Thursday, March 10, 2011

Ella goes to COSI!

Ella gets to do some really fun, cool things at school.  It usually involves big messes, like finger painting or self feeding that is evidenced by her clothes when we pick her up.  Sometimes though, they take a field trip, and recently the whole class went to COSI!  This was a Wednesday, Grahm's day, so dad went along as well.  I know Grahm put an album on facebook, but I have to include a few of my favorite pics here!





(Note the wardrobe change!)

We finally got the sleep study scheduled for Saturday, April 2nd - so one of us gets to have a really rockin Saturday night!  I was disappointed that they couldn't get her in before then, I called at the end of Feb and they were scheduling 6 weeks out.  They asked if we wanted to be on a cancellation list, and I said "Yes!"  So far, we have gotten two calls to come last minute, literally an hour before she would need to be there!  I realize cancellations happen most times day of, but an hour out?!  Seriously.  Think about this people.  I have an 18 month old that will need dinner, overnight bags packed for both toddler and residing parent, and a 20 minute drive.  Needless to say we haven't jumped on a cancellation yet.  I'll let you know if that changes.  Thanks for reading and feel free to comment, love to hear from all of you!

Sunday, February 20, 2011

Long Overdue Post

Thank you to those of you that follow this blog faithfully, and gently remind me that I haven't posted in a while...the reminders worked, so here I am finally getting an opportunity to download new pictures and write a new post!

The last few weeks since Ella has been home from the hospital have been fairly uneventful, and this is a good thing.  Ella's appetite has returned with a vengeance, eating and drinking what seems like way too much to stuff into this little girl!  Loss of appetite was expected with RSV, but fortunately Ella didn't lose weight.  At her 18 month check up (which was postponed since she spent her 18 month birthday in the PICU), she weighed in at 18 pounds, 14.5 ounces; and measured 28.25 inches long.  The next well visit would typically be at 24 months, but Ella's pediatrician would like to see her at 21 months, just to check in on her weight.

I wish I had more to report in regards to her follow up with Pulmonology, but I've literally been playing phone tag with the doctor all week.  I did get a message saying her data looked good enough for her to come off the oxygen at night, but that she still sees a little "something" and would like to do a sleep study within the next month.  I'm trying to clarify the "something" :) and will let you know what that means as soon as I know.

Ella is making great strides on a gross motor level.  She is still doing her army crawl thing, but she has become extremely proficient at it, and moves at top speed.  If I'm in the kitchen making dinner, she'll come check out what I'm doing; if I'm in the bathroom getting ready, she comes in to keep me company.  She is "playing" with the all fours position, getting into it, rocking, but when she gets motivated to move, she's back down onto her belly and away she goes.  She loves to watch the snow, so she'll go from the front door to the back slider doors, watching out the windows.  Sometimes when I pick her up her shirt is dusty and I realize just how dirty my floors are.  Grahm wants to tie a swiffer cloth to her chest and turn her loose!

We haven't snapped too many pictures lately, but below are a few from the past few days.  Enjoy and thanks for reading!


Ella and her new Magna Doodle




My gma Cheryl made me my very own batch of Valentine cookies, cutout hearts with pink frosting - YUM!!







Grahm participated in the Polar Plunge in support of Special Olympics Ohio, hosted this year by the Columbus zoo.  Brrr! 


