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Do you shop at Amazon.com or know someone who does? Click on the link below, or any Amazon link in this blog, to help us earn Amazon Credit in order to buy therapy equipment! Anything you order off Amazon counts! Please bookmark Madi, Ramya and Deena's link and pass it on... every order helps!

http://www.amazon.com/?_encoding=UTF8&tag=missmadi-20

Monday, April 7, 2014

Whew, what a crazy 24 hours!!

This last 24 hours has been..... crazy!  An ambulance ride, a day and a 1/2 in the ICU, and we are HOME.  Yeah!!  Here's the big "story" for those of you who have been hearing bits and pieces and are wondering exactly what happened.

Sunday morning at about 7:05 Madi woke up throwing up.  It's always hard with Madi because you never know if she's "just" sick, it's seizure activity and/or she is having shunt issues.  I took her out of the room and in to the family room, and the throwing up continued.  She was tracking my finger fine, answering questions, told me her tummy hurt, etc... but the vomiting continued.  I decided to give her an oral rescue med, just to be on the safe side, because my momma gut said this was more than just sick.  I dissolved one 0.5 tab in her cheek and just held her so I could keep a good eye on her.  It seemed like it was working as the vomiting had stopped (cyclical vomiting is our first seizure sign), but I noticed she was starting to stare off to the right.  Then the vomiting started again.  I gave her another 0.5 tab, called David at Church to tell him I probably needed him home, and just continued to hold her and keep an eye on her.  Again the vomiting subsided and she was responding slightly again, but again she started staring off and the vomiting started again.  I called David again and told him I was calling 911 and needed him home ASAP to be with the other two kids (who thank God were still sleeping!!).  I started the third tab and called 911, as that is our seizure protocol.  David got home, looked at Madi, and said "I'll start packing your hospital bag".  I told him to let the ambulance/firemen in first, as I had just heard them pull up.  Right about that time, Madi started her rhythmic jerking, meaning despite the 3 tabs of rescue med, her seizure was continuing to progress.   They came in and I started giving them the low down.  They said they were not expecting to be coming to our house, as they haven't been here for so long.  I said, "me too!".  The ambulance driver turned out to be someone we know (I went to school with him in High school, our parents are friends, and his son was in Madi's preschool class last year), which was *perfect* since I was in my nightgown and my hair was crazy ;).  They put Madi on oxygen and that helped the rhythmic jerking settle down, but she was still starting off and not responding.  They wanted to take us to Mendy's place, but I told them we would need a shunt series and needed to get to PCH.  They called PCH, and they agreed, so they loaded Madi and I in the ambulance and we were off.

At the hospital Madi was still staring off and not responding, so basically still seizing after all that time.  When she was off oxygen to get switched over, she started rhythmic jerking again, so I asked for oxygen ASAP and that helped again.  The nurse looked at her and yelled, "I need a doctor and IV team NOW".  The IV team was busy, but she said "I don't care, come anyway", so they came quickly.  That's not exactly what you want to hear, though I was glad to be well covered.  They tried to get in IV in her feet first but couldn't get it fast enough and couldn't try to mess around with it, so they just quickly put it in her hand.  They ordered a CT scan, IV medication, and an x-ray.  After the IV medication Madi finally stopped seizing and fell asleep, but then her blood pressure fell.  It wasn't crazy low, but was lower than they liked.  They were worried about it and had the respiratory team following her carefully so they could start the BPAP machine if needed.  They didn't want us to leave for the farther away CT scan machine and x-ray, as they were worried they would have to run her back, so instead x-ray came to us and we went to the close CT machine.  Madi mostly slept during the whole thing, but during the x-ray she woke up very startled looking.  She told me she was scared and she had a bad dream we were in the hospital. I told her it wasn't a dream, that she had a seizure, and we WERE in the hospital, but that I had been there the whole time watching out for her.  After that she kind of came and went, but her blood pressure also started to rise a bit, which was good.  They were still wanting to watch it closely and were also thinking they may need to do continuous EEG monitoring, so they sent us up to the ICU. 

