Hello All,
Isaac is getting better slowly. Drinking is now not a problem. Although, you still need to encourage him to have a drink but he can swallow fine.
It is eating that is a difficulty. He can swallow but when he does his ear hurts and his throat hurts and burns he said....it is hot that is what he said. He also thinks every bit of food gets stuck and then becomes distressed and goes off the whole meal. SO I start with the mushy veggies first so he will have those. I have to coax him lots because the paediatrician wants him to have this. There are tears and moaning and all sorts. I then offer him anything else. He likes bread and longs for it so I give it to him after the good stuff but once he swallows his first piece he cries and becomes quite distressed. *sigh* We will get there.
Isaac is very pale in the face. We saw the paediatrician on Tuesday who exclaimed at his paleness the moment we walked in. He checked for low iron by looking at his eyes and his hands but no clinical signs that he is anaemic. However, due to the bleed and his unwellness following the surgery, the paed wants to check somethings. When bloods were taken during the bleed, his clotting time came back too slow and some other tests were abnormal. SO they are doing those again in about a week. It is possible that lack of proper diet contributed to these test results being abnormal. However, in case something is wrong they must check.
Isaac has to have a CBC (complete blood count...platelets hgb etc), he has to have a test that shows if the bone marrow is making baby red blood cells and the clotting time test and INR. Hopefully there will be nothing wrong with the production of these cells in his marrow. If he is anaemic, then they want to put him on iron supplements. They need to find out why he is still pale. SO that will happen in about a week.
We were planning on having Isaac back at school on Monday. I know a lot can happen in 3 days but looking at him now, I am not sure he can go back yet. Things can change for the good quickly in 3 days.
OK, I am REAL tired. I worked in recovery on Wed for 8.5 hours and it was great fun.,
I have a nursing job interview in a week with a day surgery hospital as a casual staff member. I am hoping to have the two jobs,
I am off to bed! Thanks for keepig up!
Love Charisse
Showing posts with label tonsilectomy. Show all posts
Showing posts with label tonsilectomy. Show all posts
Thursday, April 30, 2009
Saturday, April 25, 2009
Isaac home
Hello All,
Isaac came home at 10am this morning. He has been a bit brighter. However, eating is not something he likes to do. I am not pushing eating at the moment. Drinking is what we need him to do more. I have made strawberry milks, banana/chocolate/ice cream milk shakes, water and offered red cordial and more. It doesn't seem to matter what I offer or set before him, he grizzles and takes these tiny sips! I thought he would gulp down the banana/chocolate milk shake like he usually does and he turned the whole thing away! It is so frustrating.
He drank enough late last night at the hospital because his current IV jelco was inflammed and had to come out. We told him that if he drank enough then he would not need another. We had to really encourage him but he got a whole cup of milk down with our insistence in about an hour. Then he had some water while we played a game and went for a walk. So he was allowed home today. Also, Alan and I wondered if now that he can swallow water and stuff, that he might improve in his own environment at home. We must continue to encourage the drinking. The problem is that Isaac is refusing the stuff he really likes. If I purree things like soup and stuff, he will refuse that and clamp his teeth shut. He doesn't even want any chocolate!
So I just keep encouraging and reminding him that if he doesn't have fluids, then we have to ring the paed and go back to the hospital. Even ice-cream is a fluid. SO he can have a big bowl of ice-cream. Do you think he wanted it? Noooooooooo.........he has had 3 teaspoons of custard (that is also a type of fluid) and wanted no more. It has been really frustrating. How much he wees out will tell me how hydrated he is. So we will continue and it can only get better as his surgical site heals more and more.
What a drama at lunch time with the antibiotics. He didn't want them. Usually he LOVES the taste of the antibiotics. But not when he feels like this. If I put them in something else he just refuses it and we waste it. I learnt that at the hospital. I can disguise something in poo medicine but some things can't be mixed with this medicine. I disguised oxycodone in that the first night and he took it. You see, Isaac has trouble with constipation and he knows if he doesn't take that stuff, he gets real sore. He also likes the taste......so no matter what, he takes his poo medicine quite happily. If only he connected the two dots with his recovery and the medicine he has to have......if only he would realise how this would all help. SO it took 20 mins to get the antibiotic down and he spat the first bit. I actually got a bit cross because I think Isaac needed to have some "firmness" to see that this is not acceptable. He is 6 and you can reason with them a bit., but not much when they are unwell it seems...ahhhhhh.
You see with tonsillectomies, the more they DON'T eat or drink, the worse the pain actually gets. So the pain goes in a cycle............it is annoying.
So I guess I should go and encourage him to take another sip. It has been a long week.
Love Charisse
Isaac came home at 10am this morning. He has been a bit brighter. However, eating is not something he likes to do. I am not pushing eating at the moment. Drinking is what we need him to do more. I have made strawberry milks, banana/chocolate/ice cream milk shakes, water and offered red cordial and more. It doesn't seem to matter what I offer or set before him, he grizzles and takes these tiny sips! I thought he would gulp down the banana/chocolate milk shake like he usually does and he turned the whole thing away! It is so frustrating.
He drank enough late last night at the hospital because his current IV jelco was inflammed and had to come out. We told him that if he drank enough then he would not need another. We had to really encourage him but he got a whole cup of milk down with our insistence in about an hour. Then he had some water while we played a game and went for a walk. So he was allowed home today. Also, Alan and I wondered if now that he can swallow water and stuff, that he might improve in his own environment at home. We must continue to encourage the drinking. The problem is that Isaac is refusing the stuff he really likes. If I purree things like soup and stuff, he will refuse that and clamp his teeth shut. He doesn't even want any chocolate!
