Wednesday, April 23, 2014

The Dude Has Autism...

My son Nikki has been diagnosed with Autism. 

I could tell you all the usual "God won't put more on my plate than I can handle" or "He's just the way he was meant to be", but I'd be lying. I don't believe in those sayings.


I do believe that life can be very cruel. God doesn't always protect or respect children. And that for those with disabilities, each day can be unbearable.


That being said, India and Nikki couldn't have chosen a better family to be a part of when they popped into the world. We will go to the ends of the earth to protect them and give as many smiles and laughs as humanly possible.


So I'll get up tomorrow and start the new day; hoping it's a good one for everybody.

 























Tuesday, April 22, 2014

Day 22 - UNM Hospital, 4:07 AM Pain

India awoke with pain again. This happens all the time, every night. But this time, a "tech" came in to take my childs blood pressure before I had time to press the "nurse" button. When the "tech" entered the room, I was repositioning India and stretching her pained legs. This "tech" asked if everything was ok, I said "no", she ran and got India's assigned nurse for help.

The assigned nurse returned without even evaluating my child with scheduled medications in hand; she'd missed the pre-determined time to medicate my child. I honestly don't know if this nurse was sleeping again but regardless, I was horrified. This same nurse had only hours before erroneously chastised me for allowing my beautiful childs pain to "get out of control" as this nurse had been sleeping in a "Patient Consult Lounge" while on duty. As she slept, I'd been pressing the "help" button on the hospital bed as I tried to relieve my childs hurt.


India has been medicated now, she is in a deep sleep. The last thing she told me was that she loved herself, she kissed me on the cheek and said that she wanted to marry her boyfriend Daniel; I told India that I loved her.






Day 22 - UNM Hospital, 12:35 AM Pain


Only minutes into the new day, India had an intense pain attack. It came on within 5 minutes. And within 5 minutes, I pushed the button for the nurse 3 times, repositioned India 4 times, stretched her legs and put on and took off her traction. 

When the nurse didn't come and India was whimpering in pain louder and louder, I went out to the empty hallway to find help. 

I found our nurse as she was coming bout of a patient consult room with a blanket wrapped around her; she'd been sleeping.

I told my nurse what was happening with India as she stood in front of me still wrapped in her blanket. 

Then the nurse began to scold me for allowing India's pain to go unchecked and get out of control. She was still wearing her nap time blanket. I couldn't believe what was coming out of her groggy mouth....

Our experience at University Of New Mexico Children's Hospital has been frightening and this mornings experience has been surreal beyond words.

1:57 AM update: The "Charge Nurse" just came in because India's feeding tube wasn't working, the machine was "beeping". I asked about India's nurse and the situation. The damn "Charge Nurse" told me that India's nurse was "cold" and that is why she was wrapped in a blanket and in a "patient consult room".  A room with an ambiance of a nice living room. "It's not meant for nurses to be in as they're bundled in blankets"!!!!

I just want to cry now, my child was in pain, I'm now afraid to go to sleep, what is wrong with this hospital....



Monday, April 21, 2014

Day 21 - UNM Hospital, Scared

We had a bad night last night. India had many pain attacks, needed lots of stretching, repositioning and comforting. We hardly slept at all.

She is having a really hard time swallowing food, it takes ten swallow attempts to just just get a spoon of pudding mixed with water down. They are telling me that it's a combination of her being exhausted and the muscles in her throat being very weak. 

The doctors want India to only take in food through her NG Tube because they're afraid of her aspirating. I'm struggling with this because I've made many different mixtures of really good and healthy pureed food that she loves. She's not aspirated whatsoever during my feedings and I'm worried that by taking her oral food away which tastes great, it's just another hit to her morale. 

Hoping for a better night tonight.


http://www.youcaring.com/medical-fundraiser/she-doesn-t-deserve-this/114808

https://www.indiegogo.com/projects/she-doesn-t-deserve-this#home


Sunday, April 20, 2014

Day 19 & 20 - UNM Hospital, Better Weekend

Friday afternoon, I met with India's doctor to plan her care for the weekend. India's mother requested to spend the weekend with her so everybody wanted to be sure everything was in place.

