Showing posts with label doctors. Show all posts
Showing posts with label doctors. Show all posts

Friday, April 25, 2008

No Transfusion!

We don't have to do a transfusion after all! We met with a hematologist yesterday. She said that the levels in the blood are definitely low and she is certainly anemic. She understands why the regular pediatricians were having fits but she, being a blood doctor, she said that she does not usually transfuse until "10 points lower" than where Mia is currently. She thinks that intensive iron supplementation will help since it is clearly nutritional and we know how it happened. Her gut had a bleed, didn’t absorb properly and even though it seems to have calmed down, she has never had more than the recommended daily value for iron, not enough to catch up to what she lost. It also happens slowly so that kids just adjust to the miserly feelings that adults complain about, and before you know it you have a cranky hyperactive kid. We are beyond happy that this is fixable with our original plan of an iron infusion with next week’s IVIG.

We heard yesterday that the request packet has made it all the way up to the Department of the Army, so we should hear something soon. I know I’ve been saying that a lot, but it’s honestly closer this time. We will definitely hear about whether or not it was granted quickly, but as for the actual assignment it will probably take longer. Gary spoke with the assignment manager and she wasn’t optimistic about Colorado Springs because it’s apparently pretty full and would require a lot of shuffling. She asked if we have a second choice, and that is where we are torn. We have a couple of ideas, but both of them would cause delays or worse with getting into Denver’s Eos program. We do know that anywhere would likely be better for Mia than Anchorage right now, but the more I can keep her off of an airplane, the better. Our favorite airline (which really wasn’t stellar, in the grand scheme of things, if that tells you anything) just merged with Delta, so we are hosed as far as allergy support and understanding at 30,000 feet!

The weather has me supremely confused and ticked off. The first few pictures are of Mia playing in our beautiful almost 60* sunshine... The last one shows half of our snow dump from today. I think we can say it's nearing a foot, up to 8" more expected by tomorrow morning! It's better than rain, but I was ready for spring! It's pretty, but really, I'm over it.


She likes to dress herself!







Excelent bubble weather
Aaaaaaaand I'm done.







Wednesday, March 26, 2008

Mia-ness

We have been bogged down with a slow computer, so this is our photographic catchup! Mia's last IVIG infusion was on Thursday. Of course we had to go out with a bang, so it was the only infusion to which she reacted. Her heart rate went up and she developed hives, but she didn't seem to notice because Dora the Explorer was on the tv. After a dose of IV benedryl she was as good as new.
Much of our weekend was spent on home improvement projects, which I'm sure are for the birds. One project leads to another! Gary was going to lay the rest of the bathroom flooring but found that he'd have to either do a half-hearted job or pull the cabinets away to do it right. The cabinets are old and will not go in the same way again, so we picked out new cabinets and sinks. We also discovered that we'd have to remove the wallpaper, re-plaster and re-paint. Hmm...if we are repainting the bathroom, we may as well re-paint the rest of the house since it has to be done in a year anyway. Off we trot with half of Home Depot. We also decided after much debate that we'll just re-carpet the stairs. It's safer for the toddler and the clumsy mommy. Luckily we've been stashing away some "moving money" for such projects in anticipation of selling/renting. The painting will be the most annoying, having to move things around, cover and deal with the fumes. It will be all off white and beige, that way it will be more appealing to more people. As obnoxious as the projects can be, it's nothing like what our friends Ben and Sierra are doing. The entire lower level of their house flooded, ruining the kitchen and all the flooring. I do not envy their kitchen endeavor! We are going to leave the kitchen as someone else's problem! We'll replace the garbage disposal that we managed to fry, but the cabinets are on someone else's tab.
Easter was pretty Easter-like. We helped flower the cross that they erect in memory of a young boy who died of cancer when he was 8. Unfortunately I think we got too friendly with the flowers because one of Mia's eyes puffed up and started to ooze a bit, but calmed down after getting away from them. She knew exactly what to do with those Easter eggs! Those colourful things go into your basket and you have to hunt for them. I think every kid must come hardwired for some traditions. She did get bowled over by a very excited young guy but got some effort-less consolation eggs out of it! The nice thing about that particular hunt was that a lot of the prizes weren't food items but things like mini spyglasses and bubbles. We attempted to go to a hunt on post with some friends but there were bright orange warning signs saying that their eggs only had three kinds of candy and all were peanut related. I appreciated that they put the signs up and was very glad that Mia didn't really get what we were there for. As far as she knew, we were just walking around with a pretty basket.
Our big adventure for today was a trip to the ER that turned out to be totally unnecessary. You know how your car will make the most awful noise forever, then the moment the mechanic starts the engine it purrs? Toddlers are like cars in that respect. She woke up looking very peaked, wasn't interested in a cup and just wanted to lay on my chest. She got sick suddenly but seemed to feel a little better afterwards, so I tubed some formula into her since she wasn't taking it by mouth. It was coming out of her mouth before I even had her feeding line disconnected. This happened a couple more times before I called her health nurse and said that I was going to take her to the ER because she can't get dehydrated. Once we were back into a room with the nurse, she started to perk up and get chatty (she got sick one more time in the car on the way, mind you) and was interacting with the doctor. They tried to contact her GI in Arizona with no luck. Meanwhile, the kid is be-bopping around the room talking about all the tubeys and buttons and blah blah blah. I got the doc in and said that the anti nausea medication seemed a moot point and that I'm afraid we're dealing with reflux. She has done random vomiting a lot lately, but this was the first time in a while that she wasn't able to hold her fluids down. Luckily they understood and said to come back if we needed to.
Seriously. Toddlers and cars.
And now about Denver! We received the referral papers in record time! Tricare can't make anything easy though. The paper simply said that it was for Children's Hospital and it gave the codes for the types of visits and a phone number. The number was for the hospital operator, so I had to transfer a few times before I got to the Eosinophilic program. The person I spoke with was very friendly and said they usually have the patients start the coverage with National Jewish and get the allergy testing etc before coming to Childrens. We also have to work out the new referral because it's a multidisciplinary program requiring an actual team. Mia's docs up here "work together" for her care, but as separate entities that just consult one another before doing X drug and so on. This program has the GI, allergist, dietitian and feeding therapists literally working together with patients. So, I called her health nurse (amazing woman, I'm going to insist that she come with us when we have to move!) who said she and the case manager would work it out. Fingers crossed!

