Saturday, June 29, 2013

A Family of Four: One Year Later


June 6, 2012
The Gawel household was preparing for the arrival of our second little boy coming home. We were giddy with excitement for Connor to meet his little brother for the very first time after 2 months and 5 days living at the Children’s Memorial. I spent half of the day at the hospital going over last minute items with the nurses and doctors. The other half of the day was spent organizing the mass amount of medical supplies being delivered from our home healthcare services.

Car seat test one day before departure


Just a fraction on the medical supplies delivered


June 6, 2013
I arrived at the Illinois Center to meet my friend Carrie on the first floor before making the trek up to The MIX studios on the 27th floor. Carrie is my dear friend who started the Jackson Chance Foundation to honor her son Jackson’s (also known as Little J) legacy.  Carrie and I were invited to record our stories about our boys and our friendship for a local Chicago radio show called The Eric & Kathy Show. Does that sound familiar?

If you go back to September 7, 2012 you may remember the Eric & Kathy Radiothon benefiting Lurie’s Children’s Hospital. The radiothon started around 5:30am about an hour after JD’s first buddy, Jackson/Little J, passed away which I detailed here. The Eric & Kathy Radiothon allowed Jackson to be celebrated and honored on the day he entered heaven.

9 months later we sat in a recording studio opposite Eric and Kathy sharing what Lurie’s means/meant to us while we spent many hours at our kids bedside. Looking back I never realized just how much time we spent at the hospital. It was a full time job traveling to and from the hospital while at the same time making sure Connor was not feeling the changes. Was it a lot of work? Yes! But at the time it did not feel like a lot of work. It was what you do as a parent. You love your children as much as you can in the best possible way you can.

June 7, 2012
I woke up so energized knowing my two little buddies would get to meet today.  The excitement for the boys to meet helped mask the fear of taking care of JD without the help of doctors or nurses. Yes, there was a little fear knowing the tube running down his throat had to be in the exact right position or I could potentially drown my son from the inside (okay maybe not that dramatic but it sure felt that way).

The post from June 7, 2012 helps sum it up.

My favorite part of the day was the moment when Connor ran to the backdoor with the Pokey Little Puppy stuffed dog he picked out for JD. As he set it gently into the infant carrier he looked up at us with a large smile and said “Hold it, please” as he tried to slide his hands under JD. No matter what sort of rascally things Connor does towards JD in the future I will always know he loved his brother from the first moment he laid eyes on him.

The Gawel brothers finally together

First night sleeping comfy at home

June 7, 2013
Our pediatrician Dr. D is pretty dope!

During our April appointment I showed Dr. D the boys Opening Day picture which is adorable (I mean how could you not love this pic)

Opening Day boys

He asked if I could send him the picture, which I did. A week later he called me to tell me he had forwarded that picture on to a close friend at the Cubs and the Cubs organization would like to invite us to a game. How wonderfully considerate and nice, I thought. Those words do not even describe our ticket pick-up experience let alone our day. 

Wrigley Field is one of my favorite places in all of Chicago
Take me out to the ballgame

Let's get some runs . .. seriously some runs would be nice

We picked up our tickets at a special side entrance where we avoided the main gate and escorted to the concierge to check our stroller.

Next we picked up our tickets. Not to brag but I am pretty good at understanding tickets, row, aisle, seat  . . . doesn’t take much to follow the numbers. Yet, these tickets were different and very difficult to understand. As we were being directed closer and closer to the field bubbles of excitement started to form. We finally arrived at Asile 19 and showed the usher our tickets. He looked at the tickets, smiled at us, and said “oh, follow me.” Down we walked until he held his hand pointing to the VERY FRONT ROW behind homeplate. As he walked away, he smiled and said enjoy the game. WHAT?!?!? Greatest Cubs day ever. Even Nate who plays everything as super cool guy got pretty geeked out by these seats.

If that was the end of the story it would be an outstanding story but it’s not . . .it goes on.

About 30 minutes before the game Dr. D’s friend, Wilford Brimley (or the identical twin who works for the Cubs) came over and said “Is this Connor and JD? How are you boys doing today? I heard your favorite player is David DeJesus. Do you want to meet him? Come with me.” SERIOUSLY!?!?! Why does Connor love DeJesus so much? Last year I went to a baseball game with some friends and they handed out David DeJesus bobbleheads which Connor loves. As a 1½ year old he would run down the hall “bobbling” his head holding DeJesus. He truly is his favorite.

