Olivia Lambert, her Diagnosis and initial Treatment, Aug to 6 Oct 06

Olivia Jane Lambert

Olivia Jane Lambert is a bubbly, happy 2 3/4 years old beautiful, little girl. Despite being born 10 weeks prematurely, she has, until now, enjoyed near perfect health. From the day she was born, Olivia showed great strength. She fought a hard battle in the beginning but continued go from strength to strength. She was determined to find her place in this world and to help her Mummy fight her own battle with cancer. And that, she did. We would go as far as to say that Olivia was a particularly easy baby. She was always happy and content, easily amused, well behaved and would go to anyone. She has always been very bright, cheeky, funny, energetic, loud, excited, curious, giggly, talkative, and affectionate but most of all, she just loves life. She is dearly loved by so many people. We have always felt so incredibly lucky to be the parents of such a gorgeous little girl, inside and out. Now our world has been shattered with the news that our beautiful Olivia has been diagnosed with Neuroblastoma – a very rare form of cancer. We know that we will never have an answer but continue to ask why has this happened to such a beautiful and innocent little girl?

Kirsty and James have both added entries to the following journal.

Stage 4 Neuroblastoma

The Symptoms

This journey begins around Wednesday, August 30, 2006. Olivia had been pretty sick over the past weekend. She had developed a cough on the Friday and by Saturday and Sunday, she had a fever and was vomiting. She picked up a little bit by Monday morning but later that day she began to deteriorate. James headed off for a business trip to the USA early on the Tuesday morning. In the meantime, I kept a close eye on Olivia as she continued to feel worse, continuing fever, cough, lethargy and loss of appetite. I took her to the GP on Tuesday who seemed to think she had a virus but ordered a chest x-ray just to be sure it was not pneumonia. The chest x-ray was clear. By Wednesday, she could barely move and was breathing rapidly. I took her to another GP who told me to take her straight to hospital. She went to Emergency, where they took an x-ray which confirmed she had a pretty severe case of pneumonia. I learnt that pneumonia can set in very quickly within a 12 hour period. The doctors began immediate treatment.

While in Emergency, I asked the doctors about the unusual bruising around her eyes which had been there for about a month. I had previously asked a couple of different GP’s about this but they didn’t appear concerned and simply told me that bruising around the eyes can take some time to subside. We were further perplexed by the fact that neither of us recalled Olivia bumping her head on anything. One GP ordered a blood test which showed her haemoglobin (red blood cells) was low which can cause anemia so the doctors were going to monitor this by taking further blood tests later on.

The Diagnosis

The doctors at the hospital agreed with me that the bruising was unusual and that it wasn’t normal for them to take so long to heal. They immediately ordered a CT scan of her head which didn’t show any problems. They decided to repeat the scan using a contrasting dye. This would help to show any abnormalities. The pediatrician told me that the scan had revealed some abnormalities in the bones in her head but couldn’t, at that stage, tell me what it was. Of course, I panicked and was quick to ring James in Las Vegas to tell him what was going on. Later on, the pediatrician returned to tell me that what the scan showed, looked to him like something called Neuroblastoma. I’d never heard of Neuroblastoma, but as soon as he told me, I knew it was cancer. Canberra Hospital does not treat these sorts of illnesses and he told me that we needed to go to Sydney Children’s Hospital immediately for further testing.

I was beside myself with fear and anxiety. Even though a diagnosis had not been confirmed and I didn’t know anything about Neuroblastoma, I feared the worst and felt my world start to crumble down around me.

I was told that Olivia and I would be flown to Sydney early the next morning via Air Ambulance and I had a short time to go home and pack a few things for the girls and I. As it turns out, we took that flight at about 3.30am. On arriving at Sydney Children’s Hospital just before 5am, we waited in Emergency for quite some time. Olivia was so sick with pneumonia and in the meantime, I could feel my heart breaking. Time becomes a bit blur for me now. All I know is that Olivia had a number of blood tests and was whisked away for other tests, x-rays and a full body CT scan.

Earlier that morning, one member of the oncology team spoke with me about the results of the head scan. She confirmed that there were three lesions in the bones in her head which, as it turns out, were causing the bruising around her eyes. In fact, one eye socket has been moved down as a result of the one of the tumours. The doctor told me that Olivia would have to endure many more tests to confirm the diagnosis of Neuroblastoma. She also told me that Neuroblastoma is curable, but I later learned that this largely depends upon the spread of the disease.

