, or any mom knows for that matter, pregnancy is nothing compared to what is to follow.Anonymoushttp://www.blogger.com/profile/12958068948708748761noreply@blogger.com0tag:blogger.com,1999:blog-5328281022211296358.post-56982524916678936222011-06-08T14:46:00.000-04:002011-06-08T14:46:07.216-04:00And the blogging beginsIt has taken me quite some time to get to this point but here I am. Since March of 2010, at our 20 week sonogram when we found that Demetri would be born with a right-sided CDH, I have kept jounals (yes, several of them) but have neglected to share. Throughout this time I have become more and more, less selfish and have now convinced myself of the importance of sharing my thoughts, trials, tribulations and celebrations. So, with Demetri's blessing, I will take some time in the next few weeks to transfer these journal entries into this blog.Anonymoushttp://www.blogger.com/profile/12958068948708748761noreply@blogger.com0