Friday, 30 July 2010

Zack's Christening




What a lovely day we all had. Granted the first part was spent hoping Zack didn't puke up over his gorgeous outfit or the Vicar. He managed a good cough in my face though, had hiccups all the way through the service, but all in all he did brilliantly.


The church was small and intimate and it was lovely to share this day with all our family and friends. Zack received so many wonderful cards and gifts I was overwhelmed by the generosity and kindness of people.  A huge thank you to everyone. 





The get together afterwards went down well and I was so pleased with my boy for  being so good.  He was past about a lot and he didn't cry once, plus he wasn't his usual self as he had been out of sorts for a few days.

Towards the end he did crash out and I think the picture below says it all.....


Baptism......job done.



Saturday, 24 July 2010

I knew in my heart he wouldn't leave me

Tomorrow Zack is being Christened for the second time in his life.

The first time was done in a cloud of despair and failing hope. He was only twelve hours old. Doctors told us they didn't think the signs were very good. In my morphine hazed head I didn't want him to leave us without being baptised.

I was wheeled up to his incubator, they put up a blind to hide us away from the eyes of other parents. They will have heard the desperate baptism though, knowing why we were doing it. It was over within minutes and I knew in my heart he wouldn't leave me.

So tomorrow we do it right. How it should have been from the start, with friends and family. In a church, at a font and with hope.

The Pants is oblivious to the whole thing and has been having an off day today intermingled with puking. Hope he doesn't throw up in the holy water. That would be very rude.

Thursday, 22 July 2010

And of course he aspirated

We've had a busy week. This will be a long post, stay with me if you can.

New Speech Therapist.

Thanks to Cerebra, that fabulous charity for brain injured children, we have been given £500 in vouchers to spend with a private speech therapist. After a bit of searching we have found a lovely lady who is going to help us with Zack's communication skills.

She came round on Saturday for an assessment. We went through all the of Zack's little ways that he communicates now, how he anticipates certain games, how he laughs in amusement at things, how he shouts at us with intention when he doesn't want t go to bed. All good building blocks to start off with.

Dan was explaining how Zack doesn't like his nose to be pinched and usually pushes you away with his hand. Speech therapist tested the theory out. Zack made his daddy look stupid as he smiled at the nice lady as she pinched his nose. Twice.

Oh that wasn't all, it seems he took a real shine to her. He was playing in his little room and we pulled him out so she could take a closer look at him. She took one of his hands and shook it whilst saying the words "Shake, shake, shake." Well, that was it. Very, very funny. She then took his other hand as he lifted it up and shook them both together. Ohhhhh absolutely hysterical. She kept dropping one of his arms to see if he would lift it up again to continue the game, which he did. Several times. She explained that this could be him just reacting without realisation and we are teaching him what it is so that he does it again. In this instance the shakey shake game. Dan and I think he knew exactly what he was doing and was doing so on purpose in order to carry on his flirtation with his new best friend.

Favourite teacher is now coming back for a therapy session with lots of activities for Zack and I to do. I am sure he can't wait. The tart.



Videofluroscopy - so not a good day.

We took Zack for his videofluroscopy on Monday. In a word, it was terrible. The test was to see where the food is going when Zack eats orally, to see if it is going to his stomach or if he is aspirating and allowing food to go into his lungs.

When we got into the room we were told he would have to be seated into a tumbleform chair. I knew as soon as I saw it, he would hate it. The chair is quite far back and positioned a bit like a car seat.  I explained we usually feed him sat on a knee, but we were willing to give this a go for the purpose of the test. I put him in the seat, and what was most heartbreaking of all was he gave the SALT such a beautiful, trusting smile. Poor Zack.

His dad fed him the first two bits of food which he swallowed safely. But he was getting agitated in the chair, Dan asked if he could sit him on his knee. They told him to sit him with his back pressed on Dan's chest. One therapist was holding Zack's head up and another was spooning large blobs of nasty stuff into his mouth. And all my baby was doing was sitting there staring at these five people in front of him completely bewildered by the whole thing. He wasn't even concentrating on what was happening, food was literally falling out of his mouth. And of course he aspirated. So they stopped the test.

I did make a point of how I thought it was confusing and unfair as he is fine at home when we feed him. He looks at us, we do small spoonfuls and I wait until I hear a swallow. The whole process during the test was unnatural and upsetting. Needless to say we are now in limbo as to what to do about his feeding so have an appointment with the SALT on Monday to discuss everything. I want to carry on trying with him, but at the same time I don't want to put him in danger of aspirating and causing him to get very poorly with a a chest infection. By the way Zack so far has never been in hospital with a chest infection caused by aspiration therefore we must be doing something right.


The great Switcheroo

And with the downs came the ups. Zack's physio and his vision teacher paid a visit this week to take a look at Zack in his standing frame. The vision teacher brought a long a switch and adaptor for us to try.

The switch is a big round button that is connected to a box. The box is then connected to a piece of equipment, in this instance it was a small fan. Every time the button is pressed the fan comes on, teaching the child cause and effect.

I wasn't holding out much hope that Zack would get this but boy, did he prove me wrong. Once the teacher showed him what to do he really tried his best to move his arm and hit the switch. He did it consecutively three times. At one point he moved it with one hand over to the other, he even tried reaching out with two fingers to it. I was amazed. I couldn't really believe it. I turned to his teacher and said is he really doing this. "Yes" she said.  "Oh I have no doubt how aware of everything he is, he'll get bored of this quite quickly. We can work up to having three or four switches that make different things happen."

Eh? Hang on a second, are you sure? But she seems confident and he did love the fan when it came on. So now mummy is tracking down some switch toys to borrow, rent or buy.

But after such a crappy start I was so proud of how he got it straight off the bat. Pants you really are a clever little cookie.

