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Caleb's Cause - Brain tumour

  • Surgery a success and life since then.

      12 November 2016
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    Caleb's surgery was a success with the surgeon removing all he could see of the tumor. Caleb's recovery was amazing, he bypassed PICU, was out of HDU in 3 days and discharged 10 days post op to the Wilson Centre for more rehabilitation. We were there for 3 and a half weeks and back home to settle into our new lives.

    It's been awhile since i updated on Caleb - mostly it's because life is very busy but a part of it, if I'm being honest, is because I'm so tired all the time i just don't have the emotional strength to recap on where life is at for us.

    Caleb has progressed in leaps and bounds physically, play fighting with Noah, playing hide and seek, riding his scooter - tentatively, short supermarket trips, shooting hoops, he even put on his Karate Gee and threw punches at the bag.

    As fantastic as that all is he has reached a plateau for now. His eyes are still causing some issues which effect balance at speed, perifial vision issues, the ability to look up is a big one - if he wants to catch a ball it must be thrown below his line of sight as he cannot look up to see it coming. We have the specialist in 10 days and will have a surgery date to hopefully correct 80% of this.

    Caleb has visited school for some short periods and loved it! He was able to help set up for assembly, participate to a degree in fitness and take part in maths sessions which are his favourite. It was extremely fatiguing and he will have to learn over time when he needs to rest but for now, its so exciting to be there, adrenaline is helping him manage.

    Eating and drinking have regressed again and there is a huge psychological barrier here which we are doing our best to hep him overcome. Caleb doesn't meet the criteria for help with this area through Speech and Language as its not a physical issue but an emotional/psychological one so we're on our own with this. We are trying not to let this hold him back from doing all the things a 'normal' kid would but if you are a praying person this would be where to direct those prayers.

    Caleb has now reached the 500 club with his Beads of Courage which is quite a big deal for him - his newest favourite bead would be his hand crafted X-Box controller.

    We're 3 months post surgery which means we're half way to the next MRI and with the brain having healed more and the swelling reduced we will be able to clearly see if for now the tumor has really all gone. There was a lot of residual blood showing on the last one so we could only be as sure as the surgeons own eyes.

    Caleb's memory is going to be the biggest ongoing challenge. He had comprehensive nuero-phsych testing done in Auckland and the results showed us where most of the damage has been done. There are 4 parts to our memory; Processing, Sorting, Storage and Retrieval. Storage is working fine, retrieval of old memories is fine but new memories can require a trigger or a multi choice answer. Unfortunately his processing has been affected the most. He very quickly overloads and the information he has tried to process gets lost, muddled, sorted incorrectly or doesn't go in at all. This will mean he possibly won't ever attend school full-time as environment plays a big part in whether he can take in the information.

    He is still dealing with very real pain in his legs which is triggered by emotion. If something is hard, frustrating or he can't find the words to say he needs help or needs out this manifests by a burning pain in his legs. The mind-body connection is so complex and leaves us feeling quite helpless as to how we are supposed to help him. Not being able to make it better is the worst feeling a parent could have, i wouldn't wish it on anyone.

    To finish on a positive, Caleb had a wonderful 10th birthday, he was so spoilt but we couldn't think of a boy more deserving.

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  • The count down is on...

      16 August 2016
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    Enjoying the snow and doing family adventures… counting down the days ?

    Caleb’s surgery is in 2 weeks (the 30th Aug), however the whole family fly up to Auckland 7 days before to have a family holiday – something they can all look forward to and enjoy together.

    Sending them lots of love and hopes of enjoyment for their 7 days pre-op.

    Kia Kaha Wrights xoxo

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  • The Last Hurdle - we hope

      1 August 2016
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    It's been some months since i updated last which is a reflection on just how busy and challenging life has become for us. On June 2nd Caleb was discharged form The Wilson Centre and we bought him home to Christchurch we he has undergone more physio, occupational therapy, in home schooling, psychologist sessions and more. He has had influenza and been in hospital for an MRI recently when we noticed his vision was becoming a challenge again and his eyes losing control. This is the result of some tumor growth and its now time to take that next big leap and have it removed.

