Wednesday, September 23, 2020

Homecoming Continued

 It's been a crazy few days adjusting to home life with 3 girls. Discharging from the hospital went pretty smoothly. Joe and I got to the hospital about 7am Saturday morning. We packed up as much of her things as we could into our suitcase. We didn't realize how much stuff Lily had, so we couldn't fit it all! Thankfully, the hospital offered to have it shipped home for us, so we left a couple bags of clothes and decorations for them to send us. We went through some discharge instructions with the nurse, and we were officially discharged at 9am. We headed for the front door and ordered a Lyft to the airport. Our social worker at BCH set us up with something called MassPort, and it was so helpful! A man met us right outside the Southwest entrance. He walked us through checking in and brought us to security where we had special treatment to get Lily and all her equimpent through. Then he walked us to our gate just to make sure everything went smoothly. Big shout out to Scott, our social worker for setting this up for us and for all of the other great resources he connected us with. 

Unfortunately, it was downhill from there. Shortly after we sat down at our gate, Lily threw up. Like a lot.. until her stomach was empty. We used every burp rag we had packed in our carry on. It was on her, it was on us, it was everywhere! The poor thing passed out after that. Once we boarded the plane, we tried to put on her nasal cannula for the half liter of O2 she was supposed to wear during the flight. She HATED it. I don't know if was because she was already upset from throwing up so much and all the change in scenery or what. We tried for a while, and then just turned up the rate and held it to her mouth for a while. She hated that too 😞. Thankfully, she didn't seem to mind take off or landing at all. When we landed in Baltimore, we went to our next gate and set up camp for the couple hour wait. Unfortunately, there are no direct flights from Boston to Grand Rapids. Lily fell asleep and it was going well. Then just before we boarded our second flight, she threw up again. We had her feeding pump and formula in a little back pack hooked up to her throughout the day since she is on continuous feeds. 

The second flight went much better! She was even being very social. She was leaning over Joe's arm so she could watch all the people board the plane :) My dad picked us up in GR and we got home about 6pm. I had reached out to our church family about a month ago with a request for help with decorations. I wanted to have something special for Lily's homecoming, but I knew I wouldn't have time or energy to work on it. Several ladies from our church stepped up and made, delivered, and set up some beautiful and fun decorations in our house and outside the house. It was really special and I'm very grateful for this. Rose was SO excited to see Lily and give her stuffed animals. She was very interested in Lily's "tubes" but has done a great job listening to us and not playing with them. Lily has continued to struggle with refulx. She has thrown up or spit up several times every day since being home. Today is going much better so far (knock on wood). My mom is staying with us this week, which has been wonderful! My dad was here last week, and he's coming back next weekend. 

It's been busy with doctor appointments and visits too. We had a visiting nurse come for our initial appointment, we had a physical therapist come to the house, our regular nurse, and we will have OT come tomorrow. Tomorrow is also her appointment with her pediatrician. Joe and I took Lily to Helen DeVos for a hematology appointment yesterday to follow up for her blood clot. She will continue on the lovenox for 3 more weeks, have an ultrasound, and then stop the lovenox as long as the clot is unchanged. She will have a lab draw to check the lovenox level next week. Giving the lovenox shots is going ok. She doesn't like it and neither do I, but hopefully it's just for a few more weeks. 

Today, the Boston EA team is having a conference call with our surgeon here, Dr. Pennington to discuss Lily's care and follow up. We're hoping they might be ok handing Lily off to the team here in GR, but they may decide that Lily should go to Boston for one more EGD in a couple months. 

Lily has a lot of developmental things to work on. She's understandably behind in a lot of skills and milestones. We are working on tummy time, but she will likely need to get a helmet too because of her head shape. She is rather flat in the back from all her time in the hospital. Getting home was a huge hurdle, but she still has a long way to go for recovery and growth. We are so grateful for all the support so far, and we appreciate your prayers moving forward as well. It's a huge adjustment having Lily home, but we are so glad to be all together for the first time!!














