Skip to content

Posts tagged ‘bronchoscopy’

Two Steps Forward

Two Steps Forward

Written June 5, 2013 2:15pm by Beth Waltemath
We are back at the hospital. We came for a follow up Bronchoscopy. It was supposed to be a quick trip so we tried flying for the first time. It was not as easy as we hoped with her equipment and the plane had mechanical problems which led the pilot to come to a lurching stop on the runway right when we’d excellerated to the point of lift off. Enough of a scare to make anyone lose their breath in fear!

More surprises were in store but now they are potentially good. We have been admitted to the complex airway unit again. They want to do a capping trial and sleep study. This is early for this step forward but they felt like she had 3 of the 4 signs that she is ready to try this. We are still several steps from decannulation but this , if it works, will be a good advancement.

It does delay my return till the weekend or longer.

Thank you for your prayers.

Hope is too Busy to Wait

Hope is too busy to wait to be discovered

The past three days have been exhausting even with the help of friends and family and the fun surprises delivered. Thank you so much for bringing light to our days. Spring blossomed overnight here. On our walk to the playground there is a canopy of pink flowering pear tree I stroll Margaret under and it reminds me of all of you surrounding her in prayer, light, hope, good vibes, whatever it is you call what you do when you write “thinking of you.” Even the 20 something male clerk at the Whole Foods told us “I am not really a pray-ER but you are in my prayers.” The honesty of his statement disarmed and entertained me so I squelched the urge to question where exactly that put us “if in prayers never prayed?”

Margaret has shown signs of progress each day from energy level, to less pointing to her rib and complaining of pain, to more willingness to abide by her rigorous schedule for bolus feedings to taking yogurt or thick purees by mouth successfully with concentration. The latter helps yank me out of the part struggles with PO feeding and believe this recovery can actually be shorter and dare I say, complete, if there is such a thing.

Tomorrow we go back to the OR for a bronchoscopy to see if her airway have held the shape of the grafts without the stent to hold it open or if it has collapsed in, dissolved the stents away, or merely swollen shut. The reaction of her body to the grafts will determine our next step and possibly chart a course for recovery over the next 3 to 6 months.

Today a hospital mate of ours who had the same type of surgery (although all cases are different when it comes to airways and trachs) got great results today and sent me a photo of a good looking airway and grafts so I am feeling more confident going in tomorrow than before.

Someone recently told me they just had a feeling it would all work out that you can tell just by looking at Margaret and her spirit. While this is true, I am also aware that it is not just some glimpse of luminosity that determines our hope for the future, it is also the attention to the details of her care that get her back on track and allow her to heal. Some have the privilege of looking at a distance for hope among the forest, but a few of us can only look for it while tending to the trees.

The day of MGs surgery I learned a mom from my trach parents support group lost her daughter much like Margaret but two years younger with a twin brother. She turned blue without warning and no trach change, CPR or EMT could bring her back to consciousness. They donated her organs two days later. Hope for the future feels very different when experienced through the vigilance of the present.

Today, I saw a bright red cardinal in the wooded area beyond my room. It sat regally on a high branch of a very tall tree. In my state of sleeplessness, I envied its stillness. I worried if I opened the door, the sound would scare it away and that my approach would surely make it fly. I went outside anyway. It remained but watched me and I it, then a saw a flash of burnt orange in my periphery as a robin swooped down into the muddy creek bed between the trees and the bank where I stood. The robin moved frantically around looking for worms. It registered me but kept moving in my directions in search of food. My eyes darted back and forth between the two birds. My attention wanted to draw closer to the cardinal’s scarlet silhouette but pulled back to the robin’s bobbing breast. The cardinal flew off in search of solitude or a safer distance. The robin remained aware but undisturbed by me, not allowing distraction or fear to keep it from its task at hand.

Too often, when we talk about hope, we describe it like the cardinal in the tree, a streak of scarlet in stark contrast to a dreary landscape but that image never lets us come too close before disappearing from sight, looking for a higher perch or a quieter setting where it can sit undisturbed by human on-lookers. That hope flew off the moment (3 years ago) I realized a healthy child is not only an unattainable goal it is an illusion for human life than the label “medically fragile” we brought her home with.

I could not outlast the robin. I grew tired before I could watch her fly off. She was just too busy wading through the mud, searching for food, maybe for those who share her nest. Her orange breast now the brightest thing in the wooded area and also the busiest. When it comes to hope, I suppose I trust the robin’s perspective more than the aloof one the cardinal took today.

So tomorrow at 9am, don’t search for some quiet place or anesthetic mental state to send up a flare for us. Make yourself busy and useful and hope that one day MG (sedated for the 18th time) will be that too …very soon.

The Way Be Clear (Surgery is Friday

Surgery is Friday. Our pre-surgery bronchoscopy today showed that we are ready for the planned laryngotracheal plasty.

We are going forward with surgery. Airway shows some edema but same as October when they cleared us for surgery. OR is booked for 5 hours. That is a lot of anesthesia and hand-wringing.

We really like the fellows on the case so that is also a plus.

Margaret is groggy and having trouble coming out of it for discharge from recovery.

Follow

Get every new post delivered to your Inbox

Join other followers