Today is Carmen’s 17 month birthday! We celebrated by staying home! Sometimes the best days are ones in which I just rock Carmen and play dolls with Lauren.
We now have night duty nursing, 10 hours per night/7 days per week. HOORAY! Dave and I are finally getting some rest and Carmen is doing better because her nurse is doing Chest PT (Physical Therapy) at night. Today she sounded amazingly better. When her nurse showed up tonight, Carmen was in bed and smiled and laughed out loud when she came in and said hi.
We got a suction machine today. Carmen sees her pulmonologist in January and I think we will discuss medication to reduce drooling so that she doesn’t aspirate on saliva.
Carmen is doing well with the NG tube and continuous feedings. I managed to take both girls to Carmen’s neurologist appointment yesterday, with Carmen attached to the feeding pump. I was quite proud of myself! I set Lauren up with a purse full of Polly Pockets and she entertained herself for most of the visit. We are debating whether or not to start Carmen on anti-seizure meds. She is only having mild seizures and her neurologist didn’t think we needed to start anything now to control seizures. But, he suggested we try for a week or two and see if the meds might “wake” her up a bit and make her more responsive. Granted, making her more alert might make her fussy, so we shall see how that goes.
Today was Lauren’s 4 year old appointment and I am happy to say that Lauren has cracked the 30 lb. mark! She is now 31 lbs. 5 oz. and 40 inches tall! Carmen is somewhere around 25 lbs. at 17 months so they are built really, really differently!
Lauren was Mary in a play at pre-school yesterday! Her friend, Jack, was Joseph and I imagine that was just fine with Lauren. I hear good things about Jack from time to time! He’s a cutie-pie!
Tonight Dave and I met with a Hospice Social Worker who counsels parents dealing with the impending loss of a child. We had a good visit and got some very solid advice on helping Lauren deal with her sister’s disease and inevitable death. Lauren knows that Carmen has a disease (we decided not to use the word “sick” so that Lauren will understand the difference between what Carmen has and a common cold, advice we got from a family dealing with Tay Sachs, thanks Laurie!). But, like any 4 year old, Lauren does not truly understand what is happening. After we brought Carmen home from the hospital last week, Lauren commented that Carmen doesn’t have a disease anymore, that she got better in the hospital. I explained that Carmen is doing better with eating but that she does still have a disease. It’s tough knowing what to say. Lauren needs some information but we don’t want to over-do it and scare her. I pray for wisdom!
Thank you to Monica from Hospice who watched Carmen and played with Lauren today. And, to my friend Nicole, who sent over dinner!