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Park Life & Music

Today we had a big adventure off campus to the local park.

It’s scary enough taking Levi from the isolation apartment to the hospital, let along taking him out into the world.  Levi is allowed to go out in public though we have to be very cautious and selective about when and where we go.  Open air excursions are the best option provided that there are not any other people around, especially other children.  The post BMT rules are very similar to the CGD rules, only more strict, as Levi’s immune system is quiet immature and unable to fight viral, bacterial and fungal infections.  So it is a “no” to barked parks/gardens, decaying leaf litter, exposure to soil, construction sites and stagnant water. Just to list a few of the main offenders.

As it was a lovely sunny Sunday morning, we thought an early start to the local park would be a wonderful choice as Levi’s first excursion.

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Levi had lovely time running around and exploring the park, keeping Oma on her toes & getting Mummy to dry the slide by going down first!!

We got the park to ourselves for about half an hour before some other kids came to play and that was our cue to go.  Levi was disappointed though quiet tired, so didn’t fight going home too much.  Especially since he was going home to Daddy Fun-land…

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The afternoon was finished off with a music session.  Jude loved his new bongo’s, that kid has an amazing sense of rhythm!!

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Return to Clinic

First day back to C2 North for clinic with the highlight, trying to catch yet another wee sample.

I’m sure Levi was just loving some nappy free time.

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Freedom?!

There is a lot of extra work that goes into caring for a child with a chronic illness, though add post BMT care on top of that and your day gets full rather quickly.  It’s been 24 hours since we were discharged and we are already more exhausted than usual.

We love being back together as a family, though being a nurse was not the career path I chose and is something that is taking it’s toll.  Even nurses only work 12 hours a day, with extra days off for night shift.  Levi’s medication schedule run’s from 6am to midnight, the overnight feeds run from 7pm to 7am and that is assuming that there are no extra surprises thrown in for good measure.  In short he is needing something down his NG every 2 hours at a minimum.

Last night, on top of the regular checks a mum does on her sleeping kids throughout the night there were some rather fun discoveries.  As Levi is getting 65% of his daily food intake via the NG overnight, it means that he needs a minimum of 2 nappy changes after midnight to ensure that there are no accidents.  When I woke to check him at 2:30am it was to a bed full of formula!!  Somewhere between midnight and 2:30am Levi’s NG had disconnected from the feeding pump and the formula had been pumping straight into his bed.  From the amount of liquid in the bed I can only deduct that it had been disconnected for at least 2 hours!! Poor Levi was soaked from head to toe and was extremely sticky, oh and the formula stinks.  So an hour later after a sheet, PJ, nappy change and a quick feed, (Jude not wanting to miss out on the action and needing a night snack), we were all back to sleep.

The next morning we had a trip up to C2 North (the day stay ward) for our ‘quick’ blood test, and surprising to Levi and myself it was extremely quick and we were back to the apartment within the hour.  Shocked that we had the rest of the day off together meant that we cold catch up on some sleep as we were all still quiet tired from the nights events.

All the boys were having some quiet time and watching a movie in bed when “crouching tiger, hidden Jude” struck… he decided that Levi’s NG looked way too appealing and yanked it out in his ninja like fashion!!  We were able to save it from coming all they way out, though Jude has a really good grip and it took some muscle to get it back.  “Quiet time” turned into a distressed Levi extremely wary of his little bother and resulted into another trip to the hospital for re-taping of the NG in place and making sure it was still where it should be, in his stomach and not his lungs.

So a “day off” from the hospital still saw us having 2 trips to the ward, just incase we were missing the fun of C2 North, and Levi regularly telling Jude off for touching his “nose noodle”.

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Happy Birthday Ant!

Well today is Ant’s birthday, and we are not there to enjoy it with her. We know she is in wonderful hands but I have to say, that it doesn’t make it any easier to be away from our beautiful girls. It is not just us that are missing them, we have beautiful photos plastered all over the unit of our girls and we often find Levi just staring at the pictures and it breaks our hearts that they cannot be here with us and sharing this journey first hand. Yesterday we received a package out of the blue for the whole family from Labrador Rescue which was full of amazing gifts for the whole family (including the furry members) which was such a coincidence with Ant’s birthday just on the horizon. So in honor of our beautiful labrador on her special day, we felt that she deserved a post dedicated solely to her, here are some pictures of her over the years….