So I just keep encouraging and reminding him that if he doesn't have fluids, then we have to ring the paed and go back to the hospital. Even ice-cream is a fluid. SO he can have a big bowl of ice-cream. Do you think he wanted it? Noooooooooo.........he has had 3 teaspoons of custard (that is also a type of fluid) and wanted no more. It has been really frustrating. How much he wees out will tell me how hydrated he is. So we will continue and it can only get better as his surgical site heals more and more.
What a drama at lunch time with the antibiotics. He didn't want them. Usually he LOVES the taste of the antibiotics. But not when he feels like this. If I put them in something else he just refuses it and we waste it. I learnt that at the hospital. I can disguise something in poo medicine but some things can't be mixed with this medicine. I disguised oxycodone in that the first night and he took it. You see, Isaac has trouble with constipation and he knows if he doesn't take that stuff, he gets real sore. He also likes the taste......so no matter what, he takes his poo medicine quite happily. If only he connected the two dots with his recovery and the medicine he has to have......if only he would realise how this would all help. SO it took 20 mins to get the antibiotic down and he spat the first bit. I actually got a bit cross because I think Isaac needed to have some "firmness" to see that this is not acceptable. He is 6 and you can reason with them a bit., but not much when they are unwell it seems...ahhhhhh.
You see with tonsillectomies, the more they DON'T eat or drink, the worse the pain actually gets. So the pain goes in a cycle............it is annoying.
So I guess I should go and encourage him to take another sip. It has been a long week.
Love Charisse
Friday, April 24, 2009
Isaac Haemorraged but is Stable Now
Hi All,
what dramas! Isaac was discharged after a rough night of crying and being really distressed on Wed night. He did really well from the surgery but woke up at about 2 am very distressed and sore. I had gone home to rest but Alan was there. Because of FA, if I get too many crazy, late nights I sometimes get sick or ulcers and VERY exhausted! I needed to make sure that didn't happen. Alan tells me Isaac was quite distressed and all he wanted was his mummy. I felt bad when he told me but honoured all at once. I just needed rest but wanted to be there for him.
I arrived at the hospital at 10am the next day and Isaac's nanny was there watching him. He was totally exhausted and when I asked them to check his temp it was slightly high at 37.2 degrees C. He was sleepy and didn't want anything to eat or drink and he had struggled with his breakfast. Yet, they still said he could come home. I was a little worried to be honest but took him home. We had to carry him to the car. When we got home he slept and slept and slept. He was due pain relief so I woke him up but he couldn't get it down. He spat it all out and cried and was distressed. So I took his temperature and it had gone to 37.5 degrees C. From being a nurse, I knew I should call right then in case of infection. The doctors were impossible to get! The ENT's were going on leave the next day and I wanted to work this all out. Isaac refused anything via mouth and at one point I spent about 5 mins trying to rouse him with my knuckles on his chest, shouting his name loudly and he wouldn't wake up. I took his temp again and did his observations (typical nurse I know). His temp at risen to 38 degrees real quick and he was tachycardic. I was worried then. Since I was having trouble getting hold of the surgeon we opted to go for Isaac's paediatrician who he has had since being born premie. Bless his heart, he was in a C-section but rang my mobile immediately and told me to bring Isaac to outpatients at the hospital where I work which is closer.
So we took him there at the alloted time and the paed wanted to admit him for a short stay so they could see if he would drink 200 mls to 300 mls in 3 hours. If not, he had to be cannulated again and have a drip and be monitored overnight. They wanted to monitor his temperature and he had now gone 8.5 hours without pain relief or medication to get down his fever! I couldn't get it down him! I felt distressed! So the nurses did a great job and got it down with many tears and Isaac being really sleepy. Yay! His temp came down a couple of hours later. However, he was not doing well with the fluids and the sleepiness. He asked to go to the toilet though which was a good sign that he was not totally dehydrated.
So I took him to the toilet and while he was there, he used his bowels and I saw blood and then Isaac started making choking noises! I looked at him and there was fresh, bright red blood coming out both his nose and his mouth with huge clots! It was down his front, on the toilet and on the floor. I grabbed a paper towel to catch it so they can measure it. I had nothing else. Isaac was distressed and the blood just kept coming and coming! It was scary. I buzzed the nurse while reassuring Isaac, "it is ok. Just some blood. We will stop the blood. You will be ok" while thinking, "oh no, this is a huge amount of blood. I hope he doesn't bleed out". No one seemed to be coming but I could hear voices so I called out. Alan said, "hang on" and I said, "I need you to come here now!".....so he did and then the nurse and well.......then the doctors and nurses acted SO quickly! Isaac was put on the bed, ice on his neck to try and stop the bleeding, ice in his mouth to stop the bleeding........nurses and doctors putting in 2 IV's , one in each arm.....CBC's, group and hold, blood cultures, clotting times....you name it, they did it! Also an ambulance was called straight away to transfer him to our big women's and children's hospital in the city which is where I was diagnosed. The nurses and doctors were great. Explained everything to Isaac and managed to joke with him while giving him great care. I work at that hospital and they treated Alan and I wonderfully!
It was pretty emotional and scary. I was so worried and watching Isaac's face made me want to cry. He was scared and so pale and helpless looking with blood on his face and drips and so on.
We were put in an ambulance once Isaac was stabalised and went to the women's and childrens. Our private ENT met us there and when he looked at Isaac the active bleeding had stopped. They had told us that Isaac may need to go back in for surgery but by this stage they were happy it had stopped and that didn't look like the case anymore.