By this stage, I was a complete and utter wreck. James was in Las Vegas attempting to make his way back home and Mum and Dad were traveling up to Sydney with my 7 month old daughter, Sarah. I felt very scared and alone. Some of the doctors and nurses, as well as the social worker were trying to comfort me. How do you comfort a mother who is being told her two and a half year old daughter has a serious, life-threatening disease.

Throughout the day, Dr B, who, as it turns out, is Olivia’s oncologist, gave me updates on results and some information regarding Neuroblastoma. Later in the day, she confirmed the full body CT scan revealed a mass on her spine and that it could compromise her spinal cord. At that moment, I was holding Sarah, and I felt pins and needles travel from my fingertips and up the length of my arms. I began shaking uncontrollably. I felt as though I would pass out. Someone must have taken Sarah from me. My head was spinning, the voices in the room were a blur.

From now on, the doctors and nurses had to do regular neurological tests on Olivia to ensure her spinal cord was not being compressed by the tumour.

In the following days, James returned to Sydney and Olivia had to endure more tests, including a bone marrow aspirate, a bone scan, an MIBG scan (which is like another bone scan where radiation injected into the body attaches itself to Neuroblastoma cells) and an MRI, all of which required a general anaesthetic or sedation. She also had a barrage of blood tests. More bad results followed. We were told that Neuroblastoma cells were found in her bone marrow and other abnormalities were found in the other scans. All of this pretty much confirmed the diagnosis – Stage 4 Neuroblastoma. We were told that as this is a very aggressive form of cancer and that she will she will be treated with a highly intensive form of chemotherapy, require radiation therapy, a bone marrow transplant and possibly surgery. Due to the closeness of her primary tumour to her spinal cord, it was deemed too risky to attempt to initially remove it through surgery. Olivia has 3 main tumours in her head and numerous smaller tumours – currently too widespread to be removed through surgery.

The chemotherapy protocol and side effects were explained to us. Once again, I was overcome with emotion at the prospect of what Olivia will have to endure over the next 8 to 9 months and further down the track. We were told that she had a 30 to 40 percent chance of surviving this horrific disease.

We have since learnt that Neuroblastoma is one of the more common forms of cancer in children under the age of five. Neuroblastoma cells originate from a part of the nervous system and tumours often arise somewhere in the abdomen, usually in the adrenal glands, above each kidney. However, Olivia’s primary tumour is located in her spinal column. This disease is far more curable if presented in the first year of life rather than later on. In fact, we have been told by a few doctors and nurses that after the age of one, a simple urine test can usually identify if Neuroblastoma cells are present in a child’s body. Neuroblastoma raises the level of a certain chemical found in the child’s urine. It’s disappointing this test was not available to Olivia early on as it may have enabled us to detect the disease at an earlier stage. Usually, by the time a lump is discovered, the cancer has already metastasized to other parts of the body. The more widespread the disease, the more difficult it is to cure. In a way, we are grateful Olivia presented with black eyes or else we may never have known she had this illness. She was always so happy and full of energy and hardly ever sick (besides the pneumonia she had when diagnosed).

How Could This Happen to Us?

Everyday I woke up believing I was having a terrible dream and that my surroundings weren’t real. I thought I would wake up and find myself in my bed at home in Canberra and Olivia would come bounding into our room at any minute, full of her usual smiles and giggles. That wasn’t to be. I can’t imagine going through anything worse than this. Words can’t really express how I feel. I just can’t imagine a pain worse than this. As a mother, you feel an overwhelming responsibility to love and protect your children. However, when you are faced with a situation such as this, you feel so vulnerable and out of control. It’s difficult to come to terms with the fact that there is absolutely nothing we can do to change this situation. There is no cure for cancer – it’s completely in God’s hands.

All I could think about was unfair this was to happen to my baby. No child deserves this. Cancer is extremely rare in children. Only about 600 children are diagnosed annually in Australia. I had read that only 1 in 100,000 children are diagnosed with Neuroblastoma but Olivia’s doctor pointed out that it is actually more rare than that. What makes all of this harder to believe is that this has happened to us. I thought that we had already been through one of life’s worst experiences with my own battle with cancer during and after my pregnancy with Olivia. As a result, Olivia had her own battle to fight when she was born 10 weeks prematurely. I’ve always felt that Olivia was born to help get me through my cancer – she is my angel, my saviour. She gave me another focus and the strength to get through it all. Now I have to help her get through her own battle with cancer.

