Friday, March 25, 2011

Life at home

So. Are you considering a career change? Want long hours, low pay? Want to work with various bodily secretions? A career in 24x7 home nursing may be in your future!

Lydia, and her pulse oximeter and portable suction machine and an emergency kit and a small oxygen bottle, came home Tuesday as reported previously on this site. That night we had a couple of mysterious (fortunately very brief, as in <30 seconds) episodes of dramatic oxygen desaturation right after we hooked her up to the ventilator for the night. During these episodes the anxiety level in the home was very high as two people with graduate degrees, plus Charissa, who's in grad school, tried to urgently troubleshoot a home ventilator that had supposedly just been put together and checked out by the home health people earlier that night. (The air was not flowing due to a connection that had not been connected.) Then around oh-dark-thirty after numerous alarms, Winona talked to the helpful on-call nurse and the home health equipment on-call people and learned all about the effects on alarm sensors of condensed water in the air hoses. The next morning Lydia was needing 3-4 L/min of O2 rather than the 0.5-2 L/min she’d needed in the hospital, she looked somewhat lethargic, and her temperature was 101°F.

But long story short, by that evening, and perhaps thanks to a dose of Cipro called in by her pulmonary nurse practitioner, she was back to her usual self and has been fine ever since. At the moment I'm sitting beside Lydia’s crib because Winona needs a break, and Lydia’s asleep breathing 0.5 L/min O2 on the ventilator with 99-100% oxygen saturation. All has been fairly uneventful since Tuesday night. Well, except for the EPA Superfund diaper clean-up yesterday morning—nothing out of the ordinary. (Thank you, Winona, for turning down my halfhearted offer to take care of it!) We are kind of sort of back to normal around here, except for jumping up in the night if anything beeps for more than 2 or 3 seconds. And needing to take a small caravan if we want to take Lydia anywhere. And suctioning yucky stuff from her trachea.

Tuesday, March 22, 2011

Lydia hospital day 62 ... Homecoming!

Hooray! We have worked with the hospital team, the ventilator nurse practitioner, our home pediatrician, the home health agency, an electrician, cardiology, pulmonology, the pharmacy, audiology, and some family-members-turned-stevedores to rearrange Lydia’s room. We have an oxygen tank, tubing, a portable pulse oximeter, a heat and moisture exchanger (“artificial nose”), an emergency kit, portable suction, and lots of disposable stuff. The final inspection of our house and final training session on the new equipment began about an hour ago. We are scheduled to bust Lydia out of SLCH at 2p.m. today.

To celebrate, she rejected her grapes and even her pancake, fussed over her chest PT treatment, spit out her Ativan twice, refused her pants, socks and shoes, and interfered with her blood pressure measurement. But she ate her scrambled eggs and took her other meds. Hey, she’s 3 now, so I suppose she’s acting like a typical 2-year-old.

We can’t wait to see her safely installed at home. Most of her new medications from the hospital will be stopped by mid-April, and by the end of May we will have a good idea of how completely her lungs have healed and how long we can expect her to need supplementary oxygen.

Thank you again to all of you who have prayed for us or helped us in one way or another. Hooray!

Sunday, March 20, 2011

Lydia hospital day 60

Dear Old Dad only got about 3 minutes with Lydia today, but Winona spent most of the day with her and the kids (well, the kids that aren’t at college) all had a couple of hours with her. (Unrelated comment: Ariana had her final interview for full-time missionary service today and the week after next she will probably receive her call.)

Starting at 2 a.m. this morning she was breathing room air on the ventilator. They cut back on her albuterol dosing so she doesn't need to get it at night and gets less during the day. During the day she had her “talker” on (Passey-Muir valve) so she could talk. She went to the rooftop garden and liked swinging on the glider thingy for a while.

We are getting excited about getting Lydia—and her train—back at home with us. Traveling, even around the block, will now become a real production. . . . Until her lungs finish healing, anyway.