Welcome. I was inspired to write this blog while pregnant with my son, Josiah. At 18 weeks gestation, Josiah was diagnosed with Down Syndrome. He had open heart surgery at 3 months and has had RSV twice. He is now 21 months old. He and his two older brothers amaze us everyday. Josiah was not a mistake, nor is he a regret. He is a miracle and the light of our lives. We share with you this beautiful life we have been blessed with.
Saturday, August 20, 2016
The Undetected Strokes
Carl and I spent many an hour researching "unusual density to cerebellum". The results left us no more certain about the meaning of these unusual findings. "It could be something." "It could be nothing." "It could be related to the Down syndrome." That's a clear as picture as we could form. As Fall proceeded, Josiah was fitted for hearing aides. We continued to wonder about the mystery now facing our son. Carl passed. Time passed. In early December, I found myself driving Josiah to a local Children's Hospital for a scheduled MRI. Josiah was sedated for the procedure, they obtained the necessary images, Josiah endured without complaint or complication. I continued with life, still wondering what the findings might show.
In mid-December, I received the results of the MRI. Although Josiah's brain looks different than an average brain, it looks "typical" for a child with Down syndrome. Josiah has more white matter than those without DS, but typical of a person with DS. I theorized that this might explain why people with Down syndrome are more likely to develop dementia in their 30's or 40's. The MRI showed that Josiah had fluid in his right ear (which was infected). There were the previously noted abnormalities within the structure of his ear but masses and tumors were ruled out. There was, surprisingly, evidence of an old brain bleed - as evidenced by staining on the brain. They stressed that it was old. It could've happened during child birth or as a result of very early pulmonary hypertension. Regardless, they voiced that it was not a current concern. No lesions, tumors, masses, or fluid on the brain were found. I called the neurology department and scheduled an appt for early January to discuss the findings and, more importantly, learn how these findings could impact Josiah.
The January appointment was cancelled by Children's. They had talked to Josiah's pediatrician and were determining the best follow up plan. I had the information (above) but still no clear cut answers as to what it all meant. It took well over 2 months, but a follow up was finally scheduled for March.
In the wee hours, on a March morning, Josiah & I headed to the Children's Satellite location where we met with a neurologist and hematologist from the stroke clinic. Yes, stroke clinic! I finally received the clear-cut answers I was seeking.
Josiah had numerous strokes, as evidenced by gray matter in two lobes of his brain - the parietal lobe & the cerebellum. The parietal lobe controls the "gps of the mind" - spacial awareness, ability to see peripherally, etc. The cerebellum controls balance. There were numerous areas of gray matter, consistent with numerous 'remote' strokes. They are all old. Although they, technically, damaged parts of Josiah's brain, they caused no ill effects. Their best guess is that these remote strokes happened around the time of Josiah's open heart surgery - likely when he was on the bypass machine.
So, it is believed that Josiah had two kinds of strokes: ischemic arterial stroke & a venous stroke. Due to the areas of the brain that were damaged, they did little to cause problems for Josiah. Through historical documentation, as well as tests they performed, they do not believe Josiah's balance or 'gps' system have been negatively impaired. Josiah's strokes are considered "silent strokes" as they happen, unbeknownst to anyone, and cause no impairment. In a child who has had an ischemic arterial stroke (the one that generally impairs the gps system), a young child's brain will often re-map itself so the damaged area is of no consequence. This is what they believed happened with Josiah.
The extra white matter, in Josiah's brain? Not related to Down syndrome. Rather, it is damage to the cells as a result of the earlier strokes. The believe these strokes were a one-time incident. They do not believe he is at risk for any further strokes.
They will perform another MRI at the end of 2016 to make sure there are no additional changes. If the 2 images look the same, no further follow up will be required.
Though stunned to learn Josiah had suffered from numerous strokes, I am thankful that these findings were discovered by accident. It was not symptoms that drove us searching for answers, it was a Mom & Dad who simply wanted to rule out a structural abnormality within their son's ears.
