Showing posts with label Shunt. Show all posts
Showing posts with label Shunt. Show all posts

Wednesday, December 27, 2017

What a Difference 12 Years Can Make


49ers and Jaguars

JAX 10 SF 9 (12.18.05)

SF 44 JAX 33 (12.24.17)

We were season ticket holders for the Jaguars in 2005 and watched the 49ers game when they visited Jacksonville from Kellisa's hospital room. It was a rough fall/winter for Kellisa as she endured brain surgeries in October, November, and December. Always the trooper, she was able to attend every home game except the 49ers and that's only because she was still in the hospital. Back in October, we went to a Monday night football game the day after she was released from the hospital. After being trapped in the hospital, Kellisa was more than ready to get out and have some fun. It helps that the Jaguars won that game too.

Fast forward to 2017.

We no longer had season tickets, no longer lived in Jacksonville, and Kellisa had a little sister for the past 7 years. We moved to the Sacramento area in 2016, but remain diehard Jaguars fans. When the 2017 schedule was released, we were disappointed that our "local" Jaguars game 2 hours away at Levi's Stadium in Santa Clara, CA was scheduled for Christmas Eve. Afraid that it would interfere with holiday plans, we did not purchase tickets.

Monday, September 17, 2012

Christmas 2005

Christmas 2005


The picture below might be shocking, but it's nothing compared to how Kellisa looked when she was wheeled back to her hospital room on December 16, 2005, following her shunt replacement surgery. Even though it was her 18th surgery (as of 12.25.05), I was not prepared to see her shaved and heavily bandaged head. This would be Kellisa's 3rd surgery in as many months. Kellisa had two shunt repair surgeries, one on October 6th and one on November 15th. When the repairs did not work, a complete shunt replacement was necessary.


 Like usual, even though Kellisa was only nine days removed from a major surgery, she was back to her usual self as she enjoyed Christmas:



All dressed up for a traditional Christmas dinner:





You can see hints of a scar on her neck (left side) in several of the above pictures. However, we don't have a clear picture of the scar. The neurosurgeon had to open Kellisa's neck to help the shunt's drainage tube down to her stomach. 

Sunday, July 29, 2012

X-rays (1.11.11)

The hardware (now removed) for Kellisa's hips can be seen in the x-rays below. You can also see the tube leading down to her stomach cavity that drains her shunt:



Monday, November 21, 2011

Brasstown Bald

Kellisa's 1st State Highpoint:

Brasstown Bald, Georgia
4,784ft.

May 2004




Brasstown Bald- we arrived just a few minutes before the summit area closed. Normally, the summit is reached by gaining 400 feet along a 1/2 mile path. The park does provide a shuttle to those with disabilities. No one was around and knowing this was our chance to reach the actual highpoint on this trip, I decided to drive up the road reserved for the shuttle. After I parked, I hung Kellisa's disabled parking card from the mirror in the hopes of not getting locked in for the night and for good measure in case of a ranger encounter.

I carried Kellisa to the highpoint which wasn't far and we took the pictures above before quickly returning to the van where a park ranger was waiting. She was not happy as she lectured us on the park rules we were violating. I don't think she believed Kellisa was really disabled because I left her wheelchair in the van. With a strong warning, we left following the success of Kellisa reaching her first state Highpoint.

Before stopping at Brasstown Bald, we stopped at Amicalola Falls State Park. For most people, the 729 foot cascades (highest in the Southeast) that give the park it's name is the main attraction. Also, Appalachian Trail (AT) Thru-Hikers know this park because of the connecting trail to the southern most point of the AT. The reason for our visit was the West Ridge Falls Access Falls Trail that is wheelchair accessible. It would be our first hike while pushing Kellisa, even if it was an easy trail that was accessible. We were outside and would get to view a beautiful waterfall.


I wasn't satisfied after the short accessible trail. While Kellisa had an awesome wheelchair at the time, it was anything but trail worthy. My passion for adventure had been awakened after a 5+ year hibernation. I decided to try a "real" trail with Kellisa. It would be steep, muddy, rocky, scary and fun! Looking back, it was one of the dumbest things I've ever done with Kellisa, but at the same time one of the most important. With people looking at us like I was crazy, it took everything I had to get Kellisa up the trail to a better viewpoint of the falls. This was the day I realized I could share my love of the outdoors with Kellisa.

On our way home from Brasstown Bald, we stopped for a short visit at Tallulah Gorge State Park. The gorge is nearly 2 miles long and 800 feet deep. We were pleasantly surprised to find a paved trail to several outlooks for easy viewing of the gorge. 

                                                             Tallulah Gorge:


                                  

                                   


Kellisa had just turned five the week before this trip and had already endured 13 operations, including 7 brain surgeries. The 14th (feeding tube) was scheduled less than a week after we would return from this mini-vacation. Needless to say, we didn't have the time or opportunity to pursue outdoor adventures.