However, he was started on IV antibiotics and the cultures today confirmed an infection present. Bloods also revealed his clotting times were too slow and they wanted to investigate as to why. Isaac's pain was out of control so they gave him morphine type drug which bombed him out.
He is still in hospital and hopefully coming out tomorrow. He has started to eat a little and drink a little more but not enough to be removed from the drip overnight. He played a little in the play room this afternoon which was his first time out of bed properly. His temperature is now consistently down so the infection is being dealt with. He is still having the IV antibiotics. He is still having heavy pain relief and will be discharged with strong stuff to because we need him to continue to heal and eat and drink at home too.
So tomorrow morning, if he eats all his breakfast and drinks a cup of drink, he can go home. His clotting times came back normal today with his bloods and haematology want us to check that again in 2 weeks. If it is normal then, they will leave it and it was an anomaly. If it is not right again, he must come to haematology outpatients.
Isaac has been very brave and ......so have I ....hehe.
I must go to bed. Thank you for praying for Isaac.
Love Charisse
what dramas! Isaac was discharged after a rough night of crying and being really distressed on Wed night. He did really well from the surgery but woke up at about 2 am very distressed and sore. I had gone home to rest but Alan was there. Because of FA, if I get too many crazy, late nights I sometimes get sick or ulcers and VERY exhausted! I needed to make sure that didn't happen. Alan tells me Isaac was quite distressed and all he wanted was his mummy. I felt bad when he told me but honoured all at once. I just needed rest but wanted to be there for him.
I arrived at the hospital at 10am the next day and Isaac's nanny was there watching him. He was totally exhausted and when I asked them to check his temp it was slightly high at 37.2 degrees C. He was sleepy and didn't want anything to eat or drink and he had struggled with his breakfast. Yet, they still said he could come home. I was a little worried to be honest but took him home. We had to carry him to the car. When we got home he slept and slept and slept. He was due pain relief so I woke him up but he couldn't get it down. He spat it all out and cried and was distressed. So I took his temperature and it had gone to 37.5 degrees C. From being a nurse, I knew I should call right then in case of infection. The doctors were impossible to get! The ENT's were going on leave the next day and I wanted to work this all out. Isaac refused anything via mouth and at one point I spent about 5 mins trying to rouse him with my knuckles on his chest, shouting his name loudly and he wouldn't wake up. I took his temp again and did his observations (typical nurse I know). His temp at risen to 38 degrees real quick and he was tachycardic. I was worried then. Since I was having trouble getting hold of the surgeon we opted to go for Isaac's paediatrician who he has had since being born premie. Bless his heart, he was in a C-section but rang my mobile immediately and told me to bring Isaac to outpatients at the hospital where I work which is closer.
So we took him there at the alloted time and the paed wanted to admit him for a short stay so they could see if he would drink 200 mls to 300 mls in 3 hours. If not, he had to be cannulated again and have a drip and be monitored overnight. They wanted to monitor his temperature and he had now gone 8.5 hours without pain relief or medication to get down his fever! I couldn't get it down him! I felt distressed! So the nurses did a great job and got it down with many tears and Isaac being really sleepy. Yay! His temp came down a couple of hours later. However, he was not doing well with the fluids and the sleepiness. He asked to go to the toilet though which was a good sign that he was not totally dehydrated.
So I took him to the toilet and while he was there, he used his bowels and I saw blood and then Isaac started making choking noises! I looked at him and there was fresh, bright red blood coming out both his nose and his mouth with huge clots! It was down his front, on the toilet and on the floor. I grabbed a paper towel to catch it so they can measure it. I had nothing else. Isaac was distressed and the blood just kept coming and coming! It was scary. I buzzed the nurse while reassuring Isaac, "it is ok. Just some blood. We will stop the blood. You will be ok" while thinking, "oh no, this is a huge amount of blood. I hope he doesn't bleed out". No one seemed to be coming but I could hear voices so I called out. Alan said, "hang on" and I said, "I need you to come here now!".....so he did and then the nurse and well.......then the doctors and nurses acted SO quickly! Isaac was put on the bed, ice on his neck to try and stop the bleeding, ice in his mouth to stop the bleeding........nurses and doctors putting in 2 IV's , one in each arm.....CBC's, group and hold, blood cultures, clotting times....you name it, they did it! Also an ambulance was called straight away to transfer him to our big women's and children's hospital in the city which is where I was diagnosed. The nurses and doctors were great. Explained everything to Isaac and managed to joke with him while giving him great care. I work at that hospital and they treated Alan and I wonderfully!
It was pretty emotional and scary. I was so worried and watching Isaac's face made me want to cry. He was scared and so pale and helpless looking with blood on his face and drips and so on.
We were put in an ambulance once Isaac was stabalised and went to the women's and childrens. Our private ENT met us there and when he looked at Isaac the active bleeding had stopped. They had told us that Isaac may need to go back in for surgery but by this stage they were happy it had stopped and that didn't look like the case anymore.
However, he was started on IV antibiotics and the cultures today confirmed an infection present. Bloods also revealed his clotting times were too slow and they wanted to investigate as to why. Isaac's pain was out of control so they gave him morphine type drug which bombed him out.
He is still in hospital and hopefully coming out tomorrow. He has started to eat a little and drink a little more but not enough to be removed from the drip overnight. He played a little in the play room this afternoon which was his first time out of bed properly. His temperature is now consistently down so the infection is being dealt with. He is still having the IV antibiotics. He is still having heavy pain relief and will be discharged with strong stuff to because we need him to continue to heal and eat and drink at home too.
So tomorrow morning, if he eats all his breakfast and drinks a cup of drink, he can go home. His clotting times came back normal today with his bloods and haematology want us to check that again in 2 weeks. If it is normal then, they will leave it and it was an anomaly. If it is not right again, he must come to haematology outpatients.
