Wednesday, September 9, 2009

Back in School

Ben's first day of school is today. He seemed really excited this year. I'm looking forward to picking him up so I can hear all about his morning (we have decided to drive him to school instead of riding the bus because he is still pulling out his trach when he gets angry -- yes, he did again over the weekend)! He has the same one-on-one aid, but a different teacher and different classroom/students.

UPDATE: Ben had a GREAT morning at school. He seemed like he jumped back in where he left off. Only a few upset moments and he wore his implant the ENTIRE time! He also used his new pony walker to walk to and from recess and the muscle room. I'm so proud of him!

Driving Ben and his nurse to school

Look, I'm actually wearing my cochlear implant!

And off we go... my trusty wagon and aid were waiting for me.

Tuesday, September 1, 2009

School, Nursing and Much More...

Ben's first official day of Preschool is next Wednesday, September 9. I'm excited for him and anxious to see how he adjusts to a schedule again. We had our home visit with his new teacher. She seems great and was really receptive to working with Ben's little "quirks". His WONDERFUL aid from last year will be with him again this year. Having that consistency is going to help him hit the ground running this year. He will be attending morning sessions again this year and will be going Monday through Thursday. We are also hoping he successfully rides the bus again this year (the buses this year will pick up Preschool, Kindergarten and 1st grade instead of just Preschool on one bus). I can't believe how fast this summer went.

We have had Ben's new Monday/Tuesday day Nurse work twice and she has done great with him. I feel confident that she will be all set to go to school with him next week. What a huge relief! Our other day nurse has been with us for years and she is excited to start another school year with Ben. She will go to school with him on Wednesday/Thursday.

We received the fall sign-up for Hippo Therapy in the mail and I'm really hoping we get a spot. Ben is fully recovered from his testicle surgery and able to ride again. I hope he hasn't forgotten his love of horses! Fall session is on Saturday mornings, so that will be a really nice family event for us to do together 3 Saturdays in October. I just LOVE Hippo Therapy!

I also wanted to give a quick update on some of Ben's labs/tests that I previously mentioned. We have decided not to do any further testing regarding his thyroid. After talking to his Endocrinologist, we've decided to wait for now and retest in another year. His Endocrine Doc wasn't as concerned with the numbers as Ben's Pediatrician and since thyroid falls under the speciality of endocrinology, I decided to go with his advice. Ben also had a bone age test and a bone density test (two different tests). Ben's bone age was normal, YAY! However, Ben's bone density was low. We are going to start Osteoporosis meds for his low bone density and he will be retested in a year (since the meds take a long time to really make a difference). Because he doesn't walk or weight bear, his bones are more brittle. We really need to work with him more in the Stander and/or Pony Walker. Now that he is all healed up from surgery, there's no excuse. We went back in to Audiology for another mapping of Ben's Cochlear Implant. We went even lower this time and checked the integrity of all of Ben's internal electrodes. Everything tested fine. I am able to get Ben to wear his implant for 15 minutes a day now as long as I sit next to him and hold my hand on his head over the implant (Ben insists on this, and the only reason I can figure out why is that it's comforting). He isn't getting much sensory input from the current mapping, but definitely a start!

And last but not least, Ben pulled his trach out on Sunday (the second time in 4 years this has happened). Ben can not breath at all with his trach out and it really gave him a scare (us too). He somehow flicked it out with his ties still on. He is doing fine... both Mike and I were home, thank goodness! We got it back in, started a little Oxygen and he was back to himself in no time. I was hoping this would scare him from any future trach pulling, but no such luck. Later that night, Ben was back to throwing the nose that sits on his trach. I just took this incident as a reminder of how fast something like this can happen and how I always need to be in the room with him. If I have to leave the room, I need to make sure to check every few minutes (literally, because that is all it takes). I know I have been getting more lax leaving Ben in a room by himself to throw in a load of laundry or check email. This reminded me of why I need to have an eye on him at all times. He sure keeps us on our toes!!

Wednesday, August 26, 2009

Cochlear Implant Confusion

Our CHARGE kiddos sure keep us guessing, don't they?! Ben hasn't been wearing his cochlear implant AT ALL since he was sick this during the winter. For the past month, we have been working on Ben wearing his implant while it is turned off to get him use to having it on so it could at least be programmed. On Monday, we had our first appointment to remap his implant since he stopped wearing it. It also happened to be with the new CI Audiologist. He was wonderful and had a lot of background information because he use to work with both adults (who can tell him what the implant is doing and feels like) and kids (who can't always tell you).

He tested the electrodes on the implant and they showed signs of not being stimulated (no surprise there, he hasn't been wearing it). He then went through five different electrodes and got some high/low thresholds. From that, he remapped/reprogrammed Ben's implant. We are basically starting all over at a very low volume to get him use to it again. What he hears will be a very soft whisper and we will gradually step up. Ben was happily wearing his implant in the office after the new programming. I was thrilled! When we got home and after Ben's nap, I tried the implant again. Ben was fine when I put it on UNTIL I actually turned it on. He then pulled it off and started crying. He acted like he was in major pain. He wouldn't let me even get close to him after that with the implant in my hand. So confusing! It was like he got a shock when it was turned on. We talked to the Audiologist and we are stumped. We are going back in next Monday to try again. Could the implant sound different when hooked up through the computer (which is how it was in the office) vs how it sounds running on battery at home?

Sunday, August 23, 2009

Family Photos

Thank you Jen for taking these! We love them and you did a great job.
(Below are some of my favorites)
(My brother was using a stick to get Ben's attention. It did, but then Ben started throwing a fit until he got the stick. The stick then became a photo prop)



(This picture makes me laugh because Ben pulled off his trach valve and stuck it on his finger for the photo and was quite impressed with himself.)

Thursday, August 20, 2009

High Thyroid Function

I got the results back this morning from Ben's blood work. His thyroid function test came back high. It said he was 3.3 and the normal range is 1-2. Additional blood tests are now being ordered, but I'm hoping one of our blog readers can offer some insight. Do any of your kiddo's with CHARGE have high Free T4? Did you have to start treatment? Is this "normal" for CHARGE kids? Anything you can offer is appreciated!!!

On a side note: took bandages off (boy did it hurt and oh my goodness are those things sticky) and the incisions look good.

Tuesday, August 18, 2009

Time to Remove the Bandages

Today is the day we are suppose to take off Ben's bandages. They haven't budged a bit, so I'm not sure how to tackle their removal. I'll do my best to make it as painless as possible though.
And other than needing some Tylenol during sleep time, Ben is acting like his old self. What a tough cookie he is!

School starts on September 8 and I'm excited to get him back into the swing of things. We have found a day nurse for Monday/Tuesday and I think she is going to be a perfect fit. Ben warmed right up to her, so that's a good sign. He wanted her to tickle him :)

Saturday, August 15, 2009

What a Difference a Day Makes

Ben has been recovering wonderfully. Friday morning seemed to be the worst of it and he has continued to improve since then. What a difference a day makes! Thank you everyone for all your prayers and well wishes.