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Wednesday, March 28, 2012

A New Member of Our Team

On Monday, K arrived for Josiah's weekly session.  KT (OT) joined us.  Josiah enjoyed K and enjoyed meeting his new friend.  The consult for OT was initiated due to Josiah's difficulties in gaining weight.  Of course, we seemed to have broken through that barrier last week.  Thus, I hoped we weren't wasting KT's time.  Josiah enjoyed showing off all of his tricks.  KT, who demonstrates a love for the babies, enjoyed watching, working, and playing with him. 

Josiah is doing so well, and making huge strides every week.  It's exciting to see.  Despite having broken through the weight-gain hurdle, KT will continue to visit monthly for now.  According to the American Academy of Pediatrics, babies should not start "food" until about 6 months of age.  We don't know if the pediatrician will want to start food with him right at 6 months, or if he'll want to wait a bit longer.  Josiah still has limited head control; that may play a role in determining when he starts "foods."  When he does, I suspect that KT will be another invaluable team player.  Josiah was born with an extremely high palette (not unusual in Down Syndrome).  From what I've read, and heard, food can easily become lodged up there, and the child's tongue cannot reach high enough to dislodge it.  OT can be very helpful in overcoming such hurdles.  I am prepared for the (possible) continued eating challenges.  I know Josiah will ultimately prove successful.

As a funny side note....yesterday, I had placed Josiah in his swing.  James (age 2) was in the room alone with the little guy.  I entered the living room only to find James feeding tiny little muffin crumbs to his baby brother.  I softly reminded James that the baby is too little to eat "real food."  All the while, I had to control my laughter.  Josiah had muffin crumbs on his chin, lower lip, upper lip, and under his nose.  He had little bits of crumbs on his tongue which he was happily gumming to death :)  Josiah looked at me, then looked at James and gave him a huge smile.  It was a cute moment.  Josiah seemed to enjoy the momentary break from milk. 

And, did I mention that the aforementioned muffin was chocolate chip????

Saturday, March 24, 2012

A Break-Through in the Weight Gain Battle

Yesterday, Josiah woke at about 7am.  I had not forgotten that he had an appointment at the pediatrician at 10:30am.  He was due for his next (and final) Synagis shot for this season.  The Synagis shot requires a weight check, as the dosage is dependent on weight.  I nursed him and prayed for an 'acceptable' weight gain.

Jesse went to school.  Carl and I packed up the other boys and headed to the pediatrician.  We were there a few minutes early, and brought straight to a room.  I tried to remain optimistic, but prepared for the disappointment that has defined so many weight checks before.  I got Josiah undressed and carried him to the scale.  The moment of truth had arrived.

I placed him on the scale.  I was hoping to be excited about the results.  Part of me was ready to burst into tears if the results were not as I hoped.  When the scale locked in with his current weight, I was ELATED!  10lbs 6.5oz.  He had gained 15oz in 15 days.  It was the 'picture perfect' weight gain (1 oz per day).  I carried him back to the room; I couldn't help but feel overwhelmed with joy!

Within minutes, I could hear the pediatrician walking towards the room, all the way pronouncing "15oz in 15 days."  LOL.  At last, it was not going to feel like a 'doom and gloom' visit.  I finally felt as if we had broken through that barrier.  I was thrilled.  Carl was thrilled.  The MD (and nurses) were thrilled!  FINALLY!  He received his shot, and we were done!  We were homeward bound, without the overwhelming anxiety of visits past.  Josiah doesn't need to be seen until next month, for his 6-month check up.

We were winning the weight battle.  I am still nursing, primarily.  Josiah is only receiving 1-2 supplemental bottles per day.  Don't believe anyone who tells you that a special needs child cannot be breastfed!

K called while we at the pediatrician's office.  She is coming out on Monday with one more member of this amazing team!  I was able to, briefly, update her with the good news.  She shared in our excitement.

I called KF during the late afternoon hour.  I was delighted to share our news with her.  She has truly been an amazing support throughout this weight gain battle.  Last week, she told me that this has become 'personal' for her too.  I cannot explain how touched I've been by the amazing supports we have in our life.  I told KF that her undying support through my breastfeeding journey, has been invaluable.  I don't think I would've continued the BF without her help.

I've learned over the years that the most important things in a person's life, are those worth fighting for.  This up-the-down-staircase journey is not always easy.  However, it's one of those battles worth fighting.  I have amazing parents, an incredible brother, and the best sister-in-law in the world.  I am blessed with a husband, who is my best friend.  I have 3 amazing boys who teach me new things, everyday.  Our family has that one extra chromosome which has introduced us to new friends, new supports, new information, new learning opportunities, and confirmed our belief that we are the luckiest people in the world.

