Tuesday, January 26, 2010

October Orthotics and More!

The month of October was once again a busy month for Miss Chloe. Originally we had thought she would be waiting to be fitted for orthotics and gait trainers until after she had plenty of time to heal from her surgery. It seems Chloe never ceases to amaze us and was acting as if she had not been through anything less than a week after arriving home! So....off to the rehabilitation clinic we go for a SureStep Orthotic fitting.

Fitting Chloe for orthotics is much like tying down a wildcat and trimming their nails. She hates and I don't use that word that often getting her feet touched. The idea of holding them still to measure them for special shoes goes above and beyond the level of torture she wishes to endure. It took two of us to hold her while the technician measured her feet. After taking a deep breath and calming down she was able to sit on my lap and look to see what kind of shoes she wanted. They come in all patterns and colors. I have to admit I was a bit overwhelmed what I should pick. She had at that time just started getting into books and turning pages so she thought it was a great deal of fun to look at the book. I had given up on picking a pattern when she kept grumbling at me and taking the book away. The technician noticed, before me her always attentive mother (ha) could that she seemed to be drawn to a particular pattern over and over. It is the ladybug pattern. One of Chloe's all time favorite toys is this spinning toy filled with ladybugs. I thought perhaps it was only because of the noise. Apparently, over time now, we have realized that she loves ladybugs in books, her toys and on her orthotics! I have called her many things since birth and one of them has been buggie so I guess it only fits!
After two weeks wait her orthotics arrived and began the process of breaking her into them. We could tell the difference almost immediately. She began to tolerate more tactile exposure to her feet and lo and behold she actually began to bare weight on her feet. Most days she no longer fights to have them on. Every once in a great while she wakes up with a tude and then all bets are off.

Nissen Fundoplication update:
Since the placement of Chloe's original g-tube in February of 2009 Chloe has slowly started to make important gains. Before she had this placed she was unable to lift her head up for very long and the idea of rolling over wasn't even a thought in our minds. Even through pneumonia after pneumonia, MRSA infections, other types of infections and normal illnesses brought home by her siblings from the germ infested schools, she was beginning to show her true nature. Its amazing how much having good nutrition has improved the quality of her life and our lives as her family. I didn't think we would ever have it any better than we did at that point in time. Even though we struggled with illnesses she was rolling over, beginning an army type crawl and was a non-stop ball of activity. I couldn't have been more wrong!

When Chloe had the Open Nissen Fundoplication surgery to deal with her constant reflux and the pneumonias that seemed to follow, her whole life changed. Prior to this Chloe had been stuck in a feeding chair for an hour per each feeding. This occurred four times a day. So four precious hours of Chloe's day were wasted, in a sense, due to being stuck in this position. Other than using hand manipulatives and such we really couldn't do much with her. After her surgery her feeding takes approximately fifteen minutes four times a day. An entire three hours has been added to her development and growth period. I feel this has greatly improved her ability to become an extremely different person.

Shortly after the surgery Chloe went to a full crawl...no more dragging this girl's belly. She had been able to sit for short periods of time on her own and sort of go from sitting to laying down back to sitting unassisted before the surgery. Now she was sitting for as long as she pleased, going from any position she wanted basically unhindered by the lack of muscle control needed to perform so many "normal" actions we take for granted in a typically developing seventeen month old child! This became increasingly apparent to us when our PT came to our home after having not seen her for six weeks while she was on maternity leave. She walked in the door saw all that Chloe was doing and said, "Well I guess I will be re-evaluating her goals as she is currently doing everything I figured we would need to start working on!" Music to this mama's ears!

For months I tried to get Chloe's GI to listen to me regarding how much her inability to eat due to her reflux was holding her back. For months I researched and talked to people not only in our 1p36 Deletion Syndrome support group but others who had children requiring this type of surgery. For months I was shot down by my doctor as saying this was an unnecessary procedure. Finally, finally, finally....I got one doctor to listen to me and to my pediatrician regarding our concerns for the condition of Chloe's lungs, her overall health and how much having this constant reflux was holding her back from even making noises. How would you like to have acid sitting continuously in your throat? I dare say none of us would be as happy and as productive as we could be if we lived under those constant circumstances. Some people might say this was an unnecessary procedure with risks that didn't need to be taken. My answer to them is, I am her mother and I will do whatever it takes to help her be productive, happy and lead the best quality of life she can possibly have. I went into this procedure sold on its benefits and came out of the process wishing I had changed doctors sooner. I will be forever grateful to the GI that placed Chloe's original button under emergency conditions. He saved her life. However, I refuse to just stop at what is necessary to keep Chloe alive and always, always, always push to do what will give her a life!

Wow...that sounds a tad bit soapboxey, oh well....I have never been accused of being a quiet person!
Our Little Red Riding Hood...Halloween 2009!

Monday, January 25, 2010

Where to start....September!


I believe the last time we all met Chloe was going in for her Nissen Fundoplication...so many months ago! So many months ago! I have decided to add a month a day until I get caught up to the wondrous month of February so as not to burden you with so much to read!

September 14th was the big day for Chloe's Nissen to be performed. As in typical hospital fashion we arrived at 10 as requested and her surgery was delayed by three hours. Finally she went in and a very long four hours later, Dr Gregory Lund, Chief of Pediatric Surgery at UW-Hospital, came to tell us that eveything went great. No complications and she was headed to recovery. That surgery is rather common place in the world of our 1p36 kiddos, but nonetheless a daunting procedure when you think of all the possible complications that could take place! In typical Chloe fashion, she decided to take as long as possible to wake up after surgery. She loved all the extra attention...trust me on this one!

For the first few days she just laid there. The pain medication and the pain itself kept her very sedate. My normally active little girl was definitely showing that she was not pleased with all she had been put through. I can recall sitting on my chair, reading a book, when out of the corner of my eye I see a little red head pop up and look at me. Its as if something in her turned on and she was ready to roll! It didn't take her long to realize that while sitting up might not be such a horrible thing getting on her knees to try to crawl was perhaps not such a good idea. That having been said, it didn't take her long to get her sassiness and energy back.

What was supposed to be a three or four day ordeal turned into a nine day/eight night stay in our local four star hotel...American Family Children's Hospital! While she was recoverying physically quite quickly in the area of feeding things were not progressing so well. She couldn't seem to tolerate her feedings and was in constant pain whenever we tried. After many many attempts at many many different techniques we finally found a method that worked. I can say we had the most understanding and amazing nurses that made our stay as easy as possible. However, some of the surgical residents were not quite so impressive...at one point Daddy decided he had watched them torture Chloe enough and instructed them to go back to school because they weren't trying anything "new" on his little girl! That of course won him Daddy of the Year Award with the nurses....oh how they long to tell doctors what only the parents are allowed to and usually don't!

Through all the struggles we went through to get Chloe back on track I must say that single surgery has changed our little girls life forever! The strides she has made since that autumn day are remarkable....

More to come....



More to come....