The Brave Boy and Therapeutic Clowns at CHEO (plus Mario photobombing)
Showing posts with label Food. Show all posts
Showing posts with label Food. Show all posts

Sunday, 27 March 2022

Things to pack/take for hospital stays

I get asked a lot by new cancer families what they should pack/take to hospital for admissions so am sharing this suggested list. Some I've added to the bottom specifically for stem cell/bone marrow transplant (especially if you have to move far away from home for it and can drive there).

We had 3 bags that we always had at the ready:

1. Hospital Daypack - A backpack ready to grab at the door in case of emergency where we had to go to the hospital right away and for use during hospital outpatient visits. Our visits were often full day affairs and emergency visits often ended up meaning being admitted, so we always needed to have these at the ready for the patient. In this bag at a minimum we had:
- Favourite stuffie
- Change of clothes (that could also be pajamas so usually pajamas or sweatpants, t-shirt, sticks and change of underwear)
- 1-3 days dose of current meds and a bottle of Children's Tylenol in his preferred flavour (we have one med obtained under compassionate grounds that the hospital couldn't get, so always had to have some in case, the rest can generally be obtained at hospital, but never underestimate a last minute need for Atavan for anxiety, Ondansatron for nausea or even Morphine for pain and how long it might take for them to get a doctor to give these orders in hospital while you wait to be admitted or are having outpatient procedures)
 - Blanket (we bought one that is fleece and folds into itself to make a pillow which is great to leave in the hospital daypack for unexpected Emergency Department visits, scans, clinic days, etc.)
- Toys and distractions (Fidget toys; dice and a hospital kidney dish to play games; deck of cards/uno game; new container of playdoh or putty; pop it game; mini Bop It; Lego Minifigure blind bags; Tablet or old phone with charger to watch videos on with hospital Wifi, download audible books on, earphones, etc.)
- Hand sanitizer, extra masks, sanitizing wipes, large ziploc bags for soiled clothes, etc.
- Tegaderm dressings/tape to reinforce around edges of central line dressing if it started to peel off, etc. and a pair of medical scissors (they'll give you a pair and tape at hospital if you ask)
- Emla patches to numb injection site (or port if you have one) - easier for day trips than the cream
- Mio Water Flavouring (to put in the contrast that they have to drink for PET Scans - usually at the children's hospital for CTs they have various flavours, but at the adult hospital for PET Scans they only ever has pomegranate and it once made Ollie throw up. Ollie always preferred Strawberry Watermelon or Orange so we learned to take our own.)
- Refillable water bottle
- A few snacks and treats (granola bars, container of Shreddies or Cheerios, lollipops or ring pops as rewards or to help the meds go down, etc.) for child and parent as the ways are often long and not an Emergency Departments have vending machines or allow food to be ordered from food services while you wait for hours.
- Small incentive prize for doing hard things like being brave for pokes and scans (Ollie always wanted Beyblades, but pick your child's fave small toy)
- Vaseline (good for dry lips, sore bums, etc. but always use a clean medical glove so as not to contaminate. Hospital will generally give you an new travel size if needed.)
- Small hand sanitizer and extra medical masks (you'd be surprised at how often dispensers are empty at hospital)
- Blue throw up bags (ring on top to hold open like a bucket, but compact and disposable. We kept them handy in the cars, too)
- Extra PICC line cover (made of stretchy fabric or in a pinch cut the foot off a sock that the snug but not right on their arm over the central line)

[Photo description: Ollie sleeps in an exam room at the CHEO hospital under his folding fleece blanket while listening to his tablet and getting an infusion of IViG to boost his antibodies.]

2. Hospital Overnight Bag - for short stays of 1-4 days - always packed and preferably left in the trunk of the car, it generally included:
- Pajamas for the patient and caregiver
- Change of clothes for the patient and caregiver
- Slippers for patient and caregiver
- Toiletries for patient and caregiver for at least an overnight stay, but 2-3 days if you don't have a co-worker parent or co-caregiver who can bring up what you need if admitted for an infection for 3-4 days)
- A few snacks and bottles of water (late night emergency room visits = nothing open if your kid is starving)
- Note that I would usually either also have his daypack noted above with me or transfer the most important things from it (e.g. Stuffie, tablet, meds) into the overnight bag.
- Eye mask

[Photo description: Ollie sleeps in an Emergency Department exam room at the Hospital for Sick Kids in Toronto. We haven't bought the folding blanket/pillow yet and there was no pillow in this room so we had to fold up my coat for his head! Our overnight bag is sitting in a nearby chair. We waited that night for 10 hours for a hospital bed to become advisable to be admitted and no food could be ordered there, and I could not leave him to get food. Thank goodness I brought drinks and snacks!]

