|    The O'Neill
        Family Journal! 
          
          January 1, 2006 to
          March 31, 2006 
          
        January 4: 
          Well,
          Colin has had another two ‘dips’ today. 
          The first was this morning. 
          I usually take him from bed and have him sit with me at the
          computer and look at pictures so he can poop sitting up. 
          I did that this morning, put him down, did the diaper and then
          did other stuff. 
          When Nancy came she did his cough machine, but she didn’t do
          his mouth first. 
          I usually do that after I put him down, and I didn’t today. 
          He does usually not need it a lot in the morning, but he has
          lately since it’s been so dry. 
          Well, he must have had stuff in the back of his throat that
          plugged him, because he desatted to the high 60s. 
          I was upstairs. 
          Gene was downstairs so he helped with the suctioning, cough
          assist, etc. 
          I’ve now put the adapters for oxygen back on our cough assist
          and bipap. 
          We never usually need the O2 so I’ve long ago decided they
          were more a pain in the butt to have on there because they crack
          easily and then leak. 
          
          
          
          
           
          Just
          now I was on the computer (5 feet away from Colin) and Nancy was
          making formula in the kitchen (10 feet away). 
          She went over to check him and he was at 90% and going down. 
          We normally have the alarm set at 90% for low sat. 
          So we suctioned and put on bipap and he was fine. 
          Lots of thick stuff blew out. 
          
          
          
          
           
          I’ve
          recently cut him back 2 ounces of water in his formula and added an
          ounce of juice so he really isn’t getting much less water, but a
          tiny bit less. 
          Maybe that’s the culprit. 
          It’s been awfully, awfully dry here. 
          
          
          
          
           
          Oh,
          and during TV school, he wanted ‘bap’ and then he had tons of gas
          and seemed like he needed to throw up. 
          
          
          
          
           
          Nothing
          else is different. 
          So I’m not sure what’s up!   
          January
          11: 
          
          
          Gene
          is going to have his blood drawn on Saturday. 
          There are two little boys and a Vermont State cop in need of a
          bone marrow transplant. 
          Then he’ll be on the National Registry. 
          I’m not sure of the chances of him being a match for anyone
          but just wondering about “if” he is ever a match, what it would be
          like for him to give marrow. 
          He’s heard that he’d be sore for about 6 weeks, and when
          they take the marrow it’s unpleasant, but that’s all I’ve heard
          so far. 
            
          January
          15: 
          Our buddy, Payton,
          passed away.  He was 5 and a half years old.  
          To Debbie
          and Rob and all of Payton's Family and Friends: We wish you strength
          and peace. Payton has always been one of our little heroes, and he
          will continue to be. Love and hugs, Sue, Gene, Casey and Colin O'Neill 
          January
          18:   
          The boys had
          a "weather" day today.  It technically wasn't a snow
          day since it was mostly rain we're getting.  I guess the back
          roads will be a mess for a while.  Lots of high winds,
          too.   
          Casey and
          Colin both played the darn old Sponge Bob, The Movie computer game
          today (separately).  Casey and I read a couple of chapters from
          his Bunny Bonanza book for his book report.  Colin played with
          his doggie play set and his haunted matchbox house with Nancy Lanza. 
          Casey listened to his idog and hung out with Nancy Hadd.   
          January
          18, 2006 
          From
          Allyson Weber: 
          "Here
          is our Memorial for Payton taken Monday evening. 
           
          I hate to write that this was our last picture taken of our beloved
          Timothy. He earned his wings slightly past noon today. He would have
          been 5 in April. I hope he and Payton are playing. I am very numb and
          tired. A lot of plans to make." 
            
