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Name: Amarisa


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Wednesday, June 17, 2009

Home from the hospital

Thanks to everyone who has been praying for me and my family.  And thank you to everyone who has helped and who is going to help over the next week or so.  It means a lot to me!

I just got home from the hospital today.  Last week I was nauseous for a few days but I couldn't figure out why except that I was really tired.  Then friday I started having this horrible abdominal pain.  The worst pain ever.  After 3 hours of doubling over pain I called my dad to take me to the ER.  After a few hours they decided to admit me to the hospital.  I have pancreatitis.  After lots of pain, drugs, tests and more tests(I had a catscan, mri, ultrasound, hipida scan, lots of blood work)  they decided to take out my gallbladder.  So yesterday I had my gallbladder removed. Hopefully the pancreatitis won't come back now that my gallbladder is gone and hopefully there wasn't any permanent damage done to my pancreas. Michael took some time off work to take care of Jackson.  My parents and him mostly had Noah.  It was pretty hard on the kids not having me here for that long.  Noah had a really hard time adjusting to a bottle since he's 4 months and never had one before.  Michael or my parents would bring the kids up once or twice a day to see me and let them nurse.  I pumped as much as I could but my supple still really dropped because I was in so much pain I didn't really pump as much as I needed too.   Hopefully that comes back up soon.  Plus I didn't eat anything almost the entire time I was in the hospital.  A few times I had some water and broth and today I was supposed to eat before I left but that was pretty much it over the past week.  I was able to pump enough for what Noah was taking in a bottle though so that was good.  I felt terrible that he was having a hard time and was crying so much.  I really hate it when cries for expended periods of time. 

Michael has to go back to work tomorrow and so do my parents.  So we have some friends and people from church coming over during the day for the next few days and dinner being brough over too.  Hopefully things will go ok.  I'm still in a lot of pain and I can't pick up Jackson at all. I'm worried about how much I'll be able to do without help.  But I'm glad to be home.  I really missed my babies a lot! 


Thursday, May 21, 2009

Jackson turns 3!

Jackson turns 3

 

 

On Mother’s Day Jackson turned 3.  He’s growing up so fast.  I’ve been meaning to do an update on him for along time now but things just keep coming up.  I never really have time and I think, oh, I’ll do it after the next testing or doctors appointment or after this happens so I that can include that in it.  But then it never happens and then I wait yet again.  Well, it just needs to happen now for his birthday.  (this is very long, mostly so I can look back and see how far we’ve come and for those family and friends you want to know how he’s doing but we don’t have the time to keep updated.)

 

Jackson is just an amazing little boy and every day continues to amaze me.  We are so blessed to have gotten these wonderful 3 years with him and pray every day for many more to come.  He continues to surprise us and leave us questioning all the time.  He is growing and developing so fast.

 

Jackson’s favorite things to play and do.

 

He loves cars and trains.  Especially Lightning Mcqueen, Thomas, The Polar Express, and fire trucks.  He loves playing with his cars and trains, going to ride the train at the store, reading his favorite books in his little reading nook (which is inside his closet where we put a little blanket down for him to sit on. I often find little toys and things that he’s had during the day in the very back corner of his closet.)  He loves to pretend he’s a train making all the noises, stops and whistles and moving his feet like trains.  So cute!

 

He loves playing with water.  In the sink, bathtub or in his new play sink out on the porch.  He’ll play in water forever, sometimes asking to take several baths a day to play in the water.    

 

He loves to pretend to cook.  He has a little play kitchen.  His favorite things to cook for us are hot chocolate, smoothies, pizza, and pancakes.  Pretty much every day we drink a million (pretend) cups of hot chocolate.  He makes it, then blows on it, then slurps it up, then wipes his mouth and says ahhhh, that’s good hot chocolate.  Too funny.

