Saturday 25 February 2017

Sun 26 Feb 2017 The fun that you can have at home.

Elise decided to do some cooking after her first sleepover at home. Pikelets with sunflower seeds hit the spot ;-) Appetite has returned!

Mixing up the goodies



Cooking and flipping

Yummy end product
 Video link below of the whole production

https://goo.gl/photos/Ti1W1rwHE8xioEgF7

She really has enjoyed being home, a rare opportunity to muck around like kids do. Hopefully, she'll be able to come home each weekend now and begin adjustment to real life in little steps.

Sat 25 Feb 2017 First night at home for a long time.

A wonderful sunny day and a good time to have Elise's first weekend leave from the hospital. One night back in her bed, albeit with an expensive rented computerized mattress, is a welcome change.

I pushed the wheelchair for Elise, with both Shannon and Poppy accompanying. Elise keenly reacquainted herself with Hughesdale on a perfect sunny day.

Her shoulders are extremely sore because of all the extra work they have been doing so Shannon gave a good massage. This hurt her considerably but provided huge relief. We have decided to give serious massaging on a regular basis from now on. Any masseur would be welcome :-)

Sisters doing stuff together

...they still fit on the bed...

Massaging a very sore back

Video link below of Elise rolling on the bed by herself without using her arms. A difficult feat.
https://goo.gl/photos/BsBzeTJFFzrWivvXA

Friday 24 February 2017

Friday 24 Feb 2017 Fun time

The Rehab team has a music therapist, unfortunately Elise has been too busy to see her much. This week has been different, unbeknownst to me, they have been preparing a song...to record....something about Hospital blues!


Amy and Elise during a recording session




Who said hospital can't be fun! For days Elise has been very excited as her cousin Abby, is coming over for a Friday night sleepover - movie and junk food.  Also good way to fatten her up! She has lost too much weight so we are not shying away from fat - high protein and fat for the next week or so.

Fresh hot chips and hot choc almond milk


Friday 24 Feb 2017 Nerve sensitivity

I spent the day with Elise which I haven't done for two weeks now. Normally, I have been spending the evenings with her as I go straight to the hospital after work. My routine usually is...arrive from work, eat something (leftover hospital food of Elise's - yum :-( !   ), go for hour long walk around lovely Clayton streets, stretches or physio exercises then bedtime jobs and go home, share medical news with Shannon then straight to bed.

The difference is that all the therapy is done during the day and it was interesting for me to see the improvements that she has made. Moving around generally is much easier as her upper body has healed more and along with strength and technique, her mobility is vastly improved. For example, she can turn over on her bed now quite readily which was impossible a few weeks ago.

Each Friday the Physio Mahek does the ASIA test - a skin sensitivity test to determine which spinal nerves are communicating with the brain. Every week there is a slight difference, slightly more feeling below the T10 level. At this stage, every little bit is a celebration. First sensation recovery then motor recovery. It is easier to cope when she continues to improve.

https://goo.gl/photos/PmZGgfqzTJcejuH6A



Monday 20 February 2017

Mon 20 Feb 2017 Lupus strategy

Elise had an excellent weekend as she had lots of friends and relatives visiting while we were enjoying a well earned break at Blairgowrie. Elise has been feeling a bit sick and nauseated post chemo, but managed to enjoy herself anyway.

Today we had a family meeting with the Rheumatologists to discuss their long term Lupus strategy. Not easy listening to them discuss it's severity, rarity and uncertainty of treatment results. It is a real balancing act...just like a real chemistry set.

Her next dose of chemo is likely to be very large, maybe 1000mg, depending what her bloods show over the 3 samples taken over the next 14 days. Hopefully, she won't need the high dose as she is feeling sick enough as it is.

Unfortunately her body weight has recently dropped 25%, much of it being muscle. The fact that she has been off her food doesn't help! She has been eating a bit over the last couple of days though. Received a strong lecture from the Nutritionist today, "no she doesn't have an eating disorder!" Elise loves food, but when you're sick and constipated at the same time eating loses it's shine.

