Tuesday, December 24, 2013

Thanksgiving to Christmas, a Mere Hop Between

It feels like we just had Thanksgiving and now Christmas is a mere day away, how does that happen exactly?  We were waiting for Bradley to be put into the hospital for an overnight PH Probe test.  We enjoyed Thanksgiving with the family and then Friday we were on the phone with Bradley’s Peds GI not sure we were going to make it through the weekend.  But we finally got him in on the Monday after Thanksgiving.  He hated the probe, the insertion into his nose and down his throat made him gag for almost half an hour until the Versed they gave him finally started taking effect about a half an hour too late.  But he slept well for a couple hours and woke up in barely enough time to hug daddy before he had to leave to get back to pick up the girls from school.  They spent the evening together battling homework and pre-teen hormones, but all in all, it worked out well. 

Meanwhile, Bradley and I spent the evening quietly, trying to keep that probe in place and keep him as comfortable as possible.  Mind you he’d been without his Prevacid for almost five days, so you can imagine how comfortable he wasn’t.  His esophagus had some serious burning going on and getting comfortable was a challenge, staying comfortable was a bigger challenge and sleeping was pretty much a joke.  Thank God it was only overnight.  He had a couple episodes of gagging but nothing like what we’d had the Friday before.
Course, I shouldn’t have worried, he was refluxing quite a bit even without big episodes and that put the GI on the surgery route, but we had to wait for the surgeon of course.  So we waited and finally were called for the appointment to see him.  Over two weeks after the Probe Test we got in for the consult, where we learned that the surgeon hadn’t gone through all the notes he’d been sent.  So starting from scratch we felt like we were trying to plead a case without the necessary information to formulate a plan on our own.  He started suggesting that diet changes might be in order or that perhaps he needs a G/J tube rather than the G-Tube, to which I was completely against.  I tried to point out that we are on our way off the G-Tube, that we’re trying to wean away and don’t need to be weaning him back to a new feeding tube.   The surgeon decided that he needed another Upper GI because the little refluxing he had seen in the first Upper GI was not beyond normal.  He also tried to tell us that Bradley could throw up if he had too, and I had to respectfully disagree.  When Bradley has had the flu all he can do is gag and retch, he cannot throw up.  I was either convincing or he felt bad for not having read through the PH Probe notes that had been sent to him because he  sent us over to the hospital for another Upper GI.  We were stunned that we were able to get in the same day.  But Bradley’s surgeon is the top dog in the surgery department and is planning a vacation…so he has some clout.   
   
As with his first Upper GI, Bradley looked pretty good throughout.  His Peds GI let us know that at the end he saw the reflux that sent us to the Probe test.  This time, the pictures took a little longer and the Radiologist who said “I don’t see anything concerning” then asked to take another set of pictures because he thought he saw something at the end that he didn’t like.  He did.  His new comment was: “Now that’s concerning.”   Bradley was refluxing all the way up, as in a solid line of black where his white esophagus had been only a few minutes before. 

Two days later, the surgeon called and we have a surgery date set for Bradley.  The surgeon is gone for the Holidays; of course, so the first Monday he comes back he’ll perform surgery on January 6th.  The wrap seems to be intact around Bradley’s Esophagus, but there is movement and quite probably a hiatal hernia that is pushing up through the sutures.  This time the Surgeon will use BioMesh and try to reinforce the whole area and see if his sutures can battle Bradley’s body that really wants to kick them out.  The most difficult part will be getting through and cleaning up the scar tissue in his belly, then working on the wrap itself.  We’re hoping for safe passage by the Esophagus because any injury will result in a longer hospital stay.  Until Bradley gets through the surgery, we won’t really know what kind of Hospital stay to expect, but the surgeon told us to anticipate at least two or three days…the rest is up to Bradley. 

So this year, Bradley is not in the hospital for Christmas and we know what a Blessing that is.  He is refluxing pretty bad and that leads to gagging and retching – usually, without much warning.  Like in the middle of Target, that was fun.  Or on the side of the road waiting for the Parade that carried his sisters, that was fun too.   Our concerns are his ability to clear and knowing that some aspirating can and does happen and that leads to the worst possible situations for him.  We’re battling a full head this morning and trying to keep this beginning cold from turning into something sinister. 

But it’s Christmas Eve, so that means a big day for all of us.  We did the chocolate chip and peanut butter cookies and today is the sugar cookie extravaganza.  We’ll eat little ham sandwiches while we watch “Polar Express” or at least that’s what we usually do.  At 9 and 11, the girls might be ready for a new movie or an all new tradition, I’m not sure yet.  We didn’t get any of those traditions last year when Bradley and Daddy were at the hospital, so this might be a new start to a new tradition or I might be pleasantly surprised to learn that our tradition is as important to the girls as it was to me.  J   And somewhere in the day I will write the kids’ Christmas letters in their journals; I haven’t missed a year yet, though I’ve been a little late a few times.  But hey, nobody and none of my systems are perfect, but they work.  J 

As far as Bradley updates go, this is not the best one to give, I was hoping for news about the puppy…which is not gestating yet.  Grrrr.  We were hoping for good health and the possibility that 2014 would bring one surgery to maybe close the hole that holds his button. But no.  He’ll have a surgery to fix his wrap and from there we’ll have to just wait and see what will happen next for him. 


Merry Christmas everyone!  Here’s hoping the Blessings of the Season will fill your lives with joy and peace!  Thank you everyone for all of your support this past year, and throughout Bradley’s young life.  We are Blessed to have you in our lives.