Category Archives: Family

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Still not back to baseline

Apologies for the (very) long overdue blog update…there has been so much going on, where to even begin?!? First, let me share the best news (to us, at least!): after follow-up chest x-rays last week, we have confirmed that the air in Aiden’s chest is completely gone, and his lungs are looking significantly better. That’s huge! He is still on continuous O2, and requiring a higher O2 rate when he is active and moving around. Although we have done a couple of VERY brief trial attempts to take him off the O2 for short periods of time, we know for certain that he simply is not ready for that at this point…and we don’t want to push him too much right now, because we really need to protect his lungs so that they will continue to heal (when he cannot breath or catch his breath, he throws up).

In the meantime, we are continuing to deal with unknown GI issues. About 2 weeks ago, Aiden woke up ~ 3 AM sobbing and holding his tummy directly over his g-tube and telling us that it hurt. Since that time, he has continued to steadily complain about his “tummy” hurting, and has been sleeping with his hand over that site, ‘guarding’ the tube. Even changing the dressing around the tube (something we do on a daily basis) seems to cause a huge amount of pain. After trying all of the obvious causes associated with the g-tube, with our doctors’ help here, we have cultured and tested and imaged and done everything we can to figure out what is causing this, but of course (as usual with Aiden), none of these have shown anything. Unfortunately, whatever is causing the problem is also seems to be making him very nauseous and he is throwing up significantly more than normal, both volume and frequency.

Although we had almost completely weaned from the pain meds, we had to go backwards and increase the dosage and frequency in order to help limit the vomiting and protect his lungs to allow them to heal (Aiden does not throw up when he is on narcotics consistently), while hopefully helping with the pain as well. The downside to that is that the pain meds Aiden is currently on make him very angry and wild. The next step is to do an endoscopy, which we were unable to do until we had clearance from the pulmonologist that Aiden’s lungs were improving to the point that he could handle going under general anesthesia. We are hoping that they will be able to figure this out and scope him while he is at Children’s Hospital Boston (CHB) next week…which brings me to our current undertaking.

Since Aiden’s last visit to Boston mid-2010, he has had appointments scheduled for follow-up and metabolic testing that could not be done while we were up there last year. Coincidentally, these appointments are scheduled beginning next week (03/20). We have been in contact with the doctors in Boston throughout this past hospitalization, attempting to address some of Aiden’s current issues, and have been working with them to schedule the additional testing, procedures, etc., that will be needed while we are there to hopefully (1) help figure out what is going on with these GI issues; and (2) why he is still aspirating and re-evaluate whether it is safe for him to take anything by mouth.

Prior to the past couple of months, this was the first time that Aiden had even been well enough to consider “normal” modes of transportation, and we actually thought he might be able to fly up to Boston commercially, but of course, that is no longer a consideration at this point. Given the recent episode with multiple areas of air in his chest, healing aspiration pneumonia, O2 requirements and GI issues…his doctors felt that the only safe mode of transport for him at this time was an Air Ambulance. We are hoping and praying that this trip will only be for a couple of weeks. Obviously, we will do whatever we can (and for however long it takes) to help Aiden, but really, really, really would like to get everything taken care of in a couple of weeks, and not be stuck up in Boston again for months. So, that said, please help us pray for:

(1) safe trip for Aiden with no complications
(2)his lungs to continue to heal
(3) testing, procedures to go smoothly & his lungs to handle the general anesthesia without any complications or setbacks
(4) answers that will help us treat and/or correct whatever is causing these issues
(5) All 3 boys to handle everything OK;
(6) sanity, strength, wisdom, etc….for Hannah & Manish!

Thank you for your continued faithful prayers and all of the sweet notes, cards and words of encouragement. Your kind thoughts and continued prayers going up on Aiden’s behalf have made such a difference, and certainly help to keep us going every single day.

2011_03_002.jpgLoving their cars!

2011_03_005.jpgGetting ready to ‘race’

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2011_03_008.jpgEthan won

2011_03_013.jpgEvan tries to figure out why his vehicle was so slow

2011_03_019.jpgTime for a foot race

2011_03_024.jpgTrying to pole climb

2011_03_025.jpgBaffled

2011_03_026.jpgAlmost!

2011_03_027.jpgSimply adorable!

2011_03_030.jpgEthey…smile!

2011_03_032.jpgEvan is climbing

2011_03_034.jpgHow did you get out of your stroller?

