Sunday, March 23, 2008

Easter Weekend Update



We just made it through one long spring break. Last weekend we made our first trip to see grandparents since Christmas. We divided our time between grandparents on Friday and Saturday. On Sunday we headed to Springfield to say goodbye to Kevin's Uncle Phillip before he moved to Hawaii. Ending the trip by swinging by Willard to see our friends Josh and Mollie who are expecting a little boy in July. So we were exhausted by the time we returned to K.C. on Sunday night. Monday we spent six hours listening to Isaac cry ending the day at the urgent care at Children's Mercy where we found that he had his first ear infection. After some numbing drops and motrin he was feeling better. He was almost recovered by Thursday of this week when I came down with the stomach flu. Later Thursday night, Kevin also came down with the stomach flu. We suffered through the next couple of days and are feeling much better. We were all able to enjoy Easter dinner, go to church, and play a bit today. So we've survived a long week and are hoping to have an illness free household for awhile now.

Isaac also turned 8 months old this week. He has a fourth tooth coming in which I'm sure added to the joy of an ear infection. He is sitting up like a champion and has started crawling. He's just changing so fast we can hardly believe it. Outside of his ear infection, he is totally healthy and just full of giggles and smiles. We had a wonderful Easter with him and are just so excited for each day that comes.

Tuesday, February 12, 2008

6-month Pictures

It's been a few weeks since we've posted, so I thought I'd put up an update. Isaac continues to just be himself again. I woke up to him sitting next to me this morning. Of course Julie had put him there and he was kind of wobbly, but he was sitting up all on his own. It seems like he's gotten so big since we've been home. He's eating all sorts of foods now. He loves carrots (as you can see from the picture) and squash (and hasn't turned orange yet that we've noticed) and sweet potatoes, rice cereal, oatmeal, and is even finally warmed up to those darn green beans. He's still not a fan of sweet peas yet, though. He has been going back to daycare for a week now and is doing well at the new place... he's napping well and eating well there, so we're really happy about that. I think Julie's happy to be back at work, though I think she's a little overwhelmed at how much there is to do and misses him sometimes. She was really happy to get a snow day in the middle of last week as it was a free day to spend at home with him. Plus, she gets next Monday off for Presidents' Day. Isaac is getting some bloodwork done on Friday to see if he's fully recovered from that side of things and then he has another Pediatrician appointment the next week, so hopefully both of those things go well.

Meanwhile, our friend Sarah took Isaac's 6-month pictures last week and sent the link to us today. Take a look and enjoy. They are amazing. I highly recommend her if you're looking for a photographer.

http://www.sorellimages.com/isaac6months/

Thursday, January 24, 2008

Next Steps

Okay, we took this picture a few days ago but it's so cute I had to post it.

Today we made a decision on a childcare provider. We met her this week and talked to several references that had wonderful things to say about her. We feel really good about this decision and felt comfortable choosing her without interviewing any other people (we interviewed her and one other person). So we feel a little relief knowing that everything is on schedule for me to head back to work next Friday, Feb. 1st. While I know that Isaac is 100% recovered, that the doctors have all cleared him to return to daycare, and we have someone great to watch him, it's still going to take some time to transition back and not have my eye on him every second of the day.

We have decided to have Isaac screened by Infant Toddler Services for his fine motor skills. His grasp seems a little weaker than it was previous to our momentous event. He's still able to grab things, but he seems to have a little hesitation. The doctors did mention there is a possibility that oxygen deprivation could have impacted some skills (this can cause problems with some skills like fine motor and not necessarily all skills - so basically it doesn't mean he is cognitively impacted). I've been told though that anesthesia can impact skills like this as well and it takes one week for every hour that you were under to wear off - so that means this could still be due to the anesthesia and he really wasn't impacted by oxygen deprivation. Either way, we decided we'd feel better if we had ITS look at him and give their opinion. They see hundreds of babies and will be able to quickly tell us whether we need to look at further evaluation. My perspective is that if he is eligible for any therapy, it's better to go ahead and get started early.

