Thursday, April 1, 2010

Just as I am getting used to the hearing aids and wearing them to school, I have a new thing: the tooth doctor! This was fun. We saw Dr. Tarver in Lakeland, and I had a blast. I came out with pearly whites, a balloon, 3 stickers, a toy car, and 2 toothbrushes. I have 2 small cavities, one on each rear top molar. They will fill those next month after giving me some light sedation. In the future, some of my teeth may have to be strategically pulled due to crowding in my mouth. I have a highly arched palate and a small mouth, probably due to the cranio or syndrome. Dr. Ricalde (my craniofacial surgeon) is confident that I will need orthodontia in the future.

 

Friday, March 12, 2010

I had an evaluation with the school board today. The initial screening had come out inconclusive, so this was a full evaluation. In most things, I am either at the normal range or just above normal. I had high scores in math and science things, naturally. I scored below normal in expressive language. We have to wait for a phone call to see if I qualify for services next year in kindergarten.

 

Monday, January 29, 2010

I wore my hearing aids to school for the first time today. I have been doing well at home, and the audiologist recommend that I have them during class. My teacher talked about them with the class, and it was cool.

 

Wednesday, February 24, 2010

I got my hearing aids today. I do not like them, but I am not allowed to watch TV unless I wear them. If I must, I must; but I promise to go down kicking and screaming.

 

Sunday, January 24, 2010

** Mommy has taken over my blog for a bit to get through this next surgery. I promise that you will hear from me again some time soon. :) **

I have not posted in a while due to the busy nature of work and life. I do want to take a moment to mention that the travel and medical bills for Simon's tests, surgeries, and now hearing aids are too steep for us to handle right now. If you would like to contribute, please e-mail me at craniomommynbaby@yahoo.com I will give you the information of the offices where we still owe money.


Thank you.

 

Wednesday, December 16, 2009

Today, I had my third set of ear tubes put in. The old ones fell out, as they should; I got t-tubes this time. Grandpa Harry came to help Mommy because my cousins are staying here this week. After surgery, we went to McDonald's and had a blast. I was a little quieter the rest of the day; the surgery made me kind of tired.

 

Thursday, October 8, 2009

** Mommy has taken over my blog for a bit to get through this next surgery. I promise that you will hear from me again some time soon. :) **

Okay, I need to organize the surgery bills. Here is what I have so far, and I have no idea how we are going to pay for this.

Hospital Stay: $750 of the $102,365
Anesthesia: $414.80 of the $2,822
PICU Doctor: $586.87 of the $4,132
Neurosurgeon: $1,122.82 of the $33,269
Craniofacial Surgeon: $3,371.43 of the $31,000

Grand Total: $6,245.92 out of $173,588

We have an out-of-pocket maximum of $5,000, but I have no idea what that means. Maybe we will owe less to some of the bills; I need to call the insurance company soon to get more information.

We also owe $150 for the first hearing test and likely another $150 for the second one.
The hearing aids will be around $2,200 out of our pockets.

 

Friday, September 25, 2009

** Mommy has taken over my blog for a bit to get through this next surgery. I promise that you will hear from me again some time soon. :) **

The appointment on Wednesday, September 2, went well with the craniofacial surgeon. She said, "Momma, I think that you can quit worrying for now." Of course, that is way easier said than done. I have no idea if this is the last time we have to go through this or not. I will try to relax, though.
This past Wednesday (September 25), Si saw one of his neurosurgeons along with a large entourage of people who are from Arnold Palmer Hospital or are doing fellowships. They were a very friendly bunch and found it hilarious when I had to pull Simon out from under the chair by his feet. Dr. P did manage to extract the kiddo and tickle him into submission. Dr. P likes the shape of his noggin and wants us to return after the holidays to make sure the plates and screws are doing their thing.
Next Friday, Si has his hearing aid evaluation, and they might do the molds the same day. My insurance company does not cover the aids, but I can get a discount through a certain company. I am checking into the Lions Club. Our income is too high for their need-based program, but I am awaiting news on whether we can get refurbished aids. On October 30, he has an assessment through the Child Find program. They will look at everything, including whether or not he needs physical and occupational therapy. I know that he is good on everything but speech.
Dr. P said that lots of kids come to the cranio clinics with hearing aids. One of the fellows told me that it is common, especially with syndromic cranio. There is quite a bit of pressure put on nerves due to skull shape, which can cause some of the damage. The hearing loss will not improve, but it may be stable. I left feeling disappointed. I am still adjusting to this whole idea of hearing aids and batteries and IEPs and FM systems and lack of insurance coverage. Actually, I am feeling pretty sick about it.
I am considering again the genetic testing. The neuro thinks that it is good as the geneticist can help us to put it all together. Answers would be so nice, but I am scared of the possible blacklisting by health insurance companies. I wish that things were more cut and dry.

 

Tuesday, September 1, 2009

** Mommy has taken over my blog for a bit to get through this next surgery. I promise that you will hear from me again some time soon. :) **

Simon has been doing very well. Now that the swelling has gone down, ridges have appeared. I took pictures of the one on top of his head as it is the most noticeable, and I e-mailed them to the craniofacial surgeon. She thinks that it is likely the way the bone is shaped as they did take the existing bone above his forehead, cut it out, rotate it, and put it back on. She hopes that his head will smooth out as his skull grows. I hope so, too. I know that we should expect lumps and bumps after these surgeries, but this surgery was supposed to give his brain more room and smooth out his head with the bone grafts and bone paste. His forehead looks great, free of the dents and pulsing soft spot. We will see the craniofacial surgeon tomorrow for an appointment, and hopefully one of his neurosurgeons will be there too.
Next month, Simon will have an assessment through Child Find to evaluate everything. I have the appointment primarily for his speech, and I still have to make an appointment with the audiologist to discuss hearing aids. With school back in session, these things are getting harder to do.

 

Wednesday, July 29, 2009

** Mommy has taken over my blog for a bit to get through this next surgery. I promise that you will hear from me again some time soon. :) **

We look at Simon and forget that his surgery was only 2 weeks ago as of today. At the same time, we cannot believe we are already 2 weeks into being on the other side...again. He is doing great. His stamina has increased quite a bit, but he still runs a low fever in the evenings if he does too much during the day. He wants to go to the park and play on the slides or go out back and play in his sandbox. It is tough to keep telling him that he can't. We hope that the surgeons give him the clearance to return to life as usual when we go on Monday. In the meantime, he is back to himself when playing in the house, as you can see by the pics. My happy little boy is still here!

