Friday, November 15, 2013
Kids are playing with toys and pretending they are guns - first, chasing eachother around the house. Then, Chad and I played along when they pointed and shot us dead (like 20 times). Chad finally rose up and let the kids know he was tired of dying, so he decided to be the "undead". He started chasing them and growling like Frankenstein - "I'm a zombeeeeee" Ahhh. good times.
Wednesday, April 6, 2011
Dear Barbara
Sorry if this sounds like a Book report on Naomi. I'm doing a sum up at 1am. I've wanted to write this out, so this seems as good of a time as any. You should be able to see the pics with your Windows Live acct.
https://cid-891541609aa39279.photos.live.com/self.aspx/.MobilePhotos/1c.jpg (at Children's Urgent Care)
It started with a cut at 9 am on March 20th, a Sunday morning before church. Naomi found a piece of broken corningware and started chewing on it like an animal cracker. I gently took it out of her mouth, very gently because I really didn't want to hurt her, then put it in the trash. Alas, the little one started crying her "I'm hurt" cry so I felt around her mouth for cuts. There were none, but her thumb was bleeding. Chad helped me wash it with soap and water then apply pressure to it. Since it took 30 minutes for it to stop bleeding, her PCP recommended we take her to the Children's Urgent Care center in Bellevue when it opened at 11 so she could get evaluated for stitches. The doctors there applied steri-strips and recommended we wash it and rebandage it daily then sent us home. It took Naomi over 2 hours to go to sleep that Sunday because she was not used to the pain. poor kiddo. Monday night she fell asleep in less then 5 minutes.
3/24 Thursday we went out and saw her cousins and played outside. Her hand was still bandaged, and she was being careful with it. I chose to change her dressings once we got home since she was acting so careful with it - like it hurt. When I took her bandages off, her finger appeared dark and shriveled, like a long raisin, from just below her knuckle all the way to the tip. It was 4:45pm so I called her Dr who had us in for an appt at 6:00. We were Pediatric Associates (her PCP's office) from 6-7pm. They sent us to Children's ER in Seattle. Noah went to his Aunt Heather's house while Chad and I took Naomi to the ER. She was admitted on Thursday night, we were at the ER from 8 pm until 4 am. She starts IV antibiotics.
https://cid-a8a7288bee2d112a.photos.live.com/self.aspx/.MobilePhotos/d4%20%5E52%5E6.jpg (At Children's ER)
3/26 Saturday, Children's surgical team has decided to operate on naomi's thumb to relieve pressure and remove dead skin. She goes under with a light anesthesia and comes out just fine. They continue IV antibiotics. https://cid-a8a7288bee2d112a.photos.live.com/self.aspx/.MobilePhotos/18.jpg (Removing bandage Sunday after surgery)
3/28 Monday, Naomi's thumb is less swollen so the antibiotics are working. She is sent home with 2 more days of antibiotics to be taken orally. Prognosis is the wound will look worse before it looks better and call if you have questions - anytime - 24/7 https://cid-891541609aa39279.photos.live.com/self.aspx/.MobilePhotos/1d.jpg (clean pic of healthy healing wound/skin)
3/29 Tuesday, Naomi sees her PCP who is concerned about blistering 360 degrees around the base of Naomi's thumb, and the blackish spot on the tip. Children's hospital directs his call to the Chief of surgery, who is familiar with Naomi's case and takes the call. Pictures are emailed and assurances given; the blisters will unroof at which point a neosporin-like topical antibiotic can be applied as often as Naomi will tolerate. Bandaging is most important on the tip of her thumb where the surgery was performed. Once that has healed, the thumb can be exposed - just be sure to wash it with soap and water a couple of times a day and soak it.
Naomi's PCP recommends not using Neosporin on Naomi's thumb, because it causes redness in 9% of patients who use it and the redness may cause confusion. Neosporin okay, Bactitracin better. https://cid-a8a7288bee2d112a.photos.live.com/self.aspx/.MobilePhotos/4b%20%5E52%5E6.jpg (fuzzy pic on Tue. Soaking is supposed to be good for it)
3/31 Thursday, Naomi goes to Childrens for a routine follow-up visit with Nurse practitioner for her surgical team. I'm worried blackness is spreading across tip of thumb, but not where surgery was. Circulation is good and swelling is down. Reminded that finger will look worse before it looks better. The outer layer of skin is dead and will sluff off. Loose bandages if Naomi will tolerate. *warning**gross**pic* https://cid-a8a7288bee2d112a.photos.live.com/self.aspx/.MobilePhotos/74.jpg (Friday morning blisters)
4/2 Sunday, Noami wakes up to a re-infected thumb. It is hotter then usual, swollen, and she is complaining of pain. Children's hospital recommends going back on the antibiotics and coming into the hospital on Monday for follow up.