 

He loves to sing.  He often asks for me to sing to him and requests certain songs over and over and over.  He just gets the biggest smiles and dances along.  Just recently we’ve been hearing him sing a little too.  Usually when he’s by himself playing I’ll hear him sing a few notes.  Also in the car he loves to listen to the soundtrack to the movie Cars and he is starting to sing along with the songs on that.  Favorite songs.  The ABC’s both original way and sung with a little soul to it and dancing around, (he’s just starting to sing them back and doesn’t know all the letters but can usually get through the song but a lot of the letters are run together or missed.)  Mary had a little lamb, 3 little monkeys, little turtle, wiggle waggle, songs from his favorite shows, apples and bananas, the wheels on the bus.

 

He loves to “go bye-bye.”  He loves to get out of the house.  Especially since I can’t drive him and we don’t go anywhere, except outside to play, until someone else can take us.  He’ll request to go certain places.  His favorites include stores (the grocery store, Target, Wal-mart, Costco) to feed the fish, library, park, Nana and Pepe’s house, Granny’s nursing home to throw pennies in the fountain, the mall (which he calls the city) to ride Thomas with his coins, to the preschool playground, to the farmers market.

 

He loves to watch tv.  We do limit his shows (don’t think he just sits around all day watching tv) because he so many favorites.  Right now we limit to under 2 hours a day.  We would like to cut that back.  He used to just watch under 1 hour a day.  But he’s been having a lot of health problems lately and has been very fatigued.  There is only so much you can do when you have a sick kid who doesn’t feel like moving at all especially since I also have a colicky baby.  So some days he does watch more tv if he’s feeling really bad.  Onto his favorite shows listed in order of his favorite right now (which changes day by day since he’ll usually watch the same thing for several days in a row then switch.  If he watches a movie that’s usually all he watches but if he watches a show then he’ll watch 2.  Thomas, Little Einsteins, Polar Express, Cars, Signing Time, Wall-E, Rattoullie, Monsters Inc, Handy Manny, Charlie and Lola.  He’s amazing at picking up things from the shows and imitating them for days.  It’s crazy what he comes up with.  Lately he reenacts scenes from Polar Express (drinking hot chocolate, pulling the emergency brake and falling down, Billy walking away from the train then running to get on.)

 

He loves to eat.  (Well most of the time except when he’s sick which has been a lot lately)  We’ve also discovered that along with his other sensory stuff his taste is affected.  He likes things that are very flavorful.  He will just eat and eat things that have strong taste like spicy wings, orange chicken, steaks, and lots of other spicy things.  His favorite fruit is strawberry.  Vegetables are hard a thing for him since they are often very sensory overloading.  Broccoli is definitely too much unless I only use the stems and it’s in something else.  He likes peas but it has to be on a low sensory day.  He likes soups but still has a hard time swallowing mixed texture food and often gags on soups.

 

He loves to talk.  He repeats things like crazy.  Which is cute a lot the time but really isn’t a good thing to the point that he does.  He picks up on words and phrases from anything and will have favorite ones that he’ll use constantly for awhile.  Right now he’s saying cinders and ashes, adios, that’d be perfect, ABSOLUTELYYYYY, oh man, that’s so sweeeeeet, lots and lots everywhere, and I gonna eat/drink it all up.

 

He loves to read.  He’ll pick a favorite book and we have to read that one over and over for days in a row, then he’ll change to a new one.  So it’s hard to say his favorites because he goes back and forth.  But mostly he likes Goodnight Moon, his Thomas books, Moo Baa La La La,  I’m a Big Brother, My Big Rescue Book, and many others.

 

He loves being a big brother (most of the time).  He is always concerned where Noah is and asking about him.  When Noah is sleeping Jackson likes to wake him up to see him, which is very cute (read very frustrating).  When he does wake up he gets very excited and screams “He’s awake!”  Jackson loves talking to him and giving him lots of hugs and kisses.  But he does get frustrated when he wants something and I’m holding Noah and will ask me to put him down so that I will hold him or play with him.  Jackson is very sweet and gentle with him for the most part.  He’ll sometimes try to hit him or something but I mostly think it’s to see what we’ll do.  When they’re both nursing Jackson will rub Noah’s head or hold his hand.  (Yes, Jackson is 3 and still nursing.)

