Thursday 31 January 2013

Cough Cough Cough


Well last night wasn't as restful as I hoping.  Although Aly fell asleep initially, her cough kept her (and me) up for most of the night.  At around 11pm Aly woke up screaming that her arm hurt and within seconds her IV pump started to beep - the IV was toast.  Fluid was building up along her wrist where the IV was put in, and it was rock hard.  It had to be removed.  The nurses put freezing cream on her other arm in multiple places to ensure they had all areas covered as they prepared to put an IV in her other arm.  After about 40 minutes a crew of nurses showed up and new IV was put into her right arm with no issues and the other one was quickly removed.  I was hoping after this we would both settle down - but no luck.  Aly spiked 2 temperatures last night all that hovered around 40 degrees Celsius (104!!)  This was concerning, but after some tylenol she seemed to cool down a bit.  Her cough was horrible last night.  It seemed that every time she was about to drift off she would cough and cough and cough!  The cough she has is not just an ordinary cough - it is horrible.  It is worse than mine - and mine is pretty bad. The night seemed to pass with one cough after another.  Each time a nurse came into to take her vitals - her temp was up to 40 again.  Before long, it was 5am and we were both awake talking about her cough.  We finally turned on the TV and started our day.  She was first checked out by resident who was immediately concerned with her cough but pleased to hear that her lungs were clear.  Aly's doctor later came in and have a quick check in.  I was concerned about how "yellow" she looked today and it turns out her belliruben (sp?) was quite high on Wednesday so they were going to submit her bloodwork for further testing.  We tried to look at the whites of her eyes to see if they were yellow, however it was very hard to find any white patches on her eyeball - they were pure red.  I was quite worried as I looked over at her laying in bed and she just seemed to have this yellow tone about her. 
The Dr wanted to monitor it closer and if necessary would arrange for an ultrasound of her belly to see how the liver is doing.  The day consisted of a lot of nurse visits, attempts to rest, waiting for decisions on tests/ultrasounds etc.  She made up most of that time drawing, watching movies and finally - eating.  She didn't really eat anything yesterday so I was glad that she was actually eating today.  Aly wanted to have a bath so bad today and I kept telling her that I would take her down to the big bath tub at the end of the hall.  It wasn't until just before bath time that we remembered that she had orders that she was unable to leave her room.  She must be highly contagious still, or they are still taking precautions - but Aly was NOT happy.  We ended up getting a little baby bath and filling it with water and placing it in the shower  - she had a blast ( phew).  I now look over and see that she is fast asleep so that is my hint to go to bed.  Tomorrow will be a busy day - but I am hoping that she does not get any fevers tonight and that we are discharged tomorrow

Wednesday 30 January 2013

Admitted :(

Well since our last visit to clinic last week, Miss Aly has not been herself.  It was hard to nail down what the issue was, she was on steroids so the whiney episodes and sleepiness made sense.  It wasn't until Monday morning when she woke up with goopy eyes, that quickly turned into pure bloodshot eyes the following day.  She was sent home from school on Tuesday with what they thought might be pink eye.  I do recall her eyes being sensitive and a little pink that morning, however I was shocked to see what they looked like when I got home from work that night.  The tops of her eyes were pure red - where they should be white.  I took sent an email down to her clinic advising that I thought she had pink and looked for some direction on what we should do.  They suggested that we keep her at home and give her some polysporin drops to help her eyes and let them know if it got worse.  Well that night I noticed it was worse, so I sent a photo to them that clearly showed the red mapping on her eyes.  I finally settled Aly in bed and although she felt very warm her temperature never exceeded 37.4.  In the morning I knew I wouldn't be sending her to school so off to Granny's she went.  I had an early morning meeting, but as soon as I left I asked that Granny take her temperature - 38.4 so I called her clinic and they told me to come down.  They took blood, urine sample and even took extra blood to do cultures on her blood in case she had no immune system.  Before long the results were back and her neutrophils were 0.01 ( anything under 0.5 is considered neutropenic) so gave us an automatic admission.  Her IV was put in and within moments she was receiving fluids and her first round of antibiotics.  If all goes well she will be admitted for 48 hrs and then be discharged with antibiotics to take at home.  This virus is common in kids right now and apparently can hold on for 2 weeks or so.  Since she has been unwell for over a week know, I hope we are half way through it!  Since we arrived at the hospital her eyes have gotten worse, it looks like the redness is spreading and moving lower in her eyes.  They don't seem to bother her too much and they are no longer yucky.  Her ear is apparently also infected, and it seemed to really her bother her last night, but tonight it seemed much better.  Not sure if that is the antibiotic working or not.  The antibiotics she is on are not really to treat the virus as there us not really much you can do for a virus, however it is really to prevent her from getting anything else - especially since she has absolutely no immune system to fight it.  When nurses come into the room they are fully masked and wear an additional robe to protect themselves and Aly - - it doesn't really seem to phase her - likely because she was so used to them coming in to hang her chemo bag and they were dressed as though they were being launched into space.  To think that they are fully dressed in this protective gear, including face shield because they do not want to expose the chemo to their skin - yet they are about to inject it into the veins of my baby - hmmm something is not right here. 
Anyway - - Aly is fast asleep tonight and I hope that she has a good sleep and that she does not wake when the nurses come to check her temperature throughout the night.  Oh I guess I should mention that tonight when she woke from her late afternoon nap - her fever spiked to 40.4 Celsius ( 104 Fahrenheit) - that was a bit concerning, however after some meds it seemed to drop quickly.  I was just glad we were here when that happened and not at home.  Her wee body was so warm, she could have heated a small building.  I will wait to meet with her Dr in the morning to see how she is progressing.  I will be sure to update ...