          Timmy Weber
          was the first SMA child we had ever met, after MJ.  He has always
          been VERY special to me.  He and Colin were born only a week
          apart.  A large chunk of my heart is devoted to Timmy and it
          always will be.  We love you, Timmy!  
          January
          22: 
          Happy
          "Day Before" Birthday to Casey!  Casey turns
          9-Years-Old tomorrow!  Today we celebrated Casey's birthday. 
          Of course, Aunt Chris was here and Grandma and Grandpa O'Neill came
          over in the afternoon.  We had some good munchies and we hung out
          and had a good time.  I went out in the morning and got Casey's
          birthday balloon bouquet.  It had a SpongeBob Mylar balloon and
          SpongeBob colored regular balloons.  I picked out a Mickey Mouse
          birthday balloon for Colin.  I think Colin really wanted a
          SpongeBob one!  I made a cake for Casey and cupcakes for school
          on Monday.  He enjoyed his gifts.  he got lots of books and
          DVDs which he really enjoys.   
          
        January 30: 
          Casey got his new seating
          system for his power chair today!  Julie, Casey and I made it to
          New England Medical by 10AM.  Pam met us there.  It was
          a really cool process.  Of course, I don't remember what it's
          called, but it's basically foam that hardens after it's molded to the
          shape of the back of the person.  Does that make sense??? 
          It's kind of like the foam that you can use for insulation.  It
          bubbles up, you can mold it, and then it hardens.  Nothing ever
          touches the body, as it's all contained in a huge plastic bag. 
          Once you get the position you want you can cut away the excess
          foam.  It took a couple of hours but I think it will be awesome
          for Casey.  He also got a new, more adjustable headrest. 
          He'll still need to use the head strap, but it cradles the base of his
          head/neck way better than his other one.   
          After the appointment, Julie
          and I were starving, so we got some yummy sandwiches from the Bagel
          place.  Then we went to Big Lots and spent a lot of time shopping
          and looking around.  Casey seemed to enjoy his outing! 
        February 6: 
          Shannon was back today for
          school.  Colin was a little ornery and loud during circle time
          and got a time out.  He had his bipap on, so we took it off and
          he was a lot quieter and more attentive.  I think he likes how he
          sounds when he yells on bipap so he wasn't paying attention to school! 
          Barb came and we went and paid
          the water bill.  We went to Brooks for a bit and then to
          Zachary's for lunch.  Barb treated!   
          Dave came to put the Dynaform
          harness on Colin's Easy S, but it didn't fit properly.  Looks
          like we're going to have to get one from the company instead of the
          one we wanted.  Now we have to wait LONGER to have Colin ride in
          the van with his new stroller.   
        February 7: 
          Colin and I had a low-key day
          today.  Colin had a shower and got all spiffed up and I took some
          photos of him in his Easy S.  We played a little computer. 
          Tami came for Speech and did some oral motor stuff.  Casey got a
          GREEN today!  He's been getting some reds and yellows.  He
          was very happy to play computer with Aunt
          Chris tonight.   
          WE MAY HAVE A SURPRISE TO TELL
          EVERYONE SOON! 
          February 8: 
          Today is Casey's Colonial
          Skit!  Terry and I are going over right now! 
          We had a good time watching
          the skits.  They sure put a lot of work into them.  I'm sure
          Mrs. Talley and the kids are all relieved it's over!  Casey did
          "yell" though the beginning of the skit, but not when it was
          his turn to say his lines, of course.  The kids pretty much
          pressed the DynaVox buttons for him as I think they were probably too
          nervous to wait for him to scan it himself.  They were all good
          and looked GREAT!  We also enjoyed the Colonial dance
          afterwards.  Terry and I took some photos but none are too
          great.  I'll put some up on our site soon.  We gave Terry a
          tour of the classroom and pointed out some things for her.  I
          think she was glad to see Casey in his element at school! 
          February 9: 
          Well, the day started off
