12 November 2004 - Post- Surgery letter to Nasia

Hi, Nasia!

I hope you are well this cloudy Friday morning- maybe you aren't in the office, I think last week you said you didn't work Friday, but I didn't know if that was every Friday or just last week.

 

Anyway, we are doing great and if it weren't for gravity, I am sure Virginia would be floating instead of walking, to be out from the hospital and all the scary characters in scrubs. (By the time we left, she began shrieking when the janitor came in to empty the trash even though she was nowhere NEAR Virginia, because she was wearing scrubs!) And I am overjoyed! Her pain is very manageable with OTC meds, and her balance is obviously better today, the scar hardly shows when her hair is as wild as it usually is, we are HOME with our baby... my joy and relief are really beyond words.

 

We would like to do something nice for Dr. Sacco as a thank-you for his care of us, but I don't know him well enough to know what he would appreciate. He appears to be dismissive of thanks in general but since I am determined to express appreciation to him, it would be great if you could help me think of something that would be appreciated by him, or even just insight into his character/ preferences, etc. so I can choose wisely.

(Otherwise I will have to just come up with something that might or might not be appropriate- one man's trash is another man's treasure and all that.) Can you help?

 

Delilah

 

12 November 2004 - Letter to Angela- Virginia is doing great, four days past surgery!

Dear Ang,

The gift basket AND the Weebles toy came for Virginia today- what a thrill! Vi LOVES the Weebles, I got a couple of cute photos of her playing with it, one before it was even out of the packaging, and the other once Kurt had it set up... I didn't know they even still sold Weebles! (do they still say "Weebles wobble, but they don't fall down"??) And I already ate a package of the chocolates and an orange out of the gourmet gift basket too. YUMMMMMM!

 

Vi is doing better every day, and has had a good day overall. There have been a few rough moments today, but overall it has just been another day of joy to be home with our baby. We spread out the meds too far one time today and we all paid the price for it- won't be trying that experiment again for a while! (We were experimenting with waiting until she seemed to need the meds versus just giving them on a schedule... um... bad plan.) It is very unpopular when I have to do the wound care. She hates it and I am not crazy about it either, as you might imagine- but it's such a small price to pay to be home with my baby...

 

The big kids are okay but not great. I think it will be so wonderful and also pretty hard but necessary to get them home to us on Sunday. I am a little worried about it because they NEED to be home with us- tense, stressed, subdued... but they also seem to have colds and I hate to have them around Vi very much yet. I miss them, they miss us, Vi misses them. But when they are around it is stressful and loud and difficult and I know

I am not ready to handle everything I usually do yet. I hope I will be by Monday.

 

Thank you for asking.

Love,

Delilah

 

23 November 2004 - Letter to Bible Study group - A Stressful Day

My goodness, what a day! It poured rain and my car is still not working, so I couldn't go to Vanessa's and Isaac's Thanksgiving Day feasts at their schools as I had planned. I had been going to walk if it was nice weather, but walking through torrential rain carrying Virginia didn't strike me as a good second outing for her

post-op. My sister had said I could use her old car if I wanted, but even just carrying Virginia outside, getting her car seat out of my car, walking back around to Nane's car down the block, or dealing with the gate, installing the car seat, etc. just seemed like TOO much being out in the rain for Vi's first outing other than two hours at church on Sunday morning.

 

Then Dylan's grandpa called me and he was hopefully coming off the feeding tube and breathing tubes today, and hoping to be upgraded from critical to serious by the end of the week!!! It was great to hear from him, I am so glad to have a point of contact. I stopped by the family ICU waiting room yesterday when I was at the hospital getting caregivers’ last names to write thank you notes, hoping Dylan wouldn’t still be in ICU but he was… I was sorry about that, but at least glad I had been able to leave the family a note and a photo of Virginia, and ask them to contact me with updates on how Dylan was doing. Pete (grandpa) had been wondering how Virginia was doing too, so that was neat to re-connect. :-)

 

