Wes and I are sitting in the PICU, in his second room of this round. For some reason, every time we are here, we get to move rooms at least once. This time, we moved at 3:45 am, because we happened to be awake then for a blood draw, and it was either move then, or wait until 5 or 6 am, when we would have just fallen back to sleep. So, we moved.
Things have been okay thus far. Wes is feeling well, other than recovering from the pretty good sunburn he got while he was at his Dad’s last week. 🙂 The nausea has been kept under control, and he isn’t in any pain.
One of the things that makes PICU stays so difficult is there is at least once code blue per day that we’re here. The day we checked in this week, there were actually three going on as we were being checked into our room. Wes understands what’s happening, and it scares him and concerns him for the patient and for their family. Personally, I have seen enough chest compressions on little ones to last a lifetime. Codes are called over the intercom, so we always know when one is going on, but for some reason, it seems there are a lot of codes in rooms close to us; either across the hallway or next door. The staff here is, of course, just perfectly amazing in how they handle the codes. There is no yelling (generally), and they remain calm and composed throughout the entire process. If you didn’t know what was going on, you would think the patient just had a lot of providers around them, maybe doing rounds or something.
This time, we’ve seen more codes than we ever have before, and there was actually a death this time as well. It was excruciating to be in our room, hearing the providers talk with the parents, and then the rest of the extended family. I wanted to badly to go hug each of them. Unfortunately, after the patient died, Wes had to go use the bathroom, which is across the unit from his room, and when we came out of his room, I saw the body of this sweet child lying on a mortician’s gurney, covered in a sheet. For some reason, nobody had thought to shut the curtain or the door to the room, and I was really worried Wes would look over and see the body and get upset, so I just kept him distracted, and he never saw anything.
There was another code out in the hallway outside our room last night, and Wes saw the staff rush to care for this patient, and it really scared him. Wes, being Wes, immediately bowed his head and said a prayer for the patient, their family and the staff. He and I have had a lot of talks about what it means when Code Blue is called, and what happens from a staff standpoint. He understands that the staff in the PICU, in particular, have had extensive training and practice in caring for these acute situations. I believe in being honest with my kids, so I’ve answered all of his questions as openly as I could. When he asks whether the patients are going to die, I’ve told him nobody knows that when a Code begins, but that the staff does everything they can to avoid that outcome. We’ve discussed the myriad of resources they have to save a patient’s life. And we’ve discussed what happens physically, emotionally and spiritually when someone dies. Of course, we don’t know everything, but I’ve told him what I know, and we’ve discussed what the remaining possibilities could be. I think it’s made Wes more aware of his own mortality, unfortunately. I would never want any child to wonder about the end of their life, but given our current circumstances, I think it’s natural that the topic has come up. It’s unfortunate, but it’s part of childhood cancer.
Another thing that’s difficult is the “sleeping” that happens (or doesn’t happen) in the hospital generally, but in the PICU in particular. Nurses here have to do a complete head to toe assessment every two hours around the clock, and he needs his blood drawn every 4 hours, and oral meds every 4 hours, so we get a LOT of company. My “bed” is actually a chair that reclines and is less than comfortable. Wes does fairly well, all things considered, but it definitely wears on us both, and we get all kinds of excited to get home.
One of the things I love about Primary’s is that they take into consideration all aspects of what a hospital stay means for all kids and their families. There are fully-stocked, free laundry facilities here, as well as two Ronald McDonald rooms, with showers for patient families to use, computers, books, games, crafts, and a fully-stocked kitchen, all free to patients and their families. They’re building a third room on the fourth floor because there’s such a need for these services.
Once again, I’m grateful for all of the blessings we experience on a daily, and sometimes hourly, basis. I’m grateful that when they happen, I can recognize them. Mostly, I’m grateful that we have access to the treatments that are going to save my son’s life. I don’t take that for granted at any moment.