          okay.  I didn't sleep very well but I felt pretty okay in the
          morning.  Later, I started feeling nauseas and I tried to eat
          something, but it didn't help!  I vomited once, a little
          bit.  My stomach felt awful and I spent a lot of time in and out
          of the bathroom, if you know what I  mean!  Poor Colin got a
          lot of TV!  I actually called Gene and asked him to come
          home.  He came home around 1o'clock or so, and I went right to
          bed and slept for a few hours.  I felt a lot better when I got
          up, but not 100%.  I had a little bit to eat and a lot to drink.
          We put the boys right to bed at 7PM.  (Oh, Nancy Hadd wasn't here
          for the evening since she went to school with Casey because Julie is
          on vacation.)  They fell asleep really quickly.  I had a big
          bowl of vanilla ice-cream (I know, I know, but it helps me no matter
          HOW I am feeling!) and watched Survivor and CSI in bed.   
          February 10: 
          The phone rang right before
          6:30 this morning.  Sue had a migraine and hadn't slept so she
          wasn't coming in to go to school with Casey.  I called the bus
          and Meagan right away.  Unfortunately, Colin saw me when I went
          in to talk to Terry and became WIDE awake.  I tried to go back to
          sleep, but no go.  Terry had brought Colin into the Yellow room
          to watch TV.  I gave him a quick shower and got him ready for
          school.  Then Casey woke up and I brought him into his room and
          got him ready and up in his chair. Then Shannon came for TV
          school.  Colin was pretty good.  They decorated a bag for their
          Valentine's cards.  Gene hung out with Casey.  Then Meagan
          came and she installed a switch activated reading program.  We
          showed Colin how to do it but he wasn't too impressed.  The
          beginning is basically just matching pictures.  But, it a way for
          him to practice scanning as well as show us what he knows.  She
          also installed cross scanner for us.  Casey had been
          really successful using it in school.  He can do point and click
          games/programs, and he's getting good at dragging and dropping,
          too.  We showed Colin a little bit of the cross scanner but the
          game we picked was weird and kind of blacked out where the cross
          scanning action was.  So, he bawled when we exited the games but
          I really wanted to give Casey a turn.  I set him up with his
          switch arcade games.  He did that for a while and then he wanted
          to show me how he can cross scan.  Of course,  couldn't get
          it to work right, so we got frustrated and I put in some living books
          for him instead.  I set up his DynaVox for him, too, and he told
          us the date and said hi to all of us, etc.  It was kind of funny
          because the first thing he said was, "Hi, nurses!" and of
          course there ARE NO nurses here so he was showing us his sense of
          humor! 
          February 11: 
          We
          brought the boys to see Curious George this morning.  An online
          Autism support group organized a special showing to include all
          special needs kids.  Colin has been loving the previews, so he
          was excited!   Casey kept telling us he didn't want to go,
          but I insisted that he go and told him he'd end up liking it. 
          Well, he sure got me!  He was good while we waited and he was
          good for the previews, but then he was "yelling" some (which
          really wasn't a problem because one of the conditions of the showing
          was a "tolerant audience", along with lower volume, and dim
          lights) but we tried to get him to be patient and respectful. 
          Well, finally, he just started bawling!  Nancy R took him out and
          tried to console him, but it didn't work too well.  He said he
          wanted to come back in, but he still cried. I went out with him and he
          calmed down some and finally watched the end of the movie.  I
          guess he just knew he didn't want to see it and he knew he normally
          gets to sleep in on Saturdays, so I guess he was pissed off at us. 
          Colin really had a good time!  Anyway, Casey is happy now
          listening to the latest Harry Potter book on CD.  Colin is
          snuggling with Daddy.  
          February 14: 
          Happy
          Valentine's Day! 
          Click
          on the heart to visit our Valentine's Day web page that I created for
          everyone... 
            
