I wrote this blog back on the 23rd March (it's now the 4th June) but never published it. When I wrote it I was angry so wouldn't let myself publish it, so I've now sensored it and published it!
Now we've finally moved house and got the internet up and running I thought it was about time I updated the blog as so much has happened in the last 2 months.
Last time I wrote I said that William had started being very sick again. This didn't stop and since then we could count on one hand the number of days he's not been sick. It's been up and down, some days he throws up one feed, some days he throws up over half of what we give him. This has resulted in a lot of worry about his fluid intake. Eventually after a fair amount of nagging from me we got a referral to Addenbrookes to see the surgeon about William having a Nissens Fundoplication. If the operation was a success it would stop him being sick and mean he could come off his reflux medicines. We'd be able to feed him quicker and move around freely with him while he was feeding.
We met with the surgeon a few weeks ago who was a bit reluctant to operate given William's other medical problems but he eventually agreed following a little exagerating from me. This particular meeting did not go very well, mostly because the surgeon doesn't have a very good bedside manner. He wanted us to see an intensive care respiratory doctor before he would agree to operate. Therefore a couple of weeks ago we met with another doctor at Addenbrookes who was lovely and had worked with children like William a lot. He said given Williams medical conditions, his chest was in good shape and he thought the operation was worth carrying out. He said he thought William had a 95% chance of coming off the ventilators straight away after surgery, and only a 1-2% chance of needing ventilating for a week or more. He explained that once a child has had to stay on a ventilator for a week and is showing no signs of taking over their breathing again, that is when you would start to look at other options. This would range from turning off the ventilator and acknowledging there's nothing more that can be done, giving the child a tracheostomy or trying to agressively wean them off the ventilator. Thankfully there was a slim chance we would reach this situation so we were still happy to proceed.
Out of the blue a week last Wednesday we were told we had a slot for surgery last Monday, it was a cancellation, hence the short notice. We were nervous but so pleased it had come through. Since January we've barely left the house and it was so good to think we might finally get our lives back. On monday we arrived at Addenbrookes at 7.20am with all our bags ready for a week or so there. We were seen by the anaesthetist, surgeons registrar and William had blood taken so they could confirm his blood type in case he needed a transfusion during the operation. We then waited as we were third on the list. At 3pm a junior doctor came to inform us that the intensive care bed reserved for when William came out of theatre had gone (presumably due to an emergency) and the surgeon could threfore not operate. We went home very upset. Having spent the last few days as nervous wrecks the prospect of going through it all again was awful. We are currently waiting for a new surgery date. This morning Steve spoke to the surgeons secretary who advised we're currently booked in for early May. However there may be another cancellation slot coming up so we're waiting to hear back from her again.
While all this has been unpleasant in itself the knock on effects have been unexpected and probably the worst part. As a result of his sickness we've not been able to do much with William. We put off seeing the physio for a while as we simply couldnt afford to move him. We have little freedom with what we do with him because our whole day is based around feeding and then sitting still to make sure he's not sick. While William is showing little signs of becoming more aware in his responses, physically he's making no progress.
As I mentioned earlier we've not been able to go out much this year. Not only is it a big hassle if William is sick while out and about, it's also embarassing because he literally seems to be choking, but more than anything our priority has to be to keep as much water and food in him as possible to keep him well. Most the time keeping him still is the best way to achieve this so we can't afford to move him. So you can imagine, when you spend most your time stuck inside with a baby who sicks up most of what you give them, when you start every day cleaning a lot of sick out of a cot, when you can't play with that baby as you want to, when you barely see anyone, life gets very challening. In the past several weeks I've started struggling a lot with anxiety type feelings to the point that I'm finding it really hard to go out. Steve has to come home and deal with an often very fed up Helen.
On top of this we've had struggles with church and moved house and it's all made for a difficult few months. However there have been a couple of really good things going on too...
I have a friend from university, Rachel, who lives about half an hour away and she has been such a star over the last few months that I don't know what I'd have done without her. When William was born she explained to her boss about William and us and he/she agreed that Rachel could take every Tuesday afternoon off to come and see us. This is when William has respite so we often just sit and chat or go for a drink. She often cooks us dinner when shes here and most of all she comes even when I feel like rubbish and don't want to do anything and she doesn't mind. I'm so thankful for her and for her being there when we felt very alone and for sticking with us even when we're not very fun people to be around.
We've also made friends with a local couple who have a daughter with a diagnosis very different to William's but who is also tube fed. As families we've faced a lot of very similar things and it's been really great to meet a family who we get on with but can also share our experiences with. William and their little girl are so adorable together and it's really nice for William to have a friend more on his ability level. We've been able to share experiences and help each other out, and I am so grateful we have met.
Finally, I wanted to write about what prompted me to write on here today. This morning William and I went to the 'special needs' toddler group we go to most Fridays. I decided to walk there. This might sound like no big deal but for someone who doesn't go out much, whose baby is likely to projectile vomit at any moment and who is struggling with anxiety type feelings, it felt like a big achievement and I was proud of myself. The group starts with an hours free play, then snack time, then a circle time with singing. 90% of the time when we go William falls asleep during snack time and misses the singing because he's worn out and because he often naps around then. A few weeks ago a few comments were made about trying to help William stay awake for the whole session and then this morning it was suggested that perhaps I take William along later in the hope that he would have less stimulation before he got there and would then be awake for circle time. The ladies who lead the group who suggested it were trying to help and work out a solution that would be best for William and I totally realise this and am not angry at them. However the conversation ended up having a totally different effect on me.
William sleeps generally well at night so long as hes not sick or fitting, however he naps as and when he wants in the day. I've spent a long time worrying about him not being in a better routine with his naps but have come to the conclusion that there is too much against us to have more of a routine and he sleeps well at night which is enough. Many families with children with additional needs struggle to ever get a decent nights sleep. His sleepiness will depend on his seizure activty, his medicines and how active he's been in the day which depends largely on how sick he's been. His bedtime varies due to his sickness, but you could put him to bed at 6 and he'll go stright asleep, or you could put him to bed at 6 and he'll lie happily awake for four hours. How is a child with severe neurological problems supposed to understand rules about when to sleep and when not to when many healthy children sturggle with it. Despite all this reasoning I still feel like a bad mother for not having my child in a structured sleep routine. Therefore when comments like today's are made I find it hard not to take it personally.
Add to this the fact that I'm struggling with the fact that William is obvisouly the least able, most severely disabled child in the group and the fact that the group is the only thing I regularly attend, I was left feeling very excluded. I go to that group mostly for me, Williams barely aware where we are but I need to do something. As much as I know they did nothing wrong and were just trying to help, I can't help but feel like I'm being excluded from something which should be for people like us. It's like William is too disabled to be involved. I know this isnt the case at all though.