Friday, May 24, 2013

Surgery and Seizures

With the recommendation of the pediatric surgeon and our own knowledge of what is best for Kahsay we have decided to have the nissen and g tube surgery.  He said with a child who has seizures and neurological damage his puking could get worse.  It is scheduled for June 5.  He will be in the hospital for about 3 days.  The doctor explained the g tube surgery similar to piercing an ear.  He said it literally takes 10 minutes and is a simple procedure.  The nissen is more complex.  The surgeon we spoke with said he prefers to make an incision and have a better look at the stomach.  He will have a better handle on how tight to tie the esophagus and it is less likely it will have to be done a second time.  There is an option for a laparoscopic  procedure but this is used most of the time for adults.  It can be used in children and is less invasive but I like the idea of the doctor having the best look possible.
I never thought I would be so excited to have my child go under the knife.  Kahsay just had a coughing, puking week.  Jason and I both said it was the best confirmation we could have asked for.  He also was weighed and still did not hit the 18 lb. mark.  My poor little buddy needs to get some chub on his bones.  He needs to be able to laugh, sneeze, and cough without puking.
We are still working on the correct dose of medication for his seizures.  He is still having them but we have seen less.  The side effects of the medication have been minimal.  I am thankful for that.  He couldn't get into the hospital for a video EEG until August.  We are on the waiting list but we are a bit frustrated that we will need to wait that long before we really know how often Kahsay is having seizures, besides the ones we see physical signs of. He has had a few REALLY good days.  He has been content, smiley, playful, and alert.  I am hoping this is all because the medication is working on those seizures.
Thanks for your words of encouragement and commitment to lift us up on prayer.   It gives us strength and  gets us through the difficult days.  

Thursday, May 16, 2013

Bittersweet Decisions

The past few weeks have been a bit overwhelming but at the same time a step in the right direction.  As I wrote in my previous post we were meeting with a doctor to ask questions about the feeding tube and nissen (sorry spelled in wrong in my previous post) surgery.  He agreed with us that the nissen and feeding tube were definitely necessary for Kahsay.
    These two surgeries will help Kahsay gain and maintain weight which will only benefit his development.  I am ready to take this step but at the same time for me it was hard to get past thinking it REALLY meant Kahsay was a special needs child.  Let's be honest he was a special needs child before these surgeries, but I think I was in denial. I had these hopes that his development would "catch up" and he would be completely normal.   I also know it means it will be more difficult to have random people care for Kahsay.  We already have a few select people who watch him, and now it will be even harder.
      On a positive note,  I am excited that I won't be called home by the babysitter because Kahsay puked all over his bed.  After having the nissen surgery he will not be able to throw up.  I am so excited to be able to give him his medications through the feeding tube.  He is HORRIBLE at taking his meds due to his dysphagia.  I am so ready to have peace of mind that he had a sufficient amount of calories at the end of the day.  These benefits far outweigh the labels that scare me.
   We are scheduled for a consultation with the surgeon next week Wednesday.  I am praying all our questions are answered and we do not question are decision to do this.
    In addition to preparing for these procedures, I received a call today with the results of Kahsay's 24 hour EEG he had last week.  It confirmed that he was having numerous seizures a day.  More than I am even aware of.   I am so thankful for a friend who encouraged me to follow my mommy instincts and have him tested.  We did have an EEG for Kahsay in the fall, but it was only 30 minutes.  I had noticed the episodes becoming more frequent, longer, and more intense.
     We are told he is having two different types of seizures.  One of types is caused by only one part of the brain.  These types of seizures are not as noticeable because the physical effects are not as apparent.  While these are not as noticeable they are still bad.  The other type of seizure is caused by the entire brain.  These are the ones I see physical signs of.  Both types can cause cognitive delay, tiredness, lack of awareness, sensory issues, etc.  The nurse explained to me that every time he has a seizure his brain has to reboot.  If he is having numerous per day is poor brain is constantly rebooting.
     He is being put on a medication to try to control them.  It is all trial and error as to what type of medication and what dose will work.  He is going to be scheduled to have a 24 hour video EEG at the children's hospital so they can really see what happens during his seizures.  It will better equip us so we know    when he is having them.
    While I dreaded hearing my son is having seizures, that will most likely get worse as he develops,  I also am so thankful to have caught them.  I am thankful for another answer that will help get Kahsay on the right track to be able to develop to the best of his abilities.  I guess I can say it was a bittersweet week.





