Double Bunk Us I Dare You

They did it together. Being hospitalized as brother and sister who share the same disease. Orson and Maelee. Maelee the big sister who had done this type of hospitalization before began from the start to be protective and ever the teacher to her younger brother. He needed her support and she gave it. As a mother who sees their relationship I was grateful for this turn in the tide as the two usually have the hardest time getting along together. But her mother heart wrapped around him and she did everything she could to comfort and help him while at the same time getting through the hospital stay herself. Maybe it was a good distraction for her.

When Orson was told that he would need to fast to be prepared for his PICC placement and bronchoscopy Maelee quietly told me that she would fast as well. She didn’t want Orson to be sad seeing her eat. So we all fasted and waited. I was there alone with the kids so my husband could get at least a half day of work in. My younger brother came for a visit that morning. He was also a welcome and lovely distraction from the waiting, because that is what the hospital is, waiting. That day we were waiting for Orson to have his PICC placed and bronchoscopy under anesthesia scheduled for noon, and also waiting for Maelee to be called in by the PICC team to place her line in the procedure room on the same floor we were staying in.

The kids received lots of instruction and explanation on what a PICC was and how they would have them put in. This was done by a cheerful and kind Child Life Specialist named Kylee who was absolutely incredible at her job. I was worried that the procedures for both kids would collide and I would not be able to be with one of them. They pulled Maelee back into the procedure room, just a few doors down from where they were staying. Orson was so scared for his anesthesia, he hates everything about anesthesia and he knew it was getting close to when he would have to do it so he was hesitant to watch me walk down the hall with Maelee but he told me to go with her.

She was really being taken such good care of by a room full of capable and kind women. They were all so upbeat and caring. Kylee was right at Maelee’s head all masked and gowned so she could be so close to her. She told me she would stay with her throughout the whole procedure so that I could go with Orson if need be. Maelee was extremely brave and was doing so well but I could hear the fear still right on the edge of her voice. Orson’s nurse came in at that time to let me know it was getting close to Orson’s time for preparation downstairs. I told Maelee I was leaving for a minute and ran as fast as I could down the hallway because I knew he’d be upset waiting for me.

He was balled up in the corner of the room crying. He had just tried to escape the room running down the hall looking for me as soon as the nurse told him it was time to change into a gown for the procedure. He got scolded for leaving the room and was sitting holding his procedure gown crying as far away from the nurse as he could get. I calmed him down and helped him prepare and then ran back down the hall to let Maelee know I was leaving with Orson and thanked Kylee for being so generous with her time and staying right by Maelee.

Orson was absolutely inconsolable. Any time that he could remember anesthesia had either lead to him waking up with a plastic straw sticking out of his stomach that still hadn’t been removed three years later or vomiting blood for hours after waking up. On top of that the idea of being forced to sleep makes him angry and feeling powerless to stop it. So when transport arrived to wheel his bed to the OR he wailed the whole way there. I don’t blame him. He sobbed and cried out in frustration literally every second until the mysterious vile chemicals of anesthesia commanded his body to stop. It was torture for him and torture for me. The child life specialist on the floor there convinced the anesthesiologist to let me go back into the OR with him while they put him under so he wouldn’t have to be alone. It was the first time I had been allowed to go beyond the usual “goodbye doors.” I tried to comfort him throughout this process. He asked to pray together so we did that a couple of times. I tried to absorb all of his emotional pain but there was so much I wasn’t enough of a sponge. I watched them plunge (the nurse didn’t go slow he was trying to get this kid to stop screaming) the milky concoction through Orson’s IV while Orson screamed that it was burning and I wanted to punch all of the men in the room (there wasn’t any women in there which for some reason also made me furious that it was all men). As I watched him instantly go limp after screaming the previous hour all I could do was give his hand a kiss and be lead away to wait. It wasn’t supposed to take as long as it did but between waiting on the pulmonologist to arrive, finish, and complete the bronchoscopy and then trying to find a vein large enough to PICC Orson it took twice as long as they said it would. One of Orson’s issues with anesthesia is the moments he’s alone in recovery and waking up without me. Because of this I was pacing getting more worked up and more worked up with each minute. Oh and we had a fun surprise right before we got hospitalized, our insurance deductible that had been met days after January 1st of this year got mistakenly reset unbeknownst to us July 1st (still trying to clean that mess up) so I was fielding calls about medicine during this anesthesia prep time.

