| Happy 3rd Birthday Sam!!!! |
03/20/2009 |
Can't believe we haven't updated everyone since his 2 year old birthday. Sorry.
In the past year, Sam has reached a lot of his own milestones. He is well aware of who each of his family members are by voice and face. He can activate various switch toys for special needs kids on his own and has certain toys he really enjoys playing with, especially his Leap Frog driver. He loves to watch tv, some of his favorites are any Baby Einstein Video (he pretty much has them all), Teletubbies, Backyardigans and Thomas. He loves to swing (he just received a swing from the state which will give him years of backyard fun (I think it goes up to at least 100 lbs (and he is 32 at the moment).
Sammy loves his brothers too. They make him laugh a lot. He enjoys watching everything they do and the louder they get, the more he laughs.
Since our last update, Sam has also been working on standing, a lot. With mom and dad, his sit to stand device, and in the universal exercise cage at Easter Seals. He enjoys standing (he does wear ankle and knee braces too to help). He can stand anywhere from a half hour to an hour with assistance.
His favorite things to eat (therapy amounts only) are veggie sticks and dum dum suckers. He is currently working on taking baby food by mouth from a cup (does great for his therapist, not so great for mom). He has stopped gagging when presented with food of some sort, which is good. His reflux has been under control. He does experience it on occasion.
Sam has received an awesome age appropriate (as they call it) bed just recently. It is just like a hospital bed but nicer. It is blue and red, has side rails and the head and feet move up and down (so he can watch his new flat screen TV (Nina and Dzia) and DVD player (mom and dad) with great comfort. All fun aside, the bed is really used to help with breathing, positioning and reflux. It is also easier to get him in and out of too. We couldn't have gotten it at a better time as he pretty much outgrew the crib he was in.
Sam's scoliosis is still progressing which is not good, It is at 40 degrees now. We have to try to keep it from reaching 60 degrees. He still wears a TLSO for most of his waking hours. Taking it off only for naps and therapy. He does sit up for at least 30 seconds without it on without assistance. Yea!!! That is an awesome accomplishment!!! No surgery is needed at this time since the scoliosis is at about 29 degrees with the brace on.
Moving down the body to his hips. They are severely rotated and abducted but NOT dislocated. Which means he has to wear a brace on his legs at night to keep him from "frog legging" Standing helps with it too. He may have to have his tendons released with surgery in the future, but we are hoping with therapy and a little luck we can avoid it.
As we are moving from therapy updates into the more medical stuff (we will get back to therapy later) lets update the breathing issues.
Sam was on a Vapotherm since 2004 probably right around the time he had the pneumonia. Give or take a month or so. What it did was give him greater pressure and 02 which was heated and moist during the night. It helped him to keep him oxygentated well and also kept his CO2 levels at a more comfortable level also. Beginning in late 2005-early 2006 Vapotherm had a recall due to bacteria growing in the machine (can you imagine that) and we were forced to explore other means of breathing assistance at night (to avoid a trach and a ventilator). His doctor at Rush put him on a bi-Pap which is byphasic positive airway pressure. What it does is when Sam breathes in the pressure is higher and when he breathes out it is lower. He wears a little mask over his nose which is attached by four velcro straps to a little cap he wears on his head. He actually has tolerated it pretty well and will fall asleep faster than he did with the Vapotherm. AND here is the exciting part, he doesn't require any oxygen with it (only at night). Sam does, however, still have is 02 on all day.
Genetics. We have been working with a doctor at the University of Chicago. We already knew that four of Sam's chromosomes were translocated and rearranged. The Genetics Department just received a research grant and a Genetics physician to further study chromosomes to see if any genetic information is missing at certain breakpoints in these cases like Sam. Which I guess will help put our minds at rest about it and pinpoint the reasons for the "Sam syndrome" and hopefully help us more with his future prognosis and care. Hope that makes sense. Anyway, we are happy that someone has actually taken an interest in our sons symptoms and maybe someday there will actually be a name for it. Until then....
Sam had his first experience sitting and playing in the snow. He had his picture taken with his brothers (who absolutely love him to death) and a snowman. AND for the first time, Sam also got to ride in his little sled pulled by Dad of course. It was awesome and totally worth waiting 3 years for.
Sam has also started preschool (today in fact) at Prairie Children Preschool in Dist 204 in Naperville. He has graduated from the Early Intervention program and is now officially a preschooler.
Sam has graduated from the Parent/Infant program at Little Friends (he had a developmental therapist, Dawn, come to the house from there since we moved to Naperville). We all will miss her very much as we will not be able to see her anymore. Sam has received a few toys that he enjoyed playing with Dawn added to his collection. We have also learned a few cute songs from her that we sing to Sam regularly, as his loves music too.
He will not be seeing his occupational therapist at Easter Seals anymore (all lot of that will be done at school now). He will, however, keep one PT session and one Speech session at Easter Seals. He has made such awesome progress over the past couple years that we cannot afford to not go there anymore. Sam will not receive any feeding therapy at school and a lot of the PT services that he receives at the center cannot be duplicated at school either since school is more geared toward educational therapy goals rather than medical therapy goals. We may even add an additional PT session if all goes well with school and two outside therapy sessions.
Sam will be going to school four days a week for 2 1/2 hours a day for the next 2 years or so, well until he turns 5. We have heard that kids like him make great strides once they enter the school districts. Mom and Dad are hoping to get some words out of him and better use of communication devices that are available. Along with all of his physical goals too.
In closing, we will be submitting pictures soon, hopefully three of four, for your viewing pleasure.
Sam continues to be a great joy and a challange for us. But as my friend Sara puts it "God only gives children like Sam to certain people for a reason. He is very blessed to have a family like us but we are also blessed to have him as a part of our family." Sammy continues to be a very happy, sweet and content little boy who starts every day with a smile.
Love,
Mommy
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