Have you ever had an instinct? An instinct that begins as a gnawing...Then grows into a raging burn; a burning instinct that something is wrong...
Your baby continues to get sick from the very foods he is supposed to thrive on. I did. I am a mom of a little boy just diagnosed with FPIES.
And that burning feeling now? Extinguished. My instincts? Stronger than ever. Guiding me, with my faith, as we navigate through the murky waters of our new world created by something called FPIES.
"Faith is not about everything turning out OK; Faith is about being OK no matter how things turn out."
Monday, June 20, 2011
Little man had his 2nd birthday recently, but that is not what this post is about- that will come soon though (as I'm still working on organizing/downloading the pictures...hey, we've been a bit busy!).
Just a week after his birthday, and we are finding ourselves sinking into anemia traps again. His hemoglobin seems to have spiraled down quickly. The lab draw reveals a Hemoglobin of 6.1 and Ferritin stores are quite low again as well. There isn't enough iron being absorbed to make iron rich hemoglobin with. All that we know right now is that it is a combination effect of:
1). colitis flares with food trials as evidenced by blood in diapers for 1-2days following small ingestion's of foods, or triggers (sucrose in IV iron 6 weeks ago) and unknown days of microscopic blood not visible.
2). Not enough Vit.C to absorb the plant based source of iron (despite his hemp supplying almost 3x what his body needs)
3). Missing micronutrients (B vitamins) to synthesize iron.
4). Acute inflammation following reactions
4). Gut flora involvement??
Peaches supply Vit.C but he doesn't eat them consistently enough to get enough of it from them. We just started B vitamins and it looks as if he is tolerating them well (we are 1 week in!); so once we restore his iron levels - will the B vitamin supplementation to his vegetarian diet be enough? We can only hope.
But right now, the question remained if he needed a blood transfusion or could proceed to straight IV iron infusion. And for that, he needs to be evaluated. We say good-bye to Daddy....which he is not happy about and head to the Pediatric Infusion Therapy Center and await the Physician's Assistant to come and evaluate. If his heart rate is too slow, or too rapid- they will need to do a blood transfusion before they do iron infusion.
It takes 10-15minutes to get from our house to the hospital parking....he's been screaming the whole way- more like yelling. As if he is saying "I know this drill and I do NOT like it....you don't take me with when daddy is home unless it's to the doctor, take me back home, take me back to my daddy". He kept trying to wipe his tears, they were just an annoyance getting in the way and he was trying to tell me something. There was a point, as we pulled into the parking garage that I just wanted to turn around and go home. What would be the point in his if he is going to be screaming like this? But, no- he needs this, he needs to be evaluated and he needs treatment. Wasn't he just so tired a few hours ago that I was carrying him around the house? Where is the energy to have this tantrum coming from?
He continues to carry on, stopping for a split second to pout his lip as we enter the parking garage. I breath a sigh of relief- maybe he's resigned and we can walk into the hospital without them thinking I am hurting my child!? Nope, he takes a breath and begins again. We go up to the infusion center with little breaks from the objections. The nurse tries to take vitals, which only makes him more upset and clearly accurate assessment of his vitals is not going to be possible in this state. The physician assistant comes in to exam him and the tantrum escalates....does he even remember what his tantrum is about? No, but he knows exactly where we are at.
I have witnessed tantrums to this caliber before but not from him. He is adamant that no one is coming near him, and he barely will let me hang on to him- he is not happy with me either. I called his daddy and said "you've got to come, he won't calm down, he needs you". I knew he would be happy enough to see his daddy that he would at least calm down and catch a breath so we could better assess things. In the meantime, the PA and I discuss his symptoms and observe the energy it is taking for him to have this tantrum. It is decided that we can hold off on a blood transfusion and proceed with the IV iron. But it is already 3pm in the afternoon, the IV dextran takes 6hrs. to infuse and the Infusion Center closes at 4pm.
