Going with the Flow

For the first time in a long time - pretty much the last 17+ months - I feel like we are swimming with the current instead of against it.  That isn't to say though that all things have been coming up roses because I had a fair number of days this week where I was pretty sure I would end up bald.  From pulling my hair out.  Mike was in Costa Rica all week and I had to be a lot of different places for work.  Then, Nate got sick...and I got sick.  But you know who wasn't sick?  Miss Exhibit A below.  Once her last cold cleared, its been smooth sailing with her.  She has been doing phenomenal.  I must remind myself that Finley is a much different little girl that she was that first year.  She has been so much more resilient and seems to bounce back so much better these days.  She is strong.  So strong!  She has been lifting herself up (like the pic below) SO high off the ground.  She is also doing this in her crib - which is adorable because if you are standing on the other side of the bumper pad - you can see her peeking over the top.  I absolutely love it!

Exhibit A

This kid LOVES to get in to boxes.  It could be the smallest box ever and he will find a way to fit in it.

Nate playing with his crazy little car that Aunt Anne got his for xmas.

She is also trying really hard to crawl these days.  She started this the week before last - much to our surprise, there she was up on all fours with her forehead planted firmly on the floor.  She hasn't quite figured out that she needs to lift her head, and, the 5 point crawl (demonstrated below) is a common starting point for CHARGE kiddos.  She is up on all fours like this all of the time though now and every single time I see her like this I feel so compelled to grab my camera!  AMAZING!










And since its been a while since my last post, I owe you an update on our most recent appointments!  Lets see, on the 19th we saw the endocrinologist, Dr. Kim.  she was extremely please with Finley's progress and how well she'd been doing on her bolus feeds.  She even told us (ready for this?) that we don't have to test Finley's blood sugar anymore - unless she is sick or we are trying a new type of bolus feed (like increasing her volume and time off the pump). NO MORE TESTING!  While it was something we have become very used to, it was also something we hadn't even considered would be going away.  Now, don't get me wrong, we are still testing her a few times a day as we get used to her bolus feeds - but overall, she's stable baby!  Hearing those words out of the endocrinologist's mouth was AWESOME!  That said - Finley has been rockin' and rollin' with her bolus feeds and is up to a hour on and 2 hours off!  We are doing two bolus feeds a day now and our next step will be one hour on and three off!

We also saw the gastroenterologist.  This is the second new doc that we've added this month and we really liked him!  We saw Dr. Lee Bass - he had prepared for our visit by reading through Finley's records and reaching out to her ENT and he spent a lot of time talking to us about all of the things that could possibly be causing Finley's reflux.  For now, we have decided to change from Prevacid in solution to a Solu-tab which dissolves in a tsp of water.  This differs than the solution because the solution is basically regular Prevacid pills dissolved in calcium carbonate.  It has a 2 week shelf life and it has to be shaken really well before drawing it up.  So along with the Prevacid Solu-tab we are also doing Zantac at the same time - one suppresses acid production and the other reduces the acidity of the acid.  When Finley goes in for her next bronchoscopy, the Gastro is going to do an endoscopy to make sure that none of the irritation in her throat is because of an allergy rather than reflux.  Needless to say - we've never seen any outward signs of her reflux and to be honest - Nate spit up/threw up WAY more than Finley has.  Finley really doesn't throw up unless she is sick.  Stay tuned..



Seriously one of the best pictures ever!

And from the cute picture above, this is where she ended up - under the chair.

And last but certainly not least. I am about 12 hours away from my Step Up for Kids start time of 9 am.  Its a good thing I am climbing 80 flights of stairs tomorrow since I just at the most gigantic and tasty Red Velvet Cupcake from Mariano's. A girl needs her fuel, right?  A couple of weeks ago I got this silly idea of having shirts made for Gina (who is climbing with me) and me.  And so first I asked her if she'd be embarrassed if I wanted her to wear matchy shirts for the climb.  And because Gina is up for anything, she offered up the saying on the front and I worked with a gal at One Hour Tees to design them and what you see below is the final product.  I have to say - I am so psyched about these shirts and they turned out absolutely perfect!  Now my mom wants one too so I will be putting in an order for more shirts at some point so if by some odd chance anyone is interested in a "Powered by Finley" shirt - let me know.  I don't know exactly what they will cost (they will be cheaper than the two I ordered since I don't need them rushed) but they should be under $10.  Cool huh?
Front

Back

2 comments:

Unknown said...

Finley is getting so strong...I love "exhibit A!" And love the Tshirts :)

Melissa Dylo said...

Love the post and pics! Finley is adorable and so smiley all of the time I want to reach through the computer and swoop her up and give her a great big kiss! I love that Nate continues with his undies adventures - mine won't wear socks inside when I am freezing but, Nate must be much warmer blooded than I! So glad that the concert was a huge turnout! Hope you are doing alright after your gigantic walk up the stairs. You go! Thinking of you guys lots and so glad to read the latest! Have a great week! HUGS! Melissa

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Finley's Medical History

Born on 8/8/2009 - Finley is taken to Children's Memorial Hospital via the transport team 12 hours after she is born.  She is having trouble breathing and is turning blue.  She is immediately admitted to the NICU.