June 28, 2012: Hot summer day just hangin' with David DeJesus bobblehead

Fun David DeJesus Facts:
His birthday is the exact same day and year as mine. DeJesus knows what it’s like to have this said to him “this is for both your birthday AND Christmas.” Ugh!

Nate went to high school with DeJesus’ wife, Kim

As we chatted with Wilfrod Brimley we watched a few of the ceremonial opening pitches, watched as the ball kids got ready, and the players take the field for stretches. Next we were escorted on the field for a family picture:

Nate had to hold Connor tight as he was very close to running the bases

Standing on the on deck circle waiting for DeJesus looking up at the stands made my eyes water. A year earlier we were driving slowly down Fullerton staring at our 6lb 10oz baby. And yet on Friday I stood with a sore back because my 18½ lb baby was heeeeavy. Smiles and watery eyes.

Ever see a 2-year-old try to comprehend how his bobblehead is now a real person? It helps me appreciate that wide-eyed innocence during special moments in life. Our real-life bobblehead was such a sweet guy. Sometimes the people in DeJesus’ situation can blow off their little fans but that was not the case with DeJesus at all. He happily had a conversation with Connor about how bobbleheads’ heads move around. He gave him a game ball. But coolest of all he reached in his back pocket and handed Connor his batting gloves. Connor is NEVER short on words and he just stared with a smile and wonder. Treasured family moment forever. June 7th will continue to be a very special day for the Gawels every year.


"David DeJesus said 'Hey Buddy' and gave me his batting gloves" Connor loves telling the story

Gawel Family photo with our bestie David DeJesus

First ballpark hotdog

View from our seats

June 8, 2012
It was me and my two boys alone for the first time. Was I scared? Yes. Did Connor watch more TV then he is normally allowed? Maybe J Was it fantastic having both boys home with me all day? ABSOLUTELY. We started learning just how hard the nurses work remembering the feeding schedule, the medicine doses, when to check vitals, changing diapers, enjoying some playtime, and so much more. We loved holding him without cords and wires. Connor continued to protect JD and make sure he had his Pokey Puppy with him at all times.  

We could not leave the house or go on walks or run to the store or visit friends but we started our life as a family of four and we were loving it. Our fabulous friends, the Webers, dropped off Lou Malnotiis pizza and wine for dinner topping off a great first full day at home.

Making himself right at home


June 8, 2013
Coming off the high of our Cubs game we rolled right into the weekend with excitement. Lil’ Sluggers in the morning then Ribfest Chicago in the afternoon (trying to get all our fests in before moving to the ‘burbs).

As we watched Connor lead his team in . . . troublemaking (the 25 year-old coaches have patience of a angels) our favorite Dr. D came running by and stopped by to check-in on our Cubs outing. The smile that formed on his face matched our own as we excitedly told him about Connor and JD high fiving Daivd DeJesus.  Knowing JD’s up coming surgery will put him out of commission recovering for at least a month he was thrilled to help us create special family moments.

We ended up stopping by his house to share a few cheers and beers with his family on the way to the Ribfest. Warning: the Gawels love a good backyard party so if you are inviting us just to be polite too bad because we will actually show up.

Another great day wrapped up with a Game 5 win sending the Blackhawks to the Stanley Cup Finals.

Hitting home runs never gets old

Heading to the Ribfest


How many ribs should we get?


June 9, 2012
Saturdays in the summer are suppose to be spent outside enjoying the air and allowing little ones to wear themselves out. However, last year we could not leave the house as a family as JD was not yet ready for the city world. Instead we took turns taking Connor to the park, to the store, and to get ice cream (that was my turn).
If you were driving through the city on this day you would have seen a line of ambulances making the 3 mile drive from Lincoln Park to Streeterville transporting kids from the old Children’s Memorial to the new Lurie’s Children. Throughout the day while we enjoyed home snuggles over 200 families were nervously awaiting their turn in the ambulance.  I was actively texting my NICU moms and our nurses while following the progress of the move online. All went well and our buddy Jackson got the best room with the best views in the house which he deserved.