They ordered IV Iron Sucrose. The one he got SO-SO sick off of, the one no one understands why he reacts to....a corn sugar injected into his veins where T cells have to encounter it at some point? I don't know why it is hard to understand but I do know what we see happen to our little man. I wait until his daddy arrives a few minutes later and ask if he would want Little Man to receive the IV iron sucrose. I barely finished my sentence, and he says "NO!....absolutely no way is he getting IV iron sucrose, we will not put him through that again- he was so sick". The decision is noted and understood, we will return in the morning for the 6hr. IV iron dextran infusion.
We all go home exhausted.
Sunday, June 19, 2011
We had discussed a lab check with the pediatrician at our 2yr.well child just a few weeks ago; but we decided to hold off- unless/until we saw symptoms. Well, with all of these symptoms, it would have to be done sooner than our planned 6week follow up. A lab draw right away on Friday morning revealed a Hemoglobin of 6.1 (when normal is 11-14 for this age). Sigh, tears, sigh....phone calls and messages to his doctors (our clinic has an online patient portal for checking labs and sending messages, it works well for the needs of chronic illness) and it is decided he needs to be evaluated right away, to check in at the Pediatric infusion center where he will receive appropriate treatment. A blood transfusion may be necessary if he has a too low, or too high heart rate.
Little man has already had a long morning, an IV stick for a lab draw....correction, 2 IV sticks for a lab draw- he has tricky veins. We've learned enough about his veins and draws that if they stick him and can't get blood immediately, to just pull out and try another site. Some lab techs do not appreciate being told how to do their job, because that is what they are doing- their job. But it is my job to remind them that this is a little boy, and he also happens to be a little boy who has to endure many IV sticks - we do not need to make them more traumatizing then it needs to be. We have stood by and watched them dig and poke and prod around under his skin looking for that vein that "was just right there" enough to know that once it jumps- there is no finding it. Get out, find a different vein. So, we switch arms, and positions and this vein comes right away. They get the blood they need while Little Man screams in objection. He doesn't like to be distracted, he doesn't like to be told "it's ok"- he just wants it done and he does not take his eyes off the needle until it is done. They bandage him up and he sits up. Tears done. He is such a trooper. He looks over my shoulder at the tackle box that carries the prizes, "quack, quack?" he questions, he knows he is due for another rubber duckie. He picks out what must be his 30th duckie by now, and we head out. He stops me half way out the door because we passed by the stickers. I try to tell him he already got a duckie, he doesn't need a sticker. He quickly informs me that he does need a sticker, he picks out a puppy one and has to have it stuck on his shirt right away - it is his badge of courage, and he wears it proud. "Bye?" he says now. And we go home to wait for the test results and decisions on treatment....
Thursday, June 16, 2011
Journals have been incredibly helpful. I started in March of 2010 and continue every single day since- even when he was in the hospital. It becomes tedious work because I was transferring sloppy, crazy, quickly written information to legible printed information in a table format in a word program. The work is tedious but it also very reflective- which is incredibly helpful for seeing larger patterns to things, allowing me to note something one day without worrying about it until the picture is filled in- because of his many delayed reactions.
Now, my journals consist of 2 parts. One template that I print blank, hand write in and file after I summerize the information by the day. It is the daily summerization that I still put into a table in a word document, and the reflection is still helping.
For a few examples of my jouranls, take a peek in my File Cabinet.
Today, I logged a few days worth (almost 2 weeks!)- I don't usually get so behind but with the start of summer and a new schedule in our household...well, you know the drill. Anyway....I realize I wrote down on the 2nd day of Elk that he had a bloody diaper with streaks of mucus. I noted it, I may have thought it was left over from blueberries, I may have been waiting to see if it would happen again (as I noted the next day that the diaper was free of visible blood or mucus). I've been trying to analyze the symptoms following Elk to decide if it is something we should keep trying to find ways to feed to him. With these logs, and the reflection I am given on those days and since then, I realize he is just not ready....banana= blood in diaper, blueberry = blood in diaper, Elk = blood in diaper. I feel his body is just not quite ready for this diet yet....that he still has stages of healing that do not include this kind of trial right now. So what now?