We've been pretty busy this week with all of this so far in additon to his follow-up with the pulmonologist and some appointments that I have had. It feels like the week has flown by. Our little man continues to bring us so much joy and constant laughter. He truly knows how to win people over - especially mom and dad :)

Wednesday, January 23, 2008

Second Follow-up

We had Isaac's follow-up appointment with the pulmonologist yesterday at Children's Mercy. She said he looks great and is totally recovered as far as she can tell. She also said that the viral cultures she took from the broncoscopy did not reveal anything... which is great. So this is just one more indicator that Isaac is fully recovered and makes us feel very comfortable with sending him back to childcare. Oh, and he also weighed just over 16 lbs. which means he's gained 2 lbs. since we left the hospital - I guess all those night time feedings are paying off.

Kevin and I are pretty busy looking for childcare for Isaac. We are making lots of phone calls and doing interviewing. We have interviewed two people that seem like possibilities. It's very hard to make this decision. Right now we are trying to decide whether to choose one of these providers or continue searching. I would like to return to work by February 1st which doesn't leave us much time to do more interviews. Please pray that we will have good discernment in making this choice and that we find someone we can really trust. The whole situation is a bit, okay extremely, anxiety provoking.

Isaac is napping better. We began swaddling him again on Thursday and this has really helped. He is usually taking three naps a day now which range from 1 1/2 hours to 2 1/2 hours. He also has slept through the night once. He seems to be slowing down on his eating and getting back to a more normal amount. We have ventured into the world of peas and he seems to be accepting them without the full body convulsions he gave us when we first tried green beans. He is all about pulling his feet to his mouth right now and thinks his toes are his favorite toys.

Overall, Isaac is having the time of his life and changing so fast. We are delighted with his recovery, his current health, and all the fun things he is doing. Personally I'm still struggling with everything that's happened a little bit, and especially the idea of starting him with someone new when I go back to work.

Thanks again to all of you who continue to check in on his progress. We will probably turn this into a page that is just fun updates on Isaac and the family soon.

Wednesday, January 16, 2008

Follow-up With Doctor

Yesterday Isaac went to his follow-up appointment with his pediatrician. We changed from a family practitioner to a pediatrician due to this incident and tried somebody that a doctor at CMH mentioned. When we met Dr. Austin we realized that she goes to our church and it was an overall great experience. So Isaac is now at the 85th percentile for height at 27 1/2 inches and the 25th percentile for weight at 15 lb 10 oz. We are pretty proud of his weight considering he didn't eat for about a week and a half. She said his lungs sounded clear and he appears to be completely healthy. She reiterated what the doctors at CMH said - that Isaac is healthy, there is no reason to believe that getting a cold/sickness would bring on another hemorrhage, that there is no reason to think he will have another episode, and that it would be nice to not have him end up with RSV until he is recovered from the insult to his lungs from the ventalator and hemorrhage. Apparently it can take up to one year for an infant to totally recover from this, but can be sooner. We also got the go ahead to try some new foods. Isaac has been an all-star over the last week eating his cereal (we started working on this at Thanksgiving), so now we are venturing into the world of vegetables. A picture above shows his response to green beans :) . Strangely enough he kept opening his mouth every time I offered a spoonful of green beans, and also each time made a full body convulsion in response.

Kevin went back to work on Monday, but is still making sure to take time off to come to the appointments with us. Thankfully he hasn't been too overwhelmed upon his return to work and has had amazing support from his coworkers. Isaac and I are doing okay at home. He is still really struggling with naptimes. He seems very resistant to napping and has full out hysterics when I try to rock him or lay him in his crib for daytime naps. This is concerning to me because I don't know how much is behavioral or emotional. It's also really hard to calm him down if I do let him cry. So far we've had no luck with letting him cry himself to sleep since we returned home. Since we've started adding more foods in (on Monday), he's been falling asleep during his morning bottle, but still refuses afternoon naps. Considering that we basically had to hold him for 3 days straight because he was crying so much at the hospital, I'm guessing that can throw a little guy off for awhile.