    So many different emotions have surfaced as we have tried to come to grips with this next critical stage. Relief we have a date and can work towards how the rest of our lives will be, anger that ChCh hospital led us to believe we had more time in ChCh and that the tumor hadn't grown, grief as we relived what happened in January, anxiety about the risks of the procedure, stress about uplifting our lives to another city again, comfort in the support of our family and friends, sadness that our little boy has had to suffer this journey and in the same thought, pride that he has handled it with such strength and determination.

    We will be living the next 3 weeks with as much love, laughter, excitement and memory making moments as we can. We hope to spend the week before the surgery in Auckland doing all the things we said we would do when he got better. Homework is on hold, sleep ins will no longer be met by a mad rush, junk food will be given freely and as long as Caleb is up to it, our house an open home to give room for as many special moments as possible. Please hold us in your thoughts and prayers and extend those to the surgeons, doctors and nurses who will play such a critical role in Caleb's recovery. May there lives be full, their bodies healthy, their hearts feel love and their kindness and compassion overflowing.

    We may update and share our moments with you or we may choose to keep them for ourselves. Please understand each day is different. We are so grateful for the financial support each donation has given us. We cannot express enough what a difference it has made having one less thing to stress about. Being on the receiving end of such kindness is so humbling. So much good has come out of a truly challenging journey and we will continue to find comfort in that.

    We will update more as time permits and will hope with all our might each one will be a positive one.

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  • 12th May 2016.... so many beads

      25 May 2016
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    Today we put together Caleb's 4th necklace with the 84 beads he earn't in the last 3 weeks. He now has 4 and a half necklaces which is about 450 beads!

    We were given awesome news at the opthomologist coming away from there with a .5 prescription lens for long distance but his colour vision, near vision, peripheral and focus are all 20/20. He will have trouble looking up straight and diagonally for some time but will heal over time. There is no nerve damage at all!!!

    To add to an already great couple of days we were told Caleb is on track to come home June 2nd. 3 WEEKS TODAY!!! Look out Christchurch Superman will be hitting the pavement at lightening speed.

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  • March 29th

      6 April 2016
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    Another hot day in Auckland so we enjoyed the view from our porch this morning before attacking physio. Caleb stood unassisted and played with duplo blocks then sat unassisted 2 times before being challenged to shuffle side to side to reach blocks and shuffle back to place on the board. Pretty mammoth task when you work body, brain and challenge the eyesight, co ordination and motor skills all at once. He managed 3 times before it was too much. We tried food today too but although Caleb now has a safe swallow he cannot coordinate his tongue to move the food to his throat for swallowing so We will try small amounts of yoghurt each day until we succeed - which we will!!!

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  • Caleb finds his voice!

      6 April 2016
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    I don't quite know where to start with this update so much has happened in a week but time and exhaustion seem to restrict me in my posts of late. Last Thursday Caleb started communicating through whispers and we practise 'hi Dad' & 'I love you too' and suprised Jeremy when he arrived in Auckland. When I left Friday he had a number of words in his vocabulary again but struggled with Mum. Be Friday night Jeremy and Caleb had worked so hard when I rang I heard that magical word 'Mum'. He whispers often now and sometimes even uses his big voice on the phone. Such a miracle but it doesn't stop there. Today he walked! Guided by his physio in case he fell but on his own steed he walked 20 metres!!! Pushed himself so hard he vomited but he did it! He uses a special tilt table to assist with strengthening and straightening his body in standing position daily and with his determination when he comes home in May I reckon he'll walk through our front door!

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  • March 27th

      6 April 2016
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    It was a hot day here in Auckland so we did a lot of blobbing listening to music, practicing the adapted sign language Caleb has been taught and walking the grounds. Caleb loves to mouth the words to songs and even though there is no sound it's helping the face muscles and mouth control for when he's ready to use his big voice. Very tired today but almost asleep now so I'm sure he'll have more energy for fun and games tomorrow.

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  • March 16th

      6 April 2016
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    He's standing up!!! My how far we have come. A long road ahead as we remind ourselves we still have more tumor to remove but the positives out-way the negatives finally and we will win!!!

