RSV Rears its Ugly Head 2.4.10...entry from mom

So sorry for the lack of updates, my hard drive crashed on me a few weeks ago and Reagan has been keeping me very busy.  She got a sinus infection mid January and did really well with it.  We went and saw Dr.Dan and he got here on antibiotics ASAP and she was good to go in no time...so we thought!  A few days after she had finished her antibiotics Reagan started with a cough, that turned into a junky cough that turned into a fever that turned into, well you see where I'm going with this.  So by Tuesday we were in Madison in the PICU, Reagan had RSV. She did really well and we were home by Saturday.  We have been still working on getting back to 100%, slowly, but surely we are getting there.  We are hoping by next week she will be able to go back to school in time for her class's Valentine's Day party.  We made her Valentine box and wrote out all the cards for her classmates to keep us busy so far this week.

 

Hopefully I'll have my computer back in another week or two and will be able to upload some pictures then.

 

Happy New Year and Back at School 1.6.10...entry from mom

We hope your holidays were wonderful and filled with lots of laughs and love.  Joe got home in time for a family New Year's Eve fondue, and being the huge party animals that we have become we were all in bed sleeping by 10:00!  We had a nice lazy New Year's day and Reagan enjoyed watching the Rose Parade and playing Wii with Daddy most of the day. 

Reagan was excited for her first day back to school in almost a month on Monday.  She had a great day and when I picked her up she didn't stop talking about her day for 15 straight minutes!  I could barely get a word in edgewise.  Now we are back in our routine with school, therapies, standing, stretching, and soon soccer, crafty and music classes will start up again.  We are lucky and thankful for Reagan to have been so healthy so far!

Happy 2010, I hope it brings you all the best!

 

Merry Christmas 12.29.09...entry from mom

Another holiday has come and gone, it always seems like such a blur.  We all had a nice time seeing our family and spending some time together at home.  Joe actually went 3 whole days without working for the most part:)  I think Reagan got more than enough toys again this year that I don't know where to put!  I think we will go through her toys and see what we can donate to NBT and the hospital.  Joe and I got Reagan her very own purple Dell laptop that didn't quite make it for the big day, but the Littlest Pet Shop Wii game that Reagan and Joe played for hours made up for the delay.  Now Joe is off in Germany for work, but will be home for the New Year, so Reagan and I are just chillin', playing with all the new presents and napping in the afternoons, not to shabby of a week!

Thanks everyone for all the gifts:)  As usual way too much!!!!!!!!!!

 

Early Christmas Present, a new family member  12.24.09...entry from mom

Congrats Mike and April welcomed Gianna Barbara Imhoff into the world at 4:10pm on Christmas Eve.  We couldn't be happier for you!

Post op check in 12.22.09...entry from mom

What's with the weather lately when we have to go to Madison for the doctor?  Well, we made it safe and sound, I think the tension in my neck and shoulders is at an all time high, but what do you do?  Reagan's check up went very well today.  Her back looks awesome and her leg is on it's way.  They decided to take her purple cast off and put a soft leg immobilizer on because of concern with pain and skin breakdown...good thing they did.  Reagan did have some breakdown and issues once they took it off.  Now she has a soft cast that is removable that she will have to wear full time for the next four weeks, but at least we can shower without issue now!  Now it's on to Christmas:)

 

Happy Day 12.18.09...entry from mom

This morning Reagan got a wonderful package in the mail from her classmates at Glen Park, it was a big bundle of Get Well Cards from her friends.  That certainly made her smile and feel so much better (me too)!  She was excited to look at and read each and everyone of the cards.  There were lots of stickers and cute drawings and well wishes and miss yous...so sweet, just warms your heart.

 

Reagan has been my little helper in the kitchen getting our last round of baking done.  We made some red velvet cakes on Tuesday and I let Reagan decorate them all by herself.  Can we say sprinkles much?  The tops was COMPLETELY covered with sprinkles and red hots.  She used the entire bottle on one cake.  I brought it over to Uncle Josh's office to share with the Alverno staff, I'm sure they were bouncing off the walls the rest of the day.

 

Yesterday I decided to take Reagan out for lunch at the Olive Garden, don't ask, she chose it!?  She did pretty well, we almost made it though lunch without her leg being to painful.  That 50 minute lunch adventure certainly wiped her out.  The nights are still a bit rough, but she is getting through them without pain medication, just lots of turning and repositioning every two hours or so.  We go to Madison on Tuesday to check in with Ortho and I think get the last wedge put in. 

 

Getting comfy at home 12.13.09...entry from mom

Reagan was happily discharged Friday morning, but before all that happened she got her second H1N1 shot and the first set of wedges put in the back of her cast to aid in the hamstring release.  All in all a bit of a painful end to the morning.  The past couple of days Reagan's leg has been causing a fair amount of pain.  We have been giving her Tylenol and oxycodone for the pain, but a side effect of the oxy is constipation.  Poor kiddo, if it's not one thing it's another.  On Tuesday the next size wedge will be put in....I sure hope this brings huge pain relief in the end! 

 

Surgery was a success 12.10.09...entry from mom

Reagan had her first rod lengthening and a hamstring release this morning at 9:30.  By this afternoon she was telling the doctors and nurses her gingerbread jokes and playing princesses with daddy.  She downed about half of a purple popsicle and even had some cookies.  Reagan is also sporting a new purple cast that she will have for about four weeks and we also busted out the gingerbread sleeping gown that Grammie fixed up for her to wear in the hospital.  Hopefully we will be going home tomorrow.  On a side note the SMA kids are in the house tonight...including Reagan there are four kiddos, all healthy, just in for a g-tube, and two for sleep studies. 

 

We made it! 12.9.09...entry from mom

What a day!  Despite all the snow we got we made it safe and sound to Madison for Reagan's first rod lengthening and hamstring release surgery tomorrow.  She had to be admitted the day before so they could start her nutrition when they turn off her feed at midnight.  She is on the docket for 9:30am.  This should be a quick procedure and hopefully we will be home by Friday.

 

Fun filled weekend 12.6.09...entry from mom

We have been pretty busy and on the go lately trying to get a lot of holiday shopping and baking done before Reagan's upcoming surgery.  On Saturday we took Reagan downtown to First Stage to see "The Best Christmas Pageant Ever".  The second act was great and had a fun 80's twist to it!  Lots of signing and dancing, right up Reagan's alley.  Unfortunately we had to scrap our plans to go out for dinner because Reagan's butt/leg/hip was really hurting her, so we got some take out and had fun at home!  Sunday Reagan was up bright and early to see what St. Nick brought her.  After enjoying her new Strawberry Shortcake dress up thing Eric, Carrie, Evan, Bella, my parents, and Josh and Nicole came on over for lunch.  Reagan and Evan had lots of fun playing and making cookies.  Such a fun afternoon!

