Wednesday, March 11, 2015

Skyler Surgery


Such a long week and so glad that is finally over.  Surgeries, hospitals, doctors, pain, sickness, hard beds…..all make for one very tired momma but one that is willing to do it as many times as needed.  I am just so glad to be home tonight though and here with Rob and Brittnie again.  I really did not think we would be home until at least tomorrow but I will count it as another tender mercy from my Heavenly Father.

 Skyler had surgery six days ago.  He had a birth defect called pectus excavatum….basically his chest muscles were not strong enough to hold his rib cage out so as his heart and lungs got larger, they began to get squished due to the chest not moving out.  The fix for that was to put a titanium rod into his chest between his ribs and his heart and lungs. That rod will allow the muscles to strengthen so eventually they will push the chest wall out on their own.  The rod will be removed in two years with the hopes that it will be stong enough to do the job.  This surgery has been known to be one of the most painful surgeries that there is.  If you can imagine someone constantly pushing out from your insides and never stopping – that is the pain.  His body will eventually get used to it and the pain will lesson.  He will have to take it very easy for a few months to prevent any type of injury taking place.  I was not excited for the surgery and neither was he. He was trying to be so strong and brave and not admit that he was scared, but I could read thorugh his eyes and knew that he really was.

We had to leave Bullhead at 5:30 last Thursday morning to be at the hospital by 7:30.  It was dark as we left and silent tears rolled down my cheeks.  I was scared.  My little baby was going to put under anesthesia and have someone work very closely to his tender heart.  I am a worrier and imagined any and every thing that could go wrong.  Once we got the hospital, we waited for almost three hours before they called us back.  I could not believe we sat there for that long.  They took us back to the pre-op room where he put on one of those lovely gowns, got his IV started and we waited – another two hours.  He was starving, we were nervous and yet we waited.  Finally the doctor came in and asked if we had any more questions.  Then the anesthesiologist came in and talked to us about the epidural. Skyler was more afraid of the big needle in his back than he was for the surgery.  He asked if he could be asleep when the epidural was put in but was told he needed to be awake to help guide it into the right spot in his back.  This made Skyler cry which started me crying too.  I suddenly saw how scared my little boy really was and it hurt.  We told him it would be okay and not to worry – that the angels would be with him and to be strong. Then we had to say good-bye and more tears came. The sleepy doctor had started to walk away then suddenly came back.  He asked if we were LDS and said he was too. Then he asked if we would like to say a prayer before the surgery. He even offered to say it for us.  I have never had a doctor do that before – not even when we lived in Utah.  We had to say good bye again so more tears.  As they took him down one hall way and told us to go the other way, I clutched Rob’s hand and the tears came.  We just walked around for a few minutes then went to wait some more.  It is so hard to sit there knowing your child is in someone else’s hands and there is nothing you can do but pray. 
waiting for surgery

Recovery Room Phone Break
 About two hours later the surgeon came out and told us that it was beautiful – it all went very well.  He did say Skyler had a hard time with the thought of the epidural but he was pretty much out of it when they put it in – had given him meds to calm him down. He told us again he would be very sore and it would now be a waiting game.  We were allowed back to see him about 20 minutes later. As we got there, he was just starting to wake up and was moaning with pain.  The tears were trickling down his cheek.  We comforted him and told him we were there and that seemed to calm him down some. However, the pain was enormous.  They had meds going into his epidural at a rate of 6 but about an hour later raised them to an 8.  He finally had some relief and was able to sleep.  We spent the next 7 hours in the recovery room with a very kind nurse waiting for a bed to open up in the ICU.  Skyler kept waking up to check to make sure we were still there.  I even got some video of him snoring (actually snorting) which is very funny.  He slept most all afternoon and does not remember anything about the recovery room. About 9:00 that night we finally got put into our own room in the ICU.  They continued to monitor his pain and tried to keep him comfortable.  Rob left for the hotel room about 10:30 that night and I tried to get comfortable on one of those chairs that pull out into a bed.  The night was long as they kept coming in to take x-rays (at 2:00 a.m. mind you) and check his levels and draw his blood.  No wonder no one ever sleeps in the hospital.  I was very tired so lept okay but kept waking up to check on him…..he was pretty out of it. 

 The next day was Friday.  Brittnie came up after work that night to stay for a few days too. It was so tender when she came over to stand by his bed. I looked at her and huge puppy dog tears were rolling down her cheeks.  I asked her if she was okay and she said it hurt to see him that way.  She really does love him!  That day was filled with lots of sleeping, nausea, throwing up, pain and more pain.  He would try to stay awake for a little while but mostly just slept. We told him that is what his body needed to encouraged him to do so. That night, we both slept very sound. I only remember the nurses coming in one time but I guess they were there every two hours. 