 

Tuesday, July 21, 2009

** Mommy has taken over my blog for a bit to get through this next surgery. I promise that you will hear from me again some time soon. :) **

One week ago at this time, we were enjoying a lovely meal cooked by volunteers at the Ronald McDonald House. It was the beginning of one of the more difficult weeks of our lives thus far, and we are amazed today at how far Simon has already come. He is getting back to his playful self, but he still takes it easy. I think that too much action makes him a little woozy. Truthfully, we are very thankful that he has not returned to his old self yet. He has at least a week to go with the stitches in his head. On August 3, we have the follow-up appointment in Orlando at the neurosurgeon's office and should find out if he is clear to return to life as usual. In the meantime, Simon does not seem to have a full awareness of what has happened. He is proud of his new haircut and keeps stroking the top of his head. We got him a fish as a get-well present. It is a red betta in a 3-gallon tank, now named Mr. Red Fish. I am not sure if Simon has grasped the significance of the gift, but we enjoy watching him enjoy the fish. In about a month, we plan to have a party in celebration of him making it through this ordeal like a champ. For now, I am enjoying the time at home with him and not really wanting to go out much. A week ago, I was looking at my baby and wondering if our time with him could possibly be too short. Now, I am looking at him and thankful that we are still all together. All of these moments are to be treasured.

 

Sunday, July 19, 2009

** Mommy has taken over my blog for a bit to get through this next surgery. I promise that you will hear from me again some time soon. :) **

It is good to be home. We are slowly returning to normalcy or whatever normal is when your kid has train tracks across his head. The alternating Tylenol and Motrin seems to be keeping him quieter and calmer, which is a very good thing. He is also getting used to me smearing the incision with the iodine and ointment 3 times a day. The swelling has gone down since even yesterday, and he is enjoying his toys and movies. We have not caught up on the missed sleep yet, but we are working on it.

 

Saturday, July 18, 2009

** Mommy has taken over my blog for a bit to get through this next surgery. I promise that you will hear from me again some time soon. :) **

Simon was discharged from the PICU this morning. His eyes are wide open, and the swelling is going way down. He is so happy to be home with his trains and videos. Now we have to survive 2 weeks with an active 4-year-old who has stitches in his scalp from ear to ear.

 

Friday, July 17, 2009

His eyes opened this afternoon! I cannot express how much joy I felt when I saw that. There is a light at the end of this tunnel. Tonight, he drank about 2/3 of an instant breakfast shake. Hopefully his appetite will take off tomorrow.

 

Friday, July 17, 2009

** Mommy has taken over my blog for a bit to get through this next surgery. I promise that you will hear from me again some time soon. :) **

We are still hanging out in the PICU with orders to move to the Special Care floor if a room opens. Yesterday, the dripping blood was finally stemmed when another surgeon came by to glue a little hole together with Dermabond. His eyes completely swelled shut last night, and he freaked. Today, he is adjusting to the blind life. His last dose of morphine was at 6:15 a.m. yesterday, and he has been on Tylenol since then. He went most of the day yesterday without medicine buthas been needing it regularly since last night. He acts like his legs and head are itching or tingling. He has been refusing to eat or drink, meaning the IV pole is an accessory that follows him around, usually to the potty. They did take him off the IV today to see if he will start to eat and drink. Before the current nap, he ate a cup of apple sauce and some M&M's. After we stopped doing morphine yesterday morning, he did not seem to need much pain medication. He did start needing Tylenol on a regular basis as of last night; it helps him to relax and sleep.

 

Wednesday, July 15, 2009

** Mommy has taken over my blog for a bit to get through this next surgery. I promise that you will hear from me again some time soon. :) **

It is 7:15 p.m., and we have not seen him yet. :( The surgery was over around 4:30 p.m. He did very well, but it was a very involved surgery. They ended up needing the 2 units of blood due to all the scarred tissue. His noggin is much bigger as his brain definitely needed the room. They used his bone to reconstruct and then the bone paste to fill in the holes. We are exhausted and hope that we don't get more of a runaround when we walk over at 7:30 p.m. to finally see him.

 

Wednesday, July 15, 2009

** Mommy has taken over my blog for a bit to get through this next surgery. I promise that you will hear from me again some time soon. :) **

Well, we reported at 8:30 a.m. The pre-op vitals went well, but he got pretty irritated after the goofy juice. They wanted him to stay seated, and he wanted nothing doing. After 10 - 15 minutes of pinning him down, the juice finally kicked in. Man, it was like a drunk switch went on and was pretty funny. The head nurse carried him out with a promise to see some cool balloons, and Simon went pretty willingly. That was around 10:30 a.m. Since then, we have gotten one phone call saying that surgery was in progress and everything was fine. That was at 12:18 p.m. It is now 2:34 p.m., and we have not gotten more updates. The neurosurgeon figured that the surgery would last about 3 hours, but we assumed a window of 3 to 5 hours.
They have bone paste on hand to fill in the holes. I guess the neurosurgeon has his concerns about there being enough bone for the split bone graft. Honestly, that upsets me quite a bit. I have read of some accounts where the bone paste gets absorbed by a kid's body and more surgery has to be done later. The thought of doing anything like this again is too much to bear.

 

Tuesday, July 14, 2009

** Mommy has taken over my blog for a bit to get through this next surgery. I promise that you will hear from me again some time soon. :) **

We are nestled snugly into our room at the Ronald McDonald House. Simon is fast asleep, and we are still full from a wonderful BBQ hosted by an army of volunteers. The dinner included burgers, dogs, chicken kabobs, mashed potatoes, mac 'n cheese corn casserole, ice cream, cookies, watermelon, and some other stuff I have probably forgotten. It is amazing what people pull together and do here for the families who stay. Sure, there are some rules that are a tad of an inconvenience, but you just can't beat the place. I only wish that I lived closer so that I could do more than the pop tab collection.
Anyhow, getting back to our situation, the surgery was postponed by a few hours. Instead of starting at 7:30, we start at 10:30. This means that we report at 8:30. Our only concern is that Simon is going to be antsy in the morning. He usually starts his day with a milk-yogurt-instant breakfast shake, but he will not be able to have anything of the sort when he wakes up. Hopefully we can distract him with the play room down the hall. Wish us luck!

