Monday, September 22, 2014

September 4-Feeding Tube Presentation

Ellie was able to give her presentation to her class today. Not only was she excited but she did very well.
The list of items we took for her include:
Poster titled: Pictures from My Childhood (Pictures of Ellie from her NICU days to now)
Mini Buddy™ she helped make for her class
AMT training doll
NG tube, Non-functioning G-tubes (4)
Duoderm (cut into 4 pieces)
several pieces of Tagaderm
Grip-lock (for Ellie)
Foley Catheter- to replicate a J-tube inside the training doll
List of questions from the suggested questions found from our FB groups and Ellie's to each question.
IV pole, extra bag of formula,
Unopened can of Formula and Pedialyte
Empty feeding pump and Ferrell bags
She started out saying that she was going to read a book to the class about her that I wrote when she was in kindergarten. Very quickly, I realized she was taking off by herself without even looking at her book. Periodically, I would ask a question such as "what makes you just like your friends and classmates?" "When you are outside, what do you like to do?" These simple questions kept her on track.
She talked about eating, what she can and how it makes her feel to not be able to eat much at all. Her teacher asked if she has always been able to only a few foods. With this question, she looked at the floor and looked sad. She told her entire class that when we moved here, her doctors told her she was not allowed to eat anything and for a year, she could only have small drinks of water. The school nurse who was also in the room, let the kids know that when she was finally allowed to start drinking again, that she had to mix something in her drinks to make her water really thick.
The kids in her class really like being able to touch and handle the feeding tubes, tagaderm, and duoderm. There were wonderful questions asked today. While the kids loved the cushion-y feel of the duoderm, many thought it was very stinky. They were all fascinated with feel of the tagaderm. When I told them it was a like a 2nd layer of skin, they were not sure what to think about that.
We talked briefly about what a stoma is. I let them know that a stoma is a hole placed in the body on purpose, for a specific reason. I then asked, "Does anyone have your ears pierced?" I let them know the ear piercing hole is also a stoma, because they have to take care of their ears and keep their earrings in or the hole will close up. I also let them know that there was never a need to use the word stoma with them.
We then showed them the training doll, I showed them the tiny hole (stoma) in the front, and then the big hole in the back. They all giggled at the doll with a huge hole in the back. At this point I let them know that Ellie has a special kind of feeding tube that the doctors have to put in and when they do it becomes coiled in her body because it follows her intestines. At that point I passed the doll around so the kids could all see how far down in the doll the "J-Tube) (aka foley catheter) would be in the doll.

August 2013

The adjustments on Celidah's braces are coming along. She has a couple stubborn teeth that are fighting moving into place.

August 16th, for cub scouts, Zach had to build a marshmallow catapult. The idea behind the project was to see how far he could make his marshmallows fly. Well having already built catapults with the GEMS camp program, I had him think about what he did there to make his work better and what he needed to do differently with what he was given to make his work better.

After some experimentation and playing around he discovered how to make his catapult work really well. He began testing his project with dog treats. After fiddling a bit more, he discovered his catapult was shoot the entire distance of the back yard and sometimes further. He could not wait to try a marshmallow.

He won the prize for the furthest shooting catapult. Ava catching her treats
https://www.facebook.com/video.php?v=844281415583160&set=vb.100000039273069&type=2&theater