Personally, I'm still really struggling with everything that has happened. While I know that God's hand was over every piece of this situation and that he made sure Isaac made it through safely, I am still totally broken hearted. Especially since there were zero precursors to the hemorrhage, I can't help but be overwhelmed by the idea that it might happen again. It's very confusing to look at this totally healthy baby, to be so overjoyed that he is doing well and we're having so much fun together, and at the same time feel so worried about him and know what he's been through over the last three weeks. What a rollercoaster! Thanks for all your continued prayers and support.

Friday, January 11, 2008

Life Is Good

It has now been almost a week since Isaac returned home from Children's Mercy. He is still doing fantastic. He is rolling all over the place, although he frequently gets stuck on his belly and squeals for help :) . He is smiling, giggling, and all out laughing most of the time. He has been sleeping and eating well. A couple of nights he got about 13 hours in. He even has two teeth that came through during this whole ordeal. We've gotten out a few times and had several visitors. Since Kevin and I took the week off we have also gotten some much needed rest. We really needed this time with just the three of us since we feel like we lost most of our holiday to Isaac's illness, and we needed some major recovery time after a week and a half of sleeping about 4 hours a night. Basically we wanted everyone to know that we are still doing great. We are soaking up every moment knowing just how quickly it could all be gone. In a lot of ways we are still mentally recovering and trying to reel ourselves back in to participate in the rest of the world.

A couple of steps left on this journey are two doctors appointments. Isaac will see his pediatrician on Tuesday, 1/15, and the pulmonologist on Tue 1/22. Hopefully the doctors will reaffirm that Isaac's recovery is as complete as it appears to be from his behavior. Then we will have to decide when he will return to childcare.... and I will return to work. We are hoping the doctors will help us answer that question as well. I love being at home with him but after missing three months at the beginning of the school year with my maternity leave, being gone again is pretty hard.

Sunday, January 06, 2008

Moving on…

Our transition back to home has gone very well. Isaac has got some great sleep in. He responded great to his usual bedtime routine last night and slept until 8:00 am excluding waking up once to eat. He has been eating well, smiling, and playing. It was quite surreal to come home with a baby who looks just like the baby we had the morning of 12/26 and to a home that had been put back together by our friends and family. We picked up Mr. Fin (our dog) and he is trying to rest up after his adventures with Zane and Marley (our friends’ dogs). We keep saying that if we could just forget the last week and a half then we wouldn’t know the difference. To think that a week and a half ago I wasn’t sure I would ever get to hold my baby again and even a week ago I thought we would still be in ICU at this point… We always had faith that our baby would be healed, we just never dreamed that it would happen this quickly. Isaac is such a strong little guy, I still remember the doctors saying that they could support him to help him recover, but truly it was up to him and his body to truly get better. We always thought he was such a beautiful boy and we’re totally head over heels about him, but now we really see how perfectly he was designed. I think Isaac’s recovery is the closest thing to a miracle that I’ve ever seen, and is in no doubt God’s response to faithful and fervent prayers plead on his behalf by so many.

Kevin and I now have the task of emotionally and mentally recovering. We again are so blessed to have everyone’s support. I know that so many of you want to help but I don’t even know how to tell you to help us other than continued prayer that we can move on without living in fear and that this horrible thing will never happen to Isaac again.

And once again I must say thank you to each person who has read one word of this blog, who has thought about my baby for one single second, who has asked for God’s healing hand to touch my baby’s body, who has physically helped us, who listened as we cried over the phone, and who held us through the darkest hours while Isaac was still in ICU. Each of you have truly changed our life and we are forever indebted to you. There are no words to truly express how much all of you mean to us. Our baby boy has brought so much joy and light to our life, it was truly the hardest thing we’ve ever experienced to see his body so broken, and as you can imagine the greatest joy we’ve ever experience to see him healed. We hope that you can embrace this joy as well and let your hearts mend as I know it was so devastating for many of you as well.

Saturday, January 05, 2008

Discharge, Party of 3

Isaac had a great night of sleeping and eating so during rounds this morning, the doctors decided to discharge Isaac today. Yea!!! Hopefully it won't be too long before we are out of here. I'll post from home with an update later.

