Description

I am the mom of a 10 year old son with Cystic Fibrosis (Ty) and an 11 year old son without CF (Bran). This is my journey as I balance Ty's needs while giving Bran the love and attention he deserves.

Showing posts with label PFTs. Show all posts
Showing posts with label PFTs. Show all posts

Wednesday, July 6, 2011

A Year Later

Isn't it crazy how a year can pass in the blink of an eye?  I've been beating myself up lately about not blogging, figuring that one day I'll look back and regret not writing down things we've experienced.  My mind stays on overload most of the time and my capacity for memory shows that fact. I must do better and there is no time like the present!!

So what's happened?

September 6, 2010 - We spent the entire summer in the hospital and boy did we miss being in the water!!!  I originally planned a trip to the beach but we opted for the water park at Emerald Pointe instead!  We had a blast!  Tyler was stoked to be in the water but his body struggled to keep up.  We took turns holding him in the wave pool because his body didn't have the juice to play very long. I could tell Ty noticed how weak he was. I didn't want him discouraged so I gently explained why he was feeling so tired. This seemed to help. He had a great day!

October 7, 2010 - Ty brought up his lung function from 68% to 96%!!! Talk about being on cloud 9. Our lung function has decreased since then but we're working on getting it back up. This month was one of the easiest TOBI months we've had. Ty was very compliant with his treatments.

October 29, 2010 - Today I found out Ty is culturing B-Cepacia. This news brought me to my knees. The strain he has is extremely rare so we're still finding out what affect it has on his lungs. The ABPA seems to be more of an enemy than the B-Cepacia right now.

November 2010 - Ty starts playing basketball and hurts his knee during practice. Ty went to an ENT doctor and she says there is no need for sinus surgery right now. Flonase works wonders.

December 15, 2010 - Ty injured the "growth plate" in his left knee and was fitted with a brace and crutches for a few weeks. Everything seems to have healed beautifully. Dr. Shapiro at UNC starts throwing around a hospital stay but we fend it off from December until April!!  We are Ultimate Fighters!!

January 2011 - Bran's science fair project made it all the way to the regionals!!  It was like pulling teeth to get him involved but once he started winning it was a different story. Yes, boys will be boys! His project was turning white carnations different colors.

March 2011 - We start Cayston and realize just how hard it is to do 3 treatments a day.... lets clarify this... we find out how hard it is to trust Ty to do the treatments without being told a million times! Lung function is down to 74%.

March 25, 2011 - I posted to Facebook: 

Last night Tyler said he wanted to tell me something really sad. I said "ok". He goes on to say that its sad that by the time I'm 40 he won't be here anymore. Today I am so thankful for the gift to be able to handle those hard conversations with love and grace, to encourage my children to exercise their faith and to remind them that they'll never walk alone. God, I give You the glory.

April 26, 2011 - We go in for a PICC, bronc and 2wk hospital stay. One of the research ladies showed me the culture from the bronc. It was green and very cloudy. She said if Ty was healthy it would be clear and you could see thru it. Dr. Stephanie Davis did the bronc and she said the mucus was coming down in streams in Ty's lungs. Not a good thing but we're prepared to get him back on track.  Once again I cringe at seeing him wear oxygen day and night to keep his saturation levels up. I am a realist. I know that one day this will be the norm. For now I'm fighting it.

May 4, 2011 - Ty accepted Jesus Christ as his Lord and Savior!  Reverend Daniel Flynn from Memorial Baptist Church came up to visit and led Ty in prayer.

May 9, 2011 - PFTs are down to 64%. Here's a note I posted on Facebook:

We're not going home today. Docs are concerned that the bacteria are resisting the antibiotics and that lung function and health will continue to decline. I learned quite a bit about bacteria and cultures today!!  Supposedly the cultures show that Ty's strain of B-cepacia is completely antibiotic resistant.  I learned today that this is actually a bit common and that although the culture says no antibiotic will treat it, you still have a chance that something will work against the bacteria.  The plan is to change antibiotics, increase pulmozyme, stay away from hypertonic and have the lab check various levels to see if other meds need to be increased.

Docs are thinking the ABPA is the main factor pulling down lung function instead of the rare strain of B-cepacia he has.   They seem at ease with the B-Cepacia, although we cultured 8 million of it.  They seem pretty concerned about the ABPA and don't want us to leave until they get it under control.  We'll do another week in here and re-check PFTs on Monday.  We'll also do a chest x-ray to see if it sheds any light.

Ty is ready to go home.  He keeps telling the doctors that he feels great but his attitude tells me otherwise.  Anytime he isn't feeling well he morphs into a different child. Its more than the usual 9-year old attitude.  For the past 2 days he's been ignoring people, giving them the bare minimum response.  It can actually be pretty funny and even Tyler gets tickled at himself.  I think its the feeling of being so ill you can't stand yourself.  The staff up here know him now so they give him a hard time, which makes it even more entertaining.  He snapped at the respiratory lady this morning, telling her he wanted to go home so she started singing very loudly that she wanted to go home.  He got tickled.  Sometimes laughter really can be the best medicine.

Here's to another week!!!


