The CSFN Conference. Originally Posted August 17, 2011

On July 23 we flew to my parents home across the country to drop Madi off for a week and to have Ali blessed at a church which my grandparents have called their own for years.

We arrived after a long day of traveling feeling both relieved and surprised because after so many weeks of worrying and stressing over our journey, things had actually gone really well. In our minds we thought that Ali would have a very rough trip but both our girls showed that they’re made of good stuff by traveling like champs (PHEW)!

On Sunday July 24th we went to my Grandparents church and Ali received a beautiful blessing. She looked so pretty wearing the dress that Madi had worn for her baptism and my sister’s wedding. We were joined in the church by my mom and dad, my grandparents, my godparents and my aunt and uncle. We do a lot on our own here at home so it was amazing to have such family support!  The only down side was a woman who pulled me aside and told me how large Ali’s head was.  She informed me that I needed to have it checked because it could be dangerous.  She was very condescending and she actually brough tear to my eyes.  FYI lady, I know all about the head! After the blessing we all went back to my mom and dad’s house for lunch and both Madi and Ali had a wonderful time visiting with my family.

On Monday July 25th, we got up bright and early, said goodbye to our beautiful Madi and my parents. Jason, Ali and I headed to Chicago. It was a long day and it was really hot but we had a good trip and arrived 9 hours later at the Westin O’Hare in Rosemont, Illinois. Immediately upon entering the hotel we ran into several families with CS kids. We were invited to join them for dinner but declined because we had just arrived, Ali was exhausted and to be honest the invitation seemed a bit overwhelming! We headed out to TGI Fridays for a quick supper and while we were there Ali nodded for the first, second and third time! She wanted to look at Daddy, have a kiss and then look at Mommy again…three nods!

On Tuesday July 26th we spent the day as a family touring around a bit and doing some shopping, We went to an outlet mall and to Chicago’s Navy Pier. It was a nice day.

Wednesday July 27th was Ali’s opportunity to meet the specialists to be examined and to join the research groups. Ali did great! We didn’t get any big surprises. We found out that she’s doing really well! The doctors seemed very encouraged by what they saw. Eyesight is a huge issue for her, we knew that but we are now confident that her vision will mature and that she will have functional eyesight despite having poor vision right now. We also found out that our tiny little Ali is big for a child with CS and that she currently has no orthopaedic issues! The specialists were very encouraged by Ali’s fine motor skills and her attention span and they told us that she is going to do very well in the future! We were told what to watch out for in the future, were given some advice on what to try next or which specialists to add to our team , were told about some tests that she should be having in the near future (MRI, Auditory Brain Stem)and then we took our sweet baby out for supper feeling very good about things!!!

Thursday July 28th was family fun day. We didn’t think that the activities suited Ali that much so we spent the morning as a family, met the group for lunch and then went to the Lincoln Park Zoo in the afternoon. Ali loved the Zoo, she liked the flowers and looking at the animals. She was very cute!!!

Friday July 29th was our Costello specific day so it was a day of lectures about Costello Syndrome. We had to drop Ali off at daycare before going to the lectures and I hated that! It was so hard to leave her with strangers, she was less than impressed with the situation and it broke my heart! There were 12 lectures available, they ran 2 lectures per time slot and we had 6 time slots. Jason and I split up so that we could cover all the lectures. They were really interesting and we learned some great information. Friday night was the night of the Costello Syndrome family dance so we had dinner with the group and visited with everyone.

Saturday July 30th was another day of lectures and Ali had to go back to daycare again. The lectures were not Costello specific but some of the topics did apply to Ali. We attended the morning sessions but when we went to check on Ali at lunch time she was really upset so we decided not to take part in the afternoon sessions and instead we went to Target!

Sunday July 31st was wrap up day. The doctors held a panel where they summarized what they had learned and in which direction they wanted to go with their research. After the discussion we got into the car and headed downtown Chicago to walk the Magnifigant Mile. What an amazing city Chicago is!

So what did we get out of this conference?

1) We met lots of other families with young children dealing with Costello Syndrome. We exchanged ideas with them and talked a lot about what works for us and what doesn’t. When we came home we made some huge changes to the way we feed Ali in an attempt to minimize the spitting up and to help her develop and grow. At first the changes seemed to make a big difference in how much nutrition she was able to keep in her little body but over the past few days we’ve started to notice that she is slowly starting to spit up again so the jury is still out! We also got some ideas about programs available to help us make the transition to oral feeding from G-tube feeding. We are considering a “Tube Weaning” program based in Germany (by telephone/internet) and are thinking of starting that in the near future. We have now actually seen other children with Costello Syndrome!!!!!!! We will be staying in touch with these families and looking forward to having our children get to know their children at future  meetings.

2) We signed Ali up for most of the research studies available. The reason we agreed to participate is because this way the information will be available to us as we need it. We opted out of anything that was painful however, we did do urine samples though and that was quite the exciting procedure! We have now had face to face conversations with most of the leading Costello Syndrome research professionals in the world and have really taken all of their advice to heart.

