Our journey through life with hemiplegic cerebral palsy and infantile spasms

Friday, August 31, 2012

Moderate, not mild

In the beginning of our journey of finding out about Karsen's stroke we were originally told by his pt's and ot's that his case looked very mild. Our neurologist even told us with the amount of damage that is shown on the MRI she's shocked he wasn't more severe. Well, after the ugly bout of seizures we took a few steps back. Karsen's affected hand and arm are very tight and use it little to not at all. His OT and I talked today and she agreed that things have changed. In the beginning Karsen was engaging that left hand a lot more than he does now. She then told me his hand seemed to be affected more moderately rather than mild. Although I didn't want to hear that I already knew before she told me. Those darn seizures. But she did however tell me that his leg is more mild. We both agreed we'd rather his hand be more affected than his leg. We are still moving forward, he's so strong. It's still somewhat hard to hear the word moderate. In severe cases of hemi cp the kids wont walk at all. Karsen, it is clear, will walk. He already weight bares in both legs, and one shock, he doesn't stand on his toes (tip toe standing or walking is a classic cp trait). We have made huge steps in Karsen's eating. He eats cheerios, pancakes, puffs, mum mums, and yogurt melts. We have yet to master the art of a sippy or a straw cup. This is are biggest struggle but he's close. Today at OT we wanted to have him eat and drink but today was not his day. He was not himself. Very cranky. In fact he's down for nap number three as I type. That's right, three! Growth spurt perhaps? Or still trying to kick the little cold he has. He's turning both directions when sitting. Turning left takes a lot more focus and patience but he can do it. He's starting to weight bare in both arms a  lot more actively and when you stick him on his therapy ball he tries to bounce himself my engaging his core. He's doing good. 
Karsen's neurologist called us out of the blue the other day just to check up and see how Karsen was doing. (what?!, how awesome is that?) It's hard to come by pediatric neurologist, let alone a neuro that is awesome! She called to see if Karsen still was seizure free and talked about having him come in late November or early December for an EEG to take him off his last final med. WOO HOO! We also found out that Karsen's blood work came back clear and doesn't have any risk factors that could cause him to have another stroke.  We still are keeping our eyes peeled waiting for the seizures to start back up, I'm not sure if we'll ever stop watching and waiting for them. Once your child has had even just one I think you can't help but worry. 
Karsen's pt and ot are both requesting more visits with him but it's getting to the point where it's too much. I believe some parents bring their kids in for therapy and that's just it, that's all they do. I work so much with Karsen during the day extra therapy isn't needed. Just show me what to do, I'll do it. So, I'm going to sit down with them next week and get his schedule all dialed in. Between Karter in preschool, me in MOPS, me training for a marathon, and Karsen's therapy I have no time for me time or fun time with my boys, which is just simply not ok. So tomorrow I am going to sit down and write down "appointments" of fun days with my boys so nothing can interfere. For all you crazy busy mommies out there, you should do it too. Make fun a priority. We all don't do it enough.
 playing in the blinds.
Oh, and I forgot to mention we FINALLY got an appointment with the pediatric ophthalmologist. Appointment is set for October 1st, lets pray we get some answers. 