          February
          21: 
          Well,
          we’ve had a whirlwind of a day! 
          Started off fine. 
          We had our PT, Pam here, as well as our wheelchair guy and a
          representative from a company that distributes a bunch of stuff (I
          think he may be part of snug seat). 
          Anyway, they brought out a Gazelle stander to try for Colin. 
          While they were measuring him, I showed Pam how his new AFO
          didn’t’ fit well. 
          We had them casted a couple of months ago. 
          We loved the left one, but the right one didn’t seem right. 
          We sent back the right one and Pam asked for some changes. 
          Got it back, and I THINK I tried it on and it fit okay. 
          I can’t remember anymore. 
          Anyway, I didn’t think he needed to wear them because the
          range in his ankles is really good and he moves his feet around a lot
          and I don’t want to hinder that. 
          He was going to wear the AFOs for standing purposes. 
          Anyway, the other day I thought it felt like his range wasn’t
          good in one of his ankles, so I was freaking out. 
          I decided to have him start wearing the AFOs. 
          The left fit like a glove. 
          I could barely fit his foot into the right one and there was no
          way I could leave it on him. 
          I knew Pam was
          coming so I decided to show her then. 
          
          
          
          
           
          So,
          she saw how they didn’t fit well. 
          We asked Colin if it was okay if he could just wear them while
          he was standing and he said “okay”. 
          We got him in the stander and I LIKE IT VERY MUCH!! 
          So much nicer than the Tumbleforms Tristander that he had
          before. 
          
          
          
          
           
          "The
          Gazelle:
          
          
          
           
          A Prone, Supine and
          Upright stander for children from 1 to 14 years of age. This 3-way
          stander is a great choice for children whose final standing position
          has not been determined. Available in three sizes, the Gazelle P/S
          comes standard with reversible footrests and knee supports that
          convert the unit from Prone to Upright to Supine.
          
           
          Two
          innovations found only on the Gazelle P/S are the leg abduction
          feature and our lower leg adjustment brackets. The independent leg
          abduction system allows the femoral head to be angled towards the
          acetabulum (essential for children under age 7). The optional lower
          leg adjustment brackets allow the unit to be used for children with
          knee contractures up to 30°"
          
           
          The
          best
          thing is that it comes with different headrest option! 
          There is one that is perfect to scoop and hold Colin’s
          head!!!
          
          
          
           
          We
          got him looking good (will send photo later) but he was BAWLING!! 
          He was on bipap but his heart rate went up to the 190s, at one
          point, because he was so pissed, and/or maybe in pain.
          
          
          
           
          So,
          Pam really looked and looked at his foot. 
          It’s about 2 times the size of the other foot and warm. 
          She also saw the decreased range of motion in the right one. 
          She wanted me to show DR. DiMichelle. 
          Long story, but I’m without a nurse, but Nancy Lanza came by
          to visit Colin, so he wouldn’t forget her, so she was able to help
          me throw Colin in the van and bring him over to the doc. 
          He had only been doing well baby checks and physicals, so no
          real sickies have been there since yesterday so we had to chance it
          (he’s going to Guatamala tomorrow to do a missionary thing for the
          next 3 weeks). 
          
          
          
          
           
          So,
          Dr DiMichelle was concerned and wants BLOODWORK and X-rays. 
          He wants the bloodwork to rule out osteomyelitis, which is:
          
           
          What
          is osteomyelitis? 
          
           
          Osteomyelitis
          is infection of the bone, usually by a pus-forming bacteria. All
          bacterial osteomyelitis starts as acute infection. If untreated or
          unsuccessfully treated after 6 weeks, by definition, it becomes
          chronic osteomyelitis. 
          
           
          What
          causes osteomyelitis? 
          
           
          Osteomyelitis
          is caused by bacteria, which enters the bone by injury (as by a sharp
          object or open fracture) or by the blood stream ( which is the more
          common mode of entry in children). In the discussion that follows, we
          will confine ourselves to infection from the blood stream - the
          hematogenous type. 
          
           
          The
          responsible bacteria differs in different age groups. In the neonate,
          the bacteria is usually Hemophilus
          influenzae. In older infants and children, it is often
          Staphylococcus aureus. The site of infection could be anywhere in the
          body, but most commonly in the metaphysis of long bones. The
          metaphysis of the long bone is that part of the body next to the
          growth area (or the epiphysis at either end of the long bone). So
          osteomyelitis tends to occur near the joints of the limbs. 
          