We got all settled in the ICU and talked to the neurologist, Dr. Condie.  We went over all the test results, as well as the events of the last few days, and neither one of us could find a reason for the seizure.  Her urine is nice and clear, her blood levels looked great, she wasn't developing a fever, and she said her tummy felt fine.  He said he wanted to watch her and see if anything developed, so we planned on staying the night.  Madi was taken off of NPO (nothing by mouth) since her shunt was fine, so she was finally able to eat and drink, and she was SO happy about that.  She looked at the nurse, shook her finger at her, and said, GET ME NOODLES!  She's such a sweet and spunky little thing!  The nurse laughed and handed me a menu.  I got Madi all settled food-wise, and then we found a movie to watch.  Later in the day our friend Ian from Church came to visit, followed by my parents, grammy and papa.  My parents watched Madi and I finally got to go get food and water (it was about 3:30 by then).  Salad, coffee, and water, and I was a happy girl!!  Right before they left I ran down and bought a sandwich for later, and Madi was already asking for food again, so I ordered her food.   

The night was a pretty quiet one.  We watched TV and relaxed and Madi, who *wasn't* tired at all, fell asleep during a movie at about 9:00.  The night nurse was wonderful and didn't pester us much at all, though she did come in the room about 3 times, which woke me up.  At 3:00 am, though, one of Madi's leads had come off and her machine started beeping like mad.  I woke up but she was still sleeping, until the nurse had to fix it.  Madi woke up, the nurse started talking to her, and it was all downhill from there.  The room was pretty bright because we weren't allowed to shut the curtain all the way so that the ICU doctor team could see her monitors.  The hospital was loud.  We were right next to a staff door that kept opening and slamming shut, and Madi was just... awake.  We lay there for quite a while trying to sleep, but she wasn't able to go back to bed.  I rocked her next, hoping that would work, but about 45 minutes later, she still wasn't asleep, so we started a movie.  The nurse asked her how she was feeling and she replied, "beautiful!".  Ha!  Finally at about 6:45 am she fell asleep, but only slept about 45 minutes.  She didn't' sleep at all after that.  It was a tiring morning! 

The doctor team came by and I asked what their plan was.  They said that Dr. Condie wasn't in to see his kiddos that morning but that they had reached him by phone and he wanted to up Madi's seizure meds.  They said they wanted to send us down to the regular floor and have us stay another day.  I protested but they weren't really having it.  I figured we were stuck, because I knew Dr. Condie would send us home, but I was told he wasn't coming.  I ordered Madi food and then the nurse said she would watch Madi so I could run and grab some food.  Madi was ok with that, so I grabbed some oatmeal and a coffee to go.  When I came back Madi looked upset :(.  The nurse had to flush her IV and I guess Madi said it hurt.  When she saw me, she started crying, and my heart broke.  I felt so bad for leaving her for those few minutes, and I just held her.  After a minute she told me it didn't hurt any more.  The nurse felt terrible and was trying her best to comfort her.  After eating I started cancelling tomorrow's appointments and then Dr. Condie came by... yeah!!  I was not expecting him and was so glad!  I told him how Madi was doing and we discussed her daily seizure med dosage change.  I told him I'd prefer to go home, since she was back to her normal self, and he agreed.  He said if he kept us, she was more likely to end up getting sick (there are a lot of respiratory bugs going around) and he'd rather send us home too.  Yeah!!  I was SO thankful!  He still had to discuss it with the ICU doctors, but I was so relieved he was on board. 

We watched some more movies, did some crafts, hung out, ordered Madi more food, got a visit from a therapy dog, and waited to hear for sure if we would be discharged.  My friend Kim, who also has a sweet little girl in the PICU right now, brought me "the works" for lunch (pie, tea, a sandwich, and fruit) and I ate again as well.  Yum!  Thank you Kim!  We got news we would be sent home, but were told it would take a few hours to get discharged.  I let David and my mom know, as my mom was watching Ramya and Conner for me, and just kind of hung out.  Pretty soon the discharge orders were in and the nurse started the discharge process.  About an hour later, we were headed home!  YEAH!!

