Guest guest Posted March 21, 2005 Report Share Posted March 21, 2005 Hi , Thanks for asking about ! In my eyes is doing wonderful. He's progressing, just at his own pace. He knows a lot of words but just cannot verbally express them. So we are working with a communication device to try and teach him how to communicate. We are also using some sign and he actually partially signed the word " more " the other day. He does say mama which is wonderful to hear but due to his low muscle tone it's hard for him to use his tongue/lips to form other words. This also affects his eating as does the GERD. He still spits-up at 20 months but I'll take that because it was projectile vomit up until a few months ago. 's eating is going a lot better. We started him on a medication that increases the stomach motility and also stimulates his appetite. He's finally drinking 6 oz. at a time. A few months ago it was only 3 oz. a feeding and it would take 20-30 minutes to get him to take that. Needless to say we fed him all day and would wake him at night to get more in him. The doctors wanted to put a feeding tube in and do a surgery called a Nissen Fundoplication which wraps the stomach around the esophagus to help stop the reflux. However, there are lots of problems with this surgery...it's only effective 50% of the time. Anyhow, since he's drinking more and starting to gain we are no longer even thinking about the surgery. This has been the best gift. 's kidneys are doing good as far as we know. The last MAG III showed his left kidney was doing about 70% of the work. Hopefully the hydronephrosis isn't damaging this kidney...as far as we know it hasn't. has never had a UTI (knock on wood). The GU doctor believes that had kidney reflux but it's now gone. We will know for certain in June when we have a VCUG done to test the kidney reflux. If there is no more reflux, then can get off of his daily antibiotics. Also, it doesn't look as if the right kidney is growing anymore cysts. We were also told that this kidney may eventually shrink-up and only if it caused pain would it be removed. receives Physical Therapy weekly, Occupational Therapy twice a week, play therapy once a week, and Speech Therapy every other week (soon to be weekly) and due to all this he is progressing very nicely. The therapists are great and actually help more than most doctors I'm very thankful for the team of therapists we have. Also, I'm working with one of 's Occupational Therapists to start a support group for children who have feeding difficulties due to prematurity, medical issues, etc. So we are very excited about this. I've learned that you learn the most from other parents who are walking in your shoes. The doctors can be useful but a lot of times the parents know as much, if not more, than the doctors...if that makes any sense. is also working on walking now...which is amazing because his neurologist had told us in the beginning she didn't know if he would. He's stubborn and determined...he makes me so proud. Thanks again for asking! Feel free to ask me any questions about him...I never mind talking about him > > > > Hi! > > is suppose to have his DB (Dobb's brace) time reduced from > > 23/7 to 14 hours on Friday. I'm curious as to what type of shoes > to > > buy him. 's Physical Therapist said to make sure the sole was > > flexible to help build his arch. So we went to Stride Right > > yesterday and bought a pair of tennis shoes that velcro and have a > > flexible sole. However, the store also had walking shoes and I'm > > thinking we should have bought some of those as well. Anyhow, I > was > > curious what types of shoes are best to use once the time is > reduced. > > Also, I had read that typically the time is reduced from 23/7 to 18 > > hours. Is it possible that 's will be reduced more because > > he's older, stands and is working on walking? > > I completely trust Dr. Dobbs, I was just curious. > > Thanks! > > > > Proud Mom to > > Before I made you in the womb, I knew you....God. > > 20 months old, microcephaly, bilateral ptosis (repaired 1/04), GERD > > (and associated eating challenges), bilateral club feet (tenatomy > > 11/03 & 12/04), heart murmur, left kidney: hydronephrosis due to > > Grade V reflux, right kidney: low functioning due to cysts on > upper > > 20%, undescended testes (corrected 9/04), possible milk allergy, > low > > muscle tone, global delays, undiagnosed syndrome... