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May. 9, 2009
On the right track!
Noah is (drum roll, please . . . ) doing better! His fevers are lower and his labs are looking quite a bit better this morning! While we still don't know what is wrong, things sure seem to be taking a real turn for the better. I don't know if the new antibiotics are doing the trick or if this illness is just running its course, but I sure am glad to see things looking up!
Noah is still really sick, and he still has some hurdles to jump. We need to figure out why his blood sugars keep dropping. We need to transfuse him but everyone wants to wait until he feels a little better since his hemoglobin isn't critically low. We also need to get him feeling better. His liver is still enlarged and only time will really tell if the liver issues were caused by this infection or if this is the beginning of TPN-induced liver failure. His spleen was enlarged yesterday for the first time. He is paler and seems to be weaker - he had a hard time sitting up today. He is also fussier and saying things like "I scared" more often.
I have a lot of questions for the doctors when they come by today. The newest antibiotic targets gut infections and Noah seems to have improved when that drug was added. If this is a bacterial overgrowth or other gut infection, I'm not sure what the treatment course will be or even how we could know if this was the culprit. (We DO know that he does NOT have a surgical abdomen right now - no abscess or surgical "fixable" problem.) While most of the team has been certain that this infection was bacterial, and while all viral studies have come back negative, I don't know how they will interpret Noah's improvement - that he is responding to the new antibiotic (and therefore we should continue the antibiotics, even though they bring their own complications) or that this was some weird virus and we should stop the antibiotics (even though if they guess wrong there, the infection could come back even worse). Like I said, all viral studies have come back negative, but since Noah is transfused so often he could have picked up something really off the wall from blood. All blood product are screened very carefully but nothing is foolproof.
I appreciate all of the suggestions for Noah's rash, and want to try to gather the materials for some of the homemade remedies so I have them next time he is admitted. I am a big fan of the "slather stuff on super thickly" school of diaper rash thought, and that is the direction we started taking a day and a half ago. I got my mom to bring up a huge tub of Triple Paste and I've been putting on so thickly that it looks like frosting. :-) It is definitely helping, but this rash is a two steps forward, one step backward sort of thing. He fights the cream but clearly feels relieved once it is on. Poor guy. At least we are making progress there and not really losing ground.
I need to respond to one of the comments left yesterday. It was suggested that we are making Noah "pay the price" by suffering through these infections so that we can enjoy him when he is healthy, and that perhaps it would be less selfish to just "let him go" since his overall prognosis is so grim. I know it can be hard to communicate well with a keyboard, but I want to be perfectly clear that we are NOT at the point of making end of life decisions. Yes, he is suffering. No, we don't want him to suffer. Yes, he will probably land right back here with another infection of some sort before too long, but there is NOTHING we can do about that. There can be times to step back and make someone comfortable - times to stop fighting so hard, but this isn't one of them. We aren't ready to stop. Noah sure isn't ready to stop. I was talking to one of Noah's nurses about this blog comment and she said that to stop treating this infection would be euthanasia - it would be killing him, not letting him go. The Great Physician gives life and I am fully confident that He will let us when and if we need to make those kinds of decisions. This is not a matter of taking extraordinary measures to temporarily and artificially prolong life.
I HATE seeing Noah suffer. I would never allow him to suffer so that I could selfishly enjoy him. Right now the APPROPRIATE response to this suffering is to help him fight, see him improve, and take him home where he can continue to thrive and grow and blossom. Yes, he suffers even when he is doing "well," but he loves life. He loves his family and his friends and his pets. He is the most utterly cheerful person I know and he takes delight in almost everything he encounters. He is so brave, even though he shouldn't have to be. The best thing we can do for him day by day is protect him and nurture him and love him and fight for him. We can read books and blow bubbles and go to Starbucks and play with his trains and stroll through the zoo and have tickle fests and color pictures and laugh at his really absurd jokes and snuggle up together to watch his favorite movies. We can protect him from as much emotional trauma and physical pain as possible. When we can't protect him, we can be there for him to hold his hands and tell him that he is an amazing person and that we are proud of him and that we love him more than any words could ever say. When the day comes to tell him goodbye, we will tell him to fly to the One who loves him even more than we do, but that day is NOT HERE. It is NOT NOW.
Now, *wiping eyes*, on to something far more upbeat. We've been overwhelmed by support. Noah had more than 4,000 visitors yesterday, which is just amazing - and many of those visitors represent entire churches, prayer groups, etc. We are so thankful for your prayers, love, and support, but we would like to ask you all to do one more thing. Every so often we will get a package, gift, or card for Noah from one of you. Sometimes you will include a picture of yourselves, your children, etc. We always enjoy those pictures (Noah REALLY loves them) and put them on our fridge, but our fridge has quite run out of room! We have a long hall in our home with a long blank wall, and we want to turn it into Noah's Prayer Warrior Wall. We're going to hang a large wall map and surround it with the pictures that you have sent us. We will mark the origin of each picture on the map.
Here is what we want you to do. Would you send us a picture for our wall? It can be a picture that you already have, but we would really love it if the picture in some way showcased where you are from - maybe in front of a landmark, regional plants or scenery, or something else creative. You could hold up a sign or a picture of something regional. It's OK to send another picture even if you've sent one before (some of them have been "loved to death") and it would be great to get picture of people Noah already knows. Even if you see him all of the time, he would get a kick out of getting a picture from you.
If you want to score BIG, BIG points with Noah, it would be awesome to incorporate a zebra in the picture. You could have a toy zebra, a picture of a zebra, a cake or cookie that looks like a zebra, again just be creative. He would get a huge thrill out of finding all of the zebras in all of the pictures. I don't want creativity to keep you from doing this, and we would rather have a family snapshot from 6 months ago than no picture at all, but if your family enjoys getting creative then please have fun with this. Lots of times children send Noah wonderful artwork (and we save every piece of it!) - if your child is sending a masterpiece maybe he or she could also hold that up in the picture so Noah can keep matching faces to art. :-) You could also hold up a note or message to Noah in your picture. Please do be sure to jot your names (and a prayer or note) on the back of your picture(s) in case they get separated from their envelopes before we can hang them. Speaking of envelopes, we want to cut any foreign stamps off of the envelopes and put them on the map too.
Noah will have a lot of fun with this and it will also be a huge blessing and encouragement to his siblings and Jeff and I! (Some newer readers have asked about Noah's siblings. They are Hannah, 15; William, 14; Matthew, 12; Timothy, 10; David, 8; Sarah, 6; and Mary Faith, 15 months)
Noah really loves mail and it would be great if some of these were waiting for him when he gets home. You can mail them to him in care of our business:
Noah Estes
c/o Hands and Hearts
206 Yosemite Dr.
Greenwood, SC 29649
It would be so amazing to really overwhelm Noah with pictures like this. We would love it if each and every one of you sent him a photo (or drawing if you don't have a camera or aren't comfortable sending a picture of yourself!). If you know other people who pray for Noah, please ask them to send a picture too. Your love and prayers have sustained us, and I know that it would be so incredible to physically see a tangible reminder of who you all are. In a few weeks, we will take a picture of the wall so you can all see it!
Please continue to pray, and to ask everyone you know to pray. We still have a long way to go here.
Blessings,
Kate
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May. 9, 2009 - *dances around throwing cofetti*
I'd send more cookies up with Daddy today, but they are all gone. *hands Mum some virtual cookies to make up for it* When you get home, I'll make some more.
:-) Can I give Noah a picture av me to post on his wall?
*hugs* Love you Noah! Keep fighting, buddy!
In Christ alone,
Hannah Grace.