 

Tuesday, July 14, 2009

** Mommy has taken over my blog for a bit to get through this next surgery. I promise that you will hear from me again some time soon. :) **

We are heading to the Ronald McDonald House in a little while as we do have a room. Woo hoo! Now, we will be able to walk over to the hospital at 5:30 a.m. tomorrow. Simon is so hyper today, as usual. He will be excited about staying at a new place tonight. Hopefully, the events of the next few days will not scar him too much. I want to bring home my happy, sweet, active boy.

 

Sunday, July 12, 2009

** Mommy has taken over my blog for a bit to get through this next surgery. I promise that you will hear from me again some time soon. :) **

I have been struggling with nausea today, and Simon has had a bit of a stuffy nose. I think that I ate too much and too late for dinner last night, and we guess that Simon is having a bit of an allergy with the weather that came through here. We are hoping and praying that we all are healthy this week. Postponing the surgery would be a major upheaval.

 

Friday, July 10, 2009

** Mommy has taken over my blog for a bit to get through this next surgery. I promise that you will hear from me again some time soon. :) **

We had a busy morning in Orlando. At 8 a.m., we had to finish a hearing test since the results were inconclusive during the first attempt. The diagnosis is that Simon has a mild loss in both ears which does qualify for hearing aids. My insurance does not cover hearing aids, giving us the challenge of finding a way to get them covered or paid.
After the test was over, we walked a few blocks to the main building for a pre-admissions testing. Simon was a very good boy during all the vitals and even the swab on his arm. The blood draw was harder, but he at least did not require a straight jacket and 5 adults. (In the past, that is what it took!) He stayed in my lap and strained some, but they were able to get it done pretty smoothly.
After the testing was over, we took a load of pop tabs to the Ronald McDonald House, and then we picked up the hearing test report. On the way home, we stopped at the Golden Arches so that we could eat and Simon could play. Now, we are home and watching a severe storm roll in. It was a draining day.

 

Thursday, July 9, 2009

** Mommy has taken over my blog for a bit to get through this next surgery. I promise that you will hear from me again some time soon. :) **

Now both units of blood are ready to go, and the pre-op testing is tomorrow. His new room is shaping up nicely. He will be in his bed before the operation, and we plan to get him a fish as a get-well surprise. Hopefully, the fish will be in his room when he comes home next weekend.

 

Monday, July 6, 2009

** Mommy has taken over my blog for a bit to get through this next surgery. I promise that you will hear from me again some time soon. :) **

I cannot believe that the surgery will be next Wednesday. One unit of blood is ready to go thanks to a dear friend, and another unit will be ready to go after Wednesday when my sis comes over. I have to call tomorrow to schedule the pre-op stuff and to see if we can do a hospital tour around the same time. The tour is more for Simon's sake as we remember too well the process and facility. If we are lucky, we will be able to do all of this either Friday or Tuesday, when we will be over that way anyhow. On Friday morning, he is finishing the hearing test, and on Tuesday, we will be going over to check into a room (either at the Ronald McDonald House or a hotel). I debated whether to get his hair cut beforehand, but I think that I will save the $20 and have the surgeons shave it all off. It will grow back before the staples even come out, and then the scar will be hidden before long.
Everyone keeps asking if Simon knows what is about to happen. I really do not know how to answer that question. We read books about Curious George going to the hospital and Franklin going to the hospital, and I talk to him about what will happen when he goes to the hospital. I am sure that he is listening, but I do not think that he has enough of a frame of reference to comprehend. At 4-1/2 years old, he is a bit young; and matters are more complicated due to his speech delay. He is very familiar with hospitals and various machines, but I have no idea how to prepare him for the aftermath. He will have staples from ear to ear for a few weeks, and we will be putting all kinds of gunk on the incision. His entire head will swell up for a few days with his eyes swelling shut for a short time. How do you explain all of this? The answer is that you really don't. He has seen pics of himself from the first time through, but I don't think that he relates the baby to being himself. Even if he did, he would not remember what it all felt like. I really hope that we will be able to make him as comfortable and happy as possible through all of this. They say that it is harder on the parents than the kids, but is it really?

 

Thursday, July 2, 2009

** Mommy has taken over my blog for a bit to get through this next surgery. I promise that you will hear from me again some time soon. :) **

We returned today from our excursion to the Smokies to say our final farewells to Chris's mother. The trip was a good one, even if the purpose was difficult. This summer is one of many major events, and the key to survival is taking one day at a time. Now that we are home, our next focus is getting the house into a decent state. During the school year, we don't have nearly enough time to keep up with necessary things and find ourselves doing some major cleaning during the summer. One of our projects will be getting Simon's "big boy" room ready. He is getting a new queen bed and will start the transition now. This way, we can get him comfortable in it before the surgery, and then we will have a place for one of us to comfort him when he comes home. The kiddos who have this surgery usually need about a month to get back into a normal sleep schedule. It is hard to say whether the anesthesia has disrupted their rhythms or if they are afraid of the dark after having their eyes swollen shut, but they usually need lots of comforting and holding in the weeks of recovery. We hope to have a comfortable place to take turns with him at night so that we can alternate in getting some sleep. If all goes well, we will all be ready to return to routine when the school year starts again. Chris and I will have a new crop of young minds to mold, and Simon will start pre-k. Simon's noggin should be healed in time for soccer season, giving us some sense of a normal family life. We all have so much to look forward to.

