Saturday, September 21, 2013

*there's 3 month old Caroline














All photos by Sweet T Photography

Wednesday, July 24, 2013

*there's his annual check up

Will had a visit with his cardiologist Dr. Johns this week. It included an echo and EKG. He happily watched Toy Story during the echo and was such a big boy during the ekg. He was still as he could be and actually managed it a little better than getting his blood pressure checked. That one had to be done a second time and he got understandably tired of having his arm squeezed. He did protest so much about having the EKG stickers removed that we just left them on awhile. I don't remember them checking his sats. If they did the number must have been fine because he got a great report. The doctor said they can't see or hear anything new or concerning.

The 2 main recurrent points in these appointments are: energy levels and the health of his teeth. The doctor said Will's heart functions close enough to normal that he doesn't expect him to have trouble with his stamina and energy. On the other hand, the structure of the inside of his heart is still different enough that a gum infection could affect the lining of his heart differently and have a larger impact than a gum infection in a person with a typical heart. Will recently had his 2nd visit with the dentist and things look good in that department. Getting a 3 year old to cooperate with brushing his teeth is another story, but we're getting there. 






Our sculpture photo shoot was crowded this year! The bored guys at the valet stand just make this year's pictures special don't you think?

Thursday, July 11, 2013

*there's a big brother


My lack of posts explained...

Meet Caroline! Born May 21st, 5lbs 12oz
It is hard to describe what adding her to our family has been like. Healing probably. My pregnancy was closely monitored and her birth was uneventful. Will loves her so much and has taken to his big brother role so well. 

Our other big news...
Will no longer has a feeding tube!!!! It had not been used in 10 months. With the help of Pediasure he has gained weight without tube feedings. 
Here we are right after having it taken out by the nurse on the general surgery office:
It has been a rough couple of days. Having his tube removed was upsetting to him. It was placed when he was 7 months old so i think to him it was a part of his body. The good news is that it appears to be healing quickly. Hopefully we can stop using a gauze dressing on it soon. The doctor said the healing process will continue over a long period of time. Years in fact. I am anxious to see how the scar will turn out. Pics to come...

Thursday, April 18, 2013

*there's a quick catch up

So many things I am behind on posting about...his birthday, Christmas 2012, his graduation from Special Kids. He's even had some "firsts" like his first trip to the dentist and his first Dairy Queen ice cream. I will get to those posts this summer. At least I hope!

I am checking in today because tomorrow is Will's 3rd annual surgiversary! I was looking at his scar last night and thinking about how simple and small it is and how it can barely convey everything it symbolizes. His life is normal now (whatever that means) and he doesn't have a clue what he has survived.

I'm going to look for some heart shaped balloons to celebrate. You might remember that he used to have a fear of balloons but now they are one of his favorite ways to be entertained! He won't know or care what the occasion is, and that is perfectly fine. :)

Thursday, December 6, 2012

*there's his one liners


Just needing to record these memories.


At the sound of our toaster oven's "Ding":
"It sounds like dinner's ready!"

Upon seeing our Christmas tree:
"Daddy made me a special big tree!"

While driving around town knowing he will see Christmas decorations on houses:
"I want to see a GIANT snowman!"

Upon finding some hand-me-down Clifford house shoes in his closet:
"My need my slip doggies!"

After hearing me sing a verse of Rudolph:
"Try again."

Most of all, I really don't want to forget how he says "Mommy".
Sometimes it comes out Mommy.
And other times Mommy Jody.
That can often be shortened to Ma Jody.
And sometimes Mommy comes out "Ma-ee".
That one is my favorite.

Friday, November 2, 2012

*there's his first real trick or treating

We live in a great neighborhood for Trick or Treating! We walked with several neighbors down the street for Will's first Halloween experience with big kids. By the 4th house he understood that the object of the night was not, in fact, entering everyone's home. I don't think he got brave enough to say "Trick or Treat" but he did whisper a lot of "Thank you"'s. We were surprised that he wasn't scared of the scary costumes and decorations! Sometimes he would say "Ooo, scary" but then he wanted to collect his candy and move to the next house!

It's a bird! It's a plane! It's Superman!!

Walking around just like a big kid.
 