Thursday 16 February 2017

Thu 16 Feb 2017 post chemo and methylprednisolone

Elise had a fairly poor sleep post chemo last night but had quite a good day with only background nausea. She started the day with a pulse of 750mg of methylprednisolone and then was able to get the line out of her arm much to her relief.
I had to laugh last night as the chemo gave her a headache and she asked for something to help. The nurse did the right thing and said, “I’ll go and see what dosage you get”. She came back with one Panadol! They had just just happily administered poison to her that amongst other things causes hair loss, nausea and your bladder to bleed and one Panadol was the best that could be done. Ha Ha

Wednesday 15 February 2017

Wed 15 Feb 2017 Chemo today

Elise had her third dose of Cyclophosphamide today, an increased dose to 750mg. It takes about five hours including hydration.
Elise was happy throughout and we pray that there will not be too much nausea afterwards (taking into account she is on anti-nausea medication).
On Chemo drip

All Chemo contaminated waste incinerated

Delighted that her school class signed cards



Tuesday 14 February 2017

Tues 14 Feb 2017 "A Spoonful of Sugar"

It's no fun to take so you might as well laugh about it!

The link below, shows Elise's nightly routine for bedtime medications. The nose holding is an effective taste remover. Unfortunately there are many and varied concoctions :-(

https://goo.gl/photos/9VoKiZyJRBjuHoAx5

Tues 14 Feb 2017 Mechanical bits


 Today Elise was measured for a wheelchair...a titanium chair built in America to fit her body. This is nothing unusual, wheelchairs for active users are high end and there are only two companies that are contenders. This is very necessary to minimise shoulder/arm strain which inevitably comes with self-propelling. There are "endless" options on the chair - it has taken quite a few late night hours of research to look at pros and cons. Wheelchair salesman got a shock, a mother that actually knew her stuff! Well, knowledge is power and we'll get a much better chair as a result. He went back to his office chuckling, with a story to tell. Well, brightened his day.

Similar to what is on order


Still stuck in a hard place with disability funding - the conversion of Disability funding from State to Nationally run is happening this year. That means teething problems en masse. So when we actually get funding for a chair etc will be interesting. Social worker is looking into other funding bodies. We are waiting on funding really because there is going to be many ongoing significant costs, so we need to start at the beginning and get into the system. If all fails, we will pay for it.

Chemo! It's chemo week again. Comes around too quickly, either Wednesday or Thursday. Another increase in dose and lots and lots of anti-nausea!

Today Elise had her final fitting for AFO's, sounds like aliens or something but it is just ankle braces so she can keep her achilles tendon stretched for standing (otherwise the tighten up and it incredibly difficult to lengthen them again. Elise thinks of them as her new gumboots. Tomorrow they'll bring them back trimmed. A relief to get the enormous, ill-fitting temporary ones off - her duck feet look.

Thursday 9 February 2017

Thur 09 Feb 2017 Eight weeks today

The days roll by quickly and the loose daily rhythm has grown to now include... clinical psychologist visits, toileting specialist daily visits and procedures, weight strengthening program, as of next week regular teacher sessions for maths, the usual OT and physio sessions, daily stretching and massages, dietitian visits and weigh-ins plus physio daily homework, medications etc. Add the specialist visits etc and we have a packed schedule...actually the OT today was noting that we just couldn't fit everything in...something had to go! She kindly cut down from 3x day weights to once a day ...very generous ;-)

Elise has had a difficult week, not being able to eat all week and feeling just plain yuck. However, that hasn't stopped her achieving some new milestones this week...she began walking training with full leg braces (as she has no knee-foot control), is able to pull herself into a crawling position, and used a tread mill...all very exhausting. Physio and OT are very happy with progress.