On Friday Grammie Larson finished a new coat for Reagan to wear in her wheelchair, it is so beautiful and Reagan just loves it:)

 

Turkey, birthdays, shopping, and a tree 11.30.09...entry from mom

I hope you all had a nice Thanksgiving.  We enjoyed a wonderful meal and quite Thanksgiving at Grammie and Grandpie Larson's with Uncle Josh and Uncle Ryan.  We also celebrated my birthday(11/26) and my brother Ryan's (11/12).  Thankfully we had Reagan there to blow out the candles for us!

Friday morning I got up at 4:00 to get in line at Target to score some door busters (a TV) and then went shopping with my mom, aunts and cousins...lots of fun!  Joe and Reagan had a "Daddy Daughter Day" that include lots of Wii, a happy meal and hanging  out in pj's all day:)

Saturday we went and got our Christmas tree.  Reagan wanted this little crocked one and Joe wanted the big tall full one...enter mom and Reagan won!  It is a bit of a Charlie Brown tree, but with lights and some well placed ornaments it looks "amazing" according to Reagan.  I had to laugh, as I was putting the hooks on the ornaments for Joe and Reagan to hang I wasn't really paying attention to where they were placing them.  When I turned around to put some on myself I noticed the two foot radius of Reagan's reach was PACKED with ornaments!

 

11.14.09...entry from mom

Reagan is becoming quite the whiz on my laptop.  She can navigate her way around pbskids.org and nickjr.com like no other.  I think kids are just born wired for technology these days.  I barely taught her what to do and she was off clicking away from game to game. 

Last weekend I flew out to New York for April's Baby Shower...it was so much fun!  I wish we could see them more, especially with Gigi on the way!  Reagan is very excited to have another cousin on the way.  Her teachers said she was telling everyone at school about Gigi!

Reagan's parent-teacher conference was this past Thursday, and that went very well.  Her teachers all said how well she is doing in the K5 setting, she is becoming more independent, staying on task, asking for help/assistance, and how very imaginative and creative she is.  Yeah, Reagan!

Reagan has not been sick at all (knock on wood).  She did have a UTI two weeks ago, but we were right on top of that and Dr. Dan got her on antibiotics ASAP and she was all good in no time.  We are still working on managing Reagan's butt, leg, knee pain, but seems to be getting a better handle on it.  We are still working with renal regarding Reagan's latest urine and blood work results to figure some things out on that end.

 

...and now we are at the end of October 9.27.09...entry from mom

Sorry for the lack of updates this past month, how time flies.  We started off the month celebrating Grandpa Larson's induction into the WI Basketball Hall of Fame.  Reagan has been healthy and happy and busy.  Reagan and I went and got a membership at our local YMCA so I could get her in the pool a few more times a week.  We are in the habit of going afterschool three days a week and then Friday mornings she does her therapy in the pool with Sue.  I think it has helped with her back/butt/hip pain, and she just loves being in the water.  Reagan has also been having ultrasound twice a week to help with her leg pain from her contractures.

Reagan also started TOPSoccer.  It's at a local grade school gym for an hour on Saturday mornings.  They practice and play games and have lots of fun.  Reagan even has her own jersey with her name and the #5 on it.

Last week Reagan had her day long neuromuscular clinic appointment in Madison.  We meet with Reagan's entire team of specialists in Madison.  All in all it was a good visit.  Reagan did well all day long and then lost it when it came time for labs.  We stopped at the outlet mall in Johnson Creek on the way home and got Reagan her first ever pair of Crocs.  She picked out a purple pair and some little princess thingys to put in the holes...those cost more than the shoes?  They fit so well over her AFO's and I got the lined ones so they will keep her toes warm. 

Reagan had her first Halloween party on Friday at New Berlin Therapies.  She wanted to be a "Butterfly Princess" this year, and she is a vision of pink in her costume, that's for sure!   Her and Leah  zoomed around and had fun.  On Saturday after soccer Reagan had a play date at Grammie Larson's and then her and Joe came to my team's volleyball game.  On Sunday we went on a hay ride and picked our pumpkins at the pumpkin patch and then Reagan had another party in the afternoon...Alexandra's 5th birthday costume party.  For this party Reagan wanted to be a ballerina, and a beautiful ballerina she was:)

This week Reagan has her school Halloween parade Wednesday afternoon and then she is off on Thursday and Friday.  On Thursday she has OT and Speech and then we are going to go swimming with Ben and his mom and then go and get some pizza.  Saturday is trick-or-treating and then one more Halloween party and on Sunday we have a volleyball party with my team...busy, busy, busy.

 

PS...Happy 4th Birthday Steven!

 

September is over already 9.30.09...entry from mom

We have been very busy this month.  Reagan is doing very well and loving school!  She is working hard in all of her therapies and is doing a bit of rolling and is up in her stander for about an hour a day again.  She has outgrown her wrist splints so last week Donna measured and ordered new ones.  She let Reagan pick the color, actually she got to pick two and Reagan chose a light purple and a dark purple...of course.  We are still working on getting her power chair seating just so, she is only able to tolerate being in her purple chair for about 2 hours before she is in a world of hurt, her Kid Kart she is fine in for some reason?!  Let's see what else...Crafty Class on Tuesday nights has started up again, Grammie Larson and Uncle Josh both celebrated birthdays, my cousin Eric and his wife Carrie just had a beautiful little girl, and I am helping coach the 8th grade girls volleyball team at the school down the street from our house.  This weekend  Grandpa Larson is being inducted into the Wisconsin Basketball Hall of Fame....yeah Grandpee! 

