Monday, October 8, 2007

Fun with a Catheter & Procedure #10

I have started this particular Post out with email's written between myself and Dr. Downey. Dr. Downey is the surgeon that has done all of Hyrum's surgeries up to this point, and has been apart of all of his surgeries up to his take down surgery at 15 months old. I believe that it shows a bit of who he is.
October 8, 2007
Dr. Downey
I have a question about Hyrum's foley.

I have changed a consistent stream of wet diapers today. Each time I flush them, there seems to not be a problem and nothing comes out within 5-10 minutes from his penis. And it seems to come straight back out through his foley.


Should I be concerned, as it is flushing well? I have discussed it with my husband and we will be raising his head higher above his feet in his crib in hopes that this will help, As most of the wet diapers have occurred while or after his naps.
October 9, 2007
From Dr. Downey
I will arrange for him to have some xrays the office should call you. I think his fistula should be closed
October 10, 2007
Dr. Downey
After being ushered out of the x-ray room by the nurses and having not seen the radiologist any time after that, I finally tracked down one of the nurses to having her tell me that the fistula is not closed yet.

We have raised one end of Hyrum's crib to about a 45 degree angle in hopes to help the flow out of his bladder.
Do you have any other suggestions to help keep everything working properly?
October 10, 2007
From Dr. Downey
I am sorry I could not come down to the xr dept but I was tied up. I looked at the study and the fistula is open. I have asked one of my colleagues to look at this and we are going to get together this evening after he looks at the xrays. I will call you as soon as we talk. Sorry for the delay. Just leave the foley in place as is for now until I call.
October 18, 2007
Dr. Downey
First I wanted to thank you in helping us get a new foley bag! The new bag is great and much easier to work with than the original.
Second I thought you would enjoy a few pictures of Hyrum in his "natural habitat"!! This past weekend my other kids had a few days off. Instead of leaving town as we had hoped, John had to leave town on business, so I took the kids and we went site seeing around town. A few of the pictures are of the kids at the zoo. And one with my mom holding him. She comes every once in a while, when Hyrum won't sleep. Than she holds and plays with him, so that I can sleep.

Thank you for all your hard work, we appreciate all that you have done for us!
October 18, 2007
From Dr. Downey
Thank you so much for the pictures of your beautiful children. They are always so much of an inspiration to me. Why did we adults have to change? I continue to ponder over him and pray of course. He is a very special little fellow!
October 20, 2007
Dr. Downey
My husband is wondering when we will be starting the dilators on Hyrum. This Monday will be 4 weeks since his surgery and 3 weeks since he came home. You had mentioned that we needed to start about 3 weeks. Does it matter when we start? Should we be doing something now, or will this coming Monday when we come in be a good time to start?
October 28, 2007
Dr. Downey
Hyrum's foley bag has somehow has gotten another hole in it. John was holding him and I looked down...of course, I teased John about doing it himself, but it really was a nasty mess and Hyrum had a hole in his bag that somehow cut through both sides of the bag.

I will call your
Provo office and see if I can go and get another one on Monday:)
Well after a week, I can see why you put him to sleep when you showed me how "easy" it is to dilate Hyrum. It has turned into a two-person job! Every once in a while he has a "mucus" brown type substance that comes out afterward. The first time it surprised me, but I figured it was normal as the dilators stimulate this muscle. If this is not normal then I guess I'll be hearing from you. But I'm pretty sure that it is normal.


Otherwise, we will be seeing you on the 6th of November in your
Primary Hospital clinic.

October 28, 2007
From Dr. Downey
Let us know if you need help with the bag. The brown stuff is mucus and it should come out periodically. I like doing the dilations in the OR the first time too. It just helps to increase the confidence you have that you are not injuring anything. See you the 6th!

November 24, 2007
Dr. Downey
Hello and Happy Thanksgiving! I hope you were able to take time to spend with family.

Hyrum has been doing great. He seems to be growing more each day. He can now roll from his stomach to his back. He has yet to be motivated enough to go the other way, but we will get something to help him:) We gave him a haircut to get his long wispy strands out of his eyes. It has made his eyes seem that much bigger. We are stopped everywhere we go for onlookers so amazed at how beautiful he is.

He has been taking the dilators pretty well. He seems to be a strong 11 now, after only a few days. Once or twice he has been tight but more often than not he is very loose.

Yesterday, while changing his colostomy bag, I noticed some white spots on his stoma. The best way to describe them would be to say they look like a canker sore in your mouth. He has about three of these tiny spots on the outer edge of his stoma.

I'm sure if this is a problem, you'll let us know. Otherwise, we will continue feeding him "miracle grow" here at home!!

December 14, 2007
Dr. Downey
Just letting you know that we have met with Dr. Conner. Because I wanted to get working on getting Hyrum the "RSV" shot, I was able to have all of his medical records sent to her office before our first visit. This was great, as we talked about Hyrum, she was able to pull up all of his records to verify or get the medical terms for what I was trying to tell her has happened to Hyrum. Her office had also taken all his the various weight and length measurements and charted them to see how he has grown over his life.

We learned that he hasn't gained any weight for the last three months. She is very concerned about this. She is having me put one scoop of formula in his bottle of breast milk. After a full day of this, I think it must have messed up his system. As he woke up about 10:45pm to eat (normal), but he refused to eat. So I thought, well maybe he doesn't like the milk with the formula, or my milk is bad (this happens sometimes). So I had John warm up another bottle, this time with no formula. He refused this one also. I made sure it was good milk...it was, but he refused to eat. he then became so fussy and wiggly. He would hardly let me put his Binky in his mouth. We took his temperature...nothing. I have never had him so fussy. After that first time, when he was only 5 weeks old, we don't let him cry and he seems to not really cry either. But he was upset...very upset. So we gave him some ibuprofen as he seemed to be in pain. By 12:30 I was beside my self with not knowing what to do for him and John was also struggling. I finally called the Dr to see what they suggest we do and John grabbed a heating pad and turned it on low and wrapped him in it as he seemed to be very cold (which is unusual when he cries as he usually heats up). He finally settled down for John and I learned that we had done everything we could for him. But if he refused to eat into the morning to bring him into the Dr's to see if he had something else going on. He slept until about 5 am and ate really well. We did not put any formula in his milk throughout the day yesterday. Last night he was up every three hours to eat...taking about 1 hour to eat. So least to say, I'm exhausted from two days of no sleep. Today, I have put one scoop of formula in his morning bottle. This will be all for today to see how he does, and tomorrow, if all is well, we will let him have two feedings with a scoop of formula in them. This will hopefully build him up a little slower.

Dr. Conner also did a blood test to make sure his various iron, calcium, etc levels were normal. They were. She also had us take a stool sample in for testing to make sure everything there was normal. We haven't heard back yet on that test.

She has also contacted Kids on the Move to see if they can help him get back up to the developmental stages that he should be at. I will be meeting with her the day after Christmas to see how Hyrum is doing and hopefully see if he has gained a little weight.

Dr. Conner's office is also working to get him the RSV shot. I will be checking up on that today.

I was very impressed with how together Dr. Conner was and making sure that Hyrum is at his best and getting to stay healthy throughout the winter.

I have attached a couple of pictures from Halloween, I thought you might enjoy. My neighbor Becky Ekstrom took the pictures at her house. Her sister made Hyrum's outfit, who gave it to Becky's mother(she lives kitty-corner on the other side of us), who gave it to Hyrum.

Thanks for referring us to Dr. Conner, I also have a neighbor that goes to her and loves her also but thinks she is really great.