I didn’t know how I could explain all of this to Olivia. How do you explain to your two and a half year old that she has a terrible illness and that she will require months of medical treatment to get her better? I thought that she would hate us for this. I thought that she would think we were taking her to hospital to get chemo that would only make her sick, especially since the cancer was not making her feel unwell. We told Olivia that she was very sick and that she had some bad lumps in her head and back. We also told her that she needed to have special medicine for a long time to make the lumps go away. It was explained to her that the special medicine might make her feel sick and that her hair would fall out. We reassured her that her hair would grow back. Olivia seemed to take all of this news fairly well. She sometimes says to us “I’ve got lumps in my head but the special medicine will make it better” and “My hair might grow back” and we always reassure her that it definitely will.

We are all remaining hopeful and positive. The only way we seem to be coping at the moment is by taking one day at a time. That’s all we can do. If we start thinking about the future, it’s very easy to feel like you’re sinking into a big hole. From the beginning, we told Olivia that she was going to kick this illness in the butt. So we now have a motto - ‘Kick it in the butt!’. When Olivia says it, she punches the air – it’s very cute!

Our Home Away From Home

At some point, in all of this mess, we moved into Ronald McDonald House, just a short 5 minute walk to the hospital. It is a charity organisation, providing free accommodation to families with children who have serious illnesses. The rooms are comfortable with shared bathroom and kitchen facilities. We were originally in a room with a queen bed, two singles and a cot. However, we were recently able to move into a new room with a bathroom and small kitchenette. This became a necessity as Sarah was back to waking up two to three times a night which means that everyone else was waking up with her. Adjoining our new room is the Manager’s office where Sarah is able to sleep at night. She continues to wake in the night but Olivia seems to be able to sleep through it most times. We feel very fortunate to have a place such as Ronald McDonald House. It has enabled us to meet other families facing similar problems to us. It certainly helps to share experiences with other parents who understand and know the pain of what we are going through.

We have met a couple of other families whose children were also diagnosed with Stage 4 neuroblastoma. One is a little girl who has been having her treatment for a few months now and the other is a two year old boy who was diagnosed at around the same time as Olivia. He and his family are from just outside of Canberra. Small world!

When Olivia is in hospital, one of us stays there with her. Lately it has been either James or Mum as I have had to stay with Sarah until I finish weaning her. Despite having private health insurance, we were moved from ward to ward, wherever a bed was available, and ultimately put in a room with 3 other families. We were told that there is no such thing as private pediatric oncology, so Olivia is being treated under the public system. Whilst we are confident in the level of care that we are receiving, it makes getting any sleep a challenge when staying with Olivia at night. The combination of lack of sleep and stress has certainly taken its toll on our health.

To Biopsy or Not to Biopsy?

We were told that chemotherapy would begin after a biopsy was done on one of the tumours in her head. However, she could not have a general anaesthetic for this kind of surgery whilst she had a chest infection. It ultimately took Olivia about seven to ten days to get over here pneumonia. As public patients, the surgeon was unable to secure theatre time for up to four weeks. By going to the adjacent private Prince of Wales hospital theatre for a day, we were able to book in for later that week for the biopsy and to have her central line inserted into his chest, to allow direct access to her veins. Due to the minimal area of the tumor in her spine being exposed, it was deemed too difficult to access. Instead, it was proposed to cut a small hole in her skull to access one of the tumors in her head. On the morning of the operation, the doctors changed their mind and decided that the recovery time and risks associated with this procedure would likely result in a delay to the start of her chemo. Given the possibility that her spinal cord or brain could be compromised if her tumors grew any larger, it was decided that the risks of any biopsy outweighed the potential benefits. Not having a biopsy means that they do not know exactly how aggressive the cancer is which is determined by establishing the number of N-MYC chromosomes. However, her other test results point towards it being aggressive. The results of the biopsy would not impact on her current treatment protocol and would possibly only be of use in future treatment, should the cancer return.
Olivia was still was able to have her central line inserted. Unfortunately this procedure took longer than expected, and she did not fully wake up for quite a while, so she was not able to start the chemo that day as we had hoped. This allowed us to take Olivia to the Aquarium on the weekend, which she loved.