Wednesday, 14 July 2010

Zack is definitely an under responsive child

Zack went to play group on Monday. They had a seaside/beach theme. Zack wasn't too impressed with the sand or the stones or the fact that he sat in a chair and couldn't reach the table. It was quite busy with some new children and parents. 


His physio came in for a visit which he gratefully received by leaving a bit of spit/puke on her hand. Well, she had been moving him about and he just wasn't in the mood for it. As usual Zack was more interested in scanning the room and taking in the situation rather that playing with any toys. He was particularly interested in some young dad who had brought his son along. Not sure why but he wouldn't stop looking at him. Perhaps it was the shellsuit he was wearing, the dad that is, not Zack.


Zack wasn't that responsive in the playgroup, he seemed to be having one of his switched off days. He has them from time to time. It used to bother me that not every day was one filled with him taking things in and responding but now I understand that for Zack some days are just off days or duvet days. When he's like that we just do nice things like cuddles and sleeping.


After the playgroup we had a dietician appointment. Zack, amazingly has grown 4cm in six weeks yet not really gained any weight. The dietician (a new lady the other one has disappeared) isn't concerned as he is growing so we are going to see what he is like in five weeks time. She suggested that because he was poorly a month or so ago he may have lost weight then so it is better to wait and see how he is in a few weeks and then make a decision as to calorie in-take. I personally think we should have increased it a little but I am willing to wait and see.


I went to a seminar today about sensory integration. It wasn't bad, I came away with a good understanding of what it's all about but I would have liked more information on what type of things you can do for your child. However I did clarify that Zack is definitely an under responsive child. That is, he needs a lot of forceful stimuli to get through to him. Some children are very over-responsive and the slightest thing will set them off and make them highly anxious. Zack is the opposite, which is why he likes loud noises, rubbing his arms and legs, rough and tumble, jigging up and down. I think they key is to just choose one sensory input, for example, his hearing and make a huge increase in the stimulation you give in this area. If you included all the other sensory areas at the same time, this would just over-load him and he would find it too confusing and would be unable to comprehend what was going on.


I also discovered how important vestibular activity is (movement and body awareness in space) as it is strongly linked to visual and auditory pathways. I guess this means more swinging in the garden for the Pants.


Had a chat with the epilepsy nurse today about Zack getting this new medication. He had a day or two with increased seizures, yet today he has only had a few. As it is up and down at the moment we agreed that I will keep a diary of them over the rest of this week and call her on Monday to discuss it further. I think if they remain increased then we will definitely be giving him the new drug. 


Oh and finally not sure if I have mentioned this previously but Zack has two teeth popping through. At bloody last. Two little ones on the bottom. They didn't half take their time, mind you, Zack takes his time with everything but then what's the rush? He has all the time in the world.

Wednesday, 7 July 2010

The pep talk worked

Zack has a standing frame. I have been pestering our physio for one for a while as it seemed like Zack was enjoying pushing himself up on his legs more and more.


Finally one arrived from a magical place called Stores. I am delighted to say it came in a charming bright yellow colour and clashes beautifully with his wonderful orange sunbeam chair. Why can't manufacturers make special needs equipment in tasteful fabrics do they think everyone's house is painted bright orange (apologies if your house is painted bright orange, but seriously, you should know better.)


Yes, it arrived, it was a bit grubby so I cleaned it up. I went out for a bit. I came back and Dan told me the physio had called to say it should have been delivered to the Child Development Centre and not our house as she wanted to try Zack in it first. She told us not to try him in it and hang on until Monday for our appointment. Okay I thought, I'll wait but it isn't leaving the house. Ever.


Monday came and with it the Physio. We tried Zack in the frame and there he stood, arms out front, head up, looking at his toys. The physio was both impressed and surprised. We tried him on three seperate occasions in the frame and he really liked it. The physio thought he wasn't going to take to it and might get a bit stressed about it all but no he was one happy little boy. Zack got lots of well done comments and clever boy statements, I was very proud. I also knew he would like it. Plus I had a word with him the night before and told him to not let me down, this is a team effort and he needs to put in a bit of work otherwise we aren't going to get to keep our magic yellow standing frame. The pep talk worked.


Will post some pictures of him in it soon. I agreed with the physio that I would just try him in it for five minutes a day so that he can build up his tolerance. The frame will help him to bear weight through his legs, hold his head up and strengthen his back and chest. 


Parents Views


Warrington Council have set up a Parent and Carers forum as part of Aiming High for Children with Disabilities. I went along to one of the forums last night and was astounded at the lack of representation of parents with children who have multiple disabilities. All the parents that came along had children who were autistic or have aspergers and it seems that Warrington is very heavy in this area of disability. Another area I noted was that much of what had taken place so far in discussion or previous forums has centred around children from five upwards, there did not seem to be a lot going on for early years. I have put myself forward to become a parent representative. If the local council have been given a large sum of funding for this area then I want to ensure that at the very least I can be a voice for my child and other parents who have children with profound disabilities and complex needs. 

Zack went to Space

Zack went to Space. No, not space, space but Space a fantastic soft-play multi-sensory centre in Preston.

It was arranged via our lovely friends on the Special Kids in the UK forum so there was about four families who went along. There was a ball pool that Zack enjoyed sitting up in whilst taking in the light show on the walls, a sensory wall, water bed and bubble lamps. Best of all was a huge soft slide which I think I enjoyed more than Zack. Here take a look.


Space Videos




Dan decided to let Zack try and bounce up the big steps which he though was very amusing before flying down to the bottom, which I think he was a little unsure about.


We loved it there and I think that Warrington are converting an old Playbarn in Woolston into a sensory play centre so soon we shall have our very own little bit of Space.

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