Long Overdue Update

I used to always wonder what I did with all my time before I had kids.  Now, I wonder what I could have possibly been doing with all my time pre-cancer.  Life is C-R-A-Z-Y right now!  I am terribly sorry for the lack of any updates on Nate (save a few quick Facebook updates), but the last two weeks have been so incredibly and completely crazy, busy that I have barely had time to catch my breath.  Let's see where I left off...a week ago, Monday, I took Nate to clinic and everything was holding steady.  They decided to remove the lipids from Nate's TPN and see what happened with his appetite.  I have been back and forth on the phone with MD Anderson for months regarding possibly taking Nate to Houston for proton therapy radiation instead of traditional radiation.  I received a call from them on Monday after clinic, for an appointment the following Tuesday!  It was perfect because Wes's spring break is that week and we could all go as a family...but, one week didn't give me a lot of time to make all the travel arrangements I needed to make for our family of 5.  I spent all week making phone call after phone call to try and get everything arranged.

Wednesday was his first day, after the lipids were removed, and my mom took care of Nate while I worked. She kept a log of what he ate throughout the day, and he ate SO good. I took the log to clinic with us on Thursday and everyone was quite impressed with his eating and weight gain. Nutrition decided to stop his TPN altogether and just keep him on IV fluids at night. I was told that Nate may have to continue IV fluids at night for up to six months. Until he consistently drinks 40 to 50 oz a day...and more in the summer...he needs the fluids. The chemo and antibiotics he received during transplant are all really hard on his kidneys and they want to make sure that he gets plenty of fluids to help protect those kidneys. Randomly, Nate's WBC count was slightly elevated, which could mean the start of a possible infection, so they took cultures from his central line, even though he hasn't had any fevers at all.  I didn't think too much about it.  Nate has been doing SO well.

Friday morning at 4:30am, we got a call...Nate's cultures grew bacteria...bring him to the ER immediately.  Let me tell you...there were a few "F" words flying around my house that morning.  Thoughts and emotions flew through my head...WHY?!  Why does he have to get a line infection now?!  How did this happen?  Could we have prevented it?  We just got out of the hospital...how long is he going to have to be in again?  What are we going to do about Houston?  I worked so hard all week to make all the travel arrangements and now everything is out the window.  Are we ever even going to make it to Houston to check out this possibly very important option for Nate?  Wes has spring break...are Nate and I really going to have to spend Wesley's entire spring break in the hospital?

Then, the real sadness hit when I realized that I not only had to tell Nate that he was headed back to the hospital after only being home for a week and a half...but, I also had to tell Wes that he was not going to get to go on a trip to Texas (which he was so excited about).  I screamed, I cried, I had a panic attack for about 2 minutes...then I jumped in the shower and got ready to take care of my boy.

When I told Nate we had to go to the hospital he cried and said, "We just got back from there!".  We got to the ER and went through the regular motions.  More cultures to confirm that it wasn't a contaminant, start antibiotics, monitor vitals, and head up to the 7th floor.  Once we were up on the floor, Nate was much more comfortable.  I grilled the doctors on if there was any way possible that we could still get on a plane Sunday...this was Friday.  The only way it was going to happen was if the positive culture was caused by a contiminant (something that got in there accidentally while it was being collected).  If the culture taken in the ER stayed negative for 48 hours...they would let him out Sunday morning.  Sure enough, contaminant it was.  It bought Nate 48 hours in the hospital...but he came bursting through the garage door Sunday morning..."I'm home!!!".

I continued packing and planning, like we were going to be able to leave Sunday afternoon and if it didn't work out, then we would cancel.  Luckily, we were able to get on that plane Sunday afternoon.  We were very fortunate to get a ride to Houston on NetJets through Corporate Angel Network.  Normally, Corporate Angel Network will only fly a child patient and 2 escorts.  We flew with another little girl we know, who is getting treatment in Houston, and her mom and Grandma.  They had an extra seat on the plane, and Ellie could sit on my lap...so, they let all of us fly.  It was so awesome!  They were so nice!  They had all sorts of food and snacks and movies for everyone.  Other than a couple overly excited, antsy kids...it was a great flight.