December 14, 2007
From Dr. Downey
Thanks for the update. Keep an eye on his stoma output during times when he is in pain or refuses to eat. If he stops putting out stool or has voluminous output then we need to know about this. I have been in contact with Dr. Conner

December 14, 2007
Dr. Downey
Thank you for the tip. I will watch the output. So far it has been thicker than normal, but he is also eating more solids lately. That is really the only change is in output!
Here is another picture of Hyrum taken the beginning of December
Thanks again.
And here is the story of Hyrum.

October 10, 2007
Hyrum and I have had a hard time adjusting to home and getting the right amount of sleep and still playing with siblings. He has completely loved being home, but I have been so exhausted that I feel like all I do is sleep and eat and feed Hyrum. For a few nights I got a total of 6 hours of sleep in 2 hour increments, not enough sleep.
My kids don't have school Thursday, Friday, or Monday. We are not able to leave our house to go on vacation, but we are going to spend some great time together right here at home, as they need that attention.
October 18, 2007
After receiving many requests about Hyrum's recovering, I realized that it has been about 2 1/2 weeks since he came home. So I have a few pictures for you to enjoy.
Hyrum has been doing very well, he has not caught the cold or flu that I ended up with! He has loved the attention from each of his siblings and he sleeps very little especially when he hears them around the house.
We have all gotten the flu shot to help keep him healthy and as of November Hyrum will be receiving the RSV shot once a month in hopes to lesson his chances or at least make his case not as bad of getting RSV. He will get this shot monthly until about April or May of next year. When I took Rachel to get her shot (she hates shots), she finally sat on my lap for her flu shot. She didn't want Hyrum to get sick because this would mean that he would have many shots. So she finally consented to getting one "poke" in hopes her brother wouldn't get many "pokes."

Rachel, Sarah or Karl had no school this past Thursday, Friday, or Monday. So we took the opportunity to spend some time together. We went to Thanksgiving Point, and the Zoo.

Grandma Bates(Jennifer's Grandma) was able to come and see Hyrum at home. Jennifer's Mom has also come to help every once in a while to help me sleep.

Hyrum sometimes will sleep for only two hours at a time at night. After 4 hours of sleep, I don't quite feel ready for the day.


As you remember, Hyrum came home with a catheter. His intestine was attached to his urethra, which they cut and attached it in the correct spot. By putting in the catheter, this prevents any urine from going through the new hole, allowing the new hole to close on it's own. So far this has not happened. This coming Monday, Hyrum will go in for another x-ray to see if this fistula hole has closed yet. If not than it will be closed surgically. It is an out patient procedure, so hopefully he will get to come home the same day.

This past weekend, Hyrum's catheter bag started to leak. We put a zip lock bag around it until we could get a new bag. It was pretty grouse to see how the zip lock bag was catching more urine than the catheter bag. On Wednesday, we got a new bag. This bag is great. It fits in smaller places and the piping isn't as long from his leg to the bag!!


I hope all is well with each of you and we appreciate all the prayers and thoughts that are sent our way!

October 18, 2007
This year, my girls have come up with their own costumes for the first time in order to "help mom". My sewing projects are cut up and ready, but I'm so tired and my house is in such a state, that it all is still sitting there waiting for me. My mom is trying to convince John to hire a maid to clean the house as I'm not getting to it. On most days John is digging his clothes out of the dryer, and I tell him to be grateful they are at least in the dryer and not on the outside waiting to get in!

I remind my self that there is a light at the end of the tunnel, and I just can't see it yet!


October 18, 2007
From neighbor and friend Barbara Stoddard
Dear Jennifer,
Thank you for the update. I have been hoping to hear how Hyrum was doing. We do continue to keep him and you in our prayers. Poor little guy. Another possible surgery! He sure seems to have to do everything the hard way. Sounds like he is making good progress though.
We are just across the street. I am happy to come and watch Hyrum so you can nap, when I am home, or the children can play here.

October 18, 2007
Email in Response to above Barbara Stoddard
Thank you for your offer.
My mother has been trying to convince me that I am not Super Woman. That it is ok to scale back. I have gotten Karl involved in school and gymnastics that I have a hard time taking a nap in the mornings and in the afternoons, the girls come home needing help with homework and just plain attention. Tuesday and Thursdays they have gymnastics and piano lessons. My mom finally came down yesterday afternoon and forced me to lay down and take a nap. I got three hours solid for the first time in a few months.

Hyrum, during the day, will nap for a max of 1 hour (usually less) and at night, the last few days it has been about 1 1/2 hours to 2 hours at a time, but he usually sleeps for about 2 1/2 hours to 4 hours.


John has gotten used to coming home to fix dinner, or have dinner still in the process, and coming home to the kids doing most of the clean-up.


We are working on making sure the important things happen, like kids getting positive time with parents and each other, that I get sleep, and the kids get to school and bed on time. Everything else is bonus material.


Thank you for offering to help, I will try to take you up on your offer and get over my fear of imposing. And like wise you are more than welcome to come check up on us. Anytime my van is outside you can bet I'm home!

October 24, 2007
Ted Bates
My sleeping has become critical. Right now, nothing else matters. But for a person who doesn't enjoy doing nothing. I'm having a very hard time. I feel that all I do is feed, eat, drive kids to activities, and sleep. I don't cook anymore, and I don't clean my house. Between John and the kids, they do most everything. If I get to something it is bonus time. But this is not healthy for everybody else.

Monday was very hard as I could not sleep anywhere. My mom came to the hospital to sit with me as the freeway from her house to mine was backed up and she would not have gotten there in time for the kids, so John stayed home and mom came to help me. We finally found a few chairs that were hooked together and I used my mom's jacket and propped my feet on a little end table/stool and slept for about 1/2 hour. Hyrum's surgery was set for 10:45, but the doctor pushed him back to the end of the day because he didn't want to do the surgery, but he needed to spend some time to start some other things for Hyrum. This required that Hyrum not eat. So he ate milk at 4 am, refused juice at 7 am, they gave him juice at 11am which he downed 3 oz. and we got done with everything and he was able to eat milk at 5 pm. We literally paced the floor all day. Yesterday I started to spread out his feeding schedule to a 4 hour schedule instead of the 3. He did great and even better through the night. We will continue to hold to the 4 hour in hopes that he will sleep better at night also!


I could sleep all day and still not get any energy when I sleep for only 2 hours...and during the day it is 1 hour max. Last night he slept 4 hours between feedings, so at least I got about 3-3 1/2...much better. I feel great today!


October 25, 2007
From Ted Bates
Sleep is a very important thing. My wife Lana has had trouble sleeping for decades and after awhile it destroys one's health. You can get so wired that there is no way to sleep.
Best of everything to Hyrum and you. I would hope at some point you can have some sleep. However now it would take days or weeks to return to normal.
When I got out of the Air Force and the nuclear weapon job it was six months before I realized I had lost my taste buds. Stress has strange ways it gets at us.
We had many issues with Hyrum's Catheter, mainly leaking. The kids would carry him around dragging the Foley bag around on the floor. Hyrum's Fistula never did heal, so he ended up needing to go back in again. I also had problems with Sleep, Hyrum thought he needed to eat every so many hours so I was up every 3-4 hours for an hour at a time as he was a slow drinker and I had to warm up his bottle.
December 5, 2007
As I started this letter, I realized that the last time I wrote an update was the day Hyrum came home from the hospital...opps!

