Friday, November 17, 2023

Slow and steady

 One of the many medications looks like honey mustard dressing. Gross, but tasteless.


Foley catheter is out. Dialysis catheter to be removed today. Hopeful for a hospital discharge today, but it could be tomorrow.

Bad news- since Jake and the other transplant patients are immunosuppressed, the hospital's emotional comfort dogs (Freedom and Honey) aren't allowed to visit. Maybe if we dress them up like medical staff?  Once they get to the room, they can reveal their true identities.




Thursday, November 16, 2023

Hospital Status

 First and foremost, 13 minutes of Veterinarian's Hospital:


Now that's done. 

Jake is supposed to have both his chest dialysis catheter and his other (more painful and awkward) Foley catheter removed tomorrow at 7am.  Go ahead and Google/Bing "Foley catheter for men."....  Yup.  It's like stepping on a Lego, but as a medical treatment.



Cruising the floor.

Jake's been doing laps of the floor every few hours.  But he hasn't been racing against the other patients.


 The rules of the floor are clear. No wagering.  On the other hand, there are no rules against Zamboni racing.


The winner gets something from the ice cream machine, which has a very odd selection of treats.



Morning report - (spoiler alert)

The head transplant doctor came and said that Jake is on transplant "cruise control". That's a good thing - it means that everything is going according to plan.  It was a bad thing when my high school academic advisor said that I seemed to be on academic cruise control and not improving.  Context matters.

Later today, they are planning to take out his dialysis catheter that he's had for the past few months. That's welcome news - it's very uncomfortable.

I'm back to observing some of the unusual sights in the hospital.  First and foremost, I want any excuse to play with the pneumatic tubes that connect the different parts of the hospital.


I am starting to obtain some of the in-surgery pictures.  The kidney would have fit neatly into one of the pneumatic containers.


Yes, that's the actual new kidney! As you can see, you need to work through my dumb humor to get to the good stuff.

 

Wednesday, November 15, 2023

Candace Cameron Bure says...

Afternoon quiz. For each quote - is this a quote (1) during our hospital stay, or (2) from a Hallmark Movie?


1. The question isn't who's going to let you. The question is - who’s going to stop you?


2. If you see a man drowning, you must try to save him, Even if you cannot swim.


3. That’s what Big Tex wants you to think.


4. Now you have my Kidney. Keep it next to yours and bring it back to me.


5. Eleanor Roosevelt once said a person is like a teabag. You never know how strong they are until they're in hot water.


6. You’re my superhero. I wouldn’t be here without you.


7. It's one of the great mysteries of life. You never know quite what's going to happen next.


8: Go towards the light.


9: I am so grateful to all of you for giving me this second chance for life. I will forever be grateful to all of you, my superheroes.


10: There’s real magic helping other people.




Now for the answers - two hours later.


The numbering got screwed up in the initial version. The hospital quotes are 3, 6, 8 and 9.  The rest are Hallmark (they said heart in the original #4, but this was better).  

Is that the DOOM soundtrack I hear?

Things are going well. Jake's BUN is normal and creatinine is 2.1 Those are his best numbers since 2007! His online chess rating is still stuck in the 900s, but he's working on it (he started last month). I offered to help him cheat against the grandmasters, but he was unwilling to make the full commitment (obscure chess humor-https://kotaku.com/youtube-chess-anal-beads-magnus-carlsen-hans-niemann-1851020457).

He walked the hall this morning.  It hurt a lot, but he did it.

I have video of him walking, but I couldn't decide what background music to use, and got stuck in a creative blockage.  You can hum either the guitar solo from Freebird or the DOOM soundtrack.  Your choice.

Meanwhile, Remy is doing amazingly well.  Their family is chillin':

It looks like Remy will go home today.  Amazing.

Thank you for all the messages of support on the various social media platforms.  My Myspace page is lighting up!  Pro tip - If you leave a message on this blog, it shows up as "anonymous" unless you type your name.   

Tuesday, November 14, 2023

In the Room

We are in a patient room (713) in the renal transplant wing.  Remy is in the adjoining room, and is  recovering well. The staff may have the patients get up and walk the floor as early as tonight. We shall see. We'll all be here for at least a few days (probably).

I found some good video of the hospital experience.




On a related note, I also found an article exploring issues of segregation in that same hospital (and throughout society).  https://thesocietypages.org/socimages/2013/12/28/inequality-and-segregation-in-the-workplace-lessons-from-richard-scarrys-what-do-people-do-all-day/


Important note - Jake will be immunosuppressed for the foreseeable future.  So (unlike the video) he can't have visitors, and can't receive fresh foods or flowers. 