 We were also fortunate enough to be able to stay with our good friends, Stephanie and Charles.  They graciously opened their beautiful home to our crazy family...we more than tripled the occupancy (and noise level) of their house!  Stephanie even moved her work schedule all around so that she could watch Wes and Ellie for us while we took Nate to his appointments.  The kids absolutely love Steph and Charles and had a great time visiting them, even though Nate can't really get out to do much.

The first day we were there, we took the kids to a park for a picnic, rode the small train around the park and let the boys eat some ice cream by the pond.  The second day, we had Nate's appointment at the MD Anderson Proton Therapy Center.  Honestly, I have been back and forth on the phone with a representative from the center for months.  Getting them the records they needed, trying to get more information about proton therapy for Nate and arranging appointments.  It was a very frustrating process.  I never got any of the answers I was looking for.  I almost gave up several times.  I'm glad I forged ahead because actually visiting the center was a whole different experience then trying to communicate with them on the phone.  Everything was very personal and informative, everyone was very nice.

So, what is proton therapy and why are we considering it for Nate?  Proton therapy is a more specific form of radiation that more accurately targets the area you are trying to radiate and leaves the rest of the surrounding, healthy tissue alone.  This can be especially important in things like brain tumors, where you only want to radiate the tumor and leave the rest of the brain alone.  Nate's case is not that straight forward.  First of all, they are not radiating a tumor (there are no more tumors left in his body), they are radiating the tumor bed (where the tumor originated from).  They do this because neuroblastoma studies show that the combination of chemo, surgery and radiation is very effective at not allowing the tumor to regrow in the original area (relapse occurs in other areas, but that's a topic for another time).  So, how will Nate benefit from proton therapy?  What organs and structures will be spared from unnecessary radiation?  Those are the answers we have been searching for, for months and don't completely have the answers to yet.  The problem with proton therapy is that it is fairly new.  The oldest machine is about 20 years old and they have only been doing it in kids for 10 or 15 years.  The true, theoretical, benefit to Nate will be decreasing his risk for secondary cancers later in life.  They don't have the research yet to see if this prevention is really happening because secondary cancers don't show up for 20, 30, 40 years or so, and proton therapy hasn't been around that long.  We do know that it is equally as effective as traditional radiation.  So at worst, it will be the same...at best, we can save Nate from cancer later in life.  All of the chemo drugs he has gotten, as well as even the proton therapy...could cause cancer later in life.  So, it could still happen, but if we can take away even a little of his risk...shouldn't we do that?  We think that we should.  We plan on Nate living a long, healthy life and we want to try to make the decisions now that will help him do that.  The only problem is that proton therapy is only available in 10 centers in the US right now...with 4 more under construction (one being here at the Mayo...in like 2015...a little too late).  So, it would mean separating our family, once again.  We don't take this lightly and want to make sure that this therapy will actually provide a benefit to Nate, before he and I go and move to Houston for several weeks.

 What did we find out?  Well, the Dr. in Houston said that if Nate were his child...he would do proton therapy.  We decided that we wanted them to do the radiation simulation on Nate, to get the full picture.  Wednesday, Nate was scheduled to be sedated and have the simulation done at 1pm...and no eating before hand because of the anesthesia.  We successfully distracted Nate with a trip to the park and he was such a good boy.  He only cried for food a few times.  They put Nate under anesthesia and did a detailed CT scan of his abdomen.  The doctors will meet over the next week to discuss Nate and his treatment plan.  They will also do a work up of a traditional radiation treatment plan, so we can see the difference.  The Dr. thinks that they will probably save much of Nate's liver, his other kidney, his stomach and bowels from unnecessary radiation.  We will see what the actual simulation shows.  Most likely Nate will receive 12 radiation treatment, Monday through Friday, with anesthesia every day.  This is the same with proton or traditional (photon) radiation.