Then I visited with Ev on the phone, and it was such a reassuring conversation. We were talking about the toy box for Dr. Sacco dilemma and she offered to go to IKEA for me and see if she could find what I needed (the website said it was out of stock but she said sometimes they have things that are not on the site, so she'd look for something similar). I told her about how crazy important it is to me to do a good job here of showing Dr. Sacco my appreciation, and asked if she felt a passionate need to show appreciation to Chris's neurosurgeon after his surgery... if her emotional focus on the doctor was very intense after Chris had come through. She was able to assure me that if her neurologist had needed a surrogate mother, she would have offered to bear the woman's child for her. And that she still goes up there and delivers treats to the staff on the anniversary of Chris's surgery. So I felt less neurotic about my NEED to do this, and my strong concern that I cover all bases in order that Dr. Sacco feel appreciated and affirmed for what he did. I know that God is the one who heals. But He used Dr. Sacco, and in such a spectacular way... she is doing so well, it feels so miraculous to me, and I am just determined that he will accept some appreciation and understand the magnitude of the gift he gave Virginia and us through her. So it was nice to find out that Ev had felt the same way and that I am not nuts.

 

Then the EOB came in for the hospital. (Not the doctor, anesthesiologist, lab work, etc.- just the hospital.) $37,570. Yeah, okay. No telling how much insurance is going to pay on it, right now the EOB says they have paid zero, pending pre-certification finalization. I hope we only owe $1000 of that, and since it is in network, I think that is possible. We shall see. The out of network charges are where I expect we will take a big hit, because of the "reasonable and customary" thing.

 

I already know that Dr. Sacco's office charges higher rates than what the insurance counts as "reasonable and customary", and the benefits are only paid at a percentage of the R&C, not the total. So if R&C is $10,000, they would pay $7000 and we would pay $3000. But if the actual charges are $13,000, they would still only pay the 70% of the R&C, so they would still only pay $7000 and we would pay $6000. And that is for the neurosurgeon, much less the other stuff...etc... Considering that usually the financial stuff throws me for a loop, I barely even blinked at this- God's provision has been so strong, and I am still so grateful that she is doing so well, especially in light of having just spoken to Dylan's grandpa about how he is doing, that the money thing seemed irrelevant. Even without a functioning car.

 

So finally the rain let up enough that I thought I would walk to Vanessa's school and see if I could catch the tail end of her Thanksgiving feast (to which I was supposed to have taken cornbread, and I had made it but... just couldn't bring myself to carry the baby, and the cornbread, through the rain), since I knew I had missed Isaac's feast altogether which started 1.5 hours earlier. We didn't get there in time, they were done eating by the time we arrived. Bummer... but it was at least fun for Virginia to leave the house and everyone up at the school was thrilled to see how well she is doing.

 

Nane agreed to keep Vanessa and pick up Isaac for me in her new car, while I took her old car to Furniture in the Raw to see if they had any appropriate toy containers, so I left Vanessa a note in her class to that effect and then walked back home with Virginia. I did the whole car seat transfer thing to Nane's old car and went to Isaac's school first, to drop off the Thanksgiving build-a-turkey sticker projects I had been going to bring for his class party and say hello to everyone. Again Virginia was welcomed with open arms- she was happy to be back in her normal environments! I saw Pastor Tim and he said at chapel today, Isaac had patiently left his hand up through the entire service, and when it was almost time to close in prayer, Tim called on him, and Isaac asked everyone to please continue to pray for his sister Virginia, so they did. Isn't that the sweetest thing? It was great to get to tell everyone and show them just how well she is doing.

 

Then we drove across town and Virginia and I enjoyed wandering the aisles of Furniture in the Raw, though we found absolutely nothing. Argh! So, we headed back home because it was after 4 already and I knew rush hour traffic would be starting soon, especially since many people have tomorrow off to start the Thanksgiving holiday, and with the torrential rain earlier today, several highways shut down from downed power lines, overturned 18 wheelers, etc.