 



Post-op report

 


Jake is out of surgery. It went very well. The kidney is already working, which is a big improvement over last time (where it took weeks to kick in). 


It looks like it hurts a lot (because it does):



When the surgeon came out to give us the report, she said that he told the surgery team "I love you guys. You are saving my life."  And then the anesthesia knocked him out. She said that nobody had ever told her anything like that before, and that the surgery team was choked up. 

We are waiting to get moved out of post-op into a room. That may take a few more hours. Or not. Jake is texting his friends, so he's mostly awake. He did note that he'd probably have to skip yoga class today.

Wanna see something cool? A kidney on ice!

 Here are some pics from the kidney removal procedure, including a kidney on ice:




That's the kidney (on ice) that the surgeons are poking in the last picture.

Who is the bravest? The donor, the recipient, or the dad who was willing to eat the stuffed cabbage special in the hospital cafeteria?



 

Waiting - Deja vu

Waiting for them to begin the procedures. No sense of timing yet. I'm a little suspicious about one item. Back in 2009, I discussed the merits of the Big Texas cinammon roll from the hospital vending machines. You can see the 2009 version at
 https://jacobsrecuperation.blogspot.com/2009/05/getting-ready-for-check-in-tomorrow.html

The Big Texas is still in the vending machine. But the label doesn't mention any of the previous honors. It used to be four-time vending machine "Pastry of the Year" champ - it said so right on the label. Now - nothing.
Meanwhile, here's Remy and Jake together (how awkward that they showed up in the same outfit):





And here's the superhero and the superheroine surgeon:

Monday, November 13, 2023

Family...

So - there's stuff going on. The quick version - 1. Jake graduated from college with a double major in Philosophy and Theology in May 2023. Yay.
2. After graduation, his kidney started to fail pretty rapidly. So he eventually went on dialysis.
3. We are blessed to have a kidney donor, and Jake's going in for kidney transplant surgery tomorrow. His donor hero is Remy Cross, who grew up with Jake (and who is a proud Duke grad). They have known each other for a VERY long time. Remy is far left, Jake is far right.
4. The donor organ removal surgery starts at 9am. Jake's transplant probably starts around noon or so. Details will follow.
5. I was talking with Jake about how we could strengthen the family bond while he's stuck in the hospital. As a result of his previous medical travails, he's got an incredible resistance to anesthesia, and will be sleepless. Therefore there's only one obvious way to celebrate family in the proper sense - a commitment to watch all ten Fast and Furious movies in a row.

Sunday, November 20, 2022

Quick update...

I was reading the blog for the first time in a while, and came across the initial Neurologist prognosis (after the strokes) of a future in "special ed". Jake just submitted his application last week for a Fulbright Scholarship. Pretty cool, eh?

Sunday, December 2, 2018

All's well that ends well

For anybody who runs across this blog and wants to know how it "ends" -- on November 30, 2018, Jake was accepted (early decision) to start in fall 2019 at the New College of Florida, which is the Florida Honors College (i.e., a public version of Oxford/Brown, with no grades and rigorous academics).  Cool, eh?

Friday, March 28, 2014

Bi-annual status report

The kid is looking good, and doing well!


Sunday, October 21, 2012

The best medicine

When your kid isn’t feeling well, the best temporary medicine is to get them talking about something that really interests them.  All of a sudden, their eyes open up wider, and they show a spark.

Jake’s been out of school for over a month.  He’s been achy and nauseated.  Luckily, there have been two separate events that have kept him from sleeping 12+ hours each day – the release of Pokemon Black and White on October 7 (he finished it in a week), and the release of Skylanders:Giants on October 21.

Since he’s my kid, he compulsively multitasks while playing his Nintendo DS/Sony PSP games.  He usually listens to and watches a sitcom on the iPad via Netflix streaming while playing his game.  He plowed through 12 full years of SNL episodes, and has now gotten through 3+ seasons of Monk (the Tony Shaloub show).  Is there any other 12 year old who watches Monk?

After a month of pleading, Jen agreed with me and we’ve taken Jake off the insulin.  He’s has the same blood sugar spikes that he had when he was on the medication.  If the medication wasn’t going to change anything, I didn’t want it.

We’re hoping he starts back in school tomorrow.  He lasted through 3.5 hours of Bar Mitzvah party on Friday night, and 4 hours of Yu Gi Oh tournament on Saturday.  He’s felt crummy today, but I’m still hopeful for tomorrow. 

Friday, October 5, 2012

Too sugary a report

Jake’s been on the mega steroid program for a few weeks. It seems to have stalled the kidney issues, but it’s made him diabetic.  He’s been on a 5-times-a-day blood sugar testing schedule with three insulin injections a day.  The combo of the steroids and the insulin have made him bloated and have caused him to feel lousy.  He’s missed three weeks of school.  He feels so bad that he doesn’t want to sit at his computer and play his games.