3) We learned about some really important tests that we need to push for Ali to have and about a couple of doctors that we need to add to her team.

4) We had a fabulous time in Chicago. We learned that we CAN travel with Ali! She was such a good girl. She was able to tolerate the intense heat and the bright sun while we were out and about, we had our doubts before going. She showed that deviating from her very well planned schedule is okay, she didn’t get sick which was what we thought might happen and I think she really enjoyed the stimulation! Getting her back on her schedule was fairly easy once we returned home and although she was very tired, she was happy and healthy and ready to hang out in at my parent home for a while.

5) We had intended to make an attempt to get to know some of the families with older children but to be honest we didn’t.  I realized shortly after we arrived in Chicago that I was nowhere near ready to meet Ali’s future head on. The older children made me uncomfortable in a way because I still have trouble picturing Ali as a teenager or adult with Costello Syndrome.  I think I need to transition to that way of thinking gradually. The older children were fascinated with the babies so Ali did have a fair amount of interaction with them and they were all kind and gentle when they played with her. We just sort of observed and watched them interact, that was the best we could do this time! Many of the  adults are doing well in their lives. There are adults that live fairly independently and have very few health issues. That was great to hear! All of the children/adults are incredibly social and happy. It was amazing to see how similar they all are in some ways yet so different in other ways.

That kind of summarizes our time in Chicago.  After leaving Chicago, Jason returned home and the girls and I spent two weeks with my parents. We are home now and trying to settle back into our usual routine! We look forward to having another opportunity to get together with our Costello Syndrome family in the future! Now that the trip is over we are taking some time of absorb and discuss what we have learned. I still don’t really know how I feel about it all.  I guess that will be another post!

Thanks to all who supported us and helped to make this trip possible. It was everything we had hoped it would be!

Oh so Tired (a post by Daddy). Originally Posted June 8, 2011

We have had quite the week, month, year???? Seem to blend into one another…..

It is quite the household we live in. The little one doesn’t sleep, which makes the big one not sleep. The medium sized one pushes the big ones buttons with such skill that my attempts at button pushing are amateurish at best. The big one worries about the little one, the little one smiles and makes us forget our worries for a moment. The medium sized one unleashes a barrage of terror on the puppies and her unsuspecting sister, which angers the big one. The medium one gets a timeout, proceeds to cry, which makes the little one cry and the big one has to calm everyone down. The little one poops her pants, the big one changes them while the medium sized one makes comments about why it smells and how much she doesn’t like the smell. The medium sized one wants to do a craft that takes longer to set up for the big one than the medium sized one stays interested with it. More button pushing, pooping, spitting up, not sleeping, and crafts.

I am not really sure what day it is, what I am supposed to be doing, and whether or not I am supposed to laugh when the big one argues with the medium sized one. (Apparently I am not supposed to laugh and most likely referring to her as the big one will not earn any points).
Going to work makes me happy. Oh yeah, beer too……

Another Scary Day. Originally Posted June 5, 2011

On Thursday, we spent a lovely afternoon with Ali sitting in the shade at a BBQ that RE/MAX was having as part of their “Pennies For Ali” campaign.  Ali slept through the entire BBQ which at the time we thought nothing of. When we went home, I put her to bed and she continued to sleep. We put Madi to bed around 7:00 (Ali was still sleeping) and Jason had to go out, so he left and I settled in for a quiet evening. Shortly after Jason headed out, Ali woke up and I could tell that something wasn’t right. She had a high fever and she didn’t seem to be able to catch her breath. She suddenly had a horrible cough and was very congested. I immediately got her out of her crib and I took her into bed with me and I went to work cooling her down and making sure that she was well hydrated. Eventually I was feeling like we were in a serious situation so around midnight I called Jason and said that he needed to hurry home because I thought that Ali needed a doctor. When Jason got home he decided to take her down to the basement (which is usually cooler than upstairs)to see if she would cool down. Once she got down there she seemed a bit better and since her colour was good and she was cooling down we decided to wait it out until morning if possible. Poor Jason sat up with her all night. By morning it had become apparent the we really needed to see a doctor but we thought we could wait and see one of Ali’s doctors so we called our family doctor and requested an appointment for that day. We have it arranged that she will see us on an emergency basis when requested which is great because she has a 1 month wait for appointments!