So lets see if I can catch you all up! Hyrum came home from the hospital on Oct 1 with a Folley (or catheter) in place with hopes that he would heal naturally where the doctor cut his intestine off his urethra. For reference, the difference between a folley and a catheter
is that a catheter 1)can be placed while you awake, & 2)it goes in the urethra only far enough to catch the urin. Now a Folley 1) needs to be placed with you being a sleep because 2)a folley goes all the way up to your bladder with a balloon to prevent any urin from going through the urethra, thus allowing the new hole to heal naturally leaving less scar tissue.
This Folley was to be in place for 2 weeks. Hyrum leaked every once in a while, but nothing major or consistent. We learned we had to have him sleep more at an angle to keep his folley lower than his body. He could not lay on the floor for the same reason. We bought a bed brace to fit on our couch to keep him from rolling off the couch. We also learned that he could not be in his car seat for very long. This prevented us from going very far. So Jennifer's Grandma came to visit Hyrum at his house instead. Within the week his urin bag started to leak. After another few days we got it replaced with a better bag.
And during a 5 day vacation from school we "vacationed" at home instead of going somewhere else. We went to the Zoo, which the kids loved. We put Hyrum in his stroller, raised up his back to keep him elevated…and off we went having a lot of fun! Karl loved seeing the animals and riding the train. Everybody was tired after that day, but not tired enough, as we went to the LDS church children's museum to play some more that day.
We also went to Thanksgiving Points petting zoo. Each of the kids got to ride a horse and feed a few of the farm animals there. We even got to ride in a wagon pulled by a pair of Clydesdales.
That afternoon we went to an out door part of Thanksgiving Point called Cornbelly's. They had fun activities for children, including rides, go carts, a maze (that we got very lost in), and other fun activities that the kids had a lot of fun with.

Hyrum enjoyed the Dinosaur Museum as the kids ran through exploring the various aspects of the museum.
After this 5 day filled of fun, Hyrum went back to see if his hole had closed up on October 16. Instead, we found a diverticulum, which for the rest of us means a pouch on his urethra. In hopes to have more time to heal, the doctor decided to leave the folley in place another few weeks, but because it was time to start dilating his new anal hole, we set up a time to come back the next week. They were going to put him to sleep to show me how easy it was to dilate him. And possibly take out his folley. So on Monday Oct 22, he ate his last meal at 4 am and drank his last clear liquid at 7 am, which he would not drink. We got there at 9:30 am to start the process of his surgery and have his x-ray done at 10:30 am. We finally got his x-ray done at 11 am and back up to the surgery. After much miscommunication between the hospital staff (different groups don't talk to each other well), we ended up being skipped and moved to the end of the day. They allowed Hyrum to have more clear liquid at 11:30, which he drank a solid 3 oz. He finally got to surgery at 3 pm. Jennifer's mom and sister, Martha, showed up in time for lunch and for Jennifer's mom to walk Hyrum in the stroller while he slept…in hopes to keep him a sleep, while Jennifer cat napped on a chair in a waiting area of the hospital, having had no sleep the night before. Both Jennifer and her mom were surprised at how well Hyrum did that day with no food. He hardly fussed and slept most of the day. I was able to gain my Halloween costume that day as they allowed me into the surgical room to see how "easy" it would be to dilate Hyrum. He was very excited to get food about 5 pm.
As I got Hyrum dressed, he was very giggly and happy. He hugged his clothes that I laid next to him. He was really happy to be going home. It was as you can see on his face an almost, "is this for real, we are really going home" look on his face. We left with the folley still in place in hopes to have his urethra heal more.











They left the folley in place until the 6th of November. After spending the whole day with no food, we were able to convince him to eat every 4 hours instead of every 3.
During the next few weeks , we learned that dilating Hyrum while he was awake is NOT easy. After about 3 weeks he finally quit fighting the dilators and would just lay there playing with a toy he was given to distract him. We get to do this every morning and night. If you can't figure out what we do with the dilator at this point, than know that we are stretching his new rectum muscles to get big enough for stool to pass through.
After about a week, Hyrum also quit fighting his antibiotic that he is on full time orally to prevent urinary tract infections. During this time Hyrum's bag leaked all over his Grandma Burrell's kitchen floor and needed to be replaced for the second time.
We were able to enjoy Halloween. We have a wonderful neighbor who we have to thank for Hyrum's cute pumpkin costume. It is a bib that was too cute to not show off. Both girls were princesses and Karl was Thomas the Train. Hyrum was able to say hi to each of the neighbors before it got cold and dark outside! We have another wonderful neighbor to thank for these pictures.
Hyrum went back in on November 6th and, of, course his pouch has not closed. After 5 weeks they didn't think it would close any more than it already has. So they took out his folley. We were glad to not need this any more. Hyrum is now on antibiotic full time until the end of the year.
We had a wonderful Thanksgiving Day with John's family this year. We
then used the rest of the weekend to start the wonderful building project of finishing a few bedrooms in our basement in hopes to make the space more usable.
We have also given Hyrum a major hair cut. His hair was in his eyes, so his mommy allowed Dad to have the clippers to make it all even.
Our family has already been sick this season. We are hoping to get Hyrum an immune system shot to build up his immune system against RSV. At the request of Hyrum's
surgeon we will be switching pediatricians in hopes to get things done right for Hyrum.
While at the doctors this past week, November 29, the doctor got the privilege of dilating Hyrum. When most babies are first dilated they start at an 8 mm. When Hyrum was first dilated he was at a 10 mm. Over Thanksgiving, we were told to move him to an 11 mm. At this appointment Hyrum was moved to a 12 mm. The surgery is usually performed when the baby is at a 14 mm. Around the New Year, Hyrum will be taken off his antibiotic to see if/when he will have a urinary tract infection. He has to go 3 months with no infection before the final surgery will be performed to close his colostomy, or put his intestine back together. If he has an infection, which he probably will, then Hyrum will be put back on the antibiotic until the infection is gone and then he will have surgery to fix the problem with his urethra for good.
Some may ask, why wait if you know it is going to happen any ways. The answer is simple…nothing is easy for Hyrum….the longer they wait the bigger he gets. So we will wait. We are hoping to keep him as healthy as possible, but hope he can fight what comes his way.

December 7, 2007
If he has had bad respiratory problems that are documented, you may try to get him an immune system building shot. This is to help keep him healthy. The reason you need it documented is because you want your insurance to cover the expense of the shot as it usually runs about $1,000 per shot which is needed once a month through the RSV season. But it is cheaper than having the little tick in the hospital for even one day.
I think this is the first week that everybody at my house is actually healthy.

December 7, 2007
He is always congested, but he is at his healthiest. He is starting to roll and he loves to eat food! He has two new teeth, and he loves the sound of his voice!

