Tuesday, March 31, 2009

In the wee hours of the morning...

My brother and his wife welcomed their baby boy,
Jackson Riley
at 1:15am. Both my sister-in-law and baby Jack are healthy and well. Jack weighed in at 7lbs, 3oz and is 20 3/4 inches.
We are so very happy for them and cannot wait to meet our new nephew/cousin!!! Pictures to follow!!

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Also in the wee hours, Miss Gracie has had her fourth night in a row without tolerating feeding or Pedialyte... we have spent today trying to get enough fluid in her to avoid the hospital, as she is verging on dehydration due to a lack of sufficient fluid intake over the last several days.
Up until today, her days have been fabulous (with the exception of feedings) and her nights have been awful. She cannot sleep unless her pump is off and wakes-up with it running at an incredibly slow drip of 10 ml/hour (which is not sufficient to hydrate her and illustrates just how sensitive her little tummy is).

Good news... More to follow on her first day at the therapy clinic on Monday (she was a total ROCKSTAR), our impromptu (and fabulously fun) outing Saturday and her (very successful) IEP on Friday...

Friday, March 27, 2009

A visit from good friends






Foto Friday vol. 9

Splish, splash they were takin' a bath!


This is the first time that the kids have taken a "real" bath together. Usually, Gracie uses a bath chair to keep her safe. She can sit up, but chooses to scoot down flat (not safe... duh) and because of her trach, a recline is necessary when rinsing her hair. Sometimes (not often due to the chaos that ensues!), Preston will sit in the tiny space not occupied by the chair and "hang out" while his sister gets a bath.
The other night John was home and took on bath time while I did dishes. Next thing I knew, I was being summonsed to the bathroom. "Mama, come here... bring your camera!" With the exception of the "too naked for the blog pics," this is what I took. Once I got Preston out, John got creative with the letters while Miss Gracie took an inch-deep "soak!" And speaking of letters and bath toys... No... they don't typically bathe with every toy and letter we own!




Playtime




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Thursday, March 26, 2009

Not her ears...

Unfortunately (because this is an easier solution), the culprit behind Gracie's behavior is not her ears. It's also, thankfully, not the newest changes to her pacemaker. She has, for the million and umpteenth time, active gastritis that finally showed itself (in the form of old blood in her G-tube) on Monday night.

We went to the GI clinic yesterday and saw a nurse practitioner - - she was nice in the end - - but a bit adversarial with me at first. This could be due to my own attitude toward her when she finally walked in the exam room nearly an hour and thirty minutes after our scheduled appointment time. Anyway, she wasn't too receptive when I told her we were trying to establish care with someone other than our current doctor. I think she just thought I was a moody mom, but once I thoroughly answered her questions, she began to take Gracie's situation a bit more seriously than just "needing calories" and gave me a bit more credit as a part of her "medical" team. (I'd like to think I have an honorary nursing degree in the specialties of GI, pulmonology and cardiology... perhaps I really should go back to school!)

Overall, though, we got nowhere and she feels that it's quite possible we've exhausted every avenue regarding a solution. That's not encouraging... but I will remain (fairly) hopeful that, at some point, we can alleviate this nightmare for my sweet girl. I cannot and will not give up the hope that there is relief in her future.

Tomorrow is her IEP... it will be just for placement purposes only. Since she's been out of school so long now and without any services, we don't really have an basis for making new goals (or adjusting old ones). In thirty days we will have a review and create new goals. Then, at some point in the very early fall, we will do her triennial review that's actually due in two weeks. I readily agreed to the delays. None of her team knows her at all and she's basically lost the year with the exception of Mommy OT, PT and school (which is good... but also includes a crazy little boy who wants to interfere and learn, too!). So, tomorrow we will work out the logistics - - what days she'll attend (she's only gone two hours, two days a week at the most due to health and stamina), what hours, what services she'll have and discuss the assignment of her health aid.
Once we get past this point, I have to wrap my brain around the fact that I will be leaving her with virtual strangers for the first time in her life. For the moment, though, I am focusing on tomorrow. I can only take on so much at once!

