2.26.13 From 3 to 4

Yesterday I was only 3 years old. So young.


This morning I woke up so much older. I could tell it was a special day right away because I got birthday kisses from Daddy.



Caleb gives me cuddles everyday.



Mommy put my hair in braids. It seems like as a 4 year old I would be able to wear my hair however I wanted, but Mommy decided without even asking me.


We had to drive a long way to go to my lessons again yesterday and today, but it's okay cause Mommy and I get to hold hands while we drive.


I got to have lessons with Naomi on my birthday. I like to learn from her.


Mommy and I got the whole day to ourselves. In between lessons, we went searching for the best birthday balloon in all of Bellevue. Mommy made me wear a mask cause she says people have germs that can make me sick.


Even though I had to wear a mask and we had to walk around and around in the cold to so many stores, we finally found it.


Mommy wonders sometimes how I can see anything through my long eyelashes.


After my lessons were over, we got to stop for an ice cream. We shared. I smelled all the bites and Mommy ate them all.



I got some really special presents too. Mommy and Daddy seem especially excited about taking me to see the light show at the Pacific Science Center as my special birthday outing. Sounds like they won't even think about taking me until there are less sick people around. I'm really patient though, so I can wait.


I got to stay up late too. After Caleb went to bed, Mommy, Daddy, and I snuggled together on the couch. They talked about when I was born and prayed for me. I mostly liked the snuggling.

 
I think I will like being 4.

2.20.13 Weight Wake Up

33 pounds.

Numbers can be startling.

We knew Aimee had lost weight, a good amount of weight. Yet, somehow I was shocked yesterday, while we were at her Neurology appointment, when I heard the actual figure. Shocked to realize that 33 pounds meant she had lost nearly a quarter of her weight over the last several months, 8 pounds of that in the last 3 months alone. Taking into account her height, this loss puts her BMI at 12.0, below the 1st percentile for her age.

If I was wary about keeping her away from people and thus sickness before, substantially increase that now. After a sickness is completely gone, she slowly regains a normal feeding schedule. Before she gains any ground other germs find there way in and she is losing more weight to another bout of illness. She seriously cannot afford to get sick again before we pad her up to a healthier weight.

On top of this wake up call, I just learned last week that her reflux medication might actually lower her nutrient absorption. Thus the dilemma. Option 1: Should we attempt natural options for reflux control that will not interfere with nutrients and attempt a slow wean off of this medication? We would hope that better nutrient absorption will help her stay healthier. However, in trying natural options, we will inevitably be using the trial and error method, which means at least a temporary increase in reflux. More reflux means less retained calories, more weight loss, and potential for aspiration/more sickness. Or Option 2: Do we first aggressively work to get her weight up, while protecting her from sickness to our best ability, knowing that her nutrition is partly blocked by this medication all the while?

Neither one seems ideal, but considering how low her weight is, it seems necessary to completely focus on that. Once weight is up to normal (maybe even a pound or two of cushion weight) we could make an attempt at eliminating this medication.

Now, how quickly can one pack pounds on a child? Let operation speed weight gain commence!

Quick neuro note, we are increasing seizure meds again. Aimee has shown a significant increase in seizures when under stress (including sickness) and has developed a new type it seems as well. May have to increase again if we can get her weight up. I am thankful for the medications that help protect her from these worse evils.

2.11.13 The Beginning of Our Story

Looking back I see all the red flags, visibly bright and fluttering in that hindsight mirror. I see the slow process of Aimee's birth and her reluctance to breath the air of this world. I see the constantly sleeping newborn who wasn't able to eat. I see the lack of connection between us and her, the inability to hold herself, and the lack of change. I can even recall the fear in my heart that would not allow me to admit what I saw.

Aimee's story, our first step into parenthood, is not dramatic or shocking like so many other stories are. Instead it is slow, a drip of change and unexpected. The heat was has ever so slightly increased over time and looking back, there was no moment of explosive fire.

