I remember

I remember and I also don’t remember much from when we were first told that our son had suffered a bleed in the brain. I reflect on it often when thinking about where Thomas is now from his very first beginnings that started with the brain hemorrhage. I was home alone, in Thomas’ bedroom when I took the call. My husband was at work. I called him immediately. After I called him, I cried.

I remember being in shock. Holding back tears. Confusion. I prepared for the reality that Thomas would die, or remain in a severe comatose like state. The specialists were thrown into fairly unknown territory needing to call on Starship for advise. Thomas was only 10 days old when I was first introduced to epilepsy when seizures became as regular as every few minutes.

I learnt how to do CARES (temperature check, nappy change, wipe nose, mouth and eyes) through the incubator holes. The sounds of the many different monitors. All of which terrified me. I watched my son, motionless. Intubated because the medications slowed his breathing. Pumping milk became a regular slot in the day that led to me storing unused milk because Thomas was no longer tolerating feeds. I remember feeling a mix of hope and a sense of loss as to whether the milk would ever be needed again.

Nurses became friends. Friends kept a distance. Doctors rounds were a regular event each day, not to be missed.

I visited Google regularly in desperation for information on anything related to brain injuries, specifically a Grade iii hemorrhage. Not much, it turned out at the time.

I remember seeing quite a few babies come and go through the NICU and thinking, will we be able to leave with our son one day?

When Thomas started to move a limb and open his eyes. I remember these moments too. I felt like I was witnessing a real miracle. That the seizure medications worked and the seizures ceased.

Thomas was very drowsy for quite some time and he would need time to heal and adjust. That from now on, he was experiencing his world, post injury, for the first time. Celebrating that he could pee again. Tolerate feeds. Move out of the intensive unit. Able to regulate his temperature. Learn to breastfeed. I remember thinking how amazing it is that he would wake and cry. That he could communicate by crying. After so much silence, it was lovely to hear him cry!

Thomas came home after 7 weeks in the NICU. He was born 6 weeks early. We were told he would come home on a feeding tube. Instead, he came home fully breastfed and this continued up until 13 months old. We were told that Thomas might have cerebral palsy and this I had accepted. I was just so thankful that he was still with us.

Thomas is nearing 3 years old and gearing up for kindergarten. Thomas has come a long way since then. He has had a lot of challenges, which still continue every day. But, he is a mostly happy boy who gives and receives love. He is able to communicate in his own way the basic needs like being tired, hungry, thirsty, bored, scared, happy, angry and excited. He smiles, giggles and gives kisses. He comprehends words and follows instructions. He finds ways to move around on his back using his legs and feet. He has a cheeky personality and he loves attention. He loves music and playing.

If there is one thing that every parent/caregiver/family member/friend should know about brain injuries in babies is that every brain injury is different regardless of the grade (1-4) and it’s resulting prognosis. It takes time, a lot of time. Time to grieve, to find one’s way through acceptance and that the grieving cycle runs on repeat every time there is a new diagnosis, event or trigger. It can be very lonely at times simply because it is not a common event and when it does happen, you realize that you may or may not know anything about it or anyone who can walk/talk you through it. Again, there is no way to know how things will unfold. We were told again and again to ‘wait and see’. That was pretty much it, besides having Home Care nurses on board, a developmental therapist and to expect seizures. Having a really understanding GP helped get us fast tracked through certain scenarios. There are plenty of Facebook support groups that are private. There are a lot of blogs out there too. Just find the ones that you can relate to.

It takes courage to reach out when you so desperately want others to reach you. 💕

We NEED your help.

So after a year we finally heard back from the external advisors through ACC who have decided that our claim has not been approved because the treatment for both Thomas and I was appropriate and did not cause the injury that he sustained. It was a very detailed report and was quite informative regarding suggested causes for Thomas’ brain injury.

They have suggested that Thomas had an unexpected (and very uncommon) cerebral sino-venous thrombosis. It says that the incidence of sino venous thrombosis is rare but variable with an estimated incidence of 0.67 / 100, 000 children per year. It then further lists a few risk factors leading to the last one in the list, which is of course maternal pre-eclamptic toxaemia. And there it is!