That evening I finally got to take my matching PJs picture that I dreamed of since the moment I found out we were having another little boy. Being home as a family of four was becoming comfortable

Saturday night family of four

Brothers matching PJammies


June 9 2013
Sunday mornings are for brunch. If I had my way we would go to church and brunch every Sunday morning  . . . but pretty much everyone else in Chicago has the same idea leaving long waiting times with two hungry adults and two rascally kids.

A year ago this kid was wearing a collar and was unable to  be held without lots of support, now he is practically sitting up on his own

 While big family moments with Cubs players are some of our favorites we will always have a place in our hearts and memory for the everyday joys - brunch, park, naps, family dinners, movies, walks, laughs and most of all nightly snuggles. 

June 10, 2012
With each day JD was home we got a little more comfortable and felt a little more like our life as a family of four was becoming normal. June 10, 2012 was the day Connor became his little brother’s personal superhero. As we went about our day Connor would periodically check-in on JD and  . . . well you know the rest. JD made a noise, Connor said “JD out,” Nate noticed he was blue, the ambulance arrived and we were back at the hospital (read all about it here).

An hour later he turned blue

Thus, our next 1½ months were spent at Lurie’s Hospital . . . not a bad place to be when your little one needs extra care. We rolled right back into our old routine but the best part was Connor was now allowed to visit. While he loved seeing his brother the full size Chicago fire truck was really the draw. Daily, Connor would ask if he could “go to JD’s hospital.”

Over the next few weeks we celebrated Father’s Day, the 4th of July, and summer in our private room at Lurie’s. While I would have loved being home with both of my boys during that time I am grateful for those extra few weeks. It was during those weeks I spent more time with my friend Carrie and her little man Jackson. I cherish those moments with Jackson and Carrie.

It was also during that time I got to know the new hospital much better. The months following our discharged included LOTS of appointments at the hospital and by that time I was totally a pro making the appointments much smoother.

June 10, 2013
A typical Monday: play date at the park with friends, trip to Trader Joe’s, naps, and playing baseball while wearing David DeJesus batting gloves . . .you know a typical day.

DeJesus' gloves almost fit

Balls are hit further and bases are run faster with DeJesus' gloves on


On June 10, 2012 if you would have asked me “what do you think you will be doing this time next year?” I would have told you “I have no idea what the future looks like.” I always knew we would find our normal but I was unsure of what our normal would be. It turns out our normal is the exact same as I always imagined  . . . with a few more appointments. And in reality is there really even a “normal.” Every family is unique in their daily routines and adventures.  The Gawels are no different. When we received JD’s diagnosis I did not know how the words “special needs” would fit into our daily lives. It turns out it doesn’t . . . because the words special needs never come up. JD needs a bit more attention but then again what second child doesn’t (the second children I know always were a bit more rascally even as adults). 

Chunky, happy boy with no wires, no collars, no helmets, no shoes just fun on the floor



A year ago he had a collar and was not cleared for tummy time. Today we are working on rolling over all by himself.


***********

Gawel Adventure List
With JD’s surgery coming up we working towards checking off items on our Gawel Adventure List in the next few weeks. Knowing it may take a few weeks before JD will be up and running at full speed we want to make the best of the summer prior to surgery. Therefore, we have fast tracked some of the simple things we want to do this summer.

Things like:
*Watch the boys play in the sand at the beach
*Take a family ride on the ferris wheel at Navy Pier
*Attend a Kane County Cougars game with friends
*Swim in grandma/grandpa pool for the first time.

Simple yet memory making. I love making childhood memories. We kicked it off big by becoming besties with David DeJesus so we are hoping to keep the excitement going.

This week, one more thing has been added to the Gawel Adventure List:
*Gawel Family Photo with the Stanley Cup

When I was pregnant with Connor the Blackhawks won the Stanley Cup. I was unable to attend the parade because a crowd of 2 million people does not mix well with a 7 ½ month pregnant belly.

When I was on maternity leave the Cup made it’s way through my office allowing my coworkers to take pictures with the greatest sports trophy in the world (next to the Olympic Gold Medal – obviously). Thus I missed out on the parade and the Cup in 2010.