December 16, 2007
This is my Mom’s Christmas Letter has a bit of her life in all of this in it and how crazy her year had been!
Hello and Merry Christmas to all,
This may be a shock to everyone, but I'm am attempting to write a Christmas letter.!!!!
We have had quite a year! It was very busy, but we have had many blessings. It began with Jennifer going to bed with her pregnancy in January. I moved in with them during the week and came home on weekends. I was also taking a software embroidery class during the week, so I would come home on that evening and return to Jennifer's the same night. Martha, James and Phil survived on their own. I think they had a great time.
Jennifer's baby, Hyrum, was born in March. Most of you know the details of his eventful and complicated life thus far. About a week after he was born I caught a cold or something and was grounded from spending time with her family. How I appreciated all the help they received.
Well, I got over whatever I had in time to fly to David and Jill's for the birth of Devin in May. I enjoyed spending time with them. School was out for the summer, so I was able to spend time with all the children. Mariah loved to play "Stinger Bee." She could win every time. Brayden loved to play with my new cell phone (He could work it better than I could) and with my computer. He designed himself a dragon, which I have finally embroidered for him.
I came home in time to prepare for girls camp (I didn't have to do much but attend) and to finish preparing for the Bunker Reunion the last of June. Jennifer was my right-hand secretary for everything. She kept in touch with as many as she could through all her exciting days with Hyrum. Three of my sisters (Sherryl, Evelyn & Elizabeth) came the last few days before the Reunion to help out. That was great fun. What would we ever do without family? Anyway, thanks to all who came and supported the reunion. Everyone left before I had much of a chance to visit, but it was great to see everyone.
The reunion over, it was time to pack up Martha and James for their move to Philadelphia. James was accepted into medical school, to begin in the fall. They found an apartment over the internet, rented it sight unseen, … well almost, a member of their new Ward viewed it for them, taking pictures and sending it over their phones. Wow how life has changed.
July and August found Phil and I with Martha & James, each traveling in our own cars going East. A 5400 mile round trip for Phil and I. Our first stop was Jonathan and Corrina's in Yankton, SD. We spent a Sunday with them as Martha and James were Jonathan's Sacrament Meeting Program. From there we stopped briefly at Winter Quarters visitor's center. We have family buried in the Winter Quarters Cemetery. From there we traveled to Nauvoo where we meet David and Jill and their children. We had a wonderful time. David, Jill, Martha and James were able to attend a session in the temple. Martha was able to play on a special piano located in the Assembly Hall of the Nauvoo Temple and Jill met her Mission President, who was the Temple President. Phil and I watched the children. We were able to watch the Nauvoo Pageant. Valerie, Sherryl's daughter, reserved us seats on the second row. Valerie worked in the costume department. The next day we stopped at Carthage Jail and then traveled on to David's home. Martha gave a recital on Saturday night and played the organ for his Sacrament Meeting. David gave Devin his name and blessing. James and Martha presented a fireside on Sunday evening.
From there we went North to Martha and James's new home. We stopped at Gettysburg on the way up. We gained a new appreciation for the events of the Civil War.
We got to the apartment in time to meet the truck with their belongings. Because the truck could not be on the street overnight, we (with the help of the driver) empted the truck on the grass. Later Ward members showed up and helped us get everything inside.
Phil and I spend about a week with Martha and James, helping them unpack, etc. then began our journey home. Before we left the area we had a drive around the Liberty Bell, etc. and visited Valley Forge. Valley Forge is a beautify park now in the mist of large towns. We stopped at Kirtland and spent nearly a day there seeing the sights, visiting the Kirtland Temple and the John Johnson home. From there we made a quick stop at Jonathan's and then on home. We were gone about 3 ½ weeks.
Martha began flying to Utah in September to finish her Master's Degree. She flew in on Monday and home to Philadelphia on Friday. Thus she became an important part of our lives. Between Martha and Jennifer we've managed to keep very busy. Martha had a recital in the middle of all this and began struggling with health issues again. Keri is also in school and I watch her children on Wednesday evenings. I have managed to be here some of the time. They are cute boys, if cute is OK to use with boys!
We were sorry to learn of Aunt Pam's (JoAnne's Aunt) passing, but grateful we could attend her funeral in Arizona. It was good to see extended family again. Our love goes out to her family. Martha has her piano and we are grateful Aunt Pam was able to see it refurbished while she was here at the reunion.
The last of October I flew to Jonathan and Corrina's for the birth of Enoch, our 25th Grandchild. Corrina was home from the hospital before I arrived as Enoch came a little early. I changed my ticket so I could fly a week earlier and some Ward members watched the boys until I arrived. Jacob is learning to play the violin. I liked listening to him practice. Reddeck used to be a quiet little boy, but he has grown up and loves to wrestle with Jacob. He gets hurt, gets his loves and jumps right back in. Jacob is a good older brother to him.
The day I left for South Dakota, Phil learned that Uncle Loren (Phil's dad's brother) had passed away. He drove to San Diego for the funeral.
My sister and her husband, Sherryl and Al, pop in once in a while with their truck loads. We are always glad to see them. My sister, Elizabeth, stops by occasionally also. Actually, while I was in South Dakota, she and her family had a Thanksgiving feast here. I heard it was great.
Phil, Grandma Bates and myself had a very quiet Thanksgiving Day. We watched movies on TV. I think we were too tired to do anything else.
Somewhere in there is George, Kristy and family and Julie and her family. Loren and Zack mowed our lawn once while we were gone. I'm not sure where time went. I managed to make it to a ball game or two. I even managed to take care of the leaves in the yard before it snowed on them. Zack and Dallin had a great time playing in them before that happened.
Phil has a couple of calves in our back acre for the winter that belong to a neighbor - so he is worrying about the water, etc. We usually don't keep animals over the winter as we don't want to take care of them during those wonderful months.
So here it is the 9th of December. We have our Christmas Gifts completed and I am even writing a Christmas Letter, so to speak. Martha flies in tomorrow - it's final's week for her and Keri.
Phil keeps busy at work and keeping up with me. He works hard on both of our Genealogy. He takes his lap top where ever we go so he can update what anyone will give to him in the way of information. He says if you have something you want to give him, please e-mail him at: grandpaburrell@gmail.com. We appreciate each of you and are grateful for you.
Here it is the 16th and I haven't mailed this.
We enjoyed visiting with the Bunkers again at Theron's funeral. We again express our love for them at this time of their sorrow.
Exams are over and Martha has returned home for the season or until next year. Shelia (Phil's niece) and her family spent the night with us on Friday on their way from Montana to Arizona for Christmas. We had a family party while they were her.
We give thanks for our many blessings and express joy in our Savior. May this season find all well for you and your families.
Love,
Phil and JoAnne

Monday, September 24, 2007

Putting Intestine where it belongs! Surgery 8 & 9

September 24, 2007Today has been a very momentous day thus far. John and I took Hyrum to the hospital this morning at 8:15 am. He was in surgery by 10:00am. We received phone calls about every hour from the nurse in the surgical room to keep us updated. The Surgeon came and found us about 1:20 pm as he had completed the surgery.

As you remember from previous emails, Hyrum had a 10% chance of success and many possible negative side effects. We received many emails and phone calls about why we would risk the chance of the complications being so great. Our answer was that 10% was better than the 0% if we did nothing.

So we trusted in a loving Heavenly Father and went forward with the surgery. Everything went very well. When Hyrum was 5 weeks old he had 4 surgeries in 4 days. Two of those surgeries were to tack his intestines in place to prevent them from coming out through his stoma (poop hole) or his mucus fistula (the other half of his intestine). During the surgery, they unhooked the tacks of the lower part of his intestine to make sure the surgeon had plenty of intestines to pull the end down to its rightful place. To his surprise, he did not need to have done that as there was plenty of intestines to play with and pull with! The Surgeon was able to do the procedure with minimal incisions and feels that Hyrum will not have much pain. He will have a catheter for about 5 days to allow the fistula (the part that they cut the intestine off from) to heal. At this point, if all goes well, we will be able to go home.

So if you didn't catch what happened...the surgery was SUCCESSFUL!!!!!!!!!!!!!

We will be here for about 5-7 days and hope that he will stay healthy and not catch anything again that would prolong his stay any longer then is needful.

We, of course, are not out of the woods, he still has one more surgery to go through. In about 3 weeks we will use dilators to help his rectum to grow to the appropriate size. When it is the right size than they will go in and attach his intestine back together. Then we will see how successful he can stool on his own.