In the mean time Frank came to the hospital from work and was with Maelee so at least she wasn’t alone anymore. Finally when the nurse came back to get me I just lost it. I wasn’t crying yet but I was so upset I couldn’t complete a sentence just spewing angry half sentences like the wind was knocked out of me. Then when I got to him he was already awake which then made me start to cry with him because his fear came true and he had woken up alone. I couldn’t describe to the nurse how deeply upset I was. I was so disappointed that I had let him down and felt so helpless as I watched him again get so sad and disoriented watching him live his dread. It was a small procedure. I understand that. But every time he goes under it feels like reliving all the trauma. The devastation and pain he felt as he sobbed in my arms so confused and hurting after g-tube placement surgery, and the feeling of catching a bowling ball in his nose and throat and then repeatedly vomiting blood after his surgery in December of 2017 all those memories just hang in the air around us and its awful. Its difficult not to feel like its your fault as a parent when your child is in pain. Surely there was something you could have done to stop this or fix it but you failed and now your child is in their pit of despair and you have to slowly and carefully do anything you can to coax them out of it.

Then PICC day was over and we had rainbows of visitors everyday to go with the waiting. Waiting for each doctor to come in and give us a two to five hundred dollar handshake everyday, and IV’s to run, four vest treatments a day, and trying to convince the kids to eat.

Maelee has never struggled eating well, but Orson has struggled with eating enough food to sustain life since birth. This bothered many of his nurses who would pepper him and then Frank or I whoever was in the room with questions of why he didn’t eat more. This would make him cry. He did find a way to successfully get his blood glucose measured. When the nurse would come to check his sugar he would call for the parent in the room to come and hold his ears to block the sound of the little machine. He didn’t mind the poke so much or seeing the blood even but the sound of the machine was very grating to him. Good news though his numbers looked swell so they stopped checking after a few days.  

The picture we took before I drove Maelee and Orson to be admitted to the hospital.

The picture we took when I came to switch places with Frank the night of the day my friend had brought Charles to spend the day visiting his siblings.

We switched parent schedules on the weekend when Frank wasn’t having to go into work. He slept at the hospital with the kids on Friday and Saturday night. Which gave me the chance to be the one at home waiting. What was special about it was that because of how the visit played out Frank and I both had alone time with each of the kids at one point or another to express our love, spend time with, and listen to them. Charles and I stayed up later than usual working on a puzzle and with Charles legos are always involved so that was fun too. Ruby and I randomly got cauliflower soup from Zupa’s on her request. I have to admit I was dreading church on Sunday. I felt so fragile and tired and I didn’t want to get into in depth conversations about the hospital because I was worried it would make me cry. But we went to church anyhow. Myself, Charles, and Ruby and once I got through sacrament meeting and into my primary class and sat with my CTR 7 class the most comforting feeling of love stayed with me the whole time. I forget how it came up but each of the 7 year olds in the room started asking me questions about the kids in the hospital. But it was so sweet, kind, and innocent that it was easy to talk about with them. Then without being asked during the opening and closing prayer my primary kids prayed by name for each of my children. I felt so loved.

After church waiting for news from Frank was killing me. The kids had a lung function test to do scheduled for noon, then they would hear from our pulmonologist and she would let us know if we could come home that day or Monday or Tuesday. Then I started getting calls from the home health care company who would be supplying us with our home IV supplies and nurse visits. I started to panic thinking about being responsible for running two IV schedules. So I did what seemed the most natural and beautiful thing a mother could do on a Sunday afternoon. I baked cookies. These are spectacular cookies by the way (Neiman Marcus cookies from that ancient e-mail forward years ago – a family favorite!) that I knew I would have to resist eating two dozen of in thirty seconds because that’s what Kamarah last year would have done, but Kamarah this year has lost 55 pounds and is going for 15 more. But I baked anyway because the process itself was what I needed that day not the eating. It worked. Baking made me feel better and more like a regular mother and not a mother waiting for IV meds to be delivered.   

The IV and vest schedule I wrote out to keep things straight.

The most exciting grocery store trip ever.

 When they came home we ran their IV’s through their PICC’s and it was fine. It was hectic and touch and go for sleep but we got through each day hunkered down happy to be home and not stuck in the hospital room anymore with insanely expensive handshakes from doctors and nurses breathing down our necks. Maelee was so concerned with us having to get to her arm in the middle of the night for IV changes that she would sleep in a very specific thoughtful way with her PICC arm laid nicely on her pillow. The day after we came home we needed to go to the grocery store to replenish the necessities. Both Maelee and Orson practically raced us to the car when we asked if they wanted to go and walked around in Fry’s like it was the bright lights of Paris so happy to be somewhere besides room 320. It was comical and fun to watch them be appreciative of home life.

