Tuesday, December 14, 2010

Happy Holidays!!

I'm not going to give any excuses for not updating sooner this time. We've been busy enjoying life. =) Married life has been wonderful. The wedding was beautiful and everything turned out perfectly! Couldn't have asked for a more beautiful day. Carter was the most handsome ringbearer ever and was able to use his experience again 3 weeks later for 'Aunt Lexi's' wedding.

Carter has been doing well. He had the abdominal ultrasound in October and everything was normal (for him) still not sure what the reason for his pain is, but it has seemed to decrease over the past few months. We had his 6 month appointment recently with his local neurologist at UCI and recieved a prescription for a motorized scooter. It's something we've been talking about for awhile now, but very bittersweet.. He will only be using it at school for now and we will still use his manual wheelchair for long distances when we go places. We don't want him to use it too often, but it will allow him to be more independent and keep up with his friends out on the playground. He is VERY excited about it. He wants "hot red". =) Aside from the scooter his appointment was mostly uneventful, just a follow-up to see how he's doing. His strength is still good but the issue is his increasing fatigue now, we have to limit him some to keep from speeding up the progression of his Duchenne but also want him up and active as much as possible.. it's a balancing act.

We will be busy the next 2 months, he has appointments coming up with Allergy/Pulmonary, Endocrinology, Cardiology, and his 2nd visit to UCLA for the DMD study at the end of next month. I wiill update on how all these appointments go. They're mostly standard follow ups, but we have a few things to discuss with his endocrinologist and will be talking to his allergist about testing his blood levels again to see if the milk allergy has changed at all. It's been 3 years since we last checked and I'm really hoping to see a drop. Not sure if he will ever outgrow it completely, but it would be great if we could get to a point where he's not as dangerously allergic as he is now.

I'll leave you with some pictures =)






Thursday, September 30, 2010

Counting down

So, as usual I've been neglecting this blog. I'm sorry. I have a good reason though, if that helps. lol We have been getting ready for the wedding and it's coming up QUICK! Only about a week and a half now until 10/10/10. We are sooo excited and Mr. Carter will be the cutest ringbearer ever! I absolutely cannot wait for our day to get here. :)

Carter started first grade on August 11th and has been doing very well academically!! The full day at school is harder on him physically and we will most likely be getting him a scooter to use there which should be a great help. It's an adjustment, but I know he will appreciate being less tired in the afternoon/evenings.

We just saw his GI Dr. again last week and will be scheduling an abdominal ultrasound soon. He's had some relief from his new stomach medications but still complains often of his stomach hurting so they want to take a look inside. If nothing shows up in the ultrasound then he may need an endoscopy. Hoping not to have to go that route since he'd have to go under anesthesia for it.

Although he's been getting fatigued easier and more often, he's hit a major physical milestone recently and is now able to swim short distances without a life vest!! :) Very proud moment for us and he's LOVING the water now! Here's a video:



And some recent pics :)

Thursday, July 22, 2010

DMD Gait Analysis study at UCLA

Carter had his first appointment for the DMD gait study at UCLA on Wednesday the 21st. It went well and it was very interesting to see all the high tech stuff that they used for the different assessments. They also think he's probably going to be on the milder end progression-wise. He does have tightness in his legs and fatigues easily, but was able to do all the gross motor tests they had him try (except hop on his left foot 10 times). We were happy to hear that he is still strong and doing well. :) We'll go every 6 months for the next 3 years and they will see how he progresses during that time.
We took a lot of pictures, figured they will explain things better than I can. In addition to the tests we did there he's also wearing a step activity monitor for the next week so they can see how active he is during the day at home.


Getting ready for the first test

"Luke, I am your father" lol


Energy Cost of Walking-
Individuals will be asked to rest for 10 minutes and then walk for 10 minutes while wearing a mask over their nose and mouth (see photo). This will allow for the analysis of the amount of oxygen and carbon dioxide used during resting and walking.




Gross Motor Skill Testing-
Individuals will perform a set of gross motor skills that go from easy (rolling on the floor) to hard (walking up a flight of steps). Individuals will perform as many skills as they are able.


They told him to stand straight like a soldier. lol

Muscle Strength Testing-
Individuals will be asked to push or pull using their hip, knee and ankle muscles. The amount of muscle force produced will be measured by a machine.


Computerized Assessment of Walking-
Individuals will be asked to walk down a short walkway while wearing reflective markers. The marker information is hips, knees and ankles move during walking.

His hair is so long we had to pull it back to see the marker on his neck. lol



 My amazing boy!! =)


Here's a link to the trial listing:
http://clinicaltrials.gov/ct2/show/NCT00312247?recr=Open&cond=%22Duchenne+Muscular+Dystrophy%22&state1=NA%3AUS%3ACA&rank=1

And a flyer that explains in a little more detail:
http://www.cdmd.ucla.edu/_assets/DMD%20Brochure-UCLA.pdf




Thursday, May 27, 2010

Long time..