When Aimee was born, we were beyond excited. We had so wanted to be parents and had waited longingly for a couple years. We were googley eyed for Aimee and her sleeping cuddles. In our minds, with our heart desire finally met, the hard part was over and she was just right. We reasoned that people always say newborns are very sleepy, so she is just normal. People always say that breastfeeding is hard and you just have to endure, so she is just normal. People say when they are first born their little tummy is the size of a dime, so we gave her dabs of milk and she was just normal.

Aimee was fine 'til we found out at her one week check in with the midwife that she had lost about 2 1/2 pounds since birth. I was sure the problem was my inability, my lack of maternal instinct. We were given 24 hours to feed her as much as possible and see if we could get her weight up 1 pound. Daunting task. We followed orders, purchased a breast pump, and tried every trick in the book to get fluids into the little peanut. By the next afternoon, at 8 days old, we couldn't wake her up. We listened to her heart rate and it had slowed. Her temperature was low. She was very jaundiced. We took her to our local emergency room.

I was so afraid that she would be taken from us, that the hospital would turn us in for not feeding our child. Especially as they said things like starvation induced jaundice. Starvation. I had been starving my own child. I certainly had no mothering abilities.

Poor, orange baby. She was attacked in that ER by nurses and doctors taking spinal taps, trying to get IVs into tiny, extremely dehydrated veins, taking any blood they could get from her for tests. Every time the blood would congeal and be unusable. Aimee never reacted or made a peep. Late that night, she was finally placed in an ambulance and transferred to a better hospital. Upon arrival, the nurses immediately began to attempt blood draws, to repeat all the tests that had been attempted at the first hospital. We were raw. The poor, sweet nurse was eventually in tears too as we begged and pleaded for them not to take any more blood. Please leave her some, especially since each time it was for nothing. What a low moment, yet still we had no clue.

Aimee was there in the NICU for just a week. We pushed hard to have her released as soon as we could. Her weight went up, she was hydrated. We were told to be sure to see a lactation consultant and to get her treated for club feet. Nothing was wrong with our baby, it must just be me.

We had Aimee treated for club feet, which was time consuming. She had new castes placed weekly, her Achilles' tendons cut, and eventually she wore a set of special shoes attached to a bar 23 hours a day. But, this was just superficial. Aimee wasn't developing and we assumed it was due to all this added weight and awkwardness.

We tried everything to keep Aimee fed. I nursed, pumped, bottle fed, and repeated. She gagged, choked, breathed, and somehow managed to survive. It is horrible to recall how frustrated I was with her during that time. If only I had known how hard she was trying, how much she was fighting, I would have been so proud of her. I am so proud of her now.

When Aimee was 6 months old the questions started to pour in from every side. We suddenly had to answer to the big question of why we had ignored all the signs. One doctor asked why Aimee wasn't holding her head up, another saw that her head was very small for her age, and our family started to verbalize to us. This wasn't normal and we had to face the facts that we had ignored all along. A few would state that they had known from the beginning, as if that would somehow help us now. We had to finally admit, Aimee is different.

We took every referral, said yes to every test, talked to every doctor. We were desperate to find out the "what and why". Was it the jaundice and thus the starvation? Was it the slowness to breath after birth? Every question, every test gave us no peace. We found out that Aimee had a very small head that had scarcely grown since birth. We found out that it meant her brain wasn't growing. We found out lots of reasons why that could happen, had all the tests done, and yet none of those things had happened.

At first every doctor was interested and had ideas, but as Aimee grew and every test came back without answers, we were gradually left with no clues. We continued to follow up with the appointments and slowly found more problems, but never an overall cause and never anything we could do to correct the main issue. We eventually found that she should not have been fed orally and she had a feeding tube installed for all nutrition. We found that her hearing was impaired and had aids made. We eventually discovered she had been having seizures since birth and put her on medications. We finally discovered her vision was very limited. We found that she had low muscle tone that keeps her from building strength. We discovered she had sleep apnea and retained carbon dioxide in her blood. We were told that her life will, from a medical percentage stand point, be taken early due to her inability to fight sickness effectively.