 

Back to school 9.9.09...entry from mom

Crazy, crazy, crazy...we are getting back into the swing of things very quickly.  I think Reagan and I got used to our nice and easy pace this summer, not really going anywhere or having a full schedule at all.  Then came September 1 and just like that our days are busy once again.  This year Reagan is going to Early Childhood in the afternoon, still at Glen Park with Mrs. Burnett and company (I don't know what I'm going to do next year when Reagan won't be with them?!), but they are trying something new and integrating them with the K5 students.  Reagan really seems to be enjoying the new setting and everything.  I was told that on the first day many of the Kindergarteners were interested in Reagan's wheelchair and had lots of questions.  Mrs. Burnett said Reagan was so great about talking to her classmates about her chair and explaining to them that her "muscles just work differently"...she makes me so proud, yet I want to cry all at the same time:) 

 

Fill the Boot and our first butterfly this summer 8.26.09...entry from mom

Yesterday Reagan and I took our first trip to the zoo since surgery.  She is having a lot of discomfort in her power chair so we go the ol' Kid Kart out and she loved being pushed around by mommy:)  We ended out visit with some strawberry ice cream and a big hug with her telling me she had the best time ever. 

This morning we headed downtown to the Milwaukee Fire Department's headquarter station for the MDA Fill the Boot kick off press conference.  As we were walking up the engine was leaving on a call and Reagan enjoyed seeing that and even clapped for them when they came back to the station 20 minutes later.  She got to meet a bunch of the firefighters and the chief and Milwaukee's mayor.  She was interviewed by Channel 12 and happened to be wearing my sunglasses...I just about peed in my pants laughing when I saw her on the news tonight.  She was asked what she liked best about her chair to which she responded "it go's up and down and it's purple!"  After that fun we had Reagan's healthcare meeting at Glen Park with all of her teachers and therapists and aides which went really well!  Daddy even got home early tonight and we all got to have dinner together:)

 

Back in the pool and Uncle Josh's new condo 8.24.09...entry from mom

Friday was a very exciting day...Reagan got to get back in the pool for the first time since surgery:)  Wow, was she excited.  I think she was up about at 6:00AM because she wanted to get there.  Sue even used Reagan's new Danmar float device, which gave her complete independence to swim on her own.  The smile on her face and watching her move her arms and legs to swim was the bestest thing, it totally made my day:)  She swam so much that she worked up quite an appetite and actually ate 4 chicken nuggets and some applesauce for lunch.  While Reagan and Grammie Larson played I help Josh with moving into his new place and then I took Reagan over so she could check things out.  She thought the elevator was so awesome!

 

Six week post op appointment and meeting Nora 8.18.09...entry from mom

Great news...Reagan is recovering beautifully from her surgery.  We had her second post op check in bright and early this morning with Dr. McCarthy and he was very happy with how well Reagan is healing. She got the all clear to get back in the pool, up in her stander and doesn't have to wear her bandages anymore, but still has the 90 degree restriction and will until January.  December will be Reagan's next surgery, just to extend the growth rods.  This will happen every 6-9 months until Reagan stops growing, but will not be anywhere near the extensiveness of this first one.   We also saw Dr. Schroth and she gave us a new nasal mask to try with Reagan's BI-pap and introduced us to a new SMA family that was up in the PICU.  Nora is a sweet little 7 month old girl with SMA type I, such a doll!  We visited with Nora's mom, Jaime and her grandmother for a while, and Reagan sang to Nora, read her stories and drew pictures for her...she is such a little mommy.

Bethanne came by for therapy shortly after we got home and then Ann from Apria stopped by to bring Reagan's new Percussor by.  After a short nap we headed to get groceries to make a special dinner for Uncle Josh to celebrate his new condo that he is closing on tomorrow.  Reagan is sad that Uncle Josh is moving out, but has already invited herself over to his new place and will bring "two things, Pinky and some snacks!" 

On a side note...I think that we need to stop watching Brewer games with Reagan.  Last night she asked Josh what "greatness tastes like?"  We all looked at her kind of perplexed and she responded "Miller Lite."

 

Visiting daddy at work 8.13.09...entry from mom

Today was a busy day, relatively speaking.  We started our day off early with Bethanne for speech, then our neighbor Brittany came by and read to Reagan and played princess dress up dolls.  We had a really nice surprise as well...Mrs. Lucas stopped by with four caterpillars for Reagan.  Wow, that's a lot of milkweed the next couple of weeks.  Reagan named them Louie, Smiley, Lovie and Stripey.  Next we got cleaned up and headed downtown to Major Goolsby's for the MDA Lock-up event.  Reagan was so happy to get out and be social.  She did really well and lasted for almost 2 hours before her back and bottom began to bother her (that's a lot of B's).  Once we got into the van and had her fully reclined she was much better.  Since we were just a few blocks from daddy's office we stopped up and said hi.  Reagan loved seeing where daddy works and especially loved the "drawing board" on his wall. 

 

8.11.09...entry from mom

Reagan is feeling better, still a bit of nasal congestion, but she isn't as crabby and the secretions aren't as thick anymore.  We switched Reagan's formula from Pediasure to Vivonex which is an elemental amino acid.  The idea behind it is that because SMA kiddos' metabolize food differently this broken down  formula should make it easier on Reagan to handle and digest her food/formula.  So far, so good...her heart rate is lower at night and she also isn't all sweaty and tired in the morning! 

Last week the Gustafson Gang came by and spent the day with us!  Auntie Nicole got Reagan her own Leapster with the Pet Pals game...wow does Reagan love playing it.  Sophia got it all set up for Reagan and showed her how the game worked and she's been playing it as much as we'll let her.  Grandma Helga and Grandpa Pat came for a visit on Saturday and Sunday and brought Reagan a bag of goodies to play with...lots of crafty supplies:)  Abby and Owen came over for a play date.  Reagan and Abby were bothered by us moms chatting so they had to go back to Reagan's room to do their coloring, then Owen came back and was bothering them yet again.  This time they dressed up like "rock stars" to disguise themselves...you've got to love little girls:)  Kim and I certainly got a kick out of them!

We got the results from Reagan's latest urinalysis today and she has hypercalciuria and proteinuria...high level of calcium in urine and protein in urine.  We need to decrease the calcium in Reagan's urine and keep the concentration of calcium in her urine diluted to help prevent any stones from forming.  The plan is to make as many modifications to Reagan's diet as possible like lower sodium intake and calcium to help her kidneys handle things well.  Reagan will be taking a RX that is like a diuretic/water pill that will increase urination, however with this we will have a few things we have to keep a close eye on so Reagan will have labs done in a few weeks and then again every month or so.

Thursday Reagan and I will be going to the MDA Lock-up in Milwaukee for a bit of the afternoon, then next week Tuesday we'll head to Madison for post op check in #2. 

