Thursday, April 23, 2009

Thursday Update On Allee

Hi Everyone....

Sorry for no update for a couple of days. We've just been trying to get caught up on sleep and take care of Allison. She is doing as well as to be expected. Her pain seems to be staying around a 7 or 8 when her medication wears off. This is normal and to be expected. We are still doing the Fragmin shots and the Coumadin by mouth to try and get her INR to a therapeutic level. She needs to be at 2.5 - 3.5 and currently she is at 1.7. We saw the doctor here in Birmingham Wednesday morning and he increased her Coumadin dose. We will go back to see him Monday. We're hoping for good news. She has come down with 4 or 5 swollen lymph nodes and a sore throat so the doctor gave her an antibiotic on Wednesday to knock that out. She is still moving slowly. The incisions are in the bends of both legs and her abdomen is completely black and blue due to the Fragmin (Louvenox type) shots being given there. That is one thing we did not expect at all. Only a couple of more days of that though.
Additionally she is very anemic. Her hemoglobin is currently 8. The doctor does not want to begin addressing this yet until we get the thickness of her blood under control. I can tell it is affecting her. She is pretty weak and tired and tires VERY easily. All things considered I know these things aren't too terrible and we are thankful. They are somewhat annoying for her but given what great news we got with the successful surgery and no need for any artificial grafting we can get through it. :)

Allison's spirits are doing okay. She is VERY thankful for the relative simplicity of her procedure and such. There is no doubt for that. She already feels physcial improvements and that is wonderful :) I think she is just ready to get going with her life if that makes sense. Lord willing she will go back to college in the fall. She'll be going close to home. She was able to get out for worship services last night and that was good for her. She is hoping to feel well enough to make it to her big sister Ashleigh's graduation from Florida College in Tampa next Thursday. The doctor told us that it would be physically safe but it is just how she feels.

Well, I'll stop for now. I'm sure you can all tell from the differences in posts that I'm a 'talker' and Barry isn't - haha.

Thank you, again and a million times, so much for all the love, friendship and support you have all shown to us during this difficult time. God has blessed us far above anything we ever imagined with the help you gave, the love and support you have shown and the wonderful news and treatment Allison received. To Him be all the glory.

In Christian Love,
Jennifer

p.s. Some have asked about sending Allison a card.
Our mailing address is:
PRESSNELL
366 JUSTICE ROAD
WARRIOR, AL 35180

Tuesday, April 21, 2009

Sweet Home Alabama :)

Hey Everyone...

We got home around 10:30-10:45 last night. I was exhausted and couldn't think straight to do the computer thing. We saw the doctor who organized the whole evaluation and treatment of Allison yesterday morning at 10:00. He was able to see some blood work that had been ordered did not get done so we went for bloodwork and then were free to leave. I think when we sat down in the Minneapolis airport we were around 3 hours until our flights home. It was nice to sit and rest. Allison didn't have to walk because they had a wheelchair for her everywhere along the way. We were also able to pre-board 1st so she got the front seat on each flight which made it easier for her to not be cramped in her seat and to move her legs a bit while sitting for a while.
When we got home my Aimee, mom (dad had picked us up at the airport), Sarah, Lauren, Becky & Billy McDuffee and Allee's friend Mark were all at the house with balloons waiting to see Allee. It was great. My mom had spent the day straightening the house and doing laundry so I feel RICH :)

All in all our trip was such a gift from God. He has blessed us in more ways than we ever knew and protected Allison so much without us knowing she even needed protecting. We give Him all the glory. Completely Him.

Allison's INR is being slow to come back up so she is on Fragmin shots twice daily, oral medication and Plavix. We already have an appointment at 8:00 a.m. on Wednesday with a new Internal Medicine doctor so he can help us.

I'm hoping to rest a bit today.

Thank you all for your love, support, prayers, prayers and more prayers. Knowing you are there has gotten me through on many an occasion. It seems as though we are over the hump and on our way to new horizons.