August 19th
Yesterday was Ellie's turn to see the doctor so we could get all her forms together allowing her to return to school. While she did well with homeschooling, she has been begging to returning back to the elementary school with her brother and her friends. She has done much better this past year health wise and had a normal PFT (pulmonary function test- how well her lungs work). While her PFT was in the lower range, it still fell within the normal range.
We are hoping that the year away from the school allowed her body and immune system to build up enough that she can handle school without to many illnesses this year.
Not only that, she has grown A LOT! When she was in the 1st grade she still looked like a toddler and was wearing toddler clothing. Over the last year she has grown and gained enough weight that we have had to get rid of all her 4T clothing and she is now in 7/8 clothing and finally wearing children's shoes. She could have worn size 2 shoes and maybe worn them just fine, but we went ahead and got her tennis shoes 2 1/2 to let them last longer. Her 1 1/2 church shoes are still ok.
Yesterday as she was sitting on the exam table and talking with her doctor he and I, at almost the same time, told each other how big and grown up she is getting. He said he could not believe how much she has grown since we arrived here. At the age of 6 she was barely 35 lbs and all skin and bone. Now she is almost 9, 58 lbs, and the average size of 3rd grader.
Her coordination is still not the same as most kids her age, she gets tired and sick very easily, and her body just runs down fast. But on the outside, she looks like a child 2 months from 9.

August 22
Today Ellie had her follow up at Johns Hopkins where we saw her GI dr. Both Ellie and her GI were excited to see each other. Her dr was happily surprised with how much she has grown.
Dr A and Ellie looked at her weight and growth charts together on the computer and Ellie was curious about what the numbers and lines meant. Dr A was wonderful with explaining to this almost 9 yr old child what was being measured and why this was important. Most exciting to both was when Dr A told Ellie that her height had jumped from 32% up to 58%. Her weight has also jumped. I forget what her weight was but her weight is now 33%. Looking at her chart, Ellie has grown 6 inches in the last year and gained about 10lbs. No wonder this child has needed an entire new wardrobe for school.
When she ended the 1st grade, she was still wearing 4t clothing and barely at that. Pants she had to wear a belt or pull up, sometimes both just to keep her pants up. She is now wearing a 7/8. Looking at her pictures I knew she had grown, I just did not know how much until today.
She was also as brave as she could have been for the blood work she needed today. Coming from a child who used to have full out panic attacks, today she did not. She still freaks out badly and fights the blood work, but not as bad as she used to.

July 2014

During the annual 4th of July pancake breakfast the kids loved the breakfast. The boys helped with flag raising ceremony put together by the scouts. Inside after eating all the primary aged children sang The Star Spangled Banner and were all thrilled to have sung as a group afterwards.

The pancake eating contest was a huge hit again. LOL Corbyn won the Golden Pancake Stack. This trophy was created by making felt gold pancakes piled on each other, glued onto a heavy plastic plate, with a plastic fork and knife also glued to the plate. This plate was glued to a small wooden box and all was painted gold. Very cute creation.

July 13- Thanks to a wonderful gift of Six Flags tickets for the whole family we were able to take the kids to Six Flags this summer. Not only did they have a blast, but Ellie got to ride her very first big kid roller coaster. Every time we take Ava out for long working days she does better and better. She totally loved her task as a service dog at Six Flags. Not only was she "working" but she was with me all day long and able to help as needed.

July 15th, Mini Buddy as an organization is getting closer to having the 501 (c) (3) status we have been working towards. We (currently as of Sept) have the final papers ready and are waiting the final word back.


Trying to update since this summer again. I realized I have done most of my posting on Facebook and not here or on our CarePages site.

June

This summer Ellie got to try her very first sip of soda pop. She was very silly about it and did not quite know how to react at first. (hoping the links work)
https://www.facebook.com/video.php?v=806888312655804&set=vb.100000039273069&type=2&theater

https://www.facebook.com/video.php?v=806888559322446&set=vb.100000039273069&type=2&theater

https://www.facebook.com/video.php?v=806889539322348&set=vb.100000039273069&type=2&theater

Corbyn fell and knocked himself out causing a need for two ambulance rides in one day. The second one however was far from comfortable as he was tied to a board for the whole trip. The xray noticed that he some cerebral damage due to the fall, so he had to be taken to Johns Hopkins neuro shock trauma for further evaluation.

https://www.facebook.com/video.php?v=803951619616140&set=vb.100000039273069&type=2&theater

June 14th, Ellie finished her own tea set so she could have tea parties with her friends. She used the mold and bake clay, then painted each item very carefully. This was one of her last art projects for the school year.

