All about the Benjamins

Welp, got a new bill from OU Medical/Children’s and we seem to owe $10,000 so we had to take a hard look at our current payment plan. Now we’ve got it spread out monthly until 2029, good times.

I printed off a financial assistance application from the website so we’ll see how that goes.

My pessimistic side says it will go poorly, but I thought the same thing about the genetic testing, and we got aid for that so it’s not over til it’s over.

I’ve also seen some things about assistance for rare diseases in children but it all seems pretty overwhelming to navigate.

Ronald McDonald House

Today I got an email from the Ronald McDonald House requesting the names and birthdate of everyone who would be staying there (if we get in). They will do a background check on me with the info. Not Belinda, since she’s under 18.

They also sent a video that made me feel a lot more comfortable about staying there. I don’t like going into anything where I don’t understand how it works, or the rules and what to expect, and I’ve done a lot of googling on the Ronald McDonald House but found very little about actually staying there. Most of the info online is about donating or volunteering there. So the video was super helpful. It’s unlisted on youtube, so I couldn’t find it through search.

It didn’t say I couldn’t share it, so here’s the link if anyone else wants to have an idea of what we can expect there: https://www.youtube.com/watch?v=c-j1ICs4WM0

I’m praying we get in. I looked at some hotels but they’re all so high and geared towards tourists. I also looked at airbnb and found one I liked but I can’t cancel and get a refund after April 16, and I don’t expect to hear from the Ronald McDonald House that early. So I’m just planning to wait it out, and make a last minute hotel or airbnb reservation if I need to. It’s hard because I don’t know how up to walking Belinda will be afterward. I’ve been on the Metro in DC, so I feel somewhat confident in that. It looks like the station is a couple of blocks from the hospital. I think it’s odd that there’s not a station right by the hospital, but what do I know? I found a few hotels that are also a couple of blocks from a station, so maybe that will be our game plan.

There’s a Motel 6 in DC that is cheapest but I also don’t want to be anywhere scary. I suppose I’ll need to research more at tripadvisor. There’s just so many factors to consider and it gets overwhelming.

I need to re-download the Uber app and make sure I remember my account information, in case she’s not up to walking at all.

Anyway, really hopeful for Ronald McDonald House. Looks like it would be very stress-free.

TSA letter and a timeline

Today we got some more instructions from Children’s National, plus a TSA letter for us to print out that asks airport security to allow her to bring her drinks through security and onto the plane for medical reasons. I am very thankful that Children’s National sends these things and I don’t have to know to ask for everything. It is a great relief.

The trip to Broken Bow went well. We saw the total eclipse and it was great! I also was able to focus more on Belinda and getting her to drink her nutrition shakes and to hydrate. Today was probably the worst day for that because she only got a cup of tea down before we got in the car, and then drinking the nutrition shake in the car made her feel sick. So she went to get her pictures done at the dance studio an hour ago, but when she gets back I’m going to get her to get the shake down. We got at least two down each day on the trip, which makes me feel like we’re doing a lot better. It’s 700 calories she wasn’t getting earlier, and it’s complete nutrition, not just a juice box or jello or something.

I think besides that she had some grapes at breakfast and some strawberries at lunch. I don’t think she had much else. A juice box in the car. So she’s had maybe 300 calories today? Not enough.

It just tells me that I have to keep focusing on this. Thirteen days to go.

Our upcoming schedule:

April 12-14 – Belinda will be at Encore Dance Competition. I also have my SCBWI Writing Conference April 12-13, and I didn’t realize this was the same weekend because that seems to be how I always roll, and I’m going to have to look at her performance times and see how I can make this work.

April 15 – Belinda will begin a full liquid diet. She can still have nutrition shakes and fully pureed things.

April 17 – Belinda begins taking a prescription for liquid Nystatin four times a day. This will help prevent infection in the esophagus after the surgery.

April 18 – We will receive a phone call from the preoperative nursing team finalizing surgery arrangements and giving us instructions.

April 18 – We have a virtual visit with the geneticist to find out her connectivity tissue disorder results.

April 19 – Belinda will begin a clear liquid diet. Only see-through liquids, like broth, juice, Gatorade, etc.