Isaac has been very brave and ......so have I ....hehe.
I must go to bed. Thank you for praying for Isaac.
Love Charisse
Wednesday, April 22, 2009
Isaac is a Trooper!
Hi All,
it is 1015pm. I got home from the hospital not long ago. Alan and Isaac are still there as Isaac is overnight tonight. I came home to make sure I got some good sleep. When I don't sleep well, I feel really tired and nasty ulcers come up. We decided that with our crazy lives right now, me being with Isaac tonight may not have been a good idea. Alan sleeps through anything pretty much so he stayed and I came home to tend to the 2 kitty cats and get some good sleep, only to go back in the morning to the hospital. Isaac should be coming home tomorrow.
The tonsillectomy went well. They also removed his adenoids. The surgeon came in later in the evening and said that there were no complications but that Isaac's tonsils were HUGE and the biggest he had ever seen! He also said that Isaac's adenoids were absolutely huge as well and no wonder he was obstructing! He said that Isaac will be able to sleep and breathe so much easier now. He also said the anaethetist was blown away when he was intubating Isaac. He said that the anaesthetist was pretty impressed by the size of his tonsils.....hehe.....so we definitely did the right thing in having them removed. He should have no problems with sleep apnoea now which means that all those issues he was having should resolve themselves now! Praise the Lord!
It was an interesting day. We got to the hospital at 12pm. Isaac had to fast from 7am and could drink water until 2 hours before the surgery time which was 2pm. So he stopped having stuff at about 11am when we left for the hospital. He was supposed to be 3rd on the list at first but that changed and he was further down the list which took his surgery to about 3.30pm or 4pm. Poor love, he had nothing to eat all that time! Nothing to drink from 11am! His surgery ended up being at 4.30pm! What a long time to wait for a little guy. I am impressed with how Isaac handled it all! We brought colouring in books and pencils. He got a colouring in book from his Aunty, Uncle and cousins for the occasion. We also brought an activity Bible which you read and do certain activities. He enjoyed that. He brought some cars and toys. Of course, he had his snuggly and his soft toys that he sleeps with.....and a new soft toy cat that he named "White" from his Aunty, Uncle and cousins as well :-)
While we waited for surgery, Isaac and I walked around the lovely garden and paths by the hospital. This is a private hospital and quite nice and quaint. We picked berries.....hehe.....but didn't eat them. Just as an activity. The type you are allowed to pick but not many. We explored the hospital. This kept him rather busy but around 3.30pm he started to say he was hungry and wanted something to eat. At 3.50pm I went to the nurses station and asked how long it would be and they said half hour. So I busied Isaac with something else. Alan was there too.
Every time the nurse came to chat, Isaac would get shy and not say much. When the anaesthetist came to visit him, he didn't really want to chat. However, he was so well behaved! We had heaps of chats about how he would go to sleep and that he would wake up with an IV drip and what that was for. Isaac usually freaks out over IV drips and tape.....anything sticky! He freaks! I was really worried! He becomes distressed when talking about it. We talked about the soreness afterwards and what they can do for that. SO he was prepared. His new toy cat talked a lot about it to in the days leading up to the surgery and today when Isaac wanted to talk about it.
Oh yes, the anaesthetist talked about how they usually give children a pre-med to settle them but with the degree of obstruction, there was the risk of Isaac obstructing here in the room and that becoming serious. He said that medication can cause them to obstruct like that. I understood and didn't want Isaac in danger so knew we just had to be gentle with him and understanding and reassuring and it was all fine in the end. I know that they have to do what is best for Isaac and I certainly don't want his breathing compromised before the surgery has even begun! They entertained him so well even though he couldn't have the pre-med.
So at 4.30pm they came in to take him down. I went with him. I felt like I wanted to be the one since Alan was staying the night with him. Isaac rode down on the bed and he said, "I have never been on a ride like this!". It was good to see him smile even though I could tell he was feeling uncertain. He asked questions all the way. When we got to holding bay he said, "what is this room" and I talked about it and what the nurses and doctors wear and so on. He was real quiet until they gave him a balloon and then he brightened up real excited like. That was a relief. I got gowned up and was telling him that mummy wears this stuff when she works as a nurse. So Isaac asked me about that and we talked. The doctor came to speak and smiled heaps and we went into the area where the operating rooms are. Isaac was heaps uncertain when he saw that room......a strange bed and equipement with people gowned up....no face masks yet. I carried him into the room and he asked, "what's this room?" with an uncertain look. I told him it was the operating room and look at all the stuff. I told him all about it and he was real interested. We sat on a chair beside the bed with Isaac on my lap. The anaesthetist was SO nice. I liked him a lot and that is saying a LOT! Haha! He talked to Isaac about everything. He had told Isaac about the mask and we had told Isaac too. So he showed him the mask and got me to have one of Isaac's arm under my arm and the other me hugging him to myself so that I had his arms securely but like a hug instead of holding down. Isaac's head was on my chest and he was relaxed. The anaesthetist told Isaac to breathe the mask and right now he had no colours in it. (the doctor was asking Isaac's favourite colours. For example, red....what does red smell like? Then he would add the smell to the anaesthetic). So Isaac was talking about colours and the doctor said he was now going to add that colour smell to the gas and "can you smell it, Isaac? Do you think that smells like the colour red? How about this smell? Do you think this smells like the colour yellow?" Each time he added a smell the anaesthetic got increased. Isaac was happy to have him hold the mask up which I was surprised but Isaac was distracted by me tickling his arm and hugging him and the conversation of the anaesthetist. Then the doctor said he was going to add the colour blue like on the mask. He asked Isaac if he can smell it and Isaac said in a joking kind of voice, "noooo....hehe....I can't smell blue because it is on the outside of the mask!". He wriggled his hand out and pointed to the colour on the outside and we all told him how clever he was and then within seconds his eyes rolled back and he started to snore. In those moments when you feel your child totally relax and see their eyes roll back and the colour and them twitch, you feel real weird and you see how vulnerable your baby is. So I was trying to hold back the tears. They got me to lift him on the bed with some help. He looked so vulnerable on the bed and the anaesthetist asked me if I wanted to kiss Isaac on the face before leaving and I said yes.....he lifted the mask and I kissed him. Then a nurse showed me out and put her arm around me and asked me if I was ok. They were SO nice and I was REALLY impressed. I mean, when I had my surgery done at this hospital they handled my anxieties SO well. I was VERY impressed! I turned to the anaesthetist before leaving and said, "take care of my baby" and he said he would with a smile. SO sweet.