The simulation went well and we should hear from MD Anderson next week some time.  Nate woke right up from anesthesia ready to chow down and we spent the rest of the day playing with Stephanie and packing.  Corporate Angel Network was not able to find us a corporate flight home but was kind enough to get us 3 commercial tickets home...so, we only had to buy one ticket.  We are so, so grateful because the ticket prices at the last minute were through the roof!  We got on a plane Wednesday night and headed home.  All three kids were so, so good on the flight.

We got up early this morning and headed to Good Sam for Nate's radiation consult with the local radiation oncologist, about traditional radiation.  I had spoken with him once before and he told me that he believes in the theory of proton therapy saving normal tissue from future cancer in kids and tells parents to go if they can.  Today, he told us that if Nate were his child he would take him to Houston for proton therapy.  Wow!  Really, how can you argue with two radiation oncologists telling you to take your child to Houston for treatment?  So, it looks like we will probably be heading to Houston for treatment.  Nate is on the schedule already to begin treatment April 9th...hopefully for just 12 treatments.  We should have the full results of the simulation and treatment plan some time next week and will make our complete, final decision then.

The plane tickets are pretty affordable right now, so I think I will buy a bunch of tickets now, before the price goes up.  Stephanie and Charles have welcomed us with open arms and we are so, so grateful.  It will be nice to stay with "family" and not be alone in a city I don't know well.  We are also planning to come home on the weekends so that our family can be all together for a couple days each week during the treatment.  We are also trying to plan for Jen to come help me for a few days.  Jen, Stephanie and I met in pharmacy school and have been the best of friends ever since.  I think it will be a little fun for us all to look forward to.  Nate won't know what to do with all the Mommy and "Auntie" attention that we will lavish on him!

 I want to take this opportunity to again thank, not only our amazinly supportive family and friends...but, all the people that have helped us financially in all ways big and small.  Obviously, the Super Date for Super Nate was a huge success, but all along the way there has been help pouring in.  This decision...this moment...this treatment, has been made possible by you all.  We have been able to study the facts and speak with the experts and make, what we believe is, the best decision for our son based on this information.  We didn't have to think about finances or the care of our other children.  We knew that if this is the best decision for Nate...we can do it...thanks to all of you.  How amazing is that?!  One of the major problems with childhood cancer is the limited funding that goes into research for our kids means that many treatments and studies that are saving children's lives are only available in a handful of areas of the country.  Many, many, many children must travel if they have any hope of getting treatment that may save their life.  Many families, can not travel.  Many families don't have the option of searching for the best treatment for their child, they must accept the treatment that is available at their home hospital.  We feel so grateful and blessed that we have so many options for Nate.  This decision to separate our family again, is far from an easy one.  Thank you for helping to give us the opportunity to make this difficult decision.

Now, how is Nate?!  I can not even explain in words how great he is!  I keep saying that he is a "real boy" (Pinocchio style) again!  He is eating like a horse and gaining weight.  His weight is back up to what it was before surgery in December.  He is playing and playing.  His energy level is great and he is getting stronger and stronger every day.  Today, he climbed up the rock wall on our play set...boots and all.  I know, TMI, but he is pooping actual, solid poop!!  After 3 months of diarrhea...this is HUGE!  Really, there is no way to describe how sick he was in December and January and how hard it was.  He was starting to get stronger prior to transplant...but, never in my wildest dreams did I think he would be doing this good, this soon after transplant.  You would think that going through one of the harshest treatments there is, would knock him down pretty good considering he entered at such a weakened state.  Nope, not Nater Tot!  Those must have been some super, duper cells!  He went to clinic this afternoon and his platelets are up, almost to normal, and all his numbers look great.  They have also cut his IV fluids in half because he is drinking so well.  He is so completely, over the top cute.  He never stops talking and says the absolute sweetest, funniest things.  Someone at the hospital this morning was drawn from another room by his sweet, little, jabbering voice and just had to come meet him.  She asked, "How do not just laugh all the time?"...oh, I assured her, between him, Wes and Ellie, we DO laugh all the time!  He is also full of piss and vinegar...and I love it!