We went to see the doctor and she immediately ordered a bunch of tests and sent us to the ER. She was concerned about a serious infection, pneumonia or heart failure. Ali had to have a chest x-ray, lots of swabs and cultures and a blood sample taken from her neck (I don’t know if that was worse for her or me!). Once we had the tests done, the followed us over and we went through the results. We talked for a while about whether or not Ali would be going home that night and eventually decided that as long as we were prepared to take her to the children’s hospital by ambulance if we needed to that we could take her home.
So, we know that Ali is not in heart failure and she doesn’t have pneumonia. Most likely she is really struggling from a virus. It is possible that she has RSV so we are waiting for the results from the RSV swab.
Today, Ali is doing okay. She still has a horrible cough when she’s awake and moments of struggling a bit to catch her breath but she is able to settle down enough to nap in between coughing fits and in general she seems more settled. I really regret that we didn’t take her to the ER right away when she woke up so sick. I don’t think it would have changed the outcome.  I think that we are lucky that we didn’t get ourselves into a serious situation by trying to keep her home overnight. It’s so hard to know what to do with a kid like Ali when they’re sick! So it has been a scary weekend but I think we’re going to be okay.

A Big Day at the Clinic. Originally Posted May 27, 2011

Last week Ali had an appointment with her pediatrician. She showed off by waving to him when he said good bye and shaking her head to say “no” when he tried to examine her! She’s funny and she knows it! The only major concern right now is with her heart. We’ve noticed an increase in sweating and some congestion so that’s definetely something to get checked out immediately.

Yesterday Ali had her very first clinic day with her psysiatrist at the rehabilitation hospital.

We travelled into the city on Wednesday night because our appointment at the hospital was so early on Thursday morning. Ali was very, very sick on Wednesday and taking her into the city was really horrible. She was coughing and gagging all the way and she was sweating so much that she looked like she’d swam into town. She has just gotten over pink eye so were are assuming that she just has a nasty cold but despite an intital “okay” result on an ECG, we are still very concerned about her heart. We are waiting for the more results to make sure that her heart is okay right now.

Once we got into Edmonton we headed straight to our hotel and put both girls to bed to prepare for an early morning the next day.

We got up bright and early and Ali was a mess. Jason took Madi down for breakfast while I stayed in the room and tried to get Ali ready for a really big day. She couldn’t keep any food down and was still super sweaty so I gave her lots of Advil and did what I do when she’s sick. I fed her water instead of formula.  Typically when nothing stays down, we need to rest her stomach. The water helped a bit and she seemed to perk up so off we went.

What a confusing place that hospital is.

We started our day at x-ray where Ali had lots of “pictures” taken. She was such a good girl and she was finally happy too, her water diet seemed to be helping a lot.

After x-ray we made our way to the clinic waiting room (that was no easy feat!!!)and waited our turn. Before long a nurse came to get us and we were given our room. I was told that Ali and I would just sit there and all the specialists would come to us. It was pretty dry in there, someone remind me to bring some coffee with me next time okay?

First we met with the Physical Therapist. Over all she thought that Ali was doing pretty well. She agreed that Ali seems to have a severe gross motor delay but she thought that Ali’s fine motor skills were pretty decent all things considered. She mentioned that a lot of the more “cognitive skills” fall into fine motor at this point. Based on previous evaluation, Ali falls below the first percentile for gross motors skills but she’s at the 12th percentile for fine motor which we feel is okay. The PT decided that Ali needs a standing frame so we talked about that too.

Next we saw our Social Worker. We chatted for a minute and then it was time to see the Physiatrist. He came in and brought a prescription for a standing frame for Ali and did an examination. He concluded that she looks pretty good. We decided that Ali would be fitted for “AFOs”
(Ankel Foot Orthotics) because of poor foot positioning and lots of ankle roll.  Ali showed her doctor how well she sits, he said that she sits well and that he estimates that she may walk around 30 months. That is much earlier then we expect her to walk but it’s something to aim for I guess! Once again he commented on her VERY low tone, he also said that she’s very strong and that her head size makes things tough for her because it makes her so top heavy. He had no major concerns. He was very taken with her and he told me how much he liked her!

After brief introductions to a couple of other people we met with the Orthopedic Surgeon. I think she was very surprised to find that Ali has no significant orthopedic issues. She said that we hit the Costello Jackpot in regards to orthopedics.

Next we went and got casted for AFOs. I think that was the most traumatic part of the day for Ali. Putting slimy casting material on the feet of a child with major sensory issues (and a cold to boot) must never turn out well. Ali put up quite a fight! We picked out sky blue AFOs with clouds and butterflies on them.

Then we got measured for her standing frame. Because Ali is so small, her standing frame will be custom made for her. It will also be made to accommodate her G-tube and she’ll be given a bigger base to accommodate her top heavy (but super cute) little body.

While we were at our appointments, Jason was picking up Ali’s new car seat. She finally out grew her bucket seat (in length, not weight) and we got her a car seat that is recommended for children with low tone. She loves it but she looks so tiny in it. We headed for home with Madi happily watching a movie and Ali sound asleep in her new car seat. It was such a busy day but it went really well.

This morning Ali woke up very sick once again, so today I’m concentrating on getting her back on her feeds and keeping her hydrated. We have a big week next week so she needs to feel better!!

Thanks for reading!