Once again the Blackhawks have won the Stanley Cup and once again I missed the parade. I have watched as Facebook has blown up with pictures of the Cup all over the city of Chicago. Once again I continue to miss it. But not this time! In order to avoid missing it I have added “Gawel Family Photo with the Stanley Cup” to our Adventure List. Not sure how I plan to make that happen but considering we gave Connor the Kaner . . .

Connor the Blackhawk

… we will find a way. Part of me hopes they make their rounds through Lurie’s while JD is here surgery but the likelihood of that happening are pretty slim. Until then I plan on searching for the Cup in the hopes we can have a wall of super amazing photos from pictures with David DeJesus to JD sitting in the Cup (okay that is asking a lot but if you gotta dream big).

We will keep you posted on the Cup Watch 2013 but until then I will keep spiking Connor’s hair in the Kaner in the hopes we happen to be walking past a bar with the Cup.

Thursday, May 30, 2013

Profile of a Handsome Boy – Part 4


Genetics
Side note: Science geeks are asked to refrain from judging my descriptions of human genetics  . . . you know who you are.

The last and final piece to understanding JD is the most important. Without understanding JD’s genetic make-up it is hard to appreciate how truly remarkable James Douglas is in this world.

Let’s kick it old school and take it back to Science class. Humans have two sets of 23 chromosomes (labeled 1-22 plus X or Y for the gender chromosome), one set from mom and one set from dad, for a total of 46 chromosomes. On each chromosome are hundreds of genes that determine how our bodies look and function. Each tiny gene is just one piece of the human puzzle. Just like a jigsaw puzzle if one piece is missing the picture is still a picture but slightly incomplete. 

Taking a closer look at the 4th chromosome we dive further into our science lesson (ohhhhhh . . . Sheldon Cooper would be so excited right now). A chromosome is made up of 2 sections, also known as the arm: the short arm is called p (p is for petite) and the long arm is called q (it is the next letter in the alphabet – honestly that is the reason it is named q). 


JD's actual Chromosome Map - pretty sweet huh!

If you take a very, very VERY close look at the picture above you will see one of the 4th chromosomes is slightly shorter than the other. Can ya see it? It’s cool, it took me a few times too.

JD’s deletion is on the short arm (p) of the 4th chromosome. His classification is 4p-14 this means his genes are deleted from the tip of the 4th chromosome all the way to the labeled gene 14. The genes on a chromosome are classified with different numbers. There is still so much “they” do not know about chromosomes and the individual genes but “they” are finding out more and more everyday. For example, “they” have isolated a gene on the 4th chromosome which if deleted has been associated with seizures or other abnormal electrical activity in the brain. . .hence why JD and most of his little buddies have seizure activity. Bored yet?

JD's 4th Chromosomes: On the left JD's deletion, on the right JD's full 4th Chromosomes

Each child has a unique deletion. Given this detail it becomes very difficult to classify kids with WHS as mild or severe or to predict what it will mean for future development. I believe the best doctors will guide parents to look for support but avoid giving an estimated outcome based on the fact each kid is unique. After getting to know many of the other families it is clear no two kids are exactly alike. The severity of developmental delays depends: on the genetic material deleted, if there is a translocation or additional chromosome elsewhere, and, in my opinion possible the most important, the parental love and medical care available to the child.

Compared to others in the group JD has a big and rare deletion. Larger than our geneticist had seen . . .and yet, JD is dominating. We recently had a doctor’s appointment which started with Dr. D saying “Did you see the weight? Are you kidding? Check out his weight! He’s doing great” and ending the appointment by saying “I just love these appointments. They make my day.” On paper JD’s deletion tells us he will have some challenges. In reality JD tells us “bring it.”

Is he sitting up on his own? No. Can he hold his head up for a bit? You bet. Does he talk? He sure wants to. Does he smile? Kinda, at times. Does he move around? All the time, he loves to kick and stretch. Is he healthy? Heck yeah. Will he sit up on his own by the end of the year? Yes he will and that will be my first favorite milestone.

A serious question we never get asked but people talk around it: what is JD’s prognosis? When we first learned of JD’s syndrome the research told us not to expect much past the age of 2. Old statistics shows approximately 35% of children with WHS do not make it to their 2nd birthday.  However, that number has changed and decreased with new data. While over the past year we have said good-bye to some of the younger buddies in the group that number continues to decrease.