2011_03_035.jpgWe let him walk a little (with close supervision)

2011_03_041.jpgHe even got to slide

2011_03_046.jpgShortly after crawling, he threw up all over the place :(

2011_03_052.jpgAlmost got all three of them to look

2011_03_058.jpgLoving life

2011_03_061.jpg

2011_03_062.jpg

2011_03_068.jpgClassic.

2011_03_070.jpgMy Booooo

2011_03_072.jpgFlying high

2011_03_077.jpgEveryone smile!

2011_03_079.jpgAiden, don’t fall out!

2011_03_084.jpgThe trips.

2011_03_086.jpgTime for a snack

2011_03_088.jpgThey enjoyed this park

2011_03_091.jpgUncle Tim rocked the ‘tire’ swing

2011_03_092.jpgEvan is enjoying his snack

2011_03_094.jpgEthan likes Kaelyn’s shoes

2011_03_096.jpgHe also likes watching them play basketball

2011_03_100.jpgHe wants in!

Back Home (hopefully to stay)

Finally, Aiden has returned home! He still has extensive aspiration pneumonia in both lungs and air throughout his chest and around his heart; but it appears to have stabilized and does not seem to be getting any worse. The subcutaneous air and swelling in his neck and upper chest has improved slightly.

His O2 requirements seem to have stabilized as well, and we can certainly maintain his stats with O2 at home and watch him just as closely, without having to expose him to all of the nasty stuff that is going around in the hospital. There is really nothing that they were doing in the hospital that we cannot handle at home (given that we have pretty much established our own home hospital/medical supply co. over the last 3 years!).

The hospital docs were somewhat hesitant about him leaving as they wanted to keep him at least through next week. But we felt that this is really best for Aiden and his pulmonologist agrees. We know that he is so much happier and will heal more quickly at home in an environment where he is more relaxed & comfortable, and can get some much-needed rest.

We will continue outpatient x-rays & blood work to monitor the air in his chest and his WBC counts in the days and weeks to come. His doctors are still concerned that there is something else brewing–probably GI related–but nothing has shown up in testing and there is not much we can do at this point except watch and wait.

As you can imagine, Aiden is ecstatic to be home, with Daddy & his brothers, and in his own bed. Thank you for your continued faithful prayers and all the words of encouragement; we are so thankful for each of you and the many prayers that we know are going up on Aiden’s behalf which have made such a difference. Please continue to pray that Aiden’s body will heal without further respiratory or GI complications, and that his medical team will have wisdom in knowing how best to keep him comfortable and address some of the resulting/associated health issues.

2011_02_042.jpgGlad to be back!

2011_02_039.jpgAiden watches while his brothers run

2011_02_035.jpgSo happy that Mommy and Aiden are home

2011_02_061.jpgHe wants to get out of the stroller

2011_02_063.jpgHere comes trouble…

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2011_02_082.jpgOut of the stroller, but still attached

2011_02_086.jpgFor Aiden, this is the closest thing to freedom (for now)

Back So Soon?

    Update 2/16/11:

As mentioned previously, we knew that something else was brewing with Aiden. His blood work confirmed that, and for the past several days he has been very lethargic. Yesterday morning, he developed some additional air in his upper chest (pneumomediastinum) and neck area, and has also developed some subcutaneous air (under the skin) around the neck & collarbone, which is also rather painful. The doctors are watching it closely will do more x-rays in the AM.

We were pleasantly surprised, however, that today (for the first time in several days!), he actually wanted to hold his cars, showed some interest in a movie & even colored for a little bit, which was so good to see after the past couple of days. We even saw a tiny smile!

For now, we are in a holding pattern, watching and waiting to see what happens, and praying that the additional air in his chest does not require further intervention. The doctors are still concerned that there may also be some additional GI issues flaring up to further complicate things. We are so grateful for all of your prayers and kind thoughts for Aiden. Please continue to pray that his body will begin to heal w/o further respiratory or GI complications.

2011_02_026.jpgTemporarily reunited to watch a movie at the hospital

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    Update 2/12/11:

Aiden is doing marginally better over the last few days. His blood work shows much better results as the anti-biotics are working and the x-rays show the conditions of his lungs have not deteriorated (although they have not significantly improved either). He is still on constant oxygen.

Unfortunately, he still has intense pain in the left side of the chest which is baffling considering there is nothing significantly visible on the x-rays. They did start giving some strong pain medication which has helped but he still complains of pain in the left area of his chest. And of course, he will not sleep in the bed and will only stay in his stroller (his comfort spot).

