Happy Thanksgiving
For rest and shelter of the night,
For health and food, for love and friends,
For everything Thy goodness sends.
~Ralph Waldo Emerson
Happy Thanksgiving!
JACK'S JOURNEY AND THEN SOME
Hope is the thing that is willing to take a chance on the future. Hope is the capacity to see something on the horizon that we are willing to move toward. If our hope gets us from today to tomorrow, and in that new day we are ready or able to deal with something we thought we couldn’t face, then hope has done its job. There is a worse thing than false hope. It is no hope.
I'm participating in Love That Max photo carnival by posting my favorite picture of Jack.
As if I need something else to get the tears flowing these days. I downloaded Annie Lennox's new Christmas Album (A Christmas Cornucopia) from iTunes tonight and heard the song "Universal Child" for the first time. I can't imagine that this song won't move every parent to tears, but especially those of us with kids who struggle every day just to live and do those things that too many take for granted - our extraordinary children who are on this earth to teach us all to love unconditionally, appreciate the simple things, accept what we cannot control and to persevere through adversity.
I invite you to join me in a good cry .............
So, I wrote a post on Friday night that I published and then deleted. It was way too "woe is me" that even I couldn't stand it. I should know to NEVER write blog posts on Friday nights. Friday nights have always been the toughest day of the week for me. I could give you all the reasons why, but if you don't live the life, you won't get it and if you do live the life, you already get it, so I'll spare you the explanation.
Things are just really hard for me right now. I miss my mom. It's hard losing your mom. It's exceptionally hard when you didn't get to see her before she died and when you didn't take the opportunity to tell her things you wish you had before she died. I find myself in tears every day.
I finished the LA 1/2 marathon and I wasn't the last one across the finish line. Yea! I have to admit, I was a little worried as I was sitting on the shuttle bus that picked us up at the finish line of the race and drove us to the starting line. It was a loooonnngg bus ride and I kept thinking .... holy crap, how far are we going to go because I have to walk back to where we started! The first 10 miles weren't too bad. After that, I just wanted to be done. I'm happy to announce that I raised over $1800 $1,900 for CureCMD. Thanks to all who supported me.
And this, my friends ... is why I walked the race (love him!)
(Circa 2008)
We are half way home after an eventful week in St. Louis. This year's trip didn't go as smoothly as the last one, but all in all, not a bad visit. To recap:
Cardiology: Echo and EKG showed no problems. Due to Jack's low heart rate when sleeping (low 40s), they did a 24 hour holter monitor. Of course, because it was a stressful week for Jack, his heart rate didn't dip in the 40s like it typically does. I don't expect the holter monitor to reveal any "bad" news. I was told, if everything looks good, I won't be hearing from them.
ENT: Ears were cleaned out and bronch showed a good airway. No granulation tissue or erosion issues. We are changing Jack's trach to a Bivona flexTend with a different flange and switching from TTS to an air cuff (this will make no sense to my non-trachy friends). I'm not sure if we are upsizing or not. The trach nurse was going to talk with the ENT regarding the results of the bronch and then decide whether Jack needs a bigger trach. I'm thinking he doesn't.
Neurology: We really don't get any "news" at these visits. Jack's issues are obvious. Contractures are Jack's enemy right now. We can do range of motion and stretching, but there really is no way to prevent contractures from happening. The biggest concern I have is the jaw contractures because it will be an issue should Jack need any work done on his teeth. Essentially, Jack won't be able to have any work done on his teeth because you can't open his mouth wide enough to get in there. After our "medical" visit with Jack's neurologist, we went to lunch with her and got to have a social visit. Jack's neurologist is a great doctor and a good friend.
Orthopaedic: See prior post. Not sure what to do regarding the broken screw. I'm going to make an appointment with Jack's local ortho and get his opinion. I suspect he'll say the same thing as the St. Louis ortho - if it's not hurting Jack, there is nothing to worry about. It's hard not to worry about what I see in that x-ray! As for how or when the screw broke - I really don't know. Jack had an x-ray taken back in March by his local ortho and the screw wasn't broken then. So, it happened sometime within the last seven months.
Ophthalmology: This appointment is the one causing us trouble. Because Jack had congenital cataracts, he is at risk for glaucoma. After doing the EUA, Jack's ophthalmologist told us that the pressures in Jack's eyes have been consistently rising the last six years. He said he always draws a picture of what he sees when he does an EUA and, while the pressures aren't dangerously high, the changes he's seen in his pictures over time has him concerned. The risk with high pressures is blindness. Jack doesn't need to add blindness to his list of ailments. So, the ophthalmologist wants to see Jack back in 9-12 months. Ugh! He gave us drops we have to put in Jack's eyes everyday and then he'll do another EUA when we come back. The treatment for the high pressures is another eye surgery. Because Jack's ophthalmologist has been following Jack since he was 13 months old and because he has been doing the EUAs and documenting the changes in Jack's eyes, I really don't feel like this is something that can be handled locally. And, at the end of the day, as much as I hate the drive to St. Louis, I have confidence in the doctors in St. Louis and I don't have the same confidence in the doctors in Phoenix. I wish I did because it would make life so much easier, but I just don't.
