11.1.21 Trach Floor 6

Guest blogger #5

Aimee had her first Safe Trach procedure this morning. This is something that will need to be done every 6-12 months. They are scoping her airway checking the fit of the Trach and also for granulation tissue. Also checking her Stoma where the Trach enters. The procedure went well and came back with no issues around the Trach itself. 

We finally had the meeting of the minds from General Surgery and GI. Can I get a hallelujah!?! They are going to do imaging through an MRE (basically an MRI of the gut) of her intestine. The team also agreed that, depending on the results of the imaging, they would also do a scope through her ileostomy to look at the inside of her small intestines and potentially take a biopsy. They recommended that we start some of her medicine, erythromycin and cyproheptadine, into her small bowels. These medications are both to improve stomach function, to allow it to expand and also to move contents to the small intestine. The first and foremost goal is for her no to longer be dependent on the suction through the NG tube that is through her nose and down into her stomach, which has been there for a month. Tomorrow we hope to get the MRE done and will update from there. 

10.31.21 Trach Floor 5

Guest blogger #4
Well Happy Halloween! Today has been a pretty peaceful and quiet day. Aimee got up in her wheelchair for about half an hour today and did really well. Granted, she slept most of that time. No other big news to report. Still waiting until tomorrow to hear what GI has planned. We did sign the paperwork for tomorrow’s trach safe procedure, which is scheduled for 9:30. Otolaryngology’s surgeon, who did her tracheotomy surgery, will be checking the placement and how Aimee’s body is responding to the trach. They also use the opportunity to create safety plans specific to Aimee’s airway/trach for emergency use. 

Rosa and I had a chance to talk to the team attending together, which was nice. He is one of those doctors that doesn’t belittle your situation. It was very evident that he has lots of experience and has been working in the MCC department for a while as its director, but at the same time still has empathy for what we are going through. This is so refreshing. Sometimes doctors tend to tell us that they’ve seen worse situations, which can makes you feel insignificant. I think they try this method in an attempt to make us feel like they are competent and can handle our situation, but it really makes us feel as if we don’t belong here because we’re not serious enough or that our feelings are not valid because they have seen worse. So nice to actually be heard. 

It wasn’t until after our first spine surgery four years ago with Aimee’s growth rods that we were connected with the MCC team. Since then we have been followed by their team every time we are inpatient. The consistency of their care has made these times a lot less frustrating, because you don’t have to build the trust every single time you come in. They are advocates for us and for Aimee. They have been through lots of gut function issues with us and are able to help each new team learn Aimee quicker. I didn’t even know this type of care was some thing that Children’s Hospital provided, but I am so thankful that we were considered for this team and have now had their support throughout the years.

Please be praying for both Rosa and I as we step into this next two month season. During the month of November and December we have to complete 14 training sessions in order to be cleared by the hospital to care for Aimee at home. Each week we have two training sessions at the hospital where we both have to be here at the same time. This will mean that whoever is at home with the other four kids has to make two additional trips to Seattle each week. This will make the home side of this process much more complicated and wearisome. We are both already so depleted. I’m not quite sure how this will all work out. 

If my math is correct, we have now been inpatient over 90 days since May. This has been extremely exhausting both emotionally and physically. In the past during our hospital stays, we have had the hope that we could return home soon. This time, with the trainings set, the realization that we will be here for the next two months at minimum has really started to settle in. You can do just about anything for two weeks knowing it will end, but two months is a lot longer stretch. 

Thank you for those that have continued with your prayer and support. We have felt your presence with us during this time. Please continue, as we will need it now more than ever.

10.30.21 Trach floor 4



Aimee was able to facetime while awake with her siblings. 😍 Otherwise, no new news. The team gave her a saline bolus today to see if it will help with the vomiting issue. I anticipate a quiet day tomorrow too as the weekend is usually pretty slow. 

10.29.21 Trach Floor 3


Best, most important part of today, Aimee has been alert! She got up in her wheelchair for the first time for about 10 minutes and she watched a movie for the first time too! She is still struggling with lots of coughing and some vomiting despite having both the gravity drain and suction drain from her stomach, but seeing her alert has been a balm to my heart after this long month. 

