Tuesday, October 28, 2014

Long overdue update...



Hello Blog World!

Wow, I can't believe how long it has been since I have updated Jake's blog. I haven't written in over a year! I apologize for the lack of updates, so much has happened over the last year. One big and exciting event was Jacob's Make-a-Wish trip! Our family went to Disney World in April and it was amazing. I promise I will get to work on a separate blog post about the trip with lots of pictures. For now I thought I would just fill you in on some medical things he has going on right now.



HEART
The last time I blogged Jake had just come home from having his Fontan (Last open heart surgery). I am happy to report that heart wise he has been doing great! He weened off of all medication pretty quickly and is now just on the Lovenox injections twice a day and Enalapril (Blood pressure med) twice a day. He will be on a strong anti-coagulant for the rest of his life. We have chosen to keep him on the shots for now because he only needs to have blood work to check the levels every 4 to 6 weeks. When we switch to Coumadin he will need it checked more often and his veins are so scarred over that it is very difficult and traumatic for him to get his blood drawn. We will consider switching in a few years but for now he is doing well on the shots.

Getting his EKG, such a big boy now.
Jacob's oxygen levels continue to stay in the 80s which means his fenestration is still wide open. After the Fontan children can have trouble with fluid building up around the lungs, like Jake did. To help lower this risk some surgeons make a fenestration from the venous circulation into the atrium. When the pressure in the veins is high, some of the oxygen-poor blood can escape through the fenestration to relieve the pressure. Normally the fenestration will close over time, separating the Blue and Red blood which will increase their oxygen levels to the 90s, sometimes high 90s. Occasionally it will not close on its own and will have to be closed in the cath lab. It has been over a year and Jake's is still open. He will have a heart echo next month to check the Fontan and they will look at the fenestration as well. Jacob's cardiologist is going to consult with Jake's doctors at CHOP and discuss if he should have his closed. Normally it would not be that big of a deal but Jake has a clotting disorder. Any foreign object has the possibility of causing a clot. A clot in his heart could be deadly. If we don't close it then he will continue to have low oxygen levels which could contribute to his developmental delays. We need to weigh the risk vs. benefits and then will move forward from there. As of now the lower oxygen is not effecting his energy levels which is good. His nail beds are dusky/purple in color but the rest of his body stays pretty pink.



AUTISM?
We went to Cincinnati Children's hospital a few months ago for Jake's annual appointment with the neuro cardiac clinic. This is where he meets with a team of specialists who evaluate his delays and give recommendations. As usual Jake is pretty delayed on paper which is extremely depressing especially because I can see how far he has come and how well he is doing compared to a year ago. They also suspect that he could have autism. This was a huge blow. I have always suspected it but it still hurt to hear. To know that he could have another label and more testing just makes me sad for him. It took me awhile to adjust to the news but I am ok with it now. In the end he is the same amazing boy who a year ago was barely talking and is now communicating all of his needs and talking in sentences. 

1st day of Pre-K
We get so many mixed messages, first they thought he had speech apraxia now possible autism. His local therapists said he doesn't seem autistic especially with how he is progressing but each case is so different. Cincinnati did say that if he does have it then they think he is very high functioning so he would be more like Aspergers. They said he is already progressing so fast which is a great sign. It is hard because they see him in a limited time span. They gave him a train set and then didn't understand why he didn't want to do their tests lol. Maybe because you gave him a new shiny toy! There were things he wouldn't do for them and then we came back home and he did it for the therapist here no problem. He tested high on all of the high functioning advanced skills but didn't want to do some basic things. Some of the tests were from lack of experience like "standing on one foot for so many seconds without falling over" (I can't even do that lol).

I am not denying he is delayed. He is and I am aware of the struggles we face and how "different" he is than a typical 4 year old. Communication is extremely hard. Although he can say his needs or tell me if he wants something, if I say "How was your day"... crickets. He is talking more and more everyday and is starting to talk in sentences now which is huge for him. He has a long way to go but for a kid with paralyzed vocal cords I think he is doing pretty amazing. We still struggle with the talking on inhalation and getting sound out loudly. This is common with kids that had his airway surgery and will most likely be a struggle for years to come. He does have traits of autism, he is very repetative and does play in his "Own little world" sometimes. Lack of eye contact is a big one. On the flip side he is very loving and gives me hugs all day long. I could go on and on but the truth is we won't know until he is tested and even then it won't change how we are approaching his therapy. He is already getting Speech and OT (occupational therapy) outpatient once a week and is also getting Speech and OT at school.