We added a nighttime sleep sedative and adjusted India's pain medications. As before, it worked and India enjoyed several nights of decent sleep.

I'm going back now to resume my duties as Daddy as I've done for 15 years. And this year alone almost every single single day and night I've done just that without question. 

I'm the ONLY ONE...

India and I leave for Boston in the next day or two to seek help for her.

http://www.youcaring.com/medical-fundraiser/she-doesn-t-deserve-this/114808




https://www.indiegogo.com/projects/she-doesn-t-deserve-this#home






Day 19 - UNM Hospital, Happy Easter Sister!

Abigael Cheree Brainard







Day 14 - UNM Hospital, CNBC News





Saturday, April 19, 2014

Day 14 - UNM Hospital, "A Day" In The Hospital

Day 14 started off very early. I'd run home from the hospital to see the kids about 1:00 am. I only live a few blocks away.  When I arrived, my son Nikki was still awake and very excited to see me. I'd not seen him in a week and he kept saying "Daddy" over and over as he stroked my face and smiled. I snuggled with my boy, thinking he'd fall asleep and then I'd run back to the hospital to look out for India. Well, I fell asleep and next thing I know, the sun was about to come up.  I jumped up and raced to the hospital to make sure India was OK. When I arrived, the first thing I heard when the doors to the ward opened was my child screaming in pain.


As quickly as I could, I repositioned India, stretched her, calmed my daughter down, gave her a drink, and got her to sleep. Then took a shower, got myself dressed and quickly drove to a friends house where my daughter Marion was staying so I could pick her up and take her to school; we cut it close.


I returned to the hospital after dropping Marion off to find India sound asleep which is a welcome sight. I was exhausted and so was she and these days sleep is worth its weight in Gold.  I literally fell into the the horribly uncomfortable hospital couch looking thingy in India's room and passed out. I was awoken about 10 minutes later by a hospital tech shaking me, asking me loudly if it was OK to wake India and take her vital signs. I put my finger to my lips, made the "ssshhhhh" noise and said "no" we're sleeping! 

I dozed off again and just as I went into another welcomed and less stressful dreamworld, I was awoken by a nurse shaking me saying "Mr. Brainard, you have a phone call, Mr. Brainard!". You have to understand that there is no privacy in a hospital. So when I'm awoken by another stranger as I'm trying to sleep next to my child, the first things that come to mind: "is India OK?!". Then as I try to clear the clear the fog from my head, the thoughts always crosses my mind "was I snoring, did I fart, did I have druel on my face, is there a booger in my nose, was I talking in my sleep and was I fondling myself" and on and on. All the while my senses being assaulted by the beeps of the heart monitor, the bong of the Pulse Oximeter, the whirl of the NG Tube as it pushes food into my child's stomach, the ding of the alarms in the hallway alerting nurses of patients in need (sometimes critical) and my child saying "daddy help me". It's a terrible way to wake up.

So I answered my call, trying to sound alert. But in all truthfulness, I was so tired and stressed out that it took everything I could to not vomit. I don't say this to be funny, I've found myself vomiting many times in the past few months from the stress. 

The call was from another hospital department who had been commissioned to perform a "Barium swallow study" (http://en.wikipedia.org/wiki/Barium_swallow) on India. My daughter is having a rough time eating, she's had about 8 NG Tubes (http://en.wikipedia.org/wiki/Nasogastric_intubation) placed since January and the doctors decided that it would be prudent to take a look at how her food is going down. I was told to be ready at 11:00 am.

Within a minute of my hanging up the phone, my head it the pillow and I was asleep. And 5 minutes later I hear India saying "help me Daddy"; she was in pain and needed to be repositioned.

A few hours later, another doctor showed up in our room. This doctor wanted to talk to me about having a G-Tube (http://kidshealth.org/parent/system/surgery/g_tube.html) placed into India's belly. Then the issue of a Baclofen Pump (http://www.baclofenpump.com/considering/about/why-consider/index.htm) was put forth. And after that the question was raised about the urgency of India having rods put down her spine to stop her Scoliosis (http://orthoinfo.aaos.org/topic.cfm?topic=A00638) and it's impact on her lungs and heart.

