Wyatt got his new wheels and has started to actually enjoy his time in it, which is why I haven’t posted about it... the photos all show him “protesting”. But I think it’s safe to say he’s gotten more used to it and we have learned more about how to make it more fun for him.
Playing with toys is fun!
Playing with toys on the tray is LOADS of fun! He’s already learned he can bang things on it, which makes noise and makes him giggle. It’s so fun watching him learn and explore his world. We’ve gone on some walks and we are figuring out ways to use his new ride to do new things.
This week is pretty calm, other than therapy appointments. We just made a change to his feeds to see if that impacts his weight gain. But judging by this picture, I’m not sure we need to worry. I mean, check out those arm rolls!
As you can see, he’s feeling much better! Lots of giggles and fun. Cross those fingers and toes he remains healthy. We follow up with the urologist next week and are hoping to get on the schedule for the orthotist in order to get his leg braces.
So, if you’ve been around a while (or have gone back and read from the beginning), you’ll know that back when I was 26 or so weeks pregnant, we were told Wyatt had a complex heart defect called Tetrology of Fallot (TOF). We were prepared for him to have a NICU stay and open heart surgery at some point before he was 6 months old.
The day I was induced, the cardiologist was super concerned about his heart and growth, following an echocardiogram. He and my OB had a pretty quick convo while I was laying on the bed being monitored for my non-stress test. The convo went something like, “His heart. Not growing. We need him out.” And my OB was all like, “Yeah? Her blood pressure. Those contractions. Labor and delivery.” (I am pretty sure they were speaking in full sentences but I only heard a few words here and there)
After Wyatt was delivered, they performed another echocardiogram. It was confirmed then that he didn’t actually have TOF, instead he had a dysplastic pulmonary valve, a PDA (causing murmur), and some pulmonary valve stenosis. We would need to monitor closely, but he likely wouldn’t require open heart surgery.
We followed closely with cardiology since birth, about every 6 months. Yesterday we got full cardiac clearance for TWO YEARS! They don’t want to see him for two years! This is huge!
Brian looked and me and said, “Well that’s ironic. Remember when we were so concerned about his heart? Now it’s the least of our worries.”
So true.
This kid, he’s pretty crazy. He continues to remain a medical mystery. Unless you’re looking at his heart. Because his heart looks good. Stable.
The final diagnosis was a kidney infection. The blood cultures came back negative and he was displaying many symptoms of a kidney infection. Given his previous diagnosis of ureter reflux and hydronephrosis of the kidneys, it makes sense. Poor guy was really fighting that infection hard.
He was fever free since last night and had tolerated the oral (well, feeding tube) antibiotic, and his most recent blood work was very reassuring, so we were sent on our way.
He’s snuggled in for bed and we are hoping his little vacation to Hopkins doesn’t totally mess up his sleep schedule.
It’s a view that is comforting and familiar. But a view that brings some anxiety as well. It’s the view from Wyatt’s room at Hopkins.
Saturday he had another febrile seizure and we ended up in the emergency room because his seizure was drastically different than the first febrile seizure. This time was more shaking and less unconsciousness, no dramatic ambulance ride and a worried mama scratching her head saying, “I think it was a seizure, but maybe not?” It was confirmed Saturday night that it was a seizure caused by his fever. They ran some tests, he looked better, we were sent home with the rather uninteresting label of fever of unknown origin and told us to watch him.
Sunday was more of the same, fever but no real reason for the fever and LOADS of snuggles. Fever responded to Motrin/Tylenol if he got too high or was super uncomfortable.
On Monday, we followed up with the pediatrician because his fever spiked above 104 (my personal threshold— I get really anxious at that point) and we took him in to be seen. Ran some blood tests and his white blood count was high, which meant he was fighting an infection of some sort. Pediatrician gave us an antibiotic and told us to keep an eye on him, but take him in if we felt like we couldn’t handle it.
Monday afternoon he spiked to 104.8, the highest he’s been and after a few calls with his pediatrician and our nurse, I called it quits and brought him to the ER.
They ran some additional blood work and urinalysis and there is an infection for sure. The fear is it may be brewing in his blood, which is much scarier than we had imagined. In addition to the infection, his feeding tube may have finally kicked the bucket, as he just started leaking from the stoma. So we have asked GI and the surgical team to consult to see if we need a new tube. The difficulty with his GJ tube is that it can’t just be placed bedside, it requires sedation and in Interventional Radiology. And we all know how he does with sedation.
We are crossing our fingers that the blood work does not show any growth, that his urine culture tells us exactly what bacteria it is and we can treat that bacteria, his tube requires minimal fixing, and he continues getting healthier and healthier.
