Wednesday, May 5, 2010

5-6-10 Positive Post-op Appointments

I waited to post an update on Dean's post-op appointment at Johns Hopkins because he had his wellness check-up with the pediatrician today, and I thought I'd include the results from both. Tuesday, we saw both Dr. Ahn and Dr. Simmons. They were very happy with Dean's progress! He is healing fast and looks great. They told us that he is doing exceptionally well. It is so amazing how much he has healed; his surgery was just two weeks ago! Dr. Ahn measured Dean's head. When you divide the width of the head by the length the percentage of the average head shape should be 80%. Dean's original percentage was 73%; he is now at 79%. Dr Simmons will be keeping an eye on his forehead. It should become less prominent as his head now grows evenly. This is the big prayer concern from here on out. If his forehead shape would not improve at all it might be recommended that we correct it with surgery in the future. We obviously do not want to do that unless it is absolutely necessary. Dr. Simmons seems to be very understanding about our feelings and doesn't think we should be too concerned. Both doctors are very pleased with the results from the surgery and think that it was probably his last. In four more weeks, Dean will be able to continue his cranio sachral therapy and I think that will help to gently guide his head shape as he grows.
The Pediatrician had glowing reports for Dean's overall health as well. Dean weighs just under 20lbs which is in the 85 percentile, and he is 29 inches long which is in the 95 percentile. I am so thankful that his need for surgery has not affected his health and development. Dean took his last dose of oxycodone Friday night, and had his last dose of Tylenol Saturday evening. A quick note for the moms of kids with CS surgeries to come that have contacted me and are reading my blog: I do not think a breastfed baby needs colace! The pediatric team at the hospital gave him a stool softener to counter any effects that the oxycodone and vitamin with iron might have on his digestive system, but I stopped giving him that the first day be came home. What a disaster! He ruined several outfits. It was obviously not necessary. I am happy to have my baby drug free once again.
The Lord has been so good to Dean and our family through this process. I can not praise Him enough for restoring my son's health so quickly. Thank you all for your prayers. They have proven to be the powerful answer to Dean's every need. Dean next post-op appointment is in October and I trust that it will be just as positive!

Wednesday, April 28, 2010

4-28-10 One week anniversary

I am relieved that it has already been a week since Dean's surgery. Praise the Lord! Dean is doing well, but he has been very high-maintenance. I know he is still in a good deal of pain. He winces every time I lay him down. He also doesn't like to turn his head much when lying down. He still has some swelling, but it has been amazing to see his head change a little everyday as the swelling goes down. He still has some mushy spots in the back of his head where there is a lot of fluid. I am sure that is causing some of his pain. I am very pleased, however, with how nice his head is shaped. I didn't think my little guy could get any cuter, but his head is so nice and round! He is very clingy to me right now. It seems to be get better, but Monday I don't think I put him down for more than a hour or so all put together. I guess I can understand why he might be having separation anxiety after everything he has been through. He is happy, but he just wants mommy to hold him constantly. I am very thankful that my grandmother has been staying with us to help with the girls. It has been noisy here lately. If Dean and I were sleeping better I don't think I would mind as much, but by the end of the day I feel pretty frazzled! When I look at his little head stitched up like a baseball, I still can't believe I let anyone do that to my baby. Please continue to pray for his recovery. I am hoping that as the pain lessens he will fall back into his regular sleep and play routine. I am happy for the extra cuddle time, but I need to be able to get him to nap in his crib again. Dean's follow-up appointment with his surgeons is Tuesday. I will be sure to tell you all how that goes. Thank you for your prayers!

Sunday, April 25, 2010

4-25-10 Home!

I will make this brief because we have had a lot of long days, and I am ready to crawl into my own bed again. We are home! Just as I said in my post yesterday, everything I ask prayer for has been answered right away. Dean's hemoglobin level had risen by morning, his vitals were all good, and he has been up and active all day. He is turning right back into his regular self- lots of smiles and cooing! We aren't really supposed to cover his incision so you can imagine the looks we got as we left the hospital. He looks a bit like a baby Frankenstein with his zigzagged stitches. Kara and Evy were a bit shocked when they saw him too. Evy cried, and Kara is really concerned about him not having hair. She seems to think that getting his hair back with heal him. They are both pretty used to it already though. Kara asked a lot of questions. I think ultimately she was worried that she might need a surgery too, but she seemed content when I told her that only Dean needed that surgery and he was already getting better. We will have an appointment at Johns Hopkins at the end of the week with Dr. Simmons and Dr. Ahn. I will update when there is significant news or requests to report now that we are home. I think I will have my hands full because Dean is still in a considerable amount of pain and requires a lot of extra care. We are so thankful to be at home and in recovery stretch. Thank you all so much for your incredible support. Please keep praying for a fast recovery. My little guy still has a lot of pain and swelling. I trust God that a good sleep at home and a new day will bring him added comfort.

