tag:blogger.com,1999:blog-31155366826618967622024-03-14T07:19:17.879+01:00Kay's Leukemia BlogKayhttp://www.blogger.com/profile/11164540100730221434noreply@blogger.comBlogger249125tag:blogger.com,1999:blog-3115536682661896762.post-45998826626428068252010-09-19T21:26:00.001+02:002010-09-20T08:46:29.395+02:00Final entryNow that our Kay has departed I will not update this blog anymore. Marion & I will update our own blogs (see links right) with details of funeral arrangements, etc. We are missing the addresses of many people with whom we have had contact via the blog. We'd like to send you all a remembrance of Kay, so please send your contact details to Marion at howe dash family dot org or Robert at howe dash family dot org. I wrote our email address like this to prevent spamming.Anonymousnoreply@blogger.com5tag:blogger.com,1999:blog-3115536682661896762.post-44482464808616235082010-09-19T08:05:00.000+02:002010-09-19T08:05:59.642+02:00Kay Eleanor Howe: 2/8/2000 - 19/9/20105)time of death 7:35 am <br />
<br />
<br />
The EndAnonymousnoreply@blogger.com43tag:blogger.com,1999:blog-3115536682661896762.post-77629487927583512892010-09-19T05:41:00.002+02:002010-09-19T05:41:53.876+02:00End in SightKay's heart is failing. Alarm phase one, for the last time, I think.Anonymousnoreply@blogger.com3tag:blogger.com,1999:blog-3115536682661896762.post-48462588837748709042010-09-18T23:21:00.000+02:002010-09-18T23:21:11.608+02:00Bedtime ThoughtThe number of candles burning around the world for Kay means that we'll soon have to apply for a carbon emissions license and buy in quota from some green minded power plant. This could get expensive. <br />
<br />
:-)<br />
<br />
Nite Nite.Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-3115536682661896762.post-52320324921058735092010-09-18T22:53:00.002+02:002010-09-18T22:55:47.920+02:00Pattern of the DaysIt seems that Kay is determined to start our days with a big scare and finish them quietly. At least, this has been the pattern of the last days. Marion has proposed a solution to this apparent problem. She has determined that Kay doesn't like being left alone at night, so she's proposing to sleep on the plastic garden chair in Kay's IC room. <br />
<br />
I'm dead set against this idea, Marion is already on her nth pair of last legs and losing more sleep seems to me likely to result in me ending up with two patients. (Sorry, but this time I am thinking of myself). At the moment we have reached a compromise which is that she will stay with Kay until midnight and then come to bed. But do I trust her? Hmmm... We'll have to see.<br />
<br />
Kay is stable with reasonable blood gas figures. Feeding into her small intestine has now reached a volume where intravenous feed has been stopped. Due to the heparin used to protect the dialysis filter, Kay has developed some very nasty looking hematomas (bruises/bleeds) on her body. The heparin has now been stopped, so it is likely that the dialysis filter will quit shortly. When this happens, dialysis will be stopped and we'll see whether Kay's kidneys can do the work. So far they have been doing a good job the last days. <br />
<br />
The most bone marrow toxic medications were stopped yesterday in preparation for the bone marrow boost. This should also help her bone marrow to recover more quickly. The risk is that the CMV virus will gain ground, but we think that the alternative medication worked better anyway (but I'm learning that I'm wrong about 95% of the time with these kinds of things).<br />
<br />
Anyway, I'm off to bed. Tonight is an exciting night. By special arrangement we can sleep in real beds. I'm hoping to count a lot more sheep... and spend more time with Kay in my dreams.Anonymousnoreply@blogger.com2tag:blogger.com,1999:blog-3115536682661896762.post-7575242606927098582010-09-18T17:24:00.000+02:002010-09-18T17:24:47.297+02:00Back to YesterdayKay's state seems to have stabilised at around the same level as yesterday afternoon, before she was switched onto self-triggered ventilation. The last blood gas showed that O2 was good but CO2 still too high. Next blood gas at 6pm. <br />
<br />
I forgot to mention that her CRP this morning was about 15% worse than yesterday and still high. Her chest xray was no better than yesterday.<br />
<br />
In the meantime we have stood down from an active Alarm Phase 2. (Definition: phase 2 I SMS immediate friends and family that Kay's situation has taken a turn for the worse. Phase 1, I press the panic button and phone them. Tuesday evening was Phase 1)<br />
<br />
I thought that Marion looked as though she'd been put through the mangler this afternoon. Then I went and had a shower and saw myself in the mirror... Could probably get a role in the remake of the Thriller video. When we're through this I plan to spend some long afternoons snoozing in bed with Kay.<br />