I remain in awe of this beautiful soul. Blessed with an extra chromosome, he courageously fought RSV, open heart surgery, and numerous remote strokes. His brain? It just remapped itself; No problem.
As I continue to climb up the down staircase, I remain in complete admiration. I continue to smile at a life so precious. I continue to point to the stars because nothing's going to stop Josiah from reaching his full potential :)
Footprints and Angel Wings
Thursday, December 11, 2014
Fall into Winter
As September began, we counted the weeks until Josiah turned three. The big boys were in school, full time. Around the corner, big changes were in the air. Josiah was about to start preschool, in the local public school. Our first IEP was in our immediate future. Early Intervention was going to come to a grinding halt. Our way of life, for 3 years, was about to change. Though exciting, we were feeling the nervous energy that often accompanies anticipation.
By mid-Sept, we had received notice of the scheduled IEP meeting. I didn't know if I should be excited or dread it's very existence. I had heard nightmares about IEP meetings, attitudes, different perspectives where no one is willing to work together, etc. The morning of the IEP meeting finally arrived. Carl & I arrived to the school with Josiah's EI worker & an advocate from the local DDS office. We were, truthfully, prepared to be unimpressed.
I was never so pleased to be proven wrong!!!! The IEP meeting was amazing! They had considered everything & then some! Josiah's needs had already been considered. Special accommodations had already been thoughtfully planned out. They were offering him 7 therapies per week, in addition to his classroom work. They offered him an extended school year so that he can attend in the summer. They had already included sign language as a method of communication (as Josiah has few spoken words).
I asked only for two things: 1. Potty training - it was included before I could finish speaking. 2. A communication log - which was implemented on day one & has been a constant! We walked away impressed. We walked away knowing that we were blessed! This was the right place for Josiah. We didn't need to fear the unknown any longer.
As we prepared for Josiah's first day of school, we said our goodbye's to Early Intervention. We said goodbye to the Early Intervention Child Coordinator who had been with us from the very beginning. It was a strange sensation....to be actively involved with a team of people, then they simply stop coming. Strange, strange, indeed.
Before we had time to mourn the loss of our friends, we quickly met new friends as Josiah's Physical therapy was moved to an outside agency (where he was already receiving OT and Speech). Josiah transitioned nicely to all the changes. Before we knew what was happening, it was the first day of preschool. He was up, fed, dressed, and outside waiting for his bus. We could hardly believe our eyes.
And so it began, mid-October. Josiah attended his first day of preschool. There were a few tears, the first two days of school, then he was off and running. He attends school 4 days per week, 2.5 hours per day. During those four days, he received OT 2x/week, PT 2x/week, and Speech 3x/week. Two afternoons per week, he attends therapy at an outside agency....OT, PT, and Speech, each day. That's 13 therapies per week!!! Unbelievable!!!
So, four days per week, this Mama finds herself with 2.5 hours to get errands done, clean the house, do laundry, change beds, etc....without interruption. By lunch time, each day, Josiah happily arrives home.
This has been our life for the past 10 weeks. Meanwhile, we've celebrated family birthdays, enjoyed Thanksgiving, survived a stomach bug, and now excitedly prepare for Christmas.
This Mama finds herself tired....blessed, but tired.
Sunday, July 13, 2014
Therapy Overload
Shortly before his second birthday, the occupational therapist moved and we had an issue with the speech therapist. Knowing he had one year left with EI, and then would age out, we switched occupational therapy & speech therapy to an outside agency where he would receive both services twice weekly. Two appointments at home, four appointments outside the home. Of course, playgroup was additional. These didn't account for 'extras' - trips to Children's, the DS clinic, pediatrician, or dentist.
Given the last three months (with C being ill), this Mama is finding herself on therapy overload. C used to take Josiah to his outside appointments (two days per week - two therapies back-to-back). I would attend to grocery shopping and the like. All of that has changed as C can no longer lift Josiah.
Thankfully, C drives the two 'big' boys to/from preschool/camp each day, while I stay at home preparing Josiah for his day.
