Tuesday, 31 July 2007

Day +179

Please give a moments thought for little Dylan, who died at 4 in the morning on Monday 30 July. He was on Fox ward with us, he had his transplant in March and went home in June. We last saw him at clinic on 11 July, he looked so well. He was admitted to GOSH intensive care a few days later suffering from para flu, he fought for over two weeks but he had no resistance to infection. He was only 20 months old and had been in and out of hospital for the past year. We are all devastated by this and out thoughts and love go out to his wonderful and loving family who did everything they could for him. We will never forget his dark brown eyes and beautiful smile.

Saturday, 28 July 2007

Day +177 GVHD is back

Again, this post only makes sense if you have read the previous two...

Yesterday afternoon Netty from the BMT office rang with the histology results of Jesse's biopsy, he has GVHD all through his gut. Derek and I were devastated, we had both been hoping that Jesse's problems were due to a virus...the treatment would have been to decrease the immunosuppressants and then his lymphocytes would have risen and we could start to contemplate some kind of normal life...

BUT in fact they found GVHD. I haven't seen the report yet and the consultant was too busy to talk to me. The treatment is to put Jesse back on a high dose of steroids (1mg per kilo, which means 16mg a day), when he had completely stopped. After two weeks they will start to decrease it. Of course it does explain all the vomiting, lack of appetite etc. After yesterday's dose Jesse ate a whole bowl of spaghetti and cheese followed by strawberries and ice cream! His first proper meal in weeks.

That is definitely a plus, but there are lots of negatives too...mood swings, big cheeks, damage to bones, he won't grow and worst of all...no lymphocytes so the isolation will continue. School in September is out for certain and viruses will be even more dangerous to him. I'll keep the blog updated as we hear more,
love
c
x

Thursday, 26 July 2007

Day +175 We made it home today!

I'll keep this short (and bear in mind this post only makes sense if you read the previous one). The scope went well, although I found it very traumatic, he was given a medicine that meant he forgot everything, luckily it worked! He has no memory of telling the nurses to F*** off as they put the cannula in or trying to scratch and bite me!!! I was with him whole time and was able to see inside every nook and cranny of his gut and bowels, we have the photos to prove it!

His stomach looked pretty good, shiny and pink as it should except for some white nodular lumps (which could indicate food intolerance) but his bowel looked really quite wrong...most of it was white and furry (like an unhealthy tongue) and then very far up there were some red sore bits. The doctors weren't sure what all this meant (candida, GVHD or adenovirus) so we'll have to wait for the biopsy results(4-10 days). I'll keep you posted!

Ruth came over last night with an amazing M&S selection of goodies. Jesse and I really enjoyed seeing her.

We got home today via HMS Belfast, Jesse really wanted to see the anti-aircraft guns. Last time we went he was too weak to go up the steep steps so we had a great morning!

Must go as it's past Jesse's bedtime, I'll write again when I have more news...although having said all this...Jesse has eaten loads today; a whole sub roll, loads of chips, several lychees and and ice cream cone!
love
Claudia
x

Day +173 (written on Tuesday 24 July 2007)

Hello again to the very, very faithful! I hope all is well all of you, please forgive me if I haven’t replied to emails and sorry not to have posted for such a long time, I kept meaning to. I’ve sometimes even started with a title but then been distracted by something or other…so much has happened over the past couple of months I’ll do my best to do a shortish summary. I think I’ll start with today and work backwards and forwards as necessary, not terribly logical but that’s how may mind works!

I am writing this from Louise ward in Great Ormond Street hospital, its funny but it feels like the old days, except things are very basic over in the old quarter, not even a TV in the room! We only knew we were coming this morning at 8.30 am so you imagine the chaos as we packed! We are here for a scope and a biopsy of Jesse’s upper gut and bowel. He’ll have it tomorrow and I’m not looking forward to it although Jesse remains un-phased as usual; this is because I found out this afternoon he will be sedated not given a general anaesthetic. I will be able to stay with him, and apparently he will writhe around and cry out while they do it but will be given a drug that means he won’t remember a thing. It sounds harrowing, but if all goes well we’ll be home on Thursday.

