Tuesday, March 26, 2013

Photo catch up!

Hi friends,
I've finally been able to upload the photos from Jude's birthday party (way back in December)!

Here are a few pictures of Jude enjoying his 1st birthday party!








 
Our hearts were SO FULL on this day! What an amazing year with our little man.
 
Oh! The Lord has been good to us!

Monday, February 25, 2013

Waving goodbye to February

Hi friends!

Welcome to the end of February! We are thrilled that we are nearly rounding out cold/flu/RSV season! Jude's official "coming out of isolation" date is scheduled for Easter weekend!

We are excited about the end of isolation! And we are well...I guess we are also really nervous. Technically, Jude has really been in isolation since he came home from the hospital (for the first time) back in June. So, as you might expect, we are ready to share our little man with the world! But we are nervous about what the world (more like people and their germs) will share with our Jude. So, please bear with us as we ease back in to normal life again. We will still be washing our hands and sanitizing more than the average family does but we hope to get out and enjoy the joys of warm weather, friends and family! We will take it one day at a time....as usual!

So, here's what we've been up to since our last post:

- In early February we made a little trip down to MUSC to see our favorite surgeon, Dr. Hebra, and his awesome team. Jude's appointment went wonderfully and Dr. Hebra was all smiles. It is such a blessing to be on this side of such traumatic surgeries for Jude. I don't think Brian and I will ever forget the grave conversations that we had with Dr. Hebra during Jude's stay at MUSC. And it is because of those moments that a smiling Dr. Hebra makes our hearts glad. He celebrates with us!
So, according to the surgery team Jude looks great. No need for x-rays at this point because Jude looks good, feels good and is thriving! They were pleased with his size and weight gain...and also happy to hear that Jude is not throwing up anymore! (Three cheers from mommy too! More on that later) At this point, the plan is to see Dr. Hebra and the surgery team in 6 months!!!! 6 months?!?! That is by far the longest amount of time that we've been away from MUSC! Praise God for making it so!

- So, back to the throwing up. I'm not sure if I'd mentioned this on the blog or not but for several months Jude has continued to throw up every single morning in the middle of his breakfast feed. And it just broke our hearts. We tried everything....slowing the rate of his feeding pump....decreasing the volume...venting his g-tube....changing when we gave him his reflux medication......etc. And finally one night we decided to stop giving him his evening feed (we usually fed him in bed once every evening). And it WORKED. So, since that night we've stopped feeding him in bed and we've increased the volume of his daytime feeds. And it has been AMAZING to watch our little boy live a life without vomit. You have no idea how much it means to see him go through the day without throwing up. He feels SO much better.

- We've been trying out a new plan for encouraging Jude to eat with our awesome OT, Amanda! (We are SO lucky to have her) And it seems to be working. Right now we've been dropping a variety of foods on Jude's high chair tray and encouraging him to participate in family meal time with no pressure. (Before we were trying to get him to eat by  putting food into his mouth....but he hated it and would cry/spit his food out/refuse to participate.) And in the last several weeks he has made GREAT strides with getting involved with his food.
First he was just interested in touching it....then he became interested in feeding us...then he would take a tiny nibble every few days....and now he is physically tasting and trying to eat food (mostly crackers and crunchy things) at every meal. A majority of his "eating" involves putting food in his mouth...chewing...letting most of it drool out....but swallowing a little bit. And you know what? That is PROGRESS. More than we've EVER had before. And we are THRILLED and THANKFUL. And EXCITED! And we'd love your prayers for more steps towards oral feeds. We know Jude will get rid of his g-tube one day with the Lord's help.

- In more digestive news: We've officially started introducing Jude to real foods through his g-tube. Preparing food in a blender and feeding it through a g-tube is often called a blended diet or BD. In the last month or so we started adding a little baby food to Jude's boluses of water to expose him to real foods and to see if he had any allergies. After that, we started blending food in our Blendtec blender (which is A-mazing....another post on that coming soon) and giving a little bit to him at each meal. It has gone beautifully and we are thrilled that his digestive system is enjoying real food! (And his nutritionist is on board with our plan! Whoopee!!!)  I'm convinced that he can taste the goodness of real food just a tiny bit in his stomach. And I think the BD has someone given him a greater desire to taste real food. I know that sounds crazy...but I really think it is helping.