April 19 – 21 – Belinda’s Stage One Dance Competition. We are having to have her dances go early on the 21st so we can catch our late afternoon flight.

April 21 – Belinda and I will fly to Washington, DC.

April 22 – POEM Procedure!

April 23 – Belinda should be discharged from the hospital.

April 25 – Belinda should be cleared to leave Washington and we will fly home.

Just for fun, Belinda’s Spring Formal is May 2 (she’ll probably still be on pureed food for this) and the dance recital is May 11! And Spotlight 2024 at the theater and Girls State near the end of May! It never ends!!

She humored me by letting me take this picture of her at a recent appointment.

From Broken Bow

We’re at Broken Bow to see the eclipse. I realized there would be a total eclipse in Oklahoma back in 2017, when we went to see the one in Missouri and got cloudy skies. I booked the cabin we’re in back in 2022!

The last total eclipse in Oklahoma was 1918. The next one is 2045, and it will go right through downtown Cherokee, Oklahoma!

Anyway, yesterday we went to see the pediatrician and she didn’t think much of the IV hydration idea. She said that would keep Belinda hydrated for about two hours and cost a lot of money. She tested Belinda while she was there and said she was right on the line between dehydrated and not. After hearing her symptoms, she said Belinda was definitely dehydrated on Thursday. But the work we’ve been doing to get liquids down was helping. The doctor feels it’s mostly the lack of calories, not liquid, that was causing most of the issues.

So yesterday Belinda started with a cup of hot tea. Then she had one of her nutrition shakes. After that she had a juice box and then another nutrition shake. The pediatrician gave us some strawberry lemonade Pedialyte sticks, and Belinda had one of those in a bottle of water. Then I let her try to eat! We got thin crust pepperoni pizza from Pizza Hut and cheese breadsticks. I got her a cup of hot water to go with it. She got it stuck twice and had to cough it up, but she said she did get some down. That night she got another nutrition shake down, but it was slow going. So with three of the shakes, the pedialyte, and juice box, she had 1200 calories, and that didn’t even count the pizza!

She felt better today, but it was harder getting the shakes down her with us being on the road. She had one this morning but it made her feel carsick. She also had one of the pedialyte water bottles. She had a sandwich and chips and cookies for lunch and ate dinner with us, but I don’t know how good that went. I need to check with her and see how that went and try to get her to drink another shake.

I’m proud of her for doing her best with this. She hates the shakes.

Accommodations in DC

We are hoping to stay at the Ronald McDonald House when we are in DC. We got a referral from the Thoracic Department at Children’s National, but it’s not a for-sure thing. Openings at the Ronald McDonald House can vary because if a family is there and they end up needing to stay longer because of medical need, they obviously aren’t going to throw them out, so they can only take new people if there is availability. I think the odds are reasonable that we will get in, but again, not a sure thing.

There are two Ronald McDonald Houses that serve Children’s National. One is very close, and one is a bit farther away, in Virginia.

We will find out if we can get in three days before we go. If we do not get in, I will book accommodations elsewhere at that point. I guess we could also book a hotel now, and then cancel it ahead of time if we get in the Ronald McDonald House. I’ve never done that sort of thing before but I know of other people who have. I suppose I’ll research it this weekend.

I did a cursory investigation into hotels and it will cost us maybe $1500 if we need to do that. So that’s not fun. I am also concerned about getting back and forth to the hospital if we have to do a hotel. Some have shuttles but it doesn’t say where the shuttles go to. So I’ll need to call each of them, yuck. Since it’s just going to be Belinda and me, I am hopeful for the Ronald McDonald House because the closer one has a shuttle (we could also probably walk it, if she’s up to it) and the farther one includes a free Lyft ride to and from the hospital each day. That would be a lot less to think about and have to deal with. My brain feels like it’s already at max capacity.

I just remembered that I need to figure out how we’re going to get from the airport to wherever we’re staying. I am growing weary of figuring out things!

Anyway, prayers that God’s will be done (and that we get in the Ronald McDonald House if that’s in accordance with His will) would be GREATLY appreciated.