Eric saw the ophthalmologist too and he got good news - his eyes are improving and his new prescription isn't as strong. Yeah!
Vent Issue: Apria gave me a hard time because I didn't let them know two weeks in advance that I was traveling. They claim that if they knew I was traveling to St. Louis, they would have had a plan in place ahead of time in the event of equipment failure. I highly doubt it. I told the Apria rep that there was no way they were going to place blame on me because they had to scramble to get me a replacement vent. I couldn't believe the hassle it was to get a replacement vent. Apria is a national company and they should have more than one backup vent in the entire state. Seriously people, buy more vents! They made us drive to Illinois to pick-up the vent - which was b.s. They should have delivered the vent to us - we are the customer.
Visiting with Friends: As always, we had a great time visiting with our St. Louis friends. We stayed with friends we knew from Phoenix. We lived in the same apartment complex when we were both young and childless. They moved to St. Louis before we did and have always been there for us over the years. We also had fun visiting with Jason, Jenny and their boys, Ben and Alex. Eric especially enjoyed playing with boys who like Lego as much as he does. Eric also spent the night with one of Jack's former nurses who has a little boy the same age, who likewise loves Legos. I think Eric had a good time in St. Louis.
My Mom: While we were in St. Louis, we learned that my mom's brain tumor is back and she is deteriorating really fast. She is now in a hospice facility and doesn't have too many days left with us. She's had a difficult and painful road following her initial diagnosis of a GBM in July 2007 and her body is tired. Your prayers and good thoughts for my mom and my family are appreciated.
That's the recap and update from here. Tomorrow will be another long day, but at least at the end of it, we will be home sweet home!
I think I discovered the source of Jack's distress the last few days. I was wracking my brain trying to figure out why Jack was completely "checked out" (in a way I had never seen him before) when he was in his wheelchair, but once he got home and out of his chair, he was fine. It occurred to me that Jack is on a different ventilator when he is out and about in his wheelchair. So today, I changed out the circuits on the home vent (the one hooked to the humidifier) and used it as his travel vent and he had a much better day today. Clearly, there is a problem with our travel vent. I called Apria and told them they needed to get the vent changed out here in St. Louis before we get back on the road. There was some grumbling about the fact that because I have one working vent, why do I need the other vent exchanged right now. I reminded them that I PAY for TWO VENTS and they will damn sure provide me with two working vents at all times. I didn't make them bring out a new vent tonight, but it had better get here in the morning!
Jack saw his orthopaedist today and we learned that one of the largest screws inserted into his bones when he had spinal fusion surgery has broken off. It's one of the anchor screws that goes into his left pelvis. The ortho says that it shouldn't be a problem and shouldn't cause Jack any pain. I'm not entirely convinced. Here is the x-ray - it makes me sick to my stomach just to look at it :(
Sorry I haven't been very good about updating our St. Louis visit. It's been a rough week so far - at least for Jack. I'm not sure what it going on, but he's been very sleepy, uncomfortable and crying on and off most of the week. I feel like something is wrong, but I don't have a clue what it is. He is most miserable when he is in his wheelchair - where he has been spending a majority of his time lately. It's very hard to see him hurting and not know why. I'm not looking forward to tomorrow because it's going to be another long day and I can't take another day like today.
Jack saw his neurologist today and she forced convinced me to get the flu shot for Jack. I am totally against flu shots - I don't get them for any of my kids. But, Jack's neurologist can be very convincing and, the fact that he could get it right then - during her clinic - I decided to go ahead and let them do it. She tried to convince me to get one too, but I declined :)
I haven't gotten any pictures of Jack this week because he has been miserable. But I did snap these pictures of just two of the many things I love about St. Louis Children's Hospital.
We arrived safe and sound in St. Louis.
I forgot how tough this drive is. Eric did great except for about the last two hours of day two. He had had enough and was just wanting to get out of the car. He so desperately wants to fly home.
The getting Jack in and out of the car is getting tougher with each passing year. He, obviously, can't ride in his wheelchair for the whole trip, so we put one of the captain's chairs back in the van and lifting Jack in and out of that chair is hard on one's back, to say the least. Jack did well for the most part, but the transitions from car to hotel room and back to car were hard on him. He was wiped out tonight and feel asleep before 10pm, which is very unusual for him.
While I really love all our St. Louis docs and I know that the trip is totally worth all the work, it makes me mad when I think of the lengths we have to go through to get Jack the quality care he deserves.
Anyway, after a good night's sleep, I'm sure I'll have more energy and be ready to tackle all the appointments and procedures scheduled this week and I am looking forward to spending time with friends.
Just a few pics from our time on the road:
Mary had her senior portraits taken today by an awesome photographer - Doni.
I snapped a picture with my phone while Doni was taking pictures. We can't wait to see Doni's pictures.

Thank you for riding along with us on our journey.