Saturday, September 19, 2020

Lily is Home!!

We will post more about it later, but just wanted to let everyone know that we made it home safely this evening. It was quite the adventure. We came home to fabulous decorations from some of our church family. We will post pictures tomorrow. Thanks for all your love and prayers!


Thursday, September 17, 2020

Going Home?!

 Hello Friends,

Heidi and I arrived back in Boston yesterday evening. Heidi’s parents are back home taking care of Rose and Cora for us. So as much as we miss them, our other babies are in good hands.

Lily had her 3rd (technically 4th) EGD today and is doing well. They measured her at 6mm, which is a step forward from last week when she was 5mm. They were pretty happy with everything they saw. They decided not to do the steroid injection this time, so it was just a dilation up to 10mm. And the best news..she won’t need another EGD for around 2 months! So far Lily is doing very well. Unless tomorrow is a very bad throwing up day, or some other major unforeseen event, we are free and clear for flying home on Saturday! I just booked our flight home, so fingers crossed.

Tomorrow will be a very busy day with lots of “training” for us, and discharge paperwork and such for Lily. Saturday morning Lily will discharge, and the hospital will set us up with a Lyft to the airport. Once there, through a program called “Massport” we apparently get some sort of expedited escort through TSA, and then we hike to our gate. We’ll be flying out at 11AM on Southwest, ETA at home 5:05PM. So by roughly 6PM Lily will officially cross our home threshold for the first time at 243 days old!

/Joe


Resting up for her last operation before going home.

“Let’s get this thing done!”

Lily was so happy to finally see Mommy again!


Sunday, September 13, 2020

Maybe This Time It’s Real?

 Hello Friends,

Heidi and I will be traveling back to Boston this week together. Heidi’s parents are coming to town to take care of Rose and Cora for us, so it’ll be a weird change for both of us to be with Lily and our other two be somewhere else.

Lily had her 2nd EGD on Friday and the results were better than the last one. She measured an even 5mm at her stricture, which seems to mean the steroid injection did its job at helping the esophagus respond to the dilation. However she’s having more issues throwing up now. I’m fairly certain it’s related to her getting the steroid injections. She didn’t have any throw up issues before the EGD’s, or even after her first EGD (no steroid injection), but these last two within a day or two of the steroid injection she starts throwing up a lot and then over the next days/week the throwing up wears off. So that’s going to make our taking her home the day after her last EGD a little more tricky.

On that note, more drama in terms of her discharge date. After her 2nd EGD the doctor told Heidi that Lily’s 3rd EGD would be scheduled for 2 to 3 weeks out. Uuuuh...what?! We’ve been told all along that it would be a series of three, each one week apart. Not that we would leave for a couple weeks and then have to come back again right away. After some mild freaking out, calling our hospital social worker, and a few emails, we think we’re back on track for her 3rd one to be this coming Friday. As of last night our bedside nurse told us the schedule still shows her on the schedule for October 2, but we expect that on Monday that will be getting changed. If all goes well we should, hopefully, theoretically, potentially, maybe?!?!? finallly be bringing Lily home next weekend!! 

We’re not looking forward to leaving Rose and Cora, but Rosie loves her time with Oma and Papa so I think she’ll be just fine. And in the mean time, we will try and enjoy a little Heidi and Joe time while we’re there. 

/Joe








Sunday, September 6, 2020

Just Another Day In Boston

 Hello Friends,

Not too much to update today. Yesterday they tried to condense her feed schedule down from 60ml over an hour and a half to 60ml over an hour and fifteen minutes. She didn’t like that at all, and had several large spit up’s throughout the day. Last night they went back to the hour and a half and she “only” had one bigger spit up event. Other than that, it was a really good day. She was happy and playful, so I guess she got all the sedatives from her operation Thursday out of her system on her sleepy Friday. Also, she got to go outside for the first time, ever! Not including when she was transported from hospital to airport to hospital to get to Boston. She wasn’t too fond of it, so we’ll have to work on that.










