Standing with help

"I think I'll just stand here leaning on the coach and watch my ipad for awhile.  These zebra's and monkeys are pretty funny".

Sadie acts like this is so natural and second nature. Like she has always been doing this.

In March Sadie got a taste of what it was like to stand.  Since then this little girl likes to practice standing.  She is not able to get into the position by herself yet.  I believe that eventually that will happen, but first she needs to overcome her tactile issues and touch things.  In the meantime, this is a beautiful sight and I will take this moment and treasure it.

April 25, 2012

  4 years ago to the day was Sadie's first surgery. It was for her feeding tube placement, nissen fundoplication, and a hiatal hernia repair (which was a surprise to everyone). I remember being scared, but so thankful that day.  Scared because it was the first time she was going to be under anesthesia and we had no idea how she was going to react to it.  And thankful because finally we were going to get this tube and tape off of my babies face.  It was almost like seeing my babies face for the first time.  I could really study it and get to know every little smirk, smile, dimple, crinkle of the nose.  I could stare at her for hours without being worried about putting a tube back down her nose so that she could eat.   I also remember being so thankful that we live in a generation were a feeding tube is able to be placed.  It broke my heart to think about all those babies way back when that couldn't suck and ended up starving to death and how those parents had to have felt.

  Sadie handled the surgery great.  No complications and not many signs of pain.  The only time that things got a little crazy was the morning after her surgery. It was about 6am and Sadie started fussing and then the fussing turned into screaming and then all her vitals were going all wacky.  The next thing I knew the entire crew flew into her room; dr's, interns, residents, nurses, nurse techs, respiratory therapists, lab techs.  Orders were flying left and right, vitals were being taken and repeated again.  I was trying to figure out what I missed, I didn't call anyone in there.  Finally, I realized that they were all freaking because of the sudden change in her vitals.  Just as I realized that this was the issue, her surgeon walked over to talk to me about what was going on.  I let him talk and then I said "I think she is just hungry, she hasn't eaten in 30 hours.  His jaw dropped, he turned and asked everyone that was in the room why she hadn't been fed yet and no one had a good answer.  He said loudly "Feed the child"!  He then apologized to me and to Sadie and walked out.  Needless to say her nurse returned in minutes with her food.  There was not even 5mls in her stomach and she settled right down and all her vitals started to return to her normal.  Amazing what food can do for a human , huh?

Morning of her surgery.  Last picture taken with the NG tube.  Sadie was so happy that morning.  She probably knew she was getting that tube out of her nose permanently.

Resting  peacefully after surgery.  That was the last day she ever sucked her thumb and the first day she developed her tactile defensivness.  She's never held anything in her hand since or put anything in her mouth again.

Of course the big sisters came to visit and watch over their baby sister.  I thought this was a sweet picture of the 3 of them, but then I realized it was the back of Sadie's head.  So we took another...

Oh Aubrie... she is my funny little girl.  Always was, always will be.

GI appointment

  For those that don't know GI stands for gastroenterologist.  That is a Dr that is hopefully going to fix my baby girls gut!
  Finally, the day of Sadie's appointment.  It's not like it took a long time to get in to see him, but when your child is screaming in pain, everything seems like it is in slow motion.  The Dr was really nice. He listened to everything; her history, current issue with pain, my concerns and current plan with her meds, and what I wanted out of this appointment.  I explained that I have this huge fear about her intestines becoming twisted because that is so common for kids with Cornelia de Lange Syndrome.  Every time she screams in pain my thoughts immediately go to a bowel obstruction and I become a total mess, second guessing my every thought and action. He reassured me that at this point she does not have any signs of intestinal malrotation.  He examined her and talked about all of her past surgeries and tests that she has already had done in her lifetime.  There are no signs that this is the issue. He gave us his thoughts and his plan for moving forward and how to help with her pain.
  I won't lie, I was a little reluctant to follow his plan but I will.  Even though I feel like I have he constipation under control, he still feels like I don't.  So he wants me to work on increasing and decreasing and changing the meds all around, and consistently giving her something every single day no matter the outcome until we get her consistent and going daily.  Hopefully this will help with the painful screaming.  Fingers crossed!

What is this PAIN!?

Pain.


