Thursday, August 6, 2009

Recap of 3rd Annual 1p36 Conference

Alayna and Lily enjoying their strollers!

The very inspiring Callie (21 years old)!

Alayna so happy on Friday evening!

Gavin (4 years) is now walking! Yeah!

Lily (2 years) is crawling everywhere! Yeah!

Tru Legacy (4 years) getting ready to swim.

Sophie (7 years) enjoying the pool with dad.

Whitney (5 years) a.k.a. "Miss Giggles" getting ready to eat dinner.

Sweet little Jaylyn

Aiden (2 years) has the most beautiful eyes!

Jordan (14 years) enjoying those delicious cookies!

Lexi (16 months) is from Wales, UK. She is so precious. And I loved her painted fingernails!

Maya (5 years) takes a break on Grandma! We love grandmas!!

Ben enjoys playtime and his pacifier!

Maxx (2 years) enjoys playtime too next to Ben!

This little one is Silver (6 years). Her name is so unique and lovely and I'll never forget it. It was neat to watch her sign back and forth to her mom. She always seemed so curious about all the little ones. Cute!

Zoe (2 years) shows off her toothy grin! Lovely blue eyes.

This is Riley and she is 16 months. She is so sweet. I noticed she has an angel kiss on her forward like Alayna. And she also has a helmet like Alayna did.

Gabrielle "Bella" (7 months) is so sweet. Many of our kids have NG tubes for feedings. With patience and perseverance they will someday eat orally!

This is little Abby (3 years). She is one of our smallest kiddos, but she has a huge heart and is so precious. She looks like a little porcelain doll.

Tabitha is 5 1/2 years and is so cute and has lots of dark hair. Alexis loved her!

Jamari (2 years) camps out in her stroller. The conference wore the kiddos out! I love her hair.

Look at her precious little face! She was looking so innocent at me, awh. This is Kate (6 years).

Collin (3 years) was a riot! Just look at this boy! He is so sweet. He has plastic glasses because his mom said he kept breaking the other frames. They fit him so well. And he speaks which is amazing. He said "mom, popcorn", "oh my gosh" and "helicopter." I couldn't believe how clear he said helicopter! Wow!

Okay, look at this little one's blue eyes! She is adorable too. Her name is Kaylee and she just turned 1 year old!

This is Vanessa (2 years old) and she is just as sweet as can be too.

Kaylee (little Abby's big sister) holds Alayna. We love that Whitaker family!
Alayna had a long Saturday at the conference and she is in her P.J.'s and ready for bed! I was tired too, but it was so worth it!
Hailie (2 years) and Alayna playing on the floor Friday night. All the kids love toys that have lights and sounds. Many of us had the same ones.


What I Learned From the Conference


The experience to meet other families with a child like Alayna is priceless. It makes our whole journey seem comfortable, doable, and "normal." These people understand. There is no explaining of Alayna's condition. It's more a time to exchange information and ideas of what works for these children. It's a time to comfort and support each other. They truly feel like family. When I entered the conference room it seemed like I knew everyone already. Some of the families I had met 2 years ago in Florida, but many were new faces. That sense of family comes from being a part of our yahoo support group and even though we mostly know each other through posts it is the most valuable thing to me. Relationships build over time and connections are made via the web! It's amazing and I'm so thankful to be a part of it. Like one doctor said, "You are the pioneers of 1p36. You all are making a difference. The data from you will show up someday in medical books."


Our 1p36 kids are all so precious. They all resemble the families they come from, while at the same time sharing similar facial characteristics that make them look so "alike." When you look into each of their eyes you see the innocence and the love that they have. Each has a way of touching the lives of people who surround them. They are amazing little miracles who are so strong. Some of them fighting for their lives, some learning how to drink and eat, and some trying to get through the day without having a seizure. These kids have a will to fight that is untold.


One of the first things I learned is that it is correctly pronounced 1-p-3-6, not 1-p-36. It has to do with chromosome 1 having 3 bands in it and not 36! I found that interesting and I'll try hard to say it correctly from now on.