The previous year had been a particularly rough year for Kellisa. Only her first year of life could rival her medical issues suffered during 2003. Kellisa started having a high fever in early March and was suffering from dehydration and lethargy. We were seeing several doctors every week and Kellisa was admitted into the hospital on the 12th for a three day stay. The doctors were struggling to determine a definite cause for Kellisa's illness. The fever would end up lasting over a month. The doctors thought it was just a persistent cold/flu since it was the right season and Kellisa didn't have a healthy baseline to begin with. It was our strong belief that something was wrong with Kellisa's shunt, mainly because it had been replaced four times since the original surgery and we knew the signs. After a CAT scan, we were told that the shunt was functioning properly.

Because of our persistence, the doctors were testing and checking all the possible causes off their lists when they came to HIV/AIDS. Normally, we wouldn't have been concerned, but Kellisa had received several blood transfusions to keep her alive while in the Neonatal Intensive Care Unit.  Kellisa was near death and no one could figure out why and the doctors were testing for HIV/AIDS.

While Kellisa lay in her hospital bed almost lifeless, Lisa was flicking through the channels on the TV. As Lisa paused on the Disney Channel, Kellisa immediately showed some life as she perked up a little. A show called The Wiggles was on. We had never heard of The Wiggles, but this was the first signs of life from Kellisa in several weeks. From this moment on, Kellisa would get excited every time The Wiggles came on and we started purchasing their DVDs. We sincerely believe that The Wiggles played a significant role in saving Kellisa's life back in 2003. At the very least, they gave her enjoyment in her darkest times. For this, we will forever be indebted to The Wiggles!

Until now, the school picture below has never been shared and her sickly image is just as disturbing today as it was seven years ago. The picture was taken on March 27, 2003: 


Fortunately, the HIV/AIDS testing came back negative. However, Kellisa was still fighting to survive on April 9th when we took her back to the hospital. We refused to leave until they tapped her shunt. We were told that it was impossible for the shunt to be infected because it had been in place for two years and the CAT scan looked perfect. The neurosurgeon eventually gave in and tapped the shunt. Satisfied, we left for home. We already had a message from the hospital with the results when we arrived at home less than an hour later. The shunt was grossly infected and they were scheduling the surgery for the following morning.

For many reasons, including the fact that Kellisa's neurosurgeon was close to retirement and she had been sick for so long without proper diagnosis, we were not comfortable with having the surgery performed in Jacksonville. Before we moved to Jacksonville, Kellisa had a great neurosurgeon in Orlando, FL. We decided to drive down to Orlando and have Kellisa admitted to Arnold Palmer Hospital. At first, the neurosurgeon was reluctant to accept Kellisa out of professional courtesy to the Jacksonville doctor. We pleaded our case and he eventually decided to review Kellisa's case.

We were asleep in Kellisa's hospital room when the doctor woke us up at 4:30am. He had been up all night performing emergency surgeries before he could review Kellisa's case. Knowing that he placed the shunt back in May 2001 and the CAT scan looked perfect, he believed that it was so unlikely that the shunt was infected that he doubted the test results. He wanted to tap the shunt himself which he proceeded to do in the hospital room. The infection was confirmed and they were taking Kellisa at 6:30am for her emergency brain surgery.

Kellisa's shunt and tubing had to be completely removed from her body before a temporary shunt could be placed. This shunt would be external and the excess Cerebrospinal Fluid would be collected outside the body and frequently tested for infection. After the surgery, Kellisa was on strong antibiotics to kill the infection. We were advised that it could take a week or even a month before the infection was completely gone from her body.

Kellisa would remain in the hospital until a permanent shunt could be placed. But this surgery couldn't happen until the infection was gone. It took only seven days to wipe out the infection that almost killed her. Kellisa would have another surgery on April 18th to remove the temporary shunt and replace it with a permanent programmable shunt.

This surgery would be one of the hardest on us as parents even though Kellisa was past the worst of her sickness and it was our 10th surgery with Kellisa. We were told that the surgery would last about three hours. Lisa and I had a normal routine that we followed after every operation. Once Kellisa was wheeled away towards the operating room, we would go to the hospital cafeteria and have a meal while discussing something positive before returning to the waiting room where we would let the nerves settle in as we tried to read a book or magazine. The nurse called about an hour in the surgery to give us an update that everything was going as planned. Two hours went by and then three, three and a half and still nothing. We were out of our minds with nervousness as four hours passed without an update. The volunteer lady at the desk couldn't help us.

Finally, at four and a half hours, another neurosurgeon in the same practice came out to give us an update. He apologized for the delay and told us that everything went OK and Kellisa was waiting for us in recovery. He would go on to explain that three kids were involved in a serious car accident and all three needed emergency brain surgeries. The kids were admitted while Kellisa was in surgery and the doctors and nurses had to immediately attend to the other kids following Kellisa's operation. We were relieved and understood why we were kept waiting. I couldn't help but have thoughts of losing Kellisa during the wait and those thoughts still haunt me today. 