 


Waiting patiently for more kids to come to our house.
 He had just as much fun handing out candy at our house at the end of the night. He loved collecting suckers and would help put them in everyone's bag. He was sad when the night was over.
So far it looks like Will likes Starbursts!

Monday, October 29, 2012

*there's eating and drinking

Big news about Will's feeding tube...we aren't using it!

After weeks of struggling with a nutritionist that refused to budge from her recommendations, I made an appointment with Will's pediatrician. I prepared a lengthy case with multiple talking points on why we felt using Will's feeding tube didn't make sense anymore. Fortunately, all I had to say was "If we can all get comfortable with Will's weight being low, then I think he can maintain it by eating on his own." His pediatrician immediately agreed. I didn't even need the tissues I had close by in case the conversation got so upsetting that I ended up in tears.

It was a good time to start because Will had just entered the 5th percentile for weight, and you might remember that he is almost always in the less than 3rd percentile for weight.

How did we do it?
We just fed him. We stuck to the basic schedule he has always had and still offered food and drinks in the way it was ingrained in us. Meals at 8am, 12pm, and 6pm. Snacks at 10am and 3pm. I still add extra calories to food whenever I can, but the kind of foods he eats are typical of an almost 3 year old.

How did it go?
The first week was awful. Periodically we give him a week-long break from his appetite stimulant because he develops a tolerance. The break helps it work better. He was due for that break the same week we made a change. As a result, I think he lost 2.5 lbs. He looked sickly but we stuck with it. If the new plan was going to fail then we needed it to actually fail. That was my complaint about the way we had been feeding him - it was a constant exercise in keeping him from getting too small, without knowing IF he would actually get too small. Also, the definition of "too small" is a vaguely defined phrase. 

When he started taking the appetite stimulant again every day things looked better. He literally looked better so we just kept at it. Sometimes we would chant "Eat! Eat! Eat!" or use other creative tactics. We didn't check in with the doctor for a month. I actually don't remember what his starting weight was vs. the 1 month checkup weight, and I think that's the point! I'm very grateful that his doctor didn't want us to keep a calorie count. It was her idea to be very free about how we went through our day. He is still what people would consider skinny but his height is good.

I'm so grateful to his doctor because she also was cooperative with my request that we not give Will anymore Pediasure. This is the formula with complete nutrition he has had since he stopped getting breastmilk and preemie formula. I don't like Pediasure. I don't have a good reason to not like Pediasure, but I just don't. It's thick, it's sweet, and it's just a weird and unnatural thing to feed your child. Will's doctor clarified that Pediasure and his feeding tube were actually two separate issues - since often children with low weights drink Pediasure for the calories. All I could say to that was "But I hate the Pediasure". So she said to go with milk! What a difference it makes to be heard!!!

In that first week with very little eating and lots of weight loss, not only was the missing medication for appetite a factor, so was milk. Even though he has had plain milk several times with seemingly no problems he just wasn't drinking very much of it. So the solution was to mix it half and half with Pediasure. We had the huge month's shipment anyway so we might as well use it up. That has worked really well for him. It feels more like a weaning and the extra calories are nice too.

At the one month mark, Will's doctor felt it was going so well we could proceed with the same plan. When I told her we were mixing the milk with Pediasure, she said he may be having the same problem with milk many kids do - they just don't like the taste. She suggested we try easing Will into it by offering it consistently. So every day at lunch he drinks plain milk. How much? Who knows! I haven't kept up with it. It has been tempting to micromanage it, especially when you are TRAINED to do things in a precise way for a long time. But I relish not having to measure (or keep syringes and extensions washed for that matter)!

Eventually we hope he likes milk enough to stop the Pediasure completely.

What is the deal with Will's appetite?
I don't know. But I can tell you this, it's still not great. Eventually we will try withholding the stimulant.

What happened to Will's nutritionist?
Who knows?!?! She never contacted us voluntarily,  we always contacted her when it was time to make a change. Now we have guidance from another source so there has been no need for her. I have to say that Registered Dieticians have difficult jobs and a lot of knowledge that I can't begin to grasp. (I was shocked at the amount of math they have to do!) Obviously they have helped Will. But we have not had access to any on a local level that were willing to listen to me. In the beginning, they didn't need to listen to me because I didn't know anything about Will's health or what was best for him.  Following their plan closely in the beginning was not a mistake, but since their plan eventually stopped being what was best for him I'm glad we decided to go with another opinion.

