Archive for June, 2008

I’VE GOT NO STRINGS!

Monday, June 30th, 2008

I got no strings to hold me down, to make me fret, or make me frown. I had strings but now I’m free, there are no strings on me.  Nothing ever worries me, I’m as happy as can be. I want the world to know nothing ever worries me!  I’ve got no strings so I have fun, I’m not tied up to anyone. They’ve got strings but you can see, there are no strings on me!

Today the doctors decided to take Johnny off TPN completely.  Normally they would never think about doing such a drastic maneuver, but because we are here at least until next week, they felt they could take a chance and see what happens.  Hopefully nothing.  Johnny’s weight has increased everyday — and it’s not water weight either.  His counts are coming up — his ANC is 500 and platelets have held steady.  He’s eating small meals all day long and doing PT. 
 
Yesterday…
All morning long we plotted our adventures for when Johnny was free and unhooked.  We walked ALL over the hospital — on our way back to the room Johnny said, “Since we walked so much today, I think that counts as my PT”, and just as he finished his sentence the PT nurse came around the corner.  The cool thing about PT is they never take no for an answer.  She took him up to the PT floor where I watched him play basketball, work on his balance and building his leg muscles.  If he’s standing in front of you, he looks ‘healthy’ but once he starts to walk, you can tell something is up, his PT nurse said he ‘hides it well”.  He cannot get up from a sitting position without help, but hopefully that will be fixed by the end of the week.
The lung CT is scheduled for Wednesday.  The ID docs came in late this afternoon to say they want a CT of the gut and sinuses too, just to make sure there isn’t anything happening in either place before they start to cut back on the meds.  Because the gut and sinus CT were just added today, they might have to be scheduled for another day — unless they can knock it out on Wednesday.  I hope that makes sense…
TODAY!!!!
Joey comes home tomorrow and Johnny cannot wait!!!  The boys have been talking to each other every night — no one makes Johnny laugh more than his big brother.  I bet there will be a HUGE improvement in Johnny’s spirits and health once the boys are together again.

Not So Fast

Sunday, June 29th, 2008

So yesterday Dr. Shah and Dr. Bracket mentioned that they would like to spring Johnny before the holiday weekend. They didn’t say it was a done deal or anything, but it sounded like the TPN (or “tube food” as Julie would say) was the main hold-up, and if he started eating this week we might be out of here. Today they were a little more realistic with the timeline. It’s true that Johnny does need to start eating so he can get off the TPN, but there is also the issue of the anti-fungal meds he is still getting by daily IV. Since nothing grew on the culture from the biopsy no one really knows what is happening in his lung, and therefore no one is ready to take him off the anti-fungal meds. The Hem/Oc docs would like him off because of the stress on his kidneys, but the ID docs don’t want to end the cycle early unless they are either sure the issue is gone, they know for sure it’s not fungus, or the cycle is finished (two more weeks from now). They should know more after the next CT scan of his chest on Tuesday. We’ll see if it is enough to convince them to pull the meds. I’d love to take him home, but I don’t want to come right back to the ICU, so I’d rather that everyone be comfortable before they set him free.

Johnny’s TPN was pulled back to 18 hrs/day so he was actually completely unhooked from the IV pole for six hours today. Freedom! Not having to drag that thing around is a big improvement. He made it up to 16 today to play a few video games, and went down to 1 to check out the model trains. He’s seen them a hundred times before, but it gave him a destination.

Julie and I also had a little freedom today. Since Johnny is finally doing better my mom came up and sat with Johnny and Sophie for a couple of hours so we could go get a bite to eat. It was nice.