Wednesday, October 27, 2010

whirlwind week...


October 27, 2010 

It has been a week since we weren’t sure about the future of our baby girl.  She has come a long way from then and has continued to be the little miracle baby.  This week has been a blur to us, but throughout each part, we can feel the presence of our mighty God.  We have had many times of sorrow and grief and just waiting for the next moment.  That is when He has sent us friends to hug us and love on us and sent family to comfort us and to help us sit through the long hours of waiting.  We have felt the many hundreds and thousands of prayers sent up for our dear lil’ Jo.  We are still unsure of the future, but God has preserved this little ladies life and I am sure He has been rejoicing by the amount of intercession that is being done on her behalf and on our behalf.  Thank you!

So how is Josie doing?  She is one tough cookie!  We posted on the wall that she was able to get her breathing tube out on Monday and was given a little air cannon that fit in her nose for extra oxygen.  Then on Tuesday they stopped the oxygen because she was doing everything on her own.  They decided to stop the oxygen in the midst of the Tornado warnings – it helped to not have one more thing to worry about as she was being moved back and forth from her room to the hallway.  Oh, what chaos! 

On Tuesday they removed her arterial line, an IV line and her catheter (too much information? – she’ll be so embarrassed later on in life when she reads these!).  She still has her central line in her right shoulder area and will continue to have this line for medicine administration.  They started her feeding tube feeds on Thursday or Friday night (time runs together when you are at the hospital) and she is up to full feeds and handling them well.  Many of you knew she had severe reflux problems at home and starting her feeds up made us a little nervous that she would begin to reflux again.  So far that has not been the case – Praise God! 

Today was a busy morning – the doctors and therapist all seemed to come in a steady stream.  They included: Neurosurgeon and his PA, Neurologist, Physical Therapist, Occupational Therapist, Speech Therapist and then to top it all off, she ended up having an EEG.  She was a tuckered out little girl!  The best part of those visits was the Speech Therapist – she started messing with Josie’s mouth – of which she didn’t like one bit at first.  Then she calmed down and actually seemed to enjoy being messed with for once.  The last thing the Speech Therapist did was to try a pacifier AND JOSIE TOOK IT!  We were so amazed!  We haven’t been able to give her a pacifier since August because her gag reflex had become highly sensitive.  I have now given it to her several times today and she keeps taking it – amazing!

As I write this, Josie just had another seizure – not sure if it was the busy day or the nurse was given the go ahead to turn her more on her right side (the side where the tumor is) than she has been and if that jump started something in her brain.  Not sure we’ll know the answer to that one, but it is what it is – poor kiddo!  Not an easy thing to watch.

Josie’s case goes to the tumor board on Friday and from there we will hopefully find out more of what is to come.  We know that they cannot do anything until she is more healed and that is at least another week away (usually 2 weeks post-op).  This tumor is aggressive, so they can’t leave it alone for too long, but she has to be stronger before any other procedure. 

We are feeling the weariness of this week – we are both tired.  Pray for Josie, pray for us, pray for our girls, who are being shuffled around a bit. 

Blessings and good night,
Darcia & Marc



Saturday, October 23, 2010

Post-Surgery Update


October 23, 2010  Post-Surgery Update (this will be a long post and somewhat detailed, so if you get queasy, it may be hard to read)

It’s hard to know where to begin – we have lots of information that we would like to share.

Let’s start with the day before her surgery.  Josie was in the hospital the day prior for a procedure called embolization.  Embolization is a process by which they take a micro fiber catheter and feed it to the specific artery that they want to “block” the blood flow.  The doctor that did the procedure was able to find a large artery that was feeding the tumor and was able to block it off.  Basically, this was a successful procedure.  The hope was that when Josie went to surgery, there would be less bleeding because this artery was blocked.

The day of surgery:  Josie went to an MRI first thing prior to surgery.  This was to help them during the surgery so they could tell from the images where they were and what was tumor and what was brain.  Later we were informed that the tumor had doubled in size since the last MRI, which was a little less than 4 weeks ago.  This made the tumor the same size again as when they first found it right after birth.  It is an extremely aggressive tumor.

Everything was going well during Josie’s surgery; every update seemed to be a fairly positive report.  One of the last updates, they said that she had a little bleeding, but they had gotten it under control and were continuing.  Then we were told that she was out of surgery – that she was fine and to wait in a little conference room for the doctor.  We thought it was odd that we got a conference room when most people were told right in the waiting room how things went for whomever they were waiting for.   But since they told us that she was fine, we did not anticipate what the doctor came in to tell us.  He sat down and looked weary and then told us that things did not go so well.  Josie started bleeding, they would get it under control and then she would start bleeding from somewhere else, they would get that one under control, but then she started bleeding from places they weren’t even touching.  She received 3 volumes of blood and then her body stopped coagulating (wouldn’t clot).  She was in serious condition.  They ended up leaving some cotton balls soaked with a clotting medicine inside and then closed up her head.  We were obviously devastated.  In fact the doctor was even shaken by the way things turned out since they had gone so well for the first 4 hours. 

They took Josie up to the PICU, where they worked for 1.5-2 hours trying to stabilize her, of which they were able to do.  Praise God.

Thursday morning:  Josie had another CT scan and then we talked with the doctor.  He was surprised that she was holding her own – said he thought maybe she was stronger than he gave her credit for.  The CT scan didn’t show any worse than right after surgery.  Josie even opened her eyes and looked at the doctor.  Earlier, she had moved her legs enough to kick her little blanket off.  The rest of the day she was pretty quiet – which is a good thing.

Thursday night:  Josie started having seizures again – not to be unexpected due to her trauma.  They are currently still trying to get these under control with meds. 

Friday morning:  Josie went for another MRI – this is for post-operative imaging.  During the MRI, the neurosurgeon came by to talk to Marc and me.  The news was quite sickening.  The part of the tumor that had grown back was checked by pathology and the new tissue is malignant.  The type of tumor she had at first, an astrocytoma can have multiple cell mutations in it.  When pathology checked it the first time, there were not indicators of malignant cells, but the part that was left in her brain from the first surgery must have either had those cells in it or they mutated since, which is a possibility.  

The first steps are to get Josie better from surgery, which at this point, she seems to be doing okay, although this morning they found that she has a urinary tract infection from her catheter.  They are on it though and are giving her antibiotics.  Stopping the seizures is another step they need to get under control. 

Next step…the doctors (neurosurgeon and the oncologist) are creating a plan for her.  At this point, they are planning on a new chemotherapy drug – used in infants.  Then they will develop a further plan from that stage. 

So…we wait and we pray.  This will be a long haul for our sweet baby Josie.  Not sure of the future, but glad that she is resting peacefully here in the hospital and also in the loving arms of Jesus.  My emotions have been pretty raw, but for the most part Marc and I are working through this moment by moment.  The girls (Reese & Eliza) are doing well; they are at Nana & Papa’s this weekend and having a great time I am sure.  Pray for them as they are going to get shuffled around a bit for a while. 

Thank you to all who have been and continue to pray for Josie – she needs it.  Thank you to all of our family and dear friends that have surrounded us – we need it.

Blessings,
Marc & Darcia