 

Jackson is excited about going to preschool in the fall.  I’m excited that he’s excited although I know he doesn’t know what’s coming. If he did he wouldn’t be as excited.  We found out on Friday that he was accepted into the special education preschool here.  It’s one of the reasons why we moved to Missouri and live where we do(more expensive then surrounding cities) so that he could have chance at this really good preschool.  For the past month he’s gone through several rounds of testing to see where he fell developmentally.  Friday was our meeting to go over tests results and make a plan (IEP).  The plan is he’ll go Monday through Thursday 3 hours a morning.  He’ll be in the classroom for most of the time.  The classroom is a mix of special education kids and typically developing kids.  It’s good for Jackson that there will be a mix.  He’ll also get 2 thirty minute sessions a week of speech, 1 thirty minute session of OT and one of PT.  We’re still working on getting the goals written out for him and more will come when the school here starts.  I can’t believe he’ll be going to school.  We have the option of him riding the bus both ways, us driving him in the car, or a mix.  For right now we’re planning on him riding with us to the school in the morning then riding the bus to go home.  We’ll see how he does though.

 

Right now Jackson gets his therapy at home and that will continue for the rest of the summer until school starts.  He loves his occupational and speech therapist.  His PT is ok.  His OT comes every week and the PT and speech come every other week alternating weeks.  He’s doing really good and continues to develop and learn new things every day.  He continues to amaze me at the things he does and understands.  He’s still delayed in most areas but it’s becoming less pronounced in several areas.  He’s talking really good and is using 3-word sentences most of the time.  His articulation is really good for having delayed speech.  But most of his speech is still just imitating and repeating back to you.  He’ll say longer phrases, but it’s usually a phrase he’s heard before.  In OT we’re mainly working on his sensory needs.  His sensory stuff is getting a lot better than before.  He’s able to tolerate more food, textures, stuff on his hands, and so forth.  But he still has lots of areas we’re working on.  He doesn’t like to wear very many clothes.  He would rather stay in footed fleece zip-up pajamas his entire life.  If he does get dressed it has to be something really comfortable and loose fitting.  When we went to get summer clothes we got stuff like basketball shorts and cotton shorts and a pair of board shorts.  He likes them and will wear them most of the time unless it’s a sensory filled day then its only pajamas.  Which is difficult because it’s getting pretty warm here now.  We’re in the process of making a weighted blanket for him to sleep with that will help with his proprioceptive input and hopefully help calm him down more.  In physical therapy we’re working with him on going up and down stairs without being carried or holding someone’s hands and jumping.  Jumping is the hardest thing and he can’t do it at all.  Most 3 year old boys love jumping around and playing and Jackson continues to try and can’t.  yesterday in pt they where practicing stepping up and down on the curb and Jackson tripped pretty bad.   

 

Jackson is getting a little better with sleep. (Things got really bad after Noah was born and it was taking forever getting him to sleep and waking up at least 3 times a night.) He doesn’t ever go to bed at the same time and the time to get him down greatly varies by night by what happened that day and when he took a nap.  He’ll only let me put him to bed.  But we’re slowly making great improvements.  Over the past couple of weeks he’s gone to sleep in his crib, with me next to him on the floor, a couple of times.  Once he did it without me in the room.  The past two nights he’s only woken up once during the night and after a quick rock he’s back asleep. 

 

