The Slightly Smaller Carmen

We are often asked, “How is Carmen doing?” We never know quite how to answer that question. If she has a respiratory infection then we say that she is sick. Or if she has an eye infection we might mention that. But, most of the time, we just say, “Carmen is doing well for Carmen.”

Carmen has days when her oxygen is low, 90% or so, but she usually bounces back without extra medication. She has days when she is congested and needs Robitussin to help thin her secretions and extra nebulizer treatments and suctioning.

We put her on a “diet” a week ago and she has lost one pound. We reduced her daily calories to a little over 300 and her total fluid volume to about 800ml. Already, she looks less swollen and puffy. We think she could lose about 5 lbs. and be at a healthier weight. All that extra weight can’t be easy on breathing, something Carmen has struggled with for two years.

Carmen still has loose stools but not every day. In fact, she sometimes goes 2-3 days without pooping. This is quite different from her C-diff days of constant diarrhea! (We do not miss those days.) We’re not quite sure whatever happened to the C-diff. We stopped treating it after multiple antibiotic treatments failed. Somewhere along the way, the constant diarrhea stopped.

Carmen also has bouts of very low temperatures, as low as 92 degrees. On the other hand, she often has low-grade fevers, 99 degrees or so.

Despite all of this, Carmen IS doing well for Carmen.

Strangely, Carmen seems to do better in the fall/winter/spring and then gets hit hard with pneumonia in the summer. I might expect that if she was from Antarctica but the Guatemalan girl really should be able to tolerate a Maryland summer!

Here is the “new” Carmen, one pound down!

Carmen in LoveSac

10 Responses to “The Slightly Smaller Carmen”

  1. April Carlisle May 1, 2010 at 8:34 pm #

    she looks so snuggly in this picture. Tiffy seems to have more trouble in the summer also. The heat and humidity make it hard for her to breath.

  2. Diane May 1, 2010 at 8:50 pm #

    Carmen is so, so beautiful!!!!!

  3. Anne May 1, 2010 at 10:38 pm #

    Oh she looks so comfortable and content lying there in her blankets! She is a natural beauty, that girl!!!

    -always in our prayers!!!

  4. Dad May 1, 2010 at 11:45 pm #

    Yes, Carmen looks like an angel and I’m proud of you for all the great work you do on her behalf. Congratulations!

  5. Janet May 2, 2010 at 8:22 am #

    What a great picture! My Juan Carlos is from Chicimula, Chicimula—a rather hot spot in Guatemala. He was the worst ability to tolerate heat of any kind (including a warm bath). Hope this summer will be easier on Carmen.

  6. Laurie Tenberge May 2, 2010 at 10:37 am #

    Carmen looks snugglicious! I hope she has a healthy summer. Always thinking about you, Laurie (Elise’s mommy)

  7. Joe Jordan May 2, 2010 at 12:22 pm #

    She sure is adorable

  8. Judi May 2, 2010 at 11:57 pm #

    Carmen is so BEAUTIFUL!!!! Keeping her in our prayers everynight.

  9. Nicki Luce May 3, 2010 at 11:16 am #

    Beautiful, as always! Sending our love and hugs, Nicki (Angel Riley’s Mommy)

  10. Kelly May 3, 2010 at 4:44 pm #

    I also have a very sweaty and heat sensitive little Guatemalan girl in my family. I always say it is because her hair is so thick that it just seals all the heat in! My daughter actually had pneumonia twice…in June. So, who knows?
    Glad she is slimming down a bit and goodness she is looking so sweet as always.

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