Tuesday, March 24, 2009

Five minutes of fame


Click here to link to the California Early Start Home Page.


On the right: John and Gracie in December of 2003. (On the left: I don't know!)



Over five years ago, our family was asked to take some pictures by our local Early Intervention office for some publication materials. I am still not sure to this day how our local office got to choose a family (out of all the offices in the state) or why they chose us out of everyone they knew and served.

When the photoshoot date was scheduled, I was out of town on business and so it was a "Daddy and Me" day for Miss Gracie! We knew then that their images would appear in a few Early Start/ Early Intervention publications. Later, we learned that they not only appeared on that poster (which hangs in offices, therapy clinics, and educational sites all across the state!), their picture was on calendars and brochures for the state as well as individual counties throughout the state! They were famous for a bit!

Turns out that the poster is still around... and the picture was "revived" for several different brochures. In the last few months, three people have mentioned seeing John and Gracie's picture! So... in case you missed their initial five minutes of fame... here is the "main" picture used five years ago... and again, today! Who said you only get your "five minutes" once?!

Sunday, March 22, 2009

Words I love... and some days, words I need

Shortly after Gracie was born, a friend shared these words by Erma Bombeck. I printed them, along with a few other quotes and poems, and had a handful of copies strategically placed throughout my spaces, so that when I needed to regroup with more than just a picture of Gracie (or a picture of John and Gracie), I could. I had one in my desk drawer at work, one on a bulletin board in my home office and after she got her trach, I had one folded in an envelope at the bottom of her suction bag along with her emergency pacemaker info.

These words speak to me, not because I think I am exceptional for being a mother to a special needs child, but because they give me the strength to dig a little deeper and find the traits I know I possess and need to use in order to mother my daughter. It's not easy sometimes, okay - - a lot of times, but motherhood, to any child, isn't supposed to be easy. I don't read this too often anymore, and since we've moved, it's not up in the house anywhere. But, after a very rough couple of "obsessive compulsive" days with my girl, I pulled it out and read it today.

I will be calling Monday morning to have her ears checked, as I am quite certain that something is going on and, other than to be exceptionally rigid in routine and obsessive beyond distraction or redirection (and to the point of being a little self-injurious), she rarely gives any indication when it's her ears.


The Special Mother
by Erma Bombeck


Most women become mothers by accident, some by choice, a few by social pressures, and a couple by habit. This year, nearly 100,000 women will become mothers of handicapped children. Did you ever wonder how mothers of handicapped children are chosen?

Somehow I visualize God hovering over Earth selecting his instruments for propagation with great care and deliberation. As he observes, he instructs his angels to make notes in a giant ledger.

'Armstrong, Beth, son, patron saint Matthew. Forrest, Marjorie, daughter, patron saint Cecelia. Rudledge, Carrie, twins, patron saint...give her Gerard. He's used to profanity.'
Finally he passes a name to an angel and smiles, 'Give her a handicapped child.'

The angel is curious, 'Why this one, God? She's so happy.'

'Exactly,' says God. 'Could I give a handicapped child a mother who does not know laughter? That would be cruel.'
'But has she patience?' asks the angel.

'I don't want her to have too much patience, or she will drown in a sea of self pity and despair. Once the shock and resentment wear off, she'll handle it. She has that feeling of self and independence that is so rare and so necessary in a mother. You see, the child I'm going to give her has his own world. She has to make him live in her world, and that's not going to be easy.'
'But, Lord, I don't think that she even believes in you.'

God smiles, 'No matter. I can fix that. This one is perfect. She has just enough selfishness.'
The angel gasps, 'Selfishness? Is that a virtue?'

God nods, 'If she can't separate herself from the child occasionally, she'll never survive. Yes, here is a woman whom I will bless with a child less than perfect. She doesn't realize it yet, but she is to be envied. She will never take for granted a spoken word. She will never consider a step ordinary. When her child says "Momma" for the first time, she will be present at a miracle and know it! When she describes a tree or a sunset to her blind child, she will see it as few people ever see my creations.'
'I will permit her to see clearly the things I see...ignorance, cruelty, prejudice...and allow her to rise above them. She will never be alone. I will be at her side every minute of every day of her life, because she is doing my work as surely as she is here by my side.'