It's his seat! He had to help me read the directions to make sure I was setting it up correctly. Which is super difficult when he won't actually let me look at the directions.
But look at him in it!
A HUGE thank you to the Dixon Kaylor Charities for donating this seat. You have no idea what this means for our family. We can now have him sit safely in a restaurant with us. We can put him in the grocery cart and he can see things! He can sit on the floor at home and play with his toys, dogs, and his new xylophone and drum(I can't wait to get video of this!). He can access his world in a different way, a way that is more developmentally appropriate than sitting in an infant carrier. It also means we can transition him from his infant car seat and into the convertible car seat, which is perfect timing since he's just shy of the height limit.
We will forever be grateful for the generosity of the Dixon Kaylor Charity.
No big deal, guys. Just feeding himself sweet potatoes.
You guys. It's NOT avocado (he's obsessed) and he's doing it himself! Plus, he looked at the bowl and the spoon. Not bad for a kid with a visual impairment.
We had an ophthalmology appointment this week. The good news is, everything looks stable. No change. Which we expect*, based on his diagnosis, but we all know Wyatt is pretty much a medical mystery so we have come to expect the unexpected with him. The bad news is, we have to go back in six months. We were hoping they would say a year, since dilation is super annoying for a toddler and the eye exam is miserable for both of us, since I have to pin him down while they perform it.
*Optic Nerve Hypoplasia is simply underdeveloped Optic nerves. They shouldn't change at all since it's congenital and you can't regrow the nerves. The issue isn't with his "vision" since his eyes are great and his brain looks fine. It's simply that the nerves don't send the message correctly from his eyes to his brain. However, what he can "see" CAN improve, since you can train the brain to interpret the message the eyes are sending. It's a very complex way in which we see, and since his Optic nerves are underdeveloped, he has a harder time navigating those complexities. But, he's showing us we can never underestimate his willpower!
His wheelchair, stander, and bath seat will be delivered this week. I'm really excited for all three of these pieces of equipment. The wheelchair will provide support for his torso and neck, allowing him to sit up to see the world better. Talk about awesome! It will also allow us to safely push him around. While his current stroller isn't completely impractical, it isn't supportive enough and this will allow us to support him better and we can always remove some of the supports as he develops more. The stander will allow him to practice standing in a safe way and allow us to interact with him without having to hold him. I suspect he will tolerate it about as well as he did when we tried it out at PT, which involved protesting and attempts to lift his legs. And the bath seat. Oh the bath seat! We will finally be able to bathe him safely. He is currently in a bath seat that is too small and has no safety straps, which means in a blink of an eye he could roll off and have the potential to aspirate or even drown. Needless to say, baths are not my favorite time because it's a little scary.
We also got great news this week that a charity has graciously offered to gift Wyatt a portable seat. This seat has the potential to be life changing in terms of his ability to interact with his environment as well as keep him safe. The seat can be used on the floor, in a chair, in a shopping cart, and so many other places. I'll snap photos and post an official thank you once it arrives. We are completely in awe of their generosity, as insurance doesn't cover many items he needs.
He has a cardiology appointment in two weeks. We anticipate things will go smoothly, as he's not showing signs of cardiac issues. However, it's always a possibility that something has changed, so continued prayers that his heart has remained stable.
So things have gotten pretty interesting around these parts. I know I promised you a video in the last post and I think maybe I figured out a way to link videos, but he has an even newer trick (well, a few... actually) that I want to share.
First up... check out that attempt to stand!
This is HUGE! Because of his hypotonia (translation: low tone, which means his muscle tone is low. It's often referred to as "floppy baby syndrome") Wyatt has often looked more like a wet noodle, and often keeps his body curled or tries to put his feet up in the air when you attempt to make him stand. Recently he decided he wanted to push his legs down rather than keep them up, resulting in attempts to stand. While this often comes naturally for many babies, it's not ever been Wyatt's norm so to see this progress, we are ecstatic! Our infants and toddlers PT started pushing him a bit to stand (with LOTS of assistance) holding on to furniture.
Then there's this...
He's attempting to feed himself! Holy smokes, you guys! And it's not avocado. He's branched out to butternut squash and he actually likes it! I will say, mealtime is much more interesting, and messy, now that he wants to help.
When we got the feeding tube, he didn't want to eat orally. Then we took a step back with all of his illnesses in case he was aspirating, causing pneumonia. We reintroduced foods and he did well, then he got sick again and refused to eat. We tried again and now he's trying to feed himself.
Then, there's this...
WHAT?! He's showing beginning signs of crawling! This. Is. HUGE! This guy is a fighter and he's ready to move mountains. Not that any of us doubted that.