One of the speakers was a MetLife financial advisor and he brought so many things to our awareness. I had no idea that federal law says that if we are leaving more than $2000 to a person with a disability that they automatically lose eligibility for most government benefits. "The $2000 limit. It's the law." That is something that we need to be advised on and learn more about. He highly recommended that we set up a Special Needs Trust in Alayna's benefit. This will enable Alayna to access public benefits and not be forced to the $2000 limit. It was interesting because even if grandparents or whomever leave any money to Alayna it needs to be in the trust's name and not hers. He also encouraged us to explore Medicaid Wavers in our state. Illinois has a waiting list, but we need to get her on that list. It can help provide services in our state that we may not be accessing. And this is beneficial since she will be through with Early Intervention at age 3. Dana and I need a will. I can't believe I'm admitting that we don't have one, but I am. We have paperwork sitting here to start, but we've never got around to following through with it. That is a priority now. In addition, a letter of intent is definitely needed. It is the "how to" template and it explains who should take care of Alayna. So, I found this financial seminar of special needs estate planning very beneficial.


Dr. Lisa Shaffer is the doctor that has been studying our 1p36 kids for the past 10 years. She is so unbelievably committed to this task and we are so grateful. She has made all 3 conferences so far and we thank her for that. She reported that she has diagnosed approximately 300 U.S. families with 1p36. I thought Alayna was enrolled in her genetic study, but after talking with her realized that she isn't. Dr. Shaffer diagnosed Alayna but I have to give the okay for the study. So, in order for that to happen I have to contact Dr. Shaffer and sign a consent form allowing her to access Alayna's medical records. Then Dr. Shaffer will take the results of Alayna's genetic test and put it up next to everyone else's. She can then use the data to compare and contrast symptoms and determine which genes are responsible for facial features, heart issues, seizures, etc. There is alot of work to be done, but it is hopeful and it is really interesting! One other thing Dr. Shaffer said that took many of us by surprise was that parents who have a child with 1p36 have a higher chance of having another child with that same condition. Many of us were told we had no higher chance than the normal population, but that isn't quite the truth. We have about a 1% higher chance than any other couple. Now that isn't a very high percentage, but it isn't 0% either. For those planning another pregnancy it wasn't what they necessarily wanted to hear. But it wouldn't have stopped me if we weren't done having children. And for those wondering, no Dana and I do not plan to have anymore children!


Some of the little things that will make a big impact on Alayna have to deal with vitamins and bowl issues! Alayna has been on Myralax, which is a very safe stool softener, for quite awhile. Constipation is an issue for most of our kids. However, I was following the directions and not mixing it in her milk because it advises not to. I never questioned it. I thought it had to do with a reaction or something. Thankfully though we were told that mixing it with milk was just fine and lots of parents were already doing that! Let's just say I was thrilled to hear this because milk is what Alayna loves to drink and now I know she'll get her complete daily dosage. Otherwise, I was putting it in water or juice and she wasn't always getting enough to keep "things" moving consistently. I also wondered what was the best way to get Alayna a daily vitamin. She obviously can't chew one and I hate Polyvisol drops (they are gross). A few moms said they crush a Flinestones and put it in their yogurt. I've now done this the past two days and she eats it fine. That is a huge relief to know that I am giving her the needed daily vitamin to help her stay strong and healthy.


Communication is such a key thing for our kids to grasp. I really won't care what form it takes shape of for Alayna. I will be thrilled with pointing, sign language, or someday talking. What I took away from the conference was the idea of how important pointing is. It truly can be key to letting them tell you their needs. I've been working on isolating Alayna's index finger to begin pointing and it is hard. She has tiny fingers that don't like to do separate things. But we will continue working on it. In the near future I plan to take pictures of family members and everyday things Alayna uses or likes and laminating them. That way she can identify and point to what she is trying to communicate. It would be nice to have 4 sets of the same photos for all her caregivers to have at their house too.


Dr. Perszyk is a pediatrician that has been following many of our 1p36 kids since the first conference in 2007. He has been collecting data on height, weight, and head circumference at different ages from our kids records. His goal is to develop a growth chart that would be specifically for 1p36 children and fit them better than the "typical" growth chart used for "typical" developing children. Many of our kids fall below the curve on these charts if they are even on the chart to begin with! He was very motivational in the fact that he told us our kids were "going to get there." He said: "They take longer. The brain is delayed and immature as well as their hearing and vision. All of these things are related, but don't give up! So we have some work to do. A chromosome break isn't the end of the world. These kids do far more better than they are given credit for early on. They prove us wrong." We will never give up on Alayna. It isn't an easy task to stay so positive all of the time, but I do have the faith that she will prove herself to be a wonderful, young lady someday.


In conclusion, we continue to learn through this journey God has put in front of us. God's grace is seen through Alayna and all of her 1p36 friends. Without our faith and his strength this task wouldn't be possible. I am blessed to have a beautiful family and I enjoy watching us grow through this experience. This conference opened the eyes of my older three children even wider than before. They embraced the other 1p36 kids and enjoyed interacting with each and every one of them. It didn't matter if they crawled or sat in a wheelchair. In their eyes, they were all the same and they like each of them equally. I loved that. It was amazing to watch them.