Dehydrated

Belinda is obviously dehydrated. Today at dance class she had to sit and watch the others. She texted me that she was exhausted, dizzy, and her vision was blurry. I had her tell her teacher and someone brought her a cup of hot water to drink. I heated a cup of broth and brought it up to her. She couldn’t get it down. She told me she maybe got a cup of water down all day, before the hot water.

I sent an email to her pediatrician asking for advice on what to do. We only have to make it 18 more days, but we’ve got to figure out something better.

I hadn’t been policing her too much because she seemed to be doing sort of okay. So now I’m going to try to get her back on the schedule she was on with the feeding tube, only with drinking the prescribed feeding tube nutritional liquid food she has left over from those days. It says vanilla and she says it tastes like the milk left over after you eat Lucky Charms, which is unfortunate, but it has 350 calories per box. So I’m thinking we will start tomorrow with hot water and then follow it with room temperature nutritional liquid food. I told her we will do that by 9 am and then she needs to have another by noon. Then she can try some actual food if she wants. But at least I can get some calories and liquid in her before she gets something stuck in there.

That’s what I think happens. I think that opening is just so very small, and she eats something, and bits get stuck in there, and then nothing else can get through. Now, this isn’t a perfect theory because sometimes she drinks water in the morning and can’t get it down, but honestly, I’m just trying to do something.

I also looked up IV hydration infusions and that is crazy expensive, like $400 for one treatment. I found one place locally that says they take our insurance but I’m sure that’s not an easy process. However, maybe there’s a way we can do something like that? That’s why I emailed her pediatrician, to see if there is a way Belinda can get IV therapy of some kind to keep her healthier until the surgery.

Flight is set!

Today Nikki from Children’s National called me and then got Southwest Airlines on the line to set up Belinda and my flight. It was very easy since Nikki handled everything. I just had to say things like where we were coming from and what days and times we needed. It is really nice that Southwest works with Children’s like that so people can have help with getting their kids these important surgeries!

Our flight is at 4:10 pm on April 21 with a layover in Nashville. We could have gotten a direct flight, but we are needing to leave as late a possible since Belinda has a dance competition that day. We still have to see how she will do with the competition since she will be on day 3 of a clear liquid diet at that point. She can have apple and white grape juice, and broth, so I’m hoping if she can get those down it will help her get quick energy before her dances. She wants to participate so much and I don’t want to take that from her. It’s the last competition of the year.

We are scheduled to return to Oklahoma City on April 25, and that’s a direct flight. If all goes as planned, we should be back here just before 7 pm. Perfect timing to just go home and REST!

After that, Belinda doesn’t have anything big until the Spring Formal on May 2. She will probably have to have soft foods at that point (mashed potatoes type of thing) but that should be okay.

Please pray for my anxieties about the flight. It’s funny that I have taken so much in stride, but I worry about flying. I haven’t done it very much, and this will be Belinda’s first flight. Also pray for the doctors and nurses that will be performing the procedure, and that Belinda does well in surgery. A small percentage of children who undergo this procedure have narrowing of the esophagus after, that requires more procedures. Please pray that Belinda stays healthy, and above all, that God’s will be done in all things!

Surgery date

It looks like surgery will be April 22. I am supposed to get a call to confirm that. This is such a busy time of year for Belinda. She will have a dance competition that ends on April 21, and then we will have to get on a plane and be in Washington DC that night. We will need to stay there until the 24th or 25th. The dance competition should be able to get her dances scheduled early in the day. I hope that doesn’t make too much trouble for her team. As long as that works out this will be a good time for it. She won’t be able to eat much at her spring formal in early May, but at least it will be over and done with and she can get some healing in before she goes to Girls State.

Once I’m 100 percent sure on the date, I’ll need to schedule flights and things. The hospital said we might be eligible for a waiver for some of the flight costs. Here’s hoping.

Genetics back early

Dr. Polan’s office just called because the genetics test is back early! We set an appointment for April 18 for us to get the results. I asked if there wasn’t anything sooner and there isn’t, which is difficult to accept but I guess that’s the way it goes.

At least it looks like we will know the results before surgery. Even if it doesn’t make a difference in the surgery, I’ll be glad to have the information.