Saturday, May 4, 2013

Test Results and Next Steps

     A few weeks ago Kahsay stayed in the hospital for a 24 hour test to record the severity of his reflux.  He also had a scope of his esophagus and stomach.  These tests were done due to his lack of weight gain and struggle to maintain weight.  He has struggled with severe reflux since we met him.  I was excited to have both of these tests done and hoped it would give us a few answers and help us decide if we should pursue the Nissan and feeding tube.  I was bummed that he had a great day in the hospital.  He had very few reflux moments and did not throw up one time.  As soon as we returned home he threw up 4 times in 48 hours.  UGH!!!  I was not surprised when the GI specialists called to tell us Kahsay's tests came back normal.  Now what?  I prayed for God to give us clear direction and wisdom.    
     A week ago Kahsay had a well child visit with his pediatrician.  His major concern was his weight plateau since October.  Kahsay has weighed between 17 lbs and 18 lbs for 7 months.  His concern was enough for me to realize something needed to be done.  He wanted Kahsay to come in for a weight check in a few weeks.  If he has not gained any weight, He wants us to meet with a surgeon to discuss the Nissan and feeding tube.  The feeding tube sounds like an amazing option for Kahsay.  It would take the pressure and stress off of us constantly worrying that Kahsay is not taking in enough calories per day.  It would eliminate the daily struggle of how to get medication in him due to his diagnosis of dysphagia.  I would still feed him orally the exact same as I do now, but would be able to add extra calories into the feeding tube. With the feeding tube we would also have a nissan.  The nissan is the part that scares me a bit.  There are conflicting opinions about this particular surgery and there are some negative side effects that can happen.  

     I continued to pray for God to give us clear direction.  I just wanted Him to hit me upside the head with an answer I couldn't miss.  I believe His answer has come in a few different ways. 
      First, Kahsay had a really rough few weeks following his test.  He was extremely fussy, and refused his bottle most of the time.  For some reason his over sensitive gag reflex returned full force.  He was getting four molars at the same time and since he refused his bottle was unable to get any pain relief.  Every time I tried to syringe the medication in him he puked.  I realized if we had a feeding tube this would not be a big deal because he could have gotten all his calories even though he refused the bottle.              
     Second, we got an appointment with a doctor that comes to Kenosha (the school system Kahsay receives his therapy from).  This doctor has had 30 years of experience with special needs children and had a child of his own with special needs that past away.  He has worked with children with the same needs and diagnosis as Kahsay.  My therapist said he would spend an hour with us if we wanted.  We could ask him any and every medical question we had and he would advise us and inform us.  Thank you Lord for that opportunity!!!  Our list of questions continues to grow.
     In addition to the GI tests, Kahsay will be having another EEG this Monday to Tuesday,  but this time it will be a 24 hour one.  His episodes have been happening more often and lasting longer.  We just want to have him tested to be sure they are not seizures.  
     This is all for now.  Please pray we have a great meeting with the doctor and his EEG comes back normal.



Friday, April 5, 2013

Referralversary!!!

One year ago today we saw this face for the first time!  We waited 20 months on the waiting list and it was worth all the wait.  The journey has not been exactly as we expected it, but Kahsay has brought such joy to our lives.  We love you buddy more than words could ever express!!!

April 5, 2012

February 19, 2013
My Birthday!!!



Easter- 2013
Kahsay with his sisters and cousin.  



April 5, 2013






Saturday, March 9, 2013

Where are We Now?

So many of you ask how Kahsay is doing, and how we are doing.  I think I have put this post off for so long because so much has happened and is happening.  I honestly do not know the best way to write this post.  It could be extremely long if I go into too much detail, so I will try to summarize as best I can.

Neurological-  At this point it is determined that Kahsay's episodes (as I call them) are not seizures.  He has times where his right hand will twitch and his eyes will go up and twitch also.  Sometimes I can say his name to get him to stop, but not always.  His neurologist told us as long as they don't get longer and he can come out of them fine, we are clear.

Vision- We recently had an appointment with a specialist in Grand Rapids.  He is amazing and has an incredible reputation.  Some of what he told us we knew, but he also answered many questions we have had since the MRI results.  Kahsay's eyes are not the issue.  His vision impairement is due to a processing delay.  The connection from his eyes to his Corpus Callosum was damaged due to the stroke.  The doctor said it is extremely poor.  The good news is it can only get better as the brain begins to find new pathways.  To the extent of how much better he cannot predict, but it will get better.  We notice Kahsay can see better when his body is in a fully supported position and outside distractions are minimal. We are working with a vision therapist who already has taught us great strategies.  His vision is very limited at this point but we have hope it will improve.

