Things with Jaxson have steadily been moving in the right direction. My last post talked about how he was cleared by cardiology for all of his surgeries, and he doesn't have to go back for a year. That news had me elated, and still does really. The biggest concern we had for Jaxson has become a nonissue, and everything else is either fixable or treatable.
Following the cardiology appointment on the 14th, I took him to hematology the following Monday. It was not a good experience. I may actually seek a second opinion. The doctor told me he didn't recommend testing Jax for my disorder. Then looked at me until I asked him why. Jerk. I mean, really? You already know I'm expecting the opposite, so why make me jump through hoops to get the answer? He said that blood doctors are actually shying away from testing kids for the disorder for a variety of reasons, but the one he cited was Jaxson's ability to get life insurance. Excuse me for a second, but are you fucking kidding me? I laughed in his face and asked if he had looked at Jaxson's other issues, and he said that maybe it didn't matter for him. I thought, really? You clearly haven't look at at his records. How are you going to meet with a new patient without looking at his records? I was beyond irritated. So he's going to have these surgeries and no one is going to know if he'll clot too much afterwards. Yeah, I think I'll get a second opinion. He gets a clot in his brain from his skull surgery and I'll sue the crap out of that guy!
Anyway, after that we actually got some more good news! Thursday was a day from hell for me. I got Jaxson to Children's at 8:30 for a kidney ultrasound. Then we went down to nuclear medicine to have a contrast dye scan on his kidneys to see how they are functioning. Then it was up to the urologist for the resutlts. 3.5 hours later, Jax still has some swelling on his right kidney, but it's better than it was a month ago. And his kidneys are functioning fine. So we got to stop the amoxicillin, which is good! He goes back in December for another ultrasound to check on it again, but overall the visit was positive.
Now I'm going to take you back two posts to Jaxson's audiology test. I got the report in the mail last week and it just brought up memories of the visit and how I just didn't have a good feeling about how it went and the way we were treated. So I got in contact with an acquaintance (friend of a friend), who is an audiologist. She read the report and basically reaffirmed my feelings. She recommended that I go to Cincinnati Children's as they have a really good audiology department and apparently this is not something that Columbus Children's is really known for or good at. So we have an ENT appointment on October 15th and I think I'm going to try and schedule a visit to Cincy the week before to have that test repeated.
Jaxson's next appointment is on Wednesday when Franklin County comes out to do their developmental assessment as a referral from Help Me Grow. They'll provide home-based physical therapy, occupational therapy and possibly other therapies as needed. After that (as of right now) he doesn't have any other appointments for two weeks. I'm about 99.9% sure that's going to change, though, as his 3D image on his skull and spinal MRI have not been scheduled. And we'll have to meet with genetics after that. But this week will be relatively easy with just the one appointment and they're coming to the house.
Jaxson seems to be doing very well overall. He weighed 9lbs 11oz when his g tube got changed yesterday. He's been smiling more and awake more, and he's been taking more food from his bottle. We've been able to check off cardiology, hematology and surgery clinic from the list. Urology is no longer a worry, just something to keep tabs on. He seems happy most days, and that's really all that matters!
Jeffrey is still pretty sensitive and wants a lot of attention, but he's getting less whiny and starting to not be so clingy. I'm sure that's partially due to him adjusting to having a brother and partially due to us trying to make sure we give him our undivided attention as often as we can. He still loves going to the clubhouse at the hospital when Jaxson has an appointment, and sometimes he even asks to go there. He cracks me up on a regular basis and shows me every day how smart he is and what an angel we have in our house. I truly could not ask for a better kid to be Jaxson's big brother.
As for Jayson and I, well, we're tired. I get up and go to work 40 hours a week and try to give him as much of a break as I can when he gets home. We alternate nights taking care of Jaxson depending on my schedule. I just hope that Jax starts sleeping through the night soon because I'm not sure how much longer I can function on 3 hours of sleep or less! But really, if that's the only complaint, I think we're doing okay. Oh, there's always money problems and way too many a bills to pay, but I just choose not to think about it. Good or bad, doesn't matter to me right now. It's overwhelming to even consider what we owe, so I'm just crossing my fingers that Jax gets approved for Medicaid and it becomes mostly a nonissue.
Jaxson's ride is still in the beginning stages. I'm trying not to think about how fast his first surgery is sneaking up on me. Most everything has been so positive that I'd rather focus on that. And keeping my family happy and healthy, which is what will keep things normal for the kids. So for now I'll be thankful that there's only one appointment next week and maybe we can get some semblance of normalcy for awhile. That will help everyone relax and distress. Which is exactly what we need.