Friday, January 04, 2008

Eating Again

It looks like we are close to ending our stay at Children's Mercy. Isaac seems to be eating again. We tried this morning around 10:00 to feed by bottle and were not successful. However, we got him to eat some cereal (which he's been working on for the past few weeks anyway) and then we tried some sweet potatoes (which he had never had). He really liked the sweet potatoes and was eating them down. Too bad they don't really have any basic nutritional value for babies. So, we made a mixture of formula, cereal, and sweet potatoes. He seemed to tolerate it. And best of all, we decided to take the feeding tube out at that time because we felt like he was making it uncomfortable for him to swallow. Three hours later we tried the bottle again with a little something extra added: bananas. He seemed reluctant at first, but then starting sucking and ate 3 oz. in about 15 minutes! Julie said it was one of the happiest moments of her life. I'm not sure where our wedding ranks on that list, but I was pretty happy too, so I won't worry about it.

The rest of the day was spent seeing all the doctors Isaac has seen over the past 9 days: the pulmonologist (who let us know that they confirmed evidence of pulmonary hemorrhage from the samples from the broncoscopy but didn't have a reason why the bleeding occurred), the hemotologist (who let us know that most of the labs had come back from this morning's blood draw and they didn't find anything); the rheumatologist (who let us know that he didn't find anything from the broncoscopy as far as vascular abnormalities; we also saw the opthamologist today so she could look at the veins in the back of the eye for his vascular condition and she also didn't find anything); and the infectious disease doctor (cultures from lab samples and the broncoscopy still have not returned any findings of bacteria, virus, and fungus). All-in-all, Isaac has seen more than 15 doctors and no one has a reason why his lungs bled. So, unless something comes up in the virus cultures over the next week or we find a congenital disorder through follow-up appointments with our doctors, they're going to give us the diagnosis of acute idiopathic pulmonary hemorrhage; which means?... ta da... his lungs got sick really fast, bled, and we don't know why.

Meanwhile, Isaac is feeling a lot better. He's playing, eating, smiling, and just seeming more like himself. When we look back and see how quickly Isaac has recovered when his lungs were as sick as they were when we got here and they haven't been able to find anything seriously wrong, we cannot help but acknowlege that God listens to prayer. I remember when I was in youth group when I was in high school, when we'd go on service trips and stuff, our youth pastor would always ask where we saw Jesus. At the time, I didn't really get what he meant, but now I look back and realize that we were recalling instances where believers were acting out what it means to be the church - helping others, loving others, and doing it in the name of and because of their love for Jesus. But this, what we've experienced over the past week and a half: being served instead of serving, makes that love of and through Christ much more real to me. I just want to express how truly grateful Julie and I are for all of your prayers, visits, gifts, emails, and calls.

We ask for prayer for rest for all three of us, but especially that Isaac's body would continue to recover and he will continue to remember what it means to eat and nap and play.

(P.S. Isaac and I did get to watch KU play in the Orange Bowl last night; or rather Isaac slept in my arms while I watched KU. Rock Chalk Jayhawk!)

Thursday, January 03, 2008

Another Day, No News

After another day of tests, we still have no answers. The broncoscopy looked pretty decent. They found no active bleeding or any red, irritated areas that showed where the bleeding occurred. Everything looked pretty normal. The took a sample to test for virus, bacteria, fungus, and evidence of old blood (although they previously took samples of blood from his lungs when they were suctioned in the PICU). Additionally, according to the nurses, the CT looked pretty decent as well. We'll see if the radiologist's report looks any different. Otherwise, the doctors are running out of tests and Isaac is definitely feeling better. He's still restless, cranky, and in general pretty fussy compared to his normal self. But who wouldn't be after all he's been through, trying to sleep in a new place and nurses & doctors poking, prodding, and disturbing his sleep all the time. But we have seen his smiling face return a time or two today.