As of now no doctor has ever given us a prognosis nor have we ever asked for one. Just as the doctors in the NICU treated JD no different we plan to do the same. All of our decisions will be made to ensure he is healthy and comfortable but most of all loved throughout his life. Whether it is long or short JD’s life will be full of love and memoires. Hope that answers the question no one has wanted to ask J

Food
After 13 months of nothing but breast milk for JD and exclusive pumping for mom (yikes), JD has finally started to transition to blenderized food. In fact he is now eating 100% blenderized food . . . and loving it.

We met with a nutritionist at Lurie’s to discuss JD’s dietary and caloric needs. JD was eating 7 times a day every 3 hours with a break overnight. During the transition we moved to 6 times a day every 4 hours with NO break overnight (booo for 2am feedings back on the schedule). But now we have JD’s final feeding schedule, 5 times a day every 4 hours with a break overnight (no more 2am) YAY! This allows him to have more time where he is not hooked up to the feeding pump. The new schedule enables JD to have additional playtime with more activity and less downtime. Plus, selfishly, we no longer have to wake up at 2am and/or 5am to start a feed. The dark bags under my eyes should be clearing up any day now. . .

JD’s new meals include fruit, veggies, protein, grains, milk, and OJ all blended together for a healthy meal. There is a food-based formula we can purchase in a pinch but we figured we would put our Vitamix to work. The kid eats better than us at every meal. Makes me feel guilty when I don’t make a homemade meal.

JD's first taste of ice cream - obviously it's Bobtail Ice Cream (Bobtail is the local ice cream shop across the street from our condo which has 45 minutes lines out the door in the summer)

Give me more please!!!
Weight
It’s working! JD is chunky and handsome. As of yesterday, he is 18lbs 5oz which puts him off the charts among his WHS peers. 3rd percentile on the overall growth chart and off the charts on the WHS growth chart – we will take it!!! With his large ASD his heart has to work even harder to pump oxygenated blood throughout the whole body burning more calories as it works. Now you see why his weight gain is so incredible.

Reasons we focus on weight is twofold:
1)    These little munchkins grow slower and growth is very important for development. As a parent you don’t know how important growth is in the first two years until you have a little one who is not growing as quickly. The more he grows, the stronger he gets and the more he can do. Pretty simple biology yet so hard to accomplish.
2)    Anytime you have a surgery you want to be in fighting shape. Strong, healthy, and in peak condition. With JD’s upcoming surgery it is important JD be as strong and big as he can be. The bigger and stronger he is going into the surgery the quicker the recovery . . .is the goal.

We love chunky thighs and a big belly.

Chubbs with rubber band wrists
Therapies
I have not talked much about JD’s therapies and his amazing therapists but I will save that for another post on it’s own. Yet, I will tell you that JD is doing outstanding things like supported sitting while playing with toys, strong tummy time with good head holding, and rolling from side to side. He cannot quite get all the way over on his own but with some assistance he is looking good. More to come on his therapies but know he is rocking his weekly appointments.

Heart Update
We have met and discussed with Dr. D our pediatrician, we have met and discussed with the cardiologist, we have been to the cardiac cath lab (and discussed results), we have met with the cardiac surgeon (great guy who has an impressive resume of ASD surgeries), and now we have a surgery date. On Friday, July 26, 2013 JD will undergo open-heart surgery to close his very large ASD.

More details to come as we get closer but we ask you to save some of those “please let the Blackhawks win the Stanley Cup” prayers for JD in July.

Neck Update
After meeting with Dr. Neurosurgeon yesterday we are officially weaning JD off the collar. His neck looks great and for the time he will not need fusion surgery. About 3 months after his heart surgery he will get an MRI of his whole spine to check on a few things but for now the doctor is impressed (obviously) and has cleared JD for heart surgery.

The Whole Picture
When people say “medically complex” they could easily put a picture of JD next to the definition. Flip a few more pages and look up “fighter” and you will see an even bigger picture of JD.

Nate and I recently looked back at the list of signs and symptoms that MIGHT be associated with WHS. The list has 30 distinct signs and symptoms. Of those 30, JD has 25. Most kids have less and we have yet to find someone with more. Nonetheless, this list makes JD who he is today and we are incredibly pleased. When I first looked at this list in January 2012 I was incredibly fearful of JD having even 3 of these symptoms let alone 25. Now, I look at the list and think these signs and symptoms are not so scary after all. 