Saturday, April 24, 2010

4-24-10 Improving

I will just have to keep posting all of my prayer concerns right away because as soon as I go back to see Dean after posting an update, I find that God has already answered my prayer! This morning I walked into his room and he smiled! It was such a relief. His smiles were few and far in between today, but I was just so glad to see that little glimmer of his happy personality coming back. He made some great headway (no pun intended) today. Dr. Simmons took his drain tube out, and that meant that he really didn't need any more IV pain killers so they took those too. His hemoglobin levels are low which is due to the blood that drained for two days from his incision. With the drain removed, that should hold and eventually start to go back up. If it drops any more they may give him a transfusion; so we are praying that that won't be necessary. His head is still very sore. He does not like to turn his head at all. However, he has been sitting up (we hold him of course,) and that seems very comfortable for him. I think that the back of his head is especially sensitive because he cries for a moment each time you lay him down. It looks like we will be able to go home tomorrow if things continue to progress well. Ben and I have been very pleased with all of the wonderful nurses tending to Dean. They are really caring for him well. God's guidance and provision for him has been made so clear. We don't regret our choice in hospital, doctors, or treatments. Of course that is because God chose them and has coordinated everything so perfectly for us. I really don't think this could have gone much smoother. Please pray that Dean's pain will continue to diminish, that his blood levels will remain steady, and that his intake and output levels (drinks and diapers) will be high enough for him to be released! We appreciate all of the prayer support so much.

Friday, April 23, 2010

4-23-10 Slow and steady

It seems like we have been here for a week already. Everyday has been so long that it is hard to believe we are only two days out of surgery. It is great to be on this side, but I am anxious to see Dean smile again. Medically he is progressing well. His incision is draining less, he needs less medication, he is awake more often, and he is eating a little more frequently. I have only held him twice because it is too painful for him to be moved. You can tell he is very uncomfortable and that is very painful for him. He lies very still and does not smile, even when he is looking at his toys. If you know Dean, you know that he is usually always smiling. His expression makes me think he might be a little mad at me. I will be happy when he is better and forgets all of this. His swelling is going down and his eyes never swelled shut, and that is a wonderful answer to prayer for me as much as him. I am now praying for his pain to get better so that I can hold and nurse him without him crying out. We also need his draining to stop before we can come home. I want to include some photos this time. Some are not very pretty, but I think it will help people to know what to expect when we get home. When I have access to my computer again, I will make more available. He is so brave.
Ben and I are doing well. The hospital and Children's House have made us very comfortable. We are meeting many other families. It is humbling to be in a children's hospital. We feel so blessed. Even with everything Dean is going through, we definitely are thankful for the situation God has given us to deal with. Many have it so much worse. Our list of precious children who need our prayers grows everyday!

Thursday, April 22, 2010

4-22-10 Recovering

Dean is doing very well today. When we got to the PICU, he was waking up a little and drinking from a bottle. They were able to remove most of his tubes by noon and take him to the pediatric recovery ward. He still has a tube to drain his incision, an IV line in his ankle, and various monitors. They just removed his catheter this afternoon. He is taking pain medication orally and getting fentnyl through push button IV when needed. He is definitely very uncomfortable. We have not held him yet because we can tell he is much happier to lie still. He is very groggy and drifts in and out. He is opening his eyes and alert in between which is nice, but mostly he is resting. Tomorrow will probably be very different. We expect him to be more alert, but possibly more fussy. We have also been told that he may have more swelling from all of the IV fluids. I am looking forward to being able to hold and nurse him again soon. We are told that he will probably be released on Saturday, but that is not certain yet. It seems like we have a long way to go yet for that, but I think he will be making progress in leaps and bounds in the next 24 hours. We are very thankful for how well he is doing. The doctors all seem to think he right where he should be and in same ways better. God is good. On a lighter note... I found out that Dean didn't need much blood for his surgery, but he did use part of the unit I donated. The fainting was all worth it! The doctors said we were the first parents they ever had to direct donate, and they were amused when we told them about our experience with the red cross.