There are two last obstacles before we can leave the hospital. The first is that they need to do a significant blood draw tomorrow morning. There are a few blood diseases that are still options and they need to test for them. Plus, with that much blood draw for someone his size, he's at risk to need another transfusion and we want to make sure that's not necessary before we leave. The other obstacle is getting Isaac to eat again. He still hasn't been interested in mouth feedings and is feeding via a feeding tube. So, we'll meet again with the occupations therapist tomorrow morning and see if we can get this boy to eat. If we can get those two things successfully knocked out, then maybe we'll be leaving Saturday or so. We'll have lots of follow-up appointments and stuff, but at least we'll be at home again.

Thank you all for your prayers and kind notes. We just ask that you pray for tomorrow to go well and for us to get some notice that we might be on our way of here.

8 Days and Into the OR

I'm forgetting what I've told people and what I've already posted, and I don't have time to go back through the old posts to see, so forgive me if I repeat myself. Now that Isaac is awake it's much harder to find time to write updates. He's normally so easy going and is so good at chillin' out and playing with his toys. But now he just wants to be held all the time and even that it's enough most of the time. Tuesday night was much the same as Monday night - full of fussing and crying. Fortunately we have some extremely hospitable and incredible caring friends from church, Warren and Bonnie Traynor, who have opened their home up to us. So Julie left Tuesday night and I left Wednesday night to catch some sleep. Last night however was a definite improvement. He slept for 3-1/2 hrs during one stretch of the night. Yea!

They let him eat a little bit yesterday evening via a feeding tube, then he got some gas medicine, some Zantac, some Tylenol and a little Benedryl and he was pretty happy for a bit. Also during the day yesterday he had an echocardiogram and an EKG. We heard today that the echo looked good, so no heart issues. :) At midnight last night, they took his feeds off because he was going in for a little OR action today. He's getting a brochoscopy right now, and is up for a high res CT scan afterwards (they decided to get a high res CT instead of the arterial angio-CT, which is more invasive so that's good). But the broncoscopy requires him to be put under. They are looking in his lungs with a video camera scope to see if they can find the source of the bleeding. They'll also squirt some saline in there and take some samples of the fluid to see what the stuff that washes off looks like. So hopefully we'll hear soon what these tests show. So, the next few hours he's in surgery and recovery and hopefully he won't have to go back on the ventilator and will be back in our room soon. I just heard that the doctor is on her way to me, so I'll post again later.

Please pray that the tests go smoothly, bring us some answers, and don't bring any set-backs. Thanks to everyone for your prayers.

Tuesday, January 01, 2008

A 24-hr Whirlwind

The last day has been crazy. They moved Isaac out of the PICU yesterday around 5:00. Unfortunately, he was due for some meds & food just as they moved him and he missed them because of it. Once we got upstairs to the floor, they tried to feed him fast as we thought he was really hungry. He's not sucking yet, so they fed him through his tube which gives him no way to tell us that he's done or isn't hungry. Consequently 10 minutes later, dad was wearing all 5 oz. After a few more feeding spat up and a very steadily unhappy baby through the night (he grunted and fussed from 9:00 pm to 4:00 am then all out cried from 4:00 am to 9:00 am... needless to say mom & dad are very tired) the doctors reduced and then eventually ordered a stop to feedings and ramped up his IVs instead. Through the day since then he's gotten less fussy, but has been visited by doctors, infectious disease specialists, pulmonologists, and rheumatologists and really hasn't slept much. He was able to sleep in short 15 or 20 minute intervals.

The doctors now seem to be focused on attempts to find a cause. The know he had a pulmonary hemorrhage (bleeding in his lungs) but do not know the cause. The rheumatologist told us pulmonary hemorrhages are very rare in infants (I think he said 1 in 100,000), the infectious disease specialist said there was a virus or two left to rule out that could cause this, and I cannot even remember all the things the pulmonologist listed; plus the haven't gotten the final virus cultures back. Basically, from what Julie and I can tell is that they have a list of things that can cause pulmonary hemorrhaging and they are going to work on ruling those things out until they find what caused it or we're left with nothing more to test for.