Now, we turn back to his "safe" diet- his formula. I am continuing to work through the recipe in that- tiny, tiny changes- increasing the protein powder, increasing the fat, changing the arrowroot starch amounts, getting the most of the probiotic I put in it (and get cultured formula!). And, look once again, into how to fill in his nutrients without foods. A B Vitamin Complex I had purchased a few weeks back is standing out in the cupboard. I had put it aside to do the Elk trial instead. The last vitamin trial we did did not go very well, so we have been leary of doing vitamins when we would rather do food. But if food is too difficult on his system still, if his gut isn't ready, if we need to keep working through probiotics having their effects on his gut, we need to keep exploring how to fill in these essential nutrients.
With the addition of B vitamins, his formula will be much closer to complete. We still need some micronutrients like copper and magnense. We are working on finding non corn fed chickens for EGGS that would fill in those final micronutrients. With these nutrients being provided, the gut flora will not have to synthesize so much of them...and maybe that is our piece to the next step- to re-assign the gut flora to it's job of keeping the gut healthy and keeping the "bad" gut bugs at bay, instead of working overtime in so many area's to keep his other systems growing and thriving. We have already witnessed many positive changes from the addition of probiotics to assisting the gut flora in his health.
We will continue B Vitamin trial, which is looking well 3 days in, and then we will continue strengthening his probiotic dosage and building his gut flora, restoring his "leaky" gut. And then we will look to introduce foods that will support all of this building and growth. Oh, and in between there- we will enjoy our Little Man, and enjoy summer with our boys!
Tuesday, June 14, 2011
The support started early, the irony of a social networking sight...yes, I'm talking Facebook.
Who would have thought Facebook would be such a support arm for me for such an isolating diagnosis? Not me. 2am darkness, isolation, can anybody hear my cries for my baby? The doctors were not hearing. Friends and family were. The support from the beginning has been the humbling experience of a lifetime for me, I can't imagine forgetting what it felt like to know everyone who knew me, who heard my words, trusted them and trusted me....that if I was crying out for help- I meant it, I needed it. Heard in my "voice", my plea for strength, and wisdom, and prayers...all of which I received- family and friends not all living near but always close. A gift of community, a gift of family, a gift of friendship. A darkness given light. I wish I had adequate words to describe how much this has meant to me.
Recently, my sister gave our Little Man a Benefit (where do I even begin to show gratitude to my sisters for helping me in the trenches....for helping our family dig out of the trenches -- or at least get good breaks from them!). The financial trench is a deep and wide one, and although we don't like to think about the money when it comes to health....our little boy's health is priceless. Finding the right doctor, the right foods, being in the hospital, paying for his formula, making our own formula with special ordered ingredients, many months of caring for a constantly crying baby - while trying to meet the needs of 3 growing boys....all take their toll on digging that trench further and wider. Again, a cry out- this time given in support and financial assistance as well as fund raising for awareness and answers for this little known, yet so severe, allergy. Where do you find words to give thanks? I pray all that have helped us, helped us dig out of yet another trench this diagnosis has put us in, not just knows but feels our gratitude.
No one has ever disappointed us, in fact many have surprised us....praying just when we need the strength and graces from Above, offering a hand when we need it most, providing a shoulder when the load was so heavy....there has always been someone there. God has watched out for our family, given us the graces to get through each day- the good and the long.
We are so blessed....
Friday, June 10, 2011
I love photo's, I am a "scrapper" at heart (but oh, so way-y-y behind on my scrapbooks!). I love to capture and record moments in pictures. Taking a piece of that time to carry forward with us...never forgetting.
So, why would I take pictures of my little man screaming and crying? Because, despite me saying it was "bad"- it was hard to picture just how bad. I was logging everything he ate, how he slept, what his diapers were like; and back in the beginning months of this- I even had a "pain scale" on these daily logs I kept for him. Because he was in pain everyday, the only thing that changed was the degree of that pain. I needed to add another dimension to these journals, I needed to try and do something to help someone, anyone else understand just how rough it was for him, for us.
And so began my FPIES photo file. Capturing pictures of eczema, of crying, of "spots" on his face, of diapers (eeks- I know but you can see microscopic blood zoomed in on the picture that you can not otherwise see when inspecting a diaper!). I have it all in a file. A picture tells a thousand words.
And there are thousands of words behind this video: FPIES: Our Little Man's Journey. 29 pictures....