We go for his testing in January. It will be a two day event. They will be doing the ADOS testing and also an IQ test. No matter what I am so proud of him and I know we will overcome any obstacle that comes our way.

 

AIRWAY
Now to the newest concern. Recently I have noticed Jacob's strider has been coming back. Since his airway reconstruction it has been normal for him to have a strider (Noisy breathing) when he is very active and exerting himself. At rest he is usual quiet. Lately I have been noticing he has been having the noisy breathing even at rest. It is not as bad as it was pre-surgery and not constant but it is noticeable and has been happening more often. I first noticed it when he was in bed falling asleep. At rest he should not be breathing like he is working out. I also notice it when he is coloring or doing other non energetic activities. His oxygen saturations are in the normal range for him and his heart rate is normal. He is not sick at all and lungs sound crystal clear. The good news is he doesn't seem to have Tachypnea. His breathing is from the belly not pulling from his ribs as if he were in distress like it used to be. It also is not effecting his energy or upsetting him at all. It worries me but he doesn't seem to notice. At this point it is just the strider.



I trusted my mama gut and talked with his pediatrician this morning and sent her a video. She agreed that it wasn't an emergency but was concerning and he should probably have a bronch to check things out. I then emailed his ENT doctor at Cincinnati Children's Medical Center. I sent him the video and asked if he wanted us to come in to discuss the concerns and possibly do a scope. He wrote back within an hour, and what was even more amazing is that he was at the airport about to fly out of the country.  I was so impressed but not surprised. The physicians and surgeons I have dealt with at different Children's Hospitals have time and time again shown they make time for patients and go above and beyond. They truly have a passion for what they do. This surgeon has seen Jake one time for a scope over a year ago, yet he took the time to write me while at the airport when he could have easily said "Call the office".

He told me that he did hear the strider and does want us to come to Cincinnati for a follow up. ENT and Pulmonology will scope him at the same time so he will only need to be put under once. He said it was not urgent but could be a arytenoid prolapse or may still be issues from the vocal cords. I won't lie, I am worried. The airway reconstruction was the hardest surgical recovery Jake has faced. His hands had to be tied to the bed for 10 days while he was given enough sedation meds to kill a horse. He went through horrible withdrawal, couldn't eat food and was on a liquid diet for months and had 3 IV infiltrations, one causing a clot in his Jugular and the start to the Lovenox injections. It is not something I ever want to see him relive again. That being said, if there is something going on then we need to know about it. I am praying that if he does have an obstruction to his airway that it can be fixed via bronch and he won't need surgery again. He will need cardiac anesthesia for the bronch which always comes with it's own risks especially with his airway issues. This trip will be basically to see what they find and come up with a plan. If they need to do intervention they will do that during another visit either by bronch or surgery. Until we get some answers I am going to TRY and not worry about that.


As a mom, I desperately want my baby to catch a break. He has hit so many rare odds I can barely keep track... HLHS, intact septum, paralyzed vocal cords, clotting disorder, fenestration not closing, possible autism and now his airway strider coming back. I want to throw my hands up and just say "NO MORE!" but that is not how this life works. I know that Jacob's life will be a constant struggle and there will always be obstacles to overcome. As much as I hate it for him, it is our reality. I can only hope and pray that this time, it ends up being nothing and we can go home and back to living our version of a "normal life". Anytime I start having a "woe, is me" moment I remember how lucky I am to have him here to deal with these issues. It could always be worse.


So that is the update. Right now we are working on figuring out what to do with the fenestration, putting the autism pieces together and most importantly following up with ENT and Pulmonology to make sure his airway is not becoming obstructed again. Jake's heart echo is in a few weeks. I will update when we start getting some more answers. Until then, if you could say a little prayer for Jake I would appreciate it. He is the strongest, most amazing little boy I know.  


HAPPY HALLOWEEN! 

Jake and Aidan as characters from Minecraft
CHEESE!!!!!
"Our little Minecraft Family"

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Thursday, August 15, 2013

Home and LOVING IT!


THANK YOU FOR ALL OF THE PRAYERS!
 As you can see, they worked.



I am sorry I have not updated the blog since we have been home but we have been busy. Jake is doing AMAZING. He is pretty much back to normal. Happy, playing and pretty much pushing every limit and restriction he was sent home on lol.

As soon as we got home I set up my command center. 

Anyone who knows me also knows that I do better when I am in control (I am a serious control freak). Jake being sent home on all of those medications made me feel pretty uneasy but as soon as I set my board back up I felt so much better. I only really needed it for the first day or two but still it makes me feel better to have it lol.