Thanks for your continued prayers!

2011_02_025.jpgIn his safe spot

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    Update 2/8/11:

Monday night was a rough night for Aiden as he had difficulty maintaining his oxygen and dealing with intense pain overnight. X-rays indicate some additional infiltrates in the left lung and symptoms indicate that he may have developed a pneumothorax that is not visible on the x-ray.

On a positive note, yesterday morning’s labs show that he is responding to the antibiotic coverage, which is a very good sign. Even so, he is still in pain and both he and Hannah are getting very little sleep at the hospital.

We are so grateful for your continued prayers!

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Aiden is back in the hospital :( Over the weekend, he got a 104 degree temperature, had difficulty breathing and had an excessive heart rate. So, we had no choice but to take him back. It appears to have been caused from aspiration pneumonia but we are waiting on x-ray results to confirm. He is back on oxygen and is clearly having some pain in his chest.

Ethan and Evan are not at 100% as one has a bad cough and the other has what appears to be an ear infection. Winters are brutal! But at least it is not as bad as last year. Nevertheless, please keep us (and especially Aiden) in your prayers.

At least we were able to enjoy the snow for a little while before all this. The entire area was pretty much shut down but the boys had a great time playing outdoors (see pictures below).

2011_02_003.jpgReady to go out and play in the snow

2011_02_005.jpgAiden loves this

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2011_02_012.jpgSnow everywhere!

2011_02_014.jpgEthan tries to hit me with a snowball

2011_02_019.jpgLoving it!

2011_02_020.jpgTrying to make more snowballs

Getting back to ‘normal’

Thanks for all the encouraging words and prayers! Aiden is doing much better! The new antibiotics seemed to have addressed the GI issues he was experiencing and he is feeling more like his jolly old self again. Although he is not 100% back to baseline, he is back off of the O2 and doing much better.

Ethan is also doing well. (He had experienced an asthma like attack while Aiden was in the hospital.) Aiden’s pulmonologist has prescribed a some daily maintenance meds that will hopefully help prevent another attack of this severity going forward. It is difficult enough to have one sick child, but things are significantly more challenging when two are sick!

We have been enjoying some incredibly beautiful warm weather these past two days. The boys were thrilled to finally get outdoors and soak up some sun! Some images below.

2011_01_002.jpgHere comes trouble

2011_01_006.jpgAiden is climbing to the top

2011_01_012.jpgEvan, what are you looking at?

2011_01_016.jpgGet the rings!

2011_01_019.jpgI see you

2011_01_020.jpgEthan tries to hide

2011_01_022.jpgThey love this

2011_01_028.jpgCastle Park is one of their favorites

2011_01_034.jpgAunt Aleta and Ethan bounce up and down

2011_01_035.jpgThe tongue is always out

2011_01_044.jpgTime to feed the ducks

2011_01_053.jpgGet over here duckies!

2011_01_055.jpgEvan explaining things to Mommy

2011_01_056.jpgStill explaining…

2011_01_060.jpgWhat a cute face!

Deja Vu

Update: 1/25/11 Aiden is back home but his digestive system is still not back to normal. We started his ‘feeds’ again and will see how things go. The test cultures should be available either today or tomorrow so hopefully we will have an idea of what is causing this and how to treat it.

As if Aiden’s issues were not enough, Ethan has been having a hard time breathing and is constantly wheezing. He is now on daily breathing treatments and we need to take him to see the pulmonologist to figure out how to manage this. While it does not happen very often, these respiratory issues have happened a few times in the past year so we need to get it under control.

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1/22/11 It’s January. It’s a new year. It’s NFL playoffs. It’s cold. Aiden is sick…

It is as if his medical issues are on a specific schedule. He has been unable to keep anything down and had non-stop diarrhea the last week. He was purging so much fluid that we had to take him to the hospital this morning to get an IV and he will be there through the night.

We think the root of the problem is a bacterial infection (he has no sign of viral symptoms). When this happened the last few times, the medications we used worked within 24 hours. Unfortunately, this time it seems to have no effect. So, we are hoping to get him some fluids and try another drug that has worked in the past.

He is borderline dehydrated, hasn’t been able to keep food down in two days and hasn’t slept well at all. Please keep him in your prayers that he would recover from this setback (and that it will not mean another trip to Boston).