 

Monday, June 22, 2009

** Mommy has taken over my blog for a bit to get through this next surgery. I promise that you will hear from me again some time soon. :) **

One thought that many of us cranio parents keep having is "Why are we putting our child through this? Is it necessary? Is it really worth it?" The surgeries are necessary, and we have to put our children through them so that they can have a good quality of life. Without the procedures, the deformation of the skull harms the child, in some cases to a point of being life-threatening. Each person's skull contains so much of what makes them who they are and allows them to live: a brain, eyes, nose, ears, and mouth. If the bones are not forming properly then one or more of these may be compromised. So, obviously, the surgery is needed. Still, the mommies and daddies who have to make this decision are burdened with the knowledge that they are putting their child's life into a stranger's hands. If something happens, the parents will feel that they have failed the child in offering the protection and safety that is inherently promised upon conception. It is a struggle, one of which plagues me right now.
I know that Simon needs to have this second surgery. His soft spots are getting larger, and his forehead has tiny holes. His brain does not have enough room to grow at the front of his skull, and he needs to have the holes filled in before he is out in the world of sports and rough play. Still, I feel twangs of guilt at putting him through it. I try to squash those feelings by thinking about why else this needs to be done. Simon is not at the same level as his peers in his speech, and I wonder if he might have headaches at times. This kid does not complain when he is in pain, but perhaps some of his odd behaviors are linked? Or do we just have a unique kiddo on our hands? Will we see improvements after the surgery? Or will he be a child who ends up struggling in school? Chris and I are of high intelligence, and we do not expect that our child must live up to what we can do. Yet, will we know how to handle things if Simon ends up being at the other end of the spectrum? To us, he is bright and creative and amazing, but we are his parents. How is he really, and how will he be after July 15? Only time will give us the answers. I must have patience and remain open to all the possibilities. Most importantly, I just have to treasure each moment with my little boy and make sure that he has no doubts about how much I love him.

 

Sunday, June 21, 2009

** Mommy has taken over my blog for a bit to get through this next surgery. I promise that you will hear from me again some time soon. :) **

I am a huge roller coaster fan, mostly of the steel behemoths that newly grace theme parks nowadays. I do not care for most wooden coasters, with the exception of Lightning Racer at Hershey Park in Pennsylvania. The steel behemoths either thrill me or relax me, either way triggering endorphins and other chemicals that give a natural high. With that said, the cranio coaster has been more like an old wooden coaster that has fallen into disrepair. The lap bar does not lock into place, and the car rattles so much that teeth fall out. The brake system, when it works, causes whiplash. Occasionally, cars fly off the tracks or tracks just break apart underneath the strain. The riders make it through intact but in need of some therapy. Many folks who get to take this ride only have to go through once. Soon enough, the ride is a distant memory, and those families remove themselves from it as much as possible. For us, the ride is on for a second time. My son inherited the condition from me, and his has been a more difficult case.
We want to thank all of you who are following our story and keeping us in your thoughts and prayers. During this stage of our journey, we are doing our best to get through some other major events in our lives, hoping that our minds can stay occupied enough to not reflect on what our child is about to endure again. Last time, fear of the unknown threatened to cripple our daily lives; this time, fear of the known threatens to do the same.

 

May 22, 2009

I had a hearing test today at Arnold Palmer but fought too hard for them to get a good reading. My left ear seems okay; my right ear is iffy. We will go back for a new test soon.

 

Wednesday, April 22, 2009

I had my visit with the surgeons today, and they did not have good news. My growing soft spots and continuing speech delay are red flag indicators of possible brain pressure. They cannot definitely say if I have pressure without doing a probe, but these are some good signs. In looking at the shape of my head, the front of my skull is not giving my brain enough room. So, they will repeat the surgery that I had when I was 6 months old. My skull will be remodeled so as to give me more space, and then they will do the split bone graft at the same time. Think of it as 2 for the price of 1! My eye orbits look good and should not need work this time around. Since I am big and strong, I probably won't need blood, but we will be ready with 2 units directly donated. The staples will be in my head for about 2 weeks, and the bone should all grow together within 3 months. The plates and screws will likely take a year to fully dissolve. Hopefully, this will be my last skull surgery, but we cannot tell for sure until I have grown again.

 

Monday, April 6, 2009

I had a CT scan today. Mommy noticed that the soft spot on the right side of my head seems to be getting bigger. I have 2 spots, one by each temple. They used to be similar in size, but now the one on the right has seemingly doubled. The CT scan shows the defects that Mommy has felt, and now we will meet with the surgeons on April 22 to get their interpretation of the matter. If they determine that my brain is under pressure, then I will have another CVR surgery. If not, then I will have a split bone graft. (Basically, they take a wafer of bone off the back of my skull, split it like an Oreo cookie, and then affix the pieces over the soft spots with absorbable plates and screws.) I had quite a bit of fun exploring the machine and bed and pushing buttons, but I did not want to get on the bed for the scan. So, they ended up giving me some gas to sleep. Mommy had to wait about 30 minutes, and then she got to be with me when I awoke. We got a disk with the pics from this scan and the one done right before the surgery.

 

Monday, January 12, 2009

I had my 4-year-old well visit and shots today. Almost everything looks good. I have been growing steadily, and I could read the vision chart satisfactorily. The only recommendation was that I be evaluated again for speech. I do quite a bit of parroting, and I have not grasped pronouns yet. The doc says that those are things common for a 3-year-old but not a 4-year-old. Mommy and Daddy have been watching my progress and are not too worried right now. They are holding onto the script but not making calls about it.

 

Wednesday, June 25, 2008

I had my second set of bilateral ear tubes put in today. The old ones fell out, as they were supposed to. We put the new set in so that fluid will not build up again. They gave me the goofy juice before the surgery to calm me down. I was definitely drunk, but I was not calm. Mommy had to keep me from falling off the bed, and I was adamant about keeping my shoes on. The assistant kept wanting my shoes off, but I did a good job of throwing a tantrum about it. The doc said that they could just take the shoes off in the OR after getting me to sleep. We waited for a long time in pre-op, and then the surgery went fast. They sent us home right after it. Of course, I did fine. I was wound up, bouncing off the walls for the rest of the day.

By the way, I am now fully potty trained.

 

Wednesday, April 9, 2008

I have been steadily growing and talking more, but I have not made any leaps in development that reminded Mommy to write. I am almost potty trained completely. I know lots of songs and can identify some letters of the alphabet. I can count to 12, and I know lots of things about all kinds of stuff. I love to play and run, and trains are my favorite thing. I say some cute and funny things, too. Mickey Mouse is Picky Mouse. When I am mad, I say "Pop It the Chicken!" in my sternest voice. There's more, but it is hard to remember it all right now.