We made it home about 3:30 and then headed over to Elevate coffee shop for a coffee.  David and I were beat!  We enjoyed a coffee, headed home, and just chilled.  Our friends Matt and Kerianne made us dinner, and it was delicious!  It totally hit the spot!  Now we are getting ready to call it a night and are looking forward to a good night's sleep. 

Thank you SO much for all of the prayers, it really means the world to us!  We are so grateful for your love and support, and we are so happy to be back home again!

Saturday, April 5, 2014

Our Super Fun Day at Bumble Bee Ranch with HopeKids

Today was Bumble Bee Ranch with HopeKids, one of our FAVORITE events of the year!  We sadly had to miss last year, and were so excited to get to go this year.  We all had a blast!!  A HUGE "thank you" to Bumble Bee Ranch and HopeKids for putting this on for HopeKids families (P.S.  If you are ever looking for a good organization to support, HopeKids is it!! They bless so many families, and truly care about their kids!).  Here are pictures from our fun day! 

Bull Riding
 

 
Hummer Ride


 
I think Madi loved it ;)



 
Ramya said it was "awesome"!

 
Nerf Gun Fun



 
It was a beautiful day!

 
Fun with our friends, Alena and Teague


 
 
Conner was in Heaven!

 
Horseback Riding




 
Face (and hand) Painting


 
Fun Crafts

 
Rock climbing... they made it to the top! 


 
Madi wanted to try too.  She looks scared but really liked it and tried twice.  Ramya didn't want to try.



 
My girls and I
 
 
 
 

Wednesday, April 2, 2014

Oh Me, Oh My, GOOD-BYE GI

Today was Ramya's 7 year check up with our pediatrician.  Our pediatrician is wonderful, and comes in fully expecting about a million questions and things to discuss.  He used to stand up for visits, but now just comes and sits down and asks what I have for him :).  He also respects our parenting and vaccination choices, and is always supportive.  I told him about our recent visits with GI and how I just feel like the doctor isn't looking at Ramya as a whole.  I talked to him about how she rates on the India growth charts, about her great diet full of extra calories and healthy fats (because this sneaky mom puts avocado and coconut oil and nuts/nut butter in about everything she eats ;)), and about how she doesn't love eating, but will eat the amount her body needs, because that is what is expected of her.  I talked to him about how she started out malnourished, possibly with malnutrition starting in the womb.  We talked about the fact that I don't know the size or stature of her birth parents, if her birth parents came from poverty, the fact that she DID gain 5 pounds and grow 4 inches this year, and pretty much anything else I could think of.  After my "presentation" he agreed that we do not need to see GI for now.  I am going to bring Ramya in for a visit every 3 months so we can check her weight, and he's going to keep an eye on her, but for now, he said we do not need to see GI any more.  Whew.  What a big weight off my shoulders (no pun intended!)!  Rejoice with me!!

 

Mom's Night at Stepping Stones Preschool

Tonight was mom's night at Madi's preschool.  We had so much fun!!  Madi has been over-the-moon excited and was glowing; it was so sweet!  Here are a few pictures of our fun...

Madi's favorite part of the night... "shaving" my legs with a popsicle stick and shaving cream...
 

 
 
Madi's best friend
 
 
Madi painted my nails!
 

 
Showing off our polish
 
 
 
In other news, Ramya told Madi she was lucky that she got to go, and then proceeded to ask her what she did and if she had fun.  This might seem like no big deal, but those of you who understand RADish behaviors (see http://www.thelittleprince.org/symptomsandcausesofrad.html), this is HUGE!  Usually not getting mom's attention leads to major melt downs and tantrums.  Birthdays around here are hard, as extra busyness, combined with another person getting the attention, leads to at least a few days of tantrums.  It doesn't matter how much I try to involve her in the planning and prep, it just isn't pretty.  In addition, she also VERBALIZED that she felt Madi was lucky to go, instead of lashing out.  Wow!  I feel like this is a huge step!  She was pretty happy when I told her we would have our own mom's night out and spend some time with just the two of us :).  
 