We have been pretty busy with appointments since we have been home. Last week we had 2 chest x-rays, blood draw and two cardiology appointments. When we left CHOP Jake still had some fluid on his right lung. They increased his oral diuretics and we were able to come home. By that Monday the chest X-ray showed almost no fluid! It could be the added diuretic but I think it is because he was happy to be home and out of that hospital bed.

The X-ray on Friday looked even better. There was no fluid! Yay, now lets hope it doesn't come back. We went back to the Cardiologist today and the X-ray still looked awesome so we were able to get rid of one of his meds! Diuril is now cut off that long list pictured above. If things look good on the X-ray next week then he can drop the Aldactone and Sodium and the Lasix can be cut down to two times a day. That would mean we would be down to only 4 medications a day. We are headed in the right direction! We have to slowly ween off of the diuretics to make sure the fluid doesn't start building back up.

Jacob's oxygen levels are still hanging out around 85. This is normal. It could take 6 months to a year for his fenestration to close and the oxygen levels to get up into the 90s. If in a year they are still low then he will need to have the fenestration closed through a Cath. Hopefully that won't be necessary and those numbers will start to go up on their own. Either way it is not something we need to worry about right now.

Jake is back to his crazy 3 year old self. He is still technically healing yet you would never know it. He is climbing on everything despite me telling him he isn't supposed to yet lol. I woke up the other day and he was in my bed. He climbed up on the table next to my bed and climbed in bed with me while I was sleeping. SERIOUSLY JAKE. A few days ago I looked over and he was trying to go down his little slide on his belly. I ran over and grabbed him and he started laughing at me. He may be driving me crazy with worry but it is so awesome to see him back to normal. A smiling, happy rambunctious three year old boy. He amazes me daily.
I will try to write again soon but as always no news is good news. If I am not posting that just means we are living life and enjoying every minute! 



 







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Saturday, August 3, 2013

DISCHARGED!

Post Fontan Day 16



 DISCHARGED! 

As happy as that makes me I am scared to death. We still have a long way to go before I feel "Safe". Jacob still has fluid on his right lung. He is on three different diuretics so that will help him get the fluid out. It is just going to take time for his body to re-absorb the fluid. That being said my biggest fear is the fluid re-accumulating. It is not uncommon for kids to have to be readmitted for another chest tube. I am not trying to be negative or pessimistic and I am praying to God that we won't have to go back to a hospital but lets just say I am being very cautious and kind of feel as if I am walking on egg shells.

My job is to keep him well fed and well hydrated and pray the diuretics do the trick. We will be going to our local cardiologist on Monday and they will do a chest x-ray then. Hoping it shows improvement or at least doesn't show any signs of it getting worse. I also need to watch out for signs that it could be coming back like coughing, lower SATs, fussiness. I am also going to continue to do chest pt (Pound on his back with a little thing they gave me) to help break up the fluid. Please continue to pray the fluid goes away and doesn't come back.

Another thing we have to adjust to is all of the medication Jacob was sent home on. Before his surgery he was only on Aspirin and Enalapril. Now he is on EIGHT different medications!!!


Overwhelming doesn't quite cover how this makes me feel lol. I feel like we are Post-Norwood all over again. The Norwood was his first open heart surgery and he was on 8 then as well. Many of these will be weened off in the next few weeks to months. Here is a list of what he is on and when he takes it.

Lasix  1.5ml
Frequency: 2x/day
Type: Diuretic

Diuril  2.6ml

Frequency: 1x/day
Type: Diuretic

Aldactone 2.5ml
Frequency: 2x/day

Type: Diuretic
 
Zantac 2.6ml

Frequency: 2x/day
Type: Reflux Medication

Sodium 3ml
Frequency: 1x/day
Type: Suppliment


Cephalexin 6.9ml
Frequency: 4x/day
Type: Antibiotic
Last dose tomorrow

Lovenox Injections 9 units
Frequency: 2x/day
Type: Anti-coagulant

Enalapril 2ml
Frequency: 2x/day
Type: Blood Pressure


Enough to make your head spin, right? I know after a week it will be nothing and I will be in my routine but for now I am checking them 4 times before I give it to him and being super cautious. I have a med schedule they gave me but I need to go home and make it on my dry-erase board so I can easily keep track of what I give him each day. I feel better the more organized I am with this stuff. He was throwing up with the Sodium, like clockwork but tonight I gave it to him and he didn't. I am wondering if it was positional because he wasn't in bed. He was up and playing. I also diluted it with more water and used a bigger flush. I give it to him in his tube. The nurse said diluting it helps. He gets a lot of meds at one time so they said I can give them however works best for him as long as I space them right. I don't want to be giving meds 5x a day but I also need to give certain ones like the Sodium by themselves. That way if he does vomit the rest stays in.