- Jude got a little cold (first one this season) that lasted a little more than a week. We were thankful that it did not travel to his lungs and that it did not turn into anything major!

- Jude isn't walking yet...but he is SO SO close! His PT Kacie is phenomenal and Jude loves her! He has simply "taken off" in the last month or so with his physical abilities. We are so proud of him and certain that he will be walking soon!

Thank you for your continued prayers for Jude. We continue to worry about re-herniation and bowel obstructions (both are still possible) but we are going to live, celebrate and soak up the beauty, love and joy that the Lord has given us. Brian and I were talking this evening and we realized that Jude is about to pass another milestone. Soon he will have been out of the hospital longer than he was in the hospital. Praise God for his good works in our son's life. What a journey!

Monday, January 28, 2013

Family photos

Hi again!

HERE are a few family photos that a friend of ours (the amazing Katie Preuss of Seek Joy Photography!) took to celebrate our homecoming.

We LOVE these photos and I am certain that we will all cherish them forever. There are not words to describe how wonderful it is that she was able to capture the joy of being all together in our little home.

Many, many thanks to Katie for giving us this gift.

Audiology update

Hi friends,
Just wanted to give you all a quick update about Jude's recent appointment with audiology.

Everything went really well and at this point Jude doesn't seem to have any hearing loss. We are thankful for such good results. Jude will continue to be followed by audiology until he is school aged. The reason for him being followed for several years is because being placed on ECMO can result in late onset hearing loss. So please join us in continuing to pray for happy. healthy ears!

I've got something new to ask all of you to pray for. Since Jude has been in isolation we've been taking him to church. We arrive early to get seats off to the side by ourselves and we leave early (after communion) to avoid Jude being touched by all of the dear people who love him (but might have a cold or the flu). But the last two Sundays have been difficult for us. You see, Jude wants to talk and move these days...and that makes it really hard for us to keep him in the sanctuary during church. And we have been leaving the sanctuary but these days Jude just squirms and cries because he just wants to get down and crawl. But he can't. Just too much of a risk of picking up germs on the floor during these winter months. So, yesterday Brian and I decided that it was time for us to start taking turns attending church. Each Sunday one of us will take Annabelle to church while the other stays home with Jude. It was a really hard choice....but we know it is best for Jude. It's hard for us because we already feel so disconnected during this isolation period. But our hearts are sad about not being able to worship together. We know that it is just a season but it is still hard. Will you pray for us?

One day our little man will be able to join all his little buddies at church in the nursery...but until that day he's gotta stay home and stay healthy. Oh Spring....come quickly!!!!
A video of Jude crawling down our hallway with Annabelle. I apologize that it is a little dark....not really sure how to lighten it up.


Isn't this AMAZING! He is even faster now...this kiddo loves to MOVE!

Photo update

 Just my handsome, cloth diapered, blue eyed boy
 This is Jude in his walker that he LOVED for awhile (now he is too busy trying to cruise on furniture). This picture brings me such joy. My two sweet kiddos enjoying life together. Making a mess and loving every moment of it!
 Jude looking sweet in his high chair. I think on this day he was playing in spaghetti.
 Our happy little gingerbread house builder. This kiddo LOVED Christmas this year!
 The first picture of Jude standing in his crib. This is the first time he did it! Love his sleepy eyes.
 Two sweet brother and sister Christmas photos.

Jude's favorite toy right now. He is pulling up ALL THE TIME!
 
I am sad to say that we are without photos of Jude's 1st birthday party. My mom took photos for us and they were on our computer before "the crash". But for some reason they disappeared when the computer was being restored. I hope to have them reloaded the next time I see my mom.


Monday, January 21, 2013

It has been awhile...

Hi friends,

It has been so long since I've blogged that I am not even sure where to start!

Jude has been a busy boy and he is certainly keeping us busy too!

Let's go with some bullet points to start "catching up":

- Jude started crawling! He started crawling right around Christmas and hasn't slowed down since! We honestly did not expect him to meet this milestone this early. We are blown away by this determined little man! Right now his favorite thing to do is crawl into Annabelle's room and get into her toys. And she welcomes him with joy (most days)!

