Celebrating Inchstones

Sunday, April 14, 2013

Odd

I've noticed a few pics of odd things Asa's been doing. This jaw pose is his "normal" pose. He routinely does this while riding in the van or watching tv. Maybe it's just me but I can NOT get my bottom jaw over this far!!

We recently taught Asa to give a thumbs up. And by "we" I mean Suoer Why?! He loves that show and "talks" to it right on cue. So funny! Anyway, I noticed that this boney place pops out when he gives the thumbs up.

Just some pics I want to document in case I need them later!

We've had some super nice weather lately! Asa has loved being outside. He has driven his Power Wheels a million miles! I think he has allergy issues though. He ran a low grade fever Thursday and had runny eyes with sneezing and coughing. I started giving his allergy meds again. They seem to make him sleepy though. He was crabby after lunch today! He's spent the last few days taking 2-3 hour naps in the afternoons and sleeping 12 hours at night! When he's rested he's ready to play hard though!!!

Tuesday, April 9, 2013

Hippotherapy

Cade and Gracie had ball games Saturday. It was a long day but we wanted to give Asa a chance to blow us away with how great he could handle stress. And he really did do great but he couldn't make it the whole day. This is how he spent half of Cade's game. Sitting in my lap, laying on Gracie and an umbrella to keep the sun out of his eyes. How much game watching do you think I got to do?!

Asa had hippotherapy today. It was at 5 pm instead of 4 pm. We ran in Sam's and I thought I'd give Asa a little of my Dr. Pepper to have alert during therapy. A tired Asa is a very cranky Asa!! He didn't want a little watered down Dr. P in his cup but he wanted MINE!!!! And he did really good during therapy. Maybe he needs a caffeine fix every afternoon like me!

Just in case you think hippotherapy is only about riding....

Asa is sitting backwards on the horse while he places block shapes into the sorter. And if you notice he has to reach to get them in too!

Here's a few videos. Asa is squealing and happy in one. The guys leading him were the best cheerleaders! I don't think I got video of them cheering him on. At one point he was on his hands and knees and in a tall kneel on the horse and these guys were so great with him. Those are very hard skills for him!! In one video they stop and clip colored clothes pins to the saddle. Then Asa has to pinch them open to get them off. And she was quizzing him on colors too!! Can you imagine all the work! It's amazing!!

Tuesday, April 2, 2013

Horses again!

Asa had his second hippotherapy session today. Last week was cancelled because it was COLD! And it was our Spring Break! Anyway, his reaction this week was more "typical" for Asa! He got overstimulated when we went in. It takes a lot of volunteers to run the program but that also means a lot of folks standing around waiting for their turn too! He was getting impatient and then they put his helmet on. It was still a little bit so he got more impatient! Then as he was on the deck the horse got nervous and they had to work that out which made him more impatient! Once he got on his horse he was pretty good though! It's such hard work! I also taught him the sign for "horse". When we talk about the horses he will sign it! So smart!!

We had Spring Break last week and it was such a good week! Don't get me wrong, the weather was gross for a few days but we had some nice days too. It was just nice to be home and not running all around! While the weather was nice Asa rode his Power Wheel for 2 days straight! :) He has gotten really good at steering! Like all boys he likes to get into trouble! At first I thought he was accidentally getting stuck in the woods but turns out he LIKES getting stuck! He also like crashing!

Since we were stuck snide a few days with gross weather I tried some potty training. Asa didn't leak a drop into the potty and I took him a lot! I started trying because a few times we'd take his diaper off and let him air out. He'd sit down and pee in the floor! Maybe I should just cover the carpet with plastic!! Oh well, maybe summer break!

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!