Thursday, March 22, 2012

Great PT visit today :)

Josiah napped late yesterday, from 8:30pm until I woke him at 1:30am.  He nursed and was back in bed at 2am.  Carl and I followed shortly thereafter.  The alarm woke us at 6:30, as scheduled.  I woke Josiah up at 7am....I was excited for today's PT visit.  I changed him, nursed him, and prepared the living room for his PT visit.  K and D arrived promptly at 8am.  I was beside myself with excitement.  My fingers were crossed that Josiah would show D his new tricks.  He did not disappoint.

Josiah was happy to see his 'girlfriends.'  He was playful and engaging with both ladies.  While on his back, he happily reached, grabbed, and played with several toys.  He demonstrated his ability to raise both arms up the air, simultaneously.  He played with his fingers and hands.  He sucked on his arm lol.  His side-lying was wonderful today.  He even showed D his new trick of rolling over onto his belly....she had to help him 'unstick' his arms each time (as they become trapped underneath him).  D taught him how to use his leg to return to his back from a side-lying position....he later demonstrated his understanding of the lesson.  K and I eagerly pulled out the tripod toy to show D Josiah's understanding of cause and effect.  When the music stopped, Josiah used his legs to restart the music (this requires moving the middle hanging toy...a green circle).  I repositioned the tripod and Josiah proved his ability to utilize his arms for the same purpose.  It was very exciting.  While on his belly, he utilized many muscles in an effort to move/turn his head.  This is a challenge for Josiah, but his proved that he is gaining strength in his neck.  D also placed him in a sitting position; he worked hard to keep his head under control.

D was excited about his progress over the last month.  She indicated he is (finally) ready for weekly PT.  I am THRILLED!  Starting next week, Josiah will have PT weekly.  He will continue to work with K, weekly, as well.  My excitement is overflowing :)

By the end of today's session, Josiah was side-lying, crying, and unable to keep his eyes open.  He was exhausted!!!  I nursed him for about 5 minutes before he fell fast asleep in my arms.  I placed him in his crib at 9:15am.  I spent the next FOUR hours getting things done; Finally, at 1:15pm, I woke him.  It had been 5.5 hours since he had last eaten.  He nursed VERY well, played for awhile, consumed 1.5 ounces of a bottle, and (again) fell fast asleep.  I put him down for a nap at 3:30pm.....he remains asleep (it's now 5:30pm). 

Tomorrow, he is scheduled for the next Synagis shot.  I am, as always, nervous about the weight check.  Regardless, I remain optimistic! 

I see how far Josiah has come in the past 6 weeks, and I remain in awe.  I see his potential.  I know all that he will be able to accomplish soon.  He is an amazing child.  We could not be more blessed that he is ours <3.

As a side note: As I mentioned, yesterday was World Down Syndrome Day.  I forgot to mention how we celebrated at 7am......we had ice cream for breakfast.....all of us!  I think THAT will be a new tradition :)

Wednesday, March 21, 2012

World Down Syndrome Day 3/21/12

I'm sure to many, today was simply Wednesday.  For some, it was merely March 21st.  For the DS community, we rejoiced today.  Today, was World Down Syndrome Day.  The date, numerically, is 3-21.  The 3 represents the extra chromosome.  The 21 represents the placement of the extra chromosome.  Down Syndrome is determined when there are 3 copies (instead of the normal two) of the 21st chromosome.

The first World Down Syndrome Day was celebrated in 2006, in Singapore.  This year marks the 7th Anniversary of WDSD.  More importantly, it is first year that WDSD was officially observed by the United Nations.  In honor of this great day, DSi launched a Global Video Event with 68 countries.  Please take a few minutes to watch; You'll be glad you did.  The video features beautiful children, just like Josiah, who all have that 'little extra something' :)

http://www.youtube.com/watch?v=479CziJHTFo


A good life
is when you
assume nothing,
do more,
need less,
smile often,
dream big,
laugh a lot,
and realize how
blessed you are

A Better Week

I have finally pulled myself out of the 'bummed out' mode, I had slipped into.  I had started to pull myself out of that hole.  Then, today, I talked to KF (lactation specialist/friend) - it took no time at all to be feeling great again.  I always feel better after talking to her :)  It was all over the need to supplement feedings with bottles.  It seems silly to me but emotions cannot always be explained :)

Josiah has been doing really well.  I continue to breastfeed, on-demand.  He generally takes 1-2 bottles per day, ranging from 2-4 ounces each.  I jumped on the bathroom scale the other day (alone), then again holding him.  The difference calculated at 10.6 lbs.  So, I'm feeling positive that this week's weight check will produce positive results.

It's been a relatively quiet week.  Jesse has been going to school, as usual.  He has a field trip tomorrow that he excited about.  James has no playgroup this week so it's been an at-home kind of a week.  Josiah didn't have EI on Monday; Instead, K & D both come tomorrow.  I'm excited for D to see him.  She's the physical therapist & I think she will be pleased with his progress.  Now, if he could just hold his own head up lol.