Chemotherapy begins - Monday, September 11, 2006

We were told that Olivia will need five rounds of chemotherapy. The first, second and fourth cycles consist of three drugs – cyclophosphamide, doxorubicin and vincristine. They are administered through Olivia’s central line. All of these drugs work by stopping cancer cells from multiplying/reproducing by damaging DNA, the genetic material in cells. They, of course, have a number of possible adverse side effects. The most common ones include: nausea, vomiting, metallic taste in the mouth, mouth ulcers, limb aches and pains, constipation, diaorrhea, drop in blood cell count (which means an increased risk of infection) and hair loss. We expect to see Olivia experience most of these. There are other, more rare side effects including heart and kidney damage but this is monitored carefully throughout her treatment. The possible long term side effects include infertility and a secondary cancer. Of course, as parents, we don’t really want to hear about all of the nasty side effects but unfortunately, it is what Olivia will have to experience in order for us to have her here in the end. And, we are going to do everything we possibly can to make this experience as easy as possible for Olivia and to make sure we get to watch her grow into a beautiful girl, teenager and woman.

We haven’t yet been told about the other drugs or treatments that will be used throughout Olivia’s ordeal. The doctors will give us more information throughout the course of her treatment so that we are not so overwhelmed with information.

It was a relief to see Olivia complete her first round of chemo. She seemed to tolerate it fairly well. Possibly the hardest part of the actual treatment was trying to keep her in bed for 72 hours straight – she can’t walk around in case of an accident involving the toxic infusion drugs. Olivia seemed to occupy herself by plastering her body with stickers. She has become very possessive about anyone trying to remove any of her stickers, no matter how worn or torn. Also, thank goodness for the portable DVD player Dad bought Olivia, as that seems to have provided her with hours of ‘Wiggly’ entertainment.

Post Infusion

After her infusion was finished, it was just so wonderful to have her back with us at Ronald McDonald House. She was sick, only once, a few days after she was discharged.

As part of her treatment she was required to have an injection of G-CSF each day for 7 to 10 days, to increase her white cell count. We were originally offered a single slow release injection, but someone ordered the wrong one, so she has to endure an injection each day. They didn’t hold her down properly during the first injection and her leg was cut. She absolutely hated that one and every subsequent one. It hurts us every time we have to take her in for an injection or even a dressing change. As soon as she sees a needle, she begins to cry and the look on her face tells us how absolutely petrified she is. It’s very upsetting and I often find it difficult to keep it together myself.

Olivia has to undergo regular check-ups and blood tests to see how she is coping with the treatment. She has been constantly looking very pale due to her low red blood cell count. About four days after her first chemo infusion finished, she required a blood transfusion. By the end of the transfusion her energy levels picked up dramatically.

It is very difficult knowing when Olivia is sick enough to warrant taking her to hospital. It is a double edged sword, as simply walking into the Emergency department can expose her to a swathe of bugs, at a time when her immune system is severely depleted.

Casualty - Tuesday, 19th September.
When Olivia developed a cough that was waking her up at night and distressing her, we spent 5 hours in Emergency prior to getting the all clear.

Two days later, we were back in Emergency when Olivia had a temperature. This time it took 6 hours before we were admitted to the ward. A blood test showed that she needed a blood and platelet transfusion, which didn’t actually occur until two days later. Mid way through the transfusion, her fever returned, though may have been a reaction to a particular type of antibiotic. This meant that the nurses had to temporarily cease the transfusion until Olivia’s fever subsided which, thankfully, didn’t take too long. By this time, we are also sad to see that Olivia’s beautiful locks of hair are starting to fall out. We first noticed it when Sarah grabbed a handful of her hair. It then continued to fall out very rapidly.

Olivia is always tired, though does not seem to be able to sleep until much later than usual at night. This is no doubt partly attributed to by the hive of activity in the Hospital ward during the evening. She fell asleep the other day, just sitting on my lap. Unfortunately the cumulative lack of sleep and the treatment has taken its toll. Olivia was always such a happy, smiling girl. However, she has become quite fragile, often crying for no reason or out of sheer frustration. This is likely to be a combination of the effects of the treatment, as well as typical two year old behaviour. We have become a lot more patient with her and tend to let her get away with a little more than usual. She has become quite clingy and likes to be carried around, rather than walking. We just make sure she gets plenty of kisses and cuddles which is great because we love getting them back.