I started the walk back to the ward and in the elevator I had tears forming and was trying not to bawl my eyes out. I got to Isaac's room and was holding back the tears. I felt silly and I did snap at Alan and am sorry for that. I just felt SO teary about my sweet baby being so vulnerable and needed to do something so I didn't worry about him the whole time. So Alan and I went for dinner. It was 5pm when I got back to Alan. We went over to a cafe in the women's and children's which is across the road and not long after we finished our meal, they called us to tell us Isaac was back! That was quick. SO we hurried back and he was in his room, VERY sleepy but there. He opened his eyes and a few tears. I wanted to hold him so badly but the nurse was busy with him and Alan was on the other side. I wanted to cry when I saw him start to cry a little.
Whoah....the feelings that a mother experiences! It is crazy! Once the nurse moved I wasted NO time sitting next to Isaac and caressing him. He enjoyed a tickle on his arm and his throat was sore. He asked if his tonsils were gone and he had a few tears when I said yes. He had his drip in, bandaged with bright red, rubber bandage. He saw it and we explained but he didn't freak! He was SO brave! He has the drip in all night and he accepted that. He kept it under his covers and said he didn't want to see it. Before I left he was getting used to it and smiling more. He had eaten a full sandwich and had some ice-cream and a chocolate milk. I sure hope he doesn't throw up but he hadn't felt like throwing up. I made sure he was given pain relief only moments after being on the ward and that helped. He hasn't spat any blood up! He hasn't vomited!
The doctor warned us that his voice could get higher in pitch when everything was removed. Well, I already notice it! Isaac isn't nasally anymore and his voice is higher in pitch. The doctor said his voice is now how it should be. He sounds SO cute and clear.
Tomorrow he will have his IV out and he is scared about that. I want to make sure they use something to help the sticky tape off without it hurting because he is petrified and started to wimper over it tonight. He hates tape.....I think from having it when he was so young and premie.....bad experiences with tape and soreness and stickiness.
Oh, something that was cute. He had changed into the cute, little gown they gave him and he was walking around. Two nurses saw him and said how gorgeous he is. They then said to Isaac that he looked so cute in his gown. Alan was standing behind Isaac and Isaac turned around, rolled his eyes and smiled a funny, embarrassed smile as if those nurses are SO ozzy or silly....haha. It was funny.
Another funny. I was asking Isaac whether he remembered the man talking about smelling the colours from the mask and he said, "yep, but those smells were a bit stinky and they are not from anywhere in this world!!!" I laughed out loud and agreed that the gas stinks and that they don't really smell like the colours the doctor was talking about! He acted like the doctor was real silly for thinking those stinky smells were anything like the colours he was talking about! Hehe
So I suppose I should go to bed. I can't wait to be with Isaac tomorrow again. It was a success and I pray that Isaac sleeps well and feels good tomorrow to be able to go home.
Thanks for praying for him.
Love Charisse
it is 1015pm. I got home from the hospital not long ago. Alan and Isaac are still there as Isaac is overnight tonight. I came home to make sure I got some good sleep. When I don't sleep well, I feel really tired and nasty ulcers come up. We decided that with our crazy lives right now, me being with Isaac tonight may not have been a good idea. Alan sleeps through anything pretty much so he stayed and I came home to tend to the 2 kitty cats and get some good sleep, only to go back in the morning to the hospital. Isaac should be coming home tomorrow.
The tonsillectomy went well. They also removed his adenoids. The surgeon came in later in the evening and said that there were no complications but that Isaac's tonsils were HUGE and the biggest he had ever seen! He also said that Isaac's adenoids were absolutely huge as well and no wonder he was obstructing! He said that Isaac will be able to sleep and breathe so much easier now. He also said the anaethetist was blown away when he was intubating Isaac. He said that the anaesthetist was pretty impressed by the size of his tonsils.....hehe.....so we definitely did the right thing in having them removed. He should have no problems with sleep apnoea now which means that all those issues he was having should resolve themselves now! Praise the Lord!