Ant arriving home…

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Her first real photo shoot…

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Just another day of training at Tuggernong Dog Training Club…

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A hard night of partying… Nothing more to be said about from 1 years just don’t have that party drive yet…

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Still has the potential of that modelling career at 2…

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How can you say no to a 3 year old, look into those eyes and say no…

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Work out where the treats are…

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Happy birthday Ant, we hope you enjoy your day, a special bone and a long walk…

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Discharge – Take 2

After 4 days of tweaking medications and fluid intake, Levi’s team were happy that they had got his levels to a stage they were sure he could be managed off the ward.  Though just to be on the safe side they gave us another 24 hours as an inpatient just to put it into practice and demonstrate his levels could be managed without IV assistance.

With a successful day passing and a new addition to Levi’s medicine list, we were sent on our way.

As today was suppose to be our clinic day, we thought that tomorrow would be a day off as the original plan was to only go to clinic Monday, Wednesday and Friday. Though we were told that they needed us to come back to the ward for a ‘quick blood test’.  After Saturdays admission we are a little skeptical at what tomorrow holds.  Though this blood test has nothing to do with Levi’s levels, this is the “official” test (GHR) which tells us that he is still CGD free and one that they will repeat regularly.

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One step back…

After a long week of outpatient clinics we were looking forward to the weekend; Nan & Pop were coming for a visit and we were really enjoying our own space, so we were craving some more family time at the RMH apartment.

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Friday’s clinic had revealed that we wouldn’t get the entire weekend away from the hospital, as they were worried with how Levi’s levels were looking, even though physically he was doing well.  We were told we would need to come in for a blood test on Saturday and Sunday just to make sure his levels weren’t doing anything too strange.

On Saturday morning Nate & Levi did the quick trip up to the ward for the blood test and returned 2 hours later with all squared away for the day.  We were getting ready for lunch and looking forward to hanging out for the rest of the rainy day, only to be called back to the ward…

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The blood test revealed that Levi’s potassium levels were quite high and they thought that the test may have been compromised, especially in comparison to tests that were done the day before.  They weren’t willing to admit that taking a prick test from a little boys finger who had just eaten banana had anything to do with it, so they collected blood from his central line this time to be on the safe side.  While Nate & Levi were up on the ward for the second test they had also off handedly mentioned to “Get comfortable, as your staying on the ward until we can get Levi’s levels right.”  Apparently Levi’s electrolyte levels were also at extreme ends of the spectrum, so with no warning we were admitted back onto the ward.  This is where the fun began…

Since we were admitted on a Saturday it meant that all our files were in a unobtainable compactas somewhere and it was as though the areas that made our lives easier didn’t know about us anymore, even though we had only been discharged from the ward 4 days earlier and spent over a month on the ward!!  The nurses and doctors didn’t seem to be on the same page, asking us to do the same tests that had already been done and forgetting basic BMT protocol.  Pharmacy wasn’t able to dispense any of our medication, that should have been common to any oncology ward?!  The kitchen were not accommodating a post transplant diet and the formula room was unable to prepare any of his overnight feeds as they didn’t have adequate notice, none of this was sorted out until Tuesday!!

Nate was ready to spit the dummy when the doctor decided to request a clean catch urine sample just as Levi was getting ready to go to bed. For anyone that doesn’t know what a clean catch is, it is basically mid-stream. So Nate spent the majority of his evening ‘patiently’ waiting and failing to negotiate with a 2 and a half year old to pee into a jar. At around midnight, he had managed to capture it as it shot into the air like a fountain. The nurses were extremly impressed with Nate’s nimbleness to bound across a room and catch the mid-stream, I can confirm that Nate was far from impressed with the whole situation.

The frustration didn’t stop there unfortunately… The isolation room we had this time was not the usual room used for post BMT patients.  Which meant that majority of the staff on the ward seemed to forget why we were in isolation and we had to be vigilant, as the door was being left open quiet often, staff were not using the specific hand sanitizer before touching Levi or his own equipment i.e. thermometer.  The room itself was quiet unloved and not as nice as the usual BMT room that we called home.  Poor Nate had to endure a fold out bed a quarter of the size of his last one and spent more of the night falling on the floor than sleeping on the mattress.  All the decorations, toys, favorite food and things that made Levi comfortable had to be brought back up and there was no storage or food hatch.  We were extremely grateful that we were staying on the hospital campus at this point as there was a well worn path between the ward and the apartment retrieving all the things that we should have had access to on the ward.

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