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.
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.
Thank you for all your hard work, we appreciate all that you have done for us!
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.
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!!
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.
Here is another picture of Hyrum taken the beginning of December
Thanks again.
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.
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.
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!
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
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
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
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.
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.
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.
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.
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.
December 16, 2007
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