Mommy took me to the doctor today. I was not happy when I pulled into the parking lot. The doctor's building is next to the hospital where I stayed for Rotavirus. Yikes! I was good walking in and also getting my ears checked. I hated the hearing test (tympanometry) and fought good and hard. Mommy cannot hold me down very well now that I am so big. According to my ENT today, I will probably need a new set of ear tubes. My old ones fell out like they are supposed to, but I still have fluid in there. Since I also keep a stuffy nose, they might take my adenoids out too. Maybe this will help me sleep better at night. They were going to do a sleep study last week, but Mommy and Daddy decided to wait. I am not sleep walking like I used to, and I have not had the night terrors. (For a while, I would either scream and run through the house in my sleep or I would get up and give my cousin Ethan tours of the house in my sleep.) I still like to go to their bed in the middle of the night and snuggle into their warm bodies. I sleep lots of hours, but I wake up tired. Mommy wonders if I have sleep apnea.

 

Wednesday, July 18, 2007

I am speaking in full sentences occasionally. I still use fragments most of the time, with my favorite word being "Ooookay!"

 

Wednesday, March 21, 2007

Today, Mommy met with Kate (the EI lady for my speech), and they determined that I am making great progress. In fact, I am at a point where Kate really cannot offer much more help. I am at a level appropriate for my age, and I am learning more and more every day. So, my speech therapy case is closed.

 

Monday, March 5, 2007

We had another cranio clinic today. I still have 2 soft spots in my head, one by each temple. They are each about the size of a fingertip. My neurosurgeon is not too concerned since they are so small and are in an okay location (not on top by my sagittal sinus). There is a small risk of me falling on something just right and getting injured, but he has never personally seen such an injury. My craniofacial surgeon would like to remove the scalp cyst that has formed above my right ear, but it is not an urgent matter. Mommy primarily wanted to know what safety risks the soft spots present. They did say that I cannot play organized contact sports such as football or boxing as long as those spots are present. (The defects will not be closing on their own at this point.) Now, surgery is an option. They will take bone chips from my skull and fill in the holes, placing an absorbable plate on each one. I would go home the next day. They want to do the surgery sooner rather than later as I will be more forgiving of all of it at my younger age. Mommy and Daddy do not know what to do. They cannot afford another surgery, and they are scared of putting me through another procedure. On the other hand, Mommy does not want to be the forever worried mom. She will not be able to stop me from playing roughly with my friends, especially since I am all boy. We will keep everyone posted on whatever is decided.

 

Wednesday, February 7, 2007

We had the follow-up for my ear tubes and hearing test, and everything looks good.

 

Sunday, February 4, 2007

Mommy is anxiously waiting for the appointment with the ENT this week where they will go over my hearing test results. We had the hearing test to rule out hearing problems since I babble so much. She does not understand why they cannot just tell her over the phone. It probably has to do with privacy laws, but that still does not keep Mommy from worrying. We will post an update once we know.

 

Wednesday, January 31, 2007

My Early Intervention Specialist, Kate, has been meeting with us for a few weeks now. She has been giving Mommy and Daddy lots of tips to help me with my speech. Now that she has started coming around, I am learning so much! I now have about 30 words that I consistently use, and I am understanding what other people are saying. After Kate visited my daycare, she decided that there was nothing she could suggest that they are not already doing. Since I am making so much progress, we are going to reduce Kate's visits from once a week to once a month. We will be officially changing my IFSP (Individualized Family Service Plan). Kate will still be available by phone if any major changes occur. I have not reached the goal of 50 words, and we are still working on my give-and-take abilities in conversation. It seems that I am following a similar pattern to other cranio kids in that things are coming 6 months later than they do for most other kids. Mommy worries too much and forgets that it will all come when I am ready.

 

Friday, December 15, 2006

I had a full assessment done through the Early Steps program today. Mommy met with a representative from USF last week, and she went over all kinds of questions. Then, today, we went to Lakeland to have 2 therapists and the representative assess my skills. They asked me about anything and everything, and they watched me as I played. I really did not want to play with these new people at first, so I stuck close to Mommy. After a while, I realized that all the toys were pretty fun. They played with me and had me do all kinds of things. They told Mommy that my motor skills are fine. They said that I have excellent social skills and a great sense of humor. Playing peek-a-boo in the mirror was especially fun, and then I got that man to play with me. They all thought it was pretty funny, too.
As for my speech abilities, they determined that I am a little behind. I qualify for services since for some things I am at the level of a 12-month-old and for other things I am at the level of a 16-month-old. Mommy will talk about it more when the report comes in the mail.
They looked closely at my mouth and asked Mommy a few questions about whether or not I have a cleft palate. They discussed whether my mouth shape might be affecting my speech, and they decided that I am doing fine with using my mouth. My highly arched palate and underbite get attention at each new doctor I see. Dr. Ricalde (my craniofacial surgeon who is also a maxillofacial surgeon) said that my palate is closed but that my mouth definitely needs orthodontics in a few years. Once the therapists heard this, then they were pretty satisfied.
They will be sending an early interventionist out to our house twice a week at first. If we want to, we can start going to an actual speech therapist in a couple of weeks. Right now, everyone’s booked or busy, especially with the holidays. If we like the EI person, then we can stick with her. Hopefully the EI person will come to our house once a week and then go to the daycare once a week. Otherwise, she will come to our house both times each week.
I will keep everyone posted on this new adventure. Hopefully I will soon be able to talk about it!

 

Wednesday, November 22, 2006

I had ear tubes put in today. In the past few months, I had an ear infection that lasted through 3 rounds of antibiotics. The ENT found lots of fluid and said that I am probably not hearing people's speech very clearly.

We checked into the hospital by 6:50 a.m. After Mommy did the paperwork, we went upstairs and waited a little while. They called us back to take my vitals and get me changed. I did not sit still enough for the vitals, but we did manage to get that big gown tied on. Mommy and I curled up on the bed and watched Clifford and Arthur and some other characters on the TV. The anesthesiologist came and took me back at 8:45 a.m. She told me that we were going to go look for Clifford down the hall. I got pretty mad when we did not find Clifford. They stuck a mask over my face, and next thing I know I am waking up in a strange room with no Mommy. The surgery only lasted about 10 minutes, but I did not care. I wanted Mommy! After I was fully awake, Mommy came back. We sat in a room for about 30 minutes, with a nurse checking on us regularly. Then, we went home. Mommy and I had breakfast at McDonald's. I ate an entire chicken biscuit meal. While we were at Mickey D's, Grandpa Harry called to tell us that my little cousin Ethan had been born an hour ago.

The doctor's report on my ear tubes was that they found lots of fluid to drain but that the ear tube surgery went very smoothly. I do have thin ear drums, which will probably have my tubes fall out closer to 6 months than a year.