Picture #1: A new baby boy...our precious 4th little man, just days old.
Picture #2: Something is not right - our eldest, not quite 9yrs.old and wanting to help so badly- picks up his crying little brother while I prepare dinner. The picture wasn't of him being in pain, it was of his big brother helping out...and how proud I was of him for trying. Although, that frown became a signature, he would be sitting there happily cooing and then this frown would come over his face...it was the saddest little frown. It was my eldest who said to me around 5mo...."what happened to him mommy" that helped me to see this was not just "normal" baby crying.
Picture #3: Trying new foods causes me pain- this picture was actually after he was off all foods- but I wasn't taking pictures as much then...but this is what he looked like more and more over the months while we tried to figure out what was going on. This is 3 weeks into no foods, off breastmilk and on Elecare....and the crying was escalating....
Picture #4: Eczema and rashes- in April, he had been off food for weeks, on Elecare and then switched to Neocate. Neocate gave us a little less crying during the day, at first but still much disturbed sleep and a "colicky" baby at night, still very spitty, and this eczema popped out within hours of giving him some dye-free motrin.
Picture #5: Vomitng and agitation -this was in the evening, on nothing but Neocate....by May this crying was a growing and he had been on elemental formula for 3mo....we were growing weary of what to do to help him. That helpless feeling...
Picture #6: Food is meant to nourish me, what could be causing this? What would you do?? A typical day with our little man looked like this, from my perspective....every time I had to put him down to make his brothers breakfast, clean up breakfast, make lunches for school, do laundry, make lunch, do a task for his 2yr.old brother, do the dishes, clean up, make dinner, dinner dishes, bath his brothers....this is what we got....crying, screaming, hold-me-now, clinching to odd inanimate objects (here it was the kitchen towel). We need help, this can't be healthy....
Picture #7: ...At CHOP- the nurse administering the skin prick testing to rule out IgE involvement of allergies, to help with the FPIES diagnosis and more importantly- the plan for care...including the introduction of foods safe at home with strict guidelines for symptom monitoring vs. in-hospital because of risk of anapyhlaxis.
Picture #8: ...Diagnosed with FPIES - this is actually a few months after we came home, and switched his formula- he is becoming such a character, really starting to shine and ham! He is wearing his token CHOP t-shirt we got while there! So cute in green!
Picture #8: Every food must be trialed, it is the only way to know if it will be safe for me - home from CHOP, we feel our first trial needs to be corn. He is not getting any better on the elemental formula and we suspect this is why. This is a picture of him eating grits...and you can see his face/eyes are swollen looking (other foods have had this effect as well)- it is actually our 2nd day trialing. Our first day was a 1/2tsp of whole, pureed corn. We had full symptoms that we would recognize now as a fail but we were so new and he was still so sick daily- it was hard to see what was reaction or what was his "normal". We called CHOP for advisement, we were advised to stop- that it was a clear fail but he had spit up twice but not violent vomiting...isn't FPIES violent vomiting- what if it was something else? The allergist felt it was from the corn allergy but agreed if we wanted to know for 100% sure, because this would mean he would need to come off the elemental formula, we could proceed with 1/2 that dose, and change it to grits instead. (that picture really is a thousand words!)
Picture #9: We trial corn....and "fail"...a mere few hours later, from the last picture- he is in extreme pain.....it would be a few more hours until he violently vomited the contents of his stomach, and then some, all over our floor...and then the diarrhea started, and thick strains of mucus and then blood.....(I have those pictures too but will spare them from you unless you are his GI doctor- whom I have shared them with!)
Picture #10: Why does it hurt so much mommy? We continue to give him Neocate- only now it is hurting him every second of the day. He begins to limit his own intakes of it- surviving on a mere half of his daily needs...We must do something different, but what....
Picture #11: Hemp milk becomes a main part of my new diet....I even posted about it here: Hemp milk arrives, this picture is a few months later when I have "perfected" his homemade formula, building it in in kitchen with 3 ingredients of his 5 safe foods: hemp, safflower oil and arrowroot starch. This corner of my kitchen is where I spend a few hours every other day, making his formula.