Now onto the medical stuff.  Things in this area are still constantly changing.  Right now his list of diagnoses are genetic disorder with chromosome deletion, probable mitochondrial disorder or channelopathy causing hypotonia, developmental delay, multiple development regressions, sensory integration disorder, autonomic disorder, reflux, chronic GI problems, seizure disorder, apnea, hyperflexibility, metabolic acidosis.  Needs daily medicines, braces, sensory diet, frequent blood work to monitor things.  Diagnoses that aren’t official yet but that are being looked into right now are PDD-NOS and a blood clotting disorder.  Lately our biggest concerns have been the more frequent development regressions, fatigue, and acidosis episodes.  The sudden change in bowel habits.  He’s always had constant diarrhea his entire life with the occasional round of constipation.  Then all of sudden a few weeks ago things suddenly changed and went the other way.  He went forever without going to the bathroom.  The only way we keep things moving right now is to get as much fluid in him as possible, push lots of fruits, veggies and juices, Miralax, flaxseed oil, and giving him suppositories every other day.  It’s been so hard having to watch him be in so much pain from the cramping and having to do suppositories on him.  He just cries and cries and asks to be swaddled up and held tightly until he’s able to go.  We’re not sure why the sudden change and they are still running some tests.  Everyone asks now that we’ve dealt with both extremes which is worse: the constant diarrhea or the constipation.  Definitely, the constipation is much worse.  I would rather change 20 poopy diapers a day and have blowouts all the time over hearing and watching him cry after giving him the suppositories.

 

So that’s our Jackson and what he’s up to right now.  He’s such an amazing little boy.  I love him so much.

Pictures coming soon.           

 

 

 


Saturday, February 28, 2009

(somehow this got posted before I was done with it)

Sleep!!!

I need to get some sleep.  I haven't been on to post lately mostly because just getting through the day is all we're doing right now.  I'm lucky if I get 5 or 6 hours of sleep a day.  Most nights its 2 or 3.  Its been over a month since I had more then 2 hours at a time of sleep.  Noah only sleeps if he's being held sitting up.  There has been a couple of times where he slept 45 minutes in the swing.  but other then he's only slept with me holding him.  Jackson is going through one of his episodes right now.  So, he's also having a very hard time sleeping.  Last night it took 3 hours to get him to go to sleep.  Michael and I would switch back and forth between who was holding Jackson and Noah.  When Noah wanted to eat I was nursing him and then I would go in and rock Jackson.  Jackson threw up twice so we changed him twice and changed the sheets once.  He finally fell asleep at  11.  then he was up at 1.  Michael rocked him for about 30 minutes before giving up.  He cried for a little while before I went in to get him because I was nursing Noah.  After that I rocked Jackson for almost an hour before bring him to our bed.  Usually he won't sleep in our bed just wants to play so I don't do it very often because of that.  But he was tired and fell asleep pretty quick.  But a queen size bed isn't big enough for the 4 of us.  It was Michael then jackson, me and noah against the packnplay against the wall.  I was squished.  But Jackson and Noah both slept from 2 -4 so that was good.  We've pretty much been up since then.  Since Jackson usually won't sleep in our bed several times I've taken him and Noah and sat in the reclining chair and let them both nurse until they fall asleep.  Its hard for me to sleep with both of them on me in a chair but at least they will sleep. 

I do feel really blessed though.  I've been managing.  I havent' completly broken down.  My kids are doing ok.  I've been surviving on usually 3 hours of sleep a night.  The thing though is I don't want to just survive anymore.  I want to enjoy my kids, play with them, spend time with my husband.  that hasn't been happening.  I'm to the point where I feel sick.  I feel like I'm losing time if I just close my eyes for a second it really feels like minutes have passed.  there isn't much we can do about noah at this point.  He's only a month old.  He does have very severe reflux and we started him on some medicine that is helping.  Hopefully that will continue to improve.  Thankfully I have my moby wrap as he sleeps in that during the day and I still have my hands to help Jackson some.  We'll just work with Noah as he gets older so he doesn't develop bad sleeping habits. 

With Jackson getting sleep its going to be really hard.  Because he's been on monitors, oxygen, cpap machines, in the hospital he doesn't know how to fall asleep on his own.  I've read so many books, asked all his doctors, done so many different things and nothing works.  All the advice I get is for kids that have already at some point slept on their own before or have strictly done family bed.  Jackson just doesn't know how to fall asleep without being rocked to sleep and even then thats hard some nights.  At this point he just needs to get some good sleep and catch back up.  So the plan is to move up his bed time, keep his routine the same every night,(bath with his california baby calming bath soap, jammies, prayer, books, songs, nursing, rocking).  Give him melatonin before bedtime every night.  After he gets a few good nights sleep we're going to set a timer and tell him after the time goes off he has to close his eyes and go to sleep.  I'll still hold him but I won't rock, sing, or nurse him.  That way he'll at least fall asleep without anything else so maybe we can move onto falling asleep other places then me holding him.  Any other ideas?  Crying it out is not an option for us.  For one I don't really believe in it, sometimes it works in certain situations.  but Jackson if he cries for too long he sometimes will have a seizure.  I can't do that to him.   