Fear comes from the unknown. Being pregnant with a child who has a very rare genetic syndrome is terrifying. When you become a parent you have an idea of how you want to raise your kids. You have a vision of these polite little mini-me clones that adore you and do their best to behave. Then you arrive home from the hospital with your first little angel (monster) and you realize you have underestimated this little creature.  Your future vision is adjusted.

It’s the same idea with a rare diagnosis. You have a vision full of fear of the unknown but then you meet your little bundle and once again your future vision is adjusted. Only this time you realize rare does not have to mean fear. Yes, there are many unknowns but it’s the things we do know that make us smile. At this point all we need to know is JD has added more sunshine to the family. Days are not filled with fear but rather smiles, laughs, and hugs. 

For all of his complexities James Douglas is a very strong and healthy boy. Doctors are continuously amazed when they see how great he looks and how well his little body functions. Through love, prayer, and positivity JD has continued to grow and surpass all old, antiquated expectations. We have no doubt that will continue well into the future. 

Happy First Birthday James Douglas!!!

Tuesday, May 7, 2013

Profile of a Handsome Boy – Part 3


And we’re back with our profile series. The anticipation is just as thrilling as waiting for the next Twilight. Sorry for the delay but we have been very busy with some fun updates coming up very soon. Stay tuned . . .

The Cord (Spine/Neck)
Life is a story and the events need to happen in a particular sequence to lead you down your true path . . .yada, yada, yada. You have heard me say this many times and I will continue saying it because it keeps proving to be right.

Quick reminder: At our Level II 20-week ultrasound the doctor saw a small hole at the base of the spine that was classified as Spina bifida. We prenatally met with the neurosurgeon specializing in Spina bifida where we discussed what that would mean for delivery and immediately after. It was during this meeting she told us JD would be monitored at Prentice until he was stable then transported to the NICU at Children’s Memorial . . . 3 miles north. Check out the post where we go into detail.
 
A few hours post delivery JD was transported to Children’s Memorial Hospital to spend two days preparing for Spina bifida surgery. Yet, when he arrived at Children’s the doctors started to question if he in fact actually had Spina bifidia (check out this post for more information).

It was through the multiple MRIs we received the good news JD did not have a hole in his spine rather a sacral dimple (just another sign and symptom of Wolf-Hirschhorn). This information was shared as I arrived at Children’s for the first time. I was tired, scared, lost in thought and had yet to see JD so it took awhile for the magnitude of this news to sink in. When I was pregnant reading up on Spina Bifida and WHS I would say to Nate “I wish he had Spina bifida OR WHS . . . but  WHS and Spina bifida together is going to be tough. And yet, on Day 3 of life we were once again rerouted onto a brighter path.

I woke up on Wednesday, April 4, 2012 with tears in my eyes scared that my son would be having spine surgery only to go to bed that night with tears in my eyes knowing he was resting comfortably without surgery. My belief in miracles grew a bit stronger that day.

However, the MRI did revealed JD has a misalignment in his cervical spine as well as a tethered cord.

C-Spine – From day 3 of life JD has had a soft collar to help keep his neck align as his bones formed. While it might not look like much the soft collar alone has shown astonishing improvement in a short period of time. 

X-Ray on the left (6 months), MRI in the middle (3 days old), CAT scan on the right (3 months) CAT scan - different views yet the same result outstanding improvement

On the first day I was discharged from the hospital I was able to hold JD in kangaroo skin to skin . . . and that was the last time that was allowed for the next 4 months

First and last skin to skin time while in the hospital - a very happy and tired mommy



In the beginning we started off having to hold JD on a pillow in a very specific alignment. No tummy-time, no skin to skin, no tight snuggles. The nurses would come over ever now and then adjusting his position making sure his collar was correct and his neck was aligned. 

 
Daddy with the pillow hold

After Day 3 it took two months before we truly had the chance to see his neck - the collar needed to be worn 24/7. The first time we took it off I fell in LOVE with his bulldog cheeks and they continue to win me over everyday.
 

First day with the collar (the red on his face is from the tape)

First picture without the collar - Hello Bulldog Cheeks

Same collar 12 months later

 Going from not being able to hold him close to my heart to now being able to throw him over my shoulder as he holds his own head up is my favorite part of watching him grow. His neck strength is inspiring and we have full confidence by Christmas he will be sitting up with little support. Given where he started this is an astounding achievement. 