 

Thursday, May 25, 2006

Today was my discharge appointment at therapy. I ran around the place during the half-hour wait, and then I showed Donna all my tricks within 15 minutes. She was bawling because I am doing so good and am not going back. I gave her a picture to remember me by. For the evaluation, I climbed up AND down the stairs on my feet. I do somersaults. I walk forwards and backwards. I wheelbarrow when held by the waist. I squat to pick things up and then return to standing. I climb up on objects and then descend on my feet. In other words, I do the stuff I am supposed to and then some! During my visit, Lucas was there too. He is a 9-month old cutie who is learning to stand. Since I wanted to play ball with him, I helped myself to one of the balls and threw it to Lucas. Lucas's daddy caught the ball and tossed it back. Since this kid could not catch the ball, I decided to help him out by putting it in his lap and then stepping back for him to throw it. For some reason, he would not throw it. The grown-ups explained that he is too little, but Lucas looks my size to me!

 

Monday, March 20, 2006

I have been getting into everything and doing well. I saw my surgeons again today, and they were excited to see me walking around. Mommy was concerned about a slight ridge that seems to run along the old metopic suture line. Everyone on my surgical team said that they are not concerned. Dr. Ricalde said that we will keep an eye on it but that it is probably where the plates are shifting together as my head grows. I still have "defects" that we are watching, namely two soft spots near my temples. We want those to eventually close. Overall, I had a good report, and we do not have to go back for another 6 months. Yay!

 

Monday, January 23, 2006

I went to therapy again today after a very long holiday. The therapists were thrilled to see how much I have improved. They noticed that I am much stronger and that I am doing all kinds of neat tricks. Ms. Melanie thinks that I am ready to graduate from occupational therapy, and Ms. Donna thinks that I am nearly ready to graduate from physical therapy. We just have to work a little bit more on my tummy and arm strength. They are thinking of referring me for a speech evaluation since I do not clap or wave. I am fine with the verbal communication since I regularly babble and say "Hi!" and "Trig" and "Daddy" appropriately, but they wonder if therapy might help with my nonverbal communication. Mommy and Daddy think that I just choose not to do these things. I have a very expressive face, more so than most babies. I simply do not need to do things like waving and clapping.


Friday, December 30, 2005

I had my 1-year visit to my pediatrician today. Interestingly, it was the 1-year anniversary of meeting her for the first time ever and then ending up on a whirlwind adventure with a bilirubin test and a head x-ray and a low back ultrasound. Only the head x-ray brought bad news.
Anyhow, everything went well today. I had the chicken pox vaccine and a hemoglobin test. Mommy says that I was a very big boy because I did not even blink an eye when I was pricked for the blood test and I barely cried when I had my shot. I have to go back in a week or two for another shot, but I can handle it.
The blood test indicated that I am borderline anemic, and now Mommy and Daddy have to give me iron drops in addition to the multivitamin drops. Overall, I am doing very well. We are going to work on getting me off the bottle and onto a cup, but otherwise my eating habits are excellent. Mommy and Daddy are very proud of all that I have overcome and accomplished this past year.


Monday, November 28, 2005

I went to the orthopedist today for my crooked feet. They said that my feet grew that way because I was too cramped in Mommy's tummy. We are going to wait to see if my feet straighten out as I learn to walk, which means I do not need casts or surgery at this point. Keep your fingers crossed that my bones line up soon!


Wednesday, November 09, 2005

I had my occupational therapy evaluation today with Miss Melanie. She said that I am slightly behind but not too much. She is going to work along with Donna (my physical therapist) on the strength and tone of my arm muscles, and she is going to work with me on developing my pincer grasp. She is also going to work with me so that I do not chew on everything and so that I learn to hand objects to people.


Monday, November 07, 2005

Today I saw Donna, my physical therapist, for the first time in nearly a month. I had a substitute last time, and then I did not go to therapy for a while due to the Hurricane Wilma and then other events. She was shocked about how much I have changed. I have filled out quite a bit, and I am controlling my head so much better. I am also doing better about using my knees to crawl, but we still have to work on my tummy muscles. She showed Mommy some new exercises to do at home, including some to work on my quads.
She is eager to see what the orthopedist says about my feet next Monday. She showed Mommy and Daddy a pic of the braces that are typically given to babies like me. Apparently I will wear them only part of the time. I still need to go barefoot part of the time in order to develop the muscles in my feet and ankles. Those things do not look like fun!


Tuesday, November 01, 2005

Mommy took me to my pediatrician today. This visit was for the 9-month well baby. (Yes, I am 10 months, but the surgery put me slightly behind in my shots.) I weighed in at 19 lb. and 12 oz., and I measured at 28-1/2 inches. I am finally back on the charts!!! I am at the 25th percentile for my weight and 60th percentile for my length. She loved my eating schedule and variety of foods.
I only had one shot this time, and I was okay with it. It hurt at first, but then Dr. Bolanos made me smile when she killed the "bee" and threw it away.
Apparently I look very good everywhere but my feet. She does not like how my feet are still turned in, and she wrote us a script to see an orthopedist. She thinks that I will need braces to straighten out my feet while I learn to walk. We will probably have to go out to Nemours Children's Clinic or Arnold Palmer since our area does not have pediatric orthopedists.
She was concerned about two puffy soft spots around my temples and mentioned that we would need to monitor for hydrocephalus (water on the brain). Mommy told her that I saw the surgeons yesterday, and Dr. Bolanos was relieved that they found no cause for concern. She sure did scare Mommy for a minute, though.
Overall, I seem to be recovering nicely. My family members worry too much.


Monday, October 31, 2005

Daddy took me to see my surgical team today. This visit was the first time that Dr. Ricalde had seen me post-op, and she was thrilled with how I am looking. The neurosurgeon noted that my right eyebrow is slightly higher than my left eyebrow, but he observed that Daddy's eyebrows are slightly arched too. We will just be observing it as I grow. We will not be doing a follow-up CT scan unless my development gives us a reason to. All of the "defects" in my skull (puffy soft spots, bony areas, ridges, etc.) are normal and will remain for quite a while. Overall, it was a good report.
Dr. P also looked at my sacral dimple and did not think that an MRI is necessary. The dimple is closed and high up on my low back, and my legs are growing evenly and strongly. Nothing seems to indicate a tethered cord.