Tuesday, August 28, 2012

Your child doesn't need this

Karsen had a great day today with his OT. I think he's finally warming up to him. It was a huge help that Kuper took Karter to my friends house this morning so I didn't have to. (My friend, Lisa, takes Karter to preschool for me on Tuesdays) So Karsen was able to eat a good breakfast before we headed over to his OT appointment. So maybe he needed the extra boost of food or maybe he's getting more comfortable with his new OT, who knows. It was a huge improvement. We didn't have to leave early, in fact we actually ended up going over our time a bit. We worked a lot on hand play. We also talked about getting him a removable splint for his right arm so we can do some constraint therapy. There was no way I was going to do a cast at this age so we're going to do something removable that way I can work on it x amount of time a day. Karsen also got his new thumb splint. It fits much better than his bulky wrist/thumb splint. 
We went to his usual play group therapy and I'm really starting to love it. I think Karsen does too. There's such a wide range of developmental delay in the group, which I thought would be hard but it's not bad at all. I love the PT's that are there. They have so much knowledge about feeding and motor skills. I could pick their brains all day. I've made it part of our schedule to try to make it to every Tuesday play therapy since Karsen and I both learn so much from it. There are a few people I have seen consistently and know both of their kiddos are at very similar milestones as Karsen. Today there were two other people with kiddos there today that I haven't met. They were both around 12 months. At first I thought they were twins but then I realized the two parents were not together (one dad, one mom) after seeing their kids for 5 minutes I wanted to ask them to leave. Their kids did not need to be there! I was getting mad and irritated that they were there. This is a special needs class and there was nothing special needs about them. Both could crawl, walk, and communicate, and when it came to snack time their were eating as good as you and I. I wanted to scream. Not to mention the dad had asked me if Karsen broke his thumb. Clearly they didn't belong. It was hard to get into this program from the start which is why I refuse to not go. So, this two little ones are taking up spots for kids that really truly need it. Karsen doesn't do well with kids enterning his comfort zone, he defintely has a bubble around him and it's only ok to come into it if you are an adult female that is going comfort him. One of the little boys was a total brute. Running all over and kept trying to grab Karsens face, all while the PT was trying to work on standing on Karsens knees. Karsen kept melting down every time this kid would come near him. I couldn't blame him, I probably was doing the same. Well, lets just hope that they realized the three other kids there really truly needed that therapy session and they decide to not come back. I know I sound harsh but I want Karsen to get every bit out of his therapy sessions. That time where he is alert, happy, and willing to work is hard to come by. 
In other news, today Karsen showed me a glimpse of some serious brain function. He's never gotten the action of putting toys in a box or pushing a car around like it should, that sort of thing. Well, today he put a ball on the track of a toy how it's suppose to, to watch it roll down to the bottom. He did this over and over again. Woo hoo!!!! I was so excited for him, he's really started to get the whole "playing" part of certain toys. I know, weird to worry about how your child plays with toys but with a special needs child nothing is off limits to worry about. Here's a video I took of some of the action. Notice the butt scooting turning action before? I'm so proud of him.

Monday, August 27, 2012

Sleep, how I've missed you

I think it's safe to say Karsen is officially sleeping through the night. It took him 13 months but he's finally doing it! Occasionally he'll wake up a little earlier than Kuper and I would like but all in all we are pretty happy with the fact our sleep is now uninterrupted. Karsen and Karter both go to bed at the same time, 7:00PM and generally wake up around the same time, 6:00AM ish. That's not half bad! I'm not a morning person so the 6AM isn't what I would choose but I'm adjusting. My husband would laugh at that. I'm so spoiled. He wakes up with the boys and takes care of them both in the mornings while he gets ready for work, so I can get an extra hour of sleep. I'm so lucky to have him, but don't you dare tell him I said that, lol. He might stop waking up with the boys. ;-) At some point I really want to get into a morning routine of all of us having breakfast together so now that I'm actually getting sleep I can starting thinking about it.... thinking... lol Karsen is doing so much better eating! He is able to eat pancakes now! It takes him quite a while but he doesn't seem to mind sitting in his high chair for an hour with my full attention. ha. He still doesn't have the pincher grasp yet so he isn't able to feed himself food with the exception of graham crackers or mum mums. We are still struggling with sippys. He hates them. He doesn't get that he has to suck on them to make fluid come out. The best luck we have had is just with a regular cup. But last night I was actually able to get him to drink out of  a sippy but I poked a hole in it to make it come out with out sucking. So, we're taking baby steps. He's doing much better though. Only nurses three times a day now. I'm starting to feel like a mom and not a dairy cow. ha. I'm going to have to start harassing our insurance about the referral for the ophthalmologist. Still haven't heard back. Grrrrr! Darn insurance! So, the squeaky wheel returns.