Josiah's synagis shot is scheduled for Friday.  That's when he will be weighed again; I remain optimistic about those results.  Meanwhile, he is alert and playful.  He enjoys grabbing at, and grasping, his favorite toys.  He continues to roll over from back to belly (oftentimes getting stuck there).  He looks less like an infant now.  If my eyes do not deceive me, I swear (at times) he looks like he is actually getting a little bit of a belly.  These are all good signs that my little heart hero is doing well.

The next two days are sure to be good ones. 

Sunday, March 18, 2012

A Much Needed Break, Playdate, and 5 Months Old

A week-long hiatus from writing is unusual for me.  I'm back :)

Last weekend, the older boys spent a night at my parents house.  It gave Carl and I a much needed break.  This time, unlike others, we had predetermined to "do nothing."  So often, when the older boys are away, we set a goal of accomplishing tasks....usually too many to successfully accomplish within the time frame given.  It always leads to disappointment when the boys return with thoughts of, "We should have gotten more done," etc.  Our goal last weekend was void of all tasks.  It was impossible to disappoint.  We spent time together, watched tv, and just relaxed.  It was wonderful.  Saturday night, the older boys returned home.  They had a wonderful time with their grandparents.

On Sunday, Jesse had his friend M over.  It was his first 'real' play date.  It was the first time having a friend (of his choice) come over to play.  We picked up M around 12noon and drove them home.  They had lunch, and spent the next five hours playing.  They enjoyed playing outside & in Jesse's room.  Carl loved watching them play.  At 5pm, we drove M home.  The first play date was a smashing success!  Another milestone accomplished.

Josiah spent the weekend determined to prove how well he could roll over.  The proof was always in finding him on his tummy.....as he seemed equally determined to roll over when we were not in the room.  He's a funny little boy.  The days of leaving him on the couch 'just for a minute' have come to a crashing halt.  His new trick makes him a safety hazard (to himself) now.  He is so proud of his new ability, as are we.

On Monday, Josiah turned 5 months old.  It's so hard to believe the miracle that IS Josiah.  K came out in the morning to work with James.  As usual, they had a wonderful time working together.  She returned in the early afternoon to work with Josiah.  This was the first time that Carl and I were not home to participate in their session; Instead, my Mom was here.  K had heard that Josiah was rolling onto his tummy and, I know, she wanted to witness the new occurrence.  I had joked, "Good luck!" 

Apparently, Josiah did not disappoint.  Once he had greeted K, she laid him on his mat.  He aimed to please; He rolled onto his side.  Utilizing momentum, he continued to roll onto his tummy.  K was delighted!  During the next hour, Josiah repeated his new trick several times for K.  While on his tummy, he repeatedly turned his head from side to side.  The session was full of delighted adults (and one proud baby).  Though I missed the session, I was given a blow-by-blow account of it's success.  First, by my Mom; Later, by K (via phone). 

D is coming out next week for his physical therapy.  Up until now, it's been monthly; Rumor has it, it's soon to become weekly.  I'm excited!  I think this will be great for Josiah.

In terms of feedings, Josiah is doing well.  During the weekend, I continued to breastfeed on demand.  Josiah also took a total of 5 bottles, ranging from 1-3 oz each).  I'm still bothered by the need for supplementation, but will continue to do whatever is best for him <3.

This amazing journey continues....

Friday, March 9, 2012

Weight Gain and Rolling Over

We went to the pediatrician yesterday.  Josiah weighed in at 9lbs 7oz.  That's a 6oz weight gain in six days; 3oz in 2 days.  I was pleased.  The MD reminded me how much catching up Josiah has to do.  Despite knowing he's right, I felt discouraged.  We had a good week, Josiah gained 6oz, yet the focus seemed to be on how behind he is in regards to weight.  I'm trying very hard not to get too discouraged.  We'll go back in about two weeks for his next Synagis shot - he'll be weighed again then.

Josiah fell asleep early last night; it was about 8pm.  I put him in his crib.  We had Jesse and James in bed by 9pm.  Carl and I decided to crash early...we were both feeling very tired.  I woke up at 3:30 and decided to check on Josiah.  I crept quietly into his room.  Much to my shock, Josiah was lying on his tummy....sound asleep.  He had rolled over in his sleep!!!  He's never done that before.  I was leaping with excitement; it's another milestone.  I woke him at 4am for his next feeding; I thought eight hours had been long enough :) 

Josiah is doing well this morning.  He's had two great feedings with me.  He also took a 3oz bottle for Carl.  Like Jesse said, "At least you got a break from feeding him this morning, Mom."  How right he is.  I still don't love the fact that supplementation is needed, but I have no choice to accept it's reality.  I'll check in with KF today; she always gives me the encouragement needed - I am so thankful for her.

The older boys are headed to my parents house for an overnight.  Carl and I will have some much needed alone time (plus one baby).  We're looking forward to the relative peace.  We'll have most of the day tomorrow to ourselves, before the older boys return.  On Sunday, Jesse is having his friend over - his very first play date.  He is so excited!

It's going to be a great weekend.