It was an interesting day. We got to the hospital at 12pm. Isaac had to fast from 7am and could drink water until 2 hours before the surgery time which was 2pm. So he stopped having stuff at about 11am when we left for the hospital. He was supposed to be 3rd on the list at first but that changed and he was further down the list which took his surgery to about 3.30pm or 4pm. Poor love, he had nothing to eat all that time! Nothing to drink from 11am! His surgery ended up being at 4.30pm! What a long time to wait for a little guy. I am impressed with how Isaac handled it all! We brought colouring in books and pencils. He got a colouring in book from his Aunty, Uncle and cousins for the occasion. We also brought an activity Bible which you read and do certain activities. He enjoyed that. He brought some cars and toys. Of course, he had his snuggly and his soft toys that he sleeps with.....and a new soft toy cat that he named "White" from his Aunty, Uncle and cousins as well :-)
While we waited for surgery, Isaac and I walked around the lovely garden and paths by the hospital. This is a private hospital and quite nice and quaint. We picked berries.....hehe.....but didn't eat them. Just as an activity. The type you are allowed to pick but not many. We explored the hospital. This kept him rather busy but around 3.30pm he started to say he was hungry and wanted something to eat. At 3.50pm I went to the nurses station and asked how long it would be and they said half hour. So I busied Isaac with something else. Alan was there too.
Every time the nurse came to chat, Isaac would get shy and not say much. When the anaesthetist came to visit him, he didn't really want to chat. However, he was so well behaved! We had heaps of chats about how he would go to sleep and that he would wake up with an IV drip and what that was for. Isaac usually freaks out over IV drips and tape.....anything sticky! He freaks! I was really worried! He becomes distressed when talking about it. We talked about the soreness afterwards and what they can do for that. SO he was prepared. His new toy cat talked a lot about it to in the days leading up to the surgery and today when Isaac wanted to talk about it.
Oh yes, the anaesthetist talked about how they usually give children a pre-med to settle them but with the degree of obstruction, there was the risk of Isaac obstructing here in the room and that becoming serious. He said that medication can cause them to obstruct like that. I understood and didn't want Isaac in danger so knew we just had to be gentle with him and understanding and reassuring and it was all fine in the end. I know that they have to do what is best for Isaac and I certainly don't want his breathing compromised before the surgery has even begun! They entertained him so well even though he couldn't have the pre-med.
So at 4.30pm they came in to take him down. I went with him. I felt like I wanted to be the one since Alan was staying the night with him. Isaac rode down on the bed and he said, "I have never been on a ride like this!". It was good to see him smile even though I could tell he was feeling uncertain. He asked questions all the way. When we got to holding bay he said, "what is this room" and I talked about it and what the nurses and doctors wear and so on. He was real quiet until they gave him a balloon and then he brightened up real excited like. That was a relief. I got gowned up and was telling him that mummy wears this stuff when she works as a nurse. So Isaac asked me about that and we talked. The doctor came to speak and smiled heaps and we went into the area where the operating rooms are. Isaac was heaps uncertain when he saw that room......a strange bed and equipement with people gowned up....no face masks yet. I carried him into the room and he asked, "what's this room?" with an uncertain look. I told him it was the operating room and look at all the stuff. I told him all about it and he was real interested. We sat on a chair beside the bed with Isaac on my lap. The anaesthetist was SO nice. I liked him a lot and that is saying a LOT! Haha! He talked to Isaac about everything. He had told Isaac about the mask and we had told Isaac too. So he showed him the mask and got me to have one of Isaac's arm under my arm and the other me hugging him to myself so that I had his arms securely but like a hug instead of holding down. Isaac's head was on my chest and he was relaxed. The anaesthetist told Isaac to breathe the mask and right now he had no colours in it. (the doctor was asking Isaac's favourite colours. For example, red....what does red smell like? Then he would add the smell to the anaesthetic). So Isaac was talking about colours and the doctor said he was now going to add that colour smell to the gas and "can you smell it, Isaac? Do you think that smells like the colour red? How about this smell? Do you think this smells like the colour yellow?" Each time he added a smell the anaesthetic got increased. Isaac was happy to have him hold the mask up which I was surprised but Isaac was distracted by me tickling his arm and hugging him and the conversation of the anaesthetist. Then the doctor said he was going to add the colour blue like on the mask. He asked Isaac if he can smell it and Isaac said in a joking kind of voice, "noooo....hehe....I can't smell blue because it is on the outside of the mask!". He wriggled his hand out and pointed to the colour on the outside and we all told him how clever he was and then within seconds his eyes rolled back and he started to snore. In those moments when you feel your child totally relax and see their eyes roll back and the colour and them twitch, you feel real weird and you see how vulnerable your baby is. So I was trying to hold back the tears. They got me to lift him on the bed with some help. He looked so vulnerable on the bed and the anaesthetist asked me if I wanted to kiss Isaac on the face before leaving and I said yes.....he lifted the mask and I kissed him. Then a nurse showed me out and put her arm around me and asked me if I was ok. They were SO nice and I was REALLY impressed. I mean, when I had my surgery done at this hospital they handled my anxieties SO well. I was VERY impressed! I turned to the anaesthetist before leaving and said, "take care of my baby" and he said he would with a smile. SO sweet.
I started the walk back to the ward and in the elevator I had tears forming and was trying not to bawl my eyes out. I got to Isaac's room and was holding back the tears. I felt silly and I did snap at Alan and am sorry for that. I just felt SO teary about my sweet baby being so vulnerable and needed to do something so I didn't worry about him the whole time. So Alan and I went for dinner. It was 5pm when I got back to Alan. We went over to a cafe in the women's and children's which is across the road and not long after we finished our meal, they called us to tell us Isaac was back! That was quick. SO we hurried back and he was in his room, VERY sleepy but there. He opened his eyes and a few tears. I wanted to hold him so badly but the nurse was busy with him and Alan was on the other side. I wanted to cry when I saw him start to cry a little.