Day +18...ESCAPE!!



What a whirlwind week it's been!  Monday morning the doctors did their rounds and came in to see Nate.  Nate was doing fantastic and because his fever had disappeared before the "heavy duty antiviral" was really even given, they felt pretty confident that his fevers probably had been benign and not due to the virus that showed up in his blood work.  They said that he could finish out another day of the antiviral and go home Tuesday morning!! Incredible!

I began packing up the U-Haul's worth of stuff that we had acquired in our little room over the last month.  I took several loads down to mine and my aunt's cars on Monday night, so we could make a quick exit on Tuesday morning as soon as they said, "GO"!

 Tuesday morning, Nate finished up his meds, we went over discharge instructions, finished packing, got unhooked (finally!), put on some real clothes, and hopped in the wagon...ready to go!

First, the staff had a little surprise departure celebration planned.  Nate and I ran through the streamers, so excited to be heading HOME!  Mike Leach, from the Arizona Cardinals, and his wife were even there to join in the "party just for me" as Nate says.  There's even a little story about it on the Cardinals website.  I feel like I have been pretty good at keeping my emotions out of this transplant process, as much as possible.  I had one really hard day, out of 26, I thought I did pretty good.  I kept my head in the game and concentrated on taking care of Nate's needs from one moment to the next and tried not to get caught up in the big picture of the sad situation we were all in.  As we were packing up the room to go home and running through those streamers...I let the tears flow.  We still have so much further to go in this journey...so many more treatments to get through...but, this was a big one.  A big, scary one.  I was just so overjoyed to be mostly "on the other side" of this part of the treatment...that I let myself be consumed by the emotion of it.  Then, I had to explain to Nate that sometimes Mommies cry when we are happy...cause Mommies are silly like that.

Nate got to breathe fresh air (through a mask) for the first time in 26 days!  We hopped in the car and were on our way...well, then we had to turn back a few miles up the freeway to retrieve a forgotten suitcase (man, I couldn't get out of there fast enough).

 We headed to Lizzy's to get baby sister, Ellie, and to do a little playing.  Nate had SO much fun playing with his sister and cousins.  Remember, Nate hasn't even seen another kid for 26 days.  It was just so awesome to watch.  He was so excited to just chill with his brother and watch cartoons when Wes got home from school that he didn't even take a nap all day.  Again, this is a kid who's body has been put under so much stress in the last month that he could barely manage a walk across the room without needing a nap.  There's no place like home!

It was just the most incredible thing to wake up Wednesday morning to my whole family in the same place.  Ellie climbed in Nate's bed to give him good morning kisses and all three kids played with their "pet hospital" before Wes had to head to school.



Let me tell you a little story about the sweetest "almost 6 year old" little boy that I know.  It's not easy having a little brother with cancer and a baby sister...as the oldest kid, your needs always seem to come last...you can always wait.  I try to make sure he knows how important he is to all of us...I tell him every day how special he is...but it's still hard.  I still have to rely on him to be much more mature than his "almost 6 years".  Sure, he has his moments (don't we all?), but he takes all of this craziness in stride.  He cares so much for his little brother and is so incredibly sweet with him that it brings tears to my eyes several times a day.  He gets things for Nate when he needs them, plays gently with him, reads him books, carries Nate's TPN and pumps (which is too heavy for Nate to carry on his own) around the house so that Nate can walk around, and even "wrote" a very special song for his brother.  Thursday morning, I heard two sweet little boy voices over the baby monitor (we have the monitor in Nate's room).  Wes had gotten out of bed and gone straight to Nate's room to check on him.  They had a very cute conversation about where Nate wanted to go (to watch TV in the living room) and how he was going to get there (Wes would carry his TPN bag).  Then Wes helped him put on his shoes, because Nate is having a hard time walking without shoes on.  I just laid in bed, smiled and cried.  Even Ellie has been a sweetie. She found his blanket in the other room and brought it to Nate on the couch and laid it on top of him.