<br />
How's it going, fish?Anonymousnoreply@blogger.com5tag:blogger.com,1999:blog-3115536682661896762.post-65024624713369846052010-09-18T14:22:00.000+02:002010-09-18T14:22:38.225+02:00DNR Status Revised DownwardsKay was already dnr for some situations. The rules have now been formally changed so that she's dnr for more situations. You can read something into that I think.<br />
<br />
She has been put back on a controlled breathing program. Her blood gases have stabilised at more acceptable levels. But she's back to needing high ventilation pressures. Thus the risk of blowing a lung, thus the change in dnr status to "do nothing if she blows a lung".<br />
<br />
Again, we're terrified, the electricity of fear coursing through my body. But we continue to feel that Kay's still fighting and as long as she's doing it, we can do it too.<br />
<br />
On the plus side, her white cell count rose today and her red cell count remained stable. The white cell count is not of any great signficancce, yet. But the fact of an increase is not negative. <br />
<br />
To be realistic, she has a very small chance of pulling through. But we're willing her on and on. I put my head against her head and pour all the energy and will power I have into her. Maybe it's like a fish trying to change the direction of an oil tanker, but I'm doing my best / we're doing our best and maybe, just maybe, it will make a difference. Hopefully it will end up being a fractal effect, a small change having large (positive) consequences.<br />
<br />
The more fishes there are, the more chance of changing the direction of the oil tanker.Anonymousnoreply@blogger.com6tag:blogger.com,1999:blog-3115536682661896762.post-21347748410280991112010-09-18T10:12:00.000+02:002010-09-18T10:12:35.571+02:00Situation suddenly deterioratedBlood gases have suddenly worsened. Very critical situation. Ventilation mode changed back to machine only but no room for manouevre. Co2 too high, o2 too low. So far they have not been successful in managing both at the same time. Atmosphere very serious amongst staff. Next hours will be critical.<br />
<br />
Start willing/preying again. Kay needs it.Anonymousnoreply@blogger.com7tag:blogger.com,1999:blog-3115536682661896762.post-27146759299490832082010-09-17T22:12:00.001+02:002010-09-17T22:19:03.344+02:00Not Better, Not Worse, Just Different<span style="font-family: Verdana, sans-serif;">Nothing much to report. Instead, a couple of pictures...</span><br />
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="http://2.bp.blogspot.com/_iv2vsb7IC64/TJPLJlZKHUI/AAAAAAAAANg/IqQjJYcja28/s1600/_MG_0506.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="428" qx="true" src="http://2.bp.blogspot.com/_iv2vsb7IC64/TJPLJlZKHUI/AAAAAAAAANg/IqQjJYcja28/s640/_MG_0506.jpg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-family: Verdana, sans-serif;">Wednesday Morning, Natasha sees Kay</span></td></tr>
</tbody></table> <br />
<div class="separator" style="clear: both; text-align: center;"><br />
</div><table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="http://2.bp.blogspot.com/_iv2vsb7IC64/TJPLMrtycaI/AAAAAAAAANo/Va0xVq_S27E/s1600/_MG_0517.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="428" qx="true" src="http://2.bp.blogspot.com/_iv2vsb7IC64/TJPLMrtycaI/AAAAAAAAANo/Va0xVq_S27E/s640/_MG_0517.jpg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-family: Verdana, sans-serif;">Thursday Evening, Mama and Kay <br />
</span></td></tr>
</tbody></table><div align="center"><br />
</div>Anonymousnoreply@blogger.com5tag:blogger.com,1999:blog-3115536682661896762.post-59072735017485549372010-09-17T17:34:00.000+02:002010-09-17T17:34:25.799+02:00Fresh BreathKay has been fighting the ventilator too much. She's a control freak you know? So they have tried an experiment, turning the ventilator into a mode where it waits for the patient to take a breath themselves. The machine detects the trigger and then does the breathing for the patient. So, if you like, the patient sets the pace and the machine does the work, the control freak's setting. <br />
<br />