We appreciate your prayers and feel that we have truly been blessed and that all of our prayers combined have been answered. We mentioned to Dr. Downey that he had about 100 people praying for him and his response was that he truly felt those prayers.

We ask you to continue in your prayers on Hyrum's behalf. We love each of you and are grateful for your support. Responses that we got from family and friends:
From my Uncle Ted
It is tough to make some decisions. However, you had accumulated the information and you made a decision on the calculated risks. The hardest decision to make if you are a pilot is the one about when to bail out of a crippled aircraft. The timing of that decision is everything about success or failure
This decision had some timing issues with it. You could have waited for months or years to make this decision about moving forward with this surgery. However, the decision would have been made for you - probably. This is because Hyrum's immunity system would have not been sufficient to have lived for those months or years to make that decision. His health was not getting better each week. You were struggling with trying to keep him well enough to have the surgery. You made the right choice to proceed forward. As so often happens - when the doctor got more information - his worst fears were less than what he thought.
I am thankful for your success to this point. You have demonstrated the ability to make these kinds of difficult decisions when so much hangs in the balance. I am very glad that you listened to your inner compass on this subject and not to those who had other thoughts. Hyrum will be the better for it - even if there are other complications later that are unforeseen at this point.
From a neighbor and good friend Barbara Stoddard
I am so grateful and relieved to hear your news. Becky forwards your E-Mails to me. How can we help the family? Would it help to have the girls come here after school (except Tuesdays we are at the Employment Center until 5:00)? Would it help to have your family come here for dinner each day? Anything I can do, I'd love to help. I will continue to keep Hyrum in my prayers. Give that cute little guy a kiss for me.
September 25, 2007
Yesterday, John took his computer with us to the hospital to work while we wait. He discovered that the hospital provides internet throughout the hospital for those with laptops....like us!!

So today John brought with him my laptop so that I can read my emails and send emails out right from our room without leaving Hyrum!

Yesterday, with John's computer, I was able to give you each the exciting news about Hyrum's very successful surgery. We had just talked with the Dr. but had yet to see Hyrum yet.

Hyrum enjoyed the anesthesia very well and slept for about 2 hours after his surgery. Though he reacts very harshly to Morphine, the anesthesiologists wanted to try a drip system and see if this would work for him instead of receiving a large dose all at once. As I was allowed to finally go back to the Post Operation room to see Hyrum, he reacted to the very small amount of Morphine given to him and he quit breathing. I usually handle crisis very well, I was not prepared to walk in on the beginnings of him not breathing. They were able to act quickly and get him breathing in the max of a minute (though it seemed longer). It took about 2 hours to stabilize him enough to move him to ICU (instead of the infant unit & his own room). John and I were not allowed into ICU while they were getting him settled and the nurses were exchanging the information. While we waited we went and got dinner as it was 6 pm by then. By the time we got back, they were ready for us. We were very upset to find that he was still in a lot of pain and instead of giving him what we asked for him to get, they gave him another small dose of Morphine. So within minutes, he was not breathing again. Luckily he did not go down far in his numbers, but it was enough that the resident doctors finally listened to us and gave him Fentanyl...which we know he doesn't have a problem with. Fentanyl and Morphine are in the same class, but Fentanyl is more potent, so they were very wary about giving it to Hyrum. They started in very small doses. His nurse finally convinced the doctors to up his medication, Hyrum finally got comfortable about 11 pm and was able to finally sleep, having been awake since about 3:30 pm.

I found myself a couch from about midnight until 4:30 am. I found Hyrum to be sleeping very well and his pain finally under control. Another mom that I met who had received a parents room, at that point offered her room to me as she couldn't sleep anymore. I went to lay down about 5:45 am and slept soundly until about 7:40am. I was allowed back in his room at 8 am to find talk of letting him go to the infant unit and his own room. One condition was that he not be on the Fentanyl, so they changed his medication to a drug called Dilaudid. This is another drug that is in the same "class" as Morphine and Fentanyl. This all occurred around 12:00 pm. And he was moved from ICU to the infant unit at 12:30pm.

Unfortunately, we learned that Dilaudid is another drug that he has diverse reactions to. John was able to experience his first red line with Hyrum. He told me afterward that he completely related to my experience from yesterday, where you feel like you just need to stand back and let everybody take over that know what they need to do. I was standing next to Hyrum's bed when he stopped breathing. I was able to help the nurse get better oxygen for him as the room filled with, what seemed like the whole hospital staff. The poor resident doctor and the nurse from ICU both came to his room in total shock that he would quit breathing again! The head nurse allowed Hyrum to stay in the infant unit for the day and if he did not have any more episodes than he could stay, otherwise he would have to go back to ICU. The Doctor took him off of Dilaudid and allowed him to be put back on Fentanyl even though he was in the infant unit, as it seemed to be the only drug he could handle.

He has slept for most of the day. He has started to retain water due to the stress on his body. His respiratory is also struggling, so he is being tested for different viruses. He is also running a temperature of about 100 degrees. About 5:30 pm we finally woke up for the first time today and drank about 60 ml of Pedialyte. This was the max he could have to make sure that he doesn't overdo his stomach or intestines. He is sleeping peacefully now and has not had any other problems.

With such a smooth sailing surgery, we are not surprised that we are not having a smooth sailing recovery. I have seen the true meaning of absolute pain in the eyes of my 6-month-old.

I would like to thank each of you for your love and support. I love reading each of your encouragement and gain strength from your prayers and love. I apologize for not responding to each of your emails personally, but I want to thank you for them. I treasure them dearly. I would also like to thank you for your continued prayers. I think we are each being blessed by this wonderfully sweet little guy.
All three of my kids are really emotional right now, knowing that Hyrum is in pain. Sarah got hurt at school, and she just burst into tears because she knew that Hyrum must be in a lot more pain than just somebody hitting her. I imagine that Hyrum feels closer to being hit by a sledgehammer rather than a bratty kid.
I try to keep up on my sleep, when I'm exhausted, I also get cranky, but I'm very emotional and little things set me to fill the buckets with tears. As you well know, it is so hard to see the physical almost touchable pain in Hyrum's eyes and there isn't anything I can do. But the nurse finally got him a large enough dose, that he has rested most of yesterday and through the night. Today will be a better day for him.

September 26, 2007
Now that he is all "hooked up" meaning he has a normal outside entrance for his poop, we (meaning me) have to exercise his anal muscle. We use what is called dilators, that I have no clue what those actually are, to stretch this muscle to open to a specific size. This will take about 3-4 months. During this time he will still have his poop bag. His new rectum needs time to heal and having poop running through it will not help any.
After this muscle can open and close to a specific size than we will come back for his final surgery. Here they will reconnect his intestine and remove his poop bag. Within a few days of observation, we will know what type of "pooper" he is. There are three types that he could be classified as. The first is a "runner" meaning that he will have no control of stopping the stool from coming out, thus he will wear a diaper for the rest of his life. This is the hardest type to determine as you can't say hold it and expect an (at that time) 9 month old to hold his stool and see if he can. The second is a"normal" pooper, meaning normal stool movements, right in the middle kinda pooper. Then there is the "constipated" pooper. This will be the easiest type to figure out because he will either flow or he won't. If he happens to be constipated than he will have to have an enema every time he needs to go to the bathroom. According to the doctor, if your choice is a runner or a constipated, it is better to be constipated, because you can choose when to relieve yourself and not need a diaper.

The interesting thing is that at any point in his life he could change from one type to another. We met a man whose nephew had the same issue. All growing up until he was about 18, he wore a diaper. And all of a sudden, the muscle started to work and he no longer needed a diaper and was able to relieve himself like everybody else in the world.