June 16-21 Celidah and Jade attended Girls Camp and both had a blast. Ellie also attended Theater Camp, while the older 5 attended GEMS camp, and the boys Scout Camp. Celidah was a youth leader at girls camp and Jade a 4th year. The boys loved scout camp and they worked on a bunch of merit badges.

GEMS Games, Engineering, Math, Science camp. All 5 of the kids participated in the GEMS program on base this year. This program combines math, science, engineering, and games into a fun packed week where the children work with scientists here on base in the military labs. The kids learned so much about a variety of the different aspects that go on inside the professional science lab. The boys especially were surprised how different, yet fun working as a scientist can be.

Ellie being left out due to her age was unable to do any of the "cool or fun camps" so we signed her up for theater camp this summer. She had a BLAST! Not only id she make some friends, but we discovered some hidden talent inside this little one. We already knew she could sing. Now we know she has amazing potential for onstage productions as well.





Monday, June 2, 2014

Life IS like a roller coaster, especially when you have child with ITP. Yesterday was one of those long adventure days. Corbyn, our 13 yr old son, has ITP.

To sum our day up:

7am- woke the kids to get ready for church:
  • about this same time Corbyn passes out, falls backwards and splits his head open spattering blood all through the boys room
  • 911 is called as Mom and Dad work to place pressure on his to control the bleeding using gauze and black tea bags

7:30- Ambulance and police arrive to help assess the situation
  • EMT’s are filled on what happened, then they prepare Corbyn for ambulance transport
  • Mom rapidly finds socks, grabs credit card, driver’s license, and military ID (yet tosses purse with cash back on the bed)
  • Dad dresses Ava (Mom’s service dog) to leave with Mom and we load up in the ambulance with Corbyn.
  • Suddenly while in route Mom realizes Ava has no treats, had no breakfast, no play time, no proper potty time, and all toys are at home
  • Dad later meets us at the local ER with portable water bowl, food and treats for Ava.

After triage, a CT-scan, phone consult, plans made to transport Corbyn vio another ambulance ride to Johns Hopkins Children’s ER for neuro-trauma eval. CT-scan revealed a posteried lesion on the T1. The fracture that was seen is one of those fractures that will heal on its own and will not affect anything. While at JHCC-ER, Corbyn was diagnosed with syncope, neurocardiogenic, refractive immune thrombocytopenic purpura (ITP), and a head laceration.

Well we knew about the refractive thrombocytopenic purpura, and the cut on his head. LOL due to the cut his clothes were soaking with blood and the floor looked like a crime scene. The ITP… again we know about that, as he was diagnosed November 24, 2007. Oh, today we found out his platelets are up again!!!

This saved him from severe injury for sure. Today his counts were 27k!!!! The gash in his head required 4 staples. Finally around 4-4:30pm his head stopped bleeding and oozing. Yes, his head took nearly 10 hours to stop bleeding and oozing but it finally stopped.

The original plans leaving the local ER was to get Corbyn into the JHCC neuro-trauma ER with admission to the neuro-PICU ASAP if needed. I am so glad we did not have to go there. Needless to say, today has been a very long and exhausting day…

We are home and he is still sleeping. Coming home after a day like yesterday was needed. Especially for his siblings.

Saturday, May 31, 2014

Tangled and Sons and Daughters of God

While looking through Pinterest, I came across a Family Home Evening activity centered around the Tangled movie and theme.  This lesson starts out with the "Mother" and Rapunzel talking and Rapunzel being told that the world is not safe for her. Not only is the world not safe, but "Mother" does her best to tell her best lies convincing Rapunzel she must stay in the tower.

Just like Rapunzel, each of us are sons and daughters of a king, and the longer we stay on earth, the longer Satan fights and tries to deceive us from understanding the important truths Heavenly Father has provided for us. Satan works harder to prevent us from feeling His love as well.