Right now we are doing:
  • 8am: Lovenox, Lasix, Enalapril, Zantac, Aldactone, Antibiotic
  • 12pm: Diuril
  • 2pm: Lasix, Antibiotic
  • 8pm: Lovenox, Lasix, Enalapril, Zantac, Aldactone, antibiotic
  • 10pm: Sodium
  • 12am: Antibiotic.
Luckily the antibiotic will be gone tomorrow.  So that will help. Then he will just get meds 5 times a day lol. UGH. Oh well we have to do it and hopefully he can be weened off some in a few weeks to a month. I need to get in touch with Hematology in Cincinnati so they can be our point person on when to stop the lovenox injections. It will most likely be in about 3 months. I will discuss this at his doctors appointment on Monday as well.

Jake has been so happy since leaving the hospital. He is driving me crazy because he is running everywhere, climbing, playing basketball... pretty much trying to do everything he is not supposed to do. He will stop if it hurts but I still worry. The fact is he is a 3 year old boy so it is kind of hard to hold him back. It is also great he feels so well.

We are at the Ronald McDonald House tonight and will be leaving first thing in the morning to go back to West Virginia. Like I said earlier we still have a while before we can "Relax" and truly feel Post-Fontan but please continue to keep Jake in your prayers. I will update the blog after his appointments on Monday.

I have to say it is pretty amazing to look over and see both of my boys sleeping peacefully beside me. I am so blessed!


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Thursday, August 1, 2013

Another day hanging out in the CCU...

Post Fontan Day 15


Jacob's chest x-ray looked a little better today, YAY! Not too much to report other then that. All of his labs look good so they don't need to stick him tomorrow... double yay! Today he was on oral diuretics only, no IV diuretics. If his X-ray looks the same or better tomorrow then we may be able to go you know where. It is all riding on that. I am a little nervous because he has not drank as much today and is not peeing a lot. I have been trying to shove the sippy cup at him as much as I can lol. If it looks any worse then we will be stuck here the weekend so praying it looks better. People have been asking me all day if we are going home tomorrow. I am so afraid to jinx it. His cardiologist came by to see him this evening and Jake was driving all around the cardiac unit in a lightening McQueen car. He said "Looks like he is ready to go home". I just replied "We would love to, fingers crossed".


His buddy Sophia went home today and we seem to do everything at the same time so maybe that is a good sign. Another little boy who was here for the Fontan and went home last week came back tonight because of the fluid. It scares me because I know it can come back anytime and he still has some but I know they won't send him home unless they are sure. The fluid will take a while to reabsorb and he will be on diuretics for quite some time to make sure it stays away. If we do go H_____ tomorrow then we will go in for a chest x-ray at our local hospital on Monday morning. We will have to do a lot of follow up to make sure we monitor the lungs and fluid. 



Jake is beyond ready to get out of here. Tonight he literally tried to jump OFF his bed. He gave me a sly grin and I noticed his legs were hanging off the bed and he was scooting off. I ran over to catch him. I have since lowered his bed as much as I could and warned all of the nurses that he is crazy lol. He has been out of bed and running around most of the day. He just looks awesome. Love my boys so much.

I hope to write tomorrow from my own home but we will see what the xray shows. Until then here are some pictures of my little monster from today. Enjoy.

Laughing with a mouth full of food!

Super Aidan!
Looking for a way to escape.
Crazy Man behind the wheel :)
 


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Wednesday, July 31, 2013

Emotional Rollercoaster

Post-Fontan Day 14


Today did not start out how I had hoped it would. I was woken up (around 5am) by x-ray. Jake and I fell back to sleep and about 6am we were woken up by phlebotomy. That is probably the worst part about being in teh hospital for Jake. He is woken up every morning by them sticking him for blood. The past few days the phlebotomists have been amazing and got him right away. Today she poked him a few times, then got blood everywhere on his bed even though she had already took the needle out so none of that counted. Then she got him on his foot and said to me "Next time you really should tell the person who comes that he has good veins on his foot so we don't have to stick him more then once". She said it with attitude like it was my fault she didn't get him and made him upset. Seriously, isn't this your job to look for good veins? Ugh.