Hope this answers your questions. It is nice to know someone is thinking about him and wondering what his future holds for him.:)
Email From Uncle Ted
If you had not been attentive to Hyrum his red line would have been permanent. I have seen this before that the medical staff makes decisions on part of the data. There have been many medical studies that have shown that they preliminary exclusions that occur in the first few minutes. By making these preliminary decisions they miss the larger picture.
Hyrum has a long ways to go yet because he does not have a strong body to help him. The true recovery will be a long time in coming. It is the micronutrients that will be the most difficult for him to obtain and it is these nutrients that he will need the most of.
Life has a way of discovering who we really are. I like what I see in what life is discovering about you.
Email in Response to the above to Uncle Ted
Thanks for your vote of confidence. I have truly had to do a lot of the thinking around here. We weren't quite sure why they would give him morphine when that was clearly what put him in ICU in the first place. They didn't make that mistake again, and I haven't left him long enough to allow it either.

By being here I have learned that if you want something to happen, you can't sit on the sidelines and wait for it, you have to push and go after it or it will never happen.

Luckily Hyrum's actual surgeon is willing to discuss his decisions with us, so that we better understand where he is coming from, but will listen enough to see where we are coming from.
It is just the rest of the doctors that I have problems with.

These last few months have really forced me out of my shell, as I really am not a fussy person and allow people to run me over and I just work with it.

Though I have learned that I can get out of my shell and really put my foot down...I still like the look and feel of my shell...I guess it's time to redecorate!:)

But you are right, we are not out of the woods yet. It will take Hyrum months to recover. Each surgery seems to take a little more out of him. I fear that it will take him the next 3 months to recover, which will be about the time he will have his final surgery. From there he should not have another until he is three. I think he will have plenty of time to recover and he will just grow and get very healthy. He has been small for his age, but I think it is just his body trying to recover and not concentrating and growing right now...but he will.

September 26, 2007
Report as of 4:30am

The surgeon was ok with how big he was, they are going to keep a close eye on him.

He ate at midnight and at 3 he was awake but not interested, but fussy like he didn't feel good.

at 4:00 he pucked everything he ate from midnight...not a great sign.

So the surgeon doesn't want him to eat anything until later on today and they have him back on IV.

He is still swollen, but he hasn't had enough intake so they have to put him on the IV.

He is also peeing in his diaper. Not a great thing. The nurse forgot to ask the surgeon about this and has paged him again.

at 5:00 am we have turned his oxygen back up from .3 to .4 as his breathing has gone back down. He can't get his oxygen level into the 90's. He is struggling. He may not have a virus, but he is one sick puppy.

I'm going back to sleep for a while.
Though the day is not over, I thought I would drop a little note and a few pictures.

I had forgotten my camera, so today John brought it to me. The difference between pictures today and pictures I could have taken the past few days is that he isn't in pain today. He is more peaceful and content.

Today they allowed him to drink his mommy milk. As most of you know, he doesn't actually nurse. I have learned how to pump and hold him while he drinks from a bottle so as to gain one hour in every three back in my day. So he started by only being able to stay awake to drink about 2 oz. He eats about every two hours because he is so weak. By the end of the day, he is up to about 2 1/2 oz. He gets tired very quickly and sleeps the rest of the time.

Due to the stress on his body, he has started to retain water. He was weighed this evening and he has gained a full pound since yesterday.

He is off is IV and most of his pain medication. They are still lowering his oxygen level. He has it more for the nurses' sanity, but I don't think it hurts him either. But I imagine by tomorrow it will be off. He mostly needs sleep to allow his body to heal, so I keep the nurses at bay the best I can.

We also received our own personal room today. We have been sharing a room with another baby, but today a social worker was able to get us a private room. It is nice to have that bit more privacy.

Thank you for your prayers, we are seeing the results of them as he is healing.

We love you all and my your own lives be blessed with this simple act of kindness.

September 27, 2007
I just talked with the surgeon.
His catheter was clogged and he was urinating in his diaper. The nurse flushed the catheter and it did so easily, but it has blood coming out of it along with his urine. Because he puked about 4 am, they are not allowing him to eat, so he has been hooked up to the IV again. The surgeon will be watching Hyrum very closely today. If he urinates in his diaper or blood continues to come through then they will need to take a close look at what is going on. For now, they don't want to disturb him too much and they aren't sure if the puking and the urine thing are related yet.
Well after about 3 total hours of sleep last night I am on with my day. For how great things were going yesterday, Hyrum has taken what appears to be a turn for the worst. He will be having 3-5 tests done today to make sure that he is ok. I will send out an email later on with the problems and the test results, so I'm not writing it over and over again.
He is truly a special child with a special purpose. He seems to have to take the hard walk in life. I hope that someday his experience will be put to good use and benefit others

I have brought things like my computer, and my pictures to be put in my kids' picture books, but I haven't really gotten any sleep since I have been here and today will be no different.

I will finish my breakfast in hopes for a few minutes to lay down before he is called to go get his tests done. And my sister will be coming for a few minutes also. Her college is very close to the hospital so she comes when she has a few minutes.

An Email to my brother Jonathan
Everybody else I'm making them wait for info...but today has not been a great day.
He threw up at 4 am, his stomach is swollen to concerning levels and he has started to pee blood out his catheter. They are running tests today and see what is happening, so I'll give the results later. I'm shocked at how one day everything is going great and the next nothing is going right.

Email from my cousin Mike Boger, who at the time was in Medical School
It is funny that I got your emails today (Wendy forwards them to my school account).
I had a lecture on narcotics today and you should send an email about Hyrum's problems with Morphine.
What is interesting is the adverse reaction he had to it. A NORMAL reaction to Morphine is a depressed respiratory function. It is temporary and very normal, but I am sure it was scary. I think that is why they tried to titrate him instead of a bolus the second time. Another normal reaction is constipation, so make sure they are helping with his defecation because you don't want him straining on a dookie with a brand new rectum!!
I erased the emails before I wrote down the meds he is on now, but I think it was Dilaudid? That one is called "drug store heroin", so you can tell him when he gets older that he was on heroin! (actually, ALL the morphine derivatives are similar to heroin).
I was concerned when your docs didn't listen to you the THIRD time they gave him Morphine. There are TONS of other pain meds that they could use; oxycodone, Vicodin, Demerol, Percocet, Lortab, etc; so why are they stuck on Morphine if he had such a bad reaction?
I'm glad he is off Fentanyl - it is 100X more potent than street heroin. It is a highly abused substance, but it works great if that is all he can tolerate. I'm sure by the time you read this, he'll be off most of the pain meds and Oxygen.
Take care of that kid!! I'd better get back to studying all about the brain! See ya!!

Email in response to Mike's Email
It must be fun to have real-life experience as you learn them in school!

Hyrum's Drug Issues
From my understanding, with Hyrum's first surgery they used Fentanyl. He had no problems. In fact, he was off the pain medication within 24 hours. One week later he had his second surgery, I guess with the tiny babies they use Fentanyl because I'm sure that is what they used again.