I am no mathematician so I had to consult my calculator, I mean, my husband. So I am really gobsmacked! It works out to be 67 out of 10 million. That’s less than 1 per million. He really is the definition of less than a one in a million baby. You know I always read statistics and think that it’ll never be me. Well so it is…

And moving on to the topic of ACC. This means that we will face some struggles with equipment and funding in the future. Especially, where therapy is concerned. We decided to go down the private therapy road for physical therapy because we just felt that we had to do more for our boy. It’s so hard to find a balance between vision and physical therapy. Where vision therapy is concerned, I am very happy with the support through BLENNZ and the resources they provide. This is going really well. Thomas has days where you can see him quickly glance at something for 1 – 2 seconds which is a big improvement for him. Up until 5 months old, he didn’t look around at anything.

Where physical therapy is concerned, as his main caregiver at home, I felt I needed to be doing more with him. Thomas does have a VNT through the hospital but she has had to work really hard on sourcing equipment and this meant that physical therapy got put to the side sometimes (not all the time). Also, the VNT cannot come all the time, they have restricted funding allocations too. So we approached Glowkids and it was the right decision.

We are very fortunate to have a conductor who is a sensory specialist teacher at Glowkids. Thomas requires private sessions and these are not funded. It is not cheap. We only want the best for Thomas and to give him the best quality of life. For the new year I would love for Thomas to attend twice weekly however we cannot afford this. So, I have sat on the Givealittle page idea for a good while. I have finally decided to set it up in the hopes that we can access more therapy for Thomas.

Here is what Thomas’ therapy looks like.

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Please help us by heading over to our Givealittle page either on the Facebook page or listed on the right hand side of this blog or below. It would mean so much to us to be able to give Thomas these opportunities. Please share with anyone you think will be interested in supporting us.

Thank you 💕

http://givealittle.co.nz/cause/mindingthomas

Moon Buggy!

Yeeha! Thomas’ new seating system/buggy arrived today! It’s called a Moon Buggy.

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The seat was delivered by the company and Thomas needed to be specifically fitted so that the padded supports were in the ideal positions. His VNT (Neurological therapist) was there to help out with the process. The seat itself can be removed and placed into the seating frame that you can see in the last pic. The seat can also be front or rear facing. I think that Thomas is going to need a bit of time to adjust to the new seating system. It is quite tight/secure in certain places but it needs to be so to support his body’s posture. I think the Moon Buggy is supposed to look like a pram but when I put Thomas in it I didn’t think it looked like a typical pram at all. There are a lot of attachments and mechanisms to remember. Thank goodness it came with an instruction booklet! The guy who fitted it made it look so easy but he was extremely helpful by getting me to give it a go. We had a go at fitting it into the back of my Mazda and it does fit although we did need to remove a wheel!

Thomas has been feeling a bit better these last two days. It has been a rough couple of weeks but it has been nice to stay home in doors away from the yucky weather. It is so lovely to see Thomas smiling and talking again back to his chirpy self.

Even our cat, Mundai, (pronounced Monday!) is enjoying the peace and quiet!

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More and more… referrals and medications!

I know that the last post I made was a wee while ago and that the busy-ness was overwhelming. Well, I don’t think it’s necessary for me to say in every post how busy we have been. It’s like that all the time now. I know that we all have our own busy lives to lead and it certainly makes the time fly too. I think that this ‘busy’ world I have been thrown into was not at all the sort of ‘busy’ I had dreamed, hoped, yearned for. I’m mostly accepting of it on a day where Thomas is stable “health wise” and is generally happy for most of the day. I only ever want for Thomas to be happy. I have accepted that we will have days or weeks that are really rough. 

This past week has been rough for Thomas and I. Not only was his sleeping all over the place for reasons for which I’m still unsure of but the week has ended with some new medications and more referrals. 