So, I'm terrible at keeping this updated! Going to try to stick with shorter, more frequent posts from now on.. After this one of course. ;) We've had a lot go on since February.

We were able to stop by MDA's fill the boot in April and Carter had a blast talking with the Firemen. One of them even let him try on their helmet! We also had the great opportunity of discussing Carter's story and DMD with a first year genetics class at UCI medical school. Debra Miller of CureDuchenne was also there and it was an amazing session. I truly hope we were able to influence even a few of them to study Duchenne during their careers! The students just loved Carter (doesn't everyone? lol) and he had a blast with all the attention. Here's a link to CureDuchenne's blog post about the event:  http://www.cureduchenne.org/index.php?s=UCI

'Quick' medical rundown: Carter had a stomach bug that led to a trip to the ER for stomach bloating/severe pain at the end of February. We were worried about an intestinal obstruction but xray's showed that all he had was a lot of built up gas. They said sometimes the gut needs a little more time to get back into rythym and to give gas drops. Mylicon helped for a few days but then he started having pain again while eating/after meals. We followed up with GI who think he has a slow emptying stomach and started him on medication for that as well as Prevacid to help protect his stomach from the steroid he takes daily. The medicine is helping and he doesn't complain as much about his stomach hurting but still a bit of an issue. Trying to focus on small meals throughout the day for now but may need to consult again with GI and have an endoscopy to see exactly what's happening. As of right now, he's keeping up his weight and is getting good nutrition, it's just the pain issue that we'd like him to be free of.

We continue to follow up with his local geneticist and endocrinologist. His IGF-1 level has been high so we've lowered his growth hormone dose consistently for the past year, he's gone from a dose of 0.8 to 0.5 right now. Hoping the level will go into normal range again soon so we can stop adjusting his dose. We see minor dips in appetite and stamina when we lower his dose and his height is beginning to slow just a little bit. He's gone from the 25th% to the 11th% for height. But still on the chart and MUCH better than where he was prior to treatment so not a big deal at all.

Two weeks ago we had our annual visit at Cincinnati Children's DMD clinic. We're happy to report that he's doing VERY well! All of his timed tests were the same as last year and his strength is still very close to that of a 'normal' boy his age. He does continue to have tightness in his heel cords and hamstrings and we'll focus on lots of stretching to keep it from getting any worse. We discussed the possibility of doing another muscle biopsy so we can find out exactly how much dystrophin he has and where he fits on the Duchenne/Becker scale. Not sure what we will be doing yet. For now they are calling his phenotype "Intermediate" and thinking he will progress somewhere in the middle of severe DMD and mild BMD. He got his first manual wheelchair in March and loves it. Cincinnati was our first big trip with it and all went very well. It's a lot more comfortable for him than the stroller.

I can go into a lot more detail, but this is plenty long enough! I will do another update soon; I promise!!

Oh, I can't forget to add, tomorrow is Carter's kindergarten graduation!! Can you believe it?! My baby will be a first grader as of August 11th! =*) He's doing soooo well in school, he's reading WAY above grade-level and loves to write stories as well. We are beyond proud of him!!

Friday, February 5, 2010

Six Years Ago

February 5th, 2004 we discovered just how difficult and rewarding this parenting thing can be. It was the one of the hardest and happiest days of my life.


My pregnancy was easy for the most part, but became high risk towards the end due to concerns about growth. I ended up with a diagnosis of IUGR (Intrauterine Growth Restriction) and had to go in for extra ultrasounds and monitoring 2-3 times a week for the last 2 months. We were expecting a small, healthy baby boy. Carter Blaze was born on February 2, 2004 at 3:36pm after a 41 week pregnancy. He was 5lbs 11oz and 18.5in long. The umbilical cord was very thin, but he appeared to be in perfect health. That appearance began to change pretty quick. Carter refused to eat.

I remember trying to get him to nurse for the first time in the delivery room, he latched on perfect and then just looked at me like he knew he was supposed to be doing something but just couldn't. That continued all through the night. I kept trying to get him to nurse and he would just latch on and stare at me. He didn't cry or act like he was hungry at all. Chris and I thought it was weird that he didn't cry, but we thought it was something we should just enjoy. The nurses thought that I was too young and didn't know what I was doing and figured giving him formula was the answer. They eventually convinced us to try giving a bottle the next morning to see if we could get anything into his system. He refused to suck from the bottle as well. While he was in the nursery to have some blood work done and get cleaned up after that the nurses took the top off a bottle and tried pouring it into his mouth! He threw it up in their faces. During the night, even though he never nursed, he began to spit up. It was a light yellowish color. The Dr. wasn't worried though and said some babies don't eat until they're 24-48 hours old. He said Carter just needed some time to have his first bowel movement and then all would be well. He said we could go home as soon as he pooped. That afternoon his spit up started turning more and more green and his belly was a little swollen. He was then confined to the nursery for observation. I sat there next to him until about 3am when I couldn't keep my eyes open anymore and went to bed.