'And what about her patron saint?' asks the angel, pen poised in midair.

God smiles, 'A mirror will suffice.'

Saturday, March 21, 2009

Miss Moriah


For months now, I have had a picture of our sweet little friend in CHARGE, Moriah, posted in the sidebar. It is my hope that each person who reads this blog, takes a moment to be led by whatever way they feel... by prayer, hope, positive thoughts, meditation... and think of precious Moriah and her parents as she fights so courageously for her life.

Yesterday, Moriah's mommy, Victoria, posted this on their blog. Please join me in sending your faithful, hopeful and positive thoughts toward this amazing, loving family.

"Moriah had to be emergently re-intubated this morning. She just stopped breathing all of a sudden, and wasn't responsive. Everyone swarmed in here within a minute and got her stabilized. Her carbon dioxide levels were in the 130's (normal for her are 60's), which is the reason why she was so unresponsive.

The CT scan that she had yesterday didn't show anything more about the nodules in her lungs. They thought that if they were bigger, it could be fungus. However, they're the same size.
Moriah is back on linezolid in case she has any resistance to the vancomycin from being on it for so long. There is nothing more they can do as far as antibiotics go...
She is still having fevers, but is doing okay right now. I was just reminded of how quickly things can change."

"Please join me in purposeful prayer this weekend in praying for my little girl. In whichever way you feel led, let us lift Moriah up to the Lord together, and pray for the source of this infection to be found, and for it to be resolved. For guidance and wisdom for the Nurses and Doctors...if any other tests need to be done or repeated...that they would know what to do to help Moriah get better."


Friday, March 20, 2009

Foto Friday vol. 8

Despite all of the "it figures" over the last couple of weeks, there are constantly bright moments in each day.
Sometimes you have to make it a point to find them; other times they are right in front of you.
The last couple of weeks in a nutshell:
A very full plate... And my cup runneth over.

Did you know that being able to curl your tongue is an inherited trait?

Look out Doogie Howser!
Last week, Preston showed the new nurse how to take Gracie's vitals and have a good listen in the morning.

On Wednesday when I took Preston to the pediatrician, we patiently played and waited on the sick side. Ortencia, the nurse, called Preston's name, he looked up at her and calmly shook his head, signed and said, "Noooo. Nurse, ouch, nooo." He didn't panic, but he clearly remembered that she was the nurse who gave him his shots just a week before. She cracked up, as did I, and we both assured him, "No ouch today, Preston. No shots, no pokes! We are just saying hello to the doctor and showing him the rash on your tummy."
He accepted that and then we waited in the exam room. The doctor came in and Preston said, "Doctuh, rash, yook (look)" and pulled up his shirt. Soooooo cute!

"Saturday Night Fever"


Sunday Night's Prescription:
Two doses of Tylenol (one for each child)
plus a whole lotta Daddy time
Benefits of this medication: Much happier children
Side effects: Hyper children who ignore bedtime


Miss Gracie... in full "diva mode" following her salon trim and style.
I just love the shot of the two of them together.