The advantage of this mode is that the pressures that Kay requires are so far quite a bit lower than before. Her saturation was initially lower, 88%, so this remains an experiment. But it's possible to return to the previous mode without problems. But if she takes to it it means that there's a little bit more room for manoeuvre with her breathing. The adoption of this mode does not imply any improvement in her condition, you can be sure that I asked.Anonymousnoreply@blogger.com1tag:blogger.com,1999:blog-3115536682661896762.post-75865437275228245872010-09-17T12:37:00.000+02:002010-09-17T12:37:45.065+02:00Interesting News Not of Immediate Importance<span style="font-family: Verdana, sans-serif;">Again, I'm bowled over by how things work in these circumstances. We just heard that not only has the donor agreement to give more bone marrow for a boost, but that this will happen on <u>MONDAY</u>. In principle Kay will get the boost on Wednesday, if I'm correct about the timing. It will take weeks for the boost to have an effect, but still. </span><span style="font-family: Verdana;">As a result her CMV medication is being changed to something less toxic. </span><br />
<br />
<span style="font-family: Verdana;">The O2 supply has just been turned down to 95%, the lower the better. But she's still fighting the ventilation every now and again. The feed rate into her intestines has been increased a bit, which is good. It's now 30ml per hour. If we can reach 50ml/hr then the intravenous feeding can be stopped. She's till peeing like a horse, 1.5 litres negative fluid balance yesterday. </span><br />
<br />
<span style="font-family: Verdana;">Back to "not negatives", the chest xray from this morning was ... not worse than yesterday and the CRP was not worse than yesterday. </span><br />
<br />
<span style="font-family: Verdana;">Oh for the day when we are able to count only positives.</span>Anonymousnoreply@blogger.com3tag:blogger.com,1999:blog-3115536682661896762.post-60540297393220040472010-09-17T09:06:00.000+02:002010-09-17T09:06:17.890+02:00Little acts of kindnessYesterday night, when we came back to our room, there were fresh glasses next to our bed. This morning when I came down from seeing Kay, there was a breakfast tray in our room. These, and many other, little acts of kindness fill my heart and bring me to the point of tears. I really never knew that there are so many wonderful, loving and caring people in the world.Anonymousnoreply@blogger.com2tag:blogger.com,1999:blog-3115536682661896762.post-10485693021811053032010-09-17T09:02:00.001+02:002010-09-17T09:10:23.256+02:00Near missI woke at 7am and went immediately up to see Kay, accompanied by Leonie, with hope in my heart for a better start to the day. But when we walked into her room, her O2 saturation was 88% and dropping. With a growing feeling of panic I watched it drop down to 81%, with Kay turning a purplish colour. I was so scared I asked Leonie to go and fetch Marion, it seemed like disaster was imminent. The nurse who had been with Kay all night said that actually she'd been doing pretty well. O2 supply had been turned down to 85%, a big improvement. But 30 mins earlier she had had to clean Kay's nappy and Kay reacted badly, her saturation dropping. <br />
<br />
The doctor came in and carefully boosted Kay's already high ventilation pressure, still to a lower figure than yesterday fortunately. Very slowly Kay's saturation started to creep upwards and during the next hour reached 93%. Still, what we need to see is a return to the lower pressures, lower O2 feed and steady saturation of the night. <br />
<br />
But one thing that we have noticed is that if Kay is not sedated deeply enough she fights the ventilation and we all had the feeling this morning that she was only lightly in a coma. Certainly I can imagine that Kay would react badly to a nurse pushing on her to force her rectum to empty if she were only lightly sleeping. Kay hates all unwanted intervention and she's getting a hell of a lot. So they're now discussing increasing the sedation. I hope that this will improve her breathing as well.<br />
<br />
Another scary start to the day, but after an optimistic night. But you can see just how fragile Kay is. Let's hope that the day only gets better.Anonymousnoreply@blogger.com1tag:blogger.com,1999:blog-3115536682661896762.post-36574133216270677792010-09-16T23:00:00.000+02:002010-09-16T23:00:24.092+02:00The Pilot's Analogy<span style="font-family: Verdana, sans-serif;">The best way to describe where we are tonight is by an analogy. I’ve thought that Kay’s condition is something like an aircraft in a steep dive. The pilots are putting all the force that they dare on the controls, hoping to pull the aircraft out of the dive without breaking anything, before it hits the trees. During the last days the pilots have been warning the passengers to brace themselves for collision (head between your knees, kiss your ass goodbye) because their best estimate was that the plane was going in. But by pulling every trick in the book, this evening it seems that the pilots have pulled the aircraft of out the dive. </span><br />
<br />
