Saturday, July 26, 2014

Summer 2014

 
Adding some quick photos from our recent trip to LA before we head out of town for San Diego.  If you live in AZ you go to CA to escape the hot summers.

 
David loves the beach.  Not the water so much but for sure the sand.

 
Zac loves the beach and the water.  Too bad he is allergic to sun screen.  We try to expose him to sun over time so he won't burn when we spend the whole day outside.

 
We were able to make it to the Phoenix Zoo on a muggy overcast morning.  David enjoyed hanging out with Smokey.

 
He loves horses the best.

 
I think Smokey likes him too.

 
Hopefully, someday we will move towards riding horses.

 
Hanging out at Nana's pool

 
My little silly boy with his proud Nana.

 
He is very cautious around the water and hangs out on the steps.  Today he actual let me take him under water.
Hopefully, we will have many more photos soon of our next adventure before school starts next month.

Tuesday, April 8, 2014

Really, 4 Years Old

It's that time of year where I have flashbacks to the beginning of David's life and there are no good memories of the first three weeks he was in this world.  It was filled with fear, turmoil, confusion, doubt, and terrible odds of him ever coming home.  He went from a 5% chance of survival to a terrible discussion on day 2 of life that we should consider what our wishes would be if he did not survive.  They wanted to life flight him by helicopter but they didn't think he could survive the flight.  Fortunately we were able to transport by ambulance when he was 2 weeks old, unfortunately he was still on the ventilator.  It wasn't until he was 3 weeks old that his platelets started to produce and we could stop transfusing, he was also off the ventilator.  It took 3 more weeks until his homecoming when they realized they couldn't wean him from his oxygen or could he bottle feed.  By that point bringing him home on machines and monitors was a welcome relief although I was filled with doubt about my capabilities as a nurse/mother.  Somehow we survived that first few months until the oxygen wasn't necessary.  And we still survive now with a feeding tube as his only way to receive the much needed nutrition to grow and thrive.  We also went through open heart surgery when he was 16 months old to repair two holes and suture his mitral valve.  There have been minor surgeries along the way for ear tubes, tonsils, adenoids, laryngeal cleft; but we have found so much to celebrate in these past 4 years and are truly thankful for every day we have David in our lives.  When he was born so sick my only wish was for him to live long enough so I would have good memories, I wanted to know his laugh and smile and how his voice sounded.  My biggest fear was that my memories would only be of a child hooked to machines, filled with fluid, never opening his eyes,
 
 
So this past year he started pre-school learned all of his capital letters and most small letters.  He learned numbers 1-10 and is still working on counting (unless you think 1, 2, 3, ten sounds correct).  He still has a long way to go with running and jumping and writing and using scissors. 
 
 

The part that is hardest to comprehend is that a child can be verbal but can't communicate well.  He can parrot most words so you can understand them.  He can say 3 to 4 word phrases.  He can tell you he wants to go to the zoo or go swing.  If he is hurt he cannot tell you what happened.  If you ask questions you most likely will get a random word as an answer.  If he comes home with a bruise on his forehead he will answer yes to the following questions: did you fall? did someone hit you? did you get bit?  did the dog do it?  did your teacher do it?  All answers are yes.  Did you ride the bus today?  Answer may be Woody.  Did you go to school today? Pedro donkey zoo may be the answer and yest the donkey at the zoo is named Pedro but that does not answer did you go to school today.  All in good time this too shall pass.

 
 
Another difficult component of David is that he is apt to escape.  Like walk away from you at the park or zoo or crossing a parking lot.  He has no comprehension of safety issues and he does not respond to the word stop.  Very scary stuff.  These are goals we work on throughout the year in school and at home.

 
The joys are really too many to name.  His laugh, his smile, his hugs, his kisses.  His sense of humor.  When Zac says who thinks Zac is awesome?  David raised his hand and says I do I do.  When he says I wuv you it melts your heart.  When I don't answer to mom or mommy and he yells Adina through the house.. these are the things that memories are made of.

 
When you know his favorite part of the zoo is the petting area and his favorite animals are horses.  When you know he like sports and superheros.  He has favorite movies (Shrek and Toy Story).  He loves nursery rhymes (he can finally say one from beginning to end, Patty Cake).  He loves all books and music.

