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Posts Tagged ‘childrens hospital westmead’

and they call this a children’s hospital.

I have seen a lot of hospital in my time as a parent

but never in my life have I experienced anything like the treatment

that Ivy (and I) received today.

For a start we had waited for doctors for the last five days

to come and consult

but they just never turned up,

our weekend of gate leave cut short by a day because the anesthetist

failed to show up at all on Friday, so we were made to come

in the hope that someone would see Ivy on Sunday.

Nope.

So, this morning I knew that Ivy was on the emergency list

for aspiration of the abscesses

but we had no time for theatre, we had no plan and

I didn’t even know whether to keep her nil by mouth from midnight.

At around nine

(just when we were on our way to pathology to have bloods taken)

the anesthetic registrar turned up and

after being unable to find her notes,

asked me a bunch of questions about Ivy.

I told him she hated the mask

and that she was hard to cannulate

and that she needed midazolam as a pre med.

I told him she needed hydrocortisone just before she went into surgery

and that she had just spent the last eight weeks in the hospital

and was now frightened of anything to do with needles,

procedures and surgery.

He told me that  he understood and, although he was not the doctor who would

be present for the procedure,

that he would chart some oral midaz for Ivy.

He had no idea what time she was going to theatre

but encouraged us to go and have her bloods taken.

Which we did

and then we had a consult with the immunologist.

As we made our way back to the ward

I received a phone call telling me that surgery were ready for us.

When we got there all hell broke loose.

One nurse said she had no idea what was going on,

another told me they had been looking for us for hours

(clearly that was a lie)

and then the theatre nurse turned up.

She took it upon herself to yell at me and tell me

that I had kept everyone waiting and that I was lucky that they hadn’t

cancelled Ivy’s place.

Then she said that Ivy should have a pre med

and that it was my job to insist,

that she should have been cannulated first

and then had bloods while she was asleep and that she couldn’t have

anything to help her to relax now because there was no time.

We’d had no time to prepare Ivy

beyond the knowledge that she was to have surgery today

and all of a sudden people were poking her and prodding her

and pulling her in every direction.

Of course she stared to cry

and I did too.

The very unsympathetic “paediatric nurse” then told me

she didn’t have time for our upset and that I needed to get it together

for Ivy’s sake.

That made me feel so angry

because if all of this was for Ivy’s sake

then there would have been a good plan

and kind nurses

and doctors who actually turned up on time

to find out all about her little quirks and her allergies and her needs.

Instead the nurse told me if I didn’t like what she was offering I could refuse

and the surgery could be cancelled.

After waiting for five days inside the hospital

and three days before that at home for there to be any movement at all,

I told her that we would be going ahead.

Ivy was hysterical.

I carried her to the anesthetic bay because there was no bed ready

and no porter to push our invisible ride

but before we left the ward we were informed that we were being transferred

to another ward

and that our luggage would be removed from our room

and locked in a cupboard for collection later on.

None of this had been discussed previously with me.

In our own hospital this may not have been such a big deal.

I know it almost as well as the back of my hand

but we were a long way from home

I didn’t even know where the operating theatre was,

let alone a different ward.

In the anesthetic bay they made me hold Ivy’s arms down

so she wouldn’t fight the mask,

all the while telling me what a waste of their time this all was.

My girl did not get any of the things that she needed for surgery

but what I found so utterly disgusting is how cruel they were.

They call themselves a children’s hospital,

a place that is supposedly geared towards looking after tiny humans

and yet not once was Ivy taken into consideration.

The doctors all did what was best for them.

The nurses all looked after themselves

but nobody looked after my girl.

It was cruel and mean that they let her get that frightened,

that they had no set plan,

that everything was so disorganized that when it came time,

Ivy was petrified.

Even the immunologist had no idea that we had been moved

to another ward following the procedure.

Luckily, after recovery, which was also less than friendly

the nurses on the surgical ward were nice enough

and Ivy, for all intensive purposes, did well post operatively.

There is more but this post is already long and ranty

and I need to step back and reassess all that has happened

and try to find the good in today.

I am tired and so ready to go home,

which will hopefully be tomorrow

and let me tell you,

tomorrow can’t come soon enough.

Hospital survival guide – a grateful post. Also; a monster edition.

1. Accept all things for what they are.

2. Make the best of the worst.

3. Laugh often.

4. Family is the best cure for the hospital blues.

5. Friends will help you to see the sun through the clouds.

6. Listen to your heart, go with your gut.

7. Allow yourself to feel.

8. Kindness is everywhere, if you take the time to notice it.

+++

On Monday we arrived at The Children’s Hospital at Westmead.

