Sunday, July 17, 2011

Genetics


Cole has a whole lot more than missense mutations being passed down.
The look on my brother's face kind of says, "Feel bad for me."
Don't let it fool you, he's just as weird as the rest of us.
Thick hair, blue eyes, bad teeth, big hearts and loud personalities.
Some things just can't be defined by nucleotides.
I love these people!

Wednesday, July 13, 2011

Emotional Eating

I had Oreos for lunch.

After the meeting with the Public Health Nurses today where they made me not-so-sure that I would be able to get my private duty nurses in school after all, Cole waking up 5 times last night, the oxygen company sending me the wrong sensors again, and writing over $600 in checks for medical bills...I'm a little frazzled today. Then Cole threw up all over me because he was running with food in his mouth. Yuck.

So to help me refocus I made chicken noodle soup for dinner :)
*You know who you are...I can't feed you anymore! Can you come to my house? That would be much appreciated, thanks.*

I'm considering going and picking this up for an after-dinner snack.

In the next life, I am going to live in a world where it is totally okay to have dessert multiple times a day.

Here's to tomorrow! lol :)

Tuesday, July 12, 2011

IEP Warrior

Imagine an army coming through the gates. Returning home after a long, tiring stint at war. Some battles were lost, but others were won. The soldiers are crying "Victory! Victory!" as they run into the arms of their loved ones, celebrating with family, friends and even strangers. The war is still happening, but major advancements have been made and the end is in sight.

This is kind of how I feel.

I have been doing the work of an entire army (or at least it feels like it) when it comes to getting Cole a solid education and therapies. I left the Special Needs Preschool building for the county last week wanting to grab anyone I could and just hug them, screaming, "I did it!". Fortunately for the unsuspecting strangers out there, no one was in the parking lot. So I just got in my car and drove home to pick up Cole and Brian so we could go to the pediatrician. Bummer.

The months and months (well, technically a year) of preparing to get Cole into pre-school and have a proper IEP has taken its toll on me. Emotionally and probably physically. I understand how important it is for him to get the right support at school to even give him a chance at a proper education. It is one of the main reasons that we made the move East.

I've got document after document. Letters, therapy notes, psychologist evals, medical records, and other mumbo jumbo that says my son needs a full time nurse, he needs special education, he needs this, he needs that. After all of the hullaballoo that we went through last time, this particular course of testing and meetings have made me go in with the utmost preparedness, ready to draw my guns and get them blazing in seconds if I came up against resistance. Last time I was prepared, but was not even given the chance to speak. I knew I could not be silenced again. Fortunately, I did not have to put up much of a fight this time around. I assembled enough information (or perhaps overwhelmed the committee with so much information) that they did not put up much dispute. Now, I didn't get everything that I wanted, but I was willing to take what I could get. It is leaps and bounds ahead of where we would have been if we had stayed where we were.

Cole will be going to pre-school 5 days a week, starting in September. He would have only had 2 or 3 days a week in UT (IF we could have gotten him in). He will be there for 3 hours a day, and have transportation by bus. The school is only 3 blocks away! There are considerations built in for his light and temperature sensitivities. His behavioral issues. Communication goals. Participation and attention goals. I am very pleased with the outcome. He'll have Physical Therapy and Occupational Therapy (not enough, and no Speech...but I'll take it). The entire meeting, the committee took my suggestions and changed the IEP accordingly.

HUGE battle won: he will be there with a full time nurse, devoted specifically to him and his needs. I still have to go to a Medical Review Board to get our private duty nurses that we have at home able to come to school with him, but the county nurse and the director said that I am more than prepared. They feel that the board will grant this to me for continuum of care. They were kind of surprised to find out that I had already learned about the battle that was going to have to take place and that I was ready for it. See, normally a kid who needs nursing at school has to have a nurse from an agency that has a contract with the district. The have only rarely let in nurses from another agency. Otherwise, the school has to pay Medicaid for the hours, and a huge billing mess ensues. So, I see their point. However, my child is not cut and dried. I need him to be with nurses for an entire day that are familiar with him and all of his seizure types. All of his different rescue meds, which ones to give for which type of seizure. When to give them. To have one nurse for a couple of hours, then go to school for 3 hours with another nurse, who I can't really talk to (because they would be employed by the school), and then come back to another...just wouldn't work. So, HUGE victory on the horizon for me with nursing. Remember this? You might understand why I wanted to hug complete strangers. I was so complimentary to all of the committee members. I let them know that I have been around the block so I could compare..and they did an awesome job!

