Rock and roll

May 8th, 2008

Landseer

Jasmine has now been home nearly 48 hours. It is fantastic. She has a a rock and roll lifestyle lying in pools of her own vomit and urine and taking lots of drugs. We are the lackeys who clean up after her. I am just waiting for her to throw the TV out the window. She is so cool and has just vomited as I type this. Luckily Neil has taken charge of the cleaning up operation.Yesterday, we felt like we had so much to do we forgot that we were actually doing it for Jasmine as our whole day was spent doing things and not nursing her half as much as we would have liked. This was how our day shaped up:

Woken up at 4am by an alarm on the dialysis machine. Put Jasmine on her side so that she would drain some more and stop the machine making a noise. Went back to sleep. Woken up at 5am by Jasmine being sick. Changed the sheets and her nappy and tidied her up, left her off her feed pump for a bit. This kept beeping so eventually put it back on and then was woken up at 7am by the food pump alarm going off. Disconnected the food pump and put some medicines down her tube. Lay there for a bit and then gave Jasmine more medicines at 8am. Went back to sleep and woke up at 9.30am. Gave Jasmine a bottle and some medicines. Had some breakfast and a shower and then Jasmine threw up everywhere so tidied her up.

The community nurse came round at 11.30am to give Jasmine an injection and bring us more syringes and forms and things. She left at 1pm. We had some lunch and fed Jasmine. Then we went to Argos to buy plastic containers to put all of Jasmine’s stuff in. Then we bought Jasmine a sunhat as it was so hot and some cool pink trousers and a lovely summer dress that I couldn’t resist.

It was a lovely day so we went to the Landseer Pub to have a shandy. Neil and I have turned to the drink to get us through as Jasmine’s drugs – magnesium carbonate, folic acid, calcium acetate, etc., don’t really get you high. Jasmine had milk. Then we got the bus home and tidied around the flat – we are gradually getting rid of all the delivery boxes and putting things away. We then changed Jasmine’s PD dressing (sterile handwashing total = 4 minutes), set up her PD machine (sterile handwashing total = 5 minutes), did her observations, fed her and then tidied all around after she vomited again.

We put her on her machine (sterile handwashing total = 5 minutes) and then we had some dinner (because I am a domestic goddess with my home-made bean lasagne) but the alarm went off several times which I went and dealt with as Neil thought it was next door’s microwave. Then we drew up her medicines (she has 20 syringes a day) and made up her feed for the next 24 hours. We did this watching House and Grey’s Anatomy but we didn’t really need to watch them as we are living through our own medical drama. After several cups of tea we were cross-eyed and started getting ready for bed. Jasmine was sound asleep but I thought I would check her nappy, which was just as well as she was lying in urine-drenched sheets. I changed her again and then she filled her nappy so I changed that and got into bed around 2am.

Neil got up around 4am as he heard Jasmine wretching and tried to wind her. He managed to get some wind up after finally deciding to aspirate her tube and get wind out of her tummy that way. Then we put her back down after some nappy changes. At 6am she vomited again so we took her off the feed pump and began the day all over again.

She doesn’t normally vomit this much but her feed mix and her dialysis program changed the day she came home so she might take a couple of days to settle down. Fingers crossed it does, as most pop stars would tell you that the rock and roll lifestyle is not all it is cracked up to be. My top tip to them is: lie on an A4 ring binder so that you are propped up a bit and less prone to vomiting.

Neil: Home Sweet Home

May 7th, 2008

Leaving GOSH

Today we finally left Great Ormond Street Hospital. Ruth and I both slept over and were over excited as we got Jasmine ready to leave. We were sad to say goodbye to everyone, as they have been so brilliant thoughout Jasmine’s stay. However, it will be good not to have to go to the hospital, and we will soon be back as outpatients. We promised to pop back up to the ward.

The hospital booked us an ambulance to take us back to our flat. It took us forever to work out how to fold our buggy down and fit it into the boot of the car. We got all Jasmine’s stuff, her medicines, some extra dialysate bags, and a pair of scales into the flat, and spent the rest of the day getting organised.

