Saturday, January 29, 2011

Boys Will Be Boys ;)

I wanted to take some time to celebrate the fun times that have been had over the last week...Micah is adjusting to life as the big brother (sometimes it's easier than others) and they've started learning how to play together already. It's clear these two guys love each other to pieces. Here are some of the ways they've been getting over cabin fever...

Heading out into the sunshine to soak up some rays, walking down the street watching the snow melt...
 That same afternoon, Micah let Mason have some "soda" for the first time ...
 But Mason preferred the ice cream (check out his hand holding onto that cone all by himself!)
Other times they just like to be near each other...
To explore...
Other times they just like to have a little space for themselves ....
To swing...
To enjoy some snow cream....
To have a little tummy time...
To be silly...
To just look cute for the camera...   
But in the end, together is always better! :)

Sunday, January 23, 2011

No Greater Helper

The LORD said to him, "Who gave man his mouth? Who makes him deaf or mute? Who gives him sight or makes him blind? Is it not I, the LORD? Ex. 4:11

So this verse tends to make people mad. How could God outright admit that He gives people disabilities and birth defects? How could a God like this be good?

But this verse is an encouragement to me because it tells me that God has all the power in the world...He has a reason for making everyone exactly the way they are, and more than that, He has power to help in every situation if we'll let Him. That was the context of this verse...Moses was complaining that he was "slow of speech" so how could he possibly convince Pharaoh to let him lead the Israelite slaves out of Egypt? But the verse above was what God said in response to Moses' excuse. Basically He was saying "Don't you think if I have power to do all this I have power to help you? And I'm telling you I will!" God had a reason for giving Moses a speech impediment...and out of it came the rescue of an entire nation. I'm sure it didn't make the problem any easier for Moses to endure...but it made him depend more on God than himself so that God got the credit when amazing things happened as a result. And I think that is the point...God's goodness is never in question...pretty amazing that He would intentionally allow us to be broken sometimes, and whether we get fixed this side of Heaven or not, He still wants to use us in ways we could never imagine so that healing and hope and happiness are the end result when He gets the glory. Or think about it this way...would you rather God just allowed the devil to hand out birth defects? Um. Not me. If there is going to be pain and suffering including birth defects in this world (and there will be, thanks to Adam and Eve who gave up perfection including perfect kids when they chose to sin and that's why Jesus came....), I would much rather have the pain and imperfections in me and my kids be handpicked from God than the alternative, knowing God is good and full of compassion, and merciful and is named the Great Physician and He beat death once and for all, than at the hands of the one who walks around "seeking whom He may devour." I shudder to think what this world would look like if that were the case...

Anyway so, I am holding onto that story this week because, Mason's cornea specialist called and emailed me some pics of Mason's eye ... just his left eye, the worse affected one with the "cornea cloud." He confirmed that it is Peter's Anomaly. This in itself was not encouraging to me when I heard it because it means glaucoma usually comes along with it, and 50% of kids with it lose all light reception due to the glaucoma :( But God is bigger than PA and so far Mason's eye pressures have been great, even off drops, and even when he is madder than a hornet at the doc checking him (which usually raises pressure). He offered a transplant for Mason since the cloud covers 60% of his main vision area but warned that in babies they are more complicated, and with his other issues, it is probably not worth the risk...the operation itself can increase chances of glaucoma and/or retinal detachment, plus the issues with rejection are more pronounced in babies and he did not feel he would benefit a great deal from a new cornea anyway if the vision under it is probably poor too, considering the undeveloped optic nerve/retina/iris (the weird thing is Mason uses this eye more than his other one...and if it's true that this "bad" eye is really his "good" eye, then the doc really doesn't want to do the surgery...he doesn't want to jeopardize whatever vision he may in fact have by operating on it. So, obviously we are deferring on this one for a while. He will get his pressures checked frequently, like every 6-8 weeks for some time, and probably need to see a glaucoma specialist. Oh and it just struck me that posting the pic is probably illegal or something even though it's of Mason...so I will take it off if the doc requests it.

Thursday during this snowstorm we went up to the hospital for a day of more appointments.
There, it was on to the ears. We had his audiology test at 8 am (since the hospital forgot to do his newborn hearing screen, and now it's too late so they had to get a more involved auditory brainstem response test); we refused to have them sedate him for this, so we just said we'd get whatever we could while he was napping. What we got was not too encouraging on the surface either.

He has moderate to severe hearing loss in his right ear; the other ear they weren't able to test because he woke up. The right ear we know has fluid in it so our prayer is that this is the only reason for the hearing loss, and that it will totally return if we get ear tubes. Obviously we are praying his hearing is fine in the other ear...we have an ENT appointment the 31st to discuss our options and to try to schedule another ABR for a more thorough test (he'll have to be sedated this time so we want to coordinate with his ear tubes if we can; pray this works out so we don't have to knock him out 3 separate times - for ear tubes, ABR then tethered cord in the spring.