 
He is so much more than I ever dreamed of from those first three weeks.

 
He is so much more than that prenatal diagnosis at 15 weeks pregnant.

 
He is so much more than a boy with down syndrome.  He is David and he has fought Goliath more time than I ever dreamed possible.  His 4 years on earth has taught me so much.  His smile is contagious and his personality sucks in strangers of all sorts.  I can't describe my joy to be his mother.  Happy 4th birthday (April 16th) to my son we have come a long way together in this world.

Monday, August 19, 2013

David Goes to Hawaii

First plane ride

Over tired silly

Turtle on the beach

Hang Loose

 

Only in Hawaii can you take photos that are postcard worthy

Tube feeding in Hawaii

Everyone loves a warm ocean, sorry California just not the same

Zac loves water falls

Enjoying the sun

First time boogie boarding

We really did go to the zoo, the Lund Family loves the zoo

 

Dole Plantation

Exploring the tide pools

Our only family pic from the trip

How much longer will he want to hold my hand

Such a serene setting

More waterfalls

Too cute
Hang Loose
Snorkeling like crazy loved it
Funny Zac

Zac's first canoe

 

Tuesday, June 4, 2013

Feeding Therapy Weeks 4 and 5

 
So week 4 we saw our feeding therapist for 5 days in a row then came week 5 we saw her for 1 day, her last.  The goal was 25 sessions in 5 weeks; we ended with 18 sessions in 5 weeks.  So we have 7 more to go over the next two weeks with a new therapist.  This is not because we missed a single session, our therapist had other plans.  So I am not sure how intensive it is 5 days week 1, 5 days week 2, 2 days week 3, 5 days week 4, 1 day week 5.  Let's say still no real progress.  We are stuck at more or less the same place.  We have better lip closure, better tolerance to brushing teeth, we have better utensil usage.  But he still doesn't swallow, he still does not have a food or drink that he likes, he still will not take more than 3 tastes of any food before he signs and says "all done".  

 
We do meet with the same doctor every week and we are exploring our options.  Trying to get enough swallows to do a swallow study not for aspiration purposes but to see what is going on with the swallow.  This is a remote possibility.  We are going to trial vital stim for one week to see if he can tolerate the procedure.  If he does then we will be on the wait list to start in 6-12 months.  It would be therapy 4 times a week for 6-12 weeks.


The last option the doctor presented is the inpatient feeding programs offered at CHOC (Children's Hospital of Orange County, CA) or on the East Coast.  More or less a behavioral psychologist feeds your child for 6 hours a day presenting a spoon or cup until they take a bite or drink then they get a reward....for 6 hours a day.  We are not sure David has the mechanics, motor planning, or capability to swallow how can I put him in that situation?  I gracefully declined and said that would be something to explore in a few years, maybe.  I forgot to mention leaving Zac and Daddy and living in a hospital or a Ronald McDonald house for 6-8 weeks. 

I am not even sure how happy I am to be finishing this program.  It has caused a lot of stress on our family. It is a huge time commitment.  It impacts David's naps every day which makes him very unhappy and tired.  It has led to more food refusal at home as far as tasting food and trying new things.  It has stressed me out and pushed me to my limits of balancing work and home.  It has led to many discussions between me and my husband some very intense.  I do feel there is no respect for the commitment made by the family, there have been some late cancellations, there are many hours waiting for the doctor to see us, and quite frankly we still don't see the benefits of the occupational therapy component (a whole different story on that later).

The pluses are knowing we are doing all we can do.  Having a team try to work through ideas with us.  Being taken seriously by the medical community that this is a very real issue.  Hubby and I really ending up in the same place at peace with the feeding tube but still working towards our goal of David eating (not his goal clearly).

My parting random thoughts for today.....it is easier to accept my child has Down Syndrome.  It is not common for a child with Down Syndrome to be 3 and 100% tube fed not showing active swallowing and no one can explain why, when, if, nothing.  He perplexes so many people and that is not comforting.  I am an engineer 1+1=2 every day of my life.  The "practice" of medicine still drives me batty.  I haven't fully embraced the feeding tube even though I really, really want to.  I love my child to the end of time and am thankful everyday that we have him on this earth.  He amazes us every single day with all of the things he can do.  I often underestimate his many abilities. Trying to keep my sanity.