How has Nate been doing at home?  Spectacular, really!  He wasn't eating anything, at all, for the first few days...only water.  He would ask for every food on the planet, and I would get it for him, but he would just stare at it, or spit it out.  He started out getting TPN for 15 hours a day, for the first few days home.  Thursday, we went to clinic and all his blood work looked great.  He didn't need any transfusions, which is awesome.  Platelets are the last thing to recover and his platelets weren't normal yet, but not low enough to need a transfusion and they had been holding their own for almost a week.  They knocked his TPN down to 12 hours a day.  Friday...Nate started eating!!  He's still building up slowly, and still getting TPN at night, but I am so, so happy.  He didn't lose too much weight during the transplant (though, he still has so much he needs to gain) and we just hope that he can continue to gain and grow.  He has also developed a taste for chocolate milk (which I have been ,making with Carnation Instant Breakfast).  This is awesome because, before he would only drink white milk (with nothing added...I tried everything), and it's so nice to know that I can get some extra nutrition in him through his "chocolate milk".

He has been playing and playing and playing with his brother and sister and all the neighborhood kids.  When he first saw one of his favorite neighborhood friends, John, he "ran" the fastest I have seen him "run" in months and gave John a great, big hug...it was so sweet!  He is just getting stronger and stronger every day.  Our main challenge right now is getting his oral medication down him.  He throws up at the sight of it.  It just sucks to watch all that food we try so hard to get down him, come right back up.  We're working on it.  The only other challenge right now is keeping Nate at home.  He cried the other day because I wouldn't take him to the mall or Costco.  He just wants to be out in the real world like a normal kid.  We've had a really long talk about germs and he's such a smart boy, he understands so much.  He has been really good about wearing his mask and washing his hands to keep those nasty germs away.

We head to clinic again tomorrow afternoon  and will find out how all of his blood and electrolyte counts are doing.  They will make adjustments to his TPN...maybe get rid of the lipids, or maybe get rid of the TPN all together and just have him on IV fluids for a little while longer.  I can't wait to tell them that he is eating!  That's all I can think of for now.  Thank you to everyone for all your support through this process.  Thank you for the child care, meals, laundry service, pool service, and help clearing the clutter.  Thank you for helping us take care of Nate, Wes and Ellie and thank you for helping us take care of ourselves by giving us a break, visiting us in the hospital, checking in on us and making us laugh.  Thank you for the moral and emotional support and for all the thoughts and prayers.  Thank you for all the fun and uplifting notes, cards and packages.  You all know who you are.  You are angels on earth and we couldn't have gotten through this without you.

Day +14, +15, and +16

Remember that whole pep talk I was giving myself about counting my blessings and not getting down in the dumps.  Yeah...well, Friday was my time to get down in the dumps.  This life is hard and it is 24/7 non-stop, with no breaks.  Sure, we can breathe slightly easier from time to time, but it is nothing like the life we knew before and some times it gets to me.  We've been here for 3 weeks now (really, we've been here for 8 months now) and I'm tired of the hospital, I'm tired of missing my kids and my husband, I'm tired of asking for so much help from everyone...I'm just tired.  We were really hoping to be hearing the word "discharge" sometime this weekend...but then these fevers wouldn't stop.  Thursday, the doctors began grasping at straws and testing everything there is to be tested to try and find a source for Nate's persistent fever.  He had another fever at 8pm on Thursday night, but by the time the Tylenol came up from the pharmacy, the fever had gone away on it's own.  I took that as a good sign and made my mind up that we had seen the last of the fevers (positive thinking and all).  Shortly thereafter, word came from one of the bone marrow transplant doctors...Nate tested positive for a virus and they are starting him on a heavy duty antiviral.  A heavy duty antiviral that is hard on the kidneys...on top of the other 3 heavy duty antibiotics and antifungal that are also very hard on his kidneys.  I had a ton of questions, but couldn't get answers to any of them because I wouldn't get a chance to talk to the doctors until the morning.  Friday morning, Nate had gone the whole night without a fever (woohoo!) and I was able to talk to Nate's doctor and her opinion is that this virus can be scary for bone marrow transplant kids (probably not as much for the stem cell transplant kids), so they don't want to fool around.  She thought it was most likely the virus causing the fever and if the fever never came back that we could possibly attribute that to the heavy duty antiviral...possibly not.  Here's the problem, the heavy duty antiviral is IV only and therapy is anywhere from 1 to 3 weeks, which means we just bought ourselves another 1 to 3 weeks in the hospital.  I was devastated, the thought of doing this another 3 weeks was just too much for me.  I headed home that afternoon, hoping to recharge and renew and be ready to fight another week.