Whoah....the feelings that a mother experiences! It is crazy! Once the nurse moved I wasted NO time sitting next to Isaac and caressing him. He enjoyed a tickle on his arm and his throat was sore. He asked if his tonsils were gone and he had a few tears when I said yes. He had his drip in, bandaged with bright red, rubber bandage. He saw it and we explained but he didn't freak! He was SO brave! He has the drip in all night and he accepted that. He kept it under his covers and said he didn't want to see it. Before I left he was getting used to it and smiling more. He had eaten a full sandwich and had some ice-cream and a chocolate milk. I sure hope he doesn't throw up but he hadn't felt like throwing up. I made sure he was given pain relief only moments after being on the ward and that helped. He hasn't spat any blood up! He hasn't vomited!
The doctor warned us that his voice could get higher in pitch when everything was removed. Well, I already notice it! Isaac isn't nasally anymore and his voice is higher in pitch. The doctor said his voice is now how it should be. He sounds SO cute and clear.
Tomorrow he will have his IV out and he is scared about that. I want to make sure they use something to help the sticky tape off without it hurting because he is petrified and started to wimper over it tonight. He hates tape.....I think from having it when he was so young and premie.....bad experiences with tape and soreness and stickiness.
Oh, something that was cute. He had changed into the cute, little gown they gave him and he was walking around. Two nurses saw him and said how gorgeous he is. They then said to Isaac that he looked so cute in his gown. Alan was standing behind Isaac and Isaac turned around, rolled his eyes and smiled a funny, embarrassed smile as if those nurses are SO ozzy or silly....haha. It was funny.
Another funny. I was asking Isaac whether he remembered the man talking about smelling the colours from the mask and he said, "yep, but those smells were a bit stinky and they are not from anywhere in this world!!!" I laughed out loud and agreed that the gas stinks and that they don't really smell like the colours the doctor was talking about! He acted like the doctor was real silly for thinking those stinky smells were anything like the colours he was talking about! Hehe
So I suppose I should go to bed. I can't wait to be with Isaac tomorrow again. It was a success and I pray that Isaac sleeps well and feels good tomorrow to be able to go home.
Thanks for praying for him.
Love Charisse
Tuesday, April 21, 2009
Tonsillectomy Confirmed for Tomorrow
Hi All,
took Isaac to see the ENT today and he said Isaac's tonsils are real big and definitely obstructing his breathing. Isaac definitely has sleep apnoea issues. He asked us loads of questions in regards to Isaac. Like, his behaviour, whether he was a restless sleeper, did he wet the bed still at age 6, is his a mouth breather, what is he like when he eats, how well does he grow and put on weight. All of that stuff.
Well Isaac has not put on weight in 6 months which I thought was odd and the doctor also thought was weird. He doesn't grow fast at all. He still wets his pull ups heaps even though we restrict his fluids to no more after 6 to 6.30pm. We also take him for 2 toilet stops during the evening while he is asleep as well as before bed.....and he still wets quite a lot! I always thought that was odd. He has trouble eating with his mouth closed. Also, at school and home I have noticed that he seems "young" for his age and thought it was always because he was premature by 13 weeks which can happen. At school he has trouble focusing and is always needing a sleep or huge rest around lunch time and after. He has been running around like crazy as well.
Guess what??? Sleep apnoea has been linked to excessive bed wetting. The doctor tells me that most children stop wetting once the obstruction is removed....his tonsils and adenoids. We should be able to help him with this bed wetting now. At the moment, because of the sleep apnoea, the adrenal glands are stimulated somehow and then the kidneys and so he wees without any control no matter how many times you take him to the toilet in the middle of the night! I won't go into the chemical reasons as to why the adrenal gland is stimulated or anything like that.
Also, because of the sleep apnoea and working so hard to get oxygen, Isaac sleeps restlessly, not allowing him enough rest and recovery from his day, making him tired and he doesn't concentrate. His cognitive development is affected because his brain isn't getting the time out. So the doctor said he can be delayed and seem "younger" than he is.....didn't I say that we thought Isaac was younger????
Also, the sleep apnoea causes the brain to suppress the growth hormone at night. Children do most of their growing then and so they don't gain weight or grow properly......and Isaac has trouble with his weight.....another connection.
Another thing is because he mouth breathes at night because of obstruction, his jaw has taken on a certain shape, and his teeth have crossed over or something at the back, because of how he holds his mouth. The doctor said this will correct itself once the tonsils are removed and he can breathe.
While eating he can't breathe so he has needed to have his mouth open and i used to feel frustrated that he wouldn't eat with his mouth closed. He hasn't been able to help it because of how big his tonsils are......he will be able to breathe again once they are out!
So Isaac will be sleeping better, less wetting during the night (hopefully none at all), develop properly in growth and cognitively and grow up a bit and be able to concentrate at school and calm down....and have plenty of rest and restoration during his sleep!
He is booked in for tomorrow (Wed) and we have to be at the hospital at 12pm and surgery starts at 2pm. He is about 4th on the list. Youngest child to eldest. I am pleased we are getting this all worked out. Wait til the teacher hears about all this! May be they will stop pestering me about Isaac and things will calm down.
Please pray things go well.
Thanks for checking in!
Love Charisse
took Isaac to see the ENT today and he said Isaac's tonsils are real big and definitely obstructing his breathing. Isaac definitely has sleep apnoea issues. He asked us loads of questions in regards to Isaac. Like, his behaviour, whether he was a restless sleeper, did he wet the bed still at age 6, is his a mouth breather, what is he like when he eats, how well does he grow and put on weight. All of that stuff.