After the ear test we had physical therapy (they want us to add PT at home once a week for Mason's hypotonia-related developmental delay)-we think he'll catch up soon enough; after all he was in the hospital out of commission 3 months and had 2 major surgeries in that time...he just needs some extra time to make up for it.)
Then we had our NICU followup visits with the dietician, neonatalogist and a neuro rep. They are looking into the possiblility of b12 supplements for Mason and we'll probably have them check his vitamin levels when they put him out for his ear tubes. The neurologist agreed that in light of his latest normal EEG and the fact that some of his seizures seem triggerable/preventable that most likely we don't need to go up on his Keppra right now...the usual ones he gets might not be true epileptic seizures like the ones he had in the hospital were, during withdrawal from fentanyl and phenobarb. We'll keep him on his current dose at least until after his surgery in the spring since we know it'll involve more fentanyl.

We left with about 8-10 more appointments lined up (fun fun). But one of them is for genetics on March 1 so we are getting all our questions in order for that (we have a lot).

Otherwise Mason has been having an okay week...he seems to tolerate the increase in milk volume alright, although his g button has been a little more leaky and red despite the change to a new one...so it may be too much for him still. Hard to say if it's that or if he just needs a new size or still needs the cortisone cream (we were hoping to go off that). So many things are trial and error and guesswork...I'm soo glad God is the same today as He was when He told Moses, "Now go. I will help you...!!" :)

Wednesday, January 19, 2011

Five Months Today

Happy 5-month birthday to you, my Sweet Bear :)

Today we celebrate...

  • Tracking a toy car motor by sound/sight and turning your head from left to right (up to now he's had a preference for only the left and basically refused to move it voluntarily to the right...we are seeing an improvement in this and his range of neck motion is improving! We think the steroid cream we used on his button may've been a little too much for his system (he'd used it a long time) and might've created a fat pad behind his neck that made it hurt to move...this pad seems to be resolving after stopping the cream!
  • "Fixating" (stopping your eyes to look) on your occupational therapist during your session :) This was another first! And you're paying more attention to colors and patterns and toys with bright lights!
  • "Dancing" feet in your saucer! Where in the past he wouldn't put any weight on his feet, this week Mason is showing me he can "push" (even on command!) with his feet, and does these adorable stepping motions now in his exersaucer. This makes your mommy SOOO happy!
  • Sucking on mommy's finger!! He has not sucked on ANYTHING happily since coming off his NG tube (gave him severe retches to touch his palate; this week he has shown that he LIKES to have stuff in his mouth as long as it is his idea!! Especially mommy's finger!) So glad the retching reflex is slowly fading!! Thank You GOD!!
  • A brand new Mickey button! (Antireflux valve on the one he had already got stuck...oops,we didn't know cefdinir was a no no in it without diluting first. Maybe we can get it unstuck with Coke lol? But until then he has a new one to hold him over that hopefully won't let gas seep in (that is NO fun and we've been doing damage control all day.) And yes mommy managed to stay conscious swapping it out while daddy held him still...no running for a cold cloth for my face needed!!

Ps. 118:24 - The LORD has done it this very day; let us rejoice today and be glad.

Saturday, January 15, 2011

Someday He'll Smile! ... :)

 I am still confident of this: I will see the goodness of the LORD in the land of the living. Ps. 27:13

Well, we already have seen it, time and again! But the thing with Mason that is especially hard emotionally for me right now, is how he cannot yet smile or giggle or do any sort of babbling noises. We know that his "hypoplasia of the cerebellar vermis" (part of his dandy walker stuff) can sometimes cause autistic tendencies, not true autism, but similar symptoms, since the part of his brain that controls auditory/speech/visual and coordination is not fully developed. So we are obviously trying to work on that with him, and since he can't see faces well if at all, he cannot really imitate what he sees. So far the times we have seen him smile are when he's asleep (and believe me it is one cute smile!!), when he's having a dirty diaper and once or twice when he liked the feeling of something, like his paci touching his lip. But we cannot recreate these. We have tried all the usual approaches...talking to him, playing funny games (getting him to "honk" our nose, peek a boo with a cloth, patty cake, etc), singing, swinging/bouncing him, letting him feel nice things (massages, soft tickles), toys with bright lights and music, etc etc. Some of these it's obvious he really likes..he gets very quiet, content and "happy eyes" as we call them. I love to see those "happy eyes!" But none of our attempts have yet evoked a true smile...
baby Mason can't smile...yet
Say CHEESE! (Oh well...2 out of 3 smiling isn't bad.)    :)

So imagine my husband's delight when today, as mason was on his lap, he seemed really happy and on the verge of a smile...he even called me to come see but I couldn't hear him as I was reorganizing the playroom (yes again) downstairs. He finally gave up and brought Mason down, and put him in his seat...the trip downstairs frustrated him, and no sooner was he sat down than he let out a giant yell...and had a seizure. :(

I had forgotten that when he was particularly excited (almost unnaturally so) in the hospital that a smile could be a clue that a seizure was imminent. It just shocks me every time....how can smile as sweet as his, so rare and precious, forewarn of something so terrible?? It's hard for me to understand. How can I look forward to a smile if it means he's about to have a seizure....? These are areas of prayer for us right now...that Mason could have real smiles that are true signs of social development and that show us the sweet little boy I know who is so, so wanting to express one! -- and that these new smiles would have nothing whatsoever to do with seizure activity.
baby mason sleeping in bouncer