<span style="font-family: Verdana, sans-serif;">However, this doesn’t mean the problems are over. The aircraft is now hurtling along at tree top height and has possibly been severely damaged by the huge forces that were applied to its control surfaces. There only needs one oversized tree in the way or a structural failure or even just rising ground for disaster to strike. </span><br />
<br />
<span style="font-family: Verdana, sans-serif;">But by continuing to apply careful control inputs and looking out for big trees the pilots are hoping to get the nose of the aircraft to rise, very slowly. There's nothing they can do about rising ground, that's just going to be good luck. Unfortunately the aircraft is travelling very, very fast and care has to be taken not to overload the structure while trying to pull the nose up. Equally trees are flashing by on either side very quickly. </span><br />
<br />
<span style="font-family: Verdana, sans-serif;">So this is not a moment to stop sweating, nor is it a moment for reflection or satisfaction. It’s a moment for looking out for what comes next and trying to return the aircraft to a safe and stable state.</span><br />
<br />
<span style="font-family: Verdana, sans-serif;">The passengers have had another horrible, nightmarish day, but they are hoping that by willing the pilots on and willing the aircraft to keep flying they can contribute to the recovery. In the meantime they are planning to have a drink and some trolley snacks and try to sleep, without looking out the window at the trees flashing past.</span><br />
<span style="font-family: Verdana, sans-serif;"><br /></span><br />
<span style="font-family: Verdana, sans-serif;"></span>Anonymousnoreply@blogger.com7tag:blogger.com,1999:blog-3115536682661896762.post-2604100767742214672010-09-16T14:26:00.002+02:002010-09-16T14:30:04.941+02:00Lovely SongWhile nosing around on iTunes I came across "If you see Kay", by The Script.
<br><br>
Excerpt of lyrics:
<br><br>
So if you see kay will you tell her that I love her,<br>
And if you see kay let her know I want her back,<br>
If she listens say I miss her,<br>
Everything about her,<br>
Make sure you say I'm sweet f.a without her,<br>
If you see kay<br>
<br><br>
If you see my friend, doesn't matter where or when, tell me if you see kay<br>
If you see my friend, doesn't matter where or when, tell me if you see kay<br>Anonymousnoreply@blogger.com9tag:blogger.com,1999:blog-3115536682661896762.post-64727891991465024432010-09-16T13:52:00.000+02:002010-09-16T13:52:41.288+02:00Results of Briefing<span style="font-family: Verdana, sans-serif;">We've had another briefing session with the doctors this morning. Again it was emphasized that everything is maxed out, no more tricks in the cupboard. But Kay is just holding in there. Her O2 saturation is hovering around 93%, but her CO2 levels are too high. Also they are using very high pressures to ventilate her which increases the risk of exploding a lung, a terminal event.</span><br />
<br />
<span style="font-family: Verdana;">However, the CRP is lower and they said that, with some imagination, her chest xray looks a fraction better than yesterday. But at least not worse. We're still forced to find solice in counting the absence of negatives. They have decided that from now on they are going to accept 'worse' numbers for her O2 saturation and CO2 levels. They said that patients with an O2 saturation of 87% or CO2 about 10 are not necessarily harmed by these levels.</span><br />
<br />
<span style="font-family: Verdana;">The goal remains to buy time. I hope that the dropping CRP and imaginary improvements in her chest xray can be converted into a real improvement in her lungs.</span><br />
<br />
<span style="font-family: Verdana;">Having people around us is helping enormously to get us through the day. Yesterday we were supported by friends and family. Today we have a few friends here. Everything helps.</span>Anonymousnoreply@blogger.com3tag:blogger.com,1999:blog-3115536682661896762.post-17950739743350942472010-09-16T08:10:00.001+02:002010-09-16T08:13:38.270+02:00Knife pressed against thread<span style="font-family: Verdana, sans-serif;">I just went up to hear how things have gone over night. The good news is that her CRP infection indicator has dropped dramatically. But bad news is that her O2 saturation has been at the bottom end of acceptable all night and that they have been fighting to keep it stable. </span><br />
<br />
<span style="font-family: Verdana, sans-serif;">Eventually they have had to turn up the ventilation pressure, which increases the risk of damaging Kay's lungs into the danger zone. Everything is being pushed and pushed to the max and further to buy her time. And no-one knows how long it will be before an improvment in CRP translates to an improvement in breathing.</span><br />