I've written a lot lately about how many new experiences Gracie has tolerated. After Monday's dentist appointment (where she was a bonafide, x-ray takin' rockstar as usual!), she surprised me yet again. Unfortunately, I did not have my camera and, for the first time in a while, actually left the house with my cell phone charging on the kitchen counter. Doesn't it just figure?!
Despite still being on the mend and needing meds for fever, I couldn't waste an opportunity (Gracie's nurse was with us) to take Preston for a quick trim. I love his hair longer, but his view was getting to be too much blonde and too little "world," so it was time. I also wanted to trim Gracie's bangs and even out the length a bit, but figured I'd do that at home. The last time Preston got his haircut (in October), Gracie was incredibly stressed out while we waited.
On Monday, though, she was perfectly happy watching Preston get his haircut. He sat in the fire engine, checked himself out in the mirror and watched a little bit of the Elmo video that we picked out. Mostly, though, he just turned to Gracie and said, "GeeGhee, dit" (Gracie, sit) and pointed to the yellow taxi-cab chair next to him. He wanted her to sit and get her haircut, too! I opted to wait until he was done and see if she'd like to sit in the same chair he used. She did. And she couldn't get enough of her cute self in the mirror. The stylist put a drape on her. She didn't fuss a bit (this was a huge shocker)! In fact, if anything, she just settled in that chair even more. She sat perfectly still for a quick spritz, trim and styling with the flowers and all. If I'd had foreseen such success, I'd have had more length cut off and her a-line reshaped, but I wanted it to be as quick and pleasant as possible. She knew she looked good. She couldn't stop smiling. And, she never once tried to take those flowers out the rest of the day!
(Oh... and I mustn't forget the new shoes... aren't they ridiculously cute?! How can a girl not have a great day with shoes like that?!)


Enjoying the "spring-eve" sunshine and citrus blossom-scented air

Wednesday, March 18, 2009

It figures

Doesn't it just figure...

  • that after spending months working on the right school placement for Gracie and finally, after weeks of jumping through insurance hoops, getting her nursing approved and having a nurse start part-time (all at the requirement of the school), the district decides to change the structure of the program and eliminate the need/ability for her to have her private-duty nurse attend school with her.

Yep, that's right. The dreaded process of establishing trust, rapport and a routine of responsibilities with a nurse began the first week of March. The very next week, I was informed that due to the needs of many other students in the SELPA (Special Education Local Plan Area), they were working on restructuring the program at the school to include an on-site RN and health aides instead of students attending with their private nurses. While this is a great development for the community as a whole (due to the numerous deaf/hard of hearing students with multiple medical needs and multiple disabilities), it was kind of like having the rug pulled out from under me (and the new nurse who was hired for certain hours and to eventually go to school with Gracie).

I had finally given in to the idea of having help again and had settled with it easier knowing that some of the hours would be with Gracie at school instead of all in our home. Now the only way to utilize those hours is to have someone work an 8-hour day after school. I am just not sure that I want to have someone in our home until 9 or 10 pm. And, there aren't agencies/nurses, for the most part, who staff four-hour shifts. Ugh.

Doesn't it just figure...

  • that when many of the kinks get worked out for school placement, new kinks are made. AND... that the regular school year will have less than two months left once Gracie is able to start. She has, essentially, lost the entire year. I think next year will be a repeat year of "kindergarten" for her.

Doesn't it just figure...

  • that when my husband went out of town for two days (work related) on Friday afternoon, both kids woke-up in the middle of the night with high fevers and congestion. Gracie slept only about an hour on Friday night. Preston's fever was as high as 103.2 without constant Tylenol and just broke on Tuesday night. Gracie was down for the count until Saturday evening, rallied a bit and then had a rough night Saturday. By Sunday at noon, she was completely back to herself. Preston, while fevery and stuffy, was happy and playful as long as the Tylenol was on board.

Doesn't it just figure...

  • that the night that John got home (Sunday), and offered to be in charge of Gracie while I attempted some rest, Gracie had a six-hour stretch of sleep. And doesn't it just figure that Preston did not!

Doesn't it just figure...

  • that on Tuesday night Gracie had the best night sleep she's had in months and I had to wake her from this peaceful slumber at 6:30 am to prepare to leave for the hospital. She had (finally) fallen asleep at 12am.

Doesn't it just figure...

  • that on the same day (Wednesday) that Gracie needed to be at the hospital at 8am for a couple of tests (Upper GI and Swallow Study... don't get me started on this) that Preston wakes up with a more obvious rash than the splotchiness from the night before. After I returned home with Gracie, I left her in her new nurse's care, sent a very tired, graveyard-shift working husband to bed and got Preston in the car to drive to the pediatrician's (back down to the hospital area) and have his rash checked-out... just in case.