3. Hospital Food and Supplies Bag - for our planned admissions for chemo and transplant - this one was a big canvas bag from Land's End (see photo below) and in it we would have:
- Cozy blankets for the patient and caregiver for sleeping (hospital supplies, but nothing like comfort from home)
- Magic Bag (put in freezer or microwave to help with pain or discomfort)
- Meds for patient and caregiver (note that often meds for kids are in tablet form and hard for them to swallow at first until they learn, so worth considering getting your own supply of kid friendly versions. For example, Ollie took Melatonin, but the hospital certain was a mint flavoured tablet that he hated so we bought and took Berry gummies instead. Also, they had liquid Tylenol, but usually only grape flavour and Ollie only ever liked strawberry-banana so we always had at least two on hand)
- Emla patches or cream our Maxilene cream to numb injection site (or port if you have one) and Saran Wrap to hold cream in place  - apply 30 minutes before poke
- Snacks and drinks for the patient and caregiver (Juice boxes, Campbell's Soup At Hand, Lipton Cup of Soup, Soda Crackers, Granola bars, chocolate, anything individually packaged that didn't need refrigeration, cereal, etc. The hospital generally has a parent kitchen on each ward with fridge, microwave, kettle and often a Keurig machine. Some hospitals have mini-fridges in the inpatient rooms as well.)
- Keurig Coffee Pods, sugar, coffee whitener, stir sticks and/or milk or cream. Also a travel mug or two or disposable coffee cups and lids (dollar store).
- Swiss army/pocket knife (so many times you need scissors, a nail file, a knife, a can opener, etc. and they're hard to find in hospital!)
- Salt and Pepper (they always forget the salt with the meal tray and cancer patients crave salty! We bought a set of salt and pepper at the dollar store and left in hospital bag)
- Foods to help get oral medicines down (chocolate pudding cups; squeezee applesauce packages or other fruit flavours; if we knew we were being admitted and had a fridge in the room or access to the family kitchen with a fridge, yoghurt tubes; Lollipops or ring pops to help with the yucky aftertaste of drinking contrast for scans, etc.)
- Flushable wipes (for the countless times the patient will have diarrhea and may even use a bed pan or commode. The hospital will give you dry wipes that you can wet, but not convenient and not very soft on skin that can feel burned after days of diarrhea)
- Baby wipes - for hands, quick cleanups, etc.
- Small supply of napkins, disposable plates, cuts, utensils, ketchup packets (most hospitals have these in the family kitchens, but sometimes you can't or don't want to leave the room to get one)
- Plastic hangers (2-4) - hospital rooms often have closet cupboards, but rarely hangers, little space for storage and if it is jacket weather you need to put them somewhere! We learned to take some with us and bring them home are each time.
- PICC line rubber/waterproof cover for bathing (can usually buy online or at hospital pharmacy) or Glad Press and Seal to keep vegan line dry while bathing.
- Hand cream - all that hand washing and sanitizing makes for dry and cracked skin which can then bring infection into the hospital.

[Photo description: An extra large canvas bag with "Ollie" embroidered on the side that held all of our hospital admission foods and supplies.]

In addition for longer admissions we also packed:

4. Planned Longer Admission Suitcase - same as #2 above with enough clothes for the entire planned stay or at least half and arrange for a spouse, parent, friend to deliver a second set half way through the stay and take the dirty ones to wash. 

5. For Stem Cell Transplant and/or moving far away to do it/living in hospital for long periods):
- Mattress topper/camping mat or sleeping bag for the sleeper chairs that are notoriously uncomfortable (absolutely the case at Sick Kids Hospital in Toronto in the BMT unit) and something to wrap it up in during the day (I had a luggage strap and an extra large garbage bag and sick it behind the chair during the day)
- Clean or brand new indoor shoes or slippers for the room for the caregiver(s). Leave outside dirty ones in clean room or bagged up in the isolation room.
- A bunch of new/unopened fidget toys, activities, small Lego sets, books, mini Bop It, Bubble pop, travel games, etc. Must be something you can fully sanitize taking in or brand new (outside package wiped with Lysol wipes before you take them in) to avoid bacteria and germs.
- Things to decorate room - we took posters, pictures and cards from friends wishing Ollie well. An inspirational photo or poster also works. You're in that room 24/7 for weeks (maybe months) and want to be comforted/inspired to keep going.
- Box of kitchen garbage bags to double bag things you're bringing in from outside. Remove outside bag and discard before bringing into isolation room. Also good for hauling dirty clothes out for washing. 
- 2 or more identical stuffed animals (whatever is you child's fave) - trade out daily for a new clean one if possible to avoid bacteria. Also kids drop them in the floor and sometimes throw up on them.
- 4-6 Shoe box or slightly bigger size clear plastic containers (dollar store) labeled with your family name to store food items in kitchen cupboards, communal family kitchen fridge or in your room. 
- Small single use boxes of laundry detergent or laundry soap pods - sometimes you have to pop up to the Ronald McDonald House room to do a load of laundry and there isn't always staff to sell you soap! 