 

As I was driving through heavy but swift-moving traffic in the canyon area of downtown Dallas, just before I had to choose between I-30W and I-35S, my sister's car began jerking. I was in a center lane, there were no shoulders anywhere near. Everything began flickering, the check engine light came on, and the car began bucking and trying to die. I took I-35S and managed to cut across four lanes of traffic, getting to the right lane just before the Colorado exit ramp- and as I approached the ramp, Nane's car completely died. I coasted to the bottom of the ramp, just over the Trinity River bottoms in a very rough part of town, and sat. I was blocking the bottom of the exit ramp, and though I turned on the hazard lights, nothing was flashing, because the car was dead. Two men stopped and were going to help me move the car out of the exit ramp but we couldn't get the car into neutral or drive, so they drove away. I called Kurt and my sister, both, to come and get me ASAP. Then, another man approached the car, and I told him I couldn't put the car in gear... I couldn't roll the windows down because the car was dead, so to hear anyone I had to open the door. And it wasn't a good part of town, and I had Virginia in the backseat... Ugh.

 

So that man went away, then another man who had his son maybe age 8 or so, in the car with him pulled up. For him, I opened the door. He got the car into gear for me and he and I pushed it out of the exit ramp and onto Colorado so I was at less risk of being hit and not blocking the intersection. Then he got back in his car and began to drive away, but as he did so, three homeless guys approached the car, and were telling me to open the door and they would push the car for me. So the guy with the kid got back out of his car and came back over to me and got the guys to leave, and told them he had it handled for me, and told me to LOCK MY

DOORS. Which I thought I had done, but I had hit the power locks, which hadn't worked because the car was dead. So the time those guys were surrounding the car, they could have just opened the doors and who knows what. Yikes. I was really scared, and I called Kurt and Nane in a bit of a panic.

 

The man with the kid agreed to stay in his car by me until Kurt got there, and did so, for about ten minutes, bless his heart. One of the homeless guys came back but didn't approach the car again like before. I just sat there and waited, and was SO GRATEFUL when Kurt came. The guy in the van wouldn't leave until I gave him the thumbs up that this guy was my husband- he was a true Good Samaritan. I was shaking for hours afterwards. I am so grateful not to have been in a terrible car accident, which could have been extremely bad for Virginia, and that nothing happened to us while we were stranded.

 

And, when I got home, Ev called and she had found the boxes at IKEA and is UPS-ing them to me tomorrow, so at least I don't have to fret about that anymore!

 

30 November 2004 – A Happy Ending at Virginia’s post-operative follow-up appointment

We took a boatload of food, thank you notes, and toys up to Dr. Sacco's office, and tins of cookies to all the different nurses who cared for us in the hospital, to show our appreciation. Dr. Sacco and Nasia appeared to enjoy my homemade samosas, ginger cookies, chocolate chip/peanut butter chip cookies, raisin bran muffins, and sausage balls, along with a box of brain shaped chocolate covered cherries. We also took some fun toys for Dr. Sacco's office, so that kids will have something to do while their parents are getting the bad news that their child has to have brain surgery. My friend Ev in Houston bought and shipped me the boxes from IKEA that I finally settled on, after much agonizing over what to get to hold toys that would "go" in his office. He seemed very pleased, and what is even better, he released Virginia for six months, without even a six-week checkup!!! She is doing great, and the main thing is to make sure that she continues to do great- we will do an MRI in six months, and if all is still well, we will just see him once each year for a checkup. We thank God!!! (I am sure glad this process is OVER today, rather than us just having done the spinal MRI today as per the original schedule!)

 

30 November 2004 - Letter to Dr. Sacco

Dear Dr. Sacco,

We have really struggled to think of a way to adequately express our gratitude for what you have done for Virginia. My child’s health and freedom from pain are truly priceless. What could we possibly have to offer you as an expression of our appreciation, that would not be so small as to be ridiculous?!

 

After much consideration, we decided what you really lack that we can provide, is a wide assortment of toys for your patients to play with in your office. Kids like Virginia, Dylan, and Joshua, plus dozens more who I don’t know, would enjoy having something to do to distract them. And, any parent whose child requires the care of a neurosurgeon certainly needs their children distracted, so they can fully focus on what you are saying to them. In the end, this gift is more for those you help than for you, but it is all we could come up with. Thank you for returning Virginia to us in better shape than she was when we entrusted her to you.

 

Delilah and Kurt Ray

 

P.S. The brain shaped chocolate covered cherries just cracked me up, so I had to buy them too

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