I woke up at 6am and went straight to the nursery to check on Carter. The pediatrician was there and came right out to speak with me. The first thing he asked was if anyone in my family had cystic fibrosis. My heart sank... The Dr. began to explain that a transport team from Loma Linda University's Children's Hospital was on their way to pick Carter up and he was being transferred to their level 3 NICU where they could do further testing. They believed Carter had something called meconium ileus, which is an intestinal blockage and usually occurs in newborns with cystic fibrosis.

The transfer team got there and started to stabilize him. He was dehydrated, and got an IV right away. (No one from our hospital could get an IV in a baby his size). He was then put into a transport incubator and took his first drive via ambulance. Because the transport team had 3 members and the EMT had to ride in the back with Carter also, we were left to follow in my car. He arrived at the NICU with a blood sugar of 240 and weight down to 5lbs 3oz but he was otherwise stable. Still very calm and alert. They did several tests on him that day and concluded that he had some kind of an obstruction in his small intestine. We met a lot of Drs who told us it could either be an actual closure in his small intestine, or meconium ileus which could be a sign of cystic fibrosis. He was scheduled for exploratory surgery the next morning and they took several vials of blood to send for cystic fibrosis screening. They didn't want to waste any time getting an official diagnosis if surgery showed meconium ileus.

The next morning we got to the hospital real early and sat and rocked Carter while we waited for his turn in the OR. We took a lot of pictures and just snuggled and enjoyed our 3 day old baby who was about to have major surgery. I knew it was serious, but that fear didn't overshadow the happiness. These pictures make some people sad, but they are some of my favorites. This is when nothing in the world mattered compared to being able to hold that sweet baby.






The fear didn't hit me until it was Carter's turn to go downstairs. He was sedated and his arms and legs were wrapped in gauze to keep his temp up during surgery. They brought him out on his warmer to the elevator and all our family members in the waiting room were able to say a quick hello. Then chris and I got in the elevator and rode to the OR with Carter and his nurse. The doors opened into a small area with a big set of double doors leading to the operating rooms. We had just a minute to kiss him and say our goodbyes and then he was off to surgery. Chris and I rode back in the elevator alone.

That elevator ride was the worst. It was the first time I even considered the thought that it might not all be okay. I realized just how close we could be to disaster and could think of nothing better than holding that sweet boy again. All of the emotion from the past few days hit me at once. He was going to be okay, he HAD to be okay. To stay distracted during surgery we first went down to the cafeteria, then all camped out in the NICU waiting room and played cards and ate ice cream. We all tried to be as positive as as possible while we waited for news.

His surgery started off laproscopicly and was supposed to last a little over an hour. It was close to 3 hours before his surgeon stepped off the elevator. We got the best news imaginable. Everything went well. Carter was going to be just fine! He didn't have meconium ileus, he had what's called a type 1 ileal atresia (his small intestine was closed off just before it attaches to the colon). It meant a more complicated surgery; Carter lost 12cms of his small intestine. But it also meant there was no reason to think he had cystic fibrosis! The Dr. said he would grow up to be healthy and shouldn't have any long term problems. He said that if all went according to plan, Carter could be home in 5 days! We were overjoyed. Ecstatic. I learned what "happy tears" really are. I will never forget that moment, it was amazing.

I never imagined before becoming a parent just how intense the emotions that come along with it are. It is immense love that I think I only truly realized when faced with the possibility of losing it all. For the first time, I learned how important it is to cherish every moment we have.

For those that aren't familiar with our story, Carter ended up getting an infection after surgery and spent full month in the NICU. He had a few problems once he came home; we soon realized he was allergic to cow's milk protein and his growth was VERY slow. He was diagnosed as having growth hormone deficiency just before he turned 3 and has anaphylactic food allergies as well. He had a few more Drs appointments than the normal kid, but we expected that as he got older he'd continue to do better and for a few months we didn't worry about his health much. That all changed when Carter was 3 1/2 and we first heard the words Duchenne muscular dystrophy. My mind was suddenly thrown back into that fear of losing my baby. I again vowed that he was going to be okay, he HAD to be okay. We were again reminded just how important every second is. I think we all need this reminder sometimes. We need to slow down and really connect with our loved ones. We need to realize how lucky we are to have the people we do in our lives.

:)

-Rhiannon

Don't worry, there's lots more to Carter's story!