 I wish I could say that Skyler snapped right out of it and everything was great.  However, that was not the case.  He struggled. The pain meds were making him nauseated so they had to keep giving him stuff for that. However, the first med they gave him (for three days) did not help at all.  He would try to eat but had no appetite. They did turn the epidural back down to a five that day so his pain meds were decreased.  He did so well with that.  He actually went one time for almost 6 hours with no breakthrough pain meds in his IV.  That night they gave him Benadryl (after he threw up yet again).  That seemed to take away the nausea and he slept all through the night….and so did I!! 

His new chest
 Sunday was the day they were going to take out the epidural….however, they had not turned it down far enough yet and the nausea was still too bad. Skyler did very well all day though with being alert and awake.  He watched a lot of TV and talked to us. He still did not eat tons but was doing better it seemed.  He did not complain as much about the pain and things were looking up.  But then Monday came….

 Monday morning was just like the others.  Got him breakfast, watched some TV, visited with doctors. They did take the epidural out that day which was such a relief. That meant that he also got the catheter out.  However, that meant he had to sit up now to use the bathroom as he no longer had a tube to do it for him.  That afternoon Dan from Occupational therapy came to visit us. He had Skyler actually get out of bed.  He sat on the edge first and then stood up for about one minute. He got so dizzy and nauseas that they put him back in bed. They said that was pretty good for his first try and told him to rest.  They next day would be walking.  Well, that started the bad night.  Rob and Brittnie left that afternoon about five which was hard for Skyler. He wanted his dad to stay with him too.  He cried really hard when they left.  It really broke my heart.  Then the nausea started to come back really strong.  I could always tell when it was coming as he would get really hot and start to sweat.  He had these little blue bags to puke into and they usually did pretty good.  However, this time it did not. He threw up so hard and violently. It hurts his chest to do so and he exploded everywhere – including all over me.  I was alone with him at the time so I hit the call nurse button and one came in. I told her what had happened and she went and got me some wipes to clean him up…then she left. I could not believe it.  His nurse eventually came in and we had to strip the beds, his clothes, wash him completely off and get him comfortable again.  It was pretty bad. He did feel better though – for a while.  Then it hit again.

 For some dumb reason that we do not know of, his doctor that day and discontinued the Benadryl and so they would not give it to him for his nausea even though that worked this best.  The nurse called the doctor and they ordered Ativan. When they told me what it was, I did not have the best feeling about it and I should have said so – but I hate to tell a doctor what to do.i regret that decision now.  Within minutes of him getting that med through his IV – not even having it all yet- he lost it. It was supposed to calm him down and help him sleep but it did just the opposite.  He had a horrible panic attack that lasted almost two hours.  He told the nurse and I as she was giving the med that he felt really funny and did not like ti. She told him it was just the med and to relax.  Before long, he was crying. He kept asking me what was happening and said he was scared.  He kept telling me there were people in the room and that there were black spots on the ceiling.  I will never forget the scared look in his eyes when he would look over at me with red eyes and ask me what was going on.  He kept saying “mom, I am scared”. He told me over and over again that he loved me and that he was afraid something was going to happen to him.  He kept asking when it would stop and if he would remember it…if it was a dream. At one point, he told me I had four noses then as he reached for my nose and felt only one, he cried harder.  I wanted so bad to cry too – I admit tears did run down my face when he would settle for a minute or two only to jerk awake and start it all over again. I called Rob – but he did not answer so I called my dad. I told him I needed him to pray and do it right then. Then I got hold of Rob and told him the same thing. I had him try to talk to Skyler to calm him down but that did not work either. He had the kindest nurse that night that had the magic touch. She gently placed her hand on his chest and repeated over and over again “breathe, one, two, three, four, five.”.  It seemed to work – until we stopped saying it.  For two hours I saw such fear and panic in my son’s eyes. I fell asleep at the side of his bed holding his hand.  He finally slept – until about 4:00 then a smaller version started again. He asked me if it was a dream or if it was real. I told him it was real but that he was fine. Then he started to panic again and tell me how afraid he was.  He finally slept about 4:30 – and did so for most of the day.

 That day was very long. I was all alone, scared, wondered why I had not listened to my gut, and it was so quiet. We let him sleep – for almost 8 hours he slept that day.  He did not ask for pain meds but did not eat either as was still upset to his stomach.  They did get him out of bed again and made him sit in a chair for half an hour which he really hated.  He told me he could not do it and wanted to go back to bed.  When he finally did, he slept again.  I so hated that day. 