Saturday, September 22, 2012
Sunday, September 16, 2012
Good News!
This one is going to be brief, it's been very busy in the Burks household lately. Jaxson had a follow o cardiology appointment on Friday shortly after a follow up neonatology visit. Both visits went really well! Neonatology will follow Jaxson until it's determined that they don't need to anymore. So at least for the first year, possibly two. But he's gaining weight (9 pounds 7.7 ounces!) and growing (21 inches) well. His body is proportionate, which is what they really look for.
Now on to the cardiology visit, which is where the news gets really good: Jaxson does not have to go back to them for a year! They did an EKG and everything sounded and looked good. His pulses are good and even throughout his body. His aorta being small is clearly not impacting anything right now, and the only reason they want to follow up is because his aorta only has too flaps instead of three. As long as things stay as they are, that issue won't likely present itself until Jaxson is iddle aged.
Really great news all around. He's been cleared for surgery, so the next step is to see if he has my clotting disorder. We have a hematology appointment tomorrow to talk about that, and it won't prevent any surgeries, just give the doctors something to be aware of. So we'll be scheduling the 3D image on his skull and spinal MRI this week. His first surgery will take place next month, which is rapidly sneaking up on us. But for now, there's one less worry and one less appointment we have to go to. Check that off the list and move on to the next thing!
Now on to the cardiology visit, which is where the news gets really good: Jaxson does not have to go back to them for a year! They did an EKG and everything sounded and looked good. His pulses are good and even throughout his body. His aorta being small is clearly not impacting anything right now, and the only reason they want to follow up is because his aorta only has too flaps instead of three. As long as things stay as they are, that issue won't likely present itself until Jaxson is iddle aged.
Really great news all around. He's been cleared for surgery, so the next step is to see if he has my clotting disorder. We have a hematology appointment tomorrow to talk about that, and it won't prevent any surgeries, just give the doctors something to be aware of. So we'll be scheduling the 3D image on his skull and spinal MRI this week. His first surgery will take place next month, which is rapidly sneaking up on us. But for now, there's one less worry and one less appointment we have to go to. Check that off the list and move on to the next thing!
Sunday, September 9, 2012
Busy, busy! More Appointments, Updated Timeline
If you can't guess by the lack of posts, things at the Burks household have been quite busy lately. Jaxson has had five appointments since my last post and has three more this week. We met with plastic surgery first, it was just a follow up to the conversation we had in the NICU. Nothing new, but his skull surgery can't be scheduled until he's cleared by cardiology and hematology. In the meantime, I'm waiting to hear about scheduling his spinal MRI and 3D image of his skull in preparation for the surgery.
The next appointment was physical therapy. Jaxson has some muscles that are pretty tight, which is somewhat normal for a baby who's been in the hospital. His third appointment was in conjunction with PT, it was his Help Me Grow assessment. HMG is through the state and they provide home-based PT, occupations therapy, speech therapy, etc. So Jayson learned some stretches to do with Jaxson at PT and he'll go there every other week through our private insurance, and once HMG gets his immunization record, they'll come out to the house about once a month to do additional therapies as needed.
Jaxson's third and fourth appointments were on the same day. The first was the follow up to his G Tube surgery and circumcision. Everything looks great on both counts, healing well. We go back in two weeks to have the G Tube replaced and have the doctor show us how much water to add should the Mickey button come out. The second of those two was his audiology appointment. They wanted to retest his left ear because he showed some signs of hearing loss during his initial test at the hospital. The appointment took 2.5 hours and I was at my wits end by the time it was over. The right ear results were conclusive. While it showed he had some mild hearing loss on the outside, his ear nerve actually registered normal. Which means there's either something structural blocking the sound or there's fluid behind his ear. She did not get to test how well his ear drums were moving because he wouldn't tolerate it, but his right ear should be fine. His left ear tests were inconclusive because he was done with the testing, but it's quite likely that he'll have mild hearing loss in his left ear. From what's understand, it's not common for babies to be born with hearing loss in one ear (go figure), but it's mild and likely fixable with a hearing aid, we'll know more in five weeks. We have to meet with the ENT and repeat the test he just had to get some better results.
This week, Jaxson has a well baby check and immunizations on Tuesday. Then on Friday he'll follow up with neonatology and cardiology. Next Monday he has a hematology appointment, so we should know by the end of next week when his skull surgery will take place. It should happen in the next month.
