It wasn’t that long ago that the thought of my daily routine was completely overwhelming. Just imagining it, would nearly send me reeling. How was I going to do it? How was I going to manage it all? Well, I can tell you, I just did. With a lot of love and support and help, I move forward one day at a time. While it’s stressful and challenging and exhausting at times, it’s also very rewarding and I try hard not to forget the gift right in front of me: my children.
Camden’s daily routine goes a little something like this:
We wake up in the morning and take him off his continuous feed and his cycler. We put on masks and prepare the room and gather supplies. We scrub our hands and then scrub Cam’s transfer set. Then we disconnect the tubes from his dialysis cycler and cap his transfer set.
Later in the morning, I take his blood pressure and get his weight. Then he needs a bath, and I clean his dialysis site and his feeding tube. I dress and tape his catheter (he is highly susceptible to infection through the place where his dialysis tube enters his peritoneal cavity).
In the late afternoon, I once again take his weight and blood pressure. That helps me determine what strength of dialysate to use that evening, whether he needs more or less fluid taken off. Then I gather his supplies and set up his machine. Feeding bag. Cassette. 5 liter bag of dialysate. Drain bag. I put on a mask and scrub my hands. Then I connect the tubing and hit go. The machine preps itself.
After dinner, we mix his food for the evening. It’s a combination of breastmilk, electrolytes, protein and a vitamin.
When Cam is ready to go to bed, we bring him upstairs and put his jammies on, change his diaper. Prep and connect his Gtube extension. Then we gather supplies and prepare the room. We put on masks and connect his feeding tube. Scrub up and scrub his transfer set, then connect his dialysis tubing. That is always the scary part, another point where Cam is frighteningly susceptible to infection. We watch his initial drain for any sign of cloudiness, because that means infection, and then get his meds drawn up to out through his Gtube. At this point, we can snuggle him to sleep if he hasn’t already crashed. The cycler takes over from here. Drain. Fill. Dwell. Drain. Fill. Dwell. Repeat 8 more times until morning.
The machine alarms a lot. I remember when Cam was in the NICU and a nurse and a doctor were trying to convince us to put Cam in another room, the nurse said, “There are always alarms.” and she was so right. There are always alarms. Always.