 
 
 

 

Monday, March 31, 2014

Our Appointment with Our New Orthopedic Surgeon

Today we made the trek down to Caron Children's Hospital to meet with Dr. Goggins, the doctor that we were hoping would take Dr. Segal's place.  Our appointment was at 3:15, and we live about an hour away, so we left at 2:15 to make it there in time.  We checked in right on time but actually didn't get to see the doctor until about 4:45, so it was quite the wait. I am happy to announce, though,  that we liked Dr. Goggins and plan to use him for Madi's upcoming surgery, as well as our future appointments.  He spent quite a bit of time with us and never tried to rush us along.  He was sweet with Madi and didn't seem to be bothered by her mini-meltdown during the appointment.  We talked about Madi's tight heel cord, the plan to fix it, the stander appeal we had in the works, her recent MRI, her scoliosis and tethering, and all of that fun stuff.  He is going to help us appeal her stander and seemed to have a good plan of attack.  He said he would write a letter with everything in it they were questioning so that they didn't have any more arguments, but is going to have his nurse help him with the logistics to make sure that it was done correctly.  I asked him to review her recent MRI and his findings left me quite hopeful.  He had a bit of a hard time seeing her scoliosis, as one scan stopped half way through where her scoliosis is located, and the other one started half way through.  He said he thought he was able to see it good enough, though, to see how she was doing.  Her spine is curved, but only down lower where the tethering is.  He said it was about 20% curved, which is a huge difference from the 50% we were told after her last x-ray.  Scoliosis between 20% and 30% can often be stopped, or even reversed, with the de-tethering surgery.  He also thought that the spine wasn't twisted/inverted, just curved from being pulled.  What amazing news!!  He also had a good plan for getting accurate x-rays in the future, so that we can better judge how her scoliosis is doing.  He's also on board with coordinating her heel cord lengthening surgery (the one he would do) with the spine detethering surgery.  The bummer is that she will have a cast on for 6 weeks, which will keep her out of the pool, but between the lengthening surgery and the cord release, we hope to keep her left leg/foot nice and flexible.

So that's that!  We have a new orthopedic surgeon and we are hopeful that we will get great care with him.  God really answered our prayers!  Thank you for joining us in prayer!

Sunday, March 30, 2014

Madi's Preschool Pictures

Madi goes to Stepping Stones Preschool and loves it!  This is her second, and final, year.  Next year she will be homeschooling with momma full time :).  Here are her school pictures from this year, I love them!







 

Thursday, March 27, 2014

The Vepreks are Headed to Boston

It's official!  We have a date for a second opinion in Boston and I think we have everything lined up.

The big day is May 14th!  Please pray all of the medical records and everything they need get there in time.

We had planned for just Madi and I to go, but it just so turns out that David's parents are going to be in Boston at the exact same time (well, except they are staying for two weeks) to visit with David's brother and sister-in-law.  And it also just so happens that David's brother works at a hotel he can get us a room at that is right next to a train station, and the train goes right to the children's hospital.

I was not wanting to spend the airfare to get us all there, but David is really wanting to go and visit with his brother and sister-in-law, so we are going to go ahead and all go.  The kids are super excited about riding on an airplane, as neither Conner or Madi were old enough to remember the last time they were on one.  David is really excited about seeing somewhere new.  I am super excited to get a second opinion on Madi's surgery.  So basically we are all pretty excited over here!

I'll keep you all updated on the specifics as we get closer to the travel date.  Thank you for your prayers, I know they are working.  We were told, multiple times, that they would not book us a date until they both received and reviewed all of Madi's medical records.  Yet, here we are with an appointment, even though none of that has happened yet.  On top of that, David is getting a bonus, so we will have the money to go.  Praise God!