Another huge battle: The didn't even question the dog. Taking a service dog into school can prove to be a real challenge for a lot of people. When they heard how trained our new friend is going to be, they just put it into the IEP and moved on. I'm certain that this had something to do with it. Thank goodness for pioneers! We won't have those issues, since there will always be a nurse there to act as a handler and 4 Paws provides all of the proper certifications. Still, I'm sure it had something to do with the immediate acceptance that we were going to bring a service dog into school. We'll have to wait and see how it really goes in November, but I got a flat out, "No" last time.

There is more fighting ahead, more battles to be won...but the opposition is not as vicious this time around. My heart carries many battle scars, but it is very full today knowing that I have done something to help better Cole's life.

Monday, July 11, 2011

Break Up

Dear 'Tah,

This last week was the final nail in the coffin. I'm not coming back.

I will miss your mountains, your red rocks. I will miss oh so much about you! We really had a good time together.

But, I just can't walk away from full time nursing, Medicaid and wonderful opportunities for special education.

I went to the pharmacy this week and paid, get this, nothing for 3 prescriptions. You can understand, right?

I still want to be friends. I'll still visit and occasionally write.

However, I will not be a permanent resident of your fine soil as long as my son is alive.

I know, I know, I promised I would come back in 10 years but things changed. People change.

It's too bad, Utah...because I really like you (maybe even love you), but it's just not going to work out between us.

This time, I can really say it IS you, not me.

Sincerest Regards (and a little regret),
NIK

Saturday, July 9, 2011

Home Of The Brave

We have now been on the new med for over a week.

What I have noticed in the days I have been able to observe:
-The myoclonics have been reduced.
-The morning is still hard. He's struggling to wake up and has a lot of myoclonic activity.
-Cole is back to sleeping more, which he always does with the intro of a new med. He's averaging 12 hours and 2 hour naps, with waking 1 or 2 times in the night. It doesn't help that he has a summer cold (official diagnosis from the doc), which is causing him to sniff all the time and be congested.

It seems that we have kept the overstimulation tolerance with the decreased Depakote. We took him on the metro for the first time to go and see fireworks on the mall. I must admit, I have high expectations when it comes to celebrating the 4th. I come from party people and a small town that goes all out. BUT, if I have to miss the celebration in my hometown, seeing Josh Groban for free in my new hometown is quite pleasant, thank you :) It took a lot of guts because we knew that there was going to be lots of people, noise, etc. We pre-loaded Cole with Valium and he did great! The way back home was more crowded than I have ever seen the metro, it reminded me of Hong Kong when everyone is going home from work. Just tuck your elbows in and hold on for dear life! Luckily, we found a little corner and Cole just acted oblivious to the chaos. Thank you, Valium!After multiple discussions, we decided to try Topamax instead of Clobazam because they have similar properties and we could get it immediately. So far, so good I guess. We are still going to start the paperwork to get Clobazam, but it is taking 10-15 days to get it into the country. SO, we'll just have it as a back up in case the Topamax doesn't work out. This being said, I think we are going to stick to this med for at least a month...he is only on a very small dose and it seems to be making a difference.Speaking of bravery, this week has had so many "firsts". Besides going on the metro and celebrating the 4th somewhere besides ID or UT, we started our nursing shifts! This has been such a great, weird, fun, stressful, tiring, wonderful, sad thing. I know...lots of emotions; but, it's the truth! Having to find someone that is qualified and then basically give them full trust in the very beginning of a relationship and counting on them to keep your child alive is strange. It takes bravery. It's also uncomfortable at times to realize that someone who is practically a stranger is sitting, awake in the next room while you sleep. Uncomfortable, yet comforting...so ironic. So we have had our first night nurse, our first day nurse and I've tried to map out a schedule. The list of things that I want to do in the next couple of weeks don't even really include fun stuff, it's totally boring things like organizing the pantry and cleaning the storage room! We'll be sure to throw in some fun stuff too :) It has been the first time that I can be in the house, but not have my eyes on Cole at all times. Weird, but a burden lifted.