Wow, this is a big post....sorry!

Wednesday, July 29, 2009

We Are Heading to Indianapolis!

Alayna can finally grab her own pacifier with about 95% accuracy on getting it to her mouth! Anything helps and yes, it is a milestone in her book.
Sweet little Alayna right after an evening in the bathtub. She still loves it!
Alayna's sitting is so great! She can sit unassisted for minutes at a time. Sometimes she still will lose her balance, but she is more apt to putting her hand down to recover her fall. She is definitely getting it!

PT Update

Alayna has been improving so much over the summer. It's like stuff is finally "clicking." Whether it be from a simple thing like grabbing the necklace I am wearing to bearing her own weight as she stands at the couch it is exciting progress to brag about! At PT she has been working on standing in her AFO's and playing at a table and then even taking a few guided steps. She has been initiating the stepping a little on her own and even demonstrates shifting weight from side to side. We use knee immobilizers to help keep her legs straight and not allow her to bend the knees. It also helps free up our hands to work with her easier. I don't have a picture of her in those yet, but I will try to post one soon. In addition, her sitting has improved considerably over the past few months. She is becoming more aware of her arms and hands and being able to use them to stop a fall. Alayna lacks strength in her arms because she hates to be on her tummy and use them, but hopefully with the sitting it will improve. We keep trying to get her on all fours in a crawling position, but she doesn't like it at all. I'm beginning to think that she won't crawl at all. Maybe she'll be one to scootch on her bottom and walk instead!?

Eating and Drinking

Alayna loves to eat and she is getting better at it everyday. I no longer have to mash up macaroni and cheese or a noodle bucket with a grinder. She'll eat it the way it is! And she'll take it in by the spoonfuls. She is becoming an expert on using the sippy cup too. My only complaint is that we need to work on sitting it down nicely on the tray and not tossing it to the floor!

Sleeping & Napping

Alayna's sleeping has been pretty good lately. I can't remember the last time she was up in the middle of the night. She still likes to get up early every now and then, but it's not been bad. Her napping has improved because she seems to be getting on a schedule...finally! Her afternoon nap is getting longer and she'll usually sleep for 1-2 hours. It puts her in a much better mood. She is still not like most 2 1/2 year olds though. She naps frequently!

Indy....Here We Come!

On Friday, we are heading to Indy to the 3rd Annual 1p36 Conference to see our "extended" family. We are taking all 4 of the kids and both sets of our parents are going too. I am so excited to see everyone we know and to meet the one's that we don't know. There are about 35 families coming from all over the US and the kids range in age from 7 months old to 21 years old. Many of the kids are young like Alayna and so it is a nice opportunity to share ideas with others and learn from their experiences. It is such a valuable thing for us to have this support group. I can't imagine doing it alone with no one to relate to. I will definitely post pictures and a recap of our weekend when we get back!



Monday, July 6, 2009

More Pictures to Share!

Hanging out at Douglas's t-ball party!
Playing with one of her many favorite toys.
Working with Tiffani, her developmental therapist.
Tiffani liked how she was sitting and how she has begun to put her hand down on the ground. It's a step toward supporting her fall!

Crashed on the floor!

What a cute little face.
We love her smiles and giggles.

Alayna has been having a pretty good summer. And she has been a champ being toted from one ball game to the next! There have been a few rough days here and there. Sometimes her temperament isn't what I wished it would be and it's a guessing game as to what is bothering her. Some days we get through good at home therapy, but other days she just doesn't want to give it much effort. And that is sometimes frustrating for me because I know that repetition is the key for her learning and her whining doesn't provide for a very productive session. She still doesn't have her #9 and #10 teeth in yet and I'm eagerly waiting their arrival. In a few more weeks she'll celebrate her 2 1/2 year birthday and that is hard to believe. I hope to take her to the swimming pool later this week to see how she reacts to it. Hopefully I'll remember my camera and post a few pictures (crossing my fingers that it doesn't rain). Her sitting has really improved and her attentiveness to her surroundings has increased. Her sleeping has also been pretty good lately. Only once in awhile will I hear her kicking in her crib or fussing. She'll finally grab her own pacifier and put it in her mouth as long as she can find it! I've tried to get Alayna to nap during the day in her crib, but she just won't do it. She either plays or whines. Her favorite spot is a place on the floor near the TV. I guess I'll do whatever works! At PT last week she stood with her AFO's on with assistance for 15 minutes at a little table! It was cool to see her stand up straight and look around the bright, colorful room. She even initiated stepping forward and took a few steps with some guidance. It's wonderful progress that we love to see. That's all I really have for now! I'll post more later. Enjoy your summer.