We met with the immunologist, who gave us a rundown of what would be happening with the girl.

She spoke with Dave and Ivy and I for a long time

and then she did a scratch test

followed by a dose of the lactoferrin.

It was a fraction of the original amount – just 1/100th of the 1gram she was originally prescribed.

Within twenty minutes, Ivy was red and itchy and grumpy.

There was alot of waiting on the first day,

alot of not knowing where we were

or what we were doing

and lots of tears – hers and mine.

There was also a fair bit of crazy, overtired giggling towards the end of the day.

It helped to ease the nerves.

(There are some iphone photos that have been included here. Leading me to believe that I need to improve my iphone photography skills a lot)


The room was quite large, with lovely artwork on the walls.

After an adjustment period, Ivy set about creating her own drawings.

I really love child inspired paintings.

Perfectly imperfect (my new favourite mantra).

The first day was far from smooth.

On day two the immunologist halved the dose and then halved that again.

It only seemed like a few grains of the fairydust, at 1/400th of the original

but the girl did not react.

Grandma arrived and she happily coloured in.

The immunologist was quietly excited and tossed up whether she would dose Ivy again that night.

At one stage there was a knock on the door,

some old friends came to pay a visit

and within minutes of their arrival

the clown doctors came.

(I LOVE the clown doctors).

 

Ivy and I laughed so much.

I’ve not seen the girl giggle so hard in such a long time.

We both needed that

and I was so thankful

that we found some happiness.

Part of the reaction for Ivy is a terribly upset stomach

and unfortunately her afternoon was filled with this.

The immunologist decided to leave the girl alone,

which I was very grateful for.

 

By Wednesday we had kind of found our feet

which was just as well because we needed to travel around the hospital a bit for tests.

I felt a bit strange being there – my heart racing and teary too.

Ivy took to the place like a duck to water though.

I learn from my girl every single day.

Dosing didn’t go so well

and twenty minutes later the girl was puffy, red and not in a good mood.

We had to wait to make sure that was the extent of the reaction

but after that we were given gate leave to celebrate Malachy’s 13th birthday.

 

Dave and the grandparents and all of the kids came down.
We went to  the local park and had a birthday picnic.
It was nice.
Mal was happy and I loved seeing all of the kids.
It definitely helped to break up the week.
We met Janine, who is the Country Liason Officer.
She helped us to feel our way around the hospital
and when we returned from gate leave she had a birthday gift for Mal
and some things for the other kids too.
It was so nice of her to think of our family like that.
(Noah was too tall for the girls but clearly too short when he kneeled down for the photo)
All up, it was a lovely day.
Of course the hardest thing about gate leave is having to go back into the hospital.
Ivy and I missed everyone almost as soon as they had walked out the door.
I think, in a lot of ways,
it was an easier visit than when we have to go to our hospital.
mainly because Ivy was essentially well
and so we could go outside and move around the hospital freely if we wanted to.
In the evening the lovely Laura, Liz and Leigh came to visit.
Ivy loved them and warmed up straight away.
She was allowed to stay up late and eat a bag of chips well after bed time.
The best thing though was when she got away with sticking her tongue out at her mother (look at that cheeky face)
She played Angry Birds and generally partied with the girls.
She was tired the next morning and we had some tests that needed to be done
and the girl was a little bit stressed by it all
but with the morning came a most magical rainbow that danced across the carpet of the room.
Ivy stood in it for a long time
and then she said, “It’s William, he’s looking after us”.
Oh, my heart!
The day started with blood tests.
Chocolate milk fixes most things,
especially post blood test tears
and visits from gorgeous friends helped too.
The reaction was maybe a little less this day but we held steady at our minute dose.
Our Thursday went quickly
and the night,
well, the night was restless.
Dosing on Friday was interesting.
At first I thought her reaction was going to be less
but in the end, I think it was worse than the two days before.
The girl complained that her eyes were itchy, along with her face and her arms too.
It settled though with some medication and by mid morning we  were enjoying a visit with Denyse
and a special bunny came along too.
We reviewed everything with the doctor after lunch
and then we were discharged.
I guess not much changed in some respects.
Ivy is no closer to being desensitised to the Lactoferrin,
although we know she can tolerate a little of it,
it is not at a therapeutic dose.
The future is uncertain.
We are down to talking about the bigger things, like bone marrow transplant,
although the immunologist assures me that we are not there yet.
I can’t think about that now.
I have to hold on to the little things and hope that they are enough.
There is so much ahead for Ivy.
More surgery, new medications and trials
but for tonight I am going to appreciate all that I have,
all that I have been given
and know that I am a little bit stronger than I thought I was a month ago
and so is the girl.