To say we are ecstatic would be an understatement. The last 21 months, we were never sure when, or if, he would do these things.
This kid? He's our lemonade. Life has handed him some lemons and he's making lemonade!
See this collection of photos? Notice something they all have in common?
Any guesses?
Give up?
He's looking at me. He's LOOKING at me. He sees me. This is huge. You know that whole visual impairment and those pesky developmental delays? He's making strides. This guy is so engaged visually in the world around him, which is something that's relatively new. When you hold him, he looks at you. He sees you. When he's rolling, he's rolling to get a toy he sees. He's reaching for small objects. He follows the dogs when they walk near him. If you're holding him, he cranes his neck to look at you or at someone else in the room.
This is huge.
We don't take milestones for granted around these parts, so we had a bit of a dance party this evening to celebrate that I actually captured it on camera. We have been noticing it for a little while, here and there, but seeing it as I scrolled through photos was quite a celebration.
He has another new trick up his sleeve, but I'm trying to figure out how to share a video on blogger.
In other news, Wyatt is going to be famous. He (and I) were interviewed today for a promotional video for the Children's Center. It was pretty cool to be treated like VIP's and to be at the hospital for a purpose other than an ER or doctor visit. For once Wyatt wasn't a patient (which was glaringly obvious because my hair and makeup were done and I wasn't gripping my coffee begging someone to invent a way to give coffee through an IV) and we saw the hospital through a different lens today. It was refreshing. When we get the video and the photos, I'll be sure and share if we are allowed.
Wyatt has a follow up with the pediatrician this week, so hope for some weight gain (but not too much, you know those specialists don't like plump kiddos... something about breathing safely?) and continued discussion about fever management for potential fevers.
We made it back to Maryland safely, with no additional "adventures". Since his febrile seizure, he has shown no signs of seizure activity and his neurologist feels comfortable waiting to see him until his next appointment, which is in 2018, since the seizure was related to a fever. This is good news. You always want to hear a doctor say, "Nope, no reason to see you for another year!"
While we were in Michigan, we had such a great time visiting with family. We had grand plans of making a few day trips and a date night, but after the drama from Monday night, mom and dad just didn't feel comfortable leaving him with anyone. So we spent time in Nana's pool, playing, and hanging with family. It was just what we all needed!
I snapped a few photos of my "nieces" hanging out with Wyatt and I've decided they are pretty much the cutest models you've ever seen.
This photo cracks me up because Stella (middle) was just telling Wyatt that her sister, Charlie, wasn't listening to her. And, he rolled away from her. She was totally not impressed with their listening skills.
Love is this. Right here. The laughter, love, (and baby scowl!), make my heart melt into a puddle.
All three looking!
Stella LOVES baby Wyatt.
We will continue to hope for no fevers and no seizures! As we begin to start thinking about back to school, we also hope for minimal germs. Wyatt doesn't fight illness like other kids. Back to school means mommy is exposed to lots of other kids, which is lots of germs. While he has shown us he is a fighter, we would much prefer to minimize the risk, as much as possible.
I would love to fill this post with photos like this one...
On the shore of Lake Michigan. Unfortunately, we had a bit of a different adventure last night that ended with a stay in the PICU at a local hospital in Michigan.
Yesterday, Wyatt was a little "off". My mom radar (Spidey Sense?) was going off and I was concerned that maybe he was coming down with something. We listened to his lungs and heard some wheezing, so I called our nurse back home and asked for her suggestion. Our choices were limited since we weren't at home and it was 7pm. I debated about taking him to an urgent care facility to get an X-ray to see if he had any pneumonia or something else going on in his lungs. We also took his temp, which was only 99.4. For him that's a little warmer than normal, so we gave some Motrin and got him ready for bed. He was extra fussy and just not himself, but we were trying to avoid an ER visit since it's not our normal Hopkins peeps who know him.
Fast forward a few hours later, around 9:15, and we heard him cough an unusual cough. My Spidey Sense was on high alert and we chose to grab him out of bed to assess the situation and take his temp. I took him off BiPAP to hold him and get his temp. His temp had risen to 103.6, after a dose of Motrin. We knew we needed to have him seen. I was getting ready to set him down to change my clothes (hello, pajamas) and pack up our hospital bag. As I was doing that, he began to have a seizure. It was very alarming, as he shook in my arms and turned a nasty shade of gray. Thank goodness Brian is much calmer in emergency situations and his first responder training kicked in. He told my mom to call 911 and we sprung into action to attempt intervention. Brian was beginning chest compressions and we threw on BiPAP since it would force air into his lungs for us.
Not even 4 minutes later, the first set of responders showed up. Thank goodness for growing up in a small town, as the first two people who showed up were people we knew. They got him stable and took over while the rest of the crew, including multiple ambulances and fire trucks showed up and assisted. We got him set up and transported him to the local ER.