Bank Holiday Monday

May 5th, 2008

Jasmine reading the papers

Sleeping over with Jasmine was good fun last night. Neil left early around 9.30pm and I watched Match of the Day and pottered about and gave Jasmine her last medicines before getting bed.

Through the night Jasmine’s machine alarmed a couple of times and then she vomited at 6am. But it was a nice night. We slept well. I didn’t think I was an early morning person, but this morning I stood on the balcony around 6am and smelt the fresh air and the promise of a new day and realised that I might have been missing out all these years. Lucky for me though I will be seeing many more of these early mornings as Jasmine seems to be in a bit of a 6am vomit routine. At 7am her food pump finished and she was wide awake ready for cuddles so I fished her out of the cot and we sat in the armchair and one of the lovely nurses made me a cup of tea.

We came home around 11am to find Neil having a shower after just getting up. We are going to relax this afternoon and follow Jasmine’s lead. She is currently having a post-prandial nap.

PD Dressing at Home

May 4th, 2008

I spoke to my mate Wayne the other day who made me laugh for hours. He said that he hadn’t been reading the blog lately because Jasmine seemed to be so much better. Previously, when lots of terrible things happened, he was riveted and read the blog every morning but now it’s all a bit dull so he has gone elsewhere on the web to get his kicks.

Neil came home a bit cross-eyed this morning with Jasmine. Jasmine was smiling happily. Neil hadn’t had much sleep at all in the night but was glad he practised the alarms. Jasmine had been sick a couple of times this morning so he had spent since 6am cleaning up her sick and changing the cot.

I had spent the morning at home sorting out our bedroom and bathroom. We can fit in the dialysis machine and all of the dialysate and hand washing scrub stuff and everything we need in both places so that our life is easy. So after lunch we were all ready to try out my organisation. as we were scheduled to change Jasmine’s PD dressing. This involves several trips to and from the bathroom to the bedroom for handwashing, easy access to various bits of sterile swaps, antiseptic and what have you, and somewhere clean and flat to put Jasmine. It went really well. Neil did the dressing and said it was a bit easier at home, since we have control over where to put things. The only problem is where to keep the paper towels. We think we may have to screw our new paper dispenser to the wall and make our bathroom look like a public convenience.

I am staying at the hospital tonight so we will take Jasmine back in a while. Indiana Jones is on the telly so I can watch that while Jasmine snoozes and Neil can organise the dinner, though I am bit bored of pizza.

New buggy

May 3rd, 2008

In the cafe
We (Neil, Jasmine, and I) went shopping today and bought a new buggy and baby bath from Argos. We set the new buggy up in Argos and put the bath in it and pushed it back to the hospital. Jasmine was in the ward buggy watching us as we fiddled about with wheels and raincovers. It was a lovely sunny day so we went for coffees in the nearby cafe and watched the world go by and lots of people stopped to tell us how gorgeous they find Jasmine.

Tonight Neil is staying at the hospital so we had pizza and salad for dinner again as it was my turn to go for takeaway to eat during Match of The Day. I gave him training on our new food pump, which meant that I pumped water all over Jasmine’s cubicle and Neil laughed at a lot at my training techniques. We eventually got the pump working and hooked up to Jasmine with nice fresh milk for the night.

Since I was on fire with my training, before I left I gave Neil more information about the alarms on the machine. Generally if an alarm goes off you check the lines that they aren’t clamped or kinked and then you give Jasmine a gentle shake or turn her on her side. The alarms normally stop and the machine carries on dialysing Jasmine. Neil then ordered me home because it was getting late and my explanations weren’t fantastic and I had to get the baby bath back.

Neil: Feed pump training

May 2nd, 2008

Ruth got trained on how to use the feed pump today. Jasmine will be fed overnight, so should sleep well. Her pump can be put in a backpack when we go out and about. It is all very well designed. Ruth was trying out the pump with orange juice, so that she could see where the juice was in the lines.

We are getting faster at doing all the tasks required. Ruth disconnected Jasmine, and set her machine up. I changed her PD dressing and connected her in the evening. Jasmine’s blood pressure is fairly stable at the moment, and she is putting on weight, so things are looking good at the moment.