 

4 weeks post-op 8.2.09...entry from mom

Last week Tuesday Reagan had her first post-op check up.  We headed to Madison early for all of her appointments...first we saw Dr. Schroth and then Dr. McCarthy came by.  They were both so excited to see how well Reagan was doing and couldn't believe she was only 3 weeks post-op.  Reagan still has the 90 degree hip flexion restriction, is unable to go in the pool, and has a bit of sciatica, but all in all is doing very well.  We did meet with a new doc/specialty, a nephrologist (kidney doc).  While Reagan was in the hospital recovering we had a bit of concern when we noticed a lot of blood in her urine.  To make a long story short a handful of tests were ordered and they discovered that Reagan has a high amount of calcium in her urine and her calcium-creatinine ratio is not what it should be.  Her bone age is 7 months younger than actual age and the DXA scan is still being read...all of that combine has led to a diagnosis that Reagan's bones are leaching calcium which is causing an osteoporosis type thing.  It is something that we should be able to take care of with a RX or quarterly infusion.  All in all a really good visit, the car ride home was a bit rough and needless to say with no nap and a very eventful day compared to what we have been experiencing Reagan was in bed and sleeping by 6:30pm.

We had lots of visitors this past week...on Friday we got to meet Delanie Farley, the newest addition to the Farley family.  Reagan was so excited she even got to feed her:) Later that day Auntie Jeannie and Auntie Jan came by with Grammie to visit and bring us this year's fresh batch of Jeannie's Jam.  On Sunday Aunt Ann and Grammie came by to visit and play as well. 

I think Reagan may have allergies or is coming down with a cold.  Sunday and today were a bit rough, but I'm hoping a good night sleep and some central air will help her out. 

 

July 26, 2009...Recovering well (entry from mom)

Reagan is now three weeks post op and doing very well.  Our days are nice and easy, not at all hectic.  Reagan has been back at PT, OT, and Speech for a week and a half now and is doing very well.  We celebrated Joe's birthday on the 17th and made him a super chocolate cake and a special birthday dinner.  Reagan has had some visitors come to the house to say hi and play.  Today the Karls family came over for lunch and fun!  This past Tuesday  Peyton, Kylie and Jen all came by and brought us lunch and the girls got to play outside and "jump rope".  On Wednesday all of Reagan's teachers came by for a visit.  Reagan was so excited to see them and now keeps asking me when school starts again.  Grammie Larson comes by for play dates to help break up the day a bit and our neighbor Brittany has come over and read and played with Reagan too.  We did take Reagan out to Target last week.  Joe's Aunt Sue and Uncle Joe sent Reagan some money to get herself something when she was feeling better so we thought it would be fun for all of us to get out.  It was a very strategically planned outing.  We gave her a dose of Tylenol an hour before we left, then once we got there split up, Joe and Reagan looked for toys and I got the essentials and we met up at the checkout in 30 minutes.  It was perfectly planned.  By the time we got home Reagan's head and neck were sore and she needed to lie down.  Reagan is able to tolerate about an hour to two up in her chair.  Her head and neck have been achy as well as her knee, but really nothing that can't be managed by positioning and Tylenol.  We go back to see the docs in Madison for Reagan's post op check up on Tuesday.

 

Thanks to the Gasser family for the chicken pot pie and Jen Elsner for lunch and my parents for the turkey dinner last week.  Also thank you to all of you who have sent get well cards, emails and gifts to Reagan.  It is all very much appreciated and really makes us feel loved!

 

July 10, 2009...Home sweet home! 

Pictures available at http://www.facebook.com/album.php?aid=278382&id=735625203&l=efc5818b4a

Reagan's email address is rally4reagan@gmail.com if you would like to send her a message.

 

July 6, 2009...We hope you had a nice 4th of July weekend!  Reagan is doing fantastic.  After a bit of a rough patch post-op she has made a huge turn around in the past 24 hours.  She was finally extubated Sunday morning and by late afternoon was much more talkative and asking if she could “sit on the couch and have some lemonade and play Littlest Pet Shop?”  We have also been moved out of the PICU and are on regular service now.  Reagan’s respiratory function has been stellar all day, and for the most part she has been managing her pain really well (with the aid of an epidural).  Today was as big of a day as yesterday…PT came by and got Reagan up for the first time since Thursday morning at 7:00.  Not only did we sit her up, but she even got in her wheel chair and drove to the “beauty salon” to get her hair washed.  She will not be able to sit at 90 degrees for a few months so we just had to recline the back of her chair a bit.  They also measured her and she is now 3 inches taller, and the amazing part is Dr. McCarthy will be able to straighten her spine a bit more in 6 months at her rod lengthening.  Needless to say she is pooped out and sleeping very soundly now.  Thanks so much for all the emails and well wishes!  Hopefully we will be home by week’s end. 

 

July 5, 2009...Reagan just got extubated at 9:00 this morning.  Everyone here was so happy to see her take this big step.  Her throat is a bit sore and it will take time for her to adjust but she is doing great all things considered.  I will try an give an update later tonight when things settle, I just wanted to share the fantastic news!

 

July 4, 2009...Happy 4th of July to everyone!  As of 10:00 this morning they decided to keep Reagan intubated because of a few O2 de-stat episodes in the past 12 hours that happened when we moved Reagan.  Good news is she is peeing and her calcium and potassium and electrolytes all looked good this morning and her BP has leveled out.  Her HR is still high, but they are keeping a close eye on that.  Dr. McCarthy showed Joe and I the post op x-ray of Reagan's spine...it's amazing how good it looks:)  Last night we were able to see the some fireworks out our window.  Hopefully tonight Reagan will be up to it and maybe catch some too!