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  • March 15th

      6 April 2016
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    It's been a long few days up in Auckland from 6 am til 10pm each day it's constant care of some kind for Caleb. Caleb is moving mountains in every session he has despite being constantly nauseous. We've had a great time with kinetic sand, playdough and even fake snow. I thought I would give you a run down on his days.

    Meds: 2am 6am 8am 10am 2pm 6pm 8pm 10pm

    Feeds: 6.45am 11.45am 4.45pm 8pm ( for an hour 15 mins each time )

    Physio, Speech, OT and Dr vary each day between 10am and 3pm for one hour sessions.

    Because Caleb has constant nausea we cannot move him within half an hour of meds or feeds or the movement will make him sick. It means a lot of time in bed not doing what 9 year old boys like to do.

    Caleb is sick with a headache today so prayers for this along with the nausea would be appreciated.

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  • Emotions come out

      6 April 2016
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    Another wee outing today to give Daddy a call while we sat in the pagola. Heart breaking as it was it was uplifting to hear Caleb sob and cry tears into the phone. He loves and misses his Dad so much. We also did some more work with pencil and paper and it's interesting, when i asked how old we are, to see all of us except Caleb came out a year younger than we are. Great number formation though and so far only one little vomit after coughing.

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  • Physio Progress

      6 April 2016
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    We have successfully executed our first 'swap over' with emotions high on both ends of the picture. Jeremy has had challenges here with vomiting and nausea but has handled his time here amazingly. He has been the strong Dad Caleb needed to guide him through the beginning of a new journey and it certainly makes an easier transition for me. Caleb has made huge gains with his physiotherapy, speech therapy and occupational therapy setting even more firmly in our minds that he will be back with us really soon. Today we had physio and Caleb did 5 bed edge sits holding himself up for ten seconds each and 5 superman exercises on his tummy holding his head straight for 5 seconds - moving mountains. We went for a walk in the garden today too and we have a surprise for the occupational therapist next week because Caleb wrote his name! Days are busy so updates will be few. Enjoy.

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  • The Wilson Centre

      6 April 2016
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    Caleb and Jeremy have made it to the Wilson Centre and are finding their way round all the new corridors and rooms. The last 5 days we have struggled with vomiting again and had to adjust feeds and meds to suit but Jeremy is on top of it all and guiding the new nurses through Caleb's needs. I will have a bigger update as the week goes on and he has more rehabilitation sessions but for now he is happy chilling with Dad having time in his lazy boy chair.

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  • More Ups than Downs

      6 April 2016
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    It's been a couple of days since I posted and this time a few weeks ago that would have meant bad news or a hiccup with treatment but this time it just means things have been really hectic with planning for the next step and enjoying our time with our amazing family unit. The kids have enjoyed lots of time just hanging out, reading jokes, playing paper scissors rock, chilaxing on the bed and today we all witnessed that beautiful Caleb smile again. The surgeon came in and is quite sure Caleb could talk but will be scared that the words won't come out right. They'll be mixed up noises and this will be making him nervous so we decided some tickling was in order to try to make those sounds come out. A few wee noises were heard and plenty of grinning. Caleb is tolerating higher quantity feeds at a faster rate now which means he can be unhooked from his tube for 3 hours at a time so plenty of opportunities for therapy sessions and rehab. He wakes less in the night now and puts himself back to sleep and the Clonidine is helping the tremor immensely. Jeremy and I are managing all his feeding times, administering his medication and all his cares. The nurses love us ??. We are down to one tube now which is a massive achievement and the last hurdle we needed to overcome to be set for the Wilson Centre on Monday. Caleb still has blurry vision and often holds on eye shut or needs a patch to help one eye focus and when asked if it helps him he can confirm. His eyesight will be something he needs further surgery for once all of the tumor is gone. Today marks 7 weeks since this roller coaster began and we finally feel like we're beating it! ?#?teamwright? ?#?togetherweconquer?

