Moving Mountains While Tripping Over Molehills

by Tammy & Parker on November 5, 2009

Every thirty days, like clockwork, we haul Parker down to the hospital for his monthly blood draws.  With the addition of a new medication, it is even more important we get him down there on time, or so warns our cardiologist.

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Because  with the new medication comes  warnings of muscle breakdown.

That could be irreversible.

And in some rare cases,  fatal.

And people actually have to wonder why I’m a quarter past crazy these days.

(ETA: Parker’s bloodwork results all came back looking grand. His muscle enzymes especially.)


Except when we get there we discover our cardiologist (who was the one pushing the warnings about all the potential side effects) hadn’t called the order for the blood draw.

ahem.

No problem!  I’m nothing if not a tad bit desperate……..uh……..flexible.

I’ll just run over to the Ped’s office and ask her to write for this blood work to be added to the regular monthly blood draws.

Except I get there right at lunch time.   And so we must bide our time for an hour until the lunches have been consumed.

I find myself thinking that I’ve spent the day so far tripping over molehills.

Luckily,  the hospital flu testing waiting area (which is right by the lab) is empty.

And our wait is short.

And the person poking Parker is very good.  One stick, and she. was. IN!

Through his tears, Parker claps for himself.  We all join in with him.

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He’s been battling one heck of a cold for the last little bit.

Yesterday my Mom and I were out running errands when my phone rang.  It was Parker’s surgeon.  It seems as though the surgeon was talking to the cardiologist, who is concerned about Parker’s pulmonary hypertension values.  (Yeah, us too.)  The cardiologist discusses my reflux concerns, the chest xrays suggesting a recent aspiration pneumonia, and the fact that we can often see the reflux coming from Parker’s mouth.

So an upper GI is the process of being scheduled.  But if that doesn’t show reflux (and it is notorious for not) then the pH probe will be ordered.  If we find reflux then we schedule a Nissen.

I am thankful for both Parker’s cardiologist and his surgeon.

The Nissen would join the upcoming sedated chest CT, and upcoming trach stoma reduction surgery, Bronch and FEEs.

What would the holidays would be without some quality time spent at Primary Childrens Hospital?

We’ve had to put Parker on NPO status. (nothing by mouth.)  You know it is getting bad when even chocolate ice cream shows up in his trach nose.

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My concern is that during the window of testing, no reflux will be present.  Because I KNOW the kid is refluxing, but any testing just reflects that particular window in time.

I’ve reworked his total feeding schedule to where I am bolusing him in smaller amounts every. thirty. minutes., except for the 2 hour food free period that his Previcid requires.

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Sometimes all the decisions we need to make in Parker’s behalf makes it feel as though we are continuously trying to move mountains.

Fortunately, a sweet internet friend sent me a talk she gave at a recent Stake Conference.  In her talk she taught about the concept of hope, and having ‘a perfect brightness of hope.’

(I have her talk, and it’s particular references to the scriptures, saved in my scriptures.  I’ve read it so many times, and read the scriptures that it refers to so many times, that you’d think I’d had this gift for years instead of just a couple of weeks. )

Doesn’t that sound beautiful?  A perfect brightness of hope.

Achieving this starts pretty simply.  You make a choice.  You make a choice to work to cultivate A Perfect Brightness of Hope.


This isn’t to say that things will suddenly be easier.

It just means that through it all I choose to have hope.


Cause Parker and I?  We’ve got us some mountains to move.

(Want to learn more?  Read this:  The Infinite Power of Hope)

As always, your prayers are appreciated…..coveted.

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Tammy and Parker

{ 6 comments… read them below or add one }

Barbara November 5, 2009 at 2:09 pm

Praying for Parker and Tammy. (No need to covet here.) I see where my prayers are being answered (some).

I cannot help but question the need to do another swallow study with all the evidence and belief of aspiration. It is great that they can combine all the sedated procedures and surgeries. If the swallow study does not show aspiration, will the Nissen be cancelled?

Sounds like a long time to be NPO for our cheeto-loving Hero. If the swallow study was deemed unnecessary (a mountain moved) could he have his surgery sooner?

Hugs and germ-free cyber kisses.

Tammy says: You know the cardiologist was saying that if we have actually seen him reflux, why wait for the Nissen. Kids with g-tubes who on on continuous feeds at night are notorious with the reflux. But the Pulmo and surgeon want these tests ran first.

We have evidence on x-ray of a possible aspiration pneumonia, PLUS his bloodwork shows medibolic acidosis, AND his last swallow study a little over a year ago showed the stuff coming right back up on the tape, but they weren’t sure if it was ‘enough’ for a Nissen. Not to mention we find stuff in his trach nose all the time.

But with our luck, all the actual testing will show nada.

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Lacey and Jax November 5, 2009 at 2:46 pm

You know, reflux can wreek some major havok. I bet thats what it is and if you can get the nissen, life would be great. I can’t believe they haven’t done it sooner….wait a minute, I can believe because when they did Jax g-tube he said he didn’t think his reflux was that bad so they didn’t do the nissen. About a month later he refluxed and aspirated and stopped breathing, so then we had to schedule ANOTHER surgery to do the nissen.
Doctors are so dumb sometimes.

When they placed Parker’s g-tube he still had his ostomy. Because of this they decided to opt out of the Nissen, even though THEN it was known that he was refluxing. They have all kinds of stuff pointing to his refluxing, and I would MUCH rather just go straight to the Nissen. And I’m not one to push for unnecessary procedures with Parker’s issues of losing his respiratory drive when put under. ergh.

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mum2brady November 5, 2009 at 3:49 pm

Hugs and good luck :) Brady’s PH probe didn’t show reflux – but – my carpet begs to differ ;) What do I know – I’m just a mom – apparently.

Hugs to you and Parker and I hope he is better soon!!!! Prayers being sent, as always :)

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Chris November 5, 2009 at 8:48 pm

I was thinking he had already had the nissen- doh. Yes, I do see that in his future, then (ugh).
Hugs.

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amy flege November 5, 2009 at 11:41 pm

you can move those mountains!!!!

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Sunny November 6, 2009 at 9:15 am

Thanks for the reminder of the power of hope. Little Parker is always in my prayers.

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