Eating- Although Kahsay is one year old, he still is primarily on formula.  We have been in feeding therapy since October and have made great progress.  We began by working to make eating safe for Kahsay.  We now thicken his formula so he does not aspirate.  We have begun basic puree eating, but it is only for motor development, not for nutrition.  As Kahsay's body begins to strengthen so will his muscle control in his mouth.  At this point his muscle control is compared to a 4-5 month old so to expect him to eat like a one year old is unrealistic.

While eating has come a long way, it still has been a source of struggle and frustration.  Kahsay has very severe acid reflux.  He limits the amount of ounces he will drink to 2-4 ounces per feeding.  We are working hard to try to bulk up his calories, but if he continues to throw up what he eats, adding calories will be useless.  We have met with his doctor, and had a few tests done to figure out what to do.  Since October Kahsay has not gained weight and this week he lost weight.

There is a surgery called a nissen fundoplication we are considering.  At this point we are not ready to jump into surgery but are at least considering it.  As with many surgical procedures that are irreversible there are positives and negatives.  Please pray we receive a very clear answer for this.  Kahsay has to get tubes in his ears and possibly have one more test before they will consider this surgery.

Motor Development-We started off going to physical therapy and occupational therapy each week.  Now we have a therapist who works for a program called Early On.  We qualify for the special education part of this program and have been amazed at how much we have learned.  His therapist comes to our house one time per week and works with me on how to best help Kahsay develop in all areas.  As hard as it is to hear, Kahsay's motor development ranges from a 2-6 month old.  He is able to roll over.  He can sit up for a short period of time but does not weight bear on his arms so if he falls he does not catch himself.  We are working on loosening up his upper extremities and strengthening his core.  He has left side weakness but will hold toys in his right hand.  At this point he does not reach out for toys voluntarily, but if he hears them or feels them he will initiate play.  Babies main motivation to be mobile is because they see something they want to get to.  Kahsay will need to be motivated by sound rather than vision at this point.  We are working on getting him to want to move so he can be near us.  It may sound weird but I often sit on the floor and call his name like a you would call your dog.

Social Development- Kahsay's therapists and doctors say this is his strength.  He is extremely social.  He loves to laugh, babble and smile.  He is driven by music so we spend many hours singing to Kahsay and playing music.  It can calm him almost immediately.  He will smile at anyone who talks to him. This is such a blessing!  My greatest desire for Kahsay when we were told his diagnosis was for him to take in life and love it!

Adoption Related-  He has been home for 8 months.  Kahsay's bond to us is very strong.  I do not have a doubt in my mind that he is well attached.  He LOVES his sisters and desires to play with them and be held by them.  When he hears daddy's voice he cries until he comes to pick him up.  This is what any parent desires and even more so with an adopted child.  For a long time I wondered if Kahsay was going to have a "typical" bonding process because of his diagnosis.  It warms my heart to see my son cry for me despite not being able to see me.  He knows our voice, our smell, and our touch.  

We have an amazing team of doctors and specialists advocating for Kahsay.  We are so thankful to have  professionals to walk with us, coach us, encourage us, and just love on our son.  We are still processing all of this.  We have good days and hard days.  It is hard to feel like life is normal yet.  To be honest there are still days I grieve what we hoped for.  I do not grieve Kahsay coming to our family, but I grieve the life we hoped for him. I know there will be a time when we are not going to therapy 3 times per week and extra doctor and specialist appointments.  I know a day will come when I won't get jealous every time I see another child Kahsay's age walking around and playing, but that will take time.

Kahsay is an amazing little boy who has brought so much joy to our lives.  I am excited to see how God is going to use Him for His kingdom.  I know my son has already turned lives back to God and will continue to do so.







Tuesday, January 29, 2013

He Knew What He was Getting Into

This past weekend I attended the Created for Care adoption conference in Atlanta.  There were about 450 other women who are thinking of adopting, waiting for a child, and home with children.  It was a time of reflecting, learning, worship, prayer, and fun. There were sessions regarding all areas of adoption and orphan care.  Every session and main session I attended was amazing and left me needing some time to process everything I heard.  I would love to share all that I learned, but this post would be way too long.

Instead of sharing everything I learned, I will share with you the message I knew God wanted me to hear.  It was a message that restored me and filled my heart with an overwhelming peace.  Before I share the message, I need to give you a bit of background.

When God called us to adopt I had no idea how hard and amazing this journey would be.  It has been the hardest journey God has led us on and the best journey God has led us on.  There were times I tried doing it in my own strength but quickly learned to fall to my knees and surrender to His plan.  Not only did life change drastically for us but it also changed drastically for Kahsay.  This is why the transition and bonding time can be hard and long.  In the midst of this struggle we were told the news of Kahsay's special needs.  If you are unaware of this story you can read it here MRI results.  While we have seen God's miracles in Kahsay's life, there are still the daily demands of his care that leave me feeling unequipped and unable to be the best mom for Kahsay.  I know these messages are from the devil, but it takes constant time in the word and on my knees to keep me focused and encouraged.