Picture #12: And ice is a treat when it is all you can eat.....unfortunately, my building the formula did not go without it's "fails". I initially started with tapioca starch, this resulted in metabolic acidosis and a hospital admission where doctors did not recognize, or understand the mechanisms or effects of his allergy. He enjoys ice as we are forced to put him back on Neocate in his hemp milk, and he begins to exhibit his signs of intolerance- one being an itchy mouth.
Picture #13: I want to sit and eat at the table, just like you...we begin to give him hemp seed cereal- just so he has a "snack" to practice eating, and join us at the table.
Picture #14: My parents explore new foods to find me a safe diet...millet puffs! So exciting! A safe food we found! He loves them! They are tiny and a mess but worth it!
Picture #15: I am happy when we find food that does not hurt my tummy! Peaches! Our 2nd safe food! That fall was a happier time for our family as his menu gave him a few snacks and the hemp milk healed his inflammation and is not triggering his allergy.
Picture#16: trying new ingredients in a recipe with my safe foods....Cookies! His first cookie- made with arrowroot and millet. Unfortunately I mistakenly used baking powder instead of soda in one of the recipes and he had a few nibbles before I realized it. Cream of tarter was also in this recipe and I am still unsure of it's safety. He did enjoy eating it! Crumb by crumb...
Picture #17: ...resulted in a reaction we weren't expecting...(pallor is one of my first stages of reaction)...he was quite fussy and clingy when he got up from his nap that day; so we went outside to play- hoping it was just a "typical" behavior of a 1yr.old...he didn't play, he just sat in my arms. We just tried to make the best of it enjoying a warm fall day with the other boys, not yet knowing how bad it would spiral things...
Picture#18: ...in and out of the hospital.....reactions, severe anemia....he continued to get ill, and his hemoglobin was falling, he was no longer responding to the iron supplements (or they were making things worse?). His hemoglobin fell to a scary low of 5, this picture is of the blood transfusion he had to have to correct his anemia. It was scary but he tolerated it and re cooped his hemoglobin sufficiently (back up to 10).
Picture #19: endoscopy & colonscopy procedures....this, his 3rd endoscopy....following soy reaction, found villous atrophy. We still are not sure if the soy (stopped on day 4) caused the villous atrophy or if he was already reacting to something (his iron supplement?) and soy simply pushed him over....he was a sick little boy.
Picture #20: IV iron, and IV Nutrition...hospital admission for TPN. He is quite swollen by this many days into it (2weeks). He gained a lot of weight but as noticed here- it was a lot of fluid weight. Gut rest healed his inflammation, TPN restored his small intestine villi (where nutrients are absorbed).
Picture #21: I’m so cute on the outside no one can tell how sick I am on the inside...in the fall, before his severe anemia, before his soy challenge, before we started spiraling...on peaches, millet, and homemade hemp milk formula...a happy boy.
Picture #22: Birthday cakes don't have to be made out of food! A picture of us making the most of his birthday- not only were we on the road (coming back from CHOP) but he had no safe foods. His cake was food-free! He loved it!
Picture #23: I am happy when food isn't hurting me...A few days before our hospital admission for TPN. He has villous atrophy, but it did not affect him like his FPIES reactions did. Villous atrophy can be silent, and scary....We were trying to avoid the PICC line and TPN but after 2 weeks of no weight gain (and weight loss) with worsening labs, we knew we could not avoid it. He needed the nutrition. We would be in the hospital from Dec.7-Dec.31.
Picture #24: ...a family who stands by me...Our boys. Our precious little family....
Picture #25: I am quiet and calm....rewind to first days on Hemp milk...a beautiful, happy, calm, sweet little boy- we knew you were in there little man...
Picture #26: I am sweet and strong...a recent photo of our strong little man. We are back to the days in the fall, after we healed him from corn fail and worked through nutrition on his hemp milk formula and passed peaches and millet, before we spiraled....
Picture #27: I have FPIES, a severe food allergy of the gut....a proud little boy with his Allergy awareness/medic alert bracelet. We raise awareness to keep him safe, and to help other families...
Picture #28: His 1yr.photo, shortly before I started my blog....to help others follow our story.
