John's 1st 4th of July

John's 1st 4th of July

Tuesday, January 11, 2011

John's developmental age

I was told by doctors not to expect anything from John for the first couple of years of his life. They assessed him about 2 months ago and said that his mental and physical age is 0-3 months, he was 14 months at the time. They sure were wrong. I should have known by now NOT to go by what I'm told instead by what I see John doing. Sure he might not be meeting his milestons on time but he is not acting like a 0-3 month old. He may not talk and I do think that the trach has a lot to do with it but he has learned to communicate with us in a different way. He knows that shaking his head means no and nodding means yes, if he has a dirty diaper he grabs his diaper and scratches it until we notice. If he doesn't want us doing something to him he will pinch our hands until we leave him alone, he has also learned on how to untie the trach tie. I know to some people it may not seem like a lot but I have learned not to take any of his actions for granted. He has proven doctors wrong since birth and defied many odds.  Today while we were out shopping he saw a toy he wanted and reached for it, when I left the toy he threw a fit because he wanted. I know I shouldn't have but it broke my heart to see him for the first time wanting a toy and me not get it for him so I did. He hugged the toy the whole way home and has had fun playing with it. It is the little things like this that make all of the struggles worth it. None of John's actions are taken for granted. Everytime he learns something new or reached a new milestone it's just so exciting. Our special children should never be compared to "normal" children on milestones, instead we should appreciate and encourage our children when they do learn something new, even if it is something small.

Thursday, January 6, 2011

Our battle with feeding and gaining weight

When John was born he was 5 lbs 1 oz not bad for a baby born at 35 weeks but since he wasn't able to eat on his own he lost weight very fast. When he was discharged from the hospital 2 days later he weight 4 lbs 3 oz which was a big weight difference. After spending 4 weeks in the PICU at another hospital he went home weighing 5. 6 lbs. His weight gain was very slow almost none in the following months. When we arrived at Loma Linda University Childrens Hospital in January 2010 John was 5 months old and weighed 6.1 lbs. Two days after being admitted into the hospital they placed a feeding tube through his nose, finally he began gaining weight slowly. He was discharged 2 months later weighing 8.3lbs. Everything went great afterwards, he started gaining weight and his health problems subsided.

When John was 14 months his pediatrician decided that it was time to increase the calories he was taking and increased to 30 calories from 22. This is when our new troubles began. He did just fine for about 2 weeks and then the vomitting began. He wasn't tolerating milk no matter how much we fed him. I tried feeding him small amounts at a time over a long period and that made no difference. I took him back to his pediatrician and she switched his milk to Pediasure. He did great on it for the first week and then again the same thing happened. After him nearly choking during one of his feeding I took him to the Emergency room at Loma Linda. There they admitted him into the hospital to begin testing. They stopped his feedings and put in a PICC line to start feeding him through an IV. They gave us 2 options 1 was to change his G Tube to a J tube and the second was for a surgery to tie his stomach around his esophaugus to prevent anything from going back up. My husband and I decided to hold off on any surgery and good thing we did. They sent him home after 2 weeks in the hospital with a different type of milk, this one was partially digested to make it easier for him to digest. He did great on it, for the first week and then again the same thing happened.

I stopped feeding him milk to let his stomach calm down and started him on clear liquids which he tolerated just fine. After 2 days I started him back on Pediasure but I decided to do something different. I was dilluting his milk with rice water. For every 8 oz of milk I would add 2 oz of rice water, I never expected this to work but I was desperate to find a solution. This was the solution to his feeding problems. So the solution to the long battle with milk has finally came to an end, at least for now. He lost 12 lbs during this battle with finding an answer to his milk. Right now he is slowly gaining the weight back but is more active than ever.

What has worked and what has failed ...

John Anthony was about 2 1/2 months when we were told that he was developmentally delayed. He had missed his first milestone of holding his own head up and soon he missed his milestone for rolling over. We didn't know what to do help him but soon I found that our post had Early Intervention Programs. We enrolled him as soon as we could and the sessions began. John wasn't very active yet but was still put to work. The first few therapies didn't really seem like if anything was being done but he was still too small for them to work on. The only thing that really stimulated John at the time was when our dog Goofy would bark or run around. Goofy become John's protector, where ever John was at Goofy was at too. At night time Goofy would sleep under the crib and during the day when John was on the bassinet Goofy would be right under. Whenever I would lay down with John on the bed Goofy would be John's foot stool. So we had found the first thing that would spark John's curiosity.

Once we moved back to CA and after John was discharged from the hospital the real work began for John. I got in touch with our local regional center and after a few evaluations they determined that he did qualify for their program. They assigned a teacher to come once a week to our home to work with him. John didn't care much for his teacher for the first couple of month. He would ignore her or play possum until he left. I then decided to turn our 2nd living room into a playroom for him. I spent 2 weeks painting a Jungle Theme mural on the walls to grab his attention and I filled it up with all of his toys. Right away he loved to play on the slide. He couldn't hold his head up or sit down alone so I would hold him by his wait and slide him down, he thought it was hilarious. So I began a routine with him, everyday we would play in his playroom and try new toys. He has one of the Step 2 rollercoaster and although it is not for his age group I gave it a try since he wouldn't be using it alone and he loved it. The next time I tried his Baby Einstein extrasaucer and he hated it. Although it was brightly colored and full of toys he didn't want anything to do with it. So I tried one of those door bouncers that was full of colorful toys too and he hated it too. I soon came to realize that he didn't want to play with baby toys or be treated like a baby. He wanted to play rough and with toys that were exciting.