When he was about 5 weeks old, we went back to the hospital for a prolapsed stoma. They gave him morphine at this time to help with the pain, but finally, put him under to stitch him closed. The next day they put him back into surgery to redo his stoma and mucus fistula and they stitched his upper intestine to his abdominal wall. His heart dipped in that surgery so as he was coming to they didn't give him very much morphine and he was in serious pain and prolapsed out his mucus fistula. They put him back in again and using a "button" they went through the intestine and stitched the intestine to the opposite side of his tummy. From here they gave him plenty of morphine with strict instructions that he was not to feel pain. He was put into the infant unit to recover and I'm not sure if they actually overdosed him because the nurse followed the directions completely. But about midnight he quit breathing and his heart stopped. The head nurse came in and was giving him oxygen while his actual nurse did CPR. I don't think it all lasted more than 1-2 minutes..but it felt forever!! They moved him to ICU and his heart rate dipped and he'd quit breathing every 20 minutes, so I would shake him and wake him up and he'd start breathing again. They gave him some medication to counter the morphine just enough so he wasn't in pain until they could give him enough Fentanyl to make up for the morphine. For his next surgery two days later on Wednesday, they gave him the Fentanyl with no problems.
This past week he had surgery on Monday. They attached his intestine to his rectum. He still has his stoma until his rectum hole is 13 ml in diameter. (This will take about 3-4 months) In talking with anesthesia, they didn't think that his previous problems were the morphine directly, but maybe either a build up or just the heavy initial dose, so we tried the drip system. He was out of surgery about 1:30 pm. He finally came to enough to receive his first drip of Morphine about 3:30. I was in the room within 20 minutes and he quit breathing and his heart slowed way down. The whole room filled up with everybody that could help as they gave him oxygen and did CPR on him. They gave him a small dose of the counter drug and for about 2 hours he struggled to stabilize. They gave him Newbain and moved him to ICU for the night about 6pm. Because they have to transfer the information from one nurse to the other, we were not allowed to go with him, so we went and got dinner. We were finally allowed back in with Hyrum 1/2 hour later to find that the resident doctors had found him in so much pain that they gave him some more Morphine. Within 1/2 hour he started to dip and quit breathing. He didn't go completely, just enough to let the resident doctors realized how stupid they were. We finally convinced them to give him Fentanyl. But they were afraid that the fentanyl would do the same thing, so they gave him .3 ml every 4 hours. It took the night nurse to push every doctor and resident doctor to finally get Hyrum to were he was taking 1 ml every 4 hours and another bolus every 4 hours but two hours apart from the main dosage. She was very nervous because she didn't let each of the doctors know that she had already pumped up the last doctor that happened by to do the same thing. He was in constant pain from 6:00 until 11:00 pm. He was wide awake and the horrible look of absolute pain in his eyes.
After a restful night, they gave him Dilaudid to move him to the floor ( they don't usually give them Fentanyl in the infant unit). 1/2 hour he was getting settled in the infant unit when I noticed his oxygen level going down. The nurse saw it at the same time and between the two of us we had oxygen going and CPR. She pushed the code blue button and John experienced "code blue" for the first time. The doctors were shocked, to say the least. His nurse has enough experience and schooling that she is trained in giving Fentanyl, so they allowed us to stay in the infant unit. He was on Fentanyl until yesterday. He is now on Tylenol and Motrin.
Hyrum is having problems with his catheter, so he is back in surgery again tonight. This time there will be no Morphine or Dilaudid.

I hope that gives you some insight into Hyrum's drug issues. The only other possibility is that his body has stored up the Morphine previously given to him in his fat cells and so any amount is like giving him an overdose.

I'm not sure why they don't choose another drug, whether they are not strong enough or what. Having been through the druggy class, do you know of another drug that would not hurt his heart, but yet not let him feel the pain? I'm really a natural sorta person, but when your 6 month looks at you with so much pain in his eyes, you give him anything you can to ease the pain. They just don't understand at this age what is going on.

He is also still on Oxygen as he has somehow aspirated (or something similar) because he has fluid in the lungs. His respiratory is in the 50's (it is supposed to be in the 20's) and he is getting about .4-.5 ml/minute he seems to not be able to break the .4 or his oxygen level drops to the 80's (instead of the high 90s)

Well, Hyrum is out of surgery, he is looking really good. He is awake and talking. They have him on a healthy dose of Newbain and he seems to be doing great!

Good luck with the studying,
From a cousin-in-law Brei Bunker
What a fighter he is! We are astounded at everything he has/is going through and how well not only you and John seem to be handling it, but especially Hyrum. We are so grateful that the surgery was a success and hope, as you do, that Thursday's events will allow him a quicker recovery. We continue to pray for you all. Please let us know if there's anything you need or that we can help with...we're not that far away!
September 28, 2007
He had a good night. I finally got to sleep about 12:30 and at 1:30 he woke up hungry...he got a binky and a new position. I slept until 5:00 and he woke me again because he was hungry....again he got a binky and a new position. I pumped and now going back to sleep!
Hopefully, he gets to eat today...He is starved. We have to wait for the rounds to occur.
There are some days that start out great and planned and then there is the reality.

Our day started about midnight. Hyrum ate a great 2 1/2 oz of milk. At Three am he refused his bottle and became fussy. He finally fell into a fit full sleep until 4 am when the nurse came to check on him and he threw up all over the bed. By this time his puffiness was seeming to be worse especially around his abdomen, which was starting to get more firm. He was also not peeing into his catheter, but rather in his diaper.

The surgeon came around at 6 am to examine him. He was no longer allowed to eat and they flushed his catheter line. This helped except that it came out red. So they put him back on IV to help with the lack of food and ordered x-rays.

At the same time, his respiratory was getting worse, so they upped his oxygen level to compensate for his breathing or more lack of breathing. They had done an x-ray on Wednesday to find a little bit of fluid in his lungs, but this morning he sounded even worse. So they scheduled an x-ray of his lungs and also an x-ray of his urethra to see what was happening with his catheter.

They found his lungs to be about the same and are treating him for asthmatic symptoms and if it works than it works, otherwise they will look into a viral pneumonia possibility.

As for his catheter, they found that the urine was going around the catheter and either into his diaper or through the hole that was created by cutting the tip of his intestine off and putting it where it belonged. The catheter was to prevent this to allow the hole to close on its own, in about 5 days. So it wasn't preventing it and his abdomen was filling up with urine.

This evening he was taken back into surgery where they took 10 minutes and replaced the catheter with a larger one that actually balloons inside of his bladder preventing the urine from escaping the catheter. They gave him a large dose of a drug called Newbain, which so far he is handling very well. John's father came to visit John and I at the hospital and arrived just in time to say goodbye to Hyrum as he was carted off. Hyrum gave grandpa his first smile since arriving at the hospital on Monday. When we saw Hyrum after the surgery, he was more alert and looked very good.

We are looking forward to a much better night in hopes to get some rest. On Wednesday, we were able to get a private room, this has been to my benefit as I came down with a nasty cold. So I wear my mask anytime I'm in Hyrum's room (being all the time) in hopes to not spread it to him. Last night, even with little sleep, I found it not to uncomfortable to sleep with.

Though today has been rough, I feel that it may be a great turning point in Hyrum's recovery. Thank you all for your continued prayers. We love each of you and are grateful to have such awesome friends and family!!!
Our Friday went much better. We had an x-ray and discovered that he had more fluid in and around his lungs. They gave him the drug lasix to help his body lose the water he has been storing for the last few days. This has really helped not only his lungs, but his whole body. He lost the pound of water that he had been storing. I've attached a picture of him and hopefully you can see a difference. We certainly can.

About 3 pm they allowed him to have one ounce of milk. This of course was not enough, but he loved every drop of it. He had another ounce at 6 pm, and than at 9:00 pm he was allowed two ounces. He is still fussy because he is not getting the full amount he usually drinks, but he is getting better. He has been more alert and wanting to be held more. He even gave me a couple of smiles.