- A week or so after he started crawling he started pulling up in his crib! Then he slowly built up enough confidence to pull up on furniture. At this point we can count on him to pull up on anything and everything. He has NO fear! He is such a busy little man and it is hard to keep up with him! In recent days he has started pulling up and holding on to the furniture with just one hand. We are so proud of him and so thankful for the Lord's work in Jude's physical abilities!

- Jude is now seeing several local specialist. He is still being followed by Jude's surgeon, Dr. Hebra, (bless that man!) and his team (bless them too!) and we will continue to visit him for all of Jude's follow up surgical needs. Currently Jude is seeing physicians from the following specialities: Pulmonology, Neurology, Allergy, Audiology, Ophthalmology, Gastroenterology, Developmental Pediatrics and he is followed by the surgery team here for management of his g-tube. He saw a local cardiologist but he was released from his care because Jude has no signs of pulmonary hypertension! Yes, you read that right....that beast of pulmonary hypertension is GONE. Praises all around for the Lord making it so!

- So, here is the scoop on Pulmonology: Jude's docs are happy with how his little lungs are handling life right now. They stressed to us the importance of trying to keep our little guy well during the cold/flu months and encouraged us to keep him out of the public eye until Spring. They simply want to give Jude's lungs more time to grow (especially that little left one) and rise to the respiratory challenges ahead. Many of you have asked, "well, isn't it better to expose him to germs/illness so that he can build immunities?" The answer is "yes"....but the better answer is "yes, when his lungs are stronger and capable of handling a respiratory illness." Thus far Jude has remained healthy and feel from illness through cold/flu season (and all of us have too....except for a tiny cold for Annabelle). Will you pray for continued good health for all of us? To be honest this flu season has us really freaked out. We know many people who had flu shots but still got the flu....and we just don't feel quite are protected as we'd like to be.

- Neurology: Jude recently had a sedated MRI to get a better look at Jude's brain. First of all, thank you to all of you who were praying for this procedure. We were so worried about our little guy being sedated and we were also told that there was a small chance that he would need to be intubated for the procedure. Thankfully there was no need to intubate Jude and he handled the MRI beautifully. In the past Jude has only had head ultrasounds. As mentioned before, Jude has what is called ventriculomegaly. And as we've shared before ventriculomegaly can lead to hydrocephalus. If a child has hydrocephalus it can require brain surgery and placement of a shunt. The main reason for Jude's MRI was to get a look at Jude's ventriculomegaly to make sure that it was not becoming hydrocephalus. Thankfully the results revealed that Jude does not have hydrocephalus. We also learned more about the impact of Jude's complicated medical course on his brain. It is quite hard to explain, so if you'd like to know more please feel to shoot us an email or ask us in person.

- Allergy: So, not long after we moved back home I started trying to get Jude to taste some strawberry yogurt. After his first taste test we noticed that he has a splotchy rash on his face. I worried at first that he was allergic to strawberries. But after trying plain vanilla yogurt the next time I began to think we might be facing a milk allergy (as suspected many, many months ago in the NICU). What struck me as strange was the fact that he did not have any GI reactions. So, for the next several days I would smear little bits of dairy on his face to look for a reaction and sure enough....the rash would appear. So, I spoke with our awesome pediatrician and we got a referral to an allergist. And sure enough, our boy has a dairy allergy. At this point it is not a huge concern because...well....the kiddo isn't really eating much by mouth. But when he does we will have to figure out a non-dairy diet for our little man.

- Audiology: We haven't seen the docs to check on Jude's hearing (we actually go Wednesday) yet. But at this point we don't feel concerned about his hearing. If he has hearing loss it must be very mild. In the past Jude has passed his hearing tests with flying colors. However, we will have Jude's hearing checked for several more years because ECMO can cause late onset hearing loss. And since Jude was on ECMO for 23 days hearing loss is certainly on our radar. Will you join us in praying for this upcoming appointment? We are also thankful that the doctor we will be seeing is one of our dear friends!