This ordeal has also been difficult on Olivia’s little sister Sarah. She is very unsettled in this new environment and has had to cope with sleeping in the pram during the day.

It is starting to become apparent that there will not be many days that we will not be in hospital. We are now starting to wonder if we will be able to return to Canberra for any significant periods or whether we are better off staying in Sydney. Tied in with this consideration is how James will be able to do some work, given he does not have enough leave for the expected duration of the treatment.

We are very lucky to have such strong support throughout this whole ordeal. My family have been extremely helpful on so many levels. It’s really helped us to have my Mum, Dad and sister, Bec with us in Sydney. Bec even came home from Canada to see Olivia and to support us. Mum has been with us from day one, renting a small room in a nearby lodge and Dad has been back and forth to Canberra, bringing us things from home. Mum and Bec got busy making us several delicious meals to freeze at Ronald McDonald House and really helped us out by taking Sarah off our hands on many occasions. Most of all, their emotional support has been invaluable. We don’t know what we’d do without them – they’re amazing!

Some Time Back Home

It had been over a month since either of us had been back home and we were anticipating staying in Sydney at least until her second cycle of chemo. James made a quick dash to sort out a few things at home and work. Just as he was about to depart to come back to Sydney, we were told that Olivia was well enough to go home before the start of her next chemo session in just under a week. We packed up most of our belongings and made a late night dash for home.

Even though Olivia was very tired, her eyes just lit up when we entered our house. She excitedly started pointing out all her favourite things – ‘my toys, my TV, my chair and my car (tent)’. It was amazing to see Olivia so happy.

Olivia spent much of the week outside, playing on the swing, in her cubby house and on the jumping castle. I think Olivia really appreciated sleeping in her own bed. In Sydney, she wasn’t having an afternoon nap and was generally going to sleep around 9:30pm to 10pm. Back home, she was sleeping for 2 to 3 hours each afternoon and going to bed around 8pm. We noticed that Olivia now seems to talk quite a bit in her sleep. She often says the cutest things.

We also noticed over the past week that she had a very runny nose (or “runty nose” as she calls it) and her voice has become husky and croaky. We’re not sure if this is the result of chemotherapy or it she picked up a slight virus.

By now her hair was coming out in clumps. It was all over her pillow, the car seat, her clothes and getting in everyone’s mouth. Later in the week, we decided to give her a haircut to tidy it up. James gave her a very stylish short haircut. She is lucky to have a very cute face that suits a balding head – she looks a bit like a pixie.

Back to Sydney, without Sarah - Monday, 2nd October

We drove up to Sydney today, ready for Olivia to start chemo tomorrow. We decided that it would be best to leave Sarah in Canberra so that she could have some routine in her life and sleep in her own cot. This is not an easy thing to do as we will really miss her. However, it will also be easier for us to manage Olivia in Sydney and to give her all of our time, love and support while she is going through chemo. Mum will be staying at our house to look after Sarah. Unfortunately, she began teething only a couple of days ago, so Mum may be in for a couple of sleepless nights. Sorry, Mum!

Olivia’s second round of Chemo - Tuesday, 3rd October

We returned to hospital today for Olivia to begin her second round of chemotherapy. We arrived at around 10am but it took some time to admit her because for some reason she wasn’t on the admissions list (again!). Absolutely nothing happens quickly in the hospital! Once we arrived at the ward, C2West, we were waiting for quite some time. In the meantime, I took Olivia down to the hospital school to do some craft. We did some beading – she absolutely loved it. We later returned to the ward where they finally did some blood tests. After waiting for most of the afternoon for Olivia to begin chemo, the doctor finally came and spoke to us regarding Olivia’s health over the past week. Although she has been quite healthy and happy, she has had a continuous runny nose, a slight cough and a slightly husky voice. We were told that a side effect of one of her chemo drugs, Vincristine, is hoarseness of the voice which can be a concern. The doctor wanted the ENT surgeon to have a look at her. After consulting with the ENT specialists, it was decided that Olivia would go into theatre the next day so that the doctors could take a look at her vocal chords to ensure that they were working properly and to possibly rule out Vincristine being the cause of the problem. Of course, this meant another general anaesthetic for our girl and a delay in starting chemotherapy. However, we were able to take Olivia back to Ronald McDonald House with us for another night.

