Merry Christmas, Happy New Year, and peaceful holidays to all. Apologies for the delay in post but like everybody at this time of year it’s been a very busy and jam packed 8 weeks since my last post with longer stretches out of hospital for our tough little guy.
But I’ll walk you back along the road to where I left you last at the very end of November when he was in hospital with an infection in his line and a confirmation of chronic lung issues. It seems we have come the full circle as we’re currently back in hospital with another Infection in his line and lungs not great after being a clear for a good few weeks and minimal oxygen, if any during the day.
Fortunately, after 7 days of IV antibiotics at the end of November the infection in his Central Line was cleared and the little guy picked up on that front. This was great news as some strains of bacteria can linger, and becoming resistant to certain types of antibiotics and thus difficult to treat and eliminate. And as we know nothing is straight forward with this little guy. Another CT scan of his lungs confirmed there were some chronic changes in his lungs consistent with Niemann Pick Disease. These changes can come and go over a period of days or even months and hence his oxygen requirements vary so accordingly. He can go a day or two and not require any oxygen and other times he’ll be on a 1 litre or day and night, you just have to gauge his work of breathing and general well-being.
About 10 days into December he received his first lot of intensive IV Chemotherapy drugs in almost 3 months- Dexamethasone and Vincristine. During this period he had been on lighter oral Chemo drugs or what they call maintenance. With an estimated period of 7-10 days being the worst period for his blood counts to drop making him at greater risk of infection it was looking very likely that the little guy would be in hospital for Christmas and the thought of 7 days away down the south coast seemed near impossible.
Immediately following the IV Chemo he was discharged as he was reasonably well and his blood count still holding its own. The idea was for him to enjoy a bit of time out of hospital knowing that he would probably be back in within a week or so, a chance to enjoy the sunshine and a bit of Christmas Festivities.
I think I’ve mentioned before that bringing the little guy home after a stretch in hospital is a bit like bringing a new-born home. Very fun and exciting, but also extremely chaotic and always takes some adjustment for everybody especially on the sleeping front for our little guy. I think he had 2 or 3 very sleepness nights for all before we had to take him back about 3:00am one Saturday morning as he was in severe pain which we couldn’t get under control with the Morphine and Oxycodeine we had at home. Having spent several horrible nights in hospital a few months back after the same Chemo drugs we thought he had Pancreatitis the way he was clutching his stomach and really the only thing to do was to get him quickly back onto IV pain relief.
After a speedy drive down the M2 at 2:00am in the morning and a very quick skip through Emergency we were back up on the Variety Ward well before the nurses finished other night shift at 8:00am. Once IV pain relief kicked in he was much more settled and we both spent the entire Saturday in a hospital bed catching both catching up on some much-needed this sleep. It was these couple of days at home, followed by a night rush to the hospital that was really starting to test our strength and resilience. I managed to spend an entire Saturday in bed in hospital sleeping followed by a 9 hour lunch on the Sunday with a couple of mates was fortunately enough to bring me back.
In the background the Oncology team were madly making arrangements for him to head down the south coast for our family holiday. pediatricians at Shoalhaven were contacted, introductory letters written and oxygen machines and cylinders arranged. Always the one to be optimistic with the glass half full I must admit even I was very impressed by their optimism.
With his blood counts not dropping nearly as low as expected our little guy was in reasonable spirits in the lead up to Christmas. It’s hard to know whether the Hydramorphone or the progression of his NPC has dropped his energy levels as he was at that time tending to sleep a fair bit during the day.
Twas 2 days before Christmas and the question was posed as to whether we would like on overnight gate pass from the hospital Christmas Eve or Christmas night- we took Christmas Eve. It was at this moment that I realised it was looking very likely he would be joining us on the annual family holiday to Bawley Point. Whilst very exciting, I was also totally daunted and exhausted thinking about taking the little guy who had spent almost an entire year in hospital away on holidays, some 4 hours away from the hospital but more on the later.
