Saturday, September 20th, 2008
115 Bourbon Street
3359 West 115th Street Merrionette Park, Illinois
3:00 – 8:00 p.m.

$25 in advance, $30 at the door. Ticket includes live entertainment, food, beer, wine and soft drinks.
Cash Raffle, Basket Raffle and Silent Auction.

Donations for raffles and silent auctions
(i.e. gift cards and event tickets) can be mailed to:
Loving Lauren
P.O. Box 684
New Lenox, IL 60451

 
Mary Jean Nardulli
maryjeann@mcgreal.com
 


UPDATES 8-06-2008

Thank you for visiting our site and welcome to our weekly update on Lauren.

Over the past 2 weeks, Lauren had a urinary tract infection and has recently completed the antibiotics to treat it. We do need to bring her in to the pediatrician to be re-tested to confirm that it is gone. Thankfully, we just needed a fairly quick trip to the Edward Hospital Emergency Room and not a hospital stay this time around. Prior to confirming her “uti”, she was vomiting a lot more than usual and she did not sleep very well at night or during the day. We knew that something was not right. She also felt slightly warm, with a low-grade fever. We are getting better at understanding her signs, since she is not easy to diagnose. As I was walking into the pediatrician’s office, I thought that this is most likely a uti and not a shunt malfunction. With the shunt malfunction, she generally stops moving altogether and she holds her hands to her head to signal the pain. Plus, she hates to be carried or moved when that is happening. She still was moving around on her own, just not as much as usual. The vomiting would have increased a lot with both of the possibilities, so that symptom didn’t help us rule anything out. After the urologist reviewed Lauren’s medical history, renal ultrasounds and VCUG (voiding cystourethrogram) results in January of this year, she felt that Lauren did not need to be on a daily antibiotic to prevent urinary tract infections and kidney damage. Lauren was on this antibiotic for most of her life, prior to this visit. I will need to follow up with the urologist to make sure that this is still the case. Katelyn also had “kidney reflux”, but her degree of severity was much higher than Lauren’s. Fortunately, Katelyn outgrew that while she was still a year old. The cyst in Lauren’s spine may be impairing the signaling from her brain to her bladder, so that can also be an issue that leads to urinary infections. It is not something we can investigate with urology until the spinal cyst is emptied.

We had 2 major doctor’s visits over the past week. Dr. Grayhack is the orthopaedic surgeon who reviews Lauren’s back x-rays every 6 months to keep up with her kyphosis and scoliosis. The degree of curvature can change over time as she grows. After comparing the January 2008 to the July 2008 x-rays, he feels that there has been no significant changes. He does not feel that we need to push up the cyst surgery that Dr. Tomita had wanted to do in a few months. We are planning to get a soft brace for Lauren to wear to support her back when sitting. At this point, we might just try to use this during her therapies. It will need to be customized to accommodate Lauren’s g tube and since the position of that will need to change in the near future, we may want to put off ordering the brace for a little while. The other visit was to the gastroenterologist, Dr. Nelson. After our appointment, she was going to talk to the pediatric surgeon directly to see if they can come up with options for Lauren that we can all agree on. We had included a lot of detail around the surgeon’s point of view in the last update. They both would like to see her on a continuous feed using a g-j tube or j-tube to help Lauren gain weight while avoiding her severe reflux. This feed would mean that Lauren would be tethered to her feeding pump 20 hours a day, since the jejunum cannot handle too much formula at a time like she would get in a bolus feeding in her g tube. This is not a workable solution to us given her high activity level and developmental progress and it is not feasible to me when she can unplug her tube and does this to get away for the few hours a day that she is attached to it already. Then, the formula in her stomach all leaks out and it does not help her gain weight. Dr. Nelson would not like to see her get a Nissen Fundoplication because she feels that her main issue is with stomach emptying. This will not help that in any way and the procedure could result in more harm than good. Lauren’s weight had dropped a pound while she was dealing with the uti, so that didn’t help our case against the j tube.

On the fun side, Lauren is still talking a lot and she likes to sing songs like “twinkle, twinkle little star” and songs that Katelyn sings from her preschool and vacation bible school. Lauren’s favorite word lately is “Hannah”, which means that she wants to watch the Hannah Montana concert that we recorded from one of the movie channels. Watching this over and over can get boring at times, but she enjoys it so much that it is fun to watch her dancing and singing with Katelyn. The upside is that Lauren is not as obsessive about Barney now. She enjoys laying her head on the couch and stretching out, just like her sister does. Katelyn likes to carry Lauren around lately and this can be hard to watch without being nervous. They do enjoy each other so much though. In a month, Katelyn starts Kindergarten and I know that Lauren is really going to miss her during the day. I am too, but I also know that Katelyn will love school and that is best for her.

Thank you for reading our latest update. Many people told me they were glad to get Mike’s perspective for the last update and I agree completely. We feel many of the same emotions about Lauren’s struggles and victories, just not always at the same time. In that way, we are very fortunate to have each other to keep us in balance. Lauren is well loved by so many and we appreciate that people care about what is happening to her and want to see her thriving.