 **Throughout our hospital stay I had to MAKE Ty do schoolwork in an attempt to better prepare him for his EOGs. Before we were admitted I spoke with one of his teachers and she wouldn't even give him any work to do while hospitalized. Her words were, "He's not passing my class". I was determined to prove her wrong and I pushed Ty and encouraged him for weeks to do the same. He ended up having to retake his EOGs but in the end he PASSED!!!!

May 13, 2011 - We get home and our IV meds arrive only to find out that one of them is dispensed via an IV pump. I lost all composure, especially after I asked 3 different people at the hospital if all of our meds would be via the infusion balls. Thankfully one of the pharmacists from the IV company walked me thru the set-up and graciously allowed me to cool down. What a blessing he was.

June 3, 2011 - 7 weeks later (we were only doing 2 weeks), the PICC line is finally being pulled out of Ty's arm and wouldn't you know it the darn thing was stuck!!  It wouldn't come out. Seven nurses and a sedated Tyler later, it finally comes out. Talk about stressed out. Wow. We learn something new everyday!

June 12, 2011 - Bran accepted Jesus Christ as his Lord and Savior. I am so very proud of him. He willingly went before the church to pray with Reverend Flynn. This was a HUGE milestone for him because he was adamant that he would not do that "in front of all those people".

Now our lung function is up to 85 and the small airways are up to 111. We're happy with the progress! I've had to really stay on Ty about doing his meds and Bran is my hero for letting me know when Ty doesn't do his meds like he claims to!!  Its a work in progress. My prayer for now is that Ty gets a revelation about responsibility and does his meds without us having to stand over him 100% of the time.

As for me, I've started running in preparation for a 5k in October. I've come to really enjoy my runs and I feel so much better about myself. I start Western Carolina in the fall and I'm trying to get additional specialities under my belt as a General Instructor. Chip and boys have been total gems throughout all of this. They support me 100% and I can't thank them enough!!

Monday, July 12, 2010

Hospital Day 5 / Got Me Thinking


I'll start off by acknowledging that the 2nd phlebotomist to draw Tyler's blood did it in a matter of seconds with NO problems!! I graciously thanked her too!


Monday (Day 5)

Lung function (PFT) was down to 42 today. I was quite concerned about the decline but found out from my buddy Kevin that doctors have told him PFTs can actually vary by 2 to 4 percentage points. The doctors say Tyler sounds much better today, the wheezing and crackling have diminished. We're on contact precautions (MRSA and Pseudomonas) so we're confined to the room most of the day. He was, however, able to go play the Wii and play kickball with Physical Therapy upstairs. Thumbs up!!


Tomorrow we get our PICC line replaced. 

So today I'm ill and testy. It could have something to do with being a female so I'm justified!!! ☺

Things that got on my nerves today:

1. Blood draw at 5:30am. REALLY?? 5:30A.M!! Is that NECESSARY???

2. 6am Respiratory Therapist comes in our DARK room where we are SLEEPING! Tyler stirs long enough to do his albuterol and then drifts back to sleep. The guy then proceeds to wake me up to ask what time we went to bed.
           A few things to consider:
                a. I'm grown.
                b. Its none of your business.
                c. I don't answer to you.
                d. You wake me up again with a stupid question and the attitude is 
                    coming out to bite you. I'm just saying!
(By the way, I responded to him by firmly acknowledging that I put my child to bed at a proper time and that we are tired from waking up every hour by beeping IV and oxygen machines.)


Got Me Thinking.......


As Ty coughs more, I am beginning to see where it bothers other people around us. You can see the fear and concern on their faces that

1) something must be wrong with Ty since he's coughing so much
and
2) wondering if he's contagious.

We went to see Toy Story 3 and right before the movie started I began to wonder what I would do if he started coughing again. How unfair it would be to others to let him sit there and how sad it would be for him to miss the show and feel embarrassed at having to get up and leave every few minutes. I started getting anxious about Ty having a coughing fit and I had to mentally talk to myself about remaining calm and to cross that bridge as I come to it.

I also had that "Ah-Hah" moment that THIS is what all those other CF parents were talking about!!!

Friday, July 9, 2010

Clinic Visit

Our clinic visit was yesterday, we were excited to see how high Ty's PFTs (lung function) were. We were also going to get his PICC line removed since the doctor allowed us to keep it for an extra week. Ty did his lung function test and could only get up to 44%.  He struggled with pushing air out and would start coughing pretty quickly. He turned around and looked at me and said he didn't have any air in his chest and that it was hard to breathe.   That hurt.

From that point until the doctor walked in I knew that we were in big trouble. I could hear the doctor talking about Ty in the hallway, saying he had never seen anyone drop half their lung function in just 1 week. He even went and talked to the PFT guy to make sure he had done the test right. Ty was given 4 puffs of Albuterol and the test was repeated. His 1st blow was his best @ 51% and he went downhill from there.

We were immediately admitted into the hospital and a few things were added to our treatment schedule. We're now doing oxygen, prednisone and tobramycin.



Confession time:  I've always seen our CFers with oxygen on but let me tell ya, it takes on a whole new meaning when you see your own son with it. It hurts, it ties my stomach in knots and it gives me a much deeper appreciation for fellow CF families and patients.

Overnight Ty's oxygen level dipped to 88 and 89. With the oxygen he's back up to 97.

That's all for now.


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