<br />
<span style="font-family: Verdana;">This is going to be another very long and agonizing day. And I hate waking up to another dose of terror/panic attack.</span>Anonymousnoreply@blogger.com3tag:blogger.com,1999:blog-3115536682661896762.post-704362246681211432010-09-16T00:59:00.001+02:002010-09-16T01:04:55.927+02:00Too much stress in an evening<span style="font-family: Verdana, sans-serif;">This evening they decided to try turning Kay on her back to see if this would improve her breathing. Note that yesterday morning, before things got this bad, turning her was considered to be too risky. However, with much care and preparation she was put on her back. Marion & I stood by, just in case anything went wrong. The process went well, but the results were very scary. Before she was turned she had at O2 saturation of 95%. Once turned she briefly reached 92% but the started dropping. </span><br />
<br />
<span style="font-family: Verdana, sans-serif;">The doctors had decided to use the opportunity to grab a frontal chest xray. But by the time the mobile xray unit came (10 mins) Kay's saturation was down to 85% and decreasing. The nurse told the xray team to hurry up because "we're into reserves here". Preparations were then made to turn her back onto her tummy. Frankly, I was quaking from head to foot. I was so terrified that I developed a skull splitting headache and started to feel quite unwell. But the process of turning her back was again well executed and fairly quickly her saturation returned to 95%. Her heart rate remained pretty stable through out, but her BP was fluctuating for quite a while and was still not stable when we left. We waited an hour or so for the following blood gas results to come in, checked with the medics and are now preparing for bed.</span><br />
<br />
<span style="font-family: Verdana;">I had a long chat with the head IC doctor this evening. He took the time to explain Kay's xrays to me, comparing yesterday's with last Saturday's. He showed me that most of the infection is in Kay's left lung, but her right lung is also not free of infection. Typically a child of her age should have a lung volume of 400ml, but Kay current has only 160ml and most of that is her right lung. Thus the ventilator is working her right lung in overdrive, while her left lung is not doing much at all. It's actually possible to see this on her rib cage, which is flattened slightly on the back left and rounded slightly on the back right.</span><br />
<br />
<span style="font-family: Verdana;">The risk is clearly that her right lung becomes too damaged to work properly because of the high pressures involved in ventilating a single poorly working lung. This evening's xray showed no visible damage, but the medics remain unhappy with her lung function and are doing everything they can to think of ways of relieving it. I was told that people can surivive on a single lung, so I conclude that if Kay's right lung can clear up somewhat, another 40ml of volume will make a lot of difference to her breathing. But this is just my too logical thinking, I guess.</span><br />
<br />
<span style="font-family: Verdana;">Anyway, Kay has survived another day and we just have to hope that enough time can be bought for her to fight off this infection. Meanwhile I have to try and let this evening's stress drain away.</span><br />
<br />
<span style="font-family: Verdana;">Oh, BTW, Kay is peeing nicely. I'm sure you wanted to know that.</span>Anonymousnoreply@blogger.com4tag:blogger.com,1999:blog-3115536682661896762.post-90774077938067835672010-09-15T16:46:00.000+02:002010-09-15T16:46:06.983+02:00Tiny tiny wee bit of light<span style="font-family: Verdana, sans-serif;">Kay's latest blood gas analysis shows that her 02 is very good and her CO2 has decreased. This indicates a tiny improvement in her breathing and creates a little bit of room w.r.t. ventilation. Also, the doctors have optimized the concentration of anti-fungal medication in her system to achieve maximum effect. They are pretty pleased with this result.</span><br />
<br />
<span style="font-family: Verdana;">Maybe, maybe there's a little less tension on the thread? </span><br />
<br />
<span style="font-family: Verdana;">Don't hold your breath.</span>Anonymousnoreply@blogger.com8tag:blogger.com,1999:blog-3115536682661896762.post-77261422110589389702010-09-15T14:46:00.001+02:002010-09-15T14:47:51.407+02:00The five worst things you can hearWhen the doctor says:
<br><br>
1) your child probably won't live through the night
<br><br>
2) think about what arrangements you need to make
<br><br>
3) have you said goodbye / given her a cuddle?