One year later lookin' tough with bulldog cheeks and no collar


Neurosurgery continues to follow us and the likelihood of neck fusion surgery (fusing together the C1 and C2 vertebrae) continues to diminish. Fusion surgery still remains in the bullpen as a possibility but we are hoping with each therapy session and all of JD’s hard work we don’t have to go to the bullpen (especially if our bullpen is anything like the Cubs).

Tethered Cord – This was first mentioned in the A Delayed Happy Five Months post. A person’s spinal cord is supposed to end at L1/L2 vertebrae but JD’s goes all the way to L4. Technically your spinal cord should free float in your spine but JD’s is held down, or tethered if you will, which can cause restrictions.

Potentially a tethered cord can cause complications with movement of the extremities as well as other parts of the body controlled by the cord. Although, anyone who has seen JD in person knows he has nooooooo problems moving around. Cord surgery has been thrown into the mix of possible surgeries during surgery season for JD. Given his heart is the most important piece we will focus on cardiac surgery then more to the other specialist. Dr. Neurosurgery has once again been bumped from the top of the pyramid.

This brings me back to my original point . . .if that one doctor (the one who walked in the room and said “I guess I am the barer of bad news) had not mentioned the hole from the ultrasound JD would have stayed at Prentice in the NICU with many of his additional complications going unnoticed for the first few weeks. Nothing against the NICU at Northwestern but their job is to grow small babies, an oil change if you will. Yet, Children’s . . .well Children’s does the overall detailed diagnostic check scrubbing through every inch of the car not just changing the oil. Given JD’s complications he would have ended up at Children’s Memorial at some point. Yet, God gave us the clues to ensure we made it to the right place at the right time. While one of the hardest moments was to watch JD being wheeled away, I truly believe JD being transported to Children’s Memorial saved James Douglas’ life.

Tootsies(Clubfoot)
JD’s foot is correcting very nicely. He has no issues with his right foot, which is the clubfoot. But that is not the end of the story. The left foot, feeling left out (pun intended), has caused quite a few problems for JD.

Every classy woman knows when breaking in shoes she will suffer for looking fabulous. It’s natural and part of looking stunning. As JD was breaking in his shoes he too suffered for beauty getting a few blisters around his foot. Most healed yet a very stubborn one on the back of his heal continued to get worse. It finally created a hard callus and that was that.

Months later, JD became very moody while putting on the boots and while waking up in the morning. One night Nate noticed his heel was red and tender but I, being the great mother that I am, brushed it off. In my very flimsy defense, Nate hates the boots so I assumed he was looking for any reason to take them off. Mother knows best and I won that round.

The following morning I took off his boots and saw his heel was swollen, pink, white, and black all around his previous blister area. Please refrain from calling DCFS.  Off to the emergency room we went to ensure it was not infected. Infections cause fevers, fevers cause seizures and at this time he had not been diagnosed with seizures so we needed to stay on top of this one.

After 5 hours in the ER, 6 doctors, 4 nurses, and 1 orthotics guy they told me to go see our boot doctor. Perfect.

Dr. Boots recast his right foot for a few weeks to help the left foot heal. Once we put the boots back on he seemed fine again . . . until 3 days later when the moodiness started again. This time I was mother of the year and let him go without boots for two weeks (shhhhh, don’t tell) until we went back to the doctor.

Good news, his clubfoot is still very flexible so we did not lose ground. We now have a custom-made foot brace for his right foot at night so his left foot can stay free and clear. These don’t hold as well so they normally don’t like to use them but JD’s foot is correcting so nicely that Dr. Boots is okay with this for a few months. We actually think JD likes it more because he can move his feet independently.

For now, JD’s boots will sit on the sideline until we are ready for his next pair, which will be custom-made. Considering I could own two pairs of fabulous shoes with red soles, if ya know what I mean, for the price of these boots I might have to grab the red paint to spice up JD’s footwear. 


Look for wrap-up in Part 4 by the end of the weekend. Until then, enjoy the spring. . . especially our buddies in Minnesota who have enjoyed too much snow this year.

Just two classy boys

The goofball and the scholar