Let's talk about pain, Sadie's pain.


Sadie has a very high pain tolerance.  She can hit her head, be poked with a needle, hit by a ball, fall off her chair and very randomly does she ever cry. She'll just look at you like "what was that for" and then she goes about her own business.  However, that high pain tolerance only holds true for external pain.  When it comes to internal pain, this girl will let you know.  Then the guessing game begins.


Our thoughts always go straight to her gut.  Is she constipated? Maybe we need to vent her tummy?  And generally fixing those 2 problems will solve the pain issue.  But recently (since January) her constipation issue is getting harder to fix.  We used to be able to give some miralax and/or a suppository and problem solved and she would be good again for another few months.  Her constipation was not an everyday occurrence, just an every few months issue.  Well that is not the case now.  She seems to be more constipated, then not constipated.  Why all of a sudden her gut is having this issue all the time is beyond me.  I increased her bowel meds and added other meds and took away meds and adjusted other meds and finally I got her to a somewhat normal happy bowel regimen.  Her poop was good, no more constipation.  We went a week and half. No screaming in pain and good bowel movements.  Yay, momma fixed the problem!  Another point for me. Until one day the screaming in pain returned. NOOOO! It could not possibly be constipation, I have that problem under control.  So what is it?


I talked to her Dr and we went over all of her systems; neuro, resp, gi/gu, skeletal, immune etc... Everything was negative.  I still felt like it was a gut issue, so we got a consult for a GI Dr.  Yes, we had to add yet another Dr to Sadie's list of specialists.  Honestly, it's actually a little surprising that we have waited this long to add one, especially with all the gut issue that she's had the last 2 years.  Yay! for us for holding out this long.


The GI office called and the appt was set for about two weeks away.  Which was fine, we had gone this long, we can survive another couple of weeks.  I was wrong!  One day she started screaming, I did all my tricks, including giving pain meds and it wasn't working.  She just continued to scream, rolling all over the place, grabbing her stomach/chest.  I couldn't take it anymore. I started crying and getting so frustrated cause I felt so bad.  This poor child has been screaming in pain since January!! That's it, I've had it, I'm taking her to the ER!  I can't handle that painful scream anymore.  We got ready and right as I was going to walk out the door, the screaming stopped and she passed out from exhaustion (which is her normal way of coping, it just took way longer this time).  I then calmed down and started calling her Dr's.  Something has got to give! Her Dr got her GI appt moved up and her nutritionist was going to look over her diet and talk to the Dr about possibly changing her diet to see if that is the issue.  I had multiple people working on different things to try to help this little girl.  Something has got to give... and SOON!

Just something about these places

  Today Sadie went to the dentist.  It's not her first time.  She's been there about 5 times I think.  As I was sitting there watching her, with this man hovering over her with instruments in his hand and in her mouth, I was in awe.  She was so calm, no crying, no fussing, no fighting, no nothing at all.  Now, did she just open up when he said too, no, cause she can't hear. But when he opened it with his tools, she opened instead of clenching her jaw.  No, she did not hold it open on her own free will because she doesn't have that understanding, but she didn't fight the soft block he put in her mouth. She just laid there, quietly, letting him do what he needed to do.  The dentist did not clean her teeth, as she doesn't need them cleaned yet (a perk of being tube fed and drooly).  But he did paint a fluoride on them. She just sat still.
  Sadie is like that: calm, happy, and content when it comes to Dr's (medical, eye, and dentists).  Whenever we are in their presents (and she's feeling good), she just is happy.  She lays silently and smiles, occasionally giggles and wiggles.  She stares off into space, completely mesmerized by the environment.  She never fights the Dr. She lets them do what they need to do. The first few times I thought it was just a fluke, but the more time goes on, the more common it's becoming.
  I don't know if it's just the feel of the environment or if she just feels a trusting vibe from the Dr or if it is because we are in these environments so often that they are second nature to her (which would be really sad), but her demeanor just amazes me.  She amazes me (have I ever told you that before?  ;) LOL)!  For a little girls who can't hear directions, or hear me prep her for the visit and what is going to happen, or who supposedly does not have the mental capability to understand what is going on, she sure does behave like a little Angel.  Just one more sign that she is an Angel that God sent to earth for me.