 

July 3, 2009...No extubation today.  Reagan was able to get a few pockets of good rest in around 4:00am.  This morning during rounds Dr. Brazelton (PICU) and Dr. Schroth (Pulmon) and Dr. McCarthy(Ortho) all met with us.  Surgically Reagan looks great, but she still hasn't peed which means she is hanging on to fluids and at risk for respiratory issues so they are going to keep the tube in.  Her calcium and electrolytes are off as well, but her BP is stable, her blood volume is good, her lungs sound great and her secretions have thinned out and cleared up.  Today the goal is to get her body rested and ready for bi-pap.  They will be able to give her higher doses of pain meds as needed and keep her well sedated today since she is maintaining her BP.  (For those that have asked we are at the American Family Children's Hospital in Madison in the PICU) 

  

July 2, 2009...Reagan's surgery went very well.  I carried her into the OR at about 7:40 this morning and they finished up with the procedure around 2:30.  Dr. McCarthy was able to not only get her spine straightened out buy also get her hips/pelvis square with her shoulders.  As to be expected there was a bit of blood loss that needed to be replenished and Reagan remains intubated until the doctors decide she ready for her home bi-pap.  We met Reagan in her PICU room following surgery and boy was it a flurry of activity.  Joe and I just wanted to give her a kiss but there were four nurses, the anesthesiologist and the resident all bedside hooking up lines and checking vitals...  We were finally able to make our way to her about 30 minutes later.  She was heavily sedated, but they said we would be able to recognize pain if her blood pressure or heart rate increased and they would medicate her accordingly.  Things were initially going okay then her BP climbed, they had to give her a few different types of medication to help the pain.  It took awhile but they finally got her pain under control, however her BP started to drop pretty low.  We had to hold off on some of the pain meds to get her BP back up, but then she came to and that wasn't good either...needless to say it has taken all night and into Friday morning to get everything figured out.  Respiratory is doing IPV treatments along with the Cough Assist and suctioning every 2-4 hours to keep the lungs clear.  Our nurses Jenna and Amanda are awesome, they have been going non stop with Reagan since she came to the floor.  Of course Dr. Schroth is keeping a close eye on our girl and making sure she is being well cared for.  Thanks to Dr. McCarthy and the surgical team for taking such good care of our little peanut!  Thanks MJ and Brenda for the balloons and elephant and thinking of Reagan always!   And of course Uncle Josh, for getting the website running again.  Please also keep Reagan's SMA pal Jerkia in your thoughts tomorrow as Dr. McCarthy is doing the same surgery on her.

 

July 2, 2009...Reagan was up at 6:00 this morning.  She slept pretty well, all things considered.  Unfortunately her IV was leaking TPN right before they took her off for surgery, so they had to pull that line and will just start a new once she is out.  Reagan got to watch Special Agent Oso in pre-op and chose grape scented NO2.  I got to take her into the OR and wait with her until she was sleeping.

 

July 1, 2009....Reagan was admitted for all her pre-op and to get her nutrition going.  The IV went in very easily and all is well.  Reagan is in very good spirits and enjoying the shopping cart of play food they brought in to play with.  I forgot her g-tube extension and we didn't realize this until 8:45, but thankfully Uncle Josh met Daddy half way with one!  What a guy:)

 

FSMA Conference 6.24.09...entry from mom

We just got home from the FSMA Conference in Cincinnati, OH.  This was Reagan's first conference (Joe and I went to our first in Chicago two years ago).  We had a nice time together.  Reagan enjoyed meeting new friends and having a three night slumber party at the Hyatt and going to a banquet and carnival.  It was fun meeting a lot of the other SMA families I chat with online.  Click here to read about the latest news on drug discovery for the treatment of SMA. 

Unfortunately our weekend came to a sad end when we got home and discover water in the basement.  Josh, my dad, Joe and I moved all of the furniture out got the wet vac going and sadly ripped out the floor.  I guess it could always be worse!  The basement is all dried out now and down to the concrete floor.

 

We have been enjoying the nice warm weather this week and relaxing in the pool.  Reagan has had a fantastic week at therapy; on Monday in OT she ate 10 bites of banana with a fork and 10 bite of yogurt with a spoon all by herself; on Tuesday she tried a new food and ate at a good rate with minimal gagging, and today in PT Reagan rolled down the wedge like a champ all by herself:)

 

Tomorrow we are planning on taking Reagan to the Brewers game and do some tailgating then off to Summerfest fireworks.  We are trying to have lots of fun before Reagan's surgery! 

 

End of the school year 6.11.09...entry from mom

I can't believe it is the end of the school year.  Reagan has certainly grown and had a great time this year.  She loves all of her teachers and therapists and friends at Glen Park.  Yesterday was the EC class program for the parents, they sang and we enjoyed cookies and punch all together. 

 

Tomorrow Reagan has her 4 year check up with Dr. Dan...I'm sure it will be uneventful as Reagan is doing very well!  Saturday we have Emma's birthday party to go to and hopefully it will be warm so they kids can play in the pool!  We are three weeks out from Reagan's surgery and will be enjoying a trip to the FSMA conference in Cincinnati next week.  This will be Joe and mines second conference and Reagan's first.  I was telling her about it and how there will be lots of other kiddos with SMA there driving their own wheel chairs and wow is she excited to meet them.  I was talking with Reagan's teacher yesterday and she told me how Reagan was telling her they were going to have wheelchair races...first I have heard of it, but too cute!

 

Congrats to my friend Anna and her husband Joe, they just had their first baby, a girl, Isabella.  Uncle Mike and Auntie April are having a baby girl in December, my cousin Eric and his wife Carrie are having a little girl and our friends Amie and Andy are having a girl next month, and Joe's friend Brett and his wife Amy ....lots of babies!   

 

This past Sunday we had a zoo outing with some of Joe's old teammates from UW-O and then came back to our place for lunch.  The guys watched the 'Crew and the girls took the kids outside to play t-ball and bubbles and chalk and whatever else they could find to do.  Last Friday Reagan had her first 4-year old zoo class, and was excited to be reunited with Alexandra once again.  After class they managed to get a train ride, a carousel ride, and ice cream from Bethanne and myself.  Then they played so long that we closed the zoo down.  The day before that, Thursday, Reagan had a play date with Benny.  We went swimming at the YMCA the Angie and I took them out for pizza and then ice cream after that.  The next thing I knew it was after 8:00.  Tuesday Reagan helped out at a MDA Lock-up at Texas Roadhouse in Waukesha and was on the news.  She really gets a kick out of seeing herself on tv.  Such a busy little girl!

 

Potty Time 6.1.09...entry from mom

Reagan has been patiently waiting for her special potty chair that we ordered in February.  To make a long story short, Reagan needs a lot of support for her body so she can void her bladder and a regular kid's potty chair just doesn't work...so we ordered a special, super expensive one that is still in the process of being approved by insurance...Reagan really wants to be a big girl and go on the big potty.  So I went and bought a ring reduced and a stool.  After school today Reagan told me she had to go potty and wanted to try on the big potty.  I excitedly got things all set and sat her down and held her in place and tried to align her back best I could.  After about 30 seconds all of a sudden I heard a little tinkle and Reagan face just lit with a big smile and she started yelling "I'm peeing!"  She stayed dry and went on the potty five more times.  She was telling anyone that would listen the rest of the day about her new accomplishment and when Grammie came by she showed her the princess undies she had on!  I am so proud of the little peanut.