Picture #29: Ok, not a picture, just a slide. I just want to share our story, our experiences, if even just one piece of information can save another family from the pain of an FPIES reaction, or chronic FPIES inflammation....
And here we are, one year later. We have come so far from our first post.
Wednesday, June 8, 2011
I recently found a post I did on babycenter for this very trip, taken a year ago....I titled it "Anxious for our consult at CHOP", and wrote....Ok, talk about flooding the message boards but when alot of new things start surfacing or tying into my son's issues, I get a little hungry (no pun intended) for knowledge! Learning from all if you is helping SO much, thank you for listening to me! ;)
We have our appt in a week, we will travel from MN to PA for this 2nd opinion, and as my son only continues to get sicker- I am anxious to go and see what their evaluation will bring.
I know so many of you are in the same boat, and it is good to see all the support...thank you for letting me learn from you all! No doubt I'll have a few more things to add in the next week as my mind remains ON this upcoming evaluation!
If anyone has any suggestions for what to ask or say while we are there, I'd appreciate it. I got us an appointment with a Dietitian that day as well, we gave a great Dietitian here but wanted to get insights from them to bring back here too. We are just so excited at the possibility of getting some answers and recognition for what our son goes through on a daily basis.
Wow?! We have come SO far in one year!! One year to diagnosis, another year to healing. We went to CHOP for the diagnosis and with the consult of Dr.Pawlowski we were able to get a handle, and control of his allergy triggers....but not after the damage to his intestines had already been done. Which brought us to our next doctor, a GI doctor who helped heal his inflammation (and confirm his soy intolerance)! Our next stop was the PCRCD for a consult with Dr.Jyonouchi and her expertize on protein intolerances and the "root" of his allergy and beginning stages of healing his leaky gut. We have learned, done, and accomplished a lot in a year.
Recently, we had a benefit for our Little Man, to raise awareness and funds for research as well as funds for his medical and specialized food expenses. His godmother, my sweet sister-in-law, made a slideshow to share his story. I have turned that slideshow into a video to share here: FPIES: Our Little Man's journey.
Sunday, June 5, 2011
Our Little Man's benefit was planned for our hometown, which was further north than they live! But we wouldn't be passing by their house on the way; but they did it one better! They came to our benefit! A 3hr.drive!! They even brought Kara to meet Sam! Kara and Sam are just a month apart, and received their diagnosis around the same time. They both have FPIES and intolerance's to milk and soy and have limited diets. They connected right away, as if they had known each other all along....much like we did!
I have been so grateful for the friendship we share, the common ground shared in the crazy world of FPIES. Friends that become like family....
Saturday, June 4, 2011
We have spent so many countless hours researching into his allergy, researching into helpful doctors, doctor appointment after doctor appointment. Some helpful, some not so much but always worth that risk that it could be someone that may be able to help. Along with that comes costs that are priceless but not countless.
When our little man is screaming day and night, pain is with him all hours of the day, we are told an expensive prescription-only formula will help him. It's costs are high but we do not hesitate, if this is what he needs- we will do it. After a few months of emptying out our savings account, our insurance appeal is accepted and the formula is paid for. God provides, we have hope.
We then have a little man who is throwing up every few days and we hear of a hospital (CHOP) that has physicians familiar in diagnosing this rare allergy....what would you do? We got the first appointments available, and make a trip half way across the country. We were blessed to find an allergist that not only knew immediately that Little man has FPIES but also that his worsening of symptoms and inability to heal is due to a corn allergy. God provides, we have hope.
We find out the prescription based formula that so many kids are able to thrive on, is what is causing his pain and throwing up and inflammation to progress, now we must move him to a homemade formula with specialized ingredients available only through special order or natural food stores. We can't not buy it, and there are no sales on these items, no coupons to clip. His new formula will not have insurance reimbursement. Just when we feel there is no way we will stay afloat for another 2 weeks, something comes up that helps us through. God provides, we have hope.
Little man continues to be ill and requires a month long hospital stay, providing for a family through a hospital stay stretches past our already overstretched budget. We continue to have Faith. God provides, we have hope.
