Sullivan’s Story

Site created on November 10, 2023

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On October 9th, Sully was brought into the doctor for chest retractions and diagnosed with Bronchiolitis. Since then, we have brought him to the doctor 4 times due to continued sickness. We saw improvement and were thinking he had turned the corner for a a day or two, until we noticed his congestion start to advance once again.


On Monday, November 6th, we rushed Sully to the Children’s ER due to a spiked fever. When we arrived we were brought back and Sully was put on oxygen and he had some blood drawn. He was diagnosed with RSV. Due to the severity of his sickness, and having to be on high-flow oxygen, we were brought up to the PICU where they could achieve higher levels of oxygen if needed. As they trialed through tier of support (high-flow, cpap, bipap) and as the RSV progressed in his body, the safest outcome was for him to be intubated. This decision was due to his body working so hard to breathe and also to keep him safe if anything escalated any further.  Now that he is intubated, the nurses and doctors can fine tune his support settings at a level far beyond any other oxygen support previously trialed. 


Now that he is settling into his intubation, the doctors can also accurately assess what exactly is going on in his body. They learned about RSV, but they also learned his body is fighting aspiration-induced pneumonia. This is caused by him accidentally inhaling  contents of vomit (bacteria). He was throwing up at home intermittently and we were keeping an eye on it as well as his other symptoms that were starting to show in his already-overwhelmed  body. The pneumonia is obviously very concerning, but they can target the specific bacteria that is causing the pneumonia. So, over the last few days, they have been giving him the necessary antibiotic to fight that. However, the viral load in his body caused by RSV, will have to run its own course. How that happens, and how long that happens, is completely up to our little Sully J. 


There are a lot of ways that Sully will fight this off. The main thing is time, which is hard for us because we want him back home so badly. Another thing is his secretions in his lungs used as a vehicle to clear the junk out of his lungs. This is working for him but also against him. The secretions can coat his lungs and cover the important areas of his lungs that help him absorb O2 and emit CO2. When lungs get overwhelmed with secretions, they can’t operate this exchange how they want to. This is where the benefit of being intubated also comes into play. Not only does the vent help support his breathing, but it also allows the doctors to manage the amount of secretions in his lungs. I’m sure you’re asking, “well why don’t they just suck it all out and be done?” That’s not how this virus works. It will continue to replicate until Sully’s body breaks it down over time. So, as they manage his secretions with close-suctioning, the secretions will come back until it’s run its course. Unfortunately, we are not at that point in his illness. So it’ll take some time. 


The process will be long, and that has taken a long time for us to accept that we are in this situation with the intrusiveness of intubation, but his body needs the help to get through this. So we are at peace with that and are putting trust in the doctors, nurses and our Sully man. 


We are asking for continued prayers as we navigate through this but we have no doubt that Sully will come out of this stronger than ever. 

Newest Update

Journal entry by Dana Scheller

Hi everyone! 
 
Ryan and I wanted to give everyone a quick update. 
 
Today marks two weeks since being home from the hospital and what a rollercoaster it’s been. I’ll start at the beginning. 
 
 

The first few days were good - we were slowly getting back into a rhythm. Sully had his discharge appt with his pediatrician on the 22nd and he was diagnosed with rhinovirus, again. It’s unsure if it’s the same strain from when he was diagnosed in the hospital on the 4th or if it’s a new strain, we’re going with new strain since his symptoms seem to be different this time around. Then, on the 23rd, Sully accidentally pulled his tube out so we made a quick stop to the ER - and I’m serious when I say a quick stop because we were in and out within 40 minutes! It’s gotta be a record for an ER visit. It helped that there was no one else there, but still, it was awesome. Christmas Eve was spent with my family which was great to have some normalcy again. We usually spend Christmas Day with Ryan’s family but unfortunately, Sully was very congested and we just thought it would be best to stay home; thank God for FaceTime though! We did get to open presents and still celebrate Sully’s first Christmas - AT HOME! Which was obviously fantastic, just not what we were expecting for his first Christmas. We also weren’t expecting to go back to the ER on Christmas, which we did, because Sully pulled his tube out…. Again. This time we were in and out within 70 minutes. Still not horrible. Sully was supposed to have his CT Scan of his lungs on the 26th but they had to cancel it last minute due to him having rhinovirus and them not feeling comfortable sedating him which is understandable and we want the scan done when he’s 100% healthy. On the 28th, Sully had his swallow study in which I could not attend due to testing positive for Covid and that just broke me because as I write this, I’m quarantined in the basement which may sound extreme to some but with Sully’s recent history, there’s absolutely no way we want to risk him getting it. How did I get it? No idea. But it’s unfair. I’ve had plenty of pity parties about it. So far, Ryan and Sully are both negative. Anyway, back to his swallow study. My mom was able to go in my place (thanks, Nana!) and I was on FaceTime the whole time. Ryan and I were cautiously optimistic about it in hopes that Sully would be getting his tube out and we could finally return to real normal and not have to be helicopter parents over him watching his every move so he doesn’t pull out his tube. The study revealed that although Sully’s swallowing is improving, he is still silently aspirating a bit and after talking with the speech language pathologist, it was decided that the best thing to do is to keep the tube in for another 4-6 weeks and have another follow up swallow study. You can only imagine how this made Ryan and I feel. The plan now is to decrease his thickened formula by a little bit, keep his tube feedings the same, and know that this is temporary. At this point, it’s also been decided that we meet with an ENT to confirm that nothing else is going on with his airway, windpipe, vocal cords, or anything else. There aren’t any signs showing that, but again, we want to be safe and do everything we can to make sure nothing else is wrong. We will also have outpatient speech appointments for the time being as well as meet with a dietitian. Around bedtime on the 28th, Ryan was rocking Sully and noticed he was having a bit of wheezing with his breathing. My mom was still here and between the three of us we decided it would be better to be safe than sorry and they brought Sully back to the ER to get checked out, and again, I couldn’t go which destroyed me. The luck with ER was short lived because the wait was long for them but if you know my mom, you know she’s a firecracker and she somehow worked her magic and got the 3 of them set up in a separate area and got a nurse to take vitals and do a PCR test to confirm Sully is still negative - which he is! After about an hour and half or even longer, they were brought back into a room and Sully was listened to. His lungs sounded clear and the doctor thinks it was a flare up of his rhinovirus. They deep suctioned him and gave him some steroids to help. Sully still sounds a bit congested but we are hoping he’s gotten over the peak and is FINALLY on the mend.

 
Hopefully 2024 brings us an extra healthy year! 
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