 

Mary Poppins 5.25.09...entry from mom

For Reagan's birthday present Joe and I got tickets to the Broadway in Chicago production of Mary Poppins, and boy did she love it!  She sat through the entire almost 3 hour performance with her eyes glued to the stage. 

 

Walk with the Animals, Music and Cake 5.20.09...entry from mom

We had another great day for Walk with the Animals, a windy and bit chilly start, but beautiful day none the less.  Our fantastic family and wonderful friends joined us to celebrate Reagan's 4th birthday at the Zoo and we were one of the top 3 teams at the Walk.  Reagan was even interviewed up on stage by Emily from CBS 58 about why she likes to participate in the Walk, and of course Reagan wasn't shy.  After the Walk at the zoo everyone came over to the house and Reagan's music teacher Miss Sarah sang and danced with the kiddos.  It was lots of fun to see them all dancing and playing different instruments.  Reagan really seemed to enjoy her Littlest Pet Shop cake, frosting and all!  Thanks to all of our family and friends who celebrated with us:)

 

Brewers Game 5.13.09...entry from mom

What a busy Tuesday, school, speech therapy, pool therapy, crafty class and a Brewers game.  I have to say I was a bit concerned that it would be too much for Reagan to do in one day, but she had a great time and LOVED the Brewers game.  They hit four home runs and Reagan told me it was because it was her fourth birthday.  Joe took her to the game all by himself and they got nachos and stayed for the Sausage Race and of course got to see Bernie Brewer slide down his slide.  She even said to Joe that she wants to go with him to tonight's game!

 

Some one is 4 years old! 5.11.09...entry from mom

I can hardly believe how fast out little pumpkin is growing up.  This morning when she woke up she yelled "mommy, daddy, I'm 4 now!"  She had a special birthday cookie for breakfast and brought Bug Bites for a treat to share with her class.  Of course it was "Happy Meal Monday" and I couldn't turn down the birthday girl, so she chowed down her chicken nuggets and then we were off to OT.  For dinner we took her to Stone Fire Pizza and watched Madagascar and played games and ended the day with cake.  When we were putting her to bed, she told us it was her best birthday ever and that she can't wait for her party on Saturday:)

 

MDA Black and Blue Ball 5.2.09...entry from mom

Last night we attended our first MDA Black and Blue Ball.  It was an outstanding event and we meet a number of other great MDA families. Reagan made a new friend, Allie.  They palled around all night, got tattoos, played with the cute little puppies, danced, sang, and were just silly. It was a long event, but Reagan did great and made it until 9:30.  We were all decked out in our new Harley Davidson shirts, Reagan's was purple of course.  She even made some art work for the auction that went for $250. 

 

Serial Casting Again 4.29.09...entry from mom

Today Reagan began serial casting for her left leg.  We are hoping it will only take 3-4 weeks to work and get her range back.  She did really well getting it put on and most of the afternoon.  Tonight has been rough so far though...I think I blocked out how it is the first 2-3 days each week. 

On a funnier note, Joe and I got home from our long weekend in Las Vegas last night.  Reagan was so happy to see us and after about five minutes of hugs asked what we got her.  When Joe pulled out the bag that had a $30 Beatles LOVE shirt in it and all she said "I want a toy."  Also in the bag was a streamer that had fallen down from the ceiling at the end of the performance and I just happened to put it in the bag...that is what she has been playing with since.  She thinks it is great!  When are we going to learn?!

Special thank you to Grandmie and Grandpie Larson for taking such great care of Reagan while we got away for some R&R!

 

First week with 4 days of school 4.2409...entry from mom

We had quite the busy week!  It started off with a visit from Emma, Sara, Chad and Auntie Jeannie.  Emma had her tear duct cleaned Tuesday morning and the we picked Reagan up from school and all went to Stone Fire Pizza for lunch and lots of fun.  Both of the girls were exhausted by about 1:30 and napped really well needless to say.  This week at crafty class was a Barn Animal theme, which Reagan enjoyed.  She made a really cute little lamb mask.  Reagan also went to school for four days this week (first time) and enjoyed it tremendously:)  This morning Reagan had swim then we packed a picnic lunch and met Daddy at the zoo to enjoy the beautiful day.  After lunch Joe took Reagan to her Elephant Zoo Class, which I heard was a blast.  Now Joe and I are getting ready for a long weekend in Las Vegas!  Grammie and Grandpie Larson are coming to our house to watch Reagan while we are away.

 

On a side note...Reagan's spine surgery has been scheduled for July 2.

 

Spring Break!  4.13.09....entry from mom

Wow, has time flown by, I didn't realize it had been so long since an update.  We have a new pet in our house thanks to Auntie Nicole!  It's a Beta fish name Purpley.  Reagan loves feeding it and Rajah loves to stare at it so we moved Purpley up to the mantel. 

 

Reagan's IEP was last week...she will be going to school 4 mornings for the remainder of the school year and next year she will go all five mornings.  Reagan's teachers and school therapists are all outstanding and she is really excited to go to school more!  I have to do some reshuffling of Reagan's therapy with Anne, Donna, Bethanne and Sue, but that shouldn't be to problematic.  Last Thursday was Reagan's last Music Class with Miss Sarah...so sad, we have been going to that class since Reagan was 1 1/2.

 

On the 10th Reagan saw Dr. Schroth for her quarterly check-in/RSV follow up.  All is well.  Reagan surprised us all with a huge weight gain...2 lbs in one month.  She is now 29lbs and 13oz, just amazing.  They are guessing it has something to do with the TPN Reagan was given when in the hospital, that the lipids helped Reagan's fatty acid levels and voila...weight gain and an appetite:)  Dr. Schroth was very happy with how well Reagan was doing!  Dr. McCarthy also stopped down between surgeries to talk about scheduling Reagan's and take a look at her knee.  After some labs and x-rays we were on our way home.  Reagan fell asleep before we got out of Madison so we got to listen to the Brewers home opener on the ride home!

 

Easter was fun.  We started out the morning with Reagan's Easter Basket and egg hunt, then drove to Spring Green to meet Grandma Helga and Grandpa Pat and Oma and Aunt Sophie for brunch.  After brunch we went to Oma's for some of her famous cake and Easter surprises.  Then we headed to Grandmie and Grandpee Larson's for Easter dinner.  Needless to say we were all ready for bed Sunday night:)

 

Happy Belated Birthdays to Auntie Nicole, Auntie April and Uncle Mike and Great Aunt Risa!

