Celebrating Inchstones: November 2013

Thursday, November 7, 2013

Autumn

Asa loves walking in the fall leaves. This morning the leaves were wet so I wouldn't get in the grass with him while we waited for my mom to pick him up for school. I promised to walk with him after school. Anna picked him up after school. He usually comes in the back door, but instead he walked to the front walk. Yep, right under the tree I told him I'd walk with him under! Smart boy!

He wasn't satisfied with walking in the few trees around the house so he pointed down onto the trails in woods beside the house. So, off we went! He didn't like staying on the trails. That's okay though because he did lots of PT work by stepping over fallen trees and limbs. He even picked up his own walking stick (twig really) and swung it around in front of us. I pretended he was clearing the way of spider webs. There's a slight chance he was trashing at the dogs walking along in front of us. In any case, I didn't walk thru a single spider web! I HATE spiders and their webs!

We found the prefect grapevine to swing over a little ditch. I tested it out before the kids of course. Safety first! Asa didn't swing but cracked up at us! He did have fun walking across the ditch on a limb. So much for his fear of heights! I guess that's just the stairs. He did have a good grip on both of my hands and he got panicky the second time. Anna got a great pic of him with her cell phone!

What a great afternoon!

Tuesday, November 5, 2013

No fear.....well, maybe just a tiny bit

Asa has had trouble with stairs since he started walking last year. Not just the regular trouble where he didn't know how to go down stairs. He's afraid of them. And not big stairs, like going off the porch. He has let us help him down the porch or from one level of our house to the other. He would freeze up going off the curb though! Completely freeze and scream and squeal! So he's worked a lot on stairs in all his therapies.

This week in Aquatherapy, he stepped up onto the box, walked over it and back down with no help!!! No holding the therapist hand, no hesitation, and for the first few times no resistance!! Once I got the camera out he did start to hesitant and then would squeal after he stepped down. Still it was great!!

He does his best work when I'm not paying attention. If I speak or he sees me watching, he starts being difficult. I waited until he'd done this up and over several times before I videoed him. Now he loves watching himself over and over!

I can't say enough good things about Aquatherapy! Asa's first steps alone were in the water. Asa's had some great therapist too. He tends to start out great, work hard for a few weeks and once the therapists are wrapped around his finger, he decides to lead the session! And by lead, I mean he only wants to play and not work! You can see how this is a problem. So far all of his therapists have been tough, and he hasn't gotten away with that long! Can you imagine the ear piercing squeals added to screams, both echoing all thru the pool area and into the waiting area? He can be LOUD! Thankfully, he's been pretty cooperative the last few weeks and look how it paid off! I'm so proud of him!

Asa's story

Asa is the 4th and youngest in this family. We thought he'd come into this world and our lives would flow right along as it had the other 3 times we brought babies into this world.

We were wrong! After a normal pregnancy and delivery, Asa had to be sent to the NICU because he wasn't sucking, blood sugar dropping, floppy muscles, exaggerated startle reflex and jaundice.

He stayed 5 days were he learned to suck and eat enough to come home. He began nursing well but would scream in pain 30 minutes after each feeding. He had so much mucus and drooled so much. He had a terrible rash on his face. He wasn't making eye contact and was not hitting any milestones.

I kept taking him to the pediatrician but got nowhere until his 2 month checkup when he had only gained one pound since birth. That earned him an appt with a pediatric GI and a change to Neocate formula. Odd gasping spells and eye rolling got him into a pediatric neurologist before the GI appt. The neurologist (he was actually the head of the pediatric neurology dept) personally walked us over to the GI clinic and sat us in an exam room. That kinda makes you worry! That is when we really got the ball rolling. Asa was 3 months old.

At 4 months he was admitted to Vanderbilt Children's Hospital. He stayed 8 days and had a NG tube inserted so we could feed him directly into his stomach. He kept this for 2 months. Also during this time he had an EEG, CT scan, MRI, upper GI endoscopy with biopsy, flex sig, numerous blood tests, a genetics consult, and an ophthalmology consult and many other pokes and prods! So began our relationship with specialist!!

After 2 months on the NG tube, we removed it and tried to get Asa to eat enough to gain weight. He did OK for a little while but by 9 months old, he was fighting each feeding and not gaining weight despite being on Neocate formula at 30cal/oz. The decision was made to have a G-tube put in. The G-tube is a feeding tube that is inserted directly into Asa's belly. He can eat orally but won't so he gets feed into his belly.

Since he was going to have to be sedated for the surgery, it was agreed he should have a muscle biopsy at the same time. By 9 months he had finally began making eye contact. He smiled some but not very social. He was still very hypotonic (floppy) and didn't even have head control. Something was obviously going on with his muscles. All of his brain scans had been normal.

In Nov. 2008, when Asa was 13 months old, we found out the results of the muscle biopsy. Yes, it took 3+ months to get all of the results! He was diagnosed with Mitochondrial Myopathy. He is deficient in Complex IV for all of you medical junkies out there.

What this means is that his cells can't make enough energy to fuel his body....specifically for him, his muscles and GI system, that we know of. If his body has to burn energy to fight off infection, or a stress, then he looses energy in another system. Mito is a progressive disease with no treatment or cure. We try to keep him as healthy and happy as possible. We use the feeding tube to keep him feed so he doesn't have to struggle there. He takes numerous supplements and vitamins in the hope that they will keep him cells healthier. We check his eyes, hearing, heart, kidneys, liver, brain and lots of blood work yearly. Mito can affect any system so it is important to have baseline and watch for changes. He has a GI, neuro, geneticist, optometrist, ophthalmologist, cardiologist, developmental ped, regular ped and a mito specialist.

He gets OT, PT, speech/feeding and a home teacher weekly. He has some sensory issues with touch, sound, taste and texture. This plays into almost all areas of our lives! He is still very hypotonic but gained head control at just over a year (right after we started supplements!). He learned to sit when placed in a sitting position at 18 months. He still can't get into sitting alone. He learned to bottom scoot at just over 2. He does not crawl or walk.

He knows the signs for "moma", "daddy", "more" and "all done". He can show them when prompted but we are still waiting for him to initiate. He waves "bye-bye" and points all the time now. He loves to take a bath and water in general. He has a contagious laugh and can flash the most flirty grin ever!

We learned, with Asa, not take the small things for granted. Each smile, sound, word, bite or even trouble!! You just never know when they might not be so easy to come by or even if you'll have them at all!