Wednesday, September 28, 2005

I had my second physical therapy session with Donna today. She is teaching me all kinds of stuff. I make her laugh with my tricks. She has never seen a baby spin on his tummy or bridge on his back before. They are trying to get me to stop the bridging since I had the skull surgery, but I got that habit from my genes since Aunt Jenny and Bug used to do it.


Tuesday, September 27, 2005

I sat up all by myself and held my bottle to completely feed myself this afternoon. Mommy was so happy to see this happen so quickly after starting therapy.


Monday, September 26, 2005

Today I had my first real physical therapy appointment. Donna (my therapist) really worked me hard! I did not cry, but I sure had a few things to say to her! She just laughed and told me that she had no guilty conscience. My favorite toy was this wiry thing with beads. Maybe Mommy and Daddy should put that on my Christmas list.


Sunday, September 11, 2005

Tomorrow is my first day of physical therapy. My pediatrician says I have low muscle tone from the craniosynostosis. I guess that they will help me learn to sit up unassisted and to swallow properly.
I should have plenty of energy for the therapists tomorrow. I have been eating very heartily. I had my first taste of meat tonight, and I loved it! At dinner, Mommy mashed up some of her potatoes and carrots and steak and shared it with me. Then, for my last feeding of the day, I downed a Stage 2 jar of sweet potatoes and chicken. Mmmmm!
I had better get my nursing in and go to bed. I want to be well rested tomorrow. Maybe I can show off my new trick of getting on my hands and knees and propelling myself forward.


Friday, July 29, 2005

I finally had my 6 month shots today. My pediatrician says that I am looking good except for my weight. I am a tall boy, but I have lost weight since the surgery. Mommy and Daddy have to start feeding me more solids, and we will check my weight again in 1 month. If I have not gained, then we will be discussing how to get more calories in me. I eat and eat and eat, but I also play and laugh and squirm and roll all the time. What can I say? Life is too short to sit still!


Tuesday, July 12, 2005

I am finally adjusting to this post-surgery life. I am still a very hungry boy, but at least I can sleep most of the night. Mommy is happy that she can see my big, blue eyes again now that most of my swelling has gone away.


Monday, July 04, 2005

Today I was able to smile comfortably. I had tried to smile yesterday but could not because of the swelling.
Today, I have been a happy baby. I spent some time in my exersaucer and swing, and I have just been too happy with my eyes open to take a nap. I will keep fighting sleep, for I know what happened last time someone put me to sleep!


Sunday, July 03, 2005

I keep getting better each day! All of our helpers went home, and now we have to get back into our routine. My eyes have opened further, and my swelling has decreased remarkably.


Saturday, July 02, 2005

I came home today! My swelling has started to go down, and I even started opening my eyes before we left. I am very tired and need to rest.


Friday, July 01, 2005

After a long night with a rude nurse, I am glad that Mommy is back. She simply had to go get some sleep, even though this unit expects her to stay in the room through the night. There was no way that she could have rested with all the noise of the hospital and my roommate, so she went over to the Ronald McDonald House for some sleep.
She came bright and early to feed me, and I was able to nurse for the first time since the surgery. All the wires made it more challenging, but I sure was glad to be latched on. My face was too swollen to find the right position, and Mommy had to work with me repeatedly to get situated. Once I was on, I was very happy.
Dr. Pattisapu popped in this morning and said that I looked ready to go home. He wanted Mommy to stay with me at the Ronald McDonald House for the night and then go home tomorrow. Mommy was not too happy with this idea. Later in the day, I started to run a fever, and the staff decided that I needed to stay. Even the nurses were relieved, for they thought that it was too soon after the surgery.
Maybe I will go home tomorrow.


Thursday, June 30, 2005

After getting some sleep at the Ronald McDonald House, Mommy let Aunt Marianne sleep while she came over to visit. The nurses took off some of my wires and let Mommy hold me. I downed 4 oz. of Pedialyte within an hour and wanted more. They let Mommy feed me some milk a while later. I had no problems with nausea; I was hungry! I ended up sleeping some more.
Before I knew it, the nurses were packing me up and sending me away. Around lunchtime, I was transferred to the Special Care unit to a room I share with an older boy. He also had surgery with Dr. Pattisapu but for a different problem. The nurses here seem nice too, but they are not able to give me the same amount of attention as in the PICU. Mommy is expected to start taking over some of my care.


Wednesday, June 29, 2005

I had my surgery today. We had to arrive at the hospital at 6:00 a.m. to check in. After Mommy and Daddy had their photos taken for an I.D. badge, we went up to the third floor for surgery. I was put in a hospital gown, and my hair was washed. Mommy and Daddy were asked tons of questions.
Once we met most of the people on the surgical team and saw Dr. Ricalde and Dr. Pattisapu. around 8:30 a lady carried me away. They covered my face with a mask, and next thing I know, I am waking up in a crib with a bunch of wires attached.
While I was asleep, I had a huge team of people working on my head and face. Mommy and Daddy waited around the hospital with Aunt Marianne, Uncle Aaron, Uncle Bobby, Uncle Daniel, and my two Grandpas. They received regular updates on my status from a nurse who called their cell phone.
More than 6 hours later, I was done and had visitors. They had me in the PICU for the first night. I was attached to a ton of stuff including IV fluids, a morphine drip, a blood line (I needed two units in all.), heart rate monitor, blood oxygen monitor, respiration monitor, and a urinary catheter. They removed my breathing tube before my visitors arrived. I was too out of it to notice much of anything. Mommy says that she felt strong through the whole ordeal until she walked in and saw me in such a state. She has difficulties when I look tiny and helpless, and she worries that I am in pain. I inherited her high pain tolerance, so she worries even more that I might be in pain and not complaining. Mommy, I am fine! I have a team of the sweetest nurses to tend to my every need. Go to the Ronald McDonald House and get some sleep!