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 21, 2005 Report Share Posted March 21, 2005 , I am so glad to hear that is doing so well and that therapy is helping him so much!!! Nice that he is starting to sign too! A couple of my friends are really into the baby signing thing, seems to be pretty popular right now. What is the prognosis of the low muscle tone and do they know what caused it? So glad you guys are past some of the feeding hurdles with him!! Give yourself a huge pat on the back!! That takes such dedication to feed him like that instead of just opting for the surgery! Good to hear his kidneys are functioning well, hope the VCUG goes well, make sure to let us know the outcome! We were able to take Grace off her daily antibiotics a couple of months ago, I think she misses them, they tasted really good hehe! I was also wondering about the GERD, will they be able to fix that? I know it is usually caused by that *flap -not sure of the medical term for it - that doesn't function properly and allows acid up from the stomach. Hope they are able to do something about that poor lil guy!! Great idea about the support group! It sounds like it is really needed! Good for you! Thanks for the update, what a little trooper, you must be so proud of him!!!!! & Grace > > > > > > Hi! > > > is suppose to have his DB (Dobb's brace) time reduced from > > > 23/7 to 14 hours on Friday. I'm curious as to what type of shoes > > to > > > buy him. 's Physical Therapist said to make sure the sole > was > > > flexible to help build his arch. So we went to Stride Right > > > yesterday and bought a pair of tennis shoes that velcro and have > a > > > flexible sole. However, the store also had walking shoes and I'm > > > thinking we should have bought some of those as well. Anyhow, I > > was > > > curious what types of shoes are best to use once the time is > > reduced. > > > Also, I had read that typically the time is reduced from 23/7 to > 18 > > > hours. Is it possible that 's will be reduced more because > > > he's older, stands and is working on walking? > > > I completely trust Dr. Dobbs, I was just curious. > > > Thanks! > > > > > > Proud Mom to > > > Before I made you in the womb, I knew you....God. > > > 20 months old, microcephaly, bilateral ptosis (repaired 1/04), > GERD > > > (and associated eating challenges), bilateral club feet > (tenatomy > > > 11/03 & 12/04), heart murmur, left kidney: hydronephrosis due to > > > Grade V reflux, right kidney: low functioning due to cysts on > > upper > > > 20%, undescended testes (corrected 9/04), possible milk allergy, > > low > > > muscle tone, global delays, undiagnosed syndrome... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 21, 2005 Report Share Posted March 21, 2005 Hi, compensates very well for his low tone. His is more on the mild-moderate side. Things are just harder for him because of the tone but he doesn't know any different which I have to remind myself. 's low tone has improved since he was a newborn but he'll probably always have low tone. We are working on his oral muscles now. We have also found he doesn't use his abdominals too much which is probably due to the GERD. The therpists are going to start to work on this in the next week or so. The low tone is related to whatever syndrome has. We are still searching for a name although we are looking into one called Dubowitz. There is no test for it. The doctors believe that may have a mutation (where a piece of the DNA is flip-flopped within a particular strand). has had numerous testing...all the chromosome tests and a skin biopsy and everything is normal. However, there are new tests being invented all the time. One doctor told me that 's medical issues could have been caused by a small virus that I caught during my first trimester. He said the virus could have just made me had a little sniffle and I wouldn't have even thought anything of it. I think the doctor just wanted me to realize that I didn't do anything to cause it. The geneticists seem to believe that our chances of this happening again is very small but since we don't know what the cause is there is no way to test us to find out if we are carriers. is our first and I wouldn't trade him for anything but I don't know if I could do this again. I always feel bad when I say that because I love so much and don't ever want people to think I would have chosen not to have him because that's not the case. As for the GERD, I believe that due to 's low tone his digestive system is also affected....making his esophageal sphincter loose and also slowing down his motility. Sometimes would vomit up a 3 oz bottle that he had drank 2-3 hours ago. Since his low tone will always be there he will probably never outgrow the GERD. However, as he grows his esophagus will become longer which will make the GERD better. My biggest concern is that he's on Prevacid three times a day and I don't want him on medicine forever if possible. There's no telling what all this medicine is doing to him. Plus, I think that making his stomach acid production slow down must cause his motility to slow down even more. The stomach acid is there for a reason. I did recently stumble across a procedure called the Stretta procedure and it looks promising. The FDS is looking into approving it for young children. A catheter is put into his esophagus where it meets the top of the stomach. Then radioactive waves are injected into the lining of the tissue causing heat lessions. The heat lessions heal and cause the tissue to thicken making it look more like a funnel. This then makes it harder for the stomach contents to reflux back-up. This is an outpatient