So what’s he been doing, you ask?  He sits in bed and plays old Pokémon Gameboy games.  He’s trying to improve his Pokémon scores on his Gameboy.  This will allegedly help him when Pokémon Black and White 2 comes out on October 7.

Since he’s a born multitasker, he does this while listening to old Saturday Night Live episodes on the iPad.  He’s plowed through dozens and dozens of episodes – mostly in the Tina Fey and Jimmy Fallon eras.  Yuck.

Sunday, September 16, 2012

A rainy day retreat

I was busy last night (I had promised to help out at a bike race at the track) and Jen took my place for the parental sleepover.  I slept at home, between the very lonely and needy dogs,  The dogs seem very disoriented by the lack of family presence.

I got to the hospital around 9:15am today, and Jen and Jake were both half-asleep.  I think they double-napped, because it's now 12:30pm and Jake is still a bit groggy.

I think we're going home this afternoon. Jake will come back tomorrow (and Wed and Fri) for an IV dose in the morning.  Jake's kidney numbers have stabilized a bit.  They aren't good, but they aren't getting worse.  I think his overall kidney function is at 30%.  You need dialysis when it gets to 15%.  I think his post-transplant numbers were around 45%.  

Saturday, September 15, 2012

Easy Saturday Status

Jake's feeling pretty good right now. He's taken 2 naps already (kind of an indication he's a bit drained) and several of his friends are stopping by this afternoon.  Right now he's putting together some Legos with Flynn.  We may have to formally register his desire at the Lego store, because that's what people bring when they visit.  Luckily, Flynn's a Lego nut too, and he has a mental checklist of what Jake already has.

His blood sugar is high.  We presume that's steroid-related, but he's got to lay off sugar and carbs for a while.  It's an odd situation, because pre-transplant people have to go on a low protein diet.  I asked, and they said that they don't adjust a transplant kid's diet until absolutely necessary. Even though his kidney is currently problematic, its apparently more important for a kid to get the protein.

The current plan is to go home tomorrow and come back Monday-Wednesday-Friday for additional IV servings of solumedrol.  There was some talk of staying over until Monday, but I wanna go home. Jake would probably prefer to stay over, because his primary fear is the needle prick, and he's afraid of the Monday IV needle (as opposed to simply keeping his current IV for an extra day).

Friday, September 14, 2012

What's the emoticon for nervous?

I'm not much of a texter, so I don't know the official symbols.  Jake's initial biopsy results came back, and they aren't particularly encouraging.  These bouts of rejection seem to have caused a good amount of scarring, and it seems to indicate that the long-term span for this kidney may only be a few years (or less).  We've got a big visit planned to St. Louis in two weeks to meet with Jake's lead transplant nephroligist, so this may be the lead topic of discussion.

Jake's hanging out in the room watching TV.  Valerie and Kim Carver stopped by earlier in the afternoon.  He's a little grumpy right now, because he's got a blood sugar test in an hour and he's not supposed to eat and sugar or carbs until that's done.  Once it's done, he can eat all he wants. I brought him some Cholula-flavored beef jerky, which is much tastier than you'd think it would be.  Highly recommended,  With all the prednisone he takes, he's a usually a hungry boy. Last night he sent me out at 11pm to McDonalds (at the other side of the hospital complex) for Chicken Nuggets. I did get him a Power Rangers happy meal, because it was a lot cheaper than buying his requested items individually.  I don't think he's going to treasure the Power Ranger toy, but who knows?

I don't know if it's a symptom or a side effect, but he's really puffy.

It looks like we'll leave the hospital on Sunday.  It's a good thing that Monday is a day off.

Thursday, September 13, 2012

Kidney Rejection II - Electric Boogaloo

We're back in the "hotel" for a few days. Jake's kidney function blood levels are pretty bad (Creatanine 1.4, BUN 43) .  He had a biopsy yesterday, which tested negative for the various bad viruses and such, but positive for organ rejection. Just like the last two times, we're back in the hospital for a three day IV treatment of Solumedrol (in massive 400ml doses).  Presuming that it works, he may be back in next week for every-other-day pediatric ambulatory treatments.

He's a trooper, and isn't afraid of the hospital or the treatment. He's primarily concerned about the lack of ample internet bandwidth.  He's got the iPad, and has hit me up for purchases of "donuts" on the online virtual simpsons game.  I'm used to sleeping on the chair, and have no problem going to work in the morning once Jen comes in to take over.