Not long later, I had to change India. There is no way around the pain she can experience when changing her diaper. So as quickly as I could with the help of 2 nurses, India was changed as she screamed.

After India's painful diaper change, she was finally comforted with stretching, positioning and meds. India called for me "daddy". When a walked over to her bed, she held up her finger that was glowing red from the attached Pulse Oximeter. India then touched her glowing finger to her left leg where her pain is coming from and said "eeee" (ET) + "click-click" of her tongue (doctor/fix) + "owie" = Can ET come and fix her pain. 

I kissed India on her forehead and started to cry.



Later that day, I went down to the in house restaurant and found that their special was green chili chowder.  This is an absolutely perfect food for India right now and she loves it. I bought the largest container they sold. I then ran across the street to a local restaurant "Golden Pride" and purchased a large contain of green chili to add to the chili chowder. From there, I ran down the block to a convenience store to buy butter and 1/2 & 1/2 to fatten up the mixture.

I returned to the hospital, mixed up this delicious and fattening batch of food for India and gave her the first bowl; she devoured it. 

After she was done, I decided to jump into the shower, mostly to relax. And when I came out into the room I knew immediatly what had happened.  The cleaning crew had come in for the night to provide service and being a bit overzealous, threw away the large containers of chowder, chili and even the butter.

We are flat broke right now, this was an indescribable treat for India and a needed source of calories for a 52 pound child and in a 5 minute period - gone. They threw away everything.

India was sleeping again so I gave the elusive rest a shot too. I enjoyed about 20 minutes when housekeeping came in and started mopping the floor, checking the trash bins and in general - making a lot of noise.

Then came the Barium test...

We put India into a reclining wheelchair and shuttled her down to another unit.The set up an ad lib lunch that normally would have been delicious.  But this lunch was coated with white Barium.

India was a good sport, she ate what I was told to give her as her face became covered in white. And what didn't stick to her face, rolled down her chin and onto her chest as she smiled, trying to be a good sport. And during this test, my child was having continual x-rays taken so she was having to be seated in terribly uncomfortable positions. India was a good sport and smiled while in pain.


After the Barium test, I took India back to our floor with the intention of getting her back in bed. When we arrived to our room, she told me "no daddy", then pointed down the hallway.  My little girl didn't want to go back into her room. So down the hallway and around the unit we went for about 45 minutes. She smiled the whole time with Barium occasionally coming out of her mouth.

Our walk exhausted India and she fell into a deep sleep. During her rest, the doctors returned. And during their routine discussion with me, the Attending Physician made the comment that India had only 1 IV placed during her stay. I literally felt chills because of this disturbing statement. In fact, India had 6 IVs and for each, it took a Sonogram and at least 3 attempts to pierce her veins. That is 24 attempts to insert a needle into my child's body and the doctor had no idea.


So after losing India's homeade food to an overzealous housekeeper, I held out hope that the kitchen staff would comply with the neutritionists order to provide my child with pureed food.  When her meal arrived it was deep fried chicken steak. Something that would kill her from choking if she ate it. I had nothing to feed my child.

Fortunatley, I had a cup of change that I'd been collecting and it was enough for me to run across the street and buy some chili at Golden Pride for India to eat. 


After India finished her food, she fell asleep. About 10 minutes later, an x-ray tech arrived to give India a portable x-ray of her hips. It was painful from having to position her in ways her body doesn't agree with.

Just after the x-ray tech left and we were starting to "snuggle" and watch a movie, the doctors came into the room again in mass. This is a teaching hospital so for every attending, there is at least 2 eager and exhausted resident.So the discussion of a CT Scan took place and their frustration of not being able to pinpoint what was happening with my child.

The minions of doctors finally left, India and I began to settle back into a movie marathon when the "Barium" team stormed into the room. They in all reality are amazing people with nothing but good intentions. But their timing was horrible.