Sunday, May 22, 2005

My surgery date is June 29. Tomorrow, we will be visiting the neurosurgeon and plastic surgeon one last time before the surgery (cranial vault remodeling with orbital advancement). They will be setting up the details of the blood transfusion, and we will let everyone know if I need blood donations.
We are in the process of searching for additional funding, as Mommy's health insurance does not pay the balance of the craniofacial surgeon's bill. We hopefully qualify for Medicaid to help. (We probably qualify for regular Medicaid, but if not, then we definitely qualify for Medicaid for the medically needy.) I try to help Mommy search for stuff on the 'puter, but she says that she can do things faster without my help.
On a happier note, I am having a blast standing. At my 4 month well-baby visit, Mommy and my pediatrician had concerns about my muscle tone. I was keeping my legs folded up and was refusing to put my weight on them. I had them worried that I was having muscle tone problems due to my skull problem. The pedi said that if things did not improve after the surgery, then I might need physical therapy to learn how to walk. Well, I had them all fooled! Mommy started putting me in my exersaucer a few days later, and I had a blast. Ever since then, I have wanted to stand all the time. People's squishy laps are especially fun.
I am just constantly on the move now. Mommy and Daddy have started to rearrange the living room. I roll all over the place and try to explore all the interesting things they have. For some reason, those cords and holes in the wall are off limits.
Mommy has started trying solids with me. I do not mind the spoon thing she uses, but the stuff on the spoon is horrid. The apples and bananas are just not my thing right now. Mommy is talking about something called sweet potatoes for next week. I am not looking forward to this. Speaking of food...it is almost dinner time! I had better go look pitiful and cry so that Mommy lady will feed me again. I love my Mommy's milk!


Monday, May 09, 2005

I had my last pre-surgery CT scan today. They had to give me IV sedation so that I would be perfectly still. The appointment was for 1:00 p.m., and Mommy could not feed me after 5:00 a.m. Ugh!
They first tried a medicine that acts like Valium for babies so that they could possibly avoid anesthesia. After they injected that stuff up my nose, I became FURIOUS! About 20 minutes later, they decided that I needed the IV after all. The medicine just made me go into a huge tantrum.
They tried to get the IV in my arm, but I moved so much that they lost it. They finally got it in my foot. Mommy held me and tried to comfort me the whole time. The nurse took me to calm me down. I fell asleep, and then they did the CT scan. Mommy was invited to be in the room during the scan, but she decided to take a break. I had stimulated her milk production so that it soaked her shirt, and she felt a need to relax and dry out.
Once the scan was over, I woke up with no problems. I immediately tried to roll off the gurney while babbling. My babbling had them very nervous at first since I like to make gasping sounds. They thought that I was going into respiratory distress until Mommy assured them that I was fine. Mommy will have to tell the anesthesiologist about this for my surgery so that they do not freak out when I wake up.
I was kept for 2 hours for observation. I downed some PediaLyte immediately and then nursed half an hour later. I then took an hour long nap. Needless to say, the anesthesia did not cause any problems for me. At least everyone will have one less thing to worry about at my surgery.


Friday, May 06, 2005

The test came back negative for the TWIST mutation. The geneticist was so sure that we have the Saethre-Chotzen Syndrome, but I guess we need to do more testing. We will keep everyone posted.
Hmmm...if we do not find a common syndrome, can we call it the Simon Syndrome? The alliteration is nice.


Sunday, May 01, 2005

I am a VERY social child: I talk and talk and talk to anyone who will listen or not. I can hold my head up all by myself, and I like to roll both ways to get to my toys on my blanket.
My eyes are looking very healthy, but we will continue to monitor them after the surgery. Mommy is getting checked out by my eye doc too so that we might figure out the causes of the blindness.
We discovered that I am double-jointed when I had blood drawn for genetic tests. With 3 people holding me down, I still managed to get a leg loose! I was not happy! It was a little easier to hold me down for my eye exam, but I still put up a good fight. Oompa says that Mommy is seeing herself in me. All I know is that I do not like to be held down.


Friday, April 01, 2005

The neurosurgeon and plastic surgeon have confirmed that I have bilateral coronal synostosis, and they want to do my surgery in July. I will be six months old, and I will be better able to handle the surgery. Six months is thought to be a good time so that we can reduce the chances of me having a second surgery. My bones and immune system will also be stronger. We are having genetics testing done this month to try to solve the mystery of this defect Mommy passed to me, and we are visiting an ophthalmologist to monitor my vision. Since Mommy is blind in one eye as are her mother and grandmother, we want to catch anything that happens to my vision right away. We will visit the neurosurgeon and plastic surgeon again in late May or early June to check my development. We will probably set up the surgery details closer to that time as well. I will also have an MRI when I go in for surgery to check my sacral dimple. We want to make sure that I do not have a tethered cord before I begin trying to walk. If I have a tethered cord, they will have to snip it; otherwise, I may experience delays (possibly irreversible) while learning to walk.
On a happier note, I am a very happy baby. I have been full of coos, giggles, and other adorable noises when "talking" to people, especially the ones I love. I make Mommy's heart melt every day.


Monday, March 28, 2005

I am on my way to being a mover and shaker. Last weekend, Daddy came to get me up for the morning, and I had rolled from my tummy to my back. I waited a whole week to repeat. This morning, I rolled from my tummy to my back right in front of Mommy! I am smiling all the time now, and I make little screeching noises when I am happy. I can push myself up when on my tummy, and I can scoot when on my back.
Last week, I went in two times for a CT scan. They are doing a 3D reconstruction of my skull to see what needs to be done in surgery. The technician and Mommy said that I was a very good boy. I just watched the pretty lights and sucked on my paci or bottle. They did not have to sedate me, which made Mommy very happy. Today, the neurosurgery team will be discussing the scan results and talking about what needs to be done soon for the surgery. Mommy hopes that everything can be done before she goes back to work, but she also does not want to push them to do it too early. If they do it too early, I might have to go in for another surgery later. Yuck!


Tuesday, January 18, 2005

Mommy and Daddy have been very busy taking care of me and running to various doctor and hospital appointments. Half the time, Mommy is being seen since her c-section incision decided to collect fluid and become infected. The other half of the time, I am being seen for shots, a circumcision, x-rays, and ultrasounds. I have the same genetic problems Mommy has, so I will be having surgery on my head in the near future. (I have bilateral coronal synostosis.) Keep me in your thoughts and prayers!


Thursday, December 23, 2004

At 3:44 a.m. I made my grand entrance into the world. Mommy's water broke at 6:15 p.m., but I was not born until later because I was stuck in the birth canal for a while. They ended up doing a c-section to pull me out, and I immediately made my mark by pooping on Mommy and peeing on the nurse. Oh well. They shouldn't have taken me out of my warm, comfy home! :)

 

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