He had a febrile seizure, which is a seizure from a high fever. Likely it has nothing to do with epilepsy/neurological complications, and was simply the result of a high fever. They chose to admit him since he's a complicated case and wanted to speak to his team at Hopkins. Our pulmonologist happened to be on call so she walked them through his typical care plan and we were admitted into the PICU. He slept comfortably and we were discharged this afternoon. His fever is likely the result of a virus and he needs to fight it. We will continue to keep him comfortable with fever meds and will monitor for any additional signs of seizures. Our follow up will be with our team back home. For now we will continue vacation here and just take it easy. Someone has to float in the pool and soak up the sun!
Resting easy in the PICU. As you can see he was very comfortable!
His afternoon has consisted of lots of snuggles from his grandmas and a nice nap in his Nana's arms.
We remain hopeful that he can continue to fight the virus at home (well, Nana's home) with no additional seizures. We welcome your prayers for a full recovery and a smooth rest of vacation.
Just stopping in to say hello, leave a few pictures, and catch you all up on what's been happening around here.
Wyatt has been trying some more new foods, including puffs. He doesn't love feeding himself, except when they fall out of his mouth. He gets a little angry about it and forces it back in his mouth. We have started playing around with location of food on his try to see if putting it on an angle, closer to him (it's on a large binder here) will help put it in his field of vision to help him see it better. Since food really is just for fun because all of his calories are fed through his tube, we are able to try and manipulate his environment a little and experiment with placement. We are noticing, though, we can only experiment with things other than avocado... he loves avocado too much to mess around with it. Haha.
Last weekend we went to the Food Truck Festival, which was at a local FarmPark. We looked at the animals and then ate our way through the festival. Wyatt got some up close and personal time with some animals and laughed hysterically when the sheep licked his toe. Daddy had to lift up the stroller so Wyatt could see the pigs.
The boys playing while we waited for our friends to arrive!
Wyatt had pool therapy this week and is really making progress in the pool. He's always a little hesitant when he starts, but warms up quickly. He is working on weight bearing and sitting in the pool. The hope is with less weight when he's in the pool, he can strengthen some of his muscles. His low tone causes a lot of challenges for him, so the water can remove some of those barriers and we can help him work on things differently than when he is out of the water.
He continues PT 2-3 times a week and he is typically less than thrilled about it. His therapists make him work and he's often vocal about his displeasure. Thankfully we know it's often just voicing his annoyance (no tears...) and not pain.
Today he did great at PT and even smiled at one point!
We have a GI and pulmonology appointment next week, so cross your fingers and toes for some added ounces and the green light from GI to try some new food textures. Pulmonology is just a follow up from the sleep study & a check up to make sure he's doing well from a respiratory standpoint.
This afternoon we got *official* sleep study results. We were shocked we got them back so quickly, and when the pulmonology phone number showed up, there was a moment of panic. If we have learned anything on this journey, it's that you don't want results back sooner than expected. That usually means things went awry, and the doctors need to get you in quickly for an intervention.
The doctor started off the conversation asking me how I thought it went. Seriously? Just tell me the results. I thought it was fine. The RT (Respiratory Therapist) winked at me. He didn't have any episodes. There was no hospital trip. I thought it was fine. But nobody pays me to interpret sleep studies, so tell me the real answer, lady.
The short answer?
No trach for this guy! He did well, he remained within his allowable settings, and had no episodes. The doctor did share his oxygen saturations looked good! This is excellent news. His CO2 levels were a little high, but it could be explained by the monitoring (it is not done as a veinous blood gas, which is the most reliable measure, but not feasible during the study). The doctor did point out that he's still on a very high level that does come with risks, like a pneumothorax, which is a collapsed lung, but the results of the study are very reassuring that the interventions we have in place are doing what they should be doing. For that we are grateful.
We will follow up in clinic in two weeks to discuss next steps, which likely will include asking ENT to scope him to see if there are any structural or anatomical reasons for the obstruction when he sleeps. From there we will know if there will be any additional interventions.
For now, though, we will take a deep breath and celebrate this news. This kid, he never ceases to amaze us.
Wyatt and his mama are spending some time in the Outer Banks of North Carolina! We are crashing with my friend Meghan's family. It was a sort of last minute decision and we packed the car and drove down here. Wyatt did well for most of the drive, minus an unfortunate diaper incident. Yuck.
All loaded up and ready to hit the road!
We hit the beach yesterday and realized pretty quickly that Wyatt is a beach baby. He loved the breeze and the sand between his toes. He even took a pretty great nap on the beach.