Some mornings roll around and I think to myself, "I just can't do this today." Yes, I have cancelled therapy due to my own inability to carry on. It doesn't happen often, but happens more than I like to admit. I week, I simply decided to take the week off.
Josiah is such a little trouper as I carry him from appointment to appointment. He arrives with a smile, every time. He works hard at everything he does. I sit, exhausted, watching him.
He ages out of EI in 3 months. That will end the home visits. Physical therapy will get added to our list of outside appointments - six therapy sessions per week. He will receive some services at school. We will continue to take him to playgroups, when scheduling allows.
Sometimes, I am tired just thinking about our schedule. I feel like we're on therapy overload. I wonder if other parents feel that way too.....
Sunday, March 2, 2014
Who's This New Kid???
We had struggled to transition Josiah from baby food to 'people' food. It's not all his fault, it's partially ours. Face it, baby food is easier (at a certain level). Baby food is more costly, but less time consuming. Josiah had been sick for the two weeks leading up to Disney. He favored baby food while he was sick. Admittedly so, we preferred it too. Then we went to Disney, and his sickness was still questionable. He seemed to have developed a secondary lactose intolerance (I must admit, I'm not sure what that means, how long it lasts, or when to know it has ended). As a result, we stopped feeding him yogurt (the one food he ate consistently). While in Disney, he ate (almost exclusively) baby food. It was safe & kept him well.
We arrived home and, honestly, just decided to stop feeding him baby food. Well, low and behold - it worked. Suddenly, Josiah was eating people food (and was happy about it). In the three weeks we've been home, Josiah has eaten pot roast, beef stew, chicken, onion rings, hamburger helper, mac & cheese, and the list goes on. He hasn't touched baby food in weeks! We are ecstatic!!! Just last night, I noticed the secondary gain....Josiah's orange tint has finally disappeared!!! I thought it would never be so!!!
Here's Josiah, after eating a piece of birthday cake last week. Look at the smile on that face!!!
Saturday, February 15, 2014
Back Into the Swing of Things
After getting J1 and J2 off to school on Monday, we headed to play group with Josiah. It was like we had never left. Over the weekend, we noticed that Josiah seemed more independent. He seemed to be exploring more. In Florida, the tile floors made exploration difficult. We thought maybe he was just happy to be in environments conducive for small children. Here, in play group, he was definitely acting more independent. He was crawling up (and down) the stairs to the climbing structure. He was suddenly taking more risks (but not dangerous ones). Little man....
Monday afternoon brought out the EI worker (whom Josiah hadn't seen in weeks). She was accompanied by her supervisor and Josiah's PT (an occasional co-treat is not uncommon). Well, that didn't go so well. For the next 60 minutes (or so), Josiah cried like nobody's business. He didn't want to stand. He didn't want to walk with the walker. He simply cried. He sobbed. Yes, it was not his finest hour.
Tuesday morning, he returned to Speech & OT (after his three week hiatus). What a difference a day makes. He stunned the speech therapist. He made more sounds than ever. He signed more, all done, yes, and no. The speech therapist was elated (he is usually quite stubborn with her). OT was just as successful. He used the same signs with her. He even said "bye-bye." OMG! This kid is amazing!!! Thursday's sessions were about the same. Josiah is vocalizing more sounds. More exciting than that (for me), he is finally using some signs.
After feeling like we were never going to be able to wean him off baby food, we have finally accomplished the impossible (or so it seemed). We have gone the better part of the week without baby food. Josiah has happily eaten pork chops, rice, pot roast, potatoes, mac & cheese, tuna fish, chicken alfredo, onion rings, bread, and beef stew. His first week without baby food!!!! Yay Josiah!!!!
I feel like Josiah has turned a huge corner this week. He is vocalizing more. He is FINALLY signing (even if just a few words). He's imitating a LOT!!! He's more engaged in active play. And, he's eating big people food. He never ceases to amaze me.
I love my life <3.