The day before I was to leave for this conference I was in my room crying out to God.  Kahsay was sick AGAIN!  He was puking during every nap, and struggling to keep his food in.  His nutritionist already is concerned about his lack of weight gain since October and again he is puking up much of what goes in.  Feeding has been a big struggle since we have come home.  It took us months to finally get his feeding safe, and now we may be right back at the beginning.  His neuro development doctor suggested we get another swallow study done to be sure he is not still aspirating.  Since he does not tolerate any purees, formula is what gives him the calories he needs to develop.  I was feeling completely defeated.  I know none of this was in my control, but for some reason I was taking it all on my own shoulders.  I was searching within my human strength to handle it.  I was having this nice little pity party.  I convinced myself that God was disappointed with me and probably wished he had chosen a different mom for Kahsay that could handle this with strength and patience. I even got a bit angry with God.  I was certain I deserved for Him to take away this pain and struggle.  After wiping away my tears I decided to suck it up and try better.  Honestly I still felt like someone could do a much better job.  God called me to this very important job, and I felt like I was letting God and Kahsay down.

These feelings seemed to creep up while attending the first few sessions at the conference.  On Saturday I attended a session titled "The Connected Mom- Staying Close to the Lord among the Demands of Parenting".  The paragraph that followed was this:  "All mothers have seasons when our circumstances, and even the people we love most, place intense demands on our strengths and test our weaknesses.  How do we stay strong?  How do we get refreshed and strengthened so that there is an overflow available to meet the needs around us?".  Sounds amazing huh?  It was exactly was I was looking for.  I knew I lacked that constant connection with my Heavenly Father.  I knew I needed to do better at being creative to find those small moments with Him.

I will say the message of this session was exactly what God wanted me to hear.  It was not the part of trying to find time with Him that hit me the hardest.  The encouragement and tools the speaker offered for this were great and gave me hope.  The part of the message that hit me the hardest was the songs she played.  All three songs were exactly what I needed to hear but one in particular brought me to tears and broke me.  The song "I Knew what I was Getting Into" by Misty Edwards has such a beautiful message that I had to post the words and You Tube video below.

I Knew What I was Getting Into- You Tube video


CHORUS
I knew what I was getting into when called you.
I knew what I was getting into when I said your name, but I said it just the same.
I knew what I was getting into and I still want you.
I knew what I was getting into.

I knew what I was getting into and I still chose you.
I knew what I was getting into and I still want you.
I knew what I was getting into when I said your name, but I said it just the same.
I knew what I was getting into.

VERSE
And I am not shocked by your weakness.
And I am not shocked even by your sin.
And I am not shocked by your brokenness.

Cuz only I can see the end from the beginning.
And only I can see where this is going.
And only I can see the end from the beginning.
And I see in you the seeds of love.
And I see in you strength when all you see is your failure and all you feel is ashamed.
I can see deeper than that.
I know you better than that.
CHORUS
VERSE
Your only at the beginning.
You've only just begun and I know where you are going
And all you can see in the moment is that your hurting.
And all you can see in the moment is that your aching.


BRIDGE
Just don't give up.
And don't give in.
If you don't quit. You win, you win.

Just don't give up.
And don't give in.
If you don't quit. You win, you win.

Everything is in my hands.
It's going to be alright.
Everything is in my hands.
It's going to be alright.
It's going to be okay.
Everything is in my hands.
It's going to be alright.
It's going to be Okay.
And you don't have to pretend to be something or someone your not.
Cuz I know you better than that, even better, even better than that.
Listen my Beloved.
CHORUS


As I sat there crying and listening to this song I realized God called ME to be Kahsay's mom.  God called ME to walk this journey with him.  God called ME!  He did not want someone else.  I was the perfect imperfect person for this particular calling.  Why did I think God was surprised by my shortcomings?  Why did I think He expected me to the perfect example of strength and patience?  Why did I think God wanted anyone but ME to fall to my knees, surrender, and allow Him to lead me through this?

Needless to say I came home with a new and refreshed spirit.  God has called me to be His tool but He will equip me and carry out exactly what He has planned.  I do not need to do anything but stay connected to Him and trust He's got this.

Here are the other two songs we listened to.  They are just as amazing!  I hope they give you the encouragement you need today.

You Know Me

Come to Me










Friday, December 14, 2012

Merry Christmas!



Gabbie - 8 years old
Alexa- 5 years old
Maia- 3 years old
Kahsay- 10 months old