Later in the evening, we had phone calls and text messages to say that Olivia and I were on Dancing With The Stars. Unfortunately, we had missed it as I was bathing Olivia. A couple of weeks ago, we (Oli, Sarah, James, Mum and Bec) went to the Starlight Room in the hospital to watch Tom Waterhouse and his partner, Alana, show us a couple of their dances. The Starlight Foundation is Tom’s chosen charity for the show. It was fun. We finally got to see the two second footage of Olivia and I in the hospital – one of the other mother’s in the hospital had recorded it. For those of you who watch the show, we hope you didn’t blink or you might have missed it.

Wednesday, 4 October
We had to return to hospital by 7am this morning. I was up early as I didn’t sleep well. Olivia had kept us up for over an hour with her constant scratching of her bandage covering her central line. When we arrived, Olivia was asking for her breakfast. It’s difficult trying to explain to a two year old that she couldn’t eat because she was going into theatre. Once again, we waited around. Later in the morning, we were visited by a couple of surgeons who told us that Olivia would be going to theatre by lunchtime. It’s hard having to watch Olivia go through all of this and particularly emotional every time I kiss her goodbye in theatre.

The procedure didn’t take all that long and the surgeon spoke to us immediately afterwards to inform us that Olivia’s vocal chords were fine. That was good news but it still didn’t explain why her voice had changed. At least, the chemotherapy could go ahead.

Whilst she was under anaesthetic, a dermatologist had a look at the nasty looking rash that has developed under her adhesive bandage on her central line. It appears that she had developed eczema from the adhesive and it has spread to most of her chest and stomach. This meant that she could no longer have adhesive dressings on her chest until the eczema clears up. Olivia now has to have a piece of gauze and a bandage wrapped around her chest to hold in place. The purpose of the dressing is basically to protect Olivia from getting an infection in her central line which can happen quite easily if it is exposed.

When Olivia woke up from the general anaesthetic, she was absolutely beside herself. She obviously had a dry, sore throat after the procedure. Unfortunately, the more she cried, the more it hurt. She just didn’t know what she wanted. If either of us tried to calm her down, she just got more worked up. Luckily she eventually fell asleep. When she woke up, it was as though nothing had happened.

Thursday, 5 Oct. 06
James managed to meet with a colleague to do a few hours work. I then took some time out from hospital. It can become very depressing hanging around there all day, every day. I was in desperate need for a break as I was feeling quite down and stressed. I decided it was time for a bit of shopping therapy with my friend Rosie. I bought Olivia a few little presents to cheer her up. She seemed to enjoy them, particularly the bubble mixture I bought her.

Olivia is starting to find it very difficult to stay in bed. She keeps asking to go for a walk, but seems to understand that she cannot walk around whilst the chemo drugs are being infused. Luckily, she is still interested in watching Wiggles DVD’s.

Due to the bad rash she developed, Olivia now needs to have her bandages changed every two days. She previously found this to be very distressing. The hospital arranged for her to practice changing bandages on a dolly. After that, she was much more willing to have her bandages changed, provided that she was allowed to assist.

The Wiggles Visit Olivia - Friday, 6 Oct. 06
Today is the day that we have been waiting for. After my dad wrote a letter to the Wiggles asking that they visit her in hospital, Jeff (purple Wiggle) and Anthony (blue Wiggle) came in specifically to see Olivia. My family, Mum, Dad, Bec and of course, Sarah, drove up from Canberra just to see them and the look on Olivia’s face. At first, she was a little shy, but after a while she really started to get into it. They brought in a bag full of presents for Olivia and gave some to other children too. Jeff kept falling asleep so the kids would shout out ‘Wake up, Jeff!’. Other children and their families started to gather at the doorway to watch Anthony and Jeff while they spoke to the kids and signed autographs. They invited Olivia to ride in the Big Red Car at one of their concerts in December. Now I have a job on my hands trying to work Olivia’s chemo around it so that we can make it there. She would love that. They seemed like very down to earth, genuinely nice guys. As Anthony was leaving, he promised the kids that he would get Dorothy to come in and visit them in the next couple of days. We were very excited about this and hope we don’t miss out as Olivia is being discharged tomorrow. It was amazing to see how much the Wiggles lifted the spirits of the kids in the ward. We got some great photos and video footage.