He received his postponed dose of MMR (the "12 month" dose) last Wednesday (the 11th), and even though I was fairly certain he was fine and even mentioned Roseola to John and Gracie's nurse, I wanted him to be checked out. He is fine... and likely has Roseola - - as a case of "mock measles" would just now be showing-up rather than ending. Anyway, he's fine and it was good for his pediatrician to see him without his sister present... he was far less stressed and much more "himself."

Doesn't it just figure...

  • that when the kids seemed to be on the mend from their "ick," I felt it coming on. I have been drinking fluids like crazy. taking medicine and trying to deny it, but I have the stuffy nose, headache and sore throat to prove that I am losing the fight. With the schedule being kept around here, though, there is no time for this mommy to be down for the count.

I did, however, take an hour on Sunday when John got home and to get a LONG overdue pedicure... the first in almost a year. While it was rushed (I arrived less than an hour before closing), it was exactly what I needed to get through the rest of the day/night. It was the first hour of true "me" time since we moved.

Doesn't it just "fiscally" figure...

  • That in the same month that our old house finally is rented, there is a problem with the garage doors that will eat up all of the rental income for the month. And, doesn't it also figure that in the same month our old washer and dryer finally did their last loads, the lease on our family car was up.

The good news... the house is rented. Other good news... "June Cleaver" and "Harriet Nelson" (my new washer and dryer) are amazing "housewives" and do fabulously large, quick and super clean loads of laundry. The only bummer with them is that their price didn't include folding and putting away the clothes!

A Little Medical Update:

  • Gracie's current weight is 25lbs... up from 23... and hanging in at 25lbs despite the recent "ick." She is slowly closing the gap on her brother - - he's got her by one pound right now.
  • Saw the cardiologist, who unlike the GI doctor, took the time to listen to me, spent 90 minutes with us doing his own pacer check, echo, and additional pacer checks to observe Gracie's whole body twitching with each beat of her heart. Turns out, despite the GI doctor telling me I was wrong, the cardiologist confirmed that Gracie is most definitely "diaphragmatically pacing." In a nutshell, one of her pacemaker leads is too close to her diaphragm and for a good portion of the day, her diaphragm is stimulated by the current going through that lead, which causes her whole body to "pulse." He made several adjustments to her pacemaker settings in the hopes of alleviating this discomfort, but could only do so much to keep her settings within safe ranges as she's completely dependent. If we can't keep her comfortable enough, the only other option is surgery to move the lead... that's full open-heart surgery... so we are trying EVERYTHING else first. The good news in all this is: he's proactive, listens to me and he truly cares about Gracie. While this issue doesn't explain or solve her numerous GI/neuro issues, it definitely helps to explain the extra difficulty with feedings since her surgery last August. Slowly, but surely, we are getting back those five pounds.
  • Saw the new opthamologist... she's nice.
  • Saw the new dentist... he's SUPER nice!
  • Received her new PT/OT clinic recommendations... each therapy... TWICE a week. While that is a lot... A LOT... the fact that they've made a recommendation like that rather recommending "consultation" proves the need for the services both in clinic and in her educational setting. I have no idea how much she'll actually tolerate, but am thrilled with the aggressive recommendation. At least I know that part of her team wants to push her to reach her full potential.

Friday, March 13, 2009

Foto Friday vol. 7 - Oldies But Goodies

My laptop is on the fritz. It's been randomly shutting down for several weeks now. I've done system restores, I've run and re-run virus scans and double checked all security... nothing seems to be wrong - - my guess is that it's a power issue. Thursday night it shut down and won't turn back on. LOVELY.

Anyway, I am posting from "Ole Bessie" my (very antiquated) desktop that doesn't even have wireless capabilities. It's been around since before Gracie was born... and in computer years, that's pretty old!

So today's "Foto Friday" will be a few selections that are stored here in Bessie's hard drive! :-)


Happy Bath Bunny
April 2004



My Big Girl
One Year Old



Time to Eat
May 2004
(Pre-trach... lots of baby food tasting during very sloooow 50ml bolus feedings)

Cutie Patootie on the Couch
September 2005


The Joy of Bubbles
Gracie's 3rd Birthday (and Easter Sunday 2006)


Summertime Sliding
August 2006