A specialist in Non-IgE Food allergy is found to be accepting patients through her research study. It is half way across the country again, and we feel her consult will be a big piece to our puzzle. The research I have spent countless hours doing shows me that it will be a worthwhile consult. We have achieved a better baseline with him than we could do on our own, with her help we are closer to healing him. God provides, we have hope.
A benefit is planned in our little man's honor. A benefit to raise awareness and funds for research but also to raise funds for his medical expenses and formula. God provides and once again, we have hope.
But our three other boys are a big part of this picture. It makes things more complicated and more rewarding all at the same time. We dismissed early symptoms of little man because of what we went through with them in earlier years; but then once we realized his symptoms were progressing- it was easier to connect them to his protein intolerance's because of what we went through with them earlier in the years. Little man has had many days of feeling ill and reactions which makes it difficult to have 3 other boys to take care; but we also have 3 helpers and little man has 3 siblings to learn from everyday. Having a "large" family doesn't take away as much as it adds.
Recently, we had our benefit for little man. Our oldest W. wanted to contribute, he came up with the idea to do a lemonade stand, offering cookies, coffee, and donuts as well. So, then our second, J. wanted an idea of his own. We came up with a kiddie game stand- to help the kids have fun and be included. Giving them jobs to do during the benefit helped keep them busy and out of trouble, those were my goals. But they surpassed all goals. People coming to the benefit were far more than generous with the 25cent charge for the lemonade stand, W. soon found himself trying to make change for a $20 while the purchaser walked away. W. also enlisted our third son, T. to help with the lemonade stand. W. is good about helping his little brothers, teaching them and including them. He gave him the job of handing everyone their purchases. It was the perfect job for him and he took it seriously and did it with pride. J. ran his games while giving out prizes and was proud of himself for being the dispenser of fun!
We thank all who helped our boys feel included in a special and important day for their little brother. We are proud of them and how well they behaved and managed their roles. We are blessed parents. We have rewarding jobs. Who wouldn't want to get paid in giggles, smiles and adventures?
Is it really all about the gut flora? Is that really at the root of all this? Isn't it amazing that "bugs" in our gut can control and influence so much of our body's functions?
As I've mentioned, we have seen some positive changes in many area's with consistent probiotics for Little Man. What I have also noticed is that missing a dose of probiotic, or going too long between bottles (and his dose), he starts to slide backwards again and what we see are symptoms we would be watchful for in a build to reaction. This leads me to conclude that reactions in atypical FPIES really are about the gut flora environment....is it the leaky gut, what about 'die off'? Either or both.
In short, leaky gut comes from having dysbiosis, having too many "bad" gut microbes and too much yeast/fungals that take up more space and push through the intestinal wall- making spaces between the tight junctions. These "holes" is then where whole proteins pass through and thus become allergenic as the body perceives them as toxin (being they are not fully broken down); but this would also be where toxins pass through- toxins from the release of bad gut bacteria "dying off". This release of toxins into the bloodstream has a whole range of adverse effects on you. It is thought to be at the root of many gut-brain disorders as well as auto-immune disorders of inflammation. It sure makes a lot more sense as I see it play out, piece by piece, with Little man!
We had a beautiful "baseline"- with his hemp milk formula, occasional millet and peaches, combined with consistent probiotics. Little man is missing nutrients in his formula- mainly Vit.C and B vitamins- these missing nutrients will be critical to moving to the next steps....but can we move forward without them? We wanted to try, to help him with his anemia. Trying Elk does not bring on any FPIES looking symptoms and he enjoys eating it for 3 days. By the 4th day, he is becoming a Dr.Jekyll/Mr.Hyde kind of boy and he of course refuses the Elk meat. He also eats much less of his formula. What is this about?
Is the addition of elk changing his gut flora just enough? Probably? His body needs to process through the changes stemming from his gut flora. And now we question how to push through- with a off and on cranky little boy who doesn't want to continue eating the food we are trialing; or his formula!