For more on this wonderful lesson idea copy the link and read the lesson on the following page!

http://ptskjohnson.blogspot.com/2011/04/tangled-family-home-evening.html

Sunday, May 11, 2014

Eighteen years ago, I was counting down the days to May 24th. This was our upcoming wedding day. I know at some point I would become a mother as I wanted children. I loved children and had always worked with children in some way. What I did not know then is that by this point in my life that four of the children would be medical needs children, or that I would deal with a body wearing our earlier than normal as well. What I did know is that I would become a mother and do the best I could.
What have I learned from my experiences as a medical needs mother? Well, like any other mother we get excited, make plans for our kids, learn to adjust, and keep plugging on through a lack of sleep and total exhaustion.
Emily Kingsley’s poem Welcome to Holland is commonly used within the special/medical needs communities as parents try to help others “walk in their shoes” as one could say. Sometimes we expect and welcome in a child that is not born perfect. Other times we do not expects, but still welcome that child. Then sometimes, these children are neither expected nor welcomed.
This poem relates life as if one is preparing for and taking a trip. As a medical needs family, with each additional child, we have had to adapt in a new way. Yes, this is kind of like learning another language for the next flight. The things my children have taught me, I could not have learned without them.
                Our oldest was early in all her milestones. I had the joy of watching her grow and develop. Our second child needed lots of help and intervention to become the amazing child she is today, yet is as brilliant as her older sister. Even if she prefers to hide this brilliance. Child number three continues to battle against his body with is platelets. Then we add mischievous personality child four into the mix and he keeps us on our toes. Bringing child five near the end, even as a baby, he has always been our Mr. Attitude, and making sure everyone gets what they need to accomplish their goals and tasks. Finally, but not least we have child six. This little one sure loves keeping everyone on their toes. She lights up the room with her smiles and makes sure everyone around her is smiling.
                Our first child Celidah, was a very energetic little red headed bundle of joy. Not only was she very energetic but brilliant and met all her milestones early. She was brilliant enough that we had friends telling us we needed to give a head start and teach her as an infant through “special” flashcards that would have her reading and doing complex math by the time she was eighteen months. After watching how the learning style worked and the time involved, we decided this was not right for us.
Instead, I created cut out alphabet letters, laminated them, and placed them where she had access to see them daily. She had access to blocks, magnets, and many other learning toys to encourage her creative side and academic as she was ready. This process worked for her as she was asking for help learning to read just before her 3rd birthday and sounding out simple words. Not long after, she took off and developed a love for reading which she still has today. Would she have the same love for school and reading with the flashcard method? Maybe? Yet, that was not my style.
Our next child Jade, was my first real challenge. She was totally the opposite of her sister. She met all her milestones late. Many were very delayed. In time I would learn to accept that each child will be different and sometimes very different. These milestones were delayed enough that intense early intervention would be required to help her out. We would learn that this child too was brilliant, she just needed help finding a way to understand her potential and learning style. Later, we learned that she was autistic and would need more intensive therapies than she had been receiving up to that point.
Like her sister, she too had access to the same educational toys and creative tools. She needed help communicating her needs, wants, and desires. To begin with lots of pictures were used within the house to show what was needed and expected. In time, we realized that the household rules needed to be adjusted. Why? I realized we had to have only one set of rules. I did not want one rule for my oldest daughter “you have to the good girl because nothing is wrong with you” and another for my younger daughter that told her, “you are disabled and have a lower standard to meet.” Instead, we re-aligned the rules for the kids that would allow all to follow.