And so, there we were left. We had no community to turn to who had experience or at least was dealing with similar issues. In our desperation to aid Aimee, to unlock the box she was trapped in, we threw ourselves and her into rigorous therapies. We continued genetic testing. We followed up on any tiny difference we could find, hoping that some clue would unlock the box. Our days were jammed with appointments, feedings, and exercises. And still Aimee remained mostly the same. She stayed trapped as a very young baby in an ever growing body. She has yet to hold up her head, despite her desire. She rarely makes baby babble. She is unable to track or even see objects and rarely finds the ability to fix on a face.

As she grows, more issues present themselves, issues with aspiration, with sickness, with positioning, with diapering, moving, transportation, and feeding. Our mentality has begun to shift as we no longer focus on what and why. We are beginning to let go of the attempts to push her, recognizing them now as attempts to "fix" her. Although continuing with an alternative therapy that does seem motivating to her, we have let go of our many therapies and exercises. We have simplified to keeping Aimee healthy, helping her discover herself, and allowing ourselves, family, friends, and even to an extent strangers to develop relationship with her as she is.

It seems we will never know the whole story. We must admit and face the limitations. We must help Aimee overcome the challenges that continually arise. Above all we must treasure, learn from, and delight in Aimee for the whole length of her journey.

And that isn't the end of the story for Aimee.

2.4.13 Surrounded By Men

It is a part of the designed landscape of my life to be surrounded by those people of the other gender. Those people who are protective, who laugh at inappropriate things, who are rougher and tougher, who's displays of emotion are so deeply felt you remember it for years, who are constant and dependable, who are learning to be heroes, who can always be appeased with freshly baked cookies, who are much better at sound effects, and the list goes on exceedingly longer.

I have never been displeased with my surrounding male-dominated family. When I was little, people would ask me ALL the time what it was like to have 6 brothers and be the only girl, if I was always teased or completely spoiled (both probably). I never really had a good answer. To me, it was normal. Normal to have no one steal your pretty things. To always be playing GI joes, Legos, and Nintendo. To only ever play dress up at friends' houses. To have to wait until your little brother was desperate to have someone to play paper dolls with. I constantly wished for a sister, but never wished away my brothers. I am still very thankful for them.

Ed and I are expecting baby 3 this June. And surprise...

Now that we are building our own family, I find my role has not yet changed. Aimee is my little angel girl. Her and I are soon to have 3 men in our life. And we would have it no other way.

Aimee made a really quick recovery this weekend from her sickness. So thankful that it did not develop on its normal course toward respiratory infection. I did, however, take her in to see a pediatrician. Partly because I had to for our new insurance sake (Very sad to lose our naturopath as a primary doctor). The other big reason I took her in was to discuss this clockwork-like reoccurring sickness.

Last year she was sick a few times during the school year and each time was challenging, but this year she has been sick near continually. As other parents of medically complex children know, this is a constant challenge. Most likely this season of sicknesses end-upon-end is just a combination of factors including a weakened immune system, exposure to more germs from her brother, and the increase in illnesses floating around this season. Yet, after close to 6 months of this, it seemed like it was time to dig a little deeper just in case. The doctor definitely agreed it was time to look at immune deficiencies.

With a referral in hand, Caleb, Aimee, and I descended into the basement of the local hospital to get labs drawn. A mistake I will not soon repeat. Not only is there the bill to look forward to, but we were there in the lab for over an hour as they contemplated, consulted, and attempted to draw blood from Aimee's difficult veins. Children's lab technician is so good that I had forgotten it was even an issue. Dear, patient Aimee. Once they finally got into a good vein, she got a big grin on her sweet little face. She knew the torture was almost over. Smart girl.

Anyways, we were able to do several tests for different immunoglobulins and a few specific disorders. These labs all came back in normal ranges, except for the white blood cell count, which was low confirming the current virus. This is good news that she does not have these immune deficiencies, of course. I just wish there were answers. Some kind of answer usually means some kind of solution.

The doctor simply recommended we keep her away from people, make everyone in contact with her continually wash hands, and have her wear a mask at the hospital. :( Wish we didn't have to keep her away from everyone, but at least until we get through this sickness season, we will have to just keep in touch with the rest of the world via the Internet. Although I love staying at home with my babies, we are especially sad to not be able to go to our church or to visit with friends. So for now, aside from our trips to see therapists and doctors, we're reporting to you from home.