Friday, September 4, 2020

EGD #2

 Well, Lily had her second EDG yesterday and the results weren’t exactly thrilling. The upper portion of her stricture had reduced in size to even smaller than it was before they dilated last time. The lower portion was only slightly bigger than it was before the last EGD. They did a steroid injection at the upper portion, to discourage scaring and hopefully help it maintain size, then dilated again.

They also asked that we allow them to include her in a study group where they are performing ultrasound scans of kids with EA so that they can hypothesize if certain kids might have more or less trouble post EA surgery based on thickness of the esophagus walls. We agreed, so now going forward whenever they do these EGDs they’ll also do a ultrasound. It probably won’t do much for us or Lily, but hopefully will be of some benefit to other kids in the future.

Currently, our hopeful discharge date is around September 19th.








Tuesday, September 1, 2020

Another Delay

 Hi Friends,

Just a quick update on Lily. We just found out today that while they've been saying she would need three of the EGD's (where they dilate the stricture in her esophagus), what they meant was that she needed three after the initial one. So once again, we thought we had a discharge date, and now it's a week later. That puts her discharge sometime around September 18th. New best-case scenario, she's coming home after eight months in the hospital. 😔

Other than that, her heart rate is still higher than they would like it to be. Her prior normal was around 130 and for the last week or so, it's been fluctuating more around the 170 range. They put her back on the Clonadine and have been slowly weaning off that again. However, being back on it hasn't really had any effect on her heart rate. They're going to consult with cardiology and see where we go from here.

Here's a cliff notes version of Lily's life so far:

January 20th - Cora and Lily were born
January 24th - Lily has her g-tube placed, starting out at 1ml feeds 
January 27th - Lily's heart surgery to band her PDA is scheduled for Friday the 31st
January 30th - Lily's heart surgery is postponed because she spiked a fever
February 1st - Lily's feeding tube came out and needed "emergency" surgery to replace it
February 3rd - Lily has her heart surgery to band her PDA
February 11th - Cora goes home
February 28th - Lily has her first esophagus gap study, measured at 4cm
March 11th - The last time Rose was able to see Lily due to Covid visitor restrictions
April 10th - Lily has her second gap study, measured at 3.5cm
May 12th - Lily has her third gap study, measured at 4.5cm
May 22nd - Lily has open-heart surgery to repair her VSD
July 12th - We drive out to Boston, thinking we'd be there for around three weeks then take Lily home
July 14th - Lily flies out to Boston, initial surgery scheduled for June 16th
July 16th - Lily has her Foker I surgery and her gap is measured at 6cm
July 18th - Lily's gap is measured at 2cm, and she has her first traction procedure to stretch her esophagus
July 24th - We find out Lily has a blood clot in the right side of her neck/chest area
July 28th - Lily has her Foker II surgery, connecting the two ends of her esophagus. We are told Lily would need to be there for around a month after the surgery for recovery.
August 4th - Lily has her first attempted extubation which did not go well and they intubated her again
August 6th - Lily has her second attempted extubation which is successful, but she's put on a CPAP
August 11th - Lily has her first esophagram and were told there was no leak or major narrowing of the esophagus evident
August 13th - Lily is off the CPAP
August 19th - We thought we'd be able to take Lily home by August 28th
August 21st - We thought we'd be able to take Lily home by September 4th
August 26th - Lily has her EGD and they found her esophagus diameter to be around 3.5mm, instead of the 10mm or so that it should be. We found out the dilations have to be done at BCH so with three dilation procedures required, we think we'll be able to take her home by September 11th.
September 1st - We found out the first EGD doesn't count as one of the three, so we might be able to take Lily home by September 18th. Almost ten weeks, which is just a few more than our initially planned three.