Roller Coaster Ride

NOTE: if you read this and then call, if Vicki is on the line, please don't mention the surgery. Thx.


Yesterday (Tuesday) was a bit of a roller coaster ride. Vicki's pump dosing was altered with the hope that by doing so we could put off surgery for a period of time. Unfortunately that left us with a lot of unknowns. Would it work and make her tone better? Would it worsen a suspected micro-fracture in the catheter? If it did make it worse, would it be a slow change or a "blow out" sometime in the future?

At the very same time, the surgeon was indicating via phone that she wanted Vicki to have surgery soon. At one point we thought the surgery was going to be today (Wednesday).

Those two things (changes in the pump and surgeon wanting to change the pump) left us with a decision. Do we wait out the changes and see what they do for Vicki or do we push ahead with surgery? We were graciously given a lot of input by the first doctor so we could have as much time as possible to consider the options when we met with the surgeon. After phone calls to Laura, some time on my knees (literally) and some additional time thinking, I felt like surgery was a good option.

I spent the evening waiting for the surgeon, but we never saw her so I went to bed wondering. I told God that the decision has to be in His hands, because I wasn't being given the options. I gave up worrying about it. We slept "well." (The definition of "well" in the hospital is that you get about 2 hours at a time before something wakes you up.)

This morning (Wed) we got up and had no news. However, the surgeon was there very early and she said, "She's tight. Let's do it tomorrow (Thursday)." So the whole option thing wasn't really an option. I doubt that I would have argued with her because she was very confident it needed to be done right away.

I don't have a time yet, but the surgeon was doing her prep to find a time for surgery tomorrow (Thursday).

We are in a good place and I feel like we're on the right path.

Thanks for the prayers, calls, visits and support.



For those of you who are interested in a more detailed explanation of the pump aspect - Vicki's pump is an infusion pump. It has a catheter connected to it that extends from the pump and is anchored in her spine area so the medicine can be delivered right to the spinal fluid. The pump needs replacing every 3-5 years depending on battery life. The catheter only needs replacing if there is an issue.

Vicki's muscle tone has been getting slowly worse for some time. It has been getting dramatically worse in the last 3-4 weeks. So much worse that she can't even sit in her chair for very long! Not a good thing, since she practically lives in it.

The increased tone can be due to a number of things: infections, illness, or something wrong with the pump/catheter. After investigating practically everything, the catheter is believed to have a "micro-fracture." This allows the medicine to seep into her body wherever the crack is. Not a super big deal if the crack stays small and she gets the rest of the medicine, but as you've read, that's not the case. The pump will be replaced because it will have to be replaced within a year anyway. The catheter is likely to be replaced. If it is, the recovery will be longer.

Too Much Tone!

I haven't had to use this blog for some time to talk about one of the kids and a medical issue.

Well, I wanted to communicate to our many family and friends who support and love us so here's an update on Vicki. It's not very entertaining, but it'll give you the facts.

For about 3-4 weeks now, Vicki has displayed increasing agitation, increasing difficulty sitting in her chair or being in her stander, and increasing tone. She also has been sweating profusely and not sleeping well.

We never know exactly what's going on because she tends to 'cry wolf' a lot. After dealing with it for a while, we called and got an appointment to have her Baclofen pump looked at. For those that don't know, Vicki has a pump that delivers the medicine Baclofen into her spine. The medicine helps keep her high tone under control.

When they looked at the pump, everything appeared fine so we went home. Fortunately, we were given a prescription to give the medication orally if her symptoms didn't resolve. Her symptoms didn't resolve and we started giving the medicine orally. That made her more comfortable, but didn't resolve the underlying issue.

Last Friday, I brought her to the ER at Regions Hospital with the hopes of getting her admitted to Gillette. Gillette is housed in Regions, but they specialize in special needs kids and adults. After 10 hours in the ER, they basically decided they couldn't help us and sent us on our way (even after I got them to consult with a Gillette Dr.) Arrrgh.

On Saturday, I talked directly with the Gillette doctor and he agreed that we needed to be seen right away Monday morning in the clinic. Unfortunately, the clinic never called, so I called the nurse line and got them to agree to have Vicki seen in the hospital.

Now, it's Tuesday and we've been here 24 hours. Everyone agrees that the likely cause of Vicki's problems is a microfracture in the catheter that runs from her pump to her spine. This is causing her to lose some of her medicine and ultimately puts her into 'baclofen withdrawl.'

We have a very good doctor, that we also know from 'Joni Camp' who is working with Vicki. He is adjusting the schedule of when the medicine is being delivered. He is increasing the rate at which it goes in for shorter periods of time (a bolus). He describes it as like forcing water through a hose at a high rate to overcome a small crack. He's been successful in delaying the surgery for other patients. If that doesn't work, Vicki will have surgery soon. If it does work, she will still have surgery, but it can be postponed and scheduled rather than being "urgent."

That's it for now. Thanks for the prayers.

Scott