Disney Day Ten & Eleven
C and I didn't go to bed until about 11:30. I didn't fall asleep until 1:30. The 3:30 alarm, came far too quickly. We managed to finish laundry, pack, and get out the door around 5am. We were at the airport by 5:30; we arrived at the gate at 6:40. It was only about 10 minutes before we were allowed to board the flight home. By 7:20, the plane was taxi'ing down the runway. Our trip to paradise was over. We had all survived (C and I needed to get home - we were exhausted lol). We were so proud of our three boys. They were amazing little men.
My sister met us at the airport, as promised. We arrived back at our home by noon. We were pooped. Later in the day, we ordered pizza and had friends over. It had been a lovely trip but we were glad to be home.
Dorothy was right....'there's no place like home.'
Disney Day Nine
After arriving at the parking lot. We procured a manual wheelchair to assist Dad in getting to the Ferry. In the parking lot, we had noticed a large camper. Outside of it, several adults were standing around a stretcher. They were traveling with medical equipment. We didn't make a lot of it; we simply noticed.
After a half an hour wait for the ferry, we could see the boat approaching the dock. A woman gently hollered to gain the crowd's attention. Her announcement indicated that a child from 'Make a Wish' was amongst us. The request was simple: let him be the first to board the ferry. The crowd was more than willing to accommodate this simple request.
The previously-noticed stretcher was wheeled onto the ferry first. The young boy appeared to be between the ages of 7-10. Numerous adults accompanied him, some wearing 'make a wish' buttons. They traveled with tubes, oxygen, and the like. People were teary watching this young man board the ferry to his dream come true. We didn't know we would share space with a little king <3.
The Magic Kingdom was sensational. We spent a better part of the day in one section of the park. It rained, intermittently. No one seemed fussed by it. Before we knew it, it was nearing sunset. It had been a beautiful, long, day indeed. It was time to head 'home,' and so we did.
Thursday, we would focus on packing.
Friday, we were going home.
Sunday, February 9, 2014
Disney Day Eight
Tuesday was another beautiful day. We were excited about going to Epcot. I couldn't wait to stand with my Dad, and watch the Illuminations fireworks/laser lights show at 9pm.
Unfortunately, Dad had overdone it the day before. His foot was sore. He made the difficult decision to stay home. He hoped to join us for the Magic Kingdom, on Wednesday.
We were out the door by 11am....it would be a late night. We were prepared, and excited!
Epcot was as I remembered it. We started out in the Epcot ball.... the adventure into space. From there, we headed to the Dinosaur ride. I wasn't concerned about the many reminders that "This will be a 37 minute ride, so if you feel like it may be too much for any member of your party, please exit now." Piece of cake....so I thought.
About 7 minutes into the ride, Josiah had begun to fuss. The bag of Nilla wafers would have helped.....but I had mistakingly left them in the bottom of the stroller, outside. Pat-a-cake and hugs weren't working. We were about 15 minutes into this dark ride; Josiah was now screaming. He had crocodile tears!
C was frantically pawing through the diaper bag looking for any hidden treats. Josiah took one sip of his water, then promptly threw it. The Dorito was even less of a hit. As I frantically tried to quiet Josiah, I looked around at Epcot's guests wondering how badly we'd be hated when the ride ended.....another 20 (or so) minutes away.
I'll tell you....when your child is screaming & disrupting other people (at a very expensive location), and you can neither exit nor stop them, tension starts to rise.
Due to a plastic spoon & a jar of baby food, I was able to feed Josiah (in the dark). Though I missed most of the sights and sounds, I knew the glares would be minimal, at the end! Lol. I was never so grateful for a ride to end...
We went to lunch hoping to put Josiah in a 'good place'. It was 3pm and Illuminations was 6 hours away.....it was the thing I looked forward to the most. Josiah went into complete melt-down mode, during lunch. I couldn't eat....too stressed out. It was 4pm. I announced, "It's time to go. I can't deal with this!"
I was sad. We made our way out of the "World Showcase." We had eaten lunch in the USA so we were at the furthest point from the exit. As we were crossing from the World Showcase into the 'front' part of the park, a kiosk caught the eye of our 7 year old. Josiah was quiet (finally) so we agreed to stop.