I love you all...
Jennifer

Sunday, April 19, 2009

Just wanted to let all of you know that Allison got back to the hotel around 1:30 Saturday and is continuing her recovery here.

Her back is hurting her alot but the doctor told her to expect that for around three weeks.

She has two follow up appointments on Monday morning and barring any problems with her blood level, we will be driving north to Minneapolis tomorrow afternoon and flying back to Birmingham tomorrow night.

Thanks for all the well wishes and prayers.

God truly does answer prayers.
Barry and Jennifer

Saturday, April 18, 2009

Allison is recovering well so far

Allison had a somewhat rough evening last night with the pain in her back and nausea, but she seems to be feeling alot better this morning after they gave her some medicine for the nausea last night.

She was able to get some good rest and is feeling much better right now.

If things continue to progress well, we will be at the hotel this afternoon and tomorrow. She has two follow up appointments Monday morning and we should be able to fly home Monday evening.

Barry

Friday, April 17, 2009

Allison out of surgery

Allison got out of surgery at around 4:35. The surgeon said everything went very well and is very optomistic about the outlook for her complete recovery.

She will stay in the hospital overnight and probably be released sometime tomorrow.

She will have a couple of follow up appointments on Monday morning and Lord willing we will be coming home Monday evening late.

Thanks again for all the prayers.

Barry and Jennifer

Allee is in Surgery

Hello everyone. They took Allison in to surgery at 1:15 central time. The surgery should take 3-4 hours.

Her INR (blood thickness) was 1.4 and they had wanted it to be at least 2.4 or lower. She had to eat broccoli last night. She did not like it (haha).

We will update as soon as we can after she gets out.

Thanks,
Barry and Jennifer

Thursday, April 16, 2009

Stents to be placed tomorrow morning

Allison did have her venogram today and the surgeon said her veins look good and predicts a successful outcome to the stent placement.

Her blood was still a little too thin today so we will be back in the morning early for him to do these.

More to come as soon as we know.
Barry

Venogram Started

Hello everyone,
Barry here. It is 10:44 am on Thursday and they took Allee back for her venogram about 20 minutes ago. We will not know whether or not they will place the stents today until a little later. If not today, it will be tomorrow.

We will post new information as we are given it.

Thanks,
Barry

Wednesday, April 15, 2009

11:00 Update on Wednesday 4/15/09

So here is the scoop....

Allison DOES HAVE an inferior vena cava. For whatever reason, at some point in her life she developed several large clots. Her IVC is completely blocked with old clots that have shrunk and pulled the vein small from the kidneys down to the iliac veins where it breaks off to the legs. She has a complete blockage of the right renal (kidney vein) but the kidney is functional with several small collateral vessels. She also has a narrowing of about 4 inches of the IVC behind the liver.

The plan is this....
A venogram at 5:30 in the morning. This is a special dye/x-ray test that will take about an hour. It will show exactly what is blocked and how much, etc. They place 2 IVs in the feet and possibly one in the jugular to inject the dye. The x-ray machine is like an arteriogram in an OR.

IF at the end of the venogram they draw blood and her INR (blood thickness) is between 2 and 2.4 then they will then (on the same table in the same room) do an interventional procedure to open with wires, balloons, etc. and place SEVERAL stents in the veins at multiple points. They will open everything up and stretch the veins open and leave stents in place. He said this will give Allison very good resolution of her problems.

IF her INR is still too high (yesterday it was 3.3) then they will conclude the venogram and do the procedure on Friday morning. Dr. Bjarnson is off but he said he will come in to do it. He said don't count our chickens before they hatch and that he is generally pessimistic. There is a 10% chance they cannot fix her. They may be able to help one place and not another. We will just have to see. This procedure would be at least another 3 hours.

Should everything go well then she could leave the next day with us remaining in town a few days and maybe going home at the first of the week. She will leave the hospital on low molecular weight heparin in the form of Louvenox shots daily and taking the drug Plavix.