4/3 Monday, Naomi's surgeon sees the pics of Naomi's thumb from Sunday and asks for her to come in for follow up. We get to Children's at 11:45am. I notice they have stopped calling her thumb's condition rare and are now referring to it as wierd and strange. The Infectious Disease team is consulting on her infection. Naomi is admitted at 6pm. Children's is a teaching hospital, so she has a resident doctor, an assisting doctor, and a doctor from Pediatric Associates approving whatever treatments the surgical team and ID team recommend. https://cid-a8a7288bee2d112a.photos.live.com/self.aspx/.MobilePhotos/aa.jpg (Monday morning pre-post-op followup)
4/4 Tuesday, More antibiotics, both topical and IV. There are debates as to whether Naomi's thumb is less swollen. All doctors agree it is still as red as ever. They took samples from her blisters and found a uncommon bacteria growing on her tissue samples. Its a type of bacteria that normally isn't found in the skin, but in the gut. The antibiotic she originally took (3/24) was not ideal for this type of infection.
The surgical team is consulting Naomi's dr's on how to treat the growing black tip of her thumb. The infection there has not spread to the bone, so they are treating it topically and said it will probably take a month or longer for the skin under it to heal completely and longer for it to regenerate.
The ID (infectious disease) team is consulting Naomi's dr's on how to treat the redness (infection) in her thumb. They are a team of 4 doctors who sort of work like the people on "House" - they've changed antibiotics once, then changed back once they found out what type of bacteria was growing from some skin samples they took.
Sorry for all of the changes in person (1st/3rd) and tense (is/was) etc.
Thanks for your prayers for the teams of Dr.'s, Naomi, and us. Noah is back with is auntie Heather - getting spoiled silly. :-)
Please pray specifically for wisdom and unity for Naomi's treatment:
Dr. George (Naomi's PCP)
Dr. Tse and his surgical team -
the Infectious Disease team -
rotating team of Doctors and nurses on Naomi's floor
Me and Chad (our witness, wisdom, faith)
Blessings on all those who are a blessing to us. There are so many people coming out of the woodwork to help. We are so blessed.
Thank you so much!!
https://cid-891541609aa39279.photos.live.com/self.aspx/.MobilePhotos/1c.jpg (at Children's Urgent Care)
It started with a cut at 9 am on March 20th, a Sunday morning before church. Naomi found a piece of broken corningware and started chewing on it like an animal cracker. I gently took it out of her mouth, very gently because I really didn't want to hurt her, then put it in the trash. Alas, the little one started crying her "I'm hurt" cry so I felt around her mouth for cuts. There were none, but her thumb was bleeding. Chad helped me wash it with soap and water then apply pressure to it. Since it took 30 minutes for it to stop bleeding, her PCP recommended we take her to the Children's Urgent Care center in Bellevue when it opened at 11 so she could get evaluated for stitches. The doctors there applied steri-strips and recommended we wash it and rebandage it daily then sent us home. It took Naomi over 2 hours to go to sleep that Sunday because she was not used to the pain. poor kiddo. Monday night she fell asleep in less then 5 minutes.
3/24 Thursday we went out and saw her cousins and played outside. Her hand was still bandaged, and she was being careful with it. I chose to change her dressings once we got home since she was acting so careful with it - like it hurt. When I took her bandages off, her finger appeared dark and shriveled, like a long raisin, from just below her knuckle all the way to the tip. It was 4:45pm so I called her Dr who had us in for an appt at 6:00. We were Pediatric Associates (her PCP's office) from 6-7pm. They sent us to Children's ER in Seattle. Noah went to his Aunt Heather's house while Chad and I took Naomi to the ER. She was admitted on Thursday night, we were at the ER from 8 pm until 4 am. She starts IV antibiotics.