Coconut is supposed to be an natural anti-fungal. If these symptoms are from the fungals taking the opportunity to feed off this new food by products and multiply to unhealthy levels again, we need to control that. We have been working through small amounts of coconut for the past month or so. I make some 'crumbles' with coconut manna- and they are yummy. He loves them. Then I try to put some coconut oil (manna) in his formula- to begin to replace the not-so-healthy safflower oil. He refuses to drink it and then we play bottle battle for half the day. Finally he starts drinking his formula (without coconut) again and begins to feel better and we see less of Dr.Jekyll/Mr.Hyde and more of the calm little man we know is under all these symptoms.
This is where my thoughts were months ago, that once we began food trials strong again, that it would need to be carefully chosen foods, and likely rotated through- so no symptoms get overwhelming (for him or us), so his body has the time in between to re coop and win these battles. It will be a long process, but I know it will be worth it to get him a better menu.
Friday, June 3, 2011
Height taken, it is off somewhere because his height curve is a bouncing ball too....that doesn't make sense. People don't shrink like that. But there are a few weights like that too- done in off-pediatrics floor appointments, where I want to just say "don't record that, you didn't do it right anyway and his growth chart is enough of a mountain range". He is much shorter than his brothers at this age, after all their daddy is 6'3". But maybe he simply will take after his French ancestors (my dad), so then he's right on track.
The nurse enters his height and weight in the computer, and prints me the growth chart. She hands the paper to me and Little Man grabs for it, takes it and "reads" it- as if he is studying it. This gives the nurse a good chuckle. He does this a lot with books at home as well, full intent into the book- as if he is reading it. I admit, it is super cute. The nurse is surprised that he does that a lot. I comment he does it with writing too- uses a pen/pencil with paper and will look and draw as if with much intent. She asks to see him do it, so I hand him a pen and he promptly takes it and starts to "draw"- complete with tongue sticking out! It was priceless and made her day. "See you later" he says to the nurse, her part is done and in comes the pediatrician.
Quick discussions about his weight gain, and current measurements. He is growing proportionately, and appropriately at this time, and that is encouraging. Next is his development. I check off on a "scoring" sheet for things he should be doing at this age. He "scores" at 2yrs.3-6mo. on everything which is good that he's meeting base milestones but I already knew that. It continues to amaze me that he isn't further behind, with everything he goes through. That said, I don't agree that he is in the 2yrs.3-6mo. milestones category, not if the category's were written with his brothers milestones in mind. But I do feel the things he may be a few steps behind on, he will catch up. Here again, he's following his own curve and developing appropriately. We discuss his speech specifically, I am a little concerned, or more like watchful, that his speech has "exploded". There is a point with toddlers where they go from a few dozen words to so many you can't count. Little man has his few dozen words, uses them well, learns a new one every day or every few days (depending on how he's feeling) but he hasn't exploded his language yet. I'm not overly concerned, just watchful. The pediatrician feels the same- not over concerned but agrees to be watchful, if we haven't noticed his "explosion" of language within the next 4-6mo., we can move for further evaluations. I agree, this is a good plan. The pediatrician adds that he feels little man is just a calm natured little boy, and will talk when he has something good to say. He is probably right. And he is right that little man is calm natured, we've been getting a lot of comments on that lately and his daddy and I can't help but to think of the first year of his life when we were told it was his "temperament" that made him so fussy and non-sleeping, and crying all the time. I know, in my heart and soul that Little man was a calm spirited boy- hiding underneath all that pain.
We wrap it up with discussions of his current diet, current goals for expanding his diet, a peek at his eczema that popped back up after sucrose reaction and hasn't completely quieted down yet. A complete exam, for which little man is so cooperative for- he has this doctor visit thing down!
And then an anemia discussion. Last check was one month ago, do we feel he needs to be checked today? No.....although he had a strong bloody diaper after blueberry (I will spare you the picture I took!), and has started some wood chewing again and has been more pasty looking some days, we had 3 days of Elk going strong, maybe we can replenish his stores with real food and avoid the offset he gets from IV Iron infusions? The Pediatrician agrees we can do a wait and see, being that his physical exam looks good except his pale skin and somewhat pale in his lower eye lid. We plan a weight and lab draw for ~6weeks from now, unless something else comes up in between. Having a plan is good.
Now, on to planning that birthday party!!