Having to put the pulse oximeter on Cole every single night and sleep in a bed with me, without Cole, has also brought all of these emotions that I mentioned out in Brian. It's just another reminder that things are different. Truly though, we have entered another season in our life. We went to the grocery store together, without Cole, last night for the first time in years. It was strange, but enjoyable. We weren't racing through trying to get things done as fast as possible, it was actually kind of pleasant! :) The whole situation is just going to take some time to get used to. All in all, the bravest one out of all of us is this guy. He's a warrior.

Monday, July 4, 2011

Road Trip

and I'm back...

Talk about a whirlwind tour! I just took a four hour nap trying to recover :) Hooray for the 4th of July!

Everything was picture perfect. Not a cloud in the sky and the most beautiful bride on earth.

One of my favorite parts of the entire weekend had nothing to do with parties. Well, except for the dance party that I was throwing in the car. I had the best time on the drive up to Idaho. There I was, for three hours, just singing my guts out, joining everyone from Neil Diamond to Keith Urban. If you really want a chuckle, think of me bouncing up and down on a country highway, music so loud that you could probably hear it from other cars, singing this all alone. I'm sure that the passing vehicles thought I was having emotional issues, or really needed to use the restroom.

In between getting down with my bad self, I just thoroughly enjoyed being in the car. I have forgotten that it can actually be pleasant to drive down an open road. No schedule, no constantly checking the mirror to see if Cole is seizing. I could turn up the music because it would not hurt his ears. No Incredibles or Nemo in the background :) No wondering where the nearest hospital was if we had an emergency. No searching for enough road to pull off on if we needed to call Life Flight. No constantly asking, "Are you okay?" and waiting for the conditioned response. I am usually an anxious mess when I drive with or without Cole in the car. This time there was no stopping or calling frequently to assess the situation. Just cruising down the road in a comfortable vehicle, enjoying the beautiful vistas.

There is something about the West. I was constantly finding myself just taking a deep breath on this drive and relishing the views. To me, nothing says home like planted fields intermingled with meadows full of sagebrush, mountains that are still snow capped in the distance and the flaming red of Indian paintbrush waving at you from the roadside. Miles and miles of open land without a house in sight.

I was kind of on auto-pilot having made this drive hundreds, maybe even thousands of times in my life. It gave me the space in my head to think, or to just enjoy belting out an 80's rock ballad. I miss having a sense of direction in my life, at home I always know when I am facing North. I can find my way around without relying on a GPS and don't have to hear a mechanical, female British accent filling the car with the word "re-calculating" because I have veered off course. In our new city, I am constantly lost and asking for directions, whether it be from Garmina (our GPS) or from a Higher Power. It felt so good to know exactly where I was and what I was doing for a few hours.

It is funny how its the little things that have become the biggest and most celebrated things in this new life of ours. Getting to be alone in a car for three hours, going to the church's 4th of July breakfast together, taking a bath, sharing ice cream and conversation with a cherished friend. These are our new victories. I don't think we'll be hitting the open road any time soon as a family, but we are on an incredible journey. Destination: unknown. We just have to remember to enjoy the view every once in a while.

Wednesday, June 29, 2011

Good News Of The Day

After a year of being thoroughly used and abused by a toddler, our beloved iPad was showing some wear and tear.

The screen was scratched, but then a crack appeared. Then a chunk of the screen came out. Uh oh, we can't survive without the iPad!

Enter that lovely warranty that we got, taking Cole into consideration, and a gracious employee at the Apple Store...and we came home with a shiny new one. Hopefully we can keep it in one piece.

Now who has ideas about what case is the most child-proof?

Here is my favorite iPad accessory. Cheap, and makes the car so much more manageable! Love it.

Something else I love? THIS. Seriously people, go and buy this cover now. Not only is it really cute for boys or girls, it is benefiting one of our dear friends, Cole K! Help him get brain surgery! He deserves the best.
 
Photos by Capture Me Candid

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