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  • March 2nd

      6 April 2016
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    So this happened yesterday! And he had a bed shower and his stitches and staples were taken out and his feeds increased (with no vomiting) and he put himself to sleep last night and his tremor is almost under control and WE ARE SO HAPPY!!!

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  • Tremors

      6 April 2016

    Calebs tremor in his left arm has got so bad it keeps him awake and wakes him if he does sleep. It has moved to his right arm very slightly too. It's called a myoclonus and the neurology team believes it was there after surgery just masked by the morphine. We have tried pressure, heat packs, increasing his nighttime melatonin and diazapam but nothing is easing it and he sleeps in half hourly increments. Tonight we are trialing Clonidine in the hope this will ease the tremor and help with sedation to sleep longer. If we're not keeping his feeding tubes untangled, stopping him pulling his staples, changing sheets from messes, trying to control the nausea or doing his hourly cares we are trying to ease his tremor, so our days and nights are very long.

    There is good news. We visited the Wilson Centre yesterday and it's amazing! So excited for this next step and we hope to be taking it Monday March 7th. Caleb is now having all feed into his tummy (NG tube) and once we have moved from continuous feeds to at meal times and his tummy tolerates it, the NJ tube in his bowel can come out and he can be discharged. It means separating and being with Caleb week about with very supportive Family, friends and followers we know we'll get through.

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  • Positive News

      6 April 2016
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    Today we got to kiss the beautiful cheek that was tube free for a short time - the small things. Tubes were re placed at about 11 am but xray showed they were not correctly placed so at 2.30 they were guided into the correct position under xray and Caleb was able to have his first meds since last night and finally get some food in his tummy again. Other than that he has had a fairly settled day enjoying swinging his nunchucks and throwing a few punches. To our suprise this evening he swung his legs off the bed and we joked "you trying to sit up Caleb" low and behold, he sat up!!!! I had my first full body hug in 6 weeks and it was indescribable. We were visited this morning by the Doctor from the rehab centre and hit with another surprise. Caleb has made such incredible progress they want to take him as soon as a bed is available which should be the end of next week. Mixed emotions - no visit home but so positive they feel he is ready. Every day more of our precious boy comes back to us and we count every blessing no matter it's size.

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  • Exhausted

      6 April 2016
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    Lots of photos but not so many words tonight as we are all pretty exhausted. Noah and Brooke were able to enjoy cuddles today and Caleb has had his room decorated with his favorite things from home. He's very active now rolling wherever he wants, lifting himself off the bed, turning his own head and was able to enjoy a shower today in the hoist. Unfortunately his tummy has stopped tolerating his feeds and today he has been vomiting a lot. His bandages are off and as you can see has a pretty impressive battle scar which is healing really well. We should know tomorrow whether we head home or to the Wilson Centre and will update again soon.

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  • A speed bump

      6 April 2016

    Last night Caleb pulled out his feeding tubes. The nurse pushed them back in but after immediate xray they were not in the correct place. At 2am he pulled them right out and will have to have them both re placed this morning. Prayers for guidance for the medical team and for a calm, relaxed Caleb are needed. In PICU when his Nasajejunal Tube was placed it took 3 hours of trying to place it correctly and Caleb was paralysed so it won't be a fun time this morning.

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  • What a Champion!

      6 April 2016
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    This little champion just keeps on keeping on! Lots of rest had today after a rough day and night yesterday post op. Big cuddles for grandad today and loving his iPod music.. We are in our own room now with en-suite and a view! Caleb has a watch nurse at night to help us (wake us if he needs us) and today they have started small feeds into his stomach to see if he will tolerate it. Andrew Law visited this morning to go through his surgery success and he is very happy with everything. There is a possibility Caleb will have an isolated 4th ventricle so this will be monitored with scans and if needs it a Catheter put in to drain it. Talks with the physio team today suggest he may come home to chch hospital for some time before he is ready for the Wilson Centre back here in Auckland. We really hope this can happen! We are the proudest parents ever. ?#?teamwright?