And so on the afternoon of the 24th December the little guy kicked off his Christmas celebrations at his Grandad and Nanny Sue’s. Christmas Day rolled on and it certainly was fantastic to have him wake up in the same house as us (even if the night was restless). I think it must have been all the noise Santa was making putting up the Springfree Trampoline up in the backyard that kept him awake. He had to return to Club WestMed on Christmas night to have some bloods done and a final decision as to whether to discharge for the family holiday.
With his Blood count not too severely compromised and his oral Chemotherapy stopped the little guy was discharged on Boxing Day. With his CAD pump running through his central line, 1 litre of oxygen through ins nose, and his Feeding Pump running at 20 hours a day through his stomach moving our little guy around was certainly not speedy. After a day of packing 2 cars to accommodate all that was needed we set off with some hesitation, not to mention exhaustion for Bawley Point a couple of days after Christmas.
It was a very special and precious time away but I’ll be the first to admit it was busy and exhausting. Then again, holidays with 5 kids under 7 is never going to be relaxing in the sun, sunrise yoga on the beach, long quiet morning walks, a few hours with a book, an afternoon siesta and sunset cocktails……….well not for now anyhow. I do know that despite the sleepless nights (trust me not from partying) and tending to all of the medical needs we were truly blessed to have spent an entire 7 days all together holidaying as a family with our special friends the Jackson/Rochester’s.
Always one to keep us on our toes there was one quick trip to the local hospital for a replacement cap on his central line since he had managed to soil it with a messy nappy blow out. Fortunately they were happy to just give me the cap without going into his entire medical history.
Within a couple of days of returning and getting back onto the oral maintenance Chemo our little guy was back in hospital this time, wait for it………sunburn. How bad do we feel?? He started to get these blisters on his face, ears and feet and after they ruled out any viral types of herpes, hand, foot and mouth and enterovirus there was the suggestion that perhaps it was sunburn. As the days in hospital wore on and the blisters worsened despite not having seen any sun they suspect it was a long-term side effect of one of the drugs he’d been taking for a few months. Once again it was a case of ” we don’t normally seen this in patients but…….”. If I had a dollar for every time I heard this with Ed I reckon we could have found a cure for cancer by now.
After 7 days in hospital we were discharged on sent on our merry way. A week of restless nights and total sleep deprivation I reached the conclusion that I probably would be safer and more coherent after having drunk a bottle of wine rather than operating on the minimal amount of sleep we were getting. It was like the newborn baby days without the quiet, sleepy patches in the day. I realised just how sleep deprived we all were when 5 mins after leaving the house one morning all 3 kids were passed out sound asleep so I too took the opportunity and pulled over for a quick kip, it was 9:30 in the morning!!
After a week at home and just before the Australia Day long weekend the little guy turned a corner and his nights much more settled. It was such an amazing feeling once the fog lifted and we started to get some sleep. We spent the last week in January enjoying the sunshine, going to the beach, movies and hanging out together before Isabel went back to school.
We had managed to pump most of his feeds into him at night, he was just on oral pain relief rather than the CAD pump and not requiring any oxygen in the day.
We had turned quite a corner so it was very disappointing to wake at 1:30am on the morning of Isabel’s first day back at school to a temperature and vomiting- another night raging in the ED department at Club WestMed. Not long after we arrived and pretty much straight after they accessed his central line the poor little guys fever hit almost 41 despite having Panadol and Neurofen. He was white as the bed sheet and shivering and chattering, saying he was “freezing”- I didn’t even know he knew that word. Fortunately further Panadol kicked in along with the IV antibiotics. We’ve been through a lot with Ed but I’d never seen him like that.
It turns out he has another Infection in his central line and will be in at least until the end of the week (7 days) on IV antibiotics. The infection in the line explains the spike in fever immediately after they accessed his central line as they basically pushed the bacteria straight back into him, thus causing the reaction which they call a “Septic Shower”.
In addition to this infection he also has a pressure sore on his bottom that he’s had for about 6 weeks but seems to be worsening along with the pains and discomfort so they’re currently treating that with a silver dressing- nothing but the best for our little guy!!
Here’s hoping we get back to where we left off sooner rather than later so we can get started on some fundraising which is what my next post will be about. In the meantime here are a few pics from the passed few months.
A pre Christmas visit from a very large Peppa Pig
Happy Holiday Time at home