Supplies

May 1st, 2008

Supplies

Last week we got our food pump deliveries. Last night we brought home the dialysis machine in a big black suitcase and today we had all our dialysate and other medical supplies delivered. We have everything we need to care for Jasmine for two weeks. It is in our living room at the moment. We just need to find places to put it and organise ourselves.

Today Jasmine and I are at home and Neil is at work. Jasmine is currently snoozing in her cot and I am considering a nap myself as I am so tired after being overexcited at the prospect of Jasmine coming home. If all goes well we should be able to bring her home next week. I can’t believe it and start to cry everytime I think about it.

Jasmine has realised that her hand is connected to her arm and keeps staring at it and going cross-eyed. She also supports her own head for extended periods of time and leans back when she is in my arms so that she can stretch and have a good look around (and make me look like I don’t know how to hold her properly). Now when she smiles she looks directly at me which is more polite than that smiling to herself routine that she used to do.

Wot no blog

April 30th, 2008

Yoda

I stayed over at the hospital last night with Jasmine as part of the dialysis training. Neil kept us company until late so by the time he got home he was so tired he got straight into bed. I enjoyed our a girlie sleepover. Neil got us pizza whilst we watched the footie and Jasmine, who was completely flaked out in her cot.

After Neil left I managed to fall asleep but it was a busy night. I seemed to hear alarms quite a bit and nurses rushing up and down dealing with them. At one point they were switching lights on and off to find the source of one random alarm that didn’t seem to belong to a patient, so inbetween sleeping and wandering about, I spent quite a bit of time watching Jasmine sleep and looking out of the window at the ambulances coming and going.

I finally got into a deep sleep around 2am after changing Jasmine who had vomited a couple of times. Then just after 3am the alarm on Jasmine’s machine woke me up. The nurse on duty had made Jasmine’s machine alarm on purpose so that I could get some practice dealing with alarms when half-asleep. I don’t know how she managed to sneak in without waking me when the door to our cubicle is really heavy and squeaks a lot. I gave Jasmine a shake to untangle her line and unclamped a line on the machine. Luckily this seemed to do the trick and I was able to go back to sleep. It was good practice and I feel much more confident when dealing with the machine.

This morning Neil arrived with lattes and croissants which perked me up no end. Neil disconnected her and then I went off to Westminster to give a lecture. I was wondering how I would manage, but it went ok and I enjoyed it.

I got back this afternoon and did Jasmine’s machine and we went for a cup of tea downstairs and watched the world go by. She sits wide-eyed like Yoda making wise grunting sounds. I can now chat to myself to my heart’s content as Jasmine sits on my lap. People think I am chatting to her – little do they know that she isn’t really listening.

A long day

April 28th, 2008

We moved from one side of the ward to the other today. It is used by patients and parents to be semi-independent and to get used to doing everything before they go home, but still have access to the nurses when they have a question. It is really quiet on this side and I miss chatting to all the nurses and having them pop their heads round the door to ask me if I need anything.

Today I took a sample from Jasmine’s catheter – direct from her tummy. I also set up her machine and connected her without anyone supervising us at all. Although I have done her machine many times I was convinced I had done it all wrong because no one was watching, but it worked fine when I plugged Jasmine into it. Neil and I did her PD dressing together this evening when he came in from work as it is a two man job. Everything else we can do separately and take turns, so that we get a break.

I took Jasmine out for lunch today and someone asked me if Jasmine was my baby. How weird. Whose baby would she be? Still it was better than the other four people who asked me why she has a tube up her nose. My new answer: because she needs it.

Jasmine at home

April 27th, 2008

Jasmine and her dad

We got up early this morning and headed down the ward. Jasmine looked quite small this morning as they have been putting her on stronger dialysate in order to get rid of the excess fluid she is retaining. The registrar thinks that she is still retaining some fluid and was squeezing her thighs to test her fluid retention. I disconnected her from her machine, Neil made up her medicines and then we fed her and went out for breakfast.

After breakfast we headed back to the ward so that Neil could set up her machine for this evening.  Then we came home and are lying about here, which is very nice. Jasmine is now getting into the habit of crying really loudly if there is something not exactly to her liking. We find it really funny, but shouldn’t as she is terribly spoilt, but so gorgeous we can’t help ourselves and give in.