Tomorrow, Isaac is scheduled to at least get an echocardiogram (like a sonogram of your chest) and an arterial angio CT (they inject the dyes in your blood stream and look at your veins and arteries). Please pray that they results would show nothing serious and that Isaac won't get too stressed out on the day's activities. He is very tired now but is having a hard time finding rest. Thank you all for your thoughts and prayers. Words cannot describe how grateful Julie and I are to each and everyone of you for your kind words and thoughts.

Monday, December 31, 2007

Orders to Move

This morning during rounds, the ICU doctors decided that we could move out of the PICU onto the floor. Our nurse let us know this typically takes awhile due to hospital protocol, but probably by the end of the day. They told us that we'd be on the floor until we start to figure out what caused everything. Also, now that he's awake, you can definitely tell we've got a sick baby on our hands. He's lethargic, uninterested in eating (but it's possible that's because his throat is really sore from the breathing tube) and coughing still. We met with an OT today to see what she thought about his unsuccessful feedings by mouth, and she thinks he's still too pooped/sore to eat. So we'll continue the feeding tube and try again next time. That's about all that's new now.

Please pray that the doctors will figure out what is/was wrong and that some comfort will return to Isaac so he can get some rest and be interested in eating again.

Sunday, December 30, 2007

Holding Her Baby

I am continually amazed at our God. With some of the "downtime" over the past few days I started reading The Question of God by Armand Nicoli. It's a compare/contrast book on the worldviews of Sigmund Freud and C.S. Lewis with regard to the existence of God among other topics. One of Lewis's arguments for the existence of God was that the complexity and order of life (from biology to physics to mathematics and on) points to an Intelligent designer. I remember reading this thought in Mere Christianity when I was in college studying physics, engineering and the physical order of the universe and it gave me great confidence in a Creator. Over the past few days of listening to the doctors discuss medicines, dosages, timing etc., I have a new appreciation for the complexity of created life and further confidence in that Intelligent Creator. What's more, after Isaac's day I have even more confidence that this Creator is involved in our lives and hears our prayers through his Son Jesus!

Since coming off his ventilator this morning, Isaac has continued to improve. At first he was raspy and coughing a lot, but apparently his lungs looked much better on the chest x-ray and the rattle was due to the effects of the breathing tube on his airway and stuff breaking up in there from him moving and wiggling around. But after some breathing treatments and time, he's no longer raspy; there's just a slight wheeze. Some of the meds he was on mess with the quality of this veins so his IVs weren't doing well anymore. So they took all his IV's out but later had to put one back in (but only 1). He's still on just a bit of oxygen, but not much. All in all, they told us we might move down to the floor (out of PICU) tomorrow! The best part?!? Julie and I can hold him now!

We are so indebted to everyone who has prayed and come by and brought us care packages and their love and hugs. Please continue to pray for Isaac's continued improvement and that we might find out what caused his lungs to get so messed up so fast.

Ventilator Be Gone!

It's funny how things can change quickly. I stayed up with Isaac most of last night. It was an up and down night, but they certainly made progress on turning down the ventilator. Then at 4:00, Julie relieved me so I could go get a little rest. Just 4 hours later she called me in the room saying "they're taking the ventilator out; come down here". By the time I got to his room, he was unplugged and flailing. He's now down to just a few IV's, a feeding tube, and some oxygen in his nose. It's amazing. He looks like our Isaac again. The breathing tube has inflamed his throat and airways, so he's extremely raspy and sounds like he needs to cough all the time. But they have breathing treatments and some steroids that can help with that. Meanwhile they tell us we'll get to hold him soon. The doctors are on rounds right now and we're up next so I'll post later with more info.

Thank you all for your incredible prayers and please continue to pray for his full recovery.

...Stop That Wiggling!...