           
          What
          are the symptoms? 
          
           
          The
          child presents with acute pain near a major joint of the limb ,
          associated with high fever. The typical patient looks sick. Blood
          tests often show elevated white blood cell count as well as high
          sedimentation rate and C-reactive protein. The high sedimentation rate
          and C-reactive protein indicates the body response to acute
          inflammation, and follow-up tests are good indicators of the
          progression of the disease and response to treatment. Blood culture is
          done to identify the responsible bacteria. Local aspiration of the
          site is also sometimes useful to identify the bacteria involved.
          X-rays are usually normal in the first 5 to 7days, until the
          periosteum (covering of the bone) is elevated by
          swelling or pus formation, when X-ray changes occur. 
          
           
          He
          hasn’t had a fever, but his heart rate has been up at times and
          he’s been grumpy at times, too. 
          
          
          
          
           
          We
          will be going tomorrow for the blood draw and X-rays. 
          Gene will have to take work off to go with me. 
          **sigh**.
           
          
           
          Wish
          us good luck! 
          More O'Neill News: 
          Good,
          bad, bad...
          
          
          
           
          Good
          news is that our nutritionist is happy (thus Dr. D., too) with
          Colin’s diet which includes 1 pack Vivonex and 1 pack Tolerex. 
          I have, in my hands, a script for Tolerex!! 
          Yay!!  Thank you to
          everyone who has sent me Tolerex in the past!! 
          I was hoping to help others out with the Tolerex, but for now,
          I just have a pack a day script. 
          
          
          
          
           
          Bad
          news:
          
          
          
           
          Casey
          has had blood coming out of his trach. 
          (Nurse Julie had to suction his trach at school once
          today-sometimes we don’t even do it once, but in the winters we do. 
          Otherwise we NEVER have to put a catheter down him because it
          comes up with saline and some in/exing.) 
          This is SO not normal for him. 
          He has had more pluggy stuff coming out, and it’s sometimes
          yellowy, and SOMEtimes a bit of dried brownish old blood, but today
          he’s had fresh blood.  It’s
          freaking me out!  I’m
          sure it’s just dryness (right???) 
          His humidifier wasn’t turned on from 4PM until 2AM last night
          (bad ooops).  We just did
          some saline nebs and I don’t hear anything in him so I’m not going
          to in/ex him until tonight.  
          
          
          
           
          Bad
          news:
          
          
          
           
          Julie
          noticed a couple of tiny, tiny sties on Casey lower, inner lid. 
          We haven’t had to deal with them in long time! 
          We have some erythromycin ointment that we’re supposed to
          start when we first see them, so he’s had his first application. 
          
          
          
          
           
          (I’m
          decompressing with computer time…)
          
          
          
           
          Casey
          had a treat the other night.  For
          his birthday, Julie wanted to “do something” with him. 
          We heard about a GospelFest in Burlington, so she got tickets
          for Casey, herself and Aunt Chris! 
          Casey loves gospel music! 
          When we put on the Black history channel, or The Sunday Gospel
          hour, and he sings away!  He
          loves when they dance and sway and sing! 
          (He’s not too crazy about the sermons…) 
          They only stayed for half the program since it was 3 hours long
          and there was school the next day. 
          They all had a good time and are already planning on going next
          year!   
          February
          22: 
           
          
          Colin's tests went
          well today.  First we did
          the X-rays.  They were
          very nice and efficient.  The
          lab is in the new part of our hospital and it’s way easier to get to
          and the lay out is very well thought out. 
          Then we went to the lab, also in the new part of the hospital. 
          We told them what a tough stick he was, so they called down an
          IV nurse and put us in a room.  They
          warmed up his arms and feet.  She
          took a lot of time getting prepared but it was worth the wait! 
          She got him on one stick!
          
          
          
           
          I
          called the docs office this afternoon, and of course, they weren’t
          aware that they should be looking for his info (our doc is away). 
          I got thru to a different docs office and the nurse was going
          to leave a note for the doc (he was coming in this evening) and of
          course, I haven’t heard yet.
          