The "Bariums" as I call them now, spent about 30 minutes instructing us on how to properly feed India based on their study. As grateful as I am and happy for their help, what they instructed us to do was nothing more than "cut and paste" instructions that did nothing for India.

Not long after the "Bariums" left, India's pain broke through the serious regiment of painkillers. It was horrible and set a lot of people racing around trying to help. And then the unthinkable happened; India's breathing almost stopped.

The nurse in the room at the time, turned to her student and said "get help NOW" as she started to position India for some sort of resesitation; I started to cry.

After numerous nurses piled into our room to help India she was stable again, I watched as the nurse who called for help stood there trying to do maintenance on India's NG Tube. It was difficult for her because she was shaking so hard.


An hour later, India and I were settling down and exhausted. She looked terrible and for good reason; it was a long day. I went into the bathroom to take a shower and when I returned I looked onto my child with disbelief. Somehow, India had pulled out her feeding tube. It was resting on her chest with stomach fluids draining onto her belly.  The tape holding the NG Tube had become tangled into her hair and eventually had to be cut out.

My wife asks me to take her on our 1st date in 2014; with children. I have to decline date because of CT Scan that the doctors have ordered. The CT scan is cancelled and I'm not notified. Luckily, I salvage my date night. 

After returning from my date, I'm up for most of the night because India has multiple pain breakthroughs. India didn't respond to any of the medications.

3:45 am a blood tech loudly comes into our room. India had just fallen to sleep. The tech went straight over to India to start a blood draw. I asked what she was doing because there was no blood draw scheduled. The tech began to aggressively tell me she had to take my childs blood because of the helicopter that had crashed into the building the day before; it was bizarre. I kicked her out of the room. Turns out she was on the wrong floor and wrong room...



9:00 am I take a shower in the dark because all non-vital power is shut down because of repairs needed after the helicopter crash at our hospital.















Day 21 - UNM Hospital, Failure To Thrive

The term "Failure to Thrive" is being used with my child now.  It's a very frightening term to hear but not as frightening as actually watching my little girls health plummet.

University of New Mexico Children's Hospital has been working with Harvard Boston Children's Hospital to try to figure out what is going on with India and how to make her better.

The decision has been made to fly India and myself back to Boston ASAP via a Medical Transport.


I'm frightened beyond words.

India today with her grandmother "Nana"



India last year about this time helping me open our Grandparents Cabin for the summer. She loves to water the Iris that have been in the family for generations.





Wednesday, April 16, 2014

Day 19 - UNM Hospital, Fart


So I was up much of the night (again), helping India. 

I fell asleep at about 4:00 am and didn't wake until 7:20 am. It was a very cute doctor who woke me up (female for those of you getting ready to make a gay joke).

The minute this cute doctor left the room, I let my usual morning dinasour fart that I'd been painfully holding back. But what I didn't expect was a cute Tech to immediately come bouncing into the room to check my daughters vitals...

Was it wrong of me to blame it on my daughter?


Saturday, April 12, 2014

Day 14 - UNM Hospital, A Pain Free Photo


This is a glimpse at what my baby girl looks like without any pain.

She is in the therapy tub at UNM Hospital listening to Lorde "Tennis Court"...




Day 14 - UNM Hospital, Problems

India isn't well. 

We've watched as her left hip has started to protrude over the past few days. On this same hip, she now has 6 sutures protruding through her skin. This is the same hip/leg that is causing her so much pain.

This morning during rounds, the doctor noticed that this same hip was hot. The doctor ordered a large series of blood tests, CAT Scan and MRI.

The doctor returned 15 minutes later and India's leg had become hotter. The doctor immediately put in an IV to draw bold. She didn't want to wait on anybody to do the IV based on India's condition.

It's going to be a long weekend.




Thursday, April 10, 2014

Day 13 - UNM Hospital, "Daniel & India" Reunion!

After months, India and Daniel had their reunion.  

India was absolutely exhausted at the time after a long day. But you can see the joy and love. She lasted about an hour and is still talking about it.