John has been luck enough to have a wide variety of toys to choose from and play with what he likes. Considering the fact that he has toys from different brand I have to say that the toys he liked the best have been the vTech toys and Scout the puppy from Leapfrog. Doctors in Germany told me he wouldn't know what it was like to play with a toy until he was a couple of years old but when it came to the toys he liked, he knew exactly how to use them.

During his last hospitilization a nurse let me borrow a stationary bouncer since we couldn't find anything else to keep him entertained at 0300. At first he wasn't too sure about what to think of this new toy but within a couple of minutes he was jumping aay and clapping. He would jump up and down and side to side on the bouncer. We bought him one as a Christmas gift and everyday he gets excited when I put him in it. He jumps up and down as much as he can taking small breaks in between. He stomps his little feet on the ground and we just hear little stomps on the ground.

A child can have hundreds of toys and it will not matter if you don't find a toy that stimulates him and grabs his attention. We have bought every learning aide and educational toy we could find but the ones we thought would help him the least have been the best ones. I personally like the vTech and Leapfrog toys since they are educational and all of the bright colors and sounds grab his attention.

John Anthony's story

It was a rainy Wednesday afternoon in Germany when our son was born on August 12, 2009. Weighing only 5 lbs 1 oz he was rather small but he was born at 35 weeks so it was a normal weight. As son as he was born we knew that something wasn't quite right, he was missing his right ear. When I finally got to hold him, they told me to feed him and that's when we continued to notices abnormalities. He wasn't able to eat much and upon closer examination we noticed that he had a sking tag and a wide nasal bridge. 2 days later he was discharged to go home but instead my husband and I took him to a bigger hospital. As son as we got there they assesed him and admitted him into PICU where he spent the next 4 weeks. While there they did genetic testing and Cri Du Chat syndrome was his diagnostic. He didn't have the normal high pitched cat like cry but he had many other characteristics. That day our world seemed to come down on us. Knowing nothing about this syndrome and being in a foreign country with no family and not knowing the language, things didn't seem as if they could get any worse, or at least that's what we thought.

The time finally came to bring John home with us. He went home with a feeding tube in his nose and a suctioning machine. Everything seemed to be going ok until he missed his first milestone and then his second. After doing online research I found that our military community offered early intervention programs for children with special needs. It took a few phone calls and our son soon started receiving help. In Novemeber 2009 my husband and I became sick with bronchitis. With both of us sick it was only a matter of days before our son would be sick too. Mid Novemeber he got bronchitis and after taking him to the hospital all that they gave him were saline drops that we had to put down his nose, which we did. Little did we know that our son asperated and the saline drops would worsen the bronchitis. By the time Monday morning came our son was barely active and not doing anything at all. We rushed him to the health clinic on post where they started him on steroids and oxygen while they let the German Hospital know that we would be on our way. Our son spent his first Thanksgiving in the Klinikum (German Hospital) and after 2 1/2 weeks he finally went home. This is when our world finished turning upside down.

When we took our son to his follow up appointment the next day, we were told that the only way to keep our son alive would be if my son and I returned to the US while my husband remained overseas. We had no choice and we were on the first plane home. We spent Christmas and New Years at home btu come January the bronchitis would come back to haunt us. Since the bronchitis was never taken care of it turned into Pneumonia. Our son was transferred to a hospital about 45 minutes away from my home. He spent the next 8 weeks in the PICU.

When we arrived at Loma Linda University Children's Hospital the medical staff were in disbelief that their 5 month old patient wasn't even 6 lbs. He was put on oxygen and started on IV and antibiotics, the following afternoon our soon experience respiratory distress and was put on a higher care unit and a higher amount of oxygen. Here they diagnosed him with aspiration pneumonia (liquid would go into his lungs rather than his esophaugous) laryngomalacia which was causing him trouble breathing along with many other medical issues. He was taken to the operating room to perform a surgery to try and correct the laryngomalacia but this surgery failed and he was put on a ventilator. The next attempt failed and our son came back with a tracheostomy. Son after a mickey button was also placed to feed him through. Finally after 8 long and emotional weeks I brought my son home.

My son now needed 24 hour care since he was quite an active baby and would try endlessly to pull out his trach and feeding tube. I was never ready for what lay ahead. With my husband in the military serving overseas I was left to be a single mother like all military wives, the only difference was the extent of care our son required. I would sleep about 3 hours at the most a day, I would spend all night awake since John has his schedule confused. I was left to care for an infant with a syndrome I knew nothing about, to learn to use machines I never knew existed, to learn to be able to function with little to no sleep and to give all of my love and attention to my son.

No matter how many challenges, sleepless nights John is the most amazing thing that has happened to me and I could never imagine having a more perfect son. Although to some people he might not be normal to me he is everything a mother could ask for. He is such a sweet and loving baby, always laughing and smiling. Don't get me wrong he has  HUGE personality and is quite a character but he is truly amazing.