Thursday, February 3, 2011

Home Sweet Home

I can't believe it is Thursday and I am just getting to this post.  Ella was discharged from the hospital Sunday around 3:30pm, and I don't feel like we've stopped since.  Once we got her home, we had to call to have the Oxygen delivered and get our "operators license", then a quick grocery run for milk, and Monday morning I went back to work.  But let me back up and tell you how our last few days at the hospital went and where we go from here.
On Friday, we saw an ENT who performed a scope to look for airway blockages that would cause obstructive sleep apnea and hence lower O2 levels during sleep.  This test was normal.  Next, we had an x-ray to check for extra soft tissue in the neck/throat area that could "relax" while Ella is asleep and also cause obstructive sleep apnea.  This too was normal, although we really appreciated the excursion to radiology :)  So, ENT and pulminology agreed to just watch her and see how she did Friday night.  She slept really well (it's amazing how much better you sleep without someone coming in to do vitals every 4 hours), and only went below levels once.  The next day, the doctors came by, happy to hear this news and decided we needed to stay one more night so they could hook up something to her saturation monitor that would give them a continuous feed of readings.  Apparently the monitor normally just takes periodic reads rather than continuous monitoring.  Ella didn't have as great of a night, but even when she went below levels, she only dropped to 86, much better than previous nights of dropping to 82 or 83.  Finally, the doc reviewed the readings on Sunday morning and determined she fell within a range that would allow her to go home, but only with Oxygen during sleep.  Whatever, I'll take it, just get us outta here!
So, the plan is to have her on Oxygen up to 4 weeks at home.  This is the length of time the expect the virus to fully run it's course and for her to be completely healthy again.  At which point we will do a sleep study.  There still has to be a reason her stats drop during sleep and it could be one of two things.  Either it's the virus still present in her lungs, weighing her lungs down when she sleeps and dropping her levels, or she has central sleep apnea.  I vote for the first reason, but we'll just have to wait and see.
Oxygen at home has not been without incident.  Ella is still very sensitive to being held down and having anything done with her body.  This makes putting on the saturation monitor sensor (it attaches to her big toe) and the cannula a real treat each night.  She sets off the alarm on average 2 times a night.  It is almost always though because she has pulled the cannula out of her nose, or ground her toes into the mattress enough to mess up the sensor.  Either way, Grahm and I are both bolting up out of bed at the sound of this horrendous alarm only to find our daughter sleeping peacefully right through it, thank God.  The weather isn't helping.  The night before last with the strong winds, our power flickered 4 times and each time it tripped her monitor, as the Oxygen machine needs electric to run.  I almost wished the power would just go off for good, so at least we could hook her up to the tank that doesn't need electric and we can all get a good night's sleep.
We are so appreciative of our friends and family, and a big thanks to all of you that prayed, visited, called, emailed, texted, etc and kept us in your thoughts.  We were constantly feeling good vibes, and it truly kept us going.  I have included a few pictures from the last day or so at the hospital.

Susie


Ella, free and clear of facial band aids and nasal cannula.  Now if they could just get those discharge papers completed...


I had to include this one cuz I love the baby budda!  Thanks for the gifts Meg and Jen, the tissue paper was just as popular though as the book and cell phone :)


Not our best family portrait, but a happy day it was!

almost out the door!



Grahm's parting thoughts on the piece of equipment that kept us in this place for nine nights, the O2 saturation monitor. 


Friday, January 28, 2011

What day is it??

I think it is Friday, and if so, we've been here a full week.  It's hard to be too upset when I look at my happy healthy girl, but this situation is frustrating to say the least.  For three days/nights now, Ella has been keeping her stats up during her wakeful hours, but drops her O2 when she is asleep (for nap and at night) to a level they are not comfortable sending us home with.  We've been in this holding pattern for three days now, and just today they've decided to be "proactive" and see if perhaps there is some other reason than the virus for her stats to drop.  We just had a pulminologist here, and she thinks Ella looks and sounds great and perhaps the reason for the drop is either anatomical or sleep apnea.  So, next ENT will be coming to do a scope (to check for any anatomical issues), and depending on what they find, the next step might be a sleep study. 

So rather than retype all I've written above, I'll just start a new paragraph, as we just had the scope done.  Everything looks normal, so on to the sleep study; at least that's my assumption.  Boy, wouldn't it be fantastic to have the sleep study tonight?!  How do I make that happen...My fear is that if we don't get something done today/tonight, it won't happen until Monday.  I might lose my mind by then.

Well, looks like at least one more night at Hotel Nationwide.  This place is no where near worth ten grand a night.

Don't want to leave you hanging, so I've attached a few more pics.  It is wonderful that Ella is so happy and smiling all the time.  If she were miserable too, I think that might just put Grahm and I over the edge.


Do you like my thousand dollar nightgown?? My butt hangs out the back :(


Jailbird!  Someone let me out of this place!!

Wednesday, January 26, 2011

Just another Friday?