He is still taking albuterol to help open his airway and still on oxygen to help with his breathing. He has had a few spells today where it seems as if someone is plugging his nose, and all of a sudden he can't catch his breath. We have tried lowering his oxygen level and he just can't handle life without oxygen.

So on for tomorrow and hopes for continued improvement.

Thank you for all your prayers.

My the Lord bless each of you for your thoughtfulness.

We love and appreciate each of you.
Email From Uncle Ted
When one is fighting to stay alive or reasonably well it becomes difficult to see the larger picture. The human being has an attribute that allows us to shut out the rest of the world and to focus on what is immediately in front of us. Asking the fundamental question: How do I get through today? In the end, the survival comes back to the fundamentals of the body and the soul. As I read below your struggling with the tubes of Hyrum's body I remembered a diagram that I had drawn some time ago.
I wondered how long it would be before the mother showed up with the signs of the stress. It is not just the lack of sleep but the need to be constantly vigilant to protect your son from the environment that will take the most energy. Your natural instincts of protection your son have taken over. Hyrum will someday be grateful.

September 29, 2007
As you can see from the pictures Hyrum is very awake and ready to play. John brought his mobile from home and he has loved it. He just laughed and played for a solid hour and a half. Then he quieted down and fell asleep with little happy tears in his eyes.
He also loves taking off his oxygen nose strip. Usually, he gets it to the bridge of his nose. Today he got it completely off and was playing with it. He actually made it 20 minutes before his monitors started beeping due to lack of oxygen.

We are working on weaning him off his Motrin and Tylenol that he has been taking for the pain.

He still has water in his lungs, but he is starting to cough. I believe that this will help loosen up the congestion and maybe get him on his way to doing better. He has been eating about 4 ounces most of the day and only threw up once. I think that he was thinking it to be Thanksgiving dinner...and he stuffed himself to full...and then gave a great big cough and all of a sudden his stomach was emptied all over his blankets!!!:)

Today one of his nurses was a male nurse named Greg. Today would be Greg's second day on the job. He loved playing with Hyrum and Hyrum loved the attention so much that Greg got the first smile of the day as we were heading down to get his chest x-ray. Greg was very attentive and would watch Hyrum very closely when his monitors would beep due to Hyrum playing with the oxygen. Greg couldn't get over how beautiful Hyrum was!

Rachel, Sarah, and Karl have been playing with Grandma and Grandpa Smith this weekend giving Grandma and Grandpa Burrell a little break. The kids are enjoying have some one on one time with their Grandparents.

We appreciate the emails full of love and well being. I pray that each of you will be blessed for your mindfulness of us and especially Hyrum at this time.

September 30, 2007
An Email to my neighbor Becky Ekstrom, who also was involved in Hyrum's first surgery
I'm sorry it didn't work to see you! I was actually kicking John out the door about then, but I was trying to wind down for the day. The hospital stay seems to have messed up his sleeping schedule, so we didn't actually get to sleep until about 1:00 am. I had the hope the nurse would stay with him until he slept, but her idea of "letting the mother sleep" was turning all the lights out and shutting the door, with the baby wide awake. Luckily, John brought his mobile from home, two times around that and he was sound asleep! What did I ever do without mobiles!!! At least she waited four hours to wake him up for his vitals instead of the three when he should have eaten...so at least I got a few hours of sleep. I have had the same night nurse the last three nights, she would physically take the bottle from me so that I would go back to bed, this one I couldn't get her to take the bottle, as soon as she saw me awake, she said...I think he might be hungry...not even budging to go get the bottle herself, so I got, I warmed it, and she walked out of the room and told me when I was done, to come get her. oh well, some are better than others!

Time will tell when we will be coming home, but no sooner than Monday, his oxygen is down to .2ml so this is good! From here it is a waiting game...which is why I brought my computer and my scrapbooks!

If I'm still here next week well have to try and get together before or after work or on break for a few minutes.
September 30, 2007
Hyrum is doing so much better. The last time he had any pain medication was yesterday at 6:00pm. He is eating better, about 5 ounces. And yesterday he got a hold of his oxygen tube and took it completely off he played with it for about 25 minutes before he had a hard time breathing again.
My husband also brought his mobile and a few toys from home. He was so excited he started to do his cute gurgle baby talk he fell asleep about 2 hours later with a peaceful happy face with moisture in his eyes!

He has been receiving about .50 ml of oxygen an hour, but since his little stint yesterday, we have started pushing to have him receive less. So by this morning, he is down to .20 ml of oxygen.

My motherly instinct says that it is coming. He looks better, he interacts better. If he continues to improve at the rate he has been, I think he will be going home the middle of next week to the end of next week.

My own mother has been helping with my other three kids at home, getting them off to school and plain being there for them. We had both hoped I would be home by Monday because one of my Dad's sisters and her oldest son was coming to town this next week. My Dad called me and personally told me that his sister took second fiddle to his Grandson and not to worry about my other kids, they would be well taken care of. My husband's parents were feeling left out (since both work) so my mother gladly dropped of the kids to their house for the weekend So I have a great support system.

The first picture is the day we left for the hospital. And the second was after his mobile came!
And to set the record straight that dark stuff on his head is about 2 inches of hair. None of my other kids had hair...but he got it all:)

Hopefully, now that I'm sending you an email, I will be able to get one back. My husband keeps our emails pretty tight, even a neighbor of mine couldn't get through the first time.

I just talked to the charge nurse, and she thinks he may be off oxygen by the end of the day if he keeps up the good work!
September 30, 2007
I took the opportunity while in the hospital to catch up on my kids' scrapbooks. Since my 4-year-old still doesn't have a baby book, his are all on the computer. I have almost caught up my pictures up to the end of 2004. It is overwhelming when you have 3 books to do, and now I have 4! Luckily my mother-in-law loves to scrapbook, so she decided that Hyrum needed his first 6 weeks documented, so she downloaded all of my pictures, took everything I had collected for him home and created the most beautiful book.
I don't think a person understands how fast time flies until you look back to yesterday and it was 20 years ago. Right now, my yesterday was 11 years ago. As I look back at how fast the last 10 years have flown it scares me to think what I need to do to help my children make it through the next 10 years.

I know that having children of my own has helped greatly appreciate my own mother even more. As I calculated her life one day, I realized that if I were her, her 6th child would have been Hyrum's age...and I'm only on # 4 and I'm NOT going any further. Growing up she was my best friend. When the other teenagers were bashing their mom's, I never related to their problems.

We are hoping to go home tomorrow. Hyrum is completely off oxygen!!!! He has to have one x-ray in the morning to make sure everything is working for him with a catheter, and then we are home free!!

September 30, 2007
Though it would be nice to go home, you are right, I don't want him going home before he is ready. John brought a few of his things from home and he has really perked up. At one point I saw that he had fallen asleep, it was very strange because he had a smile on his face and you could tell that he was at complete peace, yet he had tears coming to moisten his eyes. My guess is that it helped bring something that he knew was his to remind him of the wonderful home that is waiting for him and he knows it is there because he has been there!
Email from Uncle Ted
I am glad that Hyrum can begin to smile. It is hard to smile when the pain is too high. It does not take long for babies to know objects and people. I like the idea of having items in the hospital room that are recognized by Hyrum. That will help the recovery process.
October 1, 2007
Hyrum Update
It is said that a picture says a thousand words. I think the picture tells what Hyrum will be doing today!
and he was happy to go home. And Hyrum was happy to see he toys Hyrum never complained about too many toys. And Sister was So happy to see Hyrum, that she took over the camera! And Hyrum put up with it willingly...especially as he Had her attention!