She will have extensive back pain for 3 - 6 weeks following the procedure. We will have to fly back up here in 3 months for follow-up testing and evaluation.

Should this be successful he see's no problem with her having children in the future. That would only require the heparin shots daily.

I KNOW there is more I wrote down and will want to share but I'll do it later. We are waiting to see a hematologist now. We will have to get another hematologist there in Birmingham.

Please continue to pray for us and I love you all...

Jennifer

11:00 Update on Wednesday 4/15/09

So here is the scoop....

Allison DOES HAVE an inferior vena cava. For whatever reason, at some point in her life she developed several large clots. Her IVC is completely blocked with old clots that have shrunk and pulled the vein small from the kidneys down to the iliac veins where it breaks off to the legs. She has a complete blockage of the right renal (kidney vein) but the kidney is functional with several small collateral vessels. She also has a narrowing of about 4 inches of the IVC behind the liver.

The plan is this....
A venogram at 5:30 in the morning. This is a special dye/x-ray test that will take about an hour. It will show exactly what is blocked and how much, etc. They place 2 IVs in the feet and possibly one in the jugular to inject the dye. The x-ray machine is like an arteriogram in an OR.

IF at the end of the venogram they draw blood and her INR (blood thickness) is between 2 and 2.4 then they will then (on the same table in the same room) do an interventional procedure to open with wires, balloons, etc. and place SEVERAL stents in the veins at multiple points. They will open everything up and stretch the veins open and leave stents in place. He said this will give Allison very good resolution of her problems.

IF her INR is still too high (yesterday it was 3.3) then they will conclude the venogram and do the procedure on Friday morning. Dr. Bjarnson is off but he said he will come in to do it. He said don't count our chickens before they hatch and that he is generally pessimistic. There is a 10% chance they cannot fix her. They may be able to help one place and not another. We will just have to see. This procedure would be at least another 3 hours.

Should everything go well then she could leave the next day with us remaining in town a few days and maybe going home at the first of the week. She will leave the hospital on low molecular weight heparin in the form of Louvenox shots daily and taking the drug Plavix.

She will have extensive back pain for 3 - 6 weeks following the procedure. We will have to fly back up here in 3 months for follow-up testing and evaluation.

Should this be successful he see's no problem with her having children in the future. That would only require the heparin shots daily.

I KNOW there is more I wrote down and will want to share but I'll do it later. We are waiting to see a hematologist now. We will have to get another hematologist there in Birmingham.

Please continue to pray for us and I love you all...

Jennifer

Tuesday, April 14, 2009

Hello again. Barry here again.

Well, we have had a long, long, tiring day here at the Mayo Clinic. Allison had appointments for blood work, CAT scans, ultrasounds and consultations with the Cardiologist and Vascular surgeons.

We have good news that her heart is in good shape and the blood pressure in the veins is good, but that is about all we know that is definite as of now.

We are receiving alot of information about her disorder.

We do not know what the outcome will be, whether she will have surgery or not, but we are getting all the testing and information gathering appointments taken care of that are needed.

The vascular surgeon has ordered a venogram to get a more accurate "road map" as he calls it of Allee's circulatory system. We are not sure when that will take place, but it will probably be Thursday or Friday of this week.

When our schedule was made there had been a tentative time of Friday for possible surgery. While it is still a possibility, it is unlikely that surgery would be performed on Friday. There are just more tests that need to be performed. Once all the tests have been performed, the surgeons, or as they call themselves, the "Team", will get together and discuss the case.

We have told the doctors to order every test they deem necessary to properly diagnose this problem. We also told them that we do not want her to have surgery if it is not required or beneficial to her and of course they agree with that.

We will try to post again tomorrow with any information we may get.

Keep praying for us and the doctors.

Just another thought not about Allison or us. I know we all have our own set of troubles and worries and cares in this life, but when you come to a place like this you can't help but realize how truly blessed we are. There are many, many people here struggling with illnesses much worse and painful than most of us can imagine.

We should all be very thankful for the things we have and the health we and those close to us enjoy.