Well I hope anyone reading this blog is not just finding out that Ella has been in the hospital since last Friday.  But since I feel like I've only given pieces and parts of the story, I figured this is a good place to document the whole event, so here goes!
Ella had "cold symptoms" most of last week, runny nose, cough, etc.  On Thursday when I picked her up from school, she was running a low grade fever, 100.5.  She fell asleep on the way home, I carried her to bed where she slept some more and woke up her happy, chipper self.  She was smiling, playing, etc just as she always does.  In fact, she had crawled (army style) all the way from the living room to the front door to see the snow coming down.  She was fussy for dinner, but drank plenty, so I just figured she didn't feel like eating.  Friday we couldn't send her to daycare even though the fever was gone, so Grahm stayed home with her until noon, then grandma came to take over.  She was a little fussy for nap, but otherwise an uneventful morning and afternoon.  I got home around 4pm to relieve grandma, and she was asleep.  I transferred her to bed to let her rest some more.  When I checked on her an hour later, I could tell she had a fever and her breathing was short and shallow.  I called the on call doc right away, and she said the breathing was due to the low grade fever (so long as it stayed under 40 reps per minute).  I got her up around 6pm to at least get some fluids in her, of which she happily obliged, then back to sleep.  I then checked her around 7:30pm, and I could tell her fever had spiked and her breathing had gotten worse.  I again called the doc, who agreed I should take her to the Urgent care so I didn't end up in the ER later (little did we both know).
Children's Urgent care in Westerville took us right back (dad met us there, so at least I'm not alone at this point, thank God).  They tested her oxygen saturation and found it to be 79. 79...I remember from the NICU days that that number should be as close to 100 as possible.  Another, more accurate oxygen saturation test was done, and 79 was still the answer.  Long story short, you cannot self transport your child if the situation is critical.  It took me a minute to register what "cannot self transport" really meant - we were going to take an ambulance ride.  911 was called, and we were speeding down 71 within 10 minutes.  Dad was trying his hardest to keep up (there was no way I could drive a vehicle at this point and no way I was not getting in that ambulance with my daughter), but was cut off by a dump truck and delayed just a bit.  Note to all, I've never really thought about it, but when you pull over to the side of the road to let an ambulance pass, wait a few extra seconds for the frantic family member following close behind to get by you as well!  A "team" was awaiting our arrival at the ER.  Surprisingly, I kept it together until this point.  At this moment, Ella is on a table with no less than 8 people over top of her, doing all sorts of things and working frantically.  I could only stand alone off to the side and count the minutes until Grahm arrived.  What seemed like an hour was really only 10 minutes, and then dad was there.  4 hours later, we get admitted to the PICU with a diagnosis of RSV and Pneumonia.   Ella needed to be in the PICU because she was getting assistance with breathing.  We spent 3 (very restless) nights in the PICU, and upgraded to a regular room early Monday morning.  She left the PICU on a nasal cannula, which we have been working to wean her from.  She needs to breathe room air for 24 hours and keep her stats up before she can go home.  We started the room air at 4pm yesterday, but had to have some oxygen at 11am today.  I'm not sure what this means for our discharge, but I have a feeling we might be spending another night here.  This room is not the four seasons, but it certainly feels like it after the PICU.  Now if we could only get those nurses to stop coming in so often in the night, maybe we could all get more than 4 hours of sleep.  At this point, I'm certain Ella would recover quicker at home given her own bed and piece and quiet; but doctors know best and our PICU doctor told Ella that "slow and steady wins the race".  I think this is about as slow and steady as I can take though. 
Thank you thank you to all of the well wishes, prayers and good vibes.  I hope the next time I post it will be letting you all know we are home.

A few pictures of our last few days to share:


PICU stay.  Thankfully Mr Rabbit was there.


Ella's glow toe


I get all the pudding I want!



I use this thing as a weapon



Ella turning on the cute.  She was a staff favorite.  Hard to believe, right?



Dad set up the laptop so they could have movie day.



Not a big fan of hospital food.  Neither are mom and dad.


Thank you for all the get well cards and wishes.  Love-Ella

Sunday, January 16, 2011

Snakes, Lizards and Turtles, Oh My!

Ella's school was visited this week by Peter, the reptile man.  He brought lots of slithery, scaly things in for the kids to see and touch.  Ella wasn't a big fan, in fact, I pretty much had to force her hand in "petting" the blue tongue skink.  The turtle was a no go for her completely, and the poor lizard who lost his tail was way to fast for Ella to catch. 




An "Ella update" of sorts, we had a hearing test on Thursday at Children's.  The first test consisted of a probe inserted into each ear in which the movement of the eardrum is measured.  If the eardrum has measurable movement, it is said to be functioning properly and likely does not have any fluid behind it.  Unfortunately, they do one side at a time (why??).  She did well for the left, was fascinated by the doctor blowing bubbles in her face; but when it came time for the right side, there was no having that probe in her ear!  The doctor ran out of bubbles and Ella wanted nothing more than to remove that annoying probe from her right ear.  And she did, over and over and over again until finally we all gave up.  She won.  Next they did a sound booth test in which they can assess the overall hearing.  This test was smooth sailing, as she was easily entertained with the puppets popping up and making noise on her left and right sides.  She passed with flying colors, which means they were able to determine she has adequate overall hearing, but could not access each side individually.  Guess we'll try that probe thing another time...

Sunday, January 9, 2011

Christmas 2010

Santa was very good to us this year.  He brought Ella lots of fun toys and cool outfits, but mostly she was digging the tissue and wrapping paper!




Ella was a big fan of the tree ornaments, the ones she could reach, anyway~




                   We had a beautiful Christmas tree this year, courtesy of Country Pines Tree Farm:




And by the end of it all, Ella succumbed to sheer exhaustion!

it's hard to see, but her head is resting on a copy of National Lampoon's Christmas vacation!

We hope your holidays were merry and we wish you love, health and happiness in 2011.