Kellisa came out of the surgery and was back to her usual self in no time. We will forever be indebted to Dr. Pattisapu for saving Kellisa. Because it was a new shunt, we still had to worry about the body rejecting the hardware and tubes. There was also the possibility of another shunt infection during the first year following the placement. The shunt would last until October 2005.
                                                                    

Friday, September 23, 2011

Born Alive

Rush Medical Center
May 23 to September 13, 1999

"They were born alive".

Most new fathers probably take for granted that their baby/babies would be born alive. I did not have that luxury, so hearing those words as the doctor ran by me in the hospital hallway were the greatest words ever spoken to me.

The best doctors in Chicago prepared us for the worst, if Kellisa was born alive, they said she would live no more than a couple of hours. Kirsten was the healthy twin. The girls were born 9 hours and 21/22 minutes into the 25th week of gestation by emergency c-section. The situation was such that the doctor was willing to start the c-section without anesthesia. Fortunately for Lisa, the anesthesiologist arrived just in time. The minimum for any baby to survive is the 25 week point. It was obvious the girls were on the edge of life, but they were off to a good start.

Both girls made it through their first night. Unfortunately, Kirsten's blood vessels weren't developed enough to survive outside the womb and she passed away on May 24, 1999. Devastated and heart broken don't even begin to describe the feelings of losing a baby. Kirsten was suppose to be the healthy girl and she was gone. A few feet away, Kellisa was fighting for her life and we had to find the strength to be supportive for Kellisa. We needed Kellisa as much as she needed us.

Kellisa (foreground) and Kirsten:


Kellisa's birth weight was 2 pounds and 1.33 ounces. Lisa's hand inside the incubator to provide a perspective of Kellisa's size:


Kangaroo-therapy is the practice of holding premature babies with skin to skin and heart to heart contact with the mother and father. Even though Kellisa was extremely unstable and fragile, we began kangaroo-therapy within a week of Kellisa's birth. One afternoon as I was enjoying a kangaroo-therapy session, the alarms went crazy indicating that Kellisa stopped breathing. This happened fairly often and you get to the point where it doesn't worry you too much because you would just flick Kellisa's foot and her breathing would always start back up and the alarms would stop. This time was different, Kellisa coded and doctors and nurses scrambled from every direction to work on reviving Kellisa. It took 45 minutes to stabilize Kellisa enough to move her off my chest and return her to the incubator.

Kangaroo-therapy with dad and mom:



A nurse holding Kellisa:


When Kellisa was less than two weeks old, she needed her first surgery. Kellisa was born with a PDA, a congenital heart defect where her ductus arteriosis did not close after birth and needed to be corrected with surgery.

The red arrow points to the scar on Kellisa's back from the PDA surgery:


Kellisa was born with hydrocephalus, a build up of fluid inside the skull. We knew Kellisa would need a shunt placement to help drain this fluid, but the neurosurgeon wanted Kellisa to weigh a minimum of 4 pounds and 6.54 ounces before attempting the operation. Towards the end of July, Kellisa was getting close to the target weight.

Kangaroo-therapy on July 25th:


The pressure was building up inside Kellisa's skull and her head was increasing in size everyday. At 4 pounds and 3.02 ounces, the neurosurgeon decided we couldn't wait any longer and a V-P Shunt was placed.

The shunt was placed at the back of Kellisa's head and a tube runs down to her stomach where the excess fluid is drained and reabsorbed by the body. Two bandages are over the shunt site and where an incision was made to make sure the tube was correctly placed in her stomach area: 


Kellisa's first EEG on August 6th to check for seizure activity:


August 10th, Kellisa sleeps in an open bed on a nasal cannula:


If you look closely, you can see the scars from Kellisa's shunt surgery:


 August 16th, Kellisa has her 2nd EEG:


 August 19th, for the first time, Kellisa does not have tape on her face:


 August 28th, Kellisa is not enjoying her first real bath:


Kellisa would spend 16 weeks and 1 day in Rush Medical Center (formerly: Rush-Presbyterian-St. Lukes Medical Center). Lisa spent every night, except for a couple, sleeping in the hospital. I averaged 4-5 nights a week also sleeping in the hospital. We basically moved in to the hospital to be close to Kellisa and encourage her as she fought to survive. I credit Kellisa's toughness and determination as the main reasons she survived, but I truly believe our constant presence, love and support also played a roll. 

 Just down the hall from Kellisa, this is the room we called home for 113 days and lived out of the black and yellow backpack on the floor:


Kellisa's last bed space:


Kellisa would finally be released on September 13th. The discharging doctor was the same doctor that told me the girls were born alive. I asked the doctor if he thought Kellisa would ever go home back on May 23rd. This is a doctor who works in a Neonatal Intensive Care Unit that takes care of 90-110 babies at any given time, so his experience and opinion is beyond question. He responded that he never would have thought this day would arrive. If we would have asked for odds back in May, he would have given Kellisa a 5% chance of ever going home...just to give us a little hope.

Kellisa was still on oxygen and multiple medications, but was finally going home on September 13th:


The final approval was granted when Kellisa was fitted in her car seat with the help of a nurse and several hospital towels:


 Finally home:


 Kellisa sleeping in her own bed for the first time:



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