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Thursday, August 16, 2012

Health updates

After talking with Brenna's dermatologist on Monday, we decided to take her in just to get checked out. We feel a little ridiculous running to him every time we think her skin looks "different"...but by now, we know her skin well enough to know what it should and shouldn't look like. And Dr. Conlon reassured us by pointing out that we've never come in unnecessarily.

Upon seeing Brenna, Dr. Conlon agreed that her skin did look very concerning and said at first glance, he would guess she had staph again. The problem was that she'd been on antibiotics for staph for a week. And after he said that, with us having just come home from the hospital, the thought of MRSA completely occupied our worried minds that night.

The cultures came back today positive for two infections - E. coli and klebsiella pneumoniae. These two types aren't typically present on the skin (like staph is, for example) so it's almost certain that she picked them up at the hospital.

Fortunately, the medicine that Dr. Conlon switched her to on Monday is the antibiotic that targets both of these, so Brenna is covered and on the road to recovery! She began to look and feel better yesterday, after several long, miserable days.

For the majority of this week, she has been in a lot of pain. I haven't even been able to hold her very much because she cries out and arches her back as if in pain and trying to evade my hands every time I pick her up. I've been trying to keep her comfortable in her swing or bouncy seat where she doesn't have to endure constant touching on her obviously hurting skin.

I am so thankful yesterday that Brenna finally seemed to be in less pain. She wanted to be held and cuddled more, and her cry was back to more of her sassy self versus her cry of discomfort.

Yesterday, we also paid a visit to the pediatric surgery clinic at St. John's so they could take a gander at her surgical site. The stitch holding her g-tube in place had actually pulled completely out and is now just attached to the tube itself instead of her skin, and the hole had grown a bit. We are now using a cut-up baby bottle nipple to hold the tube in place, and it's quite awkward! We are hoping to switch from the actual tube to a much smaller "g-button" as soon as possible.

Speaking of the g-tube, we have pretty well mastered its use, but Brenna has still been experiencing some vomiting. We got a pump today, so that we can hook her tube up to it and it will feed her over a longer period of time. 

We are also starting with a new feeding team that includes a GI doc, and I am so anxious to get this show on the road and figure out what is wrong with Brenna's system that is making her throw up and not want to eat! 

Today was so frustrating for me, and I teetered between wanting to burst into tears or throw things in anger. Brenna was vomiting after every feeding, and then when the new pump was delivered and we were ordered to spread her feedings out over an entire hour, I was less than thrilled at the idea of her being hooked to the machine for a third of the day. I was questioning our decision to even get a g-tube, and I was so angry that what was supposed to be a huge relief to our family was just turning out more problems. And I was frustrated that the process to uncover the underlying problem of her not wanting to eat seems to be moving so slowly.

But getting the cultures back provided a little closure in my mind, knowing that we had figured out the infection and were treating it properly. And I started trying to be optimistic about the g-tube pump, considering that we can feed her continuously through the night at a very low rate of speed to get her more calories and fluids (now I'm just praying that she doesn't throw it up - I might be a nervous wreck the first couple of nights.)

We have an appointment with our GI doctor next week, and in the meantime, I hope for my sanity's sake that things will be looking a little up very soon...

7 comments:

  1. I'm sure they told you this, but make sure her head is elevated when you feed her at night, so she doesn't aspirate. Poor sweet babe. Glad to hear some things are improving.

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  2. Hello there, wanted to let you know that I have been following your blog and praying for Brenna for a long time. But tonight as I read your post I also wanted to share something that was a wonderful buy for us for our baby. It is made by Fisher Price and is called the "Soothing Motions Glider" It goes side to side, back adn forth places multiple melodies, and my youngest just absolutely loved it. He had meningistis and was super uncomfortable for a while, this seat was amazing for us. I am not sure how big Brenna is, but the recommendations recommended stopping using it a lot sooner than we did. He is almost one and we probaly stopped using a month ago.... praying for peace and comfort for your sweet girl, and for those nasty infections to clear rapidly. For strength and peace and hope for you!

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  3. ((((hugs)))) I know all of us moms have had those days where we are torn between tears and anger. I know yours is multiplied and more justified. Just wanted to give you a virtual hug. Praying for Brenna.

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  4. I'm so glad a GI team has been introduced. That is because you guys persevere. I pray that Brenna has some relief from the pain (thus allowing the family to have some relief from this emotional pain). Prayers headed your way - all the day long. PS I always feel better after I cry ;)

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  5. things will become more routine with the G-tube with time - just like everything else! you won't even be able to remember being frustrated (unless of course you read your blog archives! lol). love on that little one from us! glad she's feeling a little better. praying!

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  6. On Facebook today, I happened across a link to a blog about getting out and about with children fitted with g tubes. Here is the link if you are interested. http://havegtubewilltravel.wordpress.com/

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  7. This may not even be possible, but it came to mind when praying for Brenna last night. Is she allowed to take probiotics? I just wondered with the antibiotics that she has been on. Most kids just eat yogurt when on antibiotics so they get the good bacteria their belly needs. I used to buy probiotic capsules and open them up and sprinkle the powder on my kids' applesauce and stuff when they had a stomach issue. I don't know if they make them in liquid form or could be added to a bottle or what. It's just a thought that came to me. I wondered if her tummy could be partly upset from the antibiotics and some "good tummy bacteria" could be helpful??? I know it's a long shot, but I wanted to at least mention it.

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