 Tuesday morning we had a nurse who was not very kind.  She was the worse one we had. She was mean and cruel and so was the surgeon that day. He basically told Skyler to stop being lazy and get out of bed.  Tell him to do that when you get so sick and dizzy you can’t stand up.  We did get transferred out of ICU to a regular room which was much nicer. I finally saw a smile on his face when he saw an x=box in his room.  They did not have any good games though so we watched Disney movies instead.  He was feeling better that night and they made him get up again and he actually walked this time.  That meant he could start using the bathroom too.  Skyler did not sleep at all last night even with the Benadryl.  He woke after two hours and was awake for four. I told him to watch TV but he would not turn it on as he did not want to keep me awake.  He had such manners the whole time we were there to everyone – always telling them thank you even when he was doped up.  They gave him more Benadryl about 1:30 and again it only worked for two hours. I slept laying my head on his bed again holding his hand.  About 6;30 we decided we were done fighting and put in a movie.  I dosed somewhat during the movie but he did okay.

 
Dad came!
 
He got up to use the bathroom (which he had done all night be himself) about 7:30.  The door opened as he went in and there stood Rob.  I wanted to cry. I so needed him on panic night.  Skyler had just told me last night too that he was afraid his dad was not proud of him and was upset that he was not strong and fighting harder. He said he missed him.  When he threw up so bad, it got all over his pillow.  So I sent it home with some friends to get washed.  Rob had brought it back. We put it on the bed to see if Skyler would notice and Rob hid around the corner.  Skyler came out and sat on the edge of the bed talking to me. He suddenly noticed the pillow and asked where it came from. I told him Kim had brought it back but he did not believe me. Then he saw Rob – he stood up with no pain and ran into his dad’s arms. They both cried.  It was so awesome!  From then on it was downhill…he sat by us on the couch and opened presents, he played games with Rob and the x-box; he walked all over the hospital when the therapist came – he wanted to go home.  The nausea suddenly disappeared and so did the feeling sorry for himself. The pain was at a one.  They came in about 1:00 and told us the surgeon had forgot to come in, but he was okay with us going home if we felt okay about it. You did not have to ask twice. We were gone within an hour.  It was so great….we finally are home and now the healing can begin.  He is a totally different person tonight – he still hurts some but is doing all that he normally does.  He is so awesome.  I just have to put a reign on him to keep him from doing too much.  As Skyler says’ I hate hospitals”. 

Final Stop on Way Home

Monday, March 2, 2015

Challenges

Life is not always easy.  Sometimes I wonder when the tidal wave will hit and the rainbow will disappear.  I never plan or want for those moments, and they are hard when they come.  I found the cutest quote yesterday..."when you feel like you are drowning in life, remember your lifeguard walks on water."  How true that is!  I am so grateful for my Savior and all that he has done for me.  I feel so inadequate of the blessings sometimes, but I am so grateful for them.

We will have a huge challenge this week and I am trying so hard not to stress out over it but I am not doing very well at that.  Skyler has to have surgery in three days and it is not going to be easy. It is never easy to see your children hurting and this will be very hard. His surgery is inserting a titanium rod into his chest behind the rib cage and in front of the heart. His chest is caving in cause his heart and lungs to be squished.  If it continues, it can be fatal.  The surgery itself does not take very long, but it is really painful. He will be in the hospital for up to a week and in ICU for quite a bit of that time due to the pain. He will be under strict limitations for a while as he will have to be extremely careful with what he does.  I am worried and scared as any mother would be. he says he is not nervous at all and is just fine.  Deep down inside I think otherwise as I have seen that scared look in his eyes.  We feel really good about the doctor and hospital he will be in and know that he will be okay.

The hardest part so far was telling Boyd.  He found out today as we did not want to tell him months ago when we found out.  We have been going to Vegas for numerous appointments and check ups.  We did not want Boyd to worry too much as he is like me and worries a lot.  He was okay today when we told him, but he also said he was nervous and scared for him.  It has to be hard to be far away and not even be able to call.  We will call Sister Wilson after the surgery is over and she will contact Boyd to tell him. Part of me hopes he gets to call home but I am not counting on it.  I just want him to know as soon as it is over that he is okay. Then he can have others text me during the week for updates.  It is hard not being able to talk to him.

We are doing okay besides that.  School, work, church, friends, family...it all keeps us busy but that is what makes life so great. I would not want it any other way.  Family is the most important thing to me that there is. 

To a stressful week filled with peace and love from above.