Apologies and "Progress"
Good Morning, everyone. Jaime here again...
You'll have to forgive my meltdown post from yesterday - things seemed to me at a calamitous crossroads when I wrote. After some discussion with Chester about the companion situation, I got smart and called the wonderful Gayle, the Social Worker at the Cancer Center and had a meeting with her to explore resources. While there are only a couple of avenues available to us, there are alternatives come August, when we will no longer have a friend or family companion available to us. (One of my jobs in overseeing Chester's care is to plan ahead - and I could clearly see trouble coming not too far down the road).
So - the first (and pretty useless) alternative is for Medi-Cal to provide "some" companion care - with a maximum of between 30-40 hours per week - by people in their employ. This would consist mostly of intermittent oversight - cooking, cleaning, bathing, etc - but would not meet our practical need of having someone available 24/7 as has been the case up til now.
The second and most practical solution will be finding Chester a bed in a nursing home where he'll be overseen by a nurse's aide in a semi-private room, with a nurse on hand for any medical emergencies. Because he is in relatively stable health and does not need extraordinary attention at this point, Gayle felt Chester would be relatively easy to place in a facility somewhere in the bay area. While not optimum, in that it will provide no real privacy or independence, it is the best that can be managed under the circumstances.
The third alternative - and again, one that is not optimum - is for Chester to return to Missouri and live with his family, who can "tag team" one another as his caregivers.
We'll have to play these options by ear, so to speak - but with a companion-less future looming, we'll need to have things in place for this eventuality.
On a different note, Chester had a new MRI this past Wednesday morning, and was due to see his doctor at UCSF that afternoon for a comparative reading of this new scan and his previous scans in order to determine what's going on in his head. The contrast used in the procedure, however, gave the boy a bad case of diarrhea and that, coupled with little sleep and the extreme heat of the day, caused us to cancel that appointment. However, the report that came with the films states that there is no appreciable growth of the cancer since his last MRI!
That gave us a bit of relief, since several of us have noticed that Chester's speech and general mentation has "slowed down" in the past few weeks... which we feared might be an indication that the cancer was gaining the upper hand. Based on this cursory MRI report, however, the slowdown may be more a result of the second anti-seizure medication that was added to his regime a few weeks ago... Stay tuned - we've rescheduled his UCSF appointment for this coming Tuesday and should have further results to report.
On a personal note, thanks for the emails of concern regarding yesterday's meltdown. I'm personally going through several levels of deep stress in my personal life at the moment - and the addition of the big void ahead in Chester's care simply worked my last nerve. But enough of that - this blog is about the Cheeky One and will return to that focus exclusively.
You're all up to speed now on the situation as it stands, and we'll keep you informed of the next developments - whatever they may be. In the meantime, if you know of anyone who would be willing to step up as his companion beginning in August, please give a shout - otherwise it will be time to place him in a facility that can do for him what so many of you have already done.
You'll have to forgive my meltdown post from yesterday - things seemed to me at a calamitous crossroads when I wrote. After some discussion with Chester about the companion situation, I got smart and called the wonderful Gayle, the Social Worker at the Cancer Center and had a meeting with her to explore resources. While there are only a couple of avenues available to us, there are alternatives come August, when we will no longer have a friend or family companion available to us. (One of my jobs in overseeing Chester's care is to plan ahead - and I could clearly see trouble coming not too far down the road).
So - the first (and pretty useless) alternative is for Medi-Cal to provide "some" companion care - with a maximum of between 30-40 hours per week - by people in their employ. This would consist mostly of intermittent oversight - cooking, cleaning, bathing, etc - but would not meet our practical need of having someone available 24/7 as has been the case up til now.
The second and most practical solution will be finding Chester a bed in a nursing home where he'll be overseen by a nurse's aide in a semi-private room, with a nurse on hand for any medical emergencies. Because he is in relatively stable health and does not need extraordinary attention at this point, Gayle felt Chester would be relatively easy to place in a facility somewhere in the bay area. While not optimum, in that it will provide no real privacy or independence, it is the best that can be managed under the circumstances.
The third alternative - and again, one that is not optimum - is for Chester to return to Missouri and live with his family, who can "tag team" one another as his caregivers.
We'll have to play these options by ear, so to speak - but with a companion-less future looming, we'll need to have things in place for this eventuality.
On a different note, Chester had a new MRI this past Wednesday morning, and was due to see his doctor at UCSF that afternoon for a comparative reading of this new scan and his previous scans in order to determine what's going on in his head. The contrast used in the procedure, however, gave the boy a bad case of diarrhea and that, coupled with little sleep and the extreme heat of the day, caused us to cancel that appointment. However, the report that came with the films states that there is no appreciable growth of the cancer since his last MRI!
That gave us a bit of relief, since several of us have noticed that Chester's speech and general mentation has "slowed down" in the past few weeks... which we feared might be an indication that the cancer was gaining the upper hand. Based on this cursory MRI report, however, the slowdown may be more a result of the second anti-seizure medication that was added to his regime a few weeks ago... Stay tuned - we've rescheduled his UCSF appointment for this coming Tuesday and should have further results to report.
On a personal note, thanks for the emails of concern regarding yesterday's meltdown. I'm personally going through several levels of deep stress in my personal life at the moment - and the addition of the big void ahead in Chester's care simply worked my last nerve. But enough of that - this blog is about the Cheeky One and will return to that focus exclusively.
You're all up to speed now on the situation as it stands, and we'll keep you informed of the next developments - whatever they may be. In the meantime, if you know of anyone who would be willing to step up as his companion beginning in August, please give a shout - otherwise it will be time to place him in a facility that can do for him what so many of you have already done.
