January 29, 2010

Good evening everybody,

A lot has happened with Taylor over the last couple of weeks. We'll start with the good news....

Actually, it is great news! Taylor had an echo last Friday (the 22nd) and Dr. Hannon said her heart has made significant improvement over the past year. Her left ventricle looked smaller in size and her two leaky valves were almost non-detectable! Her injection fracture also improved from 44% to 60%. He said there was a chance that Taylor's heart could some day heal on it's own. This was fabulous news and Jeff and I were over joyed!!! She will follow up with another echo in July.....

Now for the bad news....

Taylor has continued to have many seizures a day, however over the past month they have increased in duration. Before she might have a seizure anywhere from 5 seconds to 1 minute. Now, some are lasting close to 3 minutes. On Wednesday, Dr. Winchester (her neurologist) ordered an EEG to be performed at Duke University Medical Center. Upon reviewing the study, they saw that indeed Taylor was having longer seizures, as well as abnormal brain wave spikes. This means Taylor's brain is being irritated. Dr. Winchester thinks it is possibly due to the new seizure medication (Sabril) that she started on in late December. The doctor admitted Taylor to the hospital for further observation.

So, the plan is to slowly wean her off the Sabril by tomorrow(Saturday). They have also increased two medications she is already on~(Phenobarbital and Vitamin B-6). Meanwhile, they are also weaning her off another seizure medication (topomax) and starting her on another medication (zonergram). Currently we are waiting on a cardio consult because they also want to start her on a steroid called ACTH for infantile spasms (seizures). The problem with ACTH is it high risk for infections. Before they start the ACTH, they want to start the medication IVIG in order to boost her immune system. The IVIG would need to be given over a 5 day period.

Hopefully, we will see a change in Taylor's seizures and she will be able to go home by Wednesday (February 3rd). Thanks for all the prayers and concern!

~ Tammy

~God Bless

Tuesday, January 4

First of all, we hope everyone had a very Merry Christmas and a Happy New Year. We had a very excited Christmas as we watched our two boys tear through their Christmas presents in a record 1 minute and 22 seconds! Then, for the rest of the day they played their little hearts out! Taylor was also as cute as a bug throwing us a smile here and there. All in all, it was a great day for the family.

In November, Taylor went back for a 4 day stay at Pitt Memorial Hospital. She was diagnosed with mild case of pneumonia. Thankfully we had her home by Thanksgiving! Unfortunately, she has continued to have upper respiratory congestion.

In early December, we took Taylor back to Greenville to see a Pulmonologist. He recommended that she take a Prevacaid for reflux. Although, Taylor had a Nissan when she had GTube surgery he still felt she might be having some acid reflux. We will follow up with them in February.

Taylor also visited her neurologist at Duke University Medical Center. They decided to put her on a new seizure medication called Sabril. This medication is relatively new in the United States, as it has only been approved for about a year. However, it has been approved in Europe and Canada for the past 20 years. The main side effect is loss of peripheral vision. She was required to see an Opthamologist to have a vision exam before starting Sabril She will take this medication for 3 months and then require another vision exam.

So, on December 21st, we made our way back to Duke to see an Ophthalmologist. The doctor performed her exam and kind of gave us some bad news. She felt that Taylor was completely blind. Even when she shined the brightest of all lights into Taylor’s eyes, she did not have a response. She told us what we had already heard concerning damage to the occipital lobes. She also said that if we were able to get a grasp on Taylor’s seizures that could help improve her chances to possibly see again. We are still hopeful that another part of Taylor’s brain will compensate for the damage to her occipital lobes.

Just recently, on New Years Day, Taylor started having some abnormal seizures. Her heart rate went up and she spiked a low grade fever. We took her to Pitt Memorial Hospital and they admitted her over night for observation. She didn’t have any more abnormal seizures while we were there, so they discharged the next day. This afternoon, the doctor from PCMH called and said Taylor has a Urinary Track Infection. The bacteria Ecoli grew on her urine culture, resulting in a UTI. She called in a prescription and she will start that tomorrow.

Exactly one year ago today, Taylor struggled to make it through the night. She held on with every ounce of her and showed tremendous strength. It is because of her will to live and God’s Grace that she has come so far. Today was a hard day, thinking back to what our family has endured over this past year. I still don’t know how we did it… However, there’s a verse in the Bible that comes to my mind, “I can do all things through Christ who strengthens me.” Philippians 4:13. I have said this verse in my head many times…

God Bless ~ Tammy