Other than food allergies our third was fine until November 2007, when his body decided it was time to go haywire and attack his platelets. At first we were told to take him home and keep an eye on him because a spontaneous drop in platelets like he had would rise like it did in 99% of children facing the same thing. Two weeks later at a follow up, his platelets still had not gone up any, he was still sitting at 1,000. The normal is 400,000-500,000. With no rise, he was put on prednisone (steroids) and a referred to the hematologist. Again no rise, steroid level increased, appointment bumped up, IVIg treatments started. To date our son Corbyn, has had hundreds, of IV’s, and blood work pokes, IVIg infusions, many meds he did not respond to. Yet he keeps plugging on.
Our fourth son Jairon, joined our family with spunky and mischievous personality. He truly took after his Poppy with this, looks and personality wise. They are totally two peas in a pod. This munchkin was active but healthy (only had asthma). Most important to Jairon was to be involved in whatever his brothers and sisters were up to. He also loves making those around him smile.
Next came child five. When preparing for Zach we were not prepared for anything. We knew the pregnancy was high risk and there was a potential for problems, and the delivery did not go as planned. The delivery was filled with many complications, but things seemed to be okay after birth. This proved to not be the case. His lungs were born without the surfactant needed to lubricate his lungs. Without the lubrication, every time he exhaled, his lungs became stuck a bit more than before. In addition to that, the hospital he was born at, did not make the call to transport him for 36 hours. Due to this, the timeline for injecting the artificial surfactant into his lungs was borderline. Would this process work when he arrived to the NICU?
Later he was discovered to have a congenital heart disorder, a VSD. We did not know if his heart would require open heart surgery or not. He also was spitting up really bad and burning to many calories. This too would require a surgery. At that point they decided to put off the heart surgery to see if his heart would heal on its own, do a nisson fundoplication, and place a feeding tube for easier feeding and increased calories. During this surgery they discovered he had a hernia that needed repaired ASAP, so that was scheduled for the week after his feeding tube post op appointment. Right after that surgery he went right back into the OR for tubes in his ears because he kept getting really bad ear infections.
Somewhere around this time we realized his heart was healing despite the recurring surgeries. The next surgery he would have would be to remove a quarter he had swallowed. Due to his nissen, the quarter had to be removed because it could not pass through the esophagus. His next big surgery was to have a hemangioma removed that was attached to the main artery leading into his heart.
Due to his “many” surgeries, feeding pump, and “tons” of medical supplies, we had decided that if we would have another child, we were going to wait until all of Zach’s medical supplies were gone and out of the house. This was far from the Lord’s plan for us.
Right after delivering Zach, I was given a blessing. This blessing let me know that my family was not complete and the Lord would let me know our family would be complete. I think most hearing this in a blessing would be comforted. Me, I was not. At that point in my life I was terrified. Before Zach I had lost a baby, and the delivery was filled with complications. Zach’s pregnancy and labor was filled with complications. Not to mention at that point I was not even sure I wanted anymore, but had been haunted in the past by conceiving through birth control.
The day I found I was pregnant with our sixth child was a bad day. I was very sick with pneumonia and the meds to treat it best would terminate a pregnancy, could not be given if the test came back positive. Yeah, my test was positive. The kids were their gymnastics class, my husband in the field, and a very good friend with me (thank goodness). In the end this pregnancy was complicated, but not the worst. Labor was much easier than Zach’s.
Again like with Zach, everything looked great right after birth. Within a few minutes it was clear this was not going to be the case. At first Ellie was taken to the NICU to be placed on oxygen, an antibiotic, and watched. Within the first hour she started to take her first downhill turn. Before long she needed to be intubated, then suddenly she was on full life support. The next thing I knew they were talking taking her off the ventilator and putting her on ECMO to help her lungs because she had such fragile lungs.
There were tubes, wires, alarms, IV’s, pumps, all over her. However, eventually she came home, and added to Zach’s medical supplies. He had a feeding pump. She brought a feeding pump too. She also had a pulse-ox, apnea monitor, and oxygen. These had to run 24/7. Eventually we slowly removed machines here and there until she is now currently down to 2 feeding pumps and her GJ feeding tube.