Now our goal is to ring out the towel of summer for the next few days. It’s that special nostalgic time of year for me when I get sad thinking about having the summer be over and the kids gone but I also want to do a cartwheel because school starting means the expectations of Mom performing entertaining magical experiences stops as well. Cheers to a long and lovely break before our next hospitalization.

Neiman Marcus Cookies

1 cup butter

1 cup butter flavored shortening

2 teaspoons soda

2 cups white sugar

5 cups oatmeal

24 ounces chocolate chips

2 cups brown sugar

1 teaspoon salt

1 - 8 ounce Hershey bar cut into pieces

4 eggs

2 teaspoons baking powder

2 teaspoons vanilla

(9 minutes in 360 degree oven or when slightly browned on top)

PS - Having your insurance deductible reset and then trying to convince people it was a mistake and your deductible has indeed been met is what I can imagine would be similar to sitting in a maximum security prison and trying to convince everyone your innocent. No no no I realize the prison scenario is much worse but its pretty ridiculous none the less. 

They Shatter My Doubts

                It has been to date a summer filled with changes. Every day when I give Baby Ruby Forever her enzymes without having to get out applesauce to put them in I’m still surprised at her. I kept the applesauce available to use in case we needed it but after her first time of literally swallowing them without water, just swallowing them when I asked her to she hasn’t looked back. It is incredible to watch my kids do things easily that in my mind were going to be so so so difficult. My kids shatter my doubts. I am so excited to see them make progress towards independence with their care. Our situation is unique in that we have three levels of progression with Cystic Fibrosis.

They shatter my doubts, these guys right here.

                The first level, most advanced level, sits with our oldest brave newly double digit turned daughter. She is a courageous leader for her younger CF siblings, (whether she realizes it or not at this point). Six months ago she had her first complete sinus cleanout surgery plus adenoid removal surgery and since then her healing has brought with it huge benefits to her personal gauge of health. She knows now and can feel when her breathing and upper airways are clear and how to try to fix it when she is not. I’m so proud of her in gaining this skill, it was a challenging one to acquire (upper airway clearance) but she’s getting leaps and bounds better at it than ever before. To see her feel the physical difference in a blocked airway and then cringe to know how hard it is going to be to clear that and then to do the work to do it is really sensational. For instance she was laughing so hard today due to a hilarious friend at church (sorry primary teachers she may have been out of hand today) that she gave herself and amazing upper airway workout which left her feeling blocked. She came home from church and spent an hour fixing it, doing all the tricks of her trade (that she has learned for the past 10 years) to finally get it taken care of and with relief declare “I feel so much better now Mom, I really do.” We work with her to know what each pill does that she takes, and what each vial does that she inhales, and why its important to do all the stacks of extras that she does each day to feel healthy. She sets up her own pill box every week and follows a chart to make sure shes got them all. She is very close to being independent with her care and treatments with us praying, learning, watching, reminding, and encouraging from the sidelines. As she gets older well talk about insurance, where to get the cheapest over the counter supplies, etc – but thankfully we aren’t quite to that level yet (because I’m still figuring it out as well).

                Then we have our middle level of CF independence in our only g-tuber plus CF child, our own King of Brave, Orson. He is busy learning all about his g-tube. How to set up his feeds at night, how to hook and unhook himself from his machine, and how to keep his button site protected and safe. Along with having his one night every two weeks or so where he is very angry about having his protruding piece of plastic, he also has a sense of pride about his button. This comes of course from being the only one with one so he enjoys teaching his siblings about it (they love to help him hook and unhook and set it all up as well). He is also aware of what each swallowed and nebbed med does. All of this knowledge is being absorbed without him even being at the milestone of reading on his own yet which I always forget about him not being able to do that because he seems so mature and does so much for himself already in regards to care. He is very careful with his inhalers and I am grateful that he takes the instructions of the respiratory therapists so seriously and is so good at holding his breath and counting between puffs. He has always jumped at the opportunity of doing this on his own and progressing to the next level of self care. He is definitely a younger sibling who is racing to keep up with his older siblings and in this case, CF independence, it’s a really amazing blessing as his parent to see him trying so hard to be responsible in this very crucial part of his life.