Wes had opening day for baseball on Saturday, with team pictures, a hit-a-thon and a double header.  He smiled a big gap tooth smile for his pictures, won a prize in the hit-a-thon and played a great game with some great hits and fielding.  After everyone took a good nap, Wes and I got started on a surprise we've been planning for Nate for a few weeks.  Then Jen and family came over for dinner and to make some Super Nate capes for the GCU Run to Fight Children's Cancer next Saturday.

We got all our stuff together, bright and early this morning to head down to the hospital to surprise Nate before he laid down for a morning nap.  Wes, Nate and Ellie have not all been together for 3 weeks now...Nate hasn't seen any kids at all for 3 weeks.  I know I'm fun and all...but kids need to play with kids.

Wes got the idea from a book to hold a sign to Nate's window telling him that he misses him.  Nate's window is 7 floors up...so, we knew that would be a little tough.  Instead, we made a sign big enough for Nate to see from the 7th floor and took it to a place that I knew Nate could see from his window.  We also got a bunch of balloons and released them, so that Nate could watch them float by his window (if you look closely in the window on the bottom left of the picture above, you can see Nate's bald little head watching the balloons float away).  We wore our Super Nate shirts and capes and all the kids thought it was great.

Nate had a great, fever free, weekend with Daddy.  They have taken him off of all his antibiotics because they weren't treating anything and they were all hard on his kidneys.  They took his pain pump away last Wednesday and he has done great without any pain medication.  The rest of his meds are being weaned and switched to oral.  They heavy duty antiviral will stay on at least until tomorrow.  They will repeat the viral test and hopefully decide to switch to an oral antiviral.  It that happens, we are looking at possibly going home by the end of the week...hopefully.  Nate is happy and cute and willing to get up and walk and play and begin regaining his strength.  There aren't too many places to go when you're stuck in this room, so we can't wait to get him home where he can "run" and play.  The only thing left is eating...which is a big thing...but, we are hoping this will improve when he is home too.  Nate's taste buds have been destroyed, so nothing tastes how he expects it to...everything tastes "yucky".  Once we get home, we will have so many more options to offer him...at any time of day.  He will probably come home on some sort of feeding device (IV or tube) to get him through until he gets more used to his "tasters" and starts eating again.  Getting him to eat again is not a challenge I'm looking forward to, but it is what it is and I'm up for it as long as it means my boy can come home.

  The house is ready, of course there is always more clutter to be cleared, but the rugs are cleaned, everything is sanitized, air filters are changed...all we need is our Nater.



Day +10, +11, +12 and +13

 First, I want to apologize for the lack of updates.  I don't mean to worry anyone.  I am tired...mentally, physically and emotionally.  Sometimes at the end of the day I just don't have the energy to recount the day's events.  We are all still good...just tired.  Nate's been in the hospital for 3 weeks now and we are all just more than ready to go home and all be together.