Saturday, February 07, 2009

The Birth Story

Noah's birth story

 

Before arrival day.  My midwife and doctor had been monitoring things very closely during the entire pregnancy.  Especially during the last few weeks were I was having special ultrasounds, non stress tests and visits with the midwife every 3 days.  This was done for several reasons.  One being, the complicated pregnancy and delivery of my first son Jackson which ended in a placenta abruption that led to many problems for both of us.  Second, because of Jackson's genetic condition we where told that the new baby would have a 50% chance of having the same condition and there could be complications at birth if the baby had the same condition and knowing if he did before hand might help be more ready.  Third, problems that I was having during this pregnancy in which they weren't sure how baby was really doing in there and what was going on, I was having low fluid levels almost to a critical level, declining baby movements and bleeding.  Every 3 days for weeks I was told to bring my stuff to my appointment.  If at any point the fluid level was too low (below 5, mine was at 5 for awhile), or if baby didn't pass the NST they would induce me that day.  I wanted my baby to be healthy and stay in as long as possible if that’s what was best for him.  I also didn't want to be induced again.  Things where looking a little better at several of the appointments and ultrasounds.  Baby moving properly and passing the tests.  Then at 39 weeks he was not gaining weight like they thought he would and didn't really pass the NST.  Also placenta was not looking good on ultrasound and every day passed that point I was at an increase risk for abruption again.  So we decided it was best for baby to induced to make sure he was doing good and born safely at the hospital with the right medical attention.

 

The big day.  We arrived at the hospital at 730 am on Jan. 26, 2009.  Started paperwork and IV.  At 815 they started the pitocin.  Plan was to only do a low dose to get things started and hope my body would take over.  I had planned on a natural birth with no drugs at all and planned on using hynobirthing to have the baby.  So we wanted the least amount of pitocin and other interventions.  At 840 my midwife checked me.  I was 2cm dilated, 75% effaced, and -1 station.  So they went ahead and broke my water.  At that point I was already contracting on my own but nothing consistent.  The contractions where every 4-8 minutes and not all strong ones.  Since they where monitoring things really closely I had to stay on the monitors at all times except for the occasional trip to the bathroom.  I started out in the bed trying to stay relaxed and rest.  At 1030 contractions where about every 3-5 minutes apart and I was really wanting to change positions a lot.  I was only allowed to stay in one position for 30 minutes and every other 30 minutes had to be lying down in the bed to allow for better monitoring of the baby and my contractions.  Being in the bed was not comfortable at all and I was having a hard time staying relaxed. 

 

The next two hours the contractions where the same 3-5 minutes apart but getting more intense.  I changed positions as often as I could.  When standing next to the bed, which was the most comfortable, Michael would push on my lower back which really seemed to help.  I really wanted to get in the tub or shower to relax, I knew that would help.  At 1230 things where getting really strong.  I was still handling things but I new I wasn't relaxed enough to get through the stronger contractions.  I wasn't able to do the deeper hynobirthing stuff like I had hoped.  I asked to be checked because I knew I wasn't going to be able to last much longer.  I hadn't been checked since they broke my water 4 hours before and I had been having lots of strong contractions since then.  But I still felt like things where not getting any closer.  The nurse checked me and I was only at a 3 and slightly more effaced and baby had gone up a little.  Not the progress I was hoping for at all.  If I had been able to move like I wanted to and not restrained to the bed or if things had progressed more at that point I would've have gone ahead with things.  At that point though I had a feeling like things weren't going the way they should and I should go ahead and get an epidural.  I could have gone longer and hoped things would progress quickly but I just knew it was time anyways and I was praying that I wouldn't end up having a c-section. 