          
          
           
          I’ll
          pursue it in the morning.  His
          foot seems okay, still puffy and very little range.
          
           
          February
          23: 
          Leslie
          from Dr D's office had the info sent up to St. Alban's.  Dr.
          Holmes will be in later and read the results and call.  For now,
          we wait!  
          Colin
          was restless early on in the night.  I came down and snuggled and
          had Terry give him Ibuprofen.  He slept well after
          that.   
          Today
          is Casey's last day of school before break.  We decided not to
          send him tomorrow, for several different reasons.  He's bringing
          his power chair and DynaVox home today.  He's off now until March
          8th!   
          Aunt
          Chris goes to Florida on Saturday.  And last night was Terry's
          last night until mid-March!  It's going to be a busy 3
          weeks!  Chris just called.  She didn't go to school. 
          She is nauseous and feels awful.  She's slept all morning. 
          I hope she's better when she boards the airplane at 6:30 Saturday
          morning! 
          11:30
          AM 
          The
          doc from St. Alban's called.  Everything
          is fine! 
          The x-rays showed no abnormalities (aside from not bearing much
          weight). 
          They noted some swelling, but all is well with the bones. 
          The blood work was fine, too. 
          White blood cell count was normal, as well as the other
          tests—blank, blank protein (inflammation going on), and whatever the
          other ones were! 
          So, we are assuming it’s a soft tissue injury that will get
          better and better each day. 
          We’ve elevating it and I’ve been giving him Ibuprofen as
          needed. 
          Yay! 
          February
          24: 
          I
          kept Casey home from school today. 
          It was the day before vacation and he doesn’t always do so
          well when things are “different” and today was going to be an odd
          day.  Nurse Sue was here
          for Colin so I got to concentrate on being with my first child! 
          We had a great day.  He
          went thru his whole DynaVox repertoire and we changed some buttons and
          added some, too.  Aunt
          Chris is sick, so I programmed a button so he could ask her if she was
          feeling better and held it up to the phone. 
          He played tons of his single switch games. 
          I am so proud of him!  He
          got to Level 4 of the Space Invaders game all by himself! 
          My Casey can do such amazing things just with the movement of
          his thumb!   We also
          got Pix Writer downloaded onto our computer so we played around with
          that.  It’s a program
          where Casey can scan thru and pick out words matched with pictures to
          create sentences.  You can
          add your own pictures and stuff like that. 
          He’s really good at it! 
          He also listened to some Cat Stevens with me. 
          We snuggled in bed and I read a couple of chapters of A Series
          of Unfortunate Events to him.  We
          also worked on his Power Point Presentation for his school project. 
          He already completed his Poem assignment and presented a Shel
          Sivlerstein poem to the class on his Step by Step yesterday. 
          We have his power chair here, but we didn’t get a chance to
          do that today—hopefully tomorrow!
          
          
          
           
          Right
          now the boys are chillin’ and watching the new Sponge Bob episode.
          
           
          March
          13: 
          OKAY,
          my “guys” couldn’t get me Casey’s normal Shiley 5.5 trach this
          month.  They got us a
          Bivona in his same size.  It
          looks a bit different as it has this flex thingy on the outside. 
          We change him out in about a week. 
          
          
           
          Anyone
          else tried these???
          
          
          
           
    
      And,
      our pulmomologist wants us to have Casey’s trach “sized”. 
      We have an appointment with an ENT. 
      We went to this guy once about 7 years ago. 
      He really didn’t have anything to offer us so we’ve never gone
      back.  Anyone
      have a clue about how he may “measure” Casey’s trach? 
      We had a bronch done a year or so ago and he was clean as a
      whistle. 
      Casey has been low pressuring more and he’s been on the same vent
      settings and the same trach size for YEARS. 
      
      
      
      
       
      I
      am going to call and ask about what they will be doing, but of course, I
      forgot to do that today. 
        