I wanted to do another timeline on here, as I'm sure I frequently will when things pop up, to catch up people who haven't been following or who can't keep up (not like I really can either!) as things continue to make their way to our calendar. So here it is:
Cardiology and hematology follow up (test for prothrombin gene mutation)
Set ophthalmology appt to check vision and possibility of strabismus
3-4 months - skull surgery
Audiology follow up, if there's a problem, further testing and probably tubes
6-8 months - spinal surgery
10-12 month - cleft surgery
Urology follow up on September 20 to check on blockage, if it's not resolved, surgery
Holes where testicles dropped did not heal at birth like they should have, will require surgery at some point
*before any surgeries take place, he must be cleared by cardiology and hematology
The next 12-18 months are going to be long and full of doctor and hospital visits. But it seems like everything is slowing down (believe it or not) and becoming manageable. Jeffrey's stutter now only appears when he's excited or upset, which is a huge step in the right direction. Jayson and I are becoming more comfortable in our roles in the family and making things work the best they can for us. Jaxson is growing like a weed, he's already 9lbs 2oz! And he sometimes (not often, unfortunately) will sleep for 6 hours at night. But even so, Jayson and I are taking turns and working in shifts on some nights to get through it. I think we have a good schedule worked out and I think that Jax will start sleeping through the night very soon.
For now, we'll just keep doing what we're doing since it seems to be working. And for those times when Jax will only calm down for mommy, there's caffeine to get me through the day. And someday I'll get to share a bed with my husband again. Without a child in between us!
The next appointment was physical therapy. Jaxson has some muscles that are pretty tight, which is somewhat normal for a baby who's been in the hospital. His third appointment was in conjunction with PT, it was his Help Me Grow assessment. HMG is through the state and they provide home-based PT, occupations therapy, speech therapy, etc. So Jayson learned some stretches to do with Jaxson at PT and he'll go there every other week through our private insurance, and once HMG gets his immunization record, they'll come out to the house about once a month to do additional therapies as needed.
Jaxson's third and fourth appointments were on the same day. The first was the follow up to his G Tube surgery and circumcision. Everything looks great on both counts, healing well. We go back in two weeks to have the G Tube replaced and have the doctor show us how much water to add should the Mickey button come out. The second of those two was his audiology appointment. They wanted to retest his left ear because he showed some signs of hearing loss during his initial test at the hospital. The appointment took 2.5 hours and I was at my wits end by the time it was over. The right ear results were conclusive. While it showed he had some mild hearing loss on the outside, his ear nerve actually registered normal. Which means there's either something structural blocking the sound or there's fluid behind his ear. She did not get to test how well his ear drums were moving because he wouldn't tolerate it, but his right ear should be fine. His left ear tests were inconclusive because he was done with the testing, but it's quite likely that he'll have mild hearing loss in his left ear. From what's understand, it's not common for babies to be born with hearing loss in one ear (go figure), but it's mild and likely fixable with a hearing aid, we'll know more in five weeks. We have to meet with the ENT and repeat the test he just had to get some better results.
This week, Jaxson has a well baby check and immunizations on Tuesday. Then on Friday he'll follow up with neonatology and cardiology. Next Monday he has a hematology appointment, so we should know by the end of next week when his skull surgery will take place. It should happen in the next month.
I wanted to do another timeline on here, as I'm sure I frequently will when things pop up, to catch up people who haven't been following or who can't keep up (not like I really can either!) as things continue to make their way to our calendar. So here it is:
Cardiology and hematology follow up (test for prothrombin gene mutation)
Set ophthalmology appt to check vision and possibility of strabismus
3-4 months - skull surgery
Audiology follow up, if there's a problem, further testing and probably tubes
6-8 months - spinal surgery
10-12 month - cleft surgery
Urology follow up on September 20 to check on blockage, if it's not resolved, surgery
Holes where testicles dropped did not heal at birth like they should have, will require surgery at some point
*before any surgeries take place, he must be cleared by cardiology and hematology
The next 12-18 months are going to be long and full of doctor and hospital visits. But it seems like everything is slowing down (believe it or not) and becoming manageable. Jeffrey's stutter now only appears when he's excited or upset, which is a huge step in the right direction. Jayson and I are becoming more comfortable in our roles in the family and making things work the best they can for us. Jaxson is growing like a weed, he's already 9lbs 2oz! And he sometimes (not often, unfortunately) will sleep for 6 hours at night. But even so, Jayson and I are taking turns and working in shifts on some nights to get through it. I think we have a good schedule worked out and I think that Jax will start sleeping through the night very soon.
For now, we'll just keep doing what we're doing since it seems to be working. And for those times when Jax will only calm down for mommy, there's caffeine to get me through the day. And someday I'll get to share a bed with my husband again. Without a child in between us!
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