In the background a lot is happening...eg. arranging disability parking stickers, applying for Ronald McDonald free high school tutoring (a year wait), liaising with school via social worker, applying for government grants for equipment - that is a big one...it usually takes 1.5-2 years to get funding for a wheelchair. Ouch! The custom wheelchair will cost around 5k and we can't buy it in advance, so they are pushing for early funding as she is an inpatient and urgent. Meanwhile we will have to use an adult basic rental chair which is hard for her to self-propel. Well, it's a first world problem. As yet everything is free...oh, we have to pay for wet wipes. How blessed we are.

On the treadmill

Treadmill with 3 staff assisting
https://goo.gl/photos/ES53ZiQxhxEPFx9b6


Hip exercises to music
https://goo.gl/photos/CB3mKaAbrxSDWJFe6

Wednesday 8 February 2017

Wed 08 Feb 2017 some of the many exercises

When Elise is not with the Rehab, OT and Physio folk she has an exercise program to follow.
They are aimed at muscle strengthening and also to help make nerve connections in areas, like her legs, that don't work yet.

Elise's upper body was impacted by the Myelitis. She is still finding hand writing hard work and needs frequent resting if she is writing a card for example.

Below is a video link  of her doing two exercises.
https://goo.gl/photos/ewX6V5ekC6fQmaN96

One with a simple exercise wheel to increase upper body strength. Elise finds this quite easy.

The various stretching exercises are very challenging.  She has made huge headway with this exercise and was not able to do anything like is some time ago.

Saturday 4 February 2017

Sat 05 Feb 2017 A Special Event

High Tea in the sun
Jackie and Coral put on a sumptuous spread for a special High Tea at the hospital.
There was pink lemonade, dark chocolate with berries and super yummy cakes, all with the gorgeously decorated table.
It was a real treat that changed an ordinary hospital day into a wonderful event with special friends.

Thursday 2 February 2017

Thu 02 Feb 2017 Two milestones

It was a big day today.
They spring things on you in hospital, no notice...the rehab team sometimes turn up and say..."well Elise, how about walking today."   Help!

So Elise "walked" about 12 steps today, with knee to foot braces, using bars and two assistants to get her walking. Actually, they did most of the walking but it took a lot of effort on Elise's part, primarily using her hips. She was tickled pink afterwards. Seemingly walking like this is fairly pointless but retraining nerves is really important - which it does.
"walking" video
https://goo.gl/photos/fmAN2Wi1pd3JiENEA

The second part of her big day was her first trip home. Everything lined up and the physio and two OT's helped bundle Elise and 2 partly disassembled wheelchairs into my car. After assembling ramps etc to get over the back door step, we were in. Prior to this event, I had been madly rearranging furniture and packing things up (in my spare time) so Elise can glide around the house. The rehab team photographed and measured everything required, Elise did test runs on her bed, couches, table and so on, then they left. So what does a teen do in her first hours at home? Cook. Potato casserole (with my help) and she made an apple strudel. It was the best dinner we'd had for nearly 2 months, bar Christmas. Then it was time to go home...the hospital.

Best dinner for ages

Medically today Elise's steroids took another step down to 30mg/day. She is feeling well, sleeping well and generally continues to improve slowly. White blood cells aren't down enough yet so then will continue to increase the chemo dosage until it is where they want it. Rehab team are aiming towards getting her home on weekends in the coming weeks.

Wednesday 1 February 2017

Wed 01 Feb 2017

Elise doing some of her daily leg stretches
Today Elise was in fine spirits and greatly looking forward to a trip home tomorrow. It is likely to be for just a short time with the rehab folk. They are visiting to check out our home with view to Elise moving back some time in the future.

You will see that for some time her face is much more round and puffy. This is due the the extremely high Prednisolone dose that she was on originally and the daily dose which is also very high. The doctors are aiming to reduce this gradually before it becomes too dangerous.

The video link below shows Elise transferring from her bed to the wheelchair largely unaided for the very first time!
https://goo.gl/photos/GBtK5Ghv5oUE78MTA