Judah had surgery last wednesday and continue to be in serious pain until Tuesday, when he seemed to turn the corner. I think the healing and recovery was lengthened because he got chemo two days after surgery . It was 1 drug short of a complete regimen, but it still knocked him down pretty low.
With surgery and chemo recovery happening, we honestly could have “left” the training and learning how to use the g-tube. Needless to say, this house got little to no sleep.
But we are getting the hang of it. Judah’s taking in more feeds and Matthew and I are feeling more confident hooking him up, flushing, and clamping him!
He has color again. He has a bit of energy. He has a smile. And he is back to loudly narrating his game play. This weeks obsession, Mario + Rabbids Kindgom Battle. He’s been asking for it since he got his Switch from the Amazing Currans! I was hesitant to buy it for him because, honestly, it looked like he would get bored of it. It’s not a typical video game. Boy was I wrong. He LOVES it!
Current prayer needs:
1) that the dr at Vandy will call us with ideas on chemo
2) that the chemo can continue and be effect at killing the cancer not just stopping growth
We would love prayers for this weekend (really EVERY WEEKEND)
1) that Judah will stay fever free
2) that he will continue to feel better and better
3) that there will be NO reason to call the on-call Dr or go to the ER
Last night was thankfully uneventful. He slept great and his breathing was regular. We go to chemo this morning and we will see what Dr Spiller says. This may be related to his mental coordination that his neuro surgeon told us about.
If I didn’t explain it earlier, it’s where his brain isn’t capable of managing/controlling 2 things at once (ie: managing anger and breathing normally). So when he gets overly angry, his brain can’t both control his mood/physical lashing out and tell him to keep breathing, so he passes out. This is not supposed to be permanent. The surgeon said that any of the symptoms he is experiencing can possibly be blamed on his surgery/tumor and we won’t know what until he is at least 6 months post surgery.
We obviously would rather this to be a symptom of surgery and are praying that the passing out was the mental coordination and not the tumor growing or shunt malfunction.
Thank you for the kind words and prayers.
Judah just stopped breathing and passed out. Was out for about 30secs before he came too. Have calls into neuro surgeon and oncology. Please pray!
Well we talked to the Hem/Onc nurse and she said she would let our oncologist and neuro surgeon know and that they would probably call us to talk about it. However since his vitals were normal and his ox sats were good, they didn’t think it was emergent.
We haven’t heard from either dr yet so I’m guessing we won’t hear anything tonight. Tomorrow Judah has chemo at 9:30 so I will talk with his oncologist here and she what she thinks. Last week when his balance was off, she said if he was still off she would send us for a ct scan so we may do that tomorrow to make sure the shunt is working properly.
I have ckd his pulse ox all day and since recovering from passing out it has stayed between 92-96 so that is good. We will ck it night too.
Please be in prayer for both his breathing and overall brain safety.
Judah had a good night and woke this morning hungry. He ate 3 pieces of bacon, 2 strawberries, 1 container of blueberry yogurt, and 3/4 a carton of milk! Off to a good start! Keep praying he continues to improve and the tube comes out!
Judah got to try some yogurt for the first time since the surgery! Swallow study this afternoon will tell us if he can go back to eating regular food.
Judah passed his swallow study so he gets Chic-Fil-A for dinner tonight! We got to drive him around the hospital in a wagon with no wires and no nurses and he got a couple of stuffed animals from the gift shop. His speech is getting better his strength is growing and he’s in a better mood. Thank you for your continued prayers and praise Jesus for a happy and healing little boy!
What a day this has been! Judah wakes talking, plays hard, eats yogurt, passes his swallow study, gets out of the PICU for a wagon ride, and then comes back to his room for some Chic-Fil-A only to be told he will be moving to the floor soon!!! Praise Jesus for such a wonderful, hope restoring day.
Thank you for being a praying people.
He is now comfortably resting!
Judah had a couple of naps today and during each of them he had a “desat”. That’s med-speak for his blood losing it’s oxygen saturation level. I put it in quotes (and yes I’m a little bitter) because I don’t actually believe either of the occasions were a real loss of oxygen in the blood but false positives inherent to the way this is measured. I made my case to the docs but out of an abundance of caution they took him off the list to move to a normal hospital room and decided to keep him in the PICU. We’ll pester them again tomorrow.
Otherwise he had a fantastic day today. He said a bunch of words today – honey, piglet, owl, brave, stuck, rabbit, bubby, my sister and parasaurolophus. None of them are perfect but the speech therapist says that his lips seem to be functioning well but his tongue’s not all there yet. He was super active, fighting dinosaurs with me (matthew), kicking his feet, sitting up on his own and batting both arms at a balloon. The PT/OT people had him up walking though not really holding his own weight up and he actually interacted willingly with them.
The next 6 days are likely to be frustrating and hectic. Judah’s oncologist wants to start chemo as soon as possible. While his tumor is the lowest grade and slow growing, it’s location means that any growth could have potential long term complications. So chemo starts Wednesday. Monday morning he’ll have his port put in (yes, another surgery with anesthesia), Tuesday he’ll have a bevy of tests to get some baselines before he starts chemo. Wednesday he gets the first treatment, followed every Wednesday for 10 weeks, then a two week break, then 4 weeks on and 1 off for a year.