Thomas skipped his Conductive Education session on Monday because he was really grizzly. On Tuesday, Joe and I both went to the BLENNZ Homai Playgroup together. Although Thomas was a bit off still, he had a good session exploring different objects. He especially loved a medium sized, bright red, fluffy crab that vibrates when touched. He sat there in my lap, kind of semi grasping it (Go Thomas!) and seemed quite content. I will need to hunt down something similar like that. I will post a short clip of him with it shortly on his facebook page! 

Wednesday, Thomas’s VNT came with his new sleeping system to trial and it was immediately evident that the sleeping system was too big for Thomas. It is like a giant bean bag that molds a certain way to support Thomas to lie with correct posture while sleeping. Well, it swallowed him up! The VNT and I both agreed that it wasn’t right and perhaps when he’s bigger he can move into using this kind of sleeping system. This has become a big part of our world for Thomas – equipment. It’s about trialing equipment and finding what’s right for him. I find this process the hardest because there’s never any guarantee that a piece of equipment will work for Thomas and you end up spending a lot of time waiting for it too. We are still waiting for a seating/buggy system and a car seat. The seating/buggy system is the link below. We are really excited to be getting it in apparently less than 3 weeks!!!!! The car seat hasn’t been selected yet. The good news is that we can choose our own from Babyonthemove and once an application has been made, we may be waiting 3 months + Meanwhile Thomas’s current capsule seat is not giving him the support he needs and he is growing too long for it hence why the waiting game can be quite difficult!

http://shuttlediscovery.com/parents

Thomas did not go to BLENNZ on Friday, and instead we visited his GP. His eczema was proving difficult to manage with a really bad all over body mad flare up. He continued to be unsettled all week and I caught him straining to um, you know, make me a present hah! Well, after all that straining, nothing! He hadn’t gone for awhile so this led me to think maybe constipation or his lack of muscle strength to push? (cerebral palsy related) Well, we came back from the doctors on Friday with a plastic bag full of medication that included lactulose, antibiotics (just in case!), a new stronger ointment for the eczema plus some pinetarsol for the bath. So far the lactulose has helped big time. He is suddenly regular again. The ointment has eased his eczema too. The doctor thinks he needed something a bit greasier. She has made a referral for him to have an extensive skin test as well as see an eczema nurse specialist at Waitakere hospital. 

Thomas is also having a referral done to see a dietitian to ensure that he is eating enough because he is a little fella for his corrected and actual age. I believe that this might be due to his prematurity and having cerebral palsy. Thomas does seem to be eating fine with the solids but seeing a dietitian will be a good way to check that he’s getting enough or find ways to add fat into his diet if necessary. Our goal is to try and get him to feed from a bottle so I can have more than a few hours away for a break. This has proved tricky already. We went out and bought a bottle and the 0+ month teat flow was way too fast. We have since tried the Dr Browns as well and he managed to drink 40 mls and refused to have any more. At the time we didn’t know why but his spew about an hour or so later told us maybe his tummy didn’t agree with it.(Thomas very rarely spills) I also learned this week that the SLT can provide us with bottles for free for children like Thomas who struggle with feeding from a bottle. Who knew? His SLT is going to leave a few different brands with us to try out during the week. 

Today Thomas seems a bit chirpier as his skin looks to be clearing up and he is regular again. I knew that something was not right during the week because he wasn’t interested in his sensory room and was crying a lot. Even when held he was really upset. This was really distressing for me because I had been unwell with some viral thing that Joe brought home from work. It made me realise how hard it is when you’re unwell with an unwell bub. It’s not like I can call in sick! On that note, I’m feeling much better.

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On the bottle.

As I look at my Thomas’s diary,  I can see that next week will be interesting. Yes, we have appointments everyday next week plus Thomas gets to see his ophthalmologist again. This is just a routine check up but Thomas has only seen the eye doctor once before when he was about 4 months old so it will be interesting to see if there is any developments/changes. 

I also had a very lovely phone call with the Parent2Parent support parent during the week and it was really great to talk to someone who completely understands. She gave me some really great advice so I am thankful for that. 🙂

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Thomas playing in his play gym lying on the star pillow.