Generally we have over-planned, as we have learned how difficult it can be to source things while in hospital (especially during COVID when often visitors are not able to bring what you need). I also wrote an earlier blog post about things to buy for cancer patients that can give you ideas about what we needed.

Wednesday, 5 February 2020

Famished, Focused and Forward


Today was a really good day despite the fact that it started at 5 am again. Maybe it was a good night's sleep thanks to the pillow from home Uncle Vic has brought by the night before. Whatever it was, Ollie was ravenous all morning and I could not feed him enough. Thankfully we had lots of snacks and a well stocked mini-fridge. At 8 am he also begged me to order him some pancakes and bacon. He was a total champ and navigated his food blind, but with persistence and confidence.

He napped a bit mid-morning while I talked to the Endocrinologist about his sodium level, the oncologist about the chemo plans for the rest of the week, and the palliative team about his pain management. 

When he woke he asked me to build a new Lego set. He was patient and listened so well as I did my best to give him detailed instructions and handed him pieces.
For lunch he requested McDonald's, so thanks to Skip the Dishes, his wish was my command.
He promptly chased that with ice cream.
This afternoon he had a headache, so he took some meds and slept while the VAT team came in and did his weekly PICC dressing change. Then he went for an ECG to check that his heart was okay after his heart rate issues in the ICU.

When we got back he asked the nurses if we could go to the gift shop and they said, "Sure, why not?!" So Ollie was thrilled and said we were busting out and were going to loot the gift shop (once I explained what looting actually was he quickly clarified that we'd actually pay!). He was thrilled to find 4 little Lego sets that he didn't have and since a sweet family friend had just sent him $100, we bought them all. 
When we happily went back to 4 North, we went to the playroom where Child Life Specialist, Maryse helped him to make mini pizzas (she even brought in his favourite green olives). They turned out great.

While we had waited for the pizzas to cook, we took the time to get the Candlelighters Courage Beads that Ollie has earned so far this visit. Each different bead has a meaning for procedures, trips to the OR, needles, ICU stay, chemotherapy, scary events and relapsing, etc. In the last 20 days Ollie was owed 44 beads. That is more than the 32 he had before this stay in total. So my big brave 7 year old has had 76 medical procedures or events in the last 3 months. Let the enormity of that sink in for a moment and imagine how any one of us would have reacted to that. 

I found it fitting that both his lovely home daycare provider and one of his kindergarten teachers sent me messages when they heard the news and each in her own way noted his tenacious spirit and determination as strengths they had observed during their time with him that they were certain were given to him to prepare him for this fight.

44 beads of courage for our little warrior so far this stay.

He finished off his dinner of champions tonight with what was left from his Suzy Q donut from Cristina and family. Never was a donut more enjoyed.
I was grateful for a visit from Marie-France tonight since Mario and Abby are sick with a cold and cannot come to the hospital until they are well again. 

Today was a day of I'll tries and I did its. It's a far cry from the I can'ts and I don't know hows of the last two weeks. I am beyond grateful for this day.

Monday, 3 February 2020

Nausea, fatigue and food


The last two nights weren't great. Ollie has had constant nausea and barely slept. Which means Daddy didn't two nights ago and Mommy didn't last night. So we are very tired today. More nausea all day today. The regular medicine we use during chemo that helps can't be used this time around because of the heart rate and breathing issues he was having in ICU which they don't want to recur.

We also think the formula they're giving him in his feeding tube while they have been restarting him on food after he had nothing but fluids for 12 days has been making him ill while he sleeps. So today they changed his food to something with ACTUAL food in it. 
It made me think of when Abby was a baby and the pediatrician thought I should supplement my breastfeeding with formula for the first while as she wasn't getting enough. Abby hated every one of them. Mario found a YouTube video where a dad did a taste test of baby formula. Mario thought this a great plan and set out to test each one we tried with Abby. The end result was he swore they all tasted like cardboard and she wouldn't take any, so we found other ways to increase my milk and I went on to breastfeed both kids exclusively. Maybe Ollie's body like Abby's is rejecting them knowing that's not the good stuff.

So we are focusing on eating real stuff. This has been harder today because of a loose tooth. He had two loose teeth, yet it seems he somehow lost one undetected when we were in ICU. So now he's pulled out the other one. Before doing so we checked that his platelets and Neutrophils were high enough to so that he wouldn't bleed excessively or be prone to infection. What a world we now live in that we have to check these things before wiggling out a baby tooth.