Our problem is therapy. We had hoped they would be able to work something out were he could get pretty intensive outpatient therapy at Vandy but it’s not going to be ideal. For one they don’t have speech therapy so we’d have to find some place else for that. Second they would be wedging him in wherever there are openings in whomever’s schedule had an opening so there would be no routine or chance for a therapist to build report with him. It would be a different therapist at a different time every day for weeks and probably only an hour a day. There are other therapy centers that offer all three types, O/P/S, but they don’t take insurance and while their rates are lower than places that do take insurance we’d still be paying a ton out of pocket for the amount of therapy he needs.
Judah’s becoming more like his old self everyday but still needs lots of prayer. Prayer for continued healing, prayer for him to have patience for the dozens of people poking and prodding him and making him do stuff all day, prayer for a working therapy plan (and a way to pay for it), prayer for yet another surgery, prayer that chemo has few if any side effects and that it is effective in stopping the tumor permanently, prayer to get out of the PICU, prayer to get out of the hospital, prayer that Wendi and I have patience with the docs, nurses, bureaucracy and insurance companies and prayers for a long road ahead.
Last night was a long night. Judah has been having a lot of breakthrough pain and its keeping him awake and grouchy. It would make me the same way. He trying so hard to be brave and we are very proud of him.
He was approved to move to the hem/oc side of the floor yesterday but there weren’t any beds and as of this morning, there still aren’t any. We are so ready to get all these wires off and have more freedom.
Prayers are needed for:
-Moving to the hem/oc floor
-Continued healing of swallowing mechanism (we are hoping he can pass a swallow study before discharge so he doesn’t have to go home with a feeding tube)
-Continued healing of connection between what he knows and what he can say
-Healing of speech
-Bravery and strength during PT/OT
Well the surgery went great! Judah is on his way up from recovery now and will probably be in the PICU through the night. Cross your fingers that all goes well and we can move to the floor tomorrow!
And on another note, Matthew went to a barber shop and got his head shaved today to match Judah. He walked into the barber and asked him to shave his head and the barber said, “why would you do that?” So Matthew politely told him that his son was having brain surgery and his head would be shaved when he got out so he was going to match it. The barber, who felt terrible, said, “open mouth insert foot.” HAHA!
He looks so different but his head is actually really well shaped for a bald head, :)Judah thinks Daddy’s head has a funny feeling!
For the last few days, they have had Judah’s Intra Cranial Pressure (ICP) drain clamped to see if he can naturally drain/absorb it. We all thought he was because his ICP’s were reading so low and he was doing so well. At 4 am they took Judah down for a CT to ck on swelling and drainage of his spinal fluid from the brain in hopes of taking the ICP drain out. However, they found that I stead of draining it was actually just forcing its way out of the surgery wound into the area between the skin and skull. So he wasn’t managing his fluid. His fluid had just found an easier way out of the brain.
So tomorrow morning, if all goes well scheduling wise, they will put in a permanent shunt that will drain fluid from the brain to his belly internally. The surgery should only take an 1-2hrs and is minimal in risk. The Dr said it shouldn’t set him back any but instead give him the freedom to move around more and dive into PT/OT for quicker recovery.
We were at first sad about the prospect of another surgery but agreed that we need to move past this drainage issue and onto the talking/walking/treating the rest of the tumor issue. This affords us that.
We would appreciate continued prayers for Judah, surgery, recovery, us, and just being separated as a family. We miss Judah and Camilla Kate together.
Judah is going to need very intensive physical/occupational/speech therapy to fully recover and the logistics of that are complicated. Most of the Drs here think he needs inpatient therapy for 3-5 weeks but there is no inpatient therapy center in all of Tennessee that takes kids his age, the closest is Atlanta. One of the Drs thinks he can work something out here at Vanderbilt to get Judah outpatient therapy but in an intensive way – say 3 or more hours a day 6 days a week.
Being able to do therapy here would be much better for us as a family so we’re asking for specific prayers for God to open doors and make the therapy choices very clear and easy.
Thanks for all the encouraging words and prayers!
The surgery to put the shunt in will be tomorrow morning at 7:30am. Should be about an hour and a half and he’ll be intubated again but the tube will come out when the surgery is over. The process used to route the shunt to his belly will be pretty painful for Judah when he wakes up and he’ll have a total of 5 or 6 incisions (including the ones he already has) and every incision is an infection risk. So please pray for a flawless surgery, minimal pain and no infections!
Judah has been working so very hard today. He sat up in bed, smiled and laughed while watching Brave, squished play-doh, sort of finger painted (he hates to have dirty hands), and then made Daddy and me feel like the funniest people in the world laughing and smiling while sitting in the rocking chair all by himself. The thing I noticed that was different about today vs yesterday is that when he was done working, he didn’t freak out. He didn’t flail and yell, he whined and then we put him in his bed and after some questions to figure out what he wanted, took a rest. Our Great God is providing comfort to our sweet frustrated little boy!
We had a ton of out of town visitors and Judah responded well to all of them. Thank you for making the drive to love on us and our boy.