 

Back in the swing  3.23.09...entry from mom

Today was Reagan's first day back to school in almost a month.  She was extremely excited to see her friends and teachers and someone besides me I'm sure!  Mrs. Burnett said she had a great day and didn't miss a beat.  Reagan got a Happy Meal to celebrate and then we were off to NBT for OT with Donna and Julie.  Reagan did pretty well in OT, but you could tell was fatigued.  She then played, oh sorry, helped Anne do some work afterwards.  Too funny!

This past Friday afternoon I took her to zoo class, Snakes and Chameleons.  It was her first time out of the house in ages it seemed.  When I told her to drive out to the van she told me that she was healthy and didn't have any germs so we didn't need to go to the doctor:)  She was thrilled when we pulled into the zoo.  She really liked Emily the boa.

 

All is Quiet on the Imhoff Front 3.16.09...entry from mom

Reagan continues to get better everyday.  She has so much more energy and is tiring Joe and I out:)  Between egg and spoon races, tag, soccer, crafties, baking, reading, playing board games and Littlest Pet Shop I'm having a hard time keeping up with Reagan:)  While we are homebound for another week all of Reagan's therapist both at NBT and school are coming for home visits, which will be so great for our social butterfly!  If she is really doing well, I may take her to her zoo class on Friday afternoon...we'll see.  Enjoy the beautiful weather!

 

Home sweet home 3.12.09...entry from mom

First off Happy Birthday to Donna, Reagan's OT.  We are all very tired but doing well and soooooo happy to be home!  Bethanne so kindly came by and did some ribcage and respiratory work with Reagan this morning as well as brought us some delicious homemade soup and salad:)  After two weeks of take out it was so nice to eat something homemade.  Reagan is quickly getting back to her old self.  We watched Charlie and Lola, made crafties and cookies and played restaurant.  I was the waitress and Reagan and Joe made menus and placed their order.  It was really cute because after Reagan had a bit to eat, she wanted her and Joe to take my order.  It all came about because Reagan wanted to go out for dinner and was sad when we told her that she has to stay at home for another week.  Uncle Josh arrived as I was placing my order and Reagan quickly told Uncle Josh it was his turn to order.  She is sleeping very well and her stats look great.  We also got her up in her stander today and she did outstanding!  She is an amazing little girl!

 

Going home!  3.11.09...entry from mom

We got the green light this morning.  Reagan just told all of us that she is the “best, luckiest person in the whole wide world”…because we are finally going home!  They are even trying to fast track things so we can be out of here by noon!  Dr. Tippitz told Reagan that when the big hand and the little are both on 12 she can go home and she just stared at the clock then yelled it’s on 12 (it was the second hand)!  She has just been singing and silly with everyone since.  Dr. Jennifer said that Reagan sounded like a whole new woman, and Reagan said I’m a little girl!

 

Reagan is still sick, but she is at a place that we can manage her care from home.  We will continue to do her breathing treatments four times a day and have follow-up with the Drs in coming weeks.  She is pretty much homebound until she is 100%.  They also cautioned that she will physically be weaker and that will take some time.  None the less we are going home and Reagan is going to be all good!

 

3.11.09...Happy Birthday Grandpee Larson & Happy Anniversary Grandmee and Grandpee Larson

 

A bit of pampering for Reagan  3.9.09...entry from mom

Today Reagan got her nails and hair done:)  Claude, one of our fantastic nurses, called a lady who comes to the hospital to do things like this for the kids.  It's called the Positive Image Center.  Deb had cute little Strawberry Shortcake hair ties and Lindsey (our morning nurse) got Child Life to get some purple nail polish to top everything off!  Reagan certainly enjoyed the entire experience and hammed it up big time.  She was upright for a good part of the day and did very well.  She played with the OT and had an excellent day all around.  We just increased her feed to 50ml/hr tonight and hope that tomorrow night we can do a test run and have all go well and get discharged Wednesday!

 

Monday Morning, Day 8  3.9.09...entry from mom

Reagan had a good weekend for the most part.  Last night she was her talkative self for about an hour or so and was being very silly…so nice to see!  Her lungs are sounding better and she is at Q4, which is nice so she can get more rest.  She is on her home bipap machine and mask, so we can check that one off the list of things to accomplish so we can go home!  I think they will be playing around with her settings even once we go home.  We are still working on getting her tummy up and running.  We have been able to increase her feeds to 35ml/hr.  The goal is to get her to tolerate her usual rate and feed at home, which is 75ml/hr.  She will have to do a full 3 can night feed here before we can go home.  We are being optimistic and hoping that we will get to leave Wednesday.

 

Saturday Update 3.7.09...entry from mom

Today has been a long day.  Reagan is very tired and having a hard time with her coughing and keeping her stats consistent.  Dr. Schroth added Zithromax to Reagan's medications to help with the inflammation in her lungs.  We are working at trying to get her feed to 20 ml/hr, and have been successful for the most part.  She is now on Pulmonary service with Dr. Schroth  now, so that is good news.  Last night when Dr. Schroth came to visit us she showed us all of Reagan's chest x-rays and explained what we were looking at and what it meant.   It is nice to have a better understanding of what is going on and where.  Hopefully tonight will be a good night and she'll be feeling better tomorrow!

 

Friday Update  3.6.09...entry from mom

Reagan had a productive night.  She was able to move a lot of secretions out and her morning x-ray looked “slightly” better.  She is still Q3, but they are talking about possibly trying Q4 later today.  The other GREAT news is they are talking about moving her from the PICU to pulmonary services!  Taking a step closer to the front doors!  Her tummy is still sensitive and we had to move her feed rate back down to 10 ml/hr, but we are going to try and bump it up to 13ml/hr this afternoon if she does better tolerating her feed this morning. 

 

She’s watching Dora’s Pirate Adventure and trying to sing as I’m typing this.  She also has been having fun putting stickers on her treatment chart and reminded Tom that he forgot a sticker for her last treatment!