Sunday, June 21, 2009

Updates about "Miss Alayna"

I needed at least 6 arms during Alayna's first hair cut!

Holding the toy, the pacifier, the cape, her....aaaahhhh!

All I could do was smile and laugh! Alayna didn't want her hair cut. She wanted a nap!

More fussing.....

Wild thing!

Such a sweetie.

Stander time which seems to be really helping her bear weight!

Douglas and Alayna getting ready to head to the ball park!

"Mom, is that a ceiling fan?"

All smiles, but not directly at the camera.
She still doesn't make eye to eye contact all of the time and it's difficult to get her to look at the camera.
Alayna, hands out of your mouth please!
Now she looks and it's kind of blurry! Oh well!


Iowa City Visits

Cardiology

It was our goal to get all of Alayna's documentation from Peoria transferred back here to Iowa City Hospital. Cardiology is one of the last areas we needed to do this in. So, we headed to Iowa City a few weeks ago to check in with Dr. Reinking. We didn't expect any problems with Alayna's heart, but some of the other 1p36 kids do have heart issues to deal with and we feel it is best to be proactive. Alayna did have both a VSD and ASD at birth, but both healed and she was released from her previous cardiologist at about 2 months of age.
In Iowa City, Alayna had a chest x-ray, EKG, and a echo cardiogram performed all in a matter of two hours. She was really good during the first two things, but was really tired by the time the cardiogram was supposed to be done. All I can say is thank God for patient doctors and musical toys! The x-ray and EKG looked good, but when the doctor listened to Alayna he thought he heard a slight murmur. To be sure what he was dealing with he ordered the cardiogram. He got a good look at her heart and everything was just fine. We don't have to return to cardiology for 5 years! Yippee! However, if her pediatrician would have a concern or we notice her tiring out more than normal or sweating profusely, then we'll want to go back sooner. But I hope we don't have to. This was a great way to start off the day at Iowa City!

Genetics

This is the very last piece of the puzzle that needed to be transferred from Peoria as well. Our new Pediatric Genetic doctor is Dr. Sheffield. He took pictures of her hands, feet, and face and was very pleasant to talk with. He is definitely familiar with 1p36, but like he said we will probably teach him more than he can offer us. And like I've always said, the parents are the experts in this case. 1p36 is such a newly diagnosed and researched syndrome and there is still lots to be discovered. The plan is to check in with them every year or two.

1st Hair Cut

Alayna got her first hair cut at Kountry Kutters. Pam was so patient and I am so grateful. Alayna was tired of course by the time we got in the chair and it was all I could do to hold on to her, the pacifier, and a toy. She kept wiggling out from my arms. But we got the job done and now her lovely curls comb out much easier than before. Having all of that hair is beautiful, but such a job to keep untangled and nice looking.

Visit from a Virus

Alayna's youngest brother, Douglas, caught a virus right when school was ending. He had absolutely no symptoms other than running a temperature for 6 days! I took him to the doctor two times because I wasn't convinced that it was viral, but it was. Then Alayna must have caught the same bug. She ran a fever for 3 days and was as cranky as ever. Her appetite wasn't as good as it usually was, but she had no other symptoms at all. I always worry a bit more with her than the other kids because I'm afraid her issues will escalate into something else. So, I took her to the doctor as well. They poked her finger and the blood test also showed she was fighting off a virus. I shared this information with a few of my other friends and some of their children have recently gone through the same thing. Be on the watch for the this weird virus!

Therapy

Alayna's eating is continually improving. In the last few days she has eaten almost a full Eggo waffle and a huge bowl of macaroni and cheese! She really is getting the hang of chewing and when I tell her to "chew it" she gives me a big smile and thinks it is funny. Today at PT, her therapist was impressed at how well she would stand freely with her AFO's on. She needs some support still, but for her to keep herself upright is a huge accomplishment. We will continue to work on this and especially help her keep her knees from bending.

Summer Fun

We are enjoying the summer break and spending time with each other at home. Alayna has been a true joy these past few weeks (minus the time she had the virus) and I like the fact that she is easier to entertain and play with. She also continues to love to be cuddled and hugged and I enjoy that too!