Tuesday 29 January 2013

Not quite herself ....


So poor Aly has been feeling under the weather for sometime now.  She has had a cough that has held on for a month or so ... she doesn't cough too often, but when she does it sounds horrible.  I think it's beginning to get a bit better.  Last week we went to clinic and Aly was definitely not herself.  That morning she was unable to eat or drink anything as she had to have a spinal tap/lumbar puncture as part of her regular treatment - -and she was not happy!  She woke up really early, which was a bad start to the day - all she did was wine for a drink or food or even some water.  I had to say no.  She ended up falling asleep on the couch as she watched TV.  She woke for a bit as I got her dressed and loaded her in the car to head down to clinic.  I noticed that she fell asleep on the way down, and when we got to the hospital she didn't even wake up.  I carried her in from the parking lot and we signed in at the Cancer Centre and walked over to the kids waiting area.  She was still asleep.  I sat down and she lay in my arms - out cold.  I was a little concerned, as this was not like Aly at all.  Even the nurses and other families in the waiting room knew it was out of character for her ... but at least as I was at the right place.  I was interested in seeing what her blood counts were and if the Dr would find anything during her exam.  I think we waited for about half an hour before I had to take her to get weighed and her height measured.  I was able to wake her, but I am not sure if I asked her now if she would recall any of it.  While I was up I took her into the treatment room where they put freezing cream on her arm ( for the IV) as well as on her lower back for the lumbar puncture.  She slept through it all.  I think we waited another 30 minutes before they put us in a treatment room and let Aly lay down.  The resident came in to examine her, and was able to complete the full exam with Aly asleep.  She woke briefly to roll over so a full examination could be completed.  When the resident returned with the Oncologist, she made up wake Aly up and she spoke with her for a bit.  I think she wanted to make sure she was coherent etc.  One of the nurses was concerned that maybe her blood sugar might be a bit low.  After the Dr's left the nurse came in and put in the IV....and yes, she slept through that.  Well most of it.  I think she woke briefly - looked at the needle going in and said "oh ya, that's what I wanted".  Then she drifted off again. 
The nurse took some extra viles of blood to check her cultures as well as her blood sugar.  She also left behind a cup for a urine sample.  Aly continued to sleep until we needed to change room in preparation for her procedure.  She continued to sleep in that room until I eventually woke her as I knew the anesthesiologist would need to examine her.  Brian and I waited in the room until she was sedated then we waited outside until we were able to return to the room.  The procedure was short and the Dr told me it went "beautifully".  Recently Aly has woken up from sedation a bit "wild" - she is whiny, sassy and really moody.  Once the procedure is over she gets IV chemo and needs to keep her head down for about an hour in order to ensure the spinal treatment is effective.  I was concerned she was going to wake and be feisty as usual - but not this time. She ended up sleeping for the entire hour, until I eventually woke her.  When I woke her she was a bit groggy but fine.  I fed her a snack and some juice and eventually went back to the playroom for a bit while we waited for her to have to pee so we could fill her cup and be on our way.  After about 15 minutes - we were off!  Aly spent the rest of the day at her Granny and Papa's and seemed to be ok.  Her blood work showed that her body was fighting something, but the good news is she had the immune system in order to be able to fight it.  That is all I really cared about.