Okay, she didn’t enjoy the wheelchair and transfer at all, but she did it.

The movie was much more appreciated.

Overall not much else to report today. Working out some details for next week. Monday she has her first trach safe, which is a sedated scope procedure to check on her airway. 

I had a visit from one our favorite ICU nurses today. She stopped by to see us and give me a hug. Hugs are a rare and precious gift right now.

10.28.21 Trach floor 2

Nearly forgot to write a quick update today. Aimee is stable and settling into the new unit. This is an area of the hospital we have never stayed in before, but from our understanding, aside from the PICU, this will be where we stay from this point forward. New faces to meet and new rapport to build. We do recognize a few, some of the RTs from previous stays and our MCC team will some of them be familiar. It takes a couple weeks to really build trust with the new unit though, so it will be a bit of finagling til then. 


The new attending gave me a very pessimistic expectation of how long our stay would be. He said that it would take us several months to get back home. We are hoping that is not true, but do know it will be more than one month more for sure. The gut issue is our real unknown wildcard. 

GI did stop by today and they still have not been able to communicate together with general surgery and our primary GI doctor. Essentially they told us to hold tight until Monday and make no changes. We are building some serious patience muscles.  

10.27.21 MCC Trach Vent Floor!

I came back down this afternoon and had a peaceful afternoon transitioning care, discussing this week with Ed. Then this evening, the ICU team released Aimee to the Medically Complex Care team on the Trach Vent Floor! She just got settled in her new room (forest 3.307). This is a huge step forward after nearly 4 weeks in the ICU. 



While we are so thrilled with this step forward where we get to be participants in her care again, we are concerned about her gut function. The respiratory situation is a matter of time and training, so that will proceed over the next few weeks. The gut… we still have hope that she will return to her ability to be fed via j-tube, but are concerned about the difficulty that she has been having without NG suctioning and the partial obstruction. If she can return to her previous function, will she be frequently dealing with blockages? Will she be able to get back to comfortable digestion without distention and vomiting? If she doesn’t return to function, she will have to go home on TPN. We are not yet in the place where we have to consider these options, but has started to come up in discussion with different team members. We are still waiting to hear back from the general surgery/GI discussions on what steps to take next. 

In happy news, I enjoyed a few days at home doing “normal” life, school, snuggles, diapers, milking, and laundry. It was good, though so hard to be separate. I never want to leave home and I never want to leave Aimee here. 💔












10.26.21 ICU 35

Guest blogger #3

When we transfer to the Trach/vent floor, we will be under the MCC (Medically Complex Care) team instead of directly under pulmonary, although they will still be consults for Aimee’s care. This move is because of the continued bowel issues, MCC is better suited to handle this in conjunction with the new Trach. 

Aimee spiked a fever this afternoon and they took blood cultures to check again for infection. With her central PICC line they are very cautious and quick to want to rule out an infection. 

The G.I. consult came by this afternoon. Not our normal doctor and the team that I was excited about getting all of their inputs, but just the on call GI doctor. One of the most frustrating things about being inpatient at the hospital is that you don’t see your normal doctor, you only see who is on call that week. The doctor came in with an answer to a question that we had asked last week, which we already knew the response to and she wasn’t able to really answer anymore additional questions. She is going to go back and talk with her colleague to hopefully gather some more information. Until then we wait ….

The ICU attending that we have for this week has thanked me multiple times for being patient with them as they try to figure out Aimee’s gut. But really I thank them for being willing to be patient with Aimee. Sometimes I think people get impatient with how long it takes for her body to respond, so I appreciate the willingness to give her time to respond and not just give up on her gut function returning. 

In good news, I do feel like there has been some increased output and also air in her ostomy. 



I did get a moment when Aimee was awake and caught her looking at me. I feel like the moments of Aimee’s bright eyes and glow have been limited in these last couple of months so I cherish these times when I get to see into her eyes and she recognizes me. I pray that through all these tough moments for Aimee that we are able to restore her joy and glow. She has impacted so many along her journey including myself. I don’t even know what our lives would look like without Aimee’s impact, but I’m so thankful that we have been entrusted with her care.