Saturday, April 30, 2016

Things I've learned while raising a kid with Biliary Atresia

Transplant is about a week away and I find myself reflecting on the last couple of years and what we've been through. I've been very emotional and anxious just waiting for the day to arrive. The blog has been a place I can come and let out my feelings and hopefully share my experience with others who may be in the same situation, but I can't really find the words to share with you how I'm feeling right now and I'm not sure there are any that are appropriate. Instead I am going to write a little about what I've learned over the last couple of years living with a kid with Biliary Atresia.
Not in any particular order.

1. Biliary Atresia Sucks!
         Not much more to add to that.

2. Google is your worst enemy!
         From the minute you hear those words Biliary Atresia, you will google the shit out of it.
And with all the medical pages you will happen to find every worst case scenario story with it. Websites, blogs, Facebook pages and groups, and the more you read the more you will drive yourself crazy. I took advice from our GI when she heard I was googling and joining groups on line. She said please stop! You will mostly find stories of the sickest of the sick and worst case scenarios so please try to limit yourself. Don't get me wrong, these pages are full of the most amazing kids and parents fighting to have a normal life but I found myself obsessing over them thinking all of these things will happen to Philip and becoming depressed. So, I limited myself and I joined only one group on Facebook and it is a great place to ask questions and get support from people in similar situations. But I don't dig anymore than that. I know my limits and I just mentally can't handle it. 

3. There really is no rhyme or reason to the   disease. Every kid is different.
         There really isn't. One kid may have the Kasai and never have a problem till they are 18 years old. Another might have the Kasai and it will fail immediately, making the child need a liver transplant quickly. Some kids like Philip's Kasai works ok but their liver sustains damage over time causing other issues like portal hypertension and GI bleeds. Some kids just itch. Some need feeding tubes, some don't. Some have major vitamin deficiencies, some don't. And just because it happens to one kid, it doesn't mean it will happen to yours. Who knows why it manifests in such different ways. Just focus on what might or might not happen to your kid, just take it day by day and deal with the next issue as it comes. 

4. While your world feels like it is crumbling, life goes on for everyone else.
        From the minute Philip was diagnosed, I felt like the world was crumbling around me. All my hopes and dreams for our little family of four were forever changed. Yet everyone around me was still living their lives like normal. Going to work, going on vacation, doing things that I had to put on hold for a little bit. I wanted to yell at everyone and make them feel the pain I was feeling. Don't you know what my newborn son is going through and you are just standing there like everything is fine!!
Looking back, I'm not sure what else I expected. Life does go on and it eventually did for us as well. Back to work, activities, and even a little weekend vacation thrown in. You'll find that some people might avoid you or not know why to say, friends you thought would come visit the hospital might not. Don't take it personal. They're probably uncomfortable and don't know how to deal with it, and that's ok.  I don't hold it against them. Heck, I don't know what to say sometimes when someone is going through something difficult. 

5. Trust your gut!
         If you feel something isn't right with your kid, trust your gut and bring it up to the doctor. Most of the time you will probably be right.

6. Speak up!
         This was a hard one for me. I am typically a shy person when it comes to asking questions or confronting someone. If you're not sure of something or something doesn't seem right, whether it be medications, hospital stays, anything, please speak up!! If you're not comfortable with your childs care, speak up! In hospitals there are nurse managers, patient advocates, a lot of resources to use if you're not comfortable with a situation. Ex. We always have a bad experience when residents try to take blood from Philip, so now I speak up and request transport or phlebotomy to do it. They may think Im being pain, but I am saving my son from undue pain.

7. Be Nice 
        I know this sounds obvious, but when you are in the moment and frustrated because your child has been crying for 2 hours and they can't eat, or when I get another hospital bill for $4,536 when the same procedure was covered last time in full, it is easy to snap at the person you are speaking with. But I have found when I am super nice on the phone with billing issues they are nicer in return and willing to help a lot more.  I'm guilty of it but have learned to just smile through it all. Even a simple chat with housekeeping can make your day brighter.  

8. The nurses are your lifeline
You will most likely see your nurse more than anyone in the hospital. They bring the food, the medicine and basically everything you need. Appreciate them and cut them a little slack if they take a little longer bringing you something you requested, they are often over worked and under appreciated. 

9. Make time for yourself (and significant other) I know we feel like we need to be there 24/7 for our little BA fighters, but we need time too. Don't forget to take care of yourself. Go get a pedicure, go to a movie, get lunch with a friend. Get out and take a break. It's OK. And don't forget about you're significant other too. Go on a date night and talk. Don't stop communicating with each other!!

10. It's OK to laugh
This is the most important to me. Yes things might suck and you feel like you want to throat punch someone but its ok to smile and laugh even though your child is sick. I completely feel that they feed off of our energy and if they see us laughing and smiling, then they will know everything will be ok. 
Dan and I try to find the humor in most of our situations. They might be politically incorrect and just wrong on so many levels but if something makes us laugh and gets us through a rough time and lets us forget about all the crap going on, then I'll laugh at it.









Saturday, April 9, 2016

And just like that...

A date is set.
May 10, 2016. Seems like a pretty normal date, and to anyone else it will still remain just another day in the life. Another day to go to work, or a baseball game or to eat pizza...
But now, this date for me, will mean something. A re-birthday of sorts, a celebration, the day my husband gave my son a chance to live a better life. The day I watch not only one but two people I love dearly be wheeled/walked away to the operating room. It's really a crazy feeling of excitement, fear, and anxiety all at once. Excited that Philip will be on a road to good health, fear that all may not go as planned, and anxiety, well, you name it and I'm anxious about it. 
If all goes as planned Philip will have about a 2 week stay and Dan will have about a week stay at the hospital. Both livers should start growing back right away with Dan's being pretty much 80-90% regenerated by 6weeks post surgery. His body will use all of it's energy trying to regenerate it so we anticipate him being very tired after surgery. He also needs to take it easy for several weeks. They will not clear him to go back to work for 12 weeks and then they will see how he is doing to put him back full duty or not. I will take several weeks of as well to care for them and to get Philip's medications down pat and full understand them. They said he will probably be on about 9 medications coming home from the hospital. 
It seems as if time is moving faster now and this now special, precious date is just around the corner. We have a lot of loose ends to tie up before surgery so days are full of calls to insurance, doctors and other various entities. Both Philip and Dan go for pre surgical testing May 2.
A lot of people have asked how I feel about a date being set and basically My whole mind and body is just a constant buzz, often accompanied by chest pains, heartburn and the BG's (bubble guts as Dan affectionately calls it).  But generally, all I can come up with and say is shit's getting real...