We are here because Jesse hasn’t been going from strength to strength, in fact he has very steadily but surely been going downhill. He is allowed to eat anything not but refuses to eat at all, maybe a couple of bites of a bun in a day but not much more than that. If he expresses an interest in any kind of food we’ll jump in the car and get it for him. He’ll take a mouthful and then refuse to eat more. He has been losing weight at an alarming rate in spite of his overnight milk feed. A couple of weeks ago he reached an all time low of 15.3kg (just over 4 times what he weighed at birth over 7 years ago). His diarrhoea has been better but has recently been worse again and top off all this he has started vomiting a few times most days. Derek and I are driven mad by worry, so I pushed to have this biopsy.

If they can find out what’s wrong then they can treat it and importantly if it isn’t GVHD then the immunosuppressants he is on can be decreased. They keep his lymphocytes (white cells that fight viruses) low (or non-existent in his case), which is keeping him in isolation at home. If it is GVHD they can treat it (he has been weaned off his steroids so it could be simply withdrawal or it could be the steroids had been keeping the GVHD at bay). The problem could also be a virus as it was before. Sorry this is all so technical, but that’s just how it is, there is no way to explain it simply!

It did look like Jesse was doing really well but the past six weeks have shown a steady decline, sometimes so small you can’t see it at the time, but my famous poo diary says it all! Jesse keeps us busy night and day with feeds, general care, medicines, hospital visits and lessons. Derek and I are exhausted. We work on the house every moment we can and thankfully it is now coming together. We are hoping to move in by early September, and it will be beautiful when it is finshed.

Now for a quick catch up…Bernie recently has been better more often than ill (although he has been poorly for the past week). He is on a steroid inhaler twice a day and that seems to have made a difference. He is also the naughtiest of all of my babies, very wilful and powerful. He understands lots but is saying little, I hope he’ll find life easier when he can express himself. Lily went to New Zealand on 7 July to do a term at Auckland art school. She was very excited and nervous, but has found herself somewhere nice to live and is settling in. She’ll be back just before Christmas. I miss her loads! I think she is very brave. Albie has been an enormous help, he has worked on the house tirelessly, decorating it top to bottom. We still have the outside to do, a mammoth task! He has found time to fit in a trip to Barcelona (where he did a lot of sketching) and a few painting days with his mates on the legal walls in Brighton; his work is stunning. Stan has been doing well at school, he was involved in a brilliant school play, part of the NT Connections competition. They were highly recommended and played to a public audience at the Dome. He has also done his French GCSE, result in August, as well as completing his Duke of Edinburgh camping trip. He also made it to Barcelona with the school for a week and has been playing in the samba band! All this exertion has taken it’s toll, Stan was really ill for a couple of weeks and pleurisy was suspected. He was better but his chest has been hurting for the past couple of days again so we’ll have to keep and eye on him!

Sorry to be so negative but things do keep crowding in on us. Yesterday I punctured a tyre by reversing into a low wall in torrential rain and today while I have been in hospital with Jesse, Derek has had to deal with a blocked sewer for hours at the shop this evening…with Bernie in tow! Dyno Rod and another company let him down through the day and the third couldn’t shift it after rodding for 10 metres! Luckily they tried water jetting the blockage which worked. Derek says he and Bernie had to operate the pump from the van! I think that bit was fun…

I’m going to stop now as I am tired. Things are really tough for us, but a lot of friends I made while in hospital are having a much worse time, so in a way we are lucky. I still try to keep things in perspective and take one day at a time but it hard some days, especially it you are dog tired. If we are kept for another night I’ll tell you the story of how we almost met Raven…if we are let out I’ll probably be decorating the hallway so it’ll have to wait! Thank you as ever for all your emails and posts, it really does make a difference. I was especially touched by Miles’ comment. It is wonderful that he felt moved to become a donor! And Annie, of course you can come round, we would love to see you, just give us a ring.
Love
Claudia and Derek

PS Through all this Jesse has mostly been able to retain his good spirits, he is still as quirky and barmy as ever and doesn’t stop talking. He is such a great kid, we are very proud.