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  • Update on Tahlia

    Hi All,
    I'm home for a rest and wish to thank everyone for their posts and prayers. I certainly appreciate it. It has been exhausting and at times frightening.

    As Del accurately pointed out, Tahlia had a posterior fusion only, from T2 to L3, with a couple of ribs removed as well. She lost a lot of blood during surgery (approx. 1 litre I believe) and had to be given a lot of blood products. From what I understand, this is most likely due to a Factor 12 (clotting) deficiency, which, as those of you who have been following my posts would know, the haemotologist we saw and who did many tests, said it was OK and would not be an issue!!! So much for that!!

    Anyway, Tahlia spent the first night in ICU hooked up to the ventilator which came out after about 4ish hours, although was meant to come out earlier, except the doctor was nowhere to be seen. Tahlia was coming too and starting to gag on the tube and OMG, i have never felt so helpless in my life, not being able to soothe her and trying to stop her from yanking it out herself. What a horrible experience it must have been for her, but unfortunately the ICU nurses cannot approve extubation until the Dr. gives the OK.

    Next day, she was progressing well and they were discussing moving her to HDA when they did a chest x-ray and found her left lung had collapsed. The physio felt they could just put her on her side and do the breathing exercises to re-inflate the lung but when this didn't work they did a brochiostomy and found fluid and secretions in and around her lung. They ended up draining about 750ml of blood from her lung yesterday afternoon and was put on CPAP to assist with her breathing. She stayed another night in ICU (damn that haemotologist).

    Anyway, breathing getting better and signs all good, Tahlia was finally transferred to HDA this morning. She is in pain but using the PCA and is still being fasted but doctors have just said this morning she can start taking sips and if bowel noises are OK she can start with food. When I left this morning, the docs were a little concerned that her chest tube did not appear to be draining (they did the cough and deep breath test!!) and wondered if it might be blocked, but they are going to do a chest x-ray first and see how it goes.

    I am exhausted and sleep-deprived and i must say there were moments when i was very very scared for her and really don't know how to describe how I feel at themoment. There were many times when I thought I wish I hadn't put her through this, because ICU and HDA are awful places to be and it is so harrowing as a parent to watch your child go through this. So many tubes and monitors and catheters, etc. etc. They are saying she can sit up tomorrow and possibly go to the wards, all being well. I amnot yet allowing myself to feel relaxed, until she is breathing properly and continuing to progress.

    Anyway, thanks all. Please stay in touch. I amheading back in a couple of hours. I have spent both nights with Tahlia in ICU, but don't think I can in HDA, it is very crowdedand noisy.

    Thanks again for all your posts. I do read them.

    Love Lisa
    Mum to Tahlia, aged 15. Fused from T2 - L3, 18/11/08.

  • #2
    Lisa:

    Thanks so much for your update. It sounds like Tahlia and you have been through the wringer. I can only imagine how frightening that must have been. It does sound like she is holding her own, though. We all have been thinking of you and are waiting for the next update. I'm glad you're getting some rest.
    I know she will be fine.

    Mary Ellen
    Last edited by WNCmom; 11-20-2008, 09:13 AM.

    Comment


    • #3
      Thinking and praying for you both every day, Lisa. Take care of yourself too.

      We are here for you!

      Marian

      Comment


      • #4
        Lisa,

        I'm so glad to hear an update...I've been thinking a lot of you both. Poor Tahlia (& you) sure have been having a bad time of it...but it's encouraging news that things are starting to look up for her.

        I can understand your fright at how terrible people look after big surgery in ICU...and waking up on ventilation can be quite a nasty experience when you've never had it before. But I did want to let you know that a little down the line, Tahlia probably won't remember so much of this, because of all the painkillers and also the anaesthetic drugs still in her system at the time. I know my first few days from both fusion surgeries (and other biggies) are pretty hazy. I really hope the same will be the case for Tahlia.

        Thanks again for taking the time & effort to update us...you must be exhausted. I hope you're able to get a rest now & again, and sleep better knowing that Tahlia is hopefully through the worst of it. Please take care of yourself, too

        Best wishes - thinking of you both.

        Comment


        • #5
          Thanks for your update Lisa. I had been wondering about Tahlia.

          I can only imagine how drained you must be feeling, and still unable to allow yourself to feel a little relief. Apart from the lack of sleep, stress is extremely draining but hopefully over the next 24 - 48 hours you will see how well Tahlia is doing and allow yourself to have a good night's sleep which will do you wonders.
          Surgery March 3, 2009 at almost 58, now 63.
          Dr. Askin, Brisbane, Australia
          T4-Pelvis, Posterior only
          Osteotomies and Laminectomies
          Was 68 degrees, now 22 and pain free

          Comment


          • #6
            So good to hear from you Lisa. My prayers are with you as you know I am getting really nervous. I am just glad to hear Tahlia is doing better rough road though. Thinking of you
            Catherine
            Mom of 14 year old Danielle
            T45 degree curve Feb 2008
            T47 degree curve May 2008
            T50 degree curve Sept 2008
            Surgery Nov 24th 2008
            Ontario, Canada

            Comment


            • #7
              Thanks so much everyone

              Hi everyone,
              Thanks so much again for your posts.