She left and we went on with our day. Since they wake Jake up like that he starts out the day trusting no one. He tells anyone who steps foot in our room "Bye-Bye... See you later". He is afraid of everyone. It is pretty sad, but he is so sweet about it. Next the fellow came in. He told me the X-ray looked a lot worse (My heart sank). Then he said Jake might need to have a chest tube put back in. He as well just have punched me in the gut. I felt so defeated. I held back the tears although I just wanted to scream that it was not fair and he had been through enough. The nurse came in and had this look on her face that she was so sorry about the news. At that point I couldn't hold them back. I just started crying my eyes out.

One thing about me is I always try to be so strong. I don't usually cry, not even on surgery days. I always want to be Jake's Rock. I don't want him to see me upset because I want him to know it is ok. I told the nurse I felt so ridiculous and so guilty because I knew this is just a minor setback and I know how blessed I am that Jake is doing so well. So many kids are fighting bigger battles, some fighting to hang on until they get a new heart. How selfish was I that I was crying over a little fluid and a chest tube. She told me not to feel that way. She said you have every right to be disappointed. He is my child and it is hard seeing him go through all of this. You get your hopes up only for them to be crushed and this could keep him here a lot longer.

Think there is enough stuff in his bed lol?
I realized how right she was. I have every right to have a moment to vent, cry or feel dissapointed. That doesn't mean that I don't realize how lucky we are that Jake is doing so well. That doesn't mean that I am not being positive and that I don't know that this will pass and we will be home before I know it. It means that I am human. It means that I am exhausted, that I watch both of my boys being so brave but wanting and wishing to go home. Jake looks great and feels great but he also has super high anxiety in here. He is afraid of everyone and has more bruises and needle marks than I can count. I am his mother, of course I want to take him away from all of this.

This doesn't mean I will be a crying, blubbering crazy woman every day but I think it is ok to take 20 minutes and cry to get my frustration out. Living in the hospital day in and day out is not easy. I haven't even seen outside or had fresh air in days. Being separated from Aidan every night is not easy, especially when he cries and tells me he wants his mommy. Heart moms are the strongest women I have ever met. We put on a smile when some would crumble. I am so proud to be a heart mom. I plan on always being tough and strong and pushing through no matter what set backs we face. I am also so glad that I know in my heart it is OK to be human and take a moment let myself let it all out. I truly think that is important in order to keep your sanity. I took that moment then I sucked it up and it was time to figure out a plan of action and move on. Ride the roller coaster no matter how many drops and loops it had.



So I had a good cry and then the attending came in and didn't know why I was upset. I told her the fellow came in and said Jake needed another chest tube. She said "No he doesn't" lol. Wait.... WHAT? She said the X-ray was not worse. It was done at the bedside and yesterday's was done downstairs as a 2D so the fellow thought it was worse but it was just a different technique and actually the fluid was exactly the same. So the tears and stress was for nothing but hey I got a good cry out of it lol. It is not great news that the fluid had not gotten any better but after hearing before that it was so much worse it sounded like the best news ever!

After she left the dayshift nurse came in with Jacob's fist full of medication. I told her he tends to throw up once in the morning and we were not sure why. She told me she was surprised he got so much medication at once and asked why we didn't mix the sodium with anything to dilute it. I told her we have put it through his tube and no one has ever mentioned doing it any different. She suggested we hold off and give him the Sodium at 10 instead of with the others at 8am to see if it helped. Jake had all of the other meds and sure enough he didn't throw up. He ate breakfast and was fine. Right before rounds we gave him the Sodium. We put it through his tube so he woudln't have to taste it (Can you imagine taking a syringe full of salt water, YUK). Within 10 minutes he started vomiting. FINALLY AN ANSWER TO HIS VOMITING. It was the Sodium all along. So the good news is we found out why. The bad news is he did it during rounds so I missed most of the discussion about his chest xrays lol. We told the attending the nurses discovery about the sodium so they said he could decrease it and only give it to him once a day instead of twice. We are also going to give it at night since he doesn't seem to vomit at night (Maybe because he has a full belly from eating all day).

Best big brother EVER.
He even let Jake use him as a foot rest lol.
As for the chest x-ray. They decided to add a one time dose of IV Lasix on top of the oral Lasix he has been getting. They also increased his Aldactone (A less potent diuretic) to twice a day. Praying this does the trick. So we wait and see what tomorrows x-ray and labs look like. Even though we all want to go home we also want to make sure Jake's fluid is completely gone before we do. We don't want to get home and then have to turn around and go back to the hospital. So we are on his time and we know his body will heal, these pleural effusions can take forever and be a HUGE pain in the rear.