<br><br>
4) your child is DNR = do not resuscitate
<br><br>
5) (something I've not yet heard and hope never to hear)
<br><br>
------
<br><br>
Kay is still stable, sat 98% but high CO2. No aspergillus in her eyes. They're probably going to see if they can stop dialysis because her kidneys are working better. Her system is accepting food. Now, if only her lungs can beat the bug...
Keep your will power flowing.Anonymousnoreply@blogger.com3tag:blogger.com,1999:blog-3115536682661896762.post-34959837597472568652010-09-15T09:43:00.000+02:002010-09-15T09:43:53.341+02:00Still there... just<span style="font-family: Verdana, sans-serif;">Our little fighter is still hanging in there. Lungs still very bad but not worse than yesterday morning. CRP infection indicator down a little to 366, for what it's worth. Staff are doing everything they can to optimize her treatment. Other systems working better, she's peeing a little more, her BP requires very little support, feeding is going a little better. But yeh, it's all worth nothing without a working set of lungs.</span><br />
<br />
<span style="font-family: Verdana;">Lauren arrived late last night and has been with Kay. Nattie will arrive shortly, but probably won't want to see Kay if/until the very last.</span><br />
<br />
<span style="font-family: Verdana;">We made the night but this is equally going to be a long day. Marion & I got some chemically induced sleep, so we're not worse than when we went to bed.</span><br />
<br />
<span style="font-family: Verdana;">Guess that should be the theme of this entry, "Not worse". But then worse isn't possible without a complete disaster.</span>Anonymousnoreply@blogger.com6tag:blogger.com,1999:blog-3115536682661896762.post-45467374421972573122010-09-15T01:49:00.000+02:002010-09-15T01:49:27.175+02:00Stable for nowBut on a very very thin thread. We've had wonderful support from staff, friends and family. Now we're going to try to sleep. And will our tough cookie, Kay, to beat the bug.Anonymousnoreply@blogger.com7tag:blogger.com,1999:blog-3115536682661896762.post-31571475978550205772010-09-15T00:30:00.002+02:002010-09-15T00:30:55.349+02:00Different ventilator<span style="font-family: Verdana, sans-serif;">They have changed her ventilator. This resulted in a small improvement, but slowly that's leaking away too. She's still there and fighting.</span>Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-3115536682661896762.post-69123117120592507872010-09-14T22:35:00.000+02:002010-09-14T22:35:51.795+02:00End probably in sightWe have been told that Kay might not make it through the night. If she does the chances are smaller that she'll make it through the day. We have rung the emergency alarm bell. Marion is lying in bed with Kay.Anonymousnoreply@blogger.com8tag:blogger.com,1999:blog-3115536682661896762.post-77434243497968272412010-09-14T19:09:00.000+02:002010-09-14T19:09:49.706+02:00Situation Critical(er)<span style="font-family: Verdana, sans-serif;">Just spoke to the doctor. Kay's breathing has deteriorated and now she's up against the limits of the support she can be given. If she continues to get worse, we'll be into the end game. This will be a long night.</span><br />
<br />
<span style="font-family: Verdana;">Please, please, let Kay get through this...</span>Anonymousnoreply@blogger.com8