 

Getting the epidural was horrible.  I had such a horrible experience getting the first one with Jackson and then getting the spinal tap when I had meningitis so they had the chief anesthesiologist come in during it.  The first time they hit a blood vessel and had to take it out.  Then the chief tried and got it the second time.  It took almost an hour to put in and then 20 minutes to kick in.  During the hour my contractions where only 2 minutes apart.  I had barely any relief between contractions and bending over not being able to move for an hour was incredibly hard.  I had some reactions to the epidural and my blood pressure dropped way to low.  So they had to give me some medicine to keep it up.  Which we knew that would probably happen. 

 

An hour went by after I got the epidural and things where going pretty good I thought.  I was comfortable but could still feel the baby moving around.  I really liked that I could still feel him move.  With Jackson I was so numb I couldn’t feel anything from my neck down.  Then all of sudden alarms start going off and nurses start to fly into the room.  I couldn't move myself so they are flipping me over with sheets into all different positions.  The baby's heartbeat shot up to 180 then dropped to 40.  It took a long time to get the heartbeat up again.  I was so scared during the entire time.  Michael had no idea what was going on and didn't realize how serious it was.  He thought they where just checking me.  The baby continued to have some more decells in his heartbeat.  They had the midwife come in and put the internal monitors in on the baby and to monitor the contractions.  We're not sure what was going on but the baby wasn't looking good.  The internal monitor did slip out one time and pulled some of his hair with it.  We knew then he wasn't going to have red hair like his brother because there was dark hair on the monitor. When they placed the monitor I was only at a 4. Because of the baby's heartbeat dropping they had to turn the pitocin off and my IV fluids way up.  The contractions slowed down to 5-10 minutes apart.  After awhile the baby's heartbeat started stabilizing and they turned back on the pitocin but very slowly.  Soon after that the baby was looking better and better on the monitor and contractions where regular.  From 4-6 I was having very consistent contractions and getting stronger.  The epidural was only working a little and I was able to feel quite a bit but not anything I wasn't able to handle.  I felt like during that time I was able to do the hynobirthing and the baby was doing better and finally able to come down.  At 6 they checked me again and I was at an 8.  The nurse who had been there all day was disappointed because she thought I still had a while to go and then pushing and that she wouldn't be there when I had the baby because she got off at 7.  At 640 I asked them to come back in to check again.  I was finally fully dilated and ready to start pushing.  The nurse wanted me flat on my back and I said no I was going to sit up more.  When I sat up the baby's head slid out 2 inches.  The midwife said stop moving and gently breathe down.  I "breathed down"(hynobirthing technique instead of timed pushing) for one contraction and he was out.   Noah Asher Berteaux came into this world at 645pm weighing 7lbs5oz, 19 inches long, and head was 13in.

 

He was placed directly onto my chest.  No suctioning or rubbing or anything.  For the first 30 minutes I just starred at him and he starred at me.  It was perfect.  Exactly what I wanted after he was born.  After 30 minutes went by he latched on and nurse for 15 minutes.  It was so amazing!  He stayed right there on my chest for over 2 hours before anyone else ever touched him.  After that the nursery did come in to do the weight, measurements and to check his vitals.  After that Michael held him while I ate and got a little cleaned up.  We just held him for the 2 hours before they came into move us to the mother/baby floor.  It was such an amazing experience and I felt like I was in a different place.  The labor was incredibly difficult and scary but the last two hours and delivery where exactly how I had hoped.  There was such an immediate bond and love for my little baby.  I didn’t really experience that with Jackson.  Not that I didn't love him because I did.  But I didn't get to see him for hours while he was in the nursery being taken care of.  I felt empty while he was gone.  No baby in me but not getting to hold him either.  This time was so different.  It was just so amazing.  I'm so incredibly thankful for this little baby that’s apart of my life now.


Thursday, January 29, 2009

Welcome Baby!

Noah Asher Berteaux
Born Monday Janurary 26,2009
at 6:45 p.m.
7 lbs. 5 oz.
19 in.





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