      February
      26: 
      I
      think Colin’s foot is way better. 
      Yesterday I put on his AFOs and they fit pretty well and he
      tolerated them fine. 
      Today, I did the same, and it fit even better, so I’d say the
      swelling is just about gone. 
      We’ll never know what happened, but he seems to be better. 
      
      
      
      
       
      Oh,
      and Casey’s sties are just about gone, too.  
      The erythromycin ointment did the trick! 
      
      
      
      
       
      Today
      it was just the boys and Gene and I. 
      Nurse Sue got married yesterday so she took today off. 
      She and Carl have been together forever and just did the Justice of
      the Peace thing to finally make it legal (second marriage for both). 
      Gene and I had fun doing things with the boys and doing a little
      straightening and cleaning. 
      Grandma and Grandpa O’Neill came up for a little while. 
      Grandma had fun wheeling Colin around in his new stroller. 
      I finally put his battery and power strip on the kart. 
      We now have the H-belt so that he can be strapped in while in a
      vehicle. 
      NOW, to see if it fits in our van with Casey’s manual chair! 
      The size 2 Easy S is a pretty big “kart”! 
      
      
      
       
      Tomorrow,
      I have two nurses (the boys are on vacation so Casey will be home) so I am
      going to take advantage of it and GO OUT!! 
      I’ll have Nurses Sue and Julie here so the boys will be in very
      good hands. 
      I’m going to try to get my haircut for the first time since the
      beginning of August, YES, AUGUST. 
      Most places are closed on Mondays so we’ll see. 
      
      
      
      
       
      I
      may peruse some toy stores and the Christmas Tree shop and who knows where
      else!  
      
       
        
      March
      ?
      
       
      
Jessi
and Kevin visited us this afternoon!  Jessi (20 years old, lives and goes
to college in Ohio) and Kevin had some time off and Jessi wanted to show Kevin
Vermont and to meet some of her family.   
March
5: 
We
received our SMA Chat Valentine's today.  They were late this year, for
several reasons, but no one has seemed to mind!  It's always fun getting
mail!  Lots of creative Valentine cards this year, and lots of pictures of
the kids!  Check out the following link to see some of the kids with their
loot! 
http://www.smasupport.com/vday06.htm 
March 13: 
Okay,
I should wait until I take a picture, but I love my messenger bag that Nurse
Julie picked up when she was in NY this weekend. 
It was a whole $3. 
I was looking at some from Land’s End and LL Bean that were $60 plus! 
I am going out today and will be on the lookout for “O” rings and
some carabineers and then I’ll take a picture. 
It will be perfect to hang from Colin's Easy S stroller! 
March
18: 
I’ve
had 3 bad things happen to me today, so I think it’s safe to write about them.
 
This
morning, Nurse Nancy L. is back caring for Colin. 
She’s been out for about 7 weeks or so with an injury. 
She knows Colin really well, so I trust her 90%. 
Colin had been up early.  The
night nurse and I got him up and changed and we had him in his pooping position,
which is in our laps, sitting up.  He
was ‘done’ so I had him on his mattress on the floor like normal. 
When Nancy came she got right into everything like normal. 
We decided to bring him in to Casey’s room (not where they sleep) to
use his cough assist there.  She
brought him in and was coughing him.  We
didn’t’ have his pulse ox in there as it was just a quick cough session. 
I was getting some stuff ready, just getting ready to go in and hover
like usual, and I hear her yell for me.  She
said, “he’s looking funny!”  He
was pretty blue.  I’m yelling,
“do something”!  I always yell
that when I’m running around during critical times. 
I grabbed the oxygen, started more suctioning, coughing, etc. 
At first he was looking at me and trying to make noises but then his eyes
started getting that far away look.  I
told Nancy to run for Gene.  (He was
still in bed).  He came down,
quickly assessed and gave him a couple of big breaths with his mouth and I heard
a noise that I can’t quite describe…something like a “pop”, shlop, I
can’t quite say, but the plug moved and he made noises and his color started
creeping back in.  I grabbed the
cough assist stuff and did him again and a slimy plug came out. 
Then, like nothing had happened at all, he started babbling and smiling.  
Oh, at some point, someone got a pulse ox and probe, but by that time his
sats were fine and his heart rate was okay, but a bit low.  
He spent some time on bipap after that and has been fine since.
 