8/9/2009 - Finley is diagnosed with Tetralogy of Fallot, a congenital heart defect and laryngomalacia, a condition that causes her to aspirate whatever she swallows in to her lungs.

8/21/2009 - Finley has open heart surgery to place a Blalock Taussig shunt to help facilitate proper blood flow.  When she is older, she will require a full repair of her heart.

9/10/2009 - Finley is released from the NICU.  Because of her laryngomalacia and reflux, she is fed 100% through a nasal gastric tube.

9/14/2009 - Finley is re-admitted to the hospital for an infection in her surgical wound.  Finley's genetic test comes back - she is diagnosed with CHARGE Syndrome.

9/15/2009 - During a CT scan to assess the infection, the doctors notice something strange on her CT.  It appears Finley has a malrotated bowel and will require surgery.

9/23/2009 - Finley is examined by the opthalmologist and she is found to have colobomas, a condition common with CHARGE Syndrome, in both eyes.  The degree of her visual impairment is unknown.

9/30/2009 - Finley has the Ladd's Procedure to correct the malrotation and also has a g-tube placed.  

10/7/2009 - Finley has a sedated ABR to check her hearing.  She has a mild hearing loss in her right ear and a moderate to severe loss in her left.  Her loss can be at least partially corrected with hearing aids.

10/8/2009 - Finley is supposed to be released from the hospital today but she has been having low blood sugars.  The endocrinology is called in to evaluate her.

10/29/2009 - Finley is finally released from the hospital with a unconfirmed diagnosis of hyperinsulinism.  Actual diagnosis requires fasting blood tests - because of her heart condition, it is not safe for her to fast.  She needs to have her blood sugar tested every three hours and we are taught how to administer an emergency glucagon injection in case her blood sugar gets to low.

11/1/2009 - Finley requires emergency injection because she cannot sustain her blood sugar.  She is taken to the local ER and transported via the transport team to Childrens Memorial.

11/10/2009 - Finley is discharged from the hospital on a 24 hour continuous feed.  We add polycose to her milk to help her keep her blood sugar at an acceptable level.

11/22/2009 - Finley is taken to the local emergency room with a bad cold - she is having trouble breathing and her oxygen saturations are low.   She is transported via the transport team up to Children's Memorial.

11/25/2009 - Finley is released from the hospital - just in time for Thanksgiving.

12/8/2009 - Finley is taken to the local emergency room for observation - she has a bad cold.

12/21/2009 - Nate is chasing the dog and the dog runs in to Finley's IV pole, knocks it down and pulls out her g-tube.  She is taken to the ER at Childrens to have it put back in.

2/10/2010 - Finley is admitted through the ER at Childrens - she has a bad cold again.  Oxygen saturations are low and breathing is labored.

2/13/2010 - Finley is released from the hospital.

4/17/2010 - Finley is taken to the ER at Childrens - she has pus draining from her belly button.  They suspect a urachal cyst - they send us home with orders to return on  Tuesday (during our scheduled visit) for an abdominal ultrasound.

4/20/2010 - Finley is admitted to Childrens for an overnight stay.  She will have a swallow study and abdominal ultrasound on Tuesday and a CT and sedated echocardiogram on Wednesday which will require anesthesia.

4/21/2010 - The anesthesiologists have trouble intubating Finley, so they call in her ENT to have a look at her.  He observes that her airway is 75% closed off - partially due to scar tissue from previous intubation and partially due to an infection.  The diagnosis is subglottic stenosis and may require her to have surgery on her airway.  She is immediately admitted to the PICU and put on a 24/7 breathing treatment and antibiotics and steroids to help reduce the inflammation.

4/26/2010 - Finley is well enough to be taken off of all oxygen.  Immunology and Infectious Disease are called in to examine Finley because the culture of her throat are growing staph and strep.  Infectious Disease is trying to figure out what could have caused her infection.  Immunology labs will be drawn to determine if Finley has an immune problem which sometime occurs with children with CHARGE.  This is the second significant infection she has had since she was born.

4/27/2010 - The lab calls to say that they mis-read Finley's airway culture.  It's not growing staph - its only growing strep.

4/28/2010 - Immunology labs are back and don't show anything significant.  Finley's lymphocyte counts are low but that isn't unusual for a child who is fighting an infection.  The doctor wants to re-examine her before her first birthday.  In the meantime she cannot have any live vaccines.

4/29/2010 - Finley is discharged from the hospital.  The ENT will do a bronchoscopy before her heart repair surgery to determine next steps on her airway issue.

5/11/2010 - Finley has open heart surgery to repair her heart.

5/17/2010 - Finley begins to show signs of infection which is later identified as a urinary tract infection.

5/25/2010 - Finley is discharged from the hospital.

5/30/2010 - Finley goes to the ER at Childrens because of fussiness, sweating, heavy breathing.  And echo later identifies that the pressure gradient around Finley's pulmonary valve is an astounding 90%.

6/1/2010 - Finley is admitted to Childrens to try a medication called Propranolol to help ease the pressure in her heart.

6/2/2010 - The Propranolol brings the pressure in Finley's heart down from 90% to 50%.  Finley has a positive test for C. difficile which will require antibiotic treatment.

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