Well Isaac has not put on weight in 6 months which I thought was odd and the doctor also thought was weird. He doesn't grow fast at all. He still wets his pull ups heaps even though we restrict his fluids to no more after 6 to 6.30pm. We also take him for 2 toilet stops during the evening while he is asleep as well as before bed.....and he still wets quite a lot! I always thought that was odd. He has trouble eating with his mouth closed. Also, at school and home I have noticed that he seems "young" for his age and thought it was always because he was premature by 13 weeks which can happen. At school he has trouble focusing and is always needing a sleep or huge rest around lunch time and after. He has been running around like crazy as well.
Guess what??? Sleep apnoea has been linked to excessive bed wetting. The doctor tells me that most children stop wetting once the obstruction is removed....his tonsils and adenoids. We should be able to help him with this bed wetting now. At the moment, because of the sleep apnoea, the adrenal glands are stimulated somehow and then the kidneys and so he wees without any control no matter how many times you take him to the toilet in the middle of the night! I won't go into the chemical reasons as to why the adrenal gland is stimulated or anything like that.
Also, because of the sleep apnoea and working so hard to get oxygen, Isaac sleeps restlessly, not allowing him enough rest and recovery from his day, making him tired and he doesn't concentrate. His cognitive development is affected because his brain isn't getting the time out. So the doctor said he can be delayed and seem "younger" than he is.....didn't I say that we thought Isaac was younger????
Also, the sleep apnoea causes the brain to suppress the growth hormone at night. Children do most of their growing then and so they don't gain weight or grow properly......and Isaac has trouble with his weight.....another connection.
Another thing is because he mouth breathes at night because of obstruction, his jaw has taken on a certain shape, and his teeth have crossed over or something at the back, because of how he holds his mouth. The doctor said this will correct itself once the tonsils are removed and he can breathe.
While eating he can't breathe so he has needed to have his mouth open and i used to feel frustrated that he wouldn't eat with his mouth closed. He hasn't been able to help it because of how big his tonsils are......he will be able to breathe again once they are out!
So Isaac will be sleeping better, less wetting during the night (hopefully none at all), develop properly in growth and cognitively and grow up a bit and be able to concentrate at school and calm down....and have plenty of rest and restoration during his sleep!
He is booked in for tomorrow (Wed) and we have to be at the hospital at 12pm and surgery starts at 2pm. He is about 4th on the list. Youngest child to eldest. I am pleased we are getting this all worked out. Wait til the teacher hears about all this! May be they will stop pestering me about Isaac and things will calm down.
Please pray things go well.
Thanks for checking in!
Love Charisse
Saturday, April 18, 2009
Tonsilectomy
Hi All,
well, the paed agreed that the sleep apnoea theory sounds correct. So I took Isaac to the GP and got a referral and we spoke to the ENT office where I go for FA screening and they have someone there who does children. Isaac has an appointment to see him on Tuesday afternoon and they have already booked his surgery to take the tonsils out on Wednesday coming on the 1pm list. Isaac will stay at least one night in hospital. This is big for Isaac as he freaks out over things with hospital. I think memories from being a premie baby. He had to go through a lot and had heaps of tape on his face and as a result is overly terrified of hospital things and bandaides and so on. We have had some good chats though. Isaac said he is nervous and a bit scared but he seems to understand why he has to have a tonsilectomy and that it should make him feel much better. He seems comfortable that nurses like mummy will give him pain medication to help with it hurting. The IV drip is something we are still working through. He is terrified. Tonight it seemed like he might allow it without kicking up a fuss. We will talk more about it though and help him see why he would need it.
So that happened all so fast. I managed to switch my nursing shift from Wed when Isaac's surgery is to Friday. So that is good.
Mum and dad go to Africa for 6 weeks on Tuesday. However, I am not worried as I have good support from Alan and our private nanny and my mother-in-law (other mother). Thanks Guys!
Well, I am going to bed. The paed said that we are hoping this tonsilectomy will solve problems by allowing him to breathe better and get proper rest. If his tiredness continues more tests will be done to find out why as it is unusual that he is so tired with 11 to 12 hour sleep at night. I thought I would also get his eyes checked to see if that could be related to any tiredness and lack of concentration. This will all get worked out.
Thanks for your support! Everyone.....thanks.
Love Charisse
well, the paed agreed that the sleep apnoea theory sounds correct. So I took Isaac to the GP and got a referral and we spoke to the ENT office where I go for FA screening and they have someone there who does children. Isaac has an appointment to see him on Tuesday afternoon and they have already booked his surgery to take the tonsils out on Wednesday coming on the 1pm list. Isaac will stay at least one night in hospital. This is big for Isaac as he freaks out over things with hospital. I think memories from being a premie baby. He had to go through a lot and had heaps of tape on his face and as a result is overly terrified of hospital things and bandaides and so on. We have had some good chats though. Isaac said he is nervous and a bit scared but he seems to understand why he has to have a tonsilectomy and that it should make him feel much better. He seems comfortable that nurses like mummy will give him pain medication to help with it hurting. The IV drip is something we are still working through. He is terrified. Tonight it seemed like he might allow it without kicking up a fuss. We will talk more about it though and help him see why he would need it.
So that happened all so fast. I managed to switch my nursing shift from Wed when Isaac's surgery is to Friday. So that is good.
Mum and dad go to Africa for 6 weeks on Tuesday. However, I am not worried as I have good support from Alan and our private nanny and my mother-in-law (other mother). Thanks Guys!
Well, I am going to bed. The paed said that we are hoping this tonsilectomy will solve problems by allowing him to breathe better and get proper rest. If his tiredness continues more tests will be done to find out why as it is unusual that he is so tired with 11 to 12 hour sleep at night. I thought I would also get his eyes checked to see if that could be related to any tiredness and lack of concentration. This will all get worked out.
Thanks for your support! Everyone.....thanks.
Love Charisse
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