How much does Will weight now?
I actually don't know! 25 lbs probably? He is weighed weekly at his nursing/daycare but I haven't asked what it is lately. Since the doctor doesn't want reports between his appointments with her I don't either. I feel sure he is again in the "less than 3rd" percentile. But his development in almost every other way is very good so I am fine with that. Before I had that proof that these other areas were good I cared more about weight. But his brain and body are clearly getting enough nutrients now.

On to other fun things!!

*Halloween - Will is going to be dressed as Superman.

*His favorite morning and afternoon activities are spotting school buses, ambulances, and fire trucks. We count the school buses and sometimes he starts over once we get to three. I don't know why.

*He is a good listener. We have warned him to be careful around our dog so often that he will frequently approach her and announce, "I'm going to be careful with Peaches!". All he wants to do is put his hands in front of her face so she will lick them...but after the 8th time she is usually tired of that game.

*Third Birthday - Will is excited about his birthday this year. He often mentions the "three candles" that will be on his cake. He likes for us to remind him that we will sing the Happy Birthday song to him and then he will get to blow out the candles.

Pretty soon we will have a THREE year old!!

Friday, August 31, 2012

*there's more summer fun!

We discovered the best place at a river near our house for the whole family to play! There is a little spot in the rocks that seem to be there just to serve as Will's swimming hole. He slips and falls over and over and laughs every time. He sometimes wants to hold our hands because he's unsure of his footing, but other times he will take some really risky jumps. We plan to come back to this spot over and over.

 
We've got news about Will's eating and feeding tube. It will take awhile before I can muster the patience to type it up...but to give you a hint it is very good news!

Wednesday, August 15, 2012

*there's a great story

I haven't blogged much lately. Not much is going on. Will is doing really well! We haven't been to see a doctor for him in over a month. I noticed that happened last August too. He has had some trouble with allergies but that is fairly normal for us. 
I am writing today to share this story. I have read stories of people with TOF that are quite a bit older and they are encouraging...but they also described a lot of trouble with their health, not being able to keep up with their friends, not being able to play sports, etc. I'm so glad those people are willing to share their encouragement, because the moral is that their lives have ended up great. There's also the example of Olympian Shaun White...but he is a little larger than life and his story seems too good to be true. So that is why I'm so glad to have seen this one:  
I'm 29 and Dr. Pacifico repaired my textbook ToF at 14 months old. Life has been full and unrestricted. I've had both normal pregnancy and been "allowed" to adopt while others with different medical conditions are sometimes not allowed to do so. We plan to both get pregnant and adopt again. I ran my first half marathon in February. While I was slow based on how much training I did, I finished in the top 80% and was proud to say I am now a runner!

I'll undergo my second surgery ever sometime in the next year to several years to replace my useless pulmonary valve. That surgery is expected to be nothing but an upgrade on future quality of life... a good news surgery.

I was always pretty vain -- into fashion and looks growing up -- yet my scar never bothered me a bit. From a tiny age, my mom sold it to me as a mark of gratitude for life, and I bought into that. Truthfully, I wouldn't lose the scar if I could! (And as a baby after surgery, I fell on the rung of a rocking chair and mangled my healing sternum, so the shape of my chest bone is disfigured. I'm even mostly okay with that.)


I just want to encourage you all. I can't imagine being the parent wondering how life will go for my child. From my perspective as a child/now adult living with ToF, heart issues have been an afterthought... nothing but a reason to be thankful for a body that works.
-R

(Hearing from a 29 year old means she probably got a repair that resembles what Will had. The older TOFers mostly had a repair called the BT Shunt.)

I have been in the middle of a week-long sigh of relief after reading this. :)

Tuesday, July 3, 2012

*there's his busy summer


Dousing himself in water



 Helping change a tire

 This was the day of all food coloring activities

 We won't be doing 3 food coloring activities in one day again...
Hammering ice

 Scooping in the split pea sensory box
 Water beads
 Practicing first aid on me
 And Elmo
 Getting good and dirty
 Pasta sensory box. I tried teaching him the different pasta names but he eventually gave up and started to call all of them "Cheetos". Close enough to Fettuccine so I'll take it. :)