 

Thursday Update  3.5.09...entry from mom

Today has been a very good day so far.  Reagan was able to come off her mask for awhile and did well until we moved her.  They have switched her breathing treatments to Q3(every 3 hours) and she appears to be tolerating her feeds now.  We were able to bump it up to 15ml/hr and I don’t think I’ve ever been more excited to see a poopy diaper!  She has been more interactive today as well and that did us all good to see.  She even was getting a bit feisty during some of her breathing treatments and asked to play with some of the toys child life brought in:)  Dr. Schroth did caution us that this will take time and she will have good days and bad moments, it’s just part of RSV.  We are just very happy to be having a good day.

 

I’m going to try and catch some zzz’s while Reagan is.  MJ and Brenda thank you so much for the balloons and stuffed animal.  Reagan named him Stretchy and asked us if she could go bouncing on the balloons like Charlie and Lola!

 

Wednesday Update  3.4.09...entry from mom

Sorry for the late update…it has been a long day.  She is still having to have O2 bled in through her bipap and is still on the full mask.  We did try to go back to her regular mask she wears at home, but were unsuccessful with that.  It is more a matter of her nose being so plugged up than anything.  Her potassium is still a little low, but better than the day before:) Today’s x-ray showed all of the pneumonia.  As the doctors explained to us it has “blossomed” now that she has fluids in her.  It is not necessarily a bad thing, now at least they can see what they are dealing with and where all of the trouble is located.  The big event for the day was the placing of the PICC line.  It is a central line located in her upper arm that is able to handle and do much more than an IV in your hand would (they call that a periphery line).  The potassium and TPN that Reagan needs doesn’t “jive well,” so to speak, with the periphery line because that vein in your hand is so small and much more sensitive.  Yesterday when they started the Potassium it was painful for Reagan and they had to slow it down twice to get it so it was comfortable.  The TPN is made by the pharmacy and it will meet Reagan’s total nutritional requirement (carbs, proteins, lipids,  vitamins, minerals, etc.  With the PICC line they are able to administer such things at a full strength and it will not hurt her in any way, another bonus of it is they can do most blood draws from this line and she won’t have to be poked as much.  It took about 45 minutes to get it placed; they did numb the area so that helped.  Reagan, being the tough kiddo she is, did very well with it.  They use Doppler to find the vein and the mark and place it and the run the cath.  Once they have it done they do a chest/neck x-ray to make sure it is where it is suppose to be.  Once the docs said she was good to go they switched to the PICC and removed the IV from her hand!  We are also trying to get her tube feeds going again at a rate of 10ml/hr along her the Zofran…so far so good.  We have tried a few times today to go without her mask to give her face/skin a rest and she seems to be able to keep it off a bit longer each time…this last time we had it off for about 5 minutes and she kept her O2 above 90, well at 90 on the head, but 90 none the less.  The doctors think we will be in the PICU for another couple days and then hopefully be able to transfer to the pulmonary service once Reagan is able to go four hour between breathing treatments as well as 4 hours without her bipap while maintaining her O2.

Thanks for all the well wishes and prayers, we really appreciate it!  And thanks to the Mlenars for the bag of goodies for Reagan that was delivered this afternoon.  It was perfect timing because the OT had just come in and it was a great activity for Reagan to pull the books and toys out of the bag.  She can't wait to play with the Pretty Princess book!

 

RSV  3.3.09...entry from mom

Reagan had a pretty good morning.  Her stats were good, her fever was gone and she was responding well to her respiratory therapy treatments. They even stopped the oxygen and had her on room air while on her bipap full time.  She did well for awhile.  They did a nose swab and tested for RSV, which came back positive.  So, now at least we know what is going on.  We tried doing a very slow feed, only 10ml/hr, but she didn't respond well to it.  The are going to give her some nutrition, TPN, through her IV tonight and they also had to give her some potassium since her levels were low.  They will then check her blood sugar every four hours to make sure things are okay.  Hopefully once that works it's way through her system she will have some strength to kick this crap.  They did have to put her back on oxygen around 6:30 and she is still on it.  Tom, the respiratory therapist is here now to do Reagan's next treatment.  She will still be getting it every two hours until she can get off the oxygen and maintain her stats.  Again we will do our best to keep Reagan's Journal updated!  Thanks for all of the emails and messages.  We have been reading them to Reagan and they make her happy to hear from you all:)

 

In the PICU  3.3.09...entry from mom

Yesterday morning we took Reagan in to see Dr. Dan because she was still not feeling better.  He ended up sending Reagan to the ER to have IV fluids administered and some more tests and x-rays done.  It turns out Reagan's lungs (which were crystal clear on Friday) are inflamed and some areas are not working well so we were transported to Madison to be under Dr. Schroth's care.  Dr. Schroth sent two of her RT's to come and bring Reagan to Madison.  It was a smooth ride and Reagan slept most of the way and stated really well the entire time.  They had a room all ready and waiting for us and everyone was briefed and the transition was smooth.  However it wasn't long before Reagan started having trouble breathing.  They got her respiratory rate and O2 stable around midnight.   Reagan is on a full mask (nose and mouth) bipap full time with 5.0L of oxygen as well.  They have her fully hydrated through an IV and are hoping to give her some nutrition via IV since her tummy won’t tolerate a feed.  They are also giving her Zofram (sp?), it’s an anti nausea medication, that is working well and has helped the retching subside.  She is Q2 right now, which means they come in every 2 hours and do a breathing treatment, which takes about 40 minutes so we get to rest for about 1 hour before the next one.  They are hoping to be able to go to Q3 or Q4 tonight so she can get some rest.  Her fever seems to have broke this morning (knock on wood).  She just got done with her treatment and is sleeping very nicely right now so I am going to go and try and get some sleep.  I will try and keep this updated:)

 

3.1.09...entry from mom

Unfortunately Reagan is still really ill.  She's been on amoxicillin for 3 full days and we haven't seen any improvement.  She's very weak and has been sleeping on and off all day long.  If she doesn't turn the corner tonight we'll give the doc's office a call in the morning and go from there!

 

Jinxed 2.27.09...entry from mom

Turns out I spoke to soon, we just got home from the doc's office and Reagan's throat is "flaming red" and her white blood cells count is ridiculously high so they are thinking she has strep, but we won't know for sure until tomorrow.  They started her on Amoxicillin anyway because whatever she has is bacterial.  Last night was just awful.  The poor kiddo was miserable with a fever and coughing and her poor little heart was racing, I don't think it went under 165 all night and was near 180-200 for about 4 hours.  Her lungs are crystal clear, so that is a huge relief.  Hopefully after her double dose today she'll be feeling a millions times better tomorrow.

 

 

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