Wednesday, November 4, 2009

The little lady.





Olive had a rather uneventful day today which we always are happy about. She is on room air with her oxygen, and though she is ready to come off the ventilator the doctor has decided to keep it in until her surgery is finished. She has had very few seizures today (I only saw one), and has been able to control her body temperature much better. The neurosurgeon asked for the nurses to clamp her drain for 24 hours to assess how much her head grows during that time. 19 hours later it is still measuring the same at 32.5 cm, so this is also good news. She has been comfortable most all of the day, except for the last time I visited her and she was getting poked and poked while they searched for new veins. The poor little dear! I had to leave so that I wouldn't make the nurses feel like someone was breathing down their necks, and will go back and visit her again in 30 minutes.

We are still waiting for a bed to open up for her at the NICU at the government hospital. The doctors are hoping that happens tomorrow, but they can't make any promises.

I left the hospital today and walked around in the sunshine for the first time since we have arrived a week ago. I forgot how healing just smelling fresh air and grass can be after being in a hospital for so long. I think I will try to make a habit of it.

Thank-you for your words of love and encouragement and continued prayers.

Monday, November 2, 2009

The next big step.

Yesterday we had lots of meetings with the doctors discussing the next best step for Olive. A week ago when her temporary drain was put in the plan was to transfer her home to DeVos Children's Hospital in Grand Rapids, MI once they took the drain out and she stabilized.

We have been looking into options of getting Olive back to the States via air, but it seems as if those options may not work out based on our doctor's recommendations of what would be required for that to happen.

Our doctors are suggesting that we stay here in Bangkok and go ahead with the VP shunt surgery sooner rather than later. This is a major surgery where they place a shunt in her head that drains down her neck all the way into her peritoneum (in her abdomen). These shunts can stay in for a few years at a time if there are no complications. Usually doctors will wait as long as possible to do this surgery in small babies because of the risk of skin break down being greater the younger the baby is. However, in Olive's case, the doctors think that this would be the best option for her at this time.

The hospital we are at is aware of our financial situation and the cap on our insurance so we have been working together to come up with the most ideal option for both Olive's care and our finances.

The doctors here at Samitivej have a connection with a government army hospital here in Bangkok and one of the top neurosurgeons there (who works back and forth between private and government hospitals). He was trained in Australia and speaks great English, and the doctors here have full confidence in him. He has agreed to take Olive's case. If Olive is transferred to the government army hospital the cost of the surgery will drop significantly. They also tell us that this hospital has a better equipped NICU then the government hospital we had Olive at in Chiang Rai.

So...after much thought and talking with a neonatologist in the States, we told the doctors this morning that we would like her to get the surgery done at the government hospital and then we will see how it goes having her there. If we feel we would rather have her at the private hospital again after seeing how they care for her at the government hospital, then we will go ahead and transfer her back here to Samitivej.

If she is here at Samitivej I know she will always have one nurse focusing only on her, and that there will be no visiting hour limitations. They also really encourage parents being with the baby, skin to skin kangaroo care, and would help me try to breast-feed her as well. But we will see...maybe the staff at the Army hospital will be wonderful too and we will feel confident in them caring for her.

They are saying Olive will need to stay in the hospital after the shunt surgery for another month, and then after that they would like us to stay at a hotel or apartment close by and begin caring for her on our own for another month. That way, If she has any issues during that month they can help us manage those. After that time is up, if we feel confident in caring for her and if she is stable (if she can regulate her body temp and is off oxygen, and eating well) we could fly home.

So...i guess we will be here in Bangkok for another two months or so. This is not what we were expecting, but it seems to be our only current option and I think I can speak for both of us in saying that we feel a peace about it.

Rusty is in Chiang Rai tying up loose ends and packing up a few more things since we originally thought we might be leaving for home in the next few days. He will return tonight to be back in time for Olive's surgery.

So the journey continues...thank-you to all of you who are walking it with us.

Olive has been stable. The doctors think her apnea was maybe do to fluid overload in her lungs from replacing the fluid they were taking out of the drain. They put her back on the ventilator just for a few days to help her rest and help her gain weight easier. They said they can take it out today, but recommended keeping it in until her surgery is over since they would need to put it back in for the surgery anyways. She is having fewer and fewer seizures so that is good too. Today she seems to be very comfortable.

Pray that her brain would be able to expand again after the intense pressure it experienced from the fluid in her head...this is a concern the doctors talked with us about. Please continue praying for damaged cells to be made new...

Love,

Lynette

Changes for the better...

I took this first photo this morning after she has had the drain in for 6 days. The second photo was taken last week after the drain had been in for about 2 days. Her head circumference has decreased from 38 cm to 33 cm in the last 6 days. It's exciting to see the changes, even if they are a little at a time.


Sunday, November 1, 2009

You are worth far more than many sparrows.



About four days before Olive was born I was walking around outside of our house in ChIang Rai when I spotted something strange moving around in the grass under a tree. When I got up close I was very disturbed to find a little sparrow still alive on the ground slowly moving with ants completely covering it's little body and biting it. I yelled for Libby to come help me and we moved him onto the concrete and tried to brush off the ants with a broom. We then took him into the house and made a little bath for him to get rid of the ants hiding under his feathers.

We sat there watching him dry off for about 15 minutes killing any sneaky little ant that crawled out from under his wings. The sparrow laid on the counter for about an hour not moving at all. He drank a little water when we gave it to him dripping off a cotton swab. After a while we moved him to the floor in a little bowl thinking he would probably die later in the day. We were happy that at least he would die in peace rather than getting bitten alive by those awful ants.

A few hours later the little bird jumped out of the bowl and started hopping around the house. It took us about 10 minutes before we could catch him because he started flying again. I then walked outside with him and he flew out of my hands away into a tree. I thought a lot about this verse...

“Do not two sparrows sell for a coin of small value? Yet not one of them will fall to the ground without your Father’s [knowledge]. But the very hairs of your head are all numbered. Therefore have no fear: You are worth more than many sparrows.” -Matthew 10:29-31

I was amazed that God cared enough about this little bird to let us come across him and nurse him back to health.

I've thought a lot about this situation and verse over the past five weeks since Olive has been born. It's come to my mind in those moments when God has felt silent. In those moments when I have wondered if He has even been listening to my prayers. When I have been overwhelmed and confused. Eventually He gently nudges me with the reminder that He cares for those little sparrows--so how much MORE does he care for Olive?

Our emotions have hit the highest of highs and the lowest of lows in the past five weeks. The simple fact is that God loves Olive even more than I...and all of this is ultimately out of my control. He can choose to take her to heaven, or to continue giving us the gift of caring for her.

He has plans for us which we can't even begin to imagine. I have NO idea what my life will look like in five years from now...or even tomorrow. If I sit and think about that for too long I can start to get pretty anxious. I've learned in this last month that life can change drastically within the hour. Ken Koeman wrote this to us the other day and it is so true..." have I mentioned that most of the time God does not lead us with a searchlight, but rather with a flashlight? Step by step, through winding paths…and slow."

I don't know what tomorrow will bring, or even tonight. What I DO know is that if God cares about these little sparrows-- that He cares for us and the details of our lives...and that He is enough. Now only if I can just remember that in the darkest of moments.