In the ICU's

Home
Bob Blog - Daily(ish) Updates
Sam's Therapies
ABR Therapy / Visiting Montreal
New photos (as of June '08)
Sam's Birthday
Chrissy and Sam's Car Wash, Parts 1 and 2
What's Next
Sam's Progress Diary
Yahoo!
What Sam gave us for Christmas
Sam's story
July 29, 2004
Therapies
Things That Make Me Crazy
Keeping the Faith
Rotterdam: Stem Cell Treatment
Scrapbook
In the ICU's
To the Nurses
old news
Tijuana
London!
Ben's Preschool Graduation
Contact Us / Guestbook
Links

Holidays didn't serve Sam too well in 2004.   Thanksgiving weekend, he had his choking episode and ended up with a tracheotomy and a two week stay at All Children's Hospital Pediatric Intensive Care Unit.  Christmas was calm, but a few days later he got an infection and we ended up back at All Children's, but only for a few days.  So far, so good - Sam has been really stable since then and doing well.  As a matter of fact, everyone in the house got sick with streph throat EXCEPT for Sam!  Easter 2005 will find us on Miracle Mountain, which will be deserving of a page of its own. 

When I first got to hold Sam again
dsc03747.jpg
after almost two weeks.

On Saturday morning after Thanksgiving, Sam stopped breathing for a second.  He had a cold, and we believe he just kind of choked on snot (sorry for being so blunt) because he can't yet swallow.  EMT's took him to the hospital, which sent us to another hospital, which freaked out because they don't know how to treat kids like Sam.  They ended up distressing him to the point where he actually couldn't breathe - I know it doesn't sound possible, but that's what happened.  He had to be intubated (life support), helicoptered (twice in one little lifetime) and was in intensive care for two weeks.  And he got a tracheotomy.

This was taken on Thanksgiving Day...
prethanksgiving.jpg
...Sam was still intact.

First thing off the helicopter
dsc03673.jpg
...just two days later.
Something happened to Sam this trip to the hospital.  He came to All Children's intubated, and when a child is intubated he can't be held for fear of dislodging the tube (so they told me).  That was tough on all of us, and I frequently sat at his bedside with my arms stretched out underneath of him so at least he could tell I was there.  After a week in the hospital, Sam crashed.  Whenever the doctors and nurses did something painful to him (which was frequently) he stopped breathing and his heart rate slowed down to a dangerous level.  He was always angry, and it killed us to watch it  - we were helpless. 
 
Tim and I strongly believe he had given up - there was no other reason for it, and it was always related to his suffering.  That night, we let him go:  our prayers changed from "heal him" to "stop his suffering", whatever that meant for him.  It was the worst thing we've been through - I know it was the only time through all of this I thought we'd lose him. 
 
The next morning, Sam was different.  He wasn't angry, his breaths were strong and steady, and he tolerated the poking and prodding like the champion he is. 
 
I believe we had to let him go to keep him. 

dsc03691.jpg
A central IV line, because Sam's veins were shot.

dsc03680.jpg
Leads, monitors... whatever

dsc03730.jpg
Just after surgery

dsc03722.jpg
Just before surgery

dsc03712.jpg
ALL night at the PICU

dsc03744.jpg
Late night at the PICU

We agreed to the tracheotomy because we were told repeatedly that it was no big deal, they are easily reversed, and we firmly believed that we weren't going to be able to get him home without it.  The doctor was adamant that he needed it, because he believes all kids in his condition need one, and we agreed so the whole insane episode that had happened when the hospital distressed him WOULDN'T happen again.  Well, we were home for about two weeks, Christmas came (and Sam started sucking that day!  Yay!) and then he developed a lung infection.  Apparently, he was sent home from the hospital with an infection around the trach.  Turns out it's a bigger deal after all. 

Christmas at home
dsc03817.jpg

Ben and Sam, hanging out at home.
dsc03834.jpg

Sam has some jerky little movements sometimes.  We like to think he's waking up and kicking in, but the doctors like to think they're seizures.  (Yes, I'm convinced they like to think that.)  Anyway, although there are no other symptoms of seizures, they wanted to do a 24 hour eeg.  I agreed, and then the nurse came in and told me I wouldn't be able to hold  him until it was over.  So I thanked her kindly and declined - it wasn't that important and neither of us needed the kind of stress that comes from a baby lying on a hospital bed without his mother holding him.  Amazingly, after she argued with me for a few minutes, she was able to arrange it so I could indeed hold him the whole time if I wanted.  I used to think I had to listen to "them" - things got slightly more bearable when I realized it was the other way around. 

Our beautiful boy, going through a 24 hour EEG.
eeg2.jpg
It came back normal!

Wrapped up in Aunt Katy's blanket
dsc03855.jpg
The "rasta" hat is the eeg rigging.

The eeg showed no seizures.  The doctor has no idea what it is, but as long as we know what it's not, we're happy.  They also did a CT scan, which was "unremarkable" - a word we've come to love.  Since that little trip, Sam has been hospital free.  Tim, Ben and I got streph throat, 100+ fevers, and Sam stayed well.  He gets stronger and stronger all the time, and we have faith that he'll be rid of that trach and feeding tube soon.  Once he wakes up from this, what a story we'll have to tell him.  And what a story he'll have to tell us.