There is always someone, somewhere that is struggling with bigger and more serious things in their lives than we are.
Thanks,
Barry

We Are Here :)

Good Morning from the Mayo Clinic. (This is Barry by the way) Allison has just gone back for her 3rd appointment of the day and it is only 7:40 AM. Jennifer is back with her right now and that is why I am typing this. (I am not as good a typist as my wife so bear with typos and misused grammer please).

Right now Allee is having an ultrasound in the Gonda Building. This ultrasound is of the abdomen (another to come later today).

This place is HUGE but is also wonderful. They have everything set up in a very organized way. They sent us a schedule with times, places and the tests that are to be done and preparatory instructions for each test. They even tell you what desk to go to (very good for my simple mind).There are many volunteers here and they all seem to be very kind and helpful.

After this test we are off to the Rochester Methodist Hospital Charlton Building at 9:30, where Allee will have a CAT Scan of the Body.

We will update with further schedule a little later.

By the way, technology is wonderful. They have Wi-Fi throughout the hospital. Who would have ever thought that I could be sitting here updating on a somewhat realtime basis.

We continue to pray for good results from this trip and we deeply appreciate all the prayers of everyone.

Our God is a Wonderful God and is worthy of all praise.

Please continue to pray for us and also for our other two girls, Ashleigh, who is in Tampa, Floriday in college worrying, and for Aimee, who is at home spending her spring break worrying about her big sis. We have always been a close family and we also have always gone through big events in our lives together. So it has been hard on both of them not being able to come up with us.

Also pray that we will have the strength and understanding to accept that whatever happens is God's will.

Thank you for checking in and we will add more later.
Barry

Monday, April 13, 2009

Welcome To Minnesota ;)

Well, we made it to Minneapolis. We spent the night with a wonderful family, Lance & Heidi Bailles. They were so kind to pick us (and our 6 large suitcases and 4 carry on's) up last night. It was so nice to see two smiling faces welcoming us here. We all slept very well and are looking forward to a home cooked Minnesota breakfast and some visiting before we head out to Rochester today.
Our flights went well. Just long. Allison's feet, ankles and lower legs were really swollen by the time we got here. She propped them up in the airport at Chicago but that didn't really help. They were hurting last night so we all went on to bed around 10:30 and it was nice.

So....that's where we are today. So thankful for being able to come here. We will get settled into our hotel this afternoon and go to Walmart (you have to go to Walmart) to pick up a few things and then just chill. Our first appointments at Mayo begin at 6:35 a.m. on Tuesday.

Have a wonderful day :)
And don't forget to give thanks and praise to our wonderful God ;)

Love,
Jennifer

Thursday, April 9, 2009

3 Days Til We Leave :)

Goodmorning Everyone...

I just wanted to update a little on our 'going's on' before we leave for Minnesota. We have just been packing, preparing things, etc. Running last minute errands and such. We are still excited and nervous but confident in our prayers that God's will be done. It is such a relief for us to have Him to lean on and turn to. And of course all of our spiritual family, physical family and friends too. The love and support from everyone means sooooo very, very much.

We were happy to put together the sheets explaining exactly what Allison's health problem is and the expectations for the Mayo Clinic trip. Several people don't have access to the internet or for whatever reason just liked a piece of paper explaining it better. I will say that we have been informed of a website for people with health issues and treatments, etc. so I will most likely in the next few days create this same blog there. But when I do I will post the new link here. The new site, Caringbridge.com, allows people to make comments easily, send notes, etc. It will even send you an email when I update the website saying there is a new update if you sign up for that. Plus I can get a few pictures on that one too.

I was going over our schedule for all of Allison's appointments and testing and such. It looks like we will have an answer about surgery no later than Wednesday afternoon. So that will be good.

Well I best go get some more done. Allison's legs are hurting a good bit today so she is resting right now. She didn't sleep well last night because of the pain.