The two older boys were given a play cell phone & asked to help save the world. They were promoted to "secret agent" status and agreed to complete their assignment. Josiah was still quiet and I remained cautiously optimistic about seeing the later show. So.....we headed back into the World Showcase.
The boys had a great time traveling to the different countries, completing tasks (dictated by cell phone) along the way. They had a blast!!! We were so glad things had taken a turn for the better.
By 8pm, we staked out a good viewing location. We hit the gift shop & returned the cell phone. The big boys passed time playing with a third child.
At 9pm, Illuminations began. It was everything I remembered & everything I hoped it would be. Josiah was being an angel. I was watching the show I had been anxious to see. Yes, I was blessed.
By 9:30, we were heading for the car. It had been a long day. Everyone was tired but happy :)
Here are a few pics....
Disney Day Seven
Monday morning ushered in pure, and unadulterated, sunshine! It was our originally-scheduled-travel-home-day. I couldn't be happier that we were there to stay. We were headed to the Animal Kingdom & Mom and Dad were joining us!
Upon arrival, we successfully procured Dad an electric scooter. He was delighted!!!
We enjoyed great rides, fantastic atmosphere, and superb shows! By 2pm, we were hungry. Josiah was starving! So, we headed for the gates. The 4 year old had been asking for days; now it was happening.....Rainforest Cafe for lunch. This would be the second, and final, time.
We enjoyed a leisurely lunch and browsed the gift shift. Despite the early hour of 4pm, the thoughts of home (and the pool) proved too tempting. We bid adieu to the Animal Kingdom, and headed home.
Tuesday, we were going to Epcot!
Here's a few pictures from our day....
Monday, February 3, 2014
Disney Day Six
We were up at 7:30am. It was very foggy but free from rain! We were headed to Hollywood Studios! It would be just the five of us, again. Mom & Dad were staying in.
We were out the door around 11am. We headed to the New Balance outlet store - Mama needs new shoes!!! Lol. Fifteen minutes in the store, and Mama had new sneaks! Off to Hollywood Studios!
The park was a lot of fun! The big boys rode a Star Wars themed ride with Daddy. The highlight for the four year old was his encounter with Woody & Buzz Lightyear. I enjoyed seeing the Wicked Witch of the West appear & disappear in a ball of fire and smoke!!! Fun times :)
We shopped, ate, walked, and rode. We stayed right up until closing. At home, the boys swam in the pool & we all relaxed!
I was so glad we weren't leaving yet...
Disney Day Five
We woke Saturday morning to raindrops falling on the pool cover. Luckily, the forecast wasn't calling for a washout. It would clear by noon. Mom and Dad were planning on staying in, to nurse Dad's foot back to health. We were headed to Universal Studios!
We arrived there around noon. The lines were long, and slow. It rained intermittently. It took over an hour (and more money than I care to admit), but we were finally passing through the gates.
I had last visited Universal about 20 years ago. Back then, there was one park. Now there are two: Islands of Adventure & Universal Studios. Not sure of the difference, we headed to Islands of Adventure.
We visited the worlds of Harry Potter, Jurassic Park, Dr. Seuss, and various super heroes. We ate at a comics cafe and dodged raindrops. It was 5:30pm by the time we headed to the 'other side.' Yes, that was the Universal I remembered. With only an hour until closing, we rode ET (twice) & drank milkshakes, before seeing the 7pm fireworks show. A real rainbow even appeared in the sky before being swallowed by darkness.
By 7:15pm, we were headed to the car. It had been a long, expensive, day. We had fun! We would hit Hollywood Studios (formerly known as MGM) on Sunday. I was so glad we extended our vacation.
Here are a few pics of our day.
Saturday, February 1, 2014
Disney Day Four
I don't suppose it would come as a big surprise to say we woke to rain on Friday. Sadder yet was the forecast predicting no let-up before Saturday. This didn't help my obsessive thoughts (which had begun on Wednesday). We were leaving Monday and didn't have enough time.