                Whats been so wild about our now last level of CF independence in this our 2017 summer of change is watching our Baby Ruby Forever come out of the infantile CF stage where we are doing everything for her to watching her take those first steps to independence. She knows where her medicines are and can walk to carry them. She can hold her own neb cup. She enjoys counting to six in Spanish as we count breaths using her chamber. As I said before she is swallowing pills now. She has begun the always memorable journey of using the toilet and that is always a party for a CF human due to that darn pancreatic insufficiency and other CF nuances. My favorite part about the stage she has finally come into with CF care is that we have had more mornings that not this summer where all three kids are treatmenting at the same time! This is a motherhood miracle for me because its such a relief to have Pulmozyme and other important meds done first thing in the morning and not have to find time to work it in during the always changing day time schedule.

This is a blog post I wish I could go back in time and have myself read two years ago as I was holding my third little CF baby in my arms thinking, “how in the world will this ever work?” Two life changing years overflowing with blessings have happened to get us to these three separate levels of CF care.

My faith in my children's ability to handle the disease they were born with increases every day and it gives me a constant reassurance of God’s planning and presence in each of our lives. They are doing it baby! Wahoo!

Throwing Up In Front of 800 Children

It was the kind of week where you throw up in front of 800 people.

Monday: Primary care physician says Ruby’s lungs sound junky enough that he wants me to get into the CF clinic right away.

Tuesday: Frank takes the day off work to get Ruby to the CF clinic first thing in the morning while I serve the day enjoying the jury selection process in downtown Phoenix from 7am to 4pm.

Thursday: I am sitting in the back of the packed school auditorium proudly watching my second grader (The Real Prince Charles) perform his 2nd grade fish play, "Sounds Fishy To Me." The Baby Ruby Forever on my knee starts the much dreaded puke cough. She had done it earlier in the day, enough for even the King of Brave Orson to ask “is Ruby going to puke Mom,” but she never did puke. She hadn’t been eating much for the past couple of days and I was so worried about her that I cooked up some of the only thing she had willingly eaten that day so far. Bacon.  

Yes I had packed her a sandwich bag full of bacon and a sippy cup full of calorie doctored up orange juice (since she was also on strike from drinking her straight up half and half) to eat on the way out the door for the Real Prince Charles’ school play.

The wet harsh cough begins about 10 minutes into the performance. The back quarter of the assembled school children all turn to see who is making that terrible noise. I turn her towards me and try to be nonchalant while she makes a few more terrible sounds and the back half of the kids turn around to spot the sound. Then bam. Up comes a terrible mixture of bacon, snot, and OJ. Once. Twice. Three times a lady I’m darting out of the auditorium through to the outside doors trying to be responsible and not spill any or get anything one anyone else. You know basically smashing barf all over myself and Ruby.

I left my poor mother sitting on the bench to see at that point surely all 800 children of the school turn to witness the great puke display.

But as we have found with our kids this unfortunate experience was a necessary evil at this young age when they have terrible allergies combined with the nasty thick CF snot they can’t clear the beast on their own. They must throw it up to get it out. Yuck. Sorry to all who had to witness the upchuck. BUT I promise I had been working so hard to help her with extra vest time, inhaled mucus thinners, broncodialators, hospital grade suction machines, etc. But puke happens and this time it happened in front of the entire assembled elementary school. 

The amazing fantastic glorious news (besides of course Ruby didn’t end up hospitalized) this week was…….SHE STARTED SWALLOWING PILLS!!!!! We saw an awesome video posted by the CF Foundation on Instagram of a little 15 month old girl using her applesauce pouch to take enzymes and decided to try it with Baby Ruby Forever and it worked! She found her own way to do it (no water, no sauce, just dry swallowing and sometimes chewing) but it was really easy for her and a huge awesome milestone in the life of a Cystic Fibrosis inflicted human! I tried to catch a really good pill swallowing session (she takes 5 pills every time she eats) and ended up with some pretty hilarious footage.

We are surviving this swirling world of existence with three CF children and one non CF child and I feel like every day this week really great things happened in our family. There were several moments this week (feeling nostalgic with my baby boy finishing preschool and dodging for now the hospitalization bullet) when I wanted to put the happenings into a snow globe so I could pick them up and watch them over and over again. Oh and good news, Frank ran such a flawless day with his clinic visit and perfect treatments with all three kids morning and afternoon he said he would consider switching places with me if I could find a job that made a million dollars a year so if anyone out there is hiring I’m worth it baby!