Recovery

April 14 (a very good day)

They say that the next couple months are big for Jenny’s improvments. She does more and more each day. Her tiny movements are such big deal to us because each and every increase is one more thing she can do that she was not suppose to do. There are still frustrations. Her eyes are a problem because she still has double vision and her glasses do not work very well in bed. She was examined by an eye doctor today who gave very little that we could do to help, except patching an eye to stop the double vision. He also discouraged the use of contact lenses for fear of infection and other eye problems right now. But this was still our best day yet.

I was able to be there duing her speech therapy. She ate another popsicle (a few bites). This time, she opened and closed her mouth on her own and had good swallowing. She was also given water and apple sauce, which she did okay with. All of the these went down the right pipe with no problems. Jenny also gets to were a speaking valve on her trache (it lets air in the trache but directs it through the vocal cords on the way out the mouth and nose) most of the day. It was so great to hear her finally! She has made no noise for 4 weeks now and I did not realize how much I missed it. Most of the sounds are moans and slight word sounds. She does have her beautiful laugh back. In the past month, cries and laughs were silent. She moves her mouth and tongue slightly as she tries to sound out words. I can’t describe the feeling of hearing and seeing this. They took the valve off for a nap and we put it back on in the evening for Zach to hear her make sounds. We practiced words for fun and she was actually making sounds where you could almost recognize the word. Her ability to make sounds increased greatly in just those few hours. I kept working with her to say, “Hi” to Zach when he came to visit. He came in, Jenny said the word, and Zach knew what she said! Jenny was also able to make voluntary movements with her arms and right leg during occupational therapy. She was able to do them for me as well. The therapists are almost in tears each time she does a little move for them. I am in tears every time.

red popsicles

I left the hospital to spend time with our girls today and came back to see red pigment on Jenny’s bandages by her trache. I feared some sort of bleeding, but Missy told me that Jenny had a popsicle today! Jenny was soooo happy about it that she had a huge grin. Missy tells me that Jenny was not able to open her mouth without assistance on the first 2 bites, but did not require help for the rest. The true test was to see if any red popsicle fluid came up with suctioning of her airway- which there was NONE all day! She is swallowing and doing quite well at it. They plan on starting ice and water where they use blue water to see if any comes up with the suctioning. If the blue water test works out, that is a step closer to possible elimination of the tracheostomy, begining some eating, and possible speech-but we will take it a step at a time.

On Thursday, we meet with the assistive technology people for use of communication devices and wheel chairs. That means we are getting that much closer to Jenny coming home! She still feels a lot of discomfort, but her pneumonia looks like it cleared and the fever is down. Zach read to his mom today for school homework. He was cute as he asked Jenny questions and showed pages and told her to blink if she thought certain things. Jenny had a smile on her face and a laugh every now and then as he did this. This was a good day.

April 9-10

Jenny had a much better day on Friday. Zach was able to see her sitting up in a special wheel chair/bed, which made her look more like herself. She made some great movements in her left arm and was laughing tons.
Saturday was difficult because she could never get into a comfortable position (which may be relative in her situation) and she was dealing with infections, bacterias, congestion, cramping, and fever. I brought in a video of Zach’s first soccer game (in which he scored a goal), but Jenny made us aware that seeing has been difficult and she was unable to really see well – even with glasses. I was told by doctors that double vision is common, but may only be temporary. It is frustrating to not know what to do to make her feel better. For now, I suction her mouth, reposition her, ask if she needs the nurse, do range of motion, try to play music of her choice, and just be there and talk with her. It really does not seem to help much, but I guess it might be worse without it.

Last summer, Jenny joined her mother on a trip to London to she Melissa (Jenny’s sister) perform in a show. Jenny was reluctant at first because it was too close to other big trips, but I am glad she went. She made audio tapes for the kids where she told them she loved and missed them and then read them a story. I found the books and tapes (4 in all) and let the kids listen ot the 1st. It was “What Mommie Do Best/ What Daddies Do Best”. It seemed to help the kids, but It was difficult for me to hear- even thought I was longing to hear her voice. At the end of the story, Jenny reassured them that while she was not able to be with them that Daddy was going to take care of them for her until she gets back.

April 7, 2004

Jenny tried out a speaking valve for her trachea today. The speach therapist was talking to her about electronic communciation and I knew what Jenny was thinking. The therapist agreed to humor us by letting Jenny try the valve. Jenny was happy to just have air return to her mouth, but I knew she hoped that she would be able to speak. She surprised the speach therapist with some ability to move her mouth and even swallow when given small pieces of ice. The ice alone was a treat. Because of this, more therapy will be applied to working on vocal speech recovery. She was worn out with the little physical therapy and sitting up that she was allowed to do.

I brought the stuff to the hospital that Jenny purchased months ago for Easter baskets. Actually, I brought stuff for Easter, Christmas, and birthdays for the next year. I needed to have Jenny tell me what was for who, and when. We sorted things out with only slight problems. Her blinks were not making sense, and after telling her that her blinks were incorrect, I found out I overlooked something and she was right the whole time. I bet she is thinking, “just trust me”, or “someone please notice that I am laying on a large plastic connection valve”. The nurse realized the valve thing, and we eventually figure out what Jenny is trying to communicate to us. Blinking words can be very difficult and it wears her out. She tries less and less to spell each day and is very concise and to the point about important things.

Saturday/Sunday News

Jenny was a bit congested Saturday and more tired than normal, but the infectious disease docotrs feel she is free of anything contageous. As for Sunday, Jenny is still sleepy, but feels better. Little or no congestion and she has been great with her blood pressure. Her Neurologist did not appear to know she was making voluntary arm movements, and she was able to do right and left side muscle contractions on her arm. He asked if she could move her legs or feet and we told him that she could not, but when asked to try, Jenny made ever so slight movements in her left foot . The neurologist felt this was an excellent sign and sounded very positive for the first time. They feel she is ready to go to Indy on Monday if all stays the same.