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  • A picture can say a thousand words..... 15 Feb

      17 February 2016
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    It's been an active couple of days for Caleb he's moving a lot, giving hugs, small sounds can be heard sometimes, physio sat him up again, he has had another CT in preparation for tomorrow and had his Nasajejunal Tube replaced by ultrasound today too. He has quite an upset tummy and the nausea is still an issue but the nurses have been great at giving meds super slowly, aspirating his tube and giving meds when he's asleep wherever possible. Safe to say his bowel is in fine working order too!

    Tomorrow is a big day with the second drain coming out, the shunt going in and the surgeons will give his brain a wash from all the blood. If the remaining tumour is clear and easy to get to there is a chance they will take it out but have promised us no risks will be taken.

    The next update may be slow to come, either way we will be spending the coming days very close to each other and will check back in with you all when we can.

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  • Recovering from more surgery, 16 Feb

      17 February 2016

    A long waited ended in positive news this afternoon as Caleb followed his recent pattern and was a champion. He was away for 4 hours but all went beautifully. The shunt placement was smooth, the graft seamless, his brain was cleaned from all old blood, however, the tumour was not able to be removed. The blood clot was in the way so we wait for that to clear and the shunt to do its job. We added to the collection of scars with one behind his ear for the shunt and another in his tummy to guide the placement. He is stable but a little unsettled, sleeping only for short periods but can tell us through hand squeezes when he's in pain. All going well we will be out of HDU and into a ward room in 2 days.

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  • 11th of Feb

      17 February 2016

    This might be a long one so get comfy. Last night Caleb went into morphine withdrawal. His body was hot, twitchy and restless and he even hit me twice to share his frustration. After another battle with doctors and 4 hours without him sleeping he was prescribed Diazapam to relax his muscles. This is now charted for him whenever he needs it. We are trying to get his sleep/awake patterns back to normal so hopefully the Diazapam will help with this. This morning we all felt a little anxious and worn out and then we were given some wonderful news. Surgeon Andrew Law came to visit. Despite still not being able to explain why Caleb is still with us he feels we are almost at the point we would have been if the surgery had gone to plan. Calebs brain is in tired but ok condition. The 3 main veins remain in tact and his brain stem is completely healed. On Sunday night they will take out the left drain from his brain as now there is enough room in his head for crossflow between the two ventricles. This is done to reduce the chance of infection before further surgery Tuesday. Tuesday they will remove the other drain and put in a shunt down his spine to direct the brain fluid to the stomach to be absorbed. There is a 50% chance the shunt will block as the blood clot may break off in chunks so he may have a few shunt replacement surgeries over the next 6 months. Caleb also needs a graft placed over the hole where the bone is missing in his skull. He needs this because the cerabellum has stretched and protrudes into the hole giving him cerabellar mutism which is why he can't speak. The graft and physio will help him regain his speech over time. Andrew believes he should be ready for discharge from starship in 3 weeks and onto the Wilson Centre for physio here in Auckland. The tumour will not be touched for at least 6 months and we could have up to 2 years before it needs to be removed. A long road lies ahead but today we celebrate.

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  • Caleb sat up, 12 Feb

      17 February 2016
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    I sat up this morning for 5 minutes. I did have some help and my neck is quite wobbly but at least I gave it a go!

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  • 10th of Feb...

      17 February 2016

    Update from Jen: Caleb has done a lot more sleeping than anything today and for the first time we were able to lie next to him and just breathe together. Yesterday was a very tough day but after a few tears and us standing our ground we got the CT and we were right to push. His ventricles were enlarged and the fluid had built up again so his movement was affected. His drains were set to a faster flow and overnight and this morning he squeezed a ball and my hand again. He is having an MRI tomorrow to check on the tumour and too see how much of the blood clot is still left to drain. They cannot operate again until this has cleared nor can they see the full extent of his brain function. We need this blood clot gone! He has also developed tremor like movements/spasms in his left shoulder and they will be investigating this further tomorrow. His morphine has been reduced further but is still affecting his bowel so an enima each day is needed. Brings new meaning to tough love.

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  • Eyes are open, we have smiles!