- Ophthalmology: Jude has mild strabismus in both of his eyes (learn more HERE). At this point his doctor does not think that Jude needs surgery or patching. We have a follow up visit in 4 months to evaluate how his eyes are doing. (We'd love to hear from other families who have children with strabismus about how their child progressed with this diagnosis)

- GI: Jude is still g-tube fed. When he turned one year old he was switched from infant formula to pediatric formula. Currently he receives 4 feeds a day and 3 60cc boluses of water. He is a big boy weighing in at 24 pounds and he is currently wearing 24 month clothing. We are certainly thankful for his size and growth. Many CDH kiddos struggle with weight (although most of them don't have g-tubes to help them along). At the end of next month we will be meeting with a nutritionist to discuss Jude's future nutritional needs. I am hoping to discuss switching Jude to a blended diet with our new nutritionist. I feel very drawn to giving Jude real food blended to meet his nutritional needs and I feel like it could greatly benefit him in many ways. Will you pray for my research and preparation for this upcoming appointment?

- Developmental Pediatrics: At this appointment we discovered that Jude is now functioning at a 10-12 month old level developmentally. (He is 13 months old) Not bad for a kiddo who spent the first 6.5 months of his life in a hospital! My sweet boy is kicking some booty!

- Feeding: Jude is still not eating by mouth. BUT! He is making little baby steps towards filling his tummy via his mouth. A few weeks ago Jude had a swallow study completed to make sure that everything was working correctly from a mechanical standpoint. Our awesome OT wanted to make sure that Jude was capable of swallowing and that there were no muscular difficulties, etc. After a very traumatic swallow study (imagine a screaming baby with barium all over him being force to swallow, a.k.a his greatest fear and a nearly in tears mommy desperate for answers) we discovered that Jude is FULLY capable of swallowing. Everything looked normal. So, at this point our challenge is to get our little guy willing to eat. He is physically capable he just has to decide that he wants to. These last few weeks we have been working to reward Jude when he swallows his food and we have been encouraging happy table/food time during our family meals. Jude always plays with his food, spoon, cup and bowl while watching all of us chew and swallow our food. Recently, he has taken to nibbling on a few types of food and we are so excited about his progress. It will be a long, long journey but our OT assures us that one day Jude will eat. Until that day, pray for our little boy! We are so thankful for your prayers!!

So, what else has Jude been up to?
- Celebrating his 1st birthday! He had an awesome superhero party surrounded by our closest friends and family. Jude played with his cake a little bit and tasted a little bit of the icing on his lips. And we were THRILLED by the donations that were given to Cross Bridge Ministries in honor of Jude! Thank you!!!!
- Living in isolation since early November. Jude mostly stays home (as do we) to limit his exposure to the outside world. This cold/flu season seems especially serious so we've tried to be very thoughtful about what Jude might be exposed to. We go to church (arrive early to get a few seats all to ourselves and leave early) and to the grocery store (cart is scrubbed, cart cover placed and hands sanitized multiple times) and an occasional dinner out (table and highchair scrubbed, chair cover placed and hands sanitized multiple times) but that is ALL. There are certainly times when we all get a little stir crazy but we remedy that with a walk, a drive or at fun at home activity.
- Soaking up Christmas and time with family. We had a nice Christmas meal with Brian's family and a quiet Christmas eve and Christmas day at home as a family of four. I'm not sure that I've ever savored a Christmas this much before. And Jude (and all of us of course) traveled to Florence for a visit with my (Rose's) family. Jude loved his first "visit" to Nana Beth and Papa Jack's!
- A lot of therapy appointments (we seriously LOVE our OT and PT)!
- Playing with Annabelle and making her laugh as much as possible!
- A lot of snuggles and kisses from Mommy and Daddy (when he can stand to be still)!

And now that I am at the end of this blog post I was planning to post pictures of the last month or so....but I just tried to and it appears that blogger has changed their settings for posting pictures and I cannot figure out how to load my photos! Ug! Frustrating.

I promise to try to tackle this problem tomorrow so that I can share some sweet Jude photos with all of you!

As always, we covet your prayers for Jude. We are so thankful for your desire to know about him and how he is progressing. We are thrilled with all that the Lord is doing in Jude's life and ours.

God bless you all!