I would like to ask you to remember the family of Bob Harber in your prayers. I know his daughter Nancy Picogna really well. He was diagnosed a few weeks back as having what was thought to be a benign mass in his intestines. It was decided Monday that it needed to be removed. They did surgery on Tuesday and it was found to actually be stage 4 cancer (colon I am assuming) that has penetrated the walls of the colon and is found to be in several places throughout the abdomen. This is such devastating news. Please pray for them all.

Have a blessed day...
Love,
Jennifer

Tuesday, April 7, 2009

Five Days :)

Hello, Hello...

We leave in five days. I'm in getting everything together and ready to go mode. It looks like I have all the paperwork we need from previous doctor visits and all test records. I'm just trying to pack here and there as I come across clothing. It is colder up there than here. We are excited.

Allison is very upbeat right now. She is spending a lot of time with her best friend, Sarah, and staying at her other house (haha- the McDuffee's). That is helping her keep her mind off things I think so that is good. Saturday Allison will be helping Aimee (her younger sister) get ready for the FC Alumni Spring Banquet which is an alternative to prom. So that will be a girly day.

I have to mention a sad note. I don't personally know the Harris family but they have a daughter, Kelsey, who has been battling a brain tumor (cancer) for a year and 3 months. Kelsey is 16 and she passed away yesterday. From what I've read Kelsey was a child of God and so she is not in pain any longer. I would ask you to pray for her mom and dad, two brothers and sister. Even though they knew it was coming it HAS to be hard.
We'll update later in the week.
Have a great day...

Thursday, April 2, 2009

What To Expect

Good morning...

I wanted to post about what our options are for treatment in Minnesota. There are basically three options available to Allison, as far as we know currently.

One, there may possibly some type of vessel in the abdomen that, for whatever reason, failed to open and work at birth. There is a possibility that the physicians could use that vessel, open it up, stent it and make it work. This would be an ideal option as no artificial graft would need to be placed. This is something that Dr. Driscoll said may not be able to be known until they are physically looking inside.

Second, there is no useable vessel in the abdomen so an artificial vessel would need to be placed. This would entail a graft similar to things they use for aorta repair, etc. and it would have to be connected to all the smaller vessels leading off the IVC. This is a good option and there really wouldn't be anything like rejection meds or anything like that. This would be better than nothing.

Third, nothing surgically can be done. Dr. Driscoll was very optimistic about their being able to help Allee but this is still an option.

Obviously we are hopeful for some help for Allee. We are prayerful, though, that whatever the answers are and whatever may or may not be done that we are accepting of it and can process the information and live with it. It is so easy to get lost in the build up of hope that one could be devastated by less positive information.

Allison is doing good. She is getting over a sinus infection and an ear infection.
We are doing good as well. We would ask that you remember our other two daughters in this process. They are not able to go to Minnesota with us so that is hard. We are a very close family. They understand the limitations but it is still going to be hard for them. One will stay with family here in Alabama and the other is away at school in Tampa at Florida College. She will be finishing up her classes and going into final exams through it. We are just hopeful that everything will be wrapped up in time for us to all go to Tampa for her graduation from FC.

Have a great day...

Love,
Jennifer

Wednesday, April 1, 2009

Counting Down

Well, April is finally here. For a long time it seemed 'far away.' Yesterday Allison and I went to see the pediatrician to knock out a sinus infection and ear infection she has. We don't need anything in the way when we go to Minnesota. We then ran errands trying to pick up a few things we need for the trip. Both for us in our travels and then Aimee here at home. I'm a list person so we just went here and there going down the list. Allison woked over the weeekend and was on her feet a good bit so she had a good bit of leg pain Monday.
We've been having some good discussions about what we might face. Many times with this disorder there is a cardiac aspect that exists. She will be thoroughly evaluated by Dr. Driscoll when we go. There is a little bit of intrepidation as to what that may reveal but we are just determined to face it all head on.
I hear Minnesota is still cold. That is interesting coming from Alabama where everything is blooming out and it was over 70 today.
Have a great evening...
Jennifer