procedure and I cannot find any bad side effects. Actually many adults who have had it done are able to completey get off their meds or reduce the amount. Of course, I really want the GERD to be taken care of so he doesn't have to live with it. I had acid reflux when I was pregnant and it wasn't fun. Although, I do think his meds do a good job of controlling him feeling anything. I'm happy that Grace is off her meds that's a great sign! IWas it grape? hated the taste of his. When he had a NG tube (feeding tube down his nose) we would squirt it in that but when we were able to get rid of it we had to give it by mouth and he'd gag on it. So finally we convinced the doctors to prescribe a pill and we crush 1/4 of it per night and put it in his bottle. You would think he'd taste it but he drinks it right up. Take care! > > > > > > > > Hi! > > > > is suppose to have his DB (Dobb's brace) time reduced > from > > > > 23/7 to 14 hours on Friday. I'm curious as to what type of > shoes > > > to > > > > buy him. 's Physical Therapist said to make sure the sole > > was > > > > flexible to help build his arch. So we went to Stride Right > > > > yesterday and bought a pair of tennis shoes that velcro and > have > > a > > > > flexible sole. However, the store also had walking shoes and > I'm > > > > thinking we should have bought some of those as well. Anyhow, > I > > > was > > > > curious what types of shoes are best to use once the time is > > > reduced. > > > > Also, I had read that typically the time is reduced from 23/7 > to > > 18 > > > > hours. Is it possible that 's will be reduced more > because > > > > he's older, stands and is working on walking? > > > > I completely trust Dr. Dobbs, I was just curious. > > > > Thanks! > > > > > > > > Proud Mom to > > > > Before I made you in the womb, I knew you....God. > > > > 20 months old, microcephaly, bilateral ptosis (repaired 1/04), > > GERD > > > > (and associated eating challenges), bilateral club feet > > (tenatomy > > > > 11/03 & 12/04), heart murmur, left kidney: hydronephrosis due > to > > > > Grade V reflux, right kidney: low functioning due to cysts on > > > upper > > > > 20%, undescended testes (corrected 9/04), possible milk > allergy, > > > low > > > > muscle tone, global delays, undiagnosed syndrome... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 21, 2005 Report Share Posted March 21, 2005 , Thank-you for the info, you explained it very well, I guess you have had to become knowledgeble about a lot of things pretty quickly. That procedure - Stretta - sounds interesing, hopefully it will be approved for children in the near future. I wonder if there are studies done on how patients fared in the years after the procedure (there would probably have to be for them to have gotten intial approval right?) and no side effects, sounds like a good option for him. Must be frustrating, not being able to have his condition diagnosed and all those bloody tests UGH! And of course, you didn't do anything to cause it!! But it is nice of your doctor to want to make sure you remember that! Crushing the pill into the bottle, great idea! Grace's antibiotics were berry flavoured, she really did like it so I tasted it, it tasted like berry ice cream to me, no wonder she liked it, it was like a liquid dessert lol. Take care and give your little man a big hug from us! & Grace > > > > > > > > > > Hi! > > > > > is suppose to have his DB (Dobb's brace) time reduced > > from > > > > > 23/7 to 14 hours on Friday. I'm curious as to what type of > > shoes > > > > to > > > > > buy him. 's Physical Therapist said to make sure the > sole > > > was > > > > > flexible to help build his arch. So we went to Stride Right > > > > > yesterday and bought a pair of tennis shoes that velcro and > > have > > > a > > > > > flexible sole. However, the store also had walking shoes > and > > I'm > > > > > thinking we should have bought some of those as well. > Anyhow, > > I > > > > was > > > > > curious what types of shoes are best to use once the time is > > > > reduced. > > > > > Also, I had read that typically the time is reduced from > 23/7 > > to > > > 18 > > > > > hours. Is it possible that 's will be reduced more > > because > > > > > he's older, stands and is working on walking? > > > > > I completely trust Dr. Dobbs, I was just curious. > > > > > Thanks! > > > > > > > > > > Proud Mom to > > > > > Before I made you in the womb, I knew you....God. > > > > > 20 months old, microcephaly, bilateral ptosis (repaired > 1/04), > > > GERD > > > > > (and associated eating challenges), bilateral club feet > > > (tenatomy > > > > > 11/03 & 12/04), heart murmur, left kidney: hydronephrosis > due > > to > > > > > Grade V reflux, right kidney: low functioning due to cysts > on > > > > upper > > > > > 20%, undescended testes (corrected 9/04), possible milk > > allergy, > > > > low > > > > > muscle tone, global delays, undiagnosed syndrome... Quote Link to comment Share on other sites More sharing options...
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