https://cid-a8a7288bee2d112a.photos.live.com/self.aspx/.MobilePhotos/d4%20%5E52%5E6.jpg (At Children's ER)
3/26 Saturday, Children's surgical team has decided to operate on naomi's thumb to relieve pressure and remove dead skin. She goes under with a light anesthesia and comes out just fine. They continue IV antibiotics. https://cid-a8a7288bee2d112a.photos.live.com/self.aspx/.MobilePhotos/18.jpg (Removing bandage Sunday after surgery)
3/28 Monday, Naomi's thumb is less swollen so the antibiotics are working. She is sent home with 2 more days of antibiotics to be taken orally. Prognosis is the wound will look worse before it looks better and call if you have questions - anytime - 24/7 https://cid-891541609aa39279.photos.live.com/self.aspx/.MobilePhotos/1d.jpg (clean pic of healthy healing wound/skin)
3/29 Tuesday, Naomi sees her PCP who is concerned about blistering 360 degrees around the base of Naomi's thumb, and the blackish spot on the tip. Children's hospital directs his call to the Chief of surgery, who is familiar with Naomi's case and takes the call. Pictures are emailed and assurances given; the blisters will unroof at which point a neosporin-like topical antibiotic can be applied as often as Naomi will tolerate. Bandaging is most important on the tip of her thumb where the surgery was performed. Once that has healed, the thumb can be exposed - just be sure to wash it with soap and water a couple of times a day and soak it.
Naomi's PCP recommends not using Neosporin on Naomi's thumb, because it causes redness in 9% of patients who use it and the redness may cause confusion. Neosporin okay, Bactitracin better. https://cid-a8a7288bee2d112a.photos.live.com/self.aspx/.MobilePhotos/4b%20%5E52%5E6.jpg (fuzzy pic on Tue. Soaking is supposed to be good for it)
3/31 Thursday, Naomi goes to Childrens for a routine follow-up visit with Nurse practitioner for her surgical team. I'm worried blackness is spreading across tip of thumb, but not where surgery was. Circulation is good and swelling is down. Reminded that finger will look worse before it looks better. The outer layer of skin is dead and will sluff off. Loose bandages if Naomi will tolerate. *warning**gross**pic* https://cid-a8a7288bee2d112a.photos.live.com/self.aspx/.MobilePhotos/74.jpg (Friday morning blisters)
4/2 Sunday, Noami wakes up to a re-infected thumb. It is hotter then usual, swollen, and she is complaining of pain. Children's hospital recommends going back on the antibiotics and coming into the hospital on Monday for follow up.
4/3 Monday, Naomi's surgeon sees the pics of Naomi's thumb from Sunday and asks for her to come in for follow up. We get to Children's at 11:45am. I notice they have stopped calling her thumb's condition rare and are now referring to it as wierd and strange. The Infectious Disease team is consulting on her infection. Naomi is admitted at 6pm. Children's is a teaching hospital, so she has a resident doctor, an assisting doctor, and a doctor from Pediatric Associates approving whatever treatments the surgical team and ID team recommend. https://cid-a8a7288bee2d112a.photos.live.com/self.aspx/.MobilePhotos/aa.jpg (Monday morning pre-post-op followup)
4/4 Tuesday, More antibiotics, both topical and IV. There are debates as to whether Naomi's thumb is less swollen. All doctors agree it is still as red as ever. They took samples from her blisters and found a uncommon bacteria growing on her tissue samples. Its a type of bacteria that normally isn't found in the skin, but in the gut. The antibiotic she originally took (3/24) was not ideal for this type of infection.
The surgical team is consulting Naomi's dr's on how to treat the growing black tip of her thumb. The infection there has not spread to the bone, so they are treating it topically and said it will probably take a month or longer for the skin under it to heal completely and longer for it to regenerate.
The ID (infectious disease) team is consulting Naomi's dr's on how to treat the redness (infection) in her thumb. They are a team of 4 doctors who sort of work like the people on "House" - they've changed antibiotics once, then changed back once they found out what type of bacteria was growing from some skin samples they took.
Sorry for all of the changes in person (1st/3rd) and tense (is/was) etc.
Thanks for your prayers for the teams of Dr.'s, Naomi, and us. Noah is back with is auntie Heather - getting spoiled silly. :-)
Please pray specifically for wisdom and unity for Naomi's treatment:
Dr. George (Naomi's PCP)
Dr. Tse and his surgical team -
the Infectious Disease team -
rotating team of Doctors and nurses on Naomi's floor
Me and Chad (our witness, wisdom, faith)
Blessings on all those who are a blessing to us. There are so many people coming out of the woodwork to help. We are so blessed.
Thank you so much!!
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