              I have just woken up after a bit of a nap and am heading back to the hospital shortly.

              Dis - thanks for that. I hope you are right and I know she is still quite groggy and dozing on and off that she proabably won't remember much, so that is good.

              Catherine - I would not expect Danielle to have the setbacks we did as in hindsight we knew we had the Factor 12 (just didn't know it wouldn't be an issue). If there's one thing I can comment on, it's how AMAZING and WONDERFUL the Intensive Care nursing staff are - they have such an enormous responsibility but they are very very competent, caring, compassionate and thorough in what they do. I never doubted for one second that Tahlia was in the best capable hands. Both you and Danielle will be okay. My thoughts are with you also, and will be thinking of you come the 24th!!

              Thanks all, Lisa
              Mum to Tahlia, aged 15. Fused from T2 - L3, 18/11/08.

              Comment


              • #8
                Many more Hugs to you and Tahlia. I know how heartbreaking (you feel as your heart is being torn from you chest) it is to watch, helplessly, as your child suffers. However, it DOES get better. And the memory cells in your brain will reduce the intensity of the experience over time. Time does heal. Like the others said, Tahlia will likely have little, if any, memory of these times. I hope that's the case. I also hope she's got a good pain management plan. AND, she needs laxatives as soon as she's able to drink. Constipation is a nasty side effect of most surgeries that often go untreated until its a MAJOR problem. Please don't let it become a problem. Stay on top of that. More and more hugs and best wishes and prayers coming your way.
                Carmell
                mom to Kara, idiopathic scoliosis, Blake 19, GERD and Braydon 14, VACTERL, GERD, DGE, VEPTR #137, thoracic insufficiency, rib anomalies, congenital scoliosis, missing coccyx, fatty filum/TC, anal stenosis, horseshoe kidney, dbl ureter in left kidney, ureterocele, kidney reflux, neurogenic bladder, bilateral hip dysplasia, right leg/foot dyplasia, tibial torsion, clubfoot with 8 toes, pes cavus, single umblilical artery, etc. http://carmellb-ivil.tripod.com/myfamily/

                Comment


                • #9
                  Lisa,

                  Please don't feel badly for making this decision "for" Tahlia. I had this surgery as an adult, and I only WISH my parents had been able to make the hard choices for me when I was younger, and when I was still living at home. You have taken a great weight off of her shoulders, whether she knows it or not. AND you have great taste in names (Ask Del why )

                  Best,

                  Vndy
                  2000 34*L/39*T
                  2007 44*L/53*T

                  12.3.07 Posterior Spinal Fusion T4-T12
                  (initially planned T4-L1)
                  12.18.07 11*L/10*T

                  23 years old

                  Comment


                  • #10
                    Originally posted by vndy View Post
                    Lisa,

                    Please don't feel badly for making this decision "for" Tahlia. I had this surgery as an adult, and I only WISH my parents had been able to make the hard choices for me when I was younger, and when I was still living at home. You have taken a great weight off of her shoulders, whether she knows it or not.
                    Vndy,

                    Thank you for posting this. As a parent, "I" needed to hear this.
                    Carmell
                    mom to Kara, idiopathic scoliosis, Blake 19, GERD and Braydon 14, VACTERL, GERD, DGE, VEPTR #137, thoracic insufficiency, rib anomalies, congenital scoliosis, missing coccyx, fatty filum/TC, anal stenosis, horseshoe kidney, dbl ureter in left kidney, ureterocele, kidney reflux, neurogenic bladder, bilateral hip dysplasia, right leg/foot dyplasia, tibial torsion, clubfoot with 8 toes, pes cavus, single umblilical artery, etc. http://carmellb-ivil.tripod.com/myfamily/

                    Comment


                    • #11
                      Originally posted by Carmell View Post
                      Vndy,

                      Thank you for posting this. As a parent, "I" needed to hear this.
                      I second Vndy's sentiment, Carmell and Lisa. It took me 39 years - and checking on whether surgery was palatable for 10-15 of them - to decide to do it. And I spent FAR too many years in pain. May both of your kids avoid that.

                      My curve wasn't progressing, but it didn't make diving into the unknown depth of the deep end (even when it was me and not one of my children) any easier. Of course, I'd take a bullet for either of my kids ... and I'm SO glad it was ME with this.

                      I'd deem any of you parents far more brave than me *any*day.