Later
on, I went into our cupboard to get a bowl and SMASH—one of our juice glasses
crashed onto the counter and floor!
 
Then,
I put some tuna noodle casserole (from Grandma O) into the microwave. 
I took it out and went to stir it and “POP”! 
The sauce flew out and I had blobs of it all over my shirt. 
If it had reached my face, it would have burned.  
So, if bad things really come in 3s, I think the rest of the day will be okay.
 
We’re
having Grandma and Grandpa over for our St. Patty’s Day dinner tonight 
March
22: 
Well,
we had a good visit with Dr. Hubbel. 
We hadn’t seen him for 7 years so I guess it was time! 
He didn’t even end up measuring Casey’s trach. 
He said since we’ve been having good results with the Shiley to keep it
as it is.  His
assistant had spoken with Shiley and they ARE still making the trachs. 
They have a lot of backorders but they ARE filling the orders. 
He looked at his stoma but that’s about it! 
He ended up giving me an extra trach! 
We did talk about going up sizes but he said then you have to worry about
the tissue and all that and he seems fine as he is. 
That’s all we talked about relating to the trach!
 
I
did ask him that since we were there, could he look at Casey’s ears. 
Casey has always had chronic fluid and his hearing could never really be
evaluated since he always has a flat tympanogram (sp). 
His fluid isn’t infected but it’s consistently there. 
He had one of his guys “take a picture” of his inside ear, which was
cool.  Not
much to see, but Casey thought it was neat. 
(They had some high tech equipment there!). 
Then they wanted him to do a hearing test in a booth where he had to
answer when he heard a sound. 
Of course, my Casey has NEVER liked to be in a testing situation….But,
he did okay.  Sometimes
he would blink his yes’es’ and sometimes he wouldn’t but she could tell by
the way he reacted that he heard. 
They do think it is impacting his hearing, though, to a point. 
Dr. Hubbel suggested tubes. 
He did say that maybe the muscles to the ear canals (I think) may not be
working as well so they’re letting the fluid in.
 
Have
any of your SMA kids had hearing/fluid issues??? Tubes? 
I’m going to post on SMA Support and FSMA, also. 
It really would be any easy procedure, with Casey, because of his trach/vent. 
They just have to put him out for a bit.
 
 
Now,
I’ve always wondered about fluid with Colin. 
He has chronic fluid, too, but not as extreme as Casey from what I
remember our pediatrician saying. 
I’ve always wondered if tubes would help with his speech. 
Any ideas/thoughts?? 
Of course, tube wouldn’t be as easy with Colin, being he’s a bipap
kid.  I
explained it to Dr. Hubbel (he’s never met Colin) and he said it would be
fine, that the RT would “bag” him while the procedure was being done. 
I don’t know if I like that idea. 
I’d like to think he’d be fine on bipap with a “bag” near by, as
well as a crash cart!! 
 
Anyway,
I’d be grateful to hear any thoughts/ideas/experiences.
 
March 25:   
Colin lost his first tooth! 
March 31: 
  We will be taking part in a
  fundraising walk in Massachusetts to raise money for Families of Spinal
  Muscular Atrophy.
  
   FSMA
  is the largest international organization dedicated solely to:
  
  - 
    
Eradicating spinal muscular
    atrophy (SMA) by promoting and supporting research
    - 
    
Helping families cope with
    SMA through informational programs and support
    - 
    
Educating the public and
    professional community about SMA  
 
  Please visit the link below
  to sponsor our family!  It is VERY MUCH APPRECIATED!!!
  
  Sue, Gene, Casey and Colin
 
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