So waking back up has it's side effects when you wake up to tubes into your mouth, nose, head, groin, legs and ... have a catheter in. Isaac has definitely made progress on his breathing today. The doctors have continued to reduce the amount they are helping him. There is a nice little graph that shows his breaths on a monitor. The straight line spikes up when there's an inhale and then dips down when there's an exhale. The green portion is the machine doing the work and the purple portion is him. Until today, it's been all green. Now, the very beginning portion of almost all his breaths is purple. So, his brain at least now knows to take a breath; he just needs the ventilator to do most of the work. That might sound bad, but it's definitely a progress. Like I alluded to above, as they've reduced his sedation, he has started to realize that there's a bunch of junk in him. So he get's kind of mad and starts kicking and grabbing. Enter his good friend Morphine. So, they work to balance reducing the sedation and getting him breathing with not getting too worked up. They now hope they can get him off the ventilator in 2 days.

On another note, with his improvements in his breathing and lungs, they were able to move him enough to do a spinal tap. He tested negative for bacterial meningitis (but he's been on antibiotics for that for 3 days now anyway, so that doesn't necessarily tell us anything). There are a few viruses they can check for in his spinal fluid. So we'll see what that says. Overall, a much better day than yesterday.

We continue to get tons of emails and voicemails from everyone. I think we've got at least 5 states praying for him, and it's made a huge difference. The doctor told us earlier that she was surprised we've made as much progress as we have. I'm sorry if we haven't had a chance to talk with everyone yet. Thank you all for your continued prayer.

Saturday, December 29, 2007

Wiggling Again

We saw some slight improvement last night in his breathing so they were able to turn down his ventilator some. It was a small change, but the doctor felt like it was enough of a change to justify taking off the muscle blocker. Although it's a small improvement in breathing, it's making a big difference to Julie and I because he's no longer "paralyzed". And that means he's wiggling and kicking a little, especially when they do stuff to him or the blood pressure cuff fills up. And best of all, his eyes have peeked open a few times. I think his eyes opening have been more reflexes than consciousness, but we'll take it after 2 days of non-moving eyes closed Isaac.

They tell us that weaning him off the ventilator is an up and down process. He makes a little progress and they turn down the ventilator and see how he responds. If he doesn't respond well, then they turn it back up. They of course don't give a timeline for this, but they seem to acknowledge that it will at least take days.

We're waiting for the doctor and residents to do their rounds. We tend to be able to overhear a little more information during the rounds so we'll update again later.

Please continue to pray that his breathing progresses and he's able to come off the ventilator smoothly and soon. Thank you all and God bless.

Friday, December 28, 2007

Friday Evening Update

Today has been a day of status quo. It seems like the doctors and nurses have been focused on keeping Isaac's oxygen levels up and watching how he's doing with the ventilator. The cause of the lung disease is unknown. If it's a virus, there's nothing they can directly do about the virus except to make sure his body isn't stressed out about anything else (such as breathing) and he can focus on it. If it's a bacteria then they can treat it with antibiotics, which they've gone ahead and done just in case. But it sounds like we won't know for quite awhile. Virus cultures take 10 days or more to grow/show anything and they can't check for bacterial meningitis because they can't roll him on his back to do a spinal tap because of his lungs. So it will probably be awhile (if ever) before we get any answers on the cause.

The first day he also had trouble with his blood: clotting, low white blood cells, and low hemoglobins. So yesterday he got several blood products (FFP, cryo-precipitate, and a transfusion). But today his blood has looked okay so that's an improvement. He also physically looks a little better. He pretty quickly started swelling up and it was no time before he didn't really look like himself. He's always been this skinny baby, so it is so weird to see him all puffy. He's started shedding some fluid due to the lasiks so we look forward to him looking like himself again.

The next big hurdle is getting him off a ventilator and breathing on his own. He was close to having to move from the ventilator to an oscillator, but thankfully he never crossed the lines that would have necessitated that. As they can turn down the levels on the ventilator (the pressure and oxygen percentages they have to set) and he can maintain where he's at (they call these his "blood gases" which I think means his oxygen levels in his blood) then they can think about taking him off the muscle blocker, sedation, and and drugs that help with profusion. This is the path back to healthy lungs.