                      Regards,
                      Pam
                      Fusion is NOT the end of the world.
                      AIDS Walk Houston 2008 5K @ 33 days post op!


                      41, dx'd JIS & Boston braced @ 10
                      Pre-op ±53°, Post-op < 20°
                      Fused 2/5/08, T4-L1 ... Darrell S. Hanson, Houston


                      VIEW MY X-RAYS
                      EMAIL ME

                      Comment


                      • #12
                        Tahlia is in the wards

                        Hi Everyone,
                        Tahlia is now up on the wards and spending her 2nd night there tonight. I was with her last night but couldn't get any sleep and kept waking her up, so thought best to head home tonight

                        She had her gastric tube out today, but is still catheterised and also still has her chest tube in. She's taking a lot of pills (mostly for pain and her bowels). Carmel, Tahlia has to take laxatives each day and she began to refuse them today until the nurse told her she had a choice of either the pills or suppositories. When asked what supps were, I explained it to her (in no uncertain terms ) and she quickly popped that pill down her throat LOL!!! Our next step is getting her to start using her bowels and then they will look at removing the catheter too.

                        She wants to go home at the moment and today demanded i take her home, but obviously she still has a ways to go. Her physio is going good and she seems to be managing the pain ok but she often gets uncomfrotable from just lying in the bed and often says the back of her neck hurts.

                        I had a huge scare last night as the night nurse came on to giveher her intravenous antibiotic and said she couldn't find the canula point. She said the HDA nurses shouldn't have taken it out and so they tried to page the doctor to come and insert one so they could give it to her but of course two hours later, he still hadn't come. I of course, was have a stress overload because of her previous issues with infections and worried about her rods and everything, but then the nurse came in to give her some other pills and do her obs and would you know it, 'found' the lines in the neck. Silly woman only looked in the wrists, didn't bother to check her neck as they were hidden under Tahlia's hair and sheet whilst she was sleeping. Aaaagghh!! God, did I almost have a heart attack.

                        Anyway, Tahlia is getting better all the time, just so tired and sleepy a lot. Although, she's giving her mother a bitof attitude at the moment, but I don't mind that, because I think it's a good sign (but she'd better not get used to it!!! LOL)

                        Vndy and Pam - I cannot agree with Carmell any more. Your comments were very profound and have made me realised that I have made the right decision. I never really imagined how difficult it must be as an adult and wrongly assumed that my daughter might prefer to be making this decision herself as an adult rather than having it made for her now. So thank you both for putting me at ease with that. It is very comforting to realise that I have very possibly taken that "weight" off her shoulders.

                        And thanks for the compliement Vndy -yes both Del and I do have great taste in names, although we spell and pronounce our girls' names differntly - Tahlia and Tarlia!!! They are both beautiful.

                        Well all, I am going to get an early night and then heading back to the hospital early tomorrow morning with the hope of getting a Number 2 sometime tomorrow.

                        Thanks for your posts.

                        Love Lisa
                        Mum to Tahlia, aged 15. Fused from T2 - L3, 18/11/08.

                        Comment


                        • #13
                          Neck pain

                          Hi Lisa--

                          Just want to chime in that one of Sidney's biggest compaints is about his neck. When he was sitting in a wheelchair at the airport today he wanted me to support his neck from behind with my hands, and in a plane or car seat, he always had to have a small pillow or other support under his neck. The only thing I can figure is that when the curve is straightened, the neck has to support the head in a way the muscles aren't used to, so they fatigue easily and hurt after a while.

                          Mary Ellen

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                          • #14
                            Lisa #12

                            Just have to say I agree, Tahlia and Tarlia is a lovely name. I have a four month old grandaughter named Thalia, (pronounced Tarlia) who was named after her Mum's best friend since pre-school days, Thea Natalia.
                            Surgery March 3, 2009 at almost 58, now 63.
                            Dr. Askin, Brisbane, Australia
                            T4-Pelvis, Posterior only
                            Osteotomies and Laminectomies
                            Was 68 degrees, now 22 and pain free

                            Comment


                            • #15
                              Thanks Jen, yes I think it's beautiful whichever way it's pronounced or spelt. Tahlia's name is actually pronounced Taleah, but people often mispronounce, although we don't mind at all

                              Mary Ellen, that is a very interesting theory. I am going to take a neck cushion in with me tomorrow and hope that will be of some comfort to her. Tahlia did her Number 2 today (yay!!) and will have the catheter out tomorrow. She is then likely to be transferred to the rehab campus of the hospital for physio and recovery, likely to be discharged on the 30th November. She is getting better all the time and is also now off her PCA pump and just taking oral pain meds. She's fairly grumpy cause she's sick of hospital, but i know she'll get there.

                              Hope Sidney is continuing to amaze you.

                              Lisa
                              Mum to Tahlia, aged 15. Fused from T2 - L3, 18/11/08.

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