She loves this hat and wears it with everything, kind of like the pink cowgirl boots.
Mia and Daddy

Learning the Potty business is much easier when there is less to pull down!
Mommy is allowed to brush her hair again. I took a friends advice and started calling it a "hair party"
We have a "hair party" every day!

Arranging the window decals that Grandma Dollman sent. After the initial placement, I have been finding them all over the house. Thanks.


Mommy got back light-happy






Rawr!













Monday, March 17, 2008

Hatchers Pass and Mommy's Checkup

We completely missed out on the daylight savings fun and missed church, so we decided to head out to Hatchers Pass for some snowshoeing. We really should have gone in bathing suits! It was so sunny and beautiful and we had to shed layers not too far into our hike. It was busy with other snowshoers and cross country skiier, a lot of snowmachines and a handfull of snowboarders and telemarkers. One little area was commandeered by families with sleds which looked like loads of fun. It turned out that Mia's little friend was on one of the sleds and it sounds like we just missed each other. We hiked up to the old Independence Mine. It was wild because the snow had us looking over the roofs which would otherwise be several feet over our heads. It was certainly a neat perspective.
















Today I went back to the doctor for my checkup. Luckily he said that my pancreas and gall bladder felt normal and the tender area was actually over the stomach and is likely an ulcer or just reflux. Both can be taken care of with a Rx for Nexium so I'm pretty excited that my pancreas isn't going to explode. Unfortunately my rheumatoid factor (whatever it is in the blood they measure for RA) is very high so I have to see a rheumatologist. The one office in Anchorage won't take Tricare (can you blame them?) so I'll have to fly to Washington. That is still a ways off because the referral won't be finished for at least four weeks, and only after it is "done" can I make an appointment.
We are also in the process of getting Mia's referral for the eosinophilic program in Denver. Denver Children's is like the Cincinatti of the West and I have heard nothing but praise for their doctors. They don't just do a little one hour visit and send you back, more like DAYS and weeks. One family I'm in touch with said their last visit was three weeks long and worth every minute. I'm very anxious to see the difference in pathology reports since they eat, sleep and breath eosinophils. Their criteria for a biopsy is very strict and more uniform than what is usually required for an "average" hospital. The hospital here is ready for us to PCS to a place that has more options for Mia, and Denver is at the top of the list because of their Eos program and the fact that National Jewish is literally down the road (they are top notch in asthma and allergy, and the gold standard for severe eczema).





Monday, February 25, 2008

More adventures!

Mia is really taking her independence seriously lately. Today, she flipped out because I attempted to dress her in an outfit that she didn't approve of. I kept picking dresses and she consistently replied "NO!" I finally lifted her to the dress rack in her closet where she picked through each, one by one. After a lot of "Hmm" and "Nope" she settled on a purple and blue dress. With bright orange and white tie dye tights...and the pink cowgirl boots. I HAVE to get this girl to learn her colours, that would have made the dress business easier. I don't care about matching, she was pleased with herself and I had a kid who was wearing clothes. Everybody wins!
I had to go out of my normal zone and leave her with a friend because I had a checkup for myself today. For the first time in two years, someone was inquiring about MY health, it was weird. We didn't have time to address all of my concerns, but we have to redo my rheumatology referral in two weeks since I wasn't able to do anything about it (it was during Mia's peak health crises). Doc also thinks I have pancreatitis after describing what I thought was annoying reflux. No wonder ten tums didn't help. We're a barrel of fun!
Speaking of fun, here are pictures from our latest "adventure", plus a couple from inside the warm house!

She was so proud to dress herself. Mixing seasons is so Vogue.
Sleepy birds

She needs some spinning bling for that thing


This wolf wasn't very concerned about us, he was watching the beavers and waiting for his chance to catch lunch. He kept an eye on us, but didn't seem to feel very threatened.

Over the shoulder, nothing but net!
Part of the boardwalk at Eagle River Nature Center

She insisted on pulling the pulk "like Daddy"

Cuddling at our friend's birthday