Also today his blood tests showed that his sodium was a bit low again and given they don't want him to have the same problem as in ICU they are now having to limit his fluid intake again. 

Syndrome of inappropriate antidiuretic hormone secretion (SIADH) is a condition in which the body makes too much antidiuretic hormone (ADH). This hormone helps the kidneys control the amount of water your body loses through the urine. SIADH causes the body to retain too much water. It can also cause seizures and stroke-like symptoms as we saw first hand last week in ICU. By reducing the fluid, the concentration of sodium is better in the urine because there is less urine to dilute. Today the Endocrinologist who discussed this with me asked if I worked in the medical field when she asked what I knew about it and I explained that this is what I learned from our stint in ICU. Thankfully my brain is able to retain bits of information and connect dots between related things. 

Tomorrow he'll have another lumbar puncture (LP) with inter-thecal chemo in his spine. A few more LPs and we should be done that part at least and maybe even get the miracle we are praying for to get his sight back, too.

As a side note we have met a couple of new families here and tried to help them where we could. One is a week in to their leukemia diagnosis with their 13-year old and noted one day in the kitchenette that they should bring food to the hospital because everyone they know wants to bring some, but they just don't know how to get organized. I shared our meal train web site with them so they could have their family set up a similar one for them, too. Another lovely family is from North Bay and have a baby boy (under 6 months) with leukemia and a four year old daughter. The dad has been driving back and forth 20 hours each weekend with their daughter. The mama and baby have been here continuously since December 26. She told me she's just recently come out of the shock of it all and started to talk about it. They have no family or friends here, either.  So we're sharing the plentiful and delicious food that folks have brought us with this beautiful little family because we often can't eat it all and our freezer is not big enough to hold more. So many of you are nurturing us and we know you won't mind if we share some of your love and support with them and their little M (who has already stolen our hearts). It reminds us again of how blessed we are despite everything to have all of you helping us and also made me think of my grandma who always said if you can help someone you should.


Monday, 2 December 2019

Family, Food and Fantastic Beasts

 Ollie and Mommy snuggling...

Saturday was tougher than we expected because Ollie had extra meds that he was supposed to take orally and hated the taste, so his gag reflux kept kicking in and he threw up multiple times. His nurse, Nelson was awesome and kept trying to find creative new ways to help him get them down. 

Mario and Abby came to visit and we spent some time in the Sens Den together having dinner and watching a movie. Then Daddy stayed with him so Mommy could have time with Abby. Ollie cried when we left, desperately wanting to go home and I hugged him as he cried in real sadness for the first time on this journey. So hard, but Daddy soon teased him into a better mood and gave him snuggles. 
Chilling out in the Sens Den watching a movie.

Abby and I went to Indigo and shopped a little, but mostly thought of Ollie and ended up buying only things to make him happy. We got a Starbucks drink and headed home to snuggle, watch tv and do facial masks together. 

Today we had many things to do including shipping some Christmas packages with presents previously bought, buying jeans for Abby who seems to have had a growth spurt during all of this and picking up Abuelita (Mario's mom) to go for a visit to the hospital.

Daddy and Abby

We also had extended family Kevin (Mario's Little Brother from our days volunteering at Big Brothers Big Sisters Ottawa) and his mom, Barbara come to visit. Ollie was happy and his usual energetic and silly self. They almost couldn't believe he has cancer. 

Barbara, Kevin and Ollie

We had brought leftovers from meals that were kindly brought to the house for us over the last few days and were happy to share it with this great little group of family. We are so grateful for the many amazing people who are feeding us and it's clear they're trying to keep us all pleasantly plump based on how much food keeps coming. Ollie was thrilled with the gathering and it felt more normal than having another meal in his hospital room. We also decorated his room a bit for Christmas (although we expect to be home December 10) and started his Advent calendar.

 Abby's decorating...

It has become obvious that striking the right balance between our children's needs is going to be challenging over the coming months. Both need each of us to comfort and reassure them that everything will be okay. Ollie clearly loves his daddy, but missed me last night because today he just kept asking for hugs, wanting to sit or snuggle with me and thanking me for all I am doing for him while apologizing if he's been mean to me lately. Just an example of the sensitive and sweet boy that we have been blessed with. I pray that this experience makes him grateful for the kindness of others and for all of the good that he will have in his life after all of this. We're talking a lot about how powerful our minds and positive thinking are and their importance to us being successful in kicking lymphoma out and he seems to finally be coming around to this idea.

5 Years: Official Long-term Survival

[Photo Description: Abby hugs Ollie to her as they pose with a cake reading, "Re-birthday/Hero Day #5!". Both are smil...