Our journey through life with hemiplegic cerebral palsy and infantile spasms

Monday, January 20, 2014

What's next

Over a month has gone by since Karsen has received the botox for his drooling. Results? it minimized it maybe 10-15%. It was not enough. I'm actually quite irritated, we went through the whole process, had Karsen put under, and at the end the specialist (whom visited him all of 20 minutes total before the procedure) decided he would just do two out of the four glands. Why would you put a child through this to have minimal results, also needing to do it again. I didn't want to have to do this again but knew in the bank of my mind, when he told me he decided to only do two, that it wasn't going to be enough. Karsen's rash is definitely better, its not cracked or bleeding like it has been before, but that's just the thing, it's just better, it's not gone. He still has a rash on his chin 100% of the time no matter what we put on it. So, what's next? Well, first off we wait. Why? Well, botox is toxic, you can only inject so much in a 6 month window. He didn't inject the full amount in Karsen but we would be putting him under all over again just to do the same thing he already did, knowing now, he wouldn't see much result. We had an appointment at Shriners just to follow up on all of Karsen. We talked a little about the botox and what was next.... well that's just it, we just don't know what's next. Karsen is very young to be having all of these procedures done for the drooling but in his case we aren't trying to stop the drool, we are trying to stop the rash.  So, now we wait and research. When Karsen is a little older there is another medication we can try. Until then, we just switch bibs out every hour (which reminds me that I need to make him more since his old ones are BAD), putting cream on his rash when needed and coconut oil (yes, I'm crunchy) on at night (when I remember). 

We have increased Karsen's speech therapy. He now goes once a week, which is what he needed. We also switched therapists since we couldn't increase with our current one because of her busy schedule. It was really a win-win though. Karsen's new therapist Karsen already knows. It's my dear friend Amy. He knows her place, he knows her and trusts her. His first session with her went much better than I expected. She was also much more hands on with him, which is what I want, I am by no means a speech therapist and all that hands on stuff is more than I do. Kuper and I are 100% sure that he says "yeah". It's very clear. He always says it when you ask him a question and he responds with his yes head shake and "yeah". He even knows what a lion says.... (not a fox, ;-) that might be a bit much for him) "rar!" I was really doubtful that he would talk, I've even talked to a few of my friends about the big possibility of him never talking. I was really down. It's hard to think you may never hear your childs voice. But I now know I will, just in his perfect timing. 

Karsen recently got a set of stairs with a slide made for him by a sweet family that we know. What a blessing! He LOVES it. He's becoming a pro with stairs. He'll even do really small drops (maybe an inch or two) with out hand rails. He's really doing well. I now can enjoy watching BOTH of my boys play at the park.

We've been having a bit of a struggle with sleep at night. He doesn't need us at all but I can hear him getting restless at night numerous times. It makes me nervous. I always jump the seizure gun on weird activity that's out of the norm for him. Because of the bad sleep at night, his naps are well over two hours. Yesterday he slept for 3 hours and 45 minutes. Today was 2 hours and 30 minutes. Let's hope he's just having some sort of growth spurt. I pray that his seizures aren't back.

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