This week has been good...and frustrating.  Nate started off the week in the OR to have his broviac (central line) removed and replaced.  Our favorite surgeon (Nate's only surgeon here at PCH) removed the month old broviac and placed a new one in the same spot that his original one was located.  He did this to minimize the number of scars he has, which we appreciate, not to mention that we far prefer it's location in the middle of his chest to when it was off to the side.

Nate has been getting better and stronger every day.  His ANC has been skyrocketing, day 10: 3162, day 11: 8127...stopped G-CSF shots (to increase WBC)...day 12: 10,920, day 13: 8512.  Basically, this means that his cells are fully engrafted and his immune system is starting to work and heal his little body.  The only problem is that he keeps getting fevers.  Normally, the fevers stop when engraftment occurs.  This hasn't happened for Nate.  Nate engrafted a few days earlier than most kids (we knew he had super cells!), so one possibility is that his engraftment occurred early but the benign fevers are hanging around the "normal" amount of time.  The other possibility is that he has some infection hiding somewhere that is not showing up in cultures or being treated by the multitude of antibiotics he is on.  While we hope and pray that the fevers are due to the first possibility, we have to assume that they are actually due to the second possibility.  We can't take any chances, because if there is a hiding infection somewhere, it could literally kill him if left untreated.  So, this week has been full of antibiotic changes and additions and cultures and tests too look for and treat any possible infection.  If his fevers continue (his last one was at 6am this morning), they will do a head to toe CT scan this weekend to rule out anything hiding.  I'm really praying that we have seen the last of these fevers.

Other than that, Nate is doing spectacular.  He has some energy back and is willing to get up and play a little.  We played baseball this morning, he rearranged his floor, alphabet puzzle a bit and we looked out the window with binoculars.  He tires out pretty quickly and is sleeping it off now, but it's so nice to see him actually want to get up and play, even if he is wobbly.  Man, we had SUCH a rough December and January.  I was so fearful that we were headed right back there after this transplant.  I am so grateful to already see him so far ahead of where he was then.  He is not eating yet, but is drinking a decent amount of water.  He keeps asking for food, but everything tastes "yucky" to him because the mucositis destroyed his taste buds.  We keep telling him that his "tasters" are broken but they will heal up soon.  He is still getting nutrition by IV (TPN) and will probably go home on TPN and IV fluids for a while, until his "tasters" and stomach heal and until his kidneys are more out of the woods and he can get by with more normal (drinkable) amount of fluids...his fluid requirement right now is over 40 ounces a day.  Really, the fever is the only thing keeping him here.  As soon as that stops, they can start taking away antibiotics and we can go home.  We had hoped for Sunday or Monday...but, that doesn't really seem feasible now.  We will just have to wait and see when these fevers stop.  I'm still hoping for next week.

I'm going to get to work on the house this weekend.  Nate now has the same immune system as a newborn baby (all his immunizations have even been wiped out).  We have to make sure that everything is exceptionally clean for him, he has a special diet (including no restaurant food), and he can not be around big crowds for several months (about day +100), especially with the coughs and colds that are going around right now.  We would love, love, love play dates and visitors as we are home bound for the next couple months.  Please just be careful and don't come over if you think you or your children may have a scratchy throat or a sniffly nose.  Also, flu shots are a must until flu season is over (sometime in April or May)...and you can still get one if you didn't and would like to.

Getting the house prepared is no small feat, considering I'm not there to do anything.  Thank God for all our helpers!  Papa was there this morning to let the carpet and upholstery cleaners in.  My mom will pick up the dogs from the groomers for me tomorrow and will keep them at her house until we can get the dog doors installed.  The sweet lady that has been cleaning our house every couple weeks, changed her schedule around to come do a deep clean on Saturday, in case Nate can come home on Sunday or Monday.  I will work on more clutter over the weekend, take down and wash the drapes, replace the shower curtains, wash the front room couch cover and see what I can do about our moldy washing machine gasket (I hate our front loading washer)...the internet suggests bleach and a toothbrush, but I'm open to suggestions.  Whatever it takes!  We want our boy home.