Last night and tonight, Julie and I were lucky enough to get a room in the Ronald McDonald Family Area here at CMH. It's like a tiny little hotel room and there are bathrooms with showers and a living room area. They assign the few rooms they have based on the seriousness of your child's condition and on how close you live to the hospital. Thankfully we've gotten rooms each night. It has been such a blessing to sleep in a bed and take showers and do our laundry within a 100 feet of Isaac. I know we'll be doing a lot more to support the Ronald McDonalds Houses after this and we encourage you to as well!

We've gotten tons of calls and emails. Thank you all for your prayers. We ask that you pray specifically for Isaac's lungs. That they would shed fluid and he would gain the strength to start breathing on his own again. Also, please pray for strength for Julie as well.

Let's Start at the Beginning

As it's pretty hard to keep everyone up-to-date, we thought we'd start posting updates on Isaac's condition in a place where everyone can check in and see how he's doing. Plus, we aren't allowed to use our phones in the hospital and as his room is "clean" (meaning we have to put on and take off gowns/masks/latex gloves everytime we enter or leave his room) it's pretty annoying to leave the room. So, I'd thought I'd start with the story of how we ended up where we are as we haven't gotten to talk with a lot of you yet.

We had a great Christmas. Got to see lots of family over the weekend. Isaac got tons of new toys, which is good because he's really interested in toys now. We came back to Olathe on Monday the 24th so we could go to our own church for Christmas Eve service and spend Christmas day at home. That was awesome. Christmas day was so wonderful... full of opening more presents on Christmas morning (Julie and I got him lots of books and alphabet blocks), napping, and playing. Wednesday at 4:00, Julie fed Isaac, changed a dirty diaper and laid a smiling, giggling baby down for a nap. We could tell from the monitor that he napped on and off for the next hour. About 5:00, I heard him grunting, which is normal when he's waking from a nap. But when I went to get him out of his crib. I found that he had spit up a mixture of milk & blood and that he was laboring very hard to breath. The next 15 to 20 minutes are pretty blurry. Julie frantically called 911 while I stayed with him, placed him on his side, and he continued to spit up the mixture and labor to breath. Thankfully, he never stopped breathing. I was terrified that I might have to give him CPR. But I know I could've done it as we took an Infant CPR class before he was born. If you are expecting a baby soon, I seriously encourage you to take Infant CPR classes. Even though I didn't have to do CPR, I felt more prepared for what to do in those terrifying 15 minutes until the ambulance arrived because of it. Anyway, the ambulance was there pronto and since we're so close to Olathe Medical Center, he was in the ER in no time. After a bit at OMC, a clear CT Scan and (as they told us then) OK chest X-rays, they transported him to Children's Mercy with no answers. Meanwhile, they sent us home to pack a bag and told us to meet them at CMH.

Once we arrived at CMH (just after 9:00), we checked in at the Pediatric ICU, spoke with the Chaplain (which is standard procedure) and waited for a long, dark, lonely hour for the doctor to come out and tell us what was going on. The CHM intensive care unit pediatrician (intensivist) doctor's assesment and more chest X-rays indicated that Isaac has a serious infection that at that point is focused in his lungs. They had to put him on a ventilator to keep him breathing and to keep the oxygen levels up. He's on a slew of meds and drips (sedative, pain meds, meds to help with circulation, antibiotics to treat "whatever" is causing this if it's bacteria, neuro-muscle blocker which paralyzes him so the ventilator can work well, and other intermittent stuff like vitamin K, lasiks to help with swelling and fluid in his lungs, etc.)

Since Wednesday night and because of the meds and breathing help, he has stabilized and according to the doctor this morning has kind of plateaued. He's not getting better yet, but he's not getting any worse either, which she is encouraged about. They seem to think it could take a few weeks for him to get well, and hope that he'll be able to breathe on his own within a few days. For now, we sit and watch our beautiful baby boy that just 2 days ago was giggling, opening presents, and cuddling our heads off.

We ask that you please pray for Isaac: that God, the Author of all life and specifically Isaac's life, would bring healing to his body, patience to his father, and strength to his mother. Thank you for your prayers.