      6 February 2016
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    Jen's update: Not sure where to start today so much had gone on for us all. We have smiles, eyes open on request and anytime he's not sleeping he is very curious about the sounds and sights around him. We are seeing emotion now too - last night I was called back to the hospital to help settle a frustrated, agitated Caleb and when I arrived he threw his soft toy at me! Within seconds he was puckering his mouth to kiss me as if to apologise. Magical moment. We move from PICU to an observation unit on the pediatric neuro ward this afternoon since he is now breathing on his own! He is being weaned off morphine now so we're in for a tough few days. Physiotherapy has visited, occupational therapist, pain team, child cancer Co ordinator, dietician and our brains are on information overload. Caleb has earn 111 beads of courage to date and we can't wait to thread them on his necklace with him. All these amazing steps bring such joy but we were grounded yesterday after a visit from the surgeon. Caleb still has tumour and needs an MRI next week to determine how much time we have before operating again with all the same risks as before. We've had a miracle but we need another one. Please pray, hope, send positive energy and healing thoughts his way and make that tumour disappear!

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  • 2nd of February 2016

      3 February 2016
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    It's been a few days since the last update. We've had some pretty hairy moments with Caleb and some personal challenges too but Team Wright is still in this fight.

    Today's positive is Caleb has come off the paralytic (Rocuronium), the cooling blankets have been removed and his Midazolam reduced to allow him move his body when and if he feels the need. He has squeezed our hands on request and attempts to blink frequently. He remains on a ventilator for breathing and morphine to keep him comfortable. His temperature has risen but this was expected, not due to infection, as his brain is still swollen and trying to heal. He is not digesting his feed so has a Nasojejunal (NJ) tube which goes into his bowel for feeds and the Nasogastric tube is just used for paracetamol.

    The wait continues but we are very encouraged by today's steps.

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  • 30th of January 2016

      30 January 2016
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    Caleb is still fighting and is definitely in charge of this situation. Today his readings show when he is uncomfortable as his blood pressure rises and it's time to roll him and move his head to the other side. When he needs suction from his lungs he is able to cough to let us know. In his own way he is letting us know what he needs. He has had some hand and foot movement which may be a response to us, but could also be a reaction to pressure and movement on its own. It doesn't mean he will wake, it's still very unknown. There is still some tumour in his brain and its very much an active one but for now it's not causing any grief. Rest, love, hope, encouragement, positive thoughts and prayers while we ride this out.

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    • 02/02/2016 by Kyla

      Keep fighting wee man stay song. ?????????

  • 29th of January...

      29 January 2016
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    Another long day for us all. First up was an MRI which to the amazement of the neuro team showed Caleb's brain has not suffered the stroke they feared. It did show a large blood clot which will take some weeks to clear. He was taken to theatre to have a second drain put in the other side of his brain as his intercranial pressure (ICP) was too high. It seems this is working well. We now have a plan to work with. He has been taken off the "Jackson Juice" (Propofol) and is on Midazolam to keep him in an enduced coma until mid next week. This will give his brain, heart and blood pressure time to stabilise and heal before he is woken slowly. These are all positive steps however we face the very real truth that he still may not become conscious to the world around him. The team at Starship are incredible and have given our beautiful boy a chance at living and we are holding onto that as tightly as we can. We believe he can hear us and welcome any messages written or video and we will make sure he receives them.

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  • So for now we wait...

      28 January 2016
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    Caleb has started having food (nutrison) through his tube and his stomach is digesting it well. Some swelling in his feet and hands. His brain is very swollen still but the drain is still doing its job. His temperature is under control but we have a long wait yet before we can wake him. Because the swelling is so severe he is on a number of drugs to help reduce all his pressures (brain, blood etc). His pain relief is paracetamol, brufen and morphine and he has a precautionary antibiotic daily. He is sedated and paralysed to keep any stress or random movements from doing further damage. To do this they use Rocuronium (ROC) and Propofol (Caleb would want us to tell you that's the Michael Jackson drug). So for now we wait.

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  • Heading to Starship

      20 January 2016
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    Today's news, Wednesday the 20th of January, has the family flying to Starship Hospital on Monday, and Tuesday brings more surgery. Any more is too hard to write but we need your prayers now more than ever.

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