As far as the seizure itself, this is another request. Experience has shown us that he gets them most when something is wrong...usually it has been ear infections, also in the hospital he had some from withdrawal of pain/seizure meds. He's had 2 EIs since being home, but seizure free in between (for the longest he's ever been). It seems like the congestion triggers them by blocking his breathing. Once he had apnea from all the snot (this was when we first suspected a milk allergy and took him off milk but not in time to prevent the ear infections). Before waking up today he was struggling to breathe from congestion again, and he scared me as all his limbs began trembling uncontrollably and I could tell he was on the verge of a seizure. That one, we actually were able to prevent by immediate and thorough suctioning of his nose and throat, along with giving some 02 in case, and squeezing his calf muscles to keep blood circulating to his brain. But we didn't see that "smile" seizure coming later today.

Now we have to wonder...is it the rice?? We have started him on solids this week and we thought it was going well ... it is, as far as his participation. He is doing great eating by spoon! And he continues to do well on the growing end (both his weight, and his hair!!) as you can see...

baby mason with mickey mouse lovey

But he has been having trouble every night for the last week or so...really congested, gassy and grunty, like he was back on the milk formula, hardly sleeping, which is REALLY unlike him. And yesterday he had green slimy diapers and a rash on his bottom and now one on his face. It doesn't really seem like a virus (although his brother has been sick, so who knows). We know it's possible to be an allergy, because he got rice cereal in the hospital WAY before his tummy was ready for it (they put it in his formula as a newborn to try to stop reflux); not to mention all the antibiotics he's been on and how they wreak havoc on intestines, allowing proteins to get into his bloodstream and causing the body to make antibodies to innocent stuff. We are going to take a break from the rice...if that alone doesn't help much guess it's back for another ear check. and tubes sooner rather than later if that's the problem. Pray that this is not a sign of things to come with food...the food allergy road is not a fun one either. :( But, it is one we have traveled before, with Micah.

Please pray for Micah too...he has not been eating well since his virus and has gotten really skinny and although his cold is better, he is still not eating well. He is having lots of new "aversions" to foods he once liked a lot...everything is "yucky." Pray he'll come around soon and put some meat back on those bones :)

hiding those skinny legs in sweats

Monday, January 10, 2011

A Little of This, a Little of That...


baby MasonMason had his cornea specialist visit and we were unable to get an opinion either way on his need for a cornea transplant, because they couldn't get a good exam (apparently his "low muscle tone" outdid 3 grown adults holding him down!!) He also had a surgery doc. consult to remove a stitch hanging from his Mickey Button (this went well). At this stage, the plan is to try to release his tethered spinal cord sometime in March or April, and do ear tubes then, and the eye exam/hearing test too, OR, if the ears need it sooner, the ear tubes earlier, with just gas sedation plus eye/ear test so we can add a cornea transplant to the spring surgeries if needed. He has a well-baby visit this Thursday where we'll hear about his ears...if they are still yucky (he just got over ear infection #2), we will probably pursue plan B on the earlier tubes.



Big bro was really sick with a nasty throat/cold virus this week but is finally seeing the other side and has been entertaining himself by stocking "Micah Mart" with his play veggies.
playing with toy food
We had a dietician session and Mason has gained (drum roll...) ... 2.5 POUNDS this month. You heard right..and I still cannot believe this is the same boy who couldn't gain an ounce for 3 weeks in the hospital!! We are still waiting for his GI doc to let us know if we can feed every 4 hrs instead of every 3.
baby Mason big tummy
look at that big tummy showing!! :)
Today he had occupational therapy and met a BIG MILESTONE: he ate solids!! And not only did he try them, he CLEANED HIS PLATE!! He ate around half a tablespoon...and enjoyed it immensely, by SPOON! (Apparently his problem is the sucking...not swallowing so much. So drinking his milk with a "TenderCare Feeder" with a little straw/squeeze device is helping! And if he can make progress there, (he's having up to an ounce daily by mouth!)...then we may be able to skip sucking altogether :)
feeding problems baby mason

In general Mason's hypotonia makes it hard for him to bear weight on his legs...
So we are trying different approaches to help with this. He got a free-standing jumper for Christmas and while we wait for him to "grow into it" (since his support pillow won't fit in it), he's using this doorway jumper...he really enjoys the sensation of swinging, as you can see :D 
hypotonia baby in doorway jumper
WHOA. What is this thing?
hugga-bebe pillow supporting hypotonia baby in doorway swing
Hmm. It moves? I think I'll check out my room...
hugga-bebe pillow for baby in doorway jumper
Pretty cool!
baby Mason asleep in his jumper
Worn out...we've never seen so many "sleep smiles" at once!


In the meantime, here is a song we love for this week that's keeping us motivated :D Enjoy!!

Mason's Mix


Get a playlist! Standalone player Get Ringtones