We did take him downstairs again today. CHOP has a big interactive sculpture down there. It has balls that go all around these metal tracks, slopes and funnels. The kids can turn different knobs to make different mechanisms work. They loved it. Jake was mesmerized. While we were down there a little girl was chasing him around and purposly standing in front of him so he would have to look at her. He ran away but she followed, so cute. I of course lathered his hands and arms up with hand sanitizer as soon as we were done playing.




The boys also got to do a few crafts today in the playroom. They made rain sticks which were pretty fun to make. They also made sun catchers. His fellow HLHS buddy Sofia was also in there doing crafts. She is in the same boat we are waiting around for the fluid. Jake went up to her today and gave her a hug. It was so sweet. She backed away though and looked at him like he had two heads lol.


Another BIG thing we did today was Jake got to have a bath in the bathtub instead of a sponge bath in bed. We have to make sure that he doesn't submerge any of his incisions so he can only have a little bit of water in the tub. Still it was nice to be able to really clean him and give him a more "Normal" bath. When I said bath he ran to the door and right up to the tub. He was a little upset when we had to cover his IV with a bag but I think over all he enjoyed it.



Jake ate like a CHAMP today. He ate a whole pizza for lunch. For dinner he ate all of his chicken nuggets, potato stars and apple slices. Go Jake Go! His eyes look pretty sunken in on the picture below. They were much better tonight. It is a fine balance because he needs the diuretics to get the fluid off. BUT if he isn't getting enough to drink he gets too dry and his eyes look sunken. They almost held his lasix tonight but luckily he ate really well and continued to chug his milk. He was positive on his INs and OUTs (They weigh everything and keep track of what goes in and what comes out). So they gave him his night time dose.
 

Chowing down on some pizza.
Discharge planning also came in today and sent his Lovenox prescription to the pharmacy for us. So once this fluid clears we should be good to go. I am going to take a child CPR class before we leave. It isn't mandatory but they asked if I wanted to and I thought it would be good to have a refresher. I took one when he was an infant but it has been a while. 

The plan is wait and see what the x-ray looks like tomorrow then go from there. Like always please pray it looks better and starts to clear up. I will update the blog tomorrow.


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Tuesday, July 30, 2013

We escaped the 6th Floor... for a little while.

Post-Fontan Day 13


Not to much to report today. Jake's chest x-ray looked a little hazier then yesterdays so they added a one time dose of a diuretic that tends to get that extra fluid off. They also switched him to oral Lasix and increased that. He has been peeing a lot so I am PRAYING that the x-ray looks better tomorrow. His eyes looked a bit sunken in today after all of the diuretics so I have been trying to get him to eat and drink as much as possible. They are looking better tonight.

Hematology decided he will go home on the Lovenox injections. I will touch base with Cincinnati to see when they want to see him for follow up with that. Most likely we can just do bloodwork at home once a month to check and make sure he stays at a theraputic level.

If the x-ray looks good tomorrow then hopefully we can discuss going home on Thursday. So please pray it looks good!

The attending gave Jacob privileges to be off of his telemetry box and go anywhere he wants in the hospital. Most of the time you are not allowed off of the unit but since his telemetry has been stable and we are just waiting around to make sure the fluid doesn't come back they said he can go off the floor and try to have some fun. Once the order went through we decided to take him down to the Atrium. It just so happened that they were having a big Music Therapy Session down there.

Breaking free of the 6th floor... for a little bit.
 

This only happens for one hour once a month. All of the music therapists get together and bring a ton of instruments for all of the kids to play. What luck we would go down there just then. The music therapist that knew Jake from a session up in our playroom came over and gave the boys a drum and some tambourines. Jake and Aidan had a blast. Then Jake ran over to be part of the drumming circle and jumped up onto the chair. He loved getting to play all of the instruments. What a great mini get a way. He was able to just be a normal 3 year old for a little while, no leads, no doctors just a boy having fun! Aidan was also excited because he isn't allowed in the playroom up on the cardiac floor. This way he was able to participate and have fun with his brother.






I am super tired because it is impossible to sleep in this place. That being said I am super grateful that Jake is doing so well. As much as I want to go home I also know how blessed we are. Jake is happy and running around, laughing and playing. There are so many people who are here watching their children fight with no hope of going home in sight. I am glad they are being extra cautious. We need to make sure the fluid goes away completely.

Hope to have more news tomorrow!








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