So, I did something I have never done before. I figured out the logistics, went about gathering detailed information, then implemented my action plan:
Confirm our ride home from airport can accommodate a change, check!
Change flight home, check!
Email elementary school to inform them of 1st grader's extended vacation.
Call preschool to inform them of 4-year old's extended vacation.
Cancel Josiah's PT with EI.
Cancel Josiah's OT & Speech through rehab.
Cancel karate for extra week.
Extend house-sitter.
Extend baby rental gear, check!
Ok....now Mama is happy lol.
With that resolved, we proceeded to plan our day. We enjoyed lunch at home & the boys played in the pool, in the rain. I found a place called Wonderworks; they were open until Midnight. We would head there.
Mom & Dad stayed home. We headed out. Wonderworks looked very cool. I looked forward to seeing it. The legend goes something like this:
Wonderworks began as a top secret laboratory in the Bahamas. Scientists were involved with many projects, one of which was capturing high speed winds. Something went horribly wrong! High winds enveloped the building, picking it up off the ground, and catapulting it through the air like a tornado. It eventually landed upside-down, on a red brick building, in the city of Orlando, Fl.
That is where it sits today. The experiments remained intact but are upside-down (just like the building). Upon entry, guests pass through an inversion tunnel in order to defy gravity & enjoy the 3 floors of hands on exhibits.
In the end, I wasn't overly impressed. However, seeing the building was great; time with family never wasted. Mama no longer feels like we're running out of time.
The building IS pretty cool, isn't it?
Disney Day Three
Thursday was a lazy day at Disney. We awoke to cold rain. It was mid-50's with no indication of sunshine. I was already yearning to stay longer :) With Dad's injured foot, and inclement weather, it was going to be a chill out kind of day.
Josiah caught up on some much needed sleep. The boys played in the pool. Everyone enjoyed extra relaxation. We nibbled for much of the day.
In the late afternoon hours, we get ready and headed for Downtown Disney. Our destination: Rainforest Cafe (and perhaps, a little shopping lol).
When we arrived, Dad sat in the van while we shopped in a Disney store. Then, off to the Rainforest. Given the 70 minute wait time provided for the family ahead of us, we were delighted to be seated immediately..... it must have been the party of 7 that was to our benefit. As always, the food was excellent! The company, unrivaled.
We couldn't leave Downtown Disney without stopping by the LEGO store. There were a lot of expensive choices thus we were ecstatic when the boys picked LEGO keychains.
We were quickly in the van and headed home. The boys enjoyed another dip in the pool, then bedtime commenced. Oh, Monday was coming to quickly....we haven't done enough yet.
Thursday, January 30, 2014
Disney Day Two
At 2am, I was awakened by a sound I knew all too well. Josiah was sick. Why was he sick? How long would it last? I didn't know. Luckily, I whisked him out of bed and subsequently saved the bedding. We weren't up long. We cleaned Josiah up, and were tucked back into bed. It was a restless night; Josiah made little noises all night.
He slept until 10am. An immediate bath was needed. We stripped the bed, bathed Josiah, and fed him breakfast. He still didn't act 'right' but was better. Our initial plan of attack: no dairy! My Dad had hurt his foot the night before, jumping into the pool. Josiah was questionably sick. It was cold and rainy. We made an early decision to stay home for the day.
At noon, Josiah decided to take a nap. The big boys stayed home with the guys. Mom & I escaped to buy crutches & do a little grocery shopping. We returned around 3pm. The big boys were happy and Josiah was just waking up. Dad was fitted with crutches. We were in for the duration of the day.
When Josiah awoke, he seemed 90% better. Dad was mobile again & all was well. We enjoyed a home cooked dinner, watched tv, and hung out in the heated pool. Life was good & we were blessed indeed.
Josiah went to bed at 8:30, a happy boy. The big boys went to bed at 10pm. We followed suit at 11:30pm. I fell asleep grateful for my beautiful family & the life we have.
Here are a few pics from our day....









