The other night Emily was laughing at the noises Joe was making.
She was laughing so hard she could hardly catch her breath!
Our beautiful daughter, Emily, was diagnosed with infantile spasms in dec, 09. Our world has been turned upside down and this is our story...
I am so thankful for Emily. She made me what I had always wanted, a mom.So I think we are going to start Emily on baby food again! Before the horrible side effects of her many seizure meds Emily was a fantastic eater! I made all of her baby food and she was not picky at all. She loved her veggies most though.
She slowly quit eating and it was so sad for me to see her not be able to eat. The past few days though she had tried to bite whatever comes close to her mouth! It is kinda funny. So I think she is ready.
So I got several ketogenic recipes from our amazing, wonderful, and newly engaged ;) dietitian, Stacy. I am a little nervous about it though. Change in anything with a seizure kiddo can bring on seizures so I am praying for a smooth transition.
I just wish there was something I could do to get her to sleep at night. Currently it is 2:10AM and she is squealing and kicking with delight. Don't get me wrong I am to the moon happy that she is in a good mood, I would just love to sleep at night because though the night there is less care to be done for her. In the morning, when she sleeps the best, I have to do her meds, g-tube care, feedings, make phone call, appts, deal with crappy home health companies (haha! can you tell i don't like them?) and it does not make it very easy for me to get good sleep.
I got a video of her last night, I say I love you to her probably a million times a day and last night it sounded like she was trying to say it! Just ignore me repeating myself over and over.
I was trying so hard to get a picture of her smiling but she would only smile after the flash went off. Also I understand that there are a few students in Mrs. Rollins class that check-up on Emily and like to see her pictures so I put this one on her for you all today. Thanks for thinking about Emily I told her that you all think she is cute and she smiled!
Carnitine plays a critical role in energy production. It transports long-chain fatty acids into the mitochondria so they can be oxidized ("burned") to produce energy. It also transports the toxic compounds generated out of this cellular organelle to prevent their accumulation. Given these key functions, carnitine is concentrated in tissues like skeletal and cardiac muscle that utilize fatty acids as a dietary fuel.
Emily's was a little low so we are starting her on a supplement to bump that up.
The neurologist was very pleased about Emily's progress with talking and her alertness. She of course, in true Emily fashion, would not wake up for him. I honestly think he has seen her awake a couple times. We go back in a month and he said hopefully by then we will have an appt to go to Cleavland.
Joe called while I was parking and said his work was sending people home (involuntary) for the day and he got cut so he was going to be able to come to all the appts and help me (YAY for help but BOO for no money). Speaking of daddy he is a quick video of Emily saying dada. I think it is around 21 sec where she says it the best. She has him wrapped around her little finger. WARNING: Be prepared to turn your volume down! She gets so loud! Its funny but loud. I warned ya!
Next up was my appointment. My blood pressure has been high and the med I was on was not working any longer. So new med. Done.
While I had my appt Joe took Emily next door to her pediatrician to see if she needed reflux meds. The answer was we don't know yet. HA! The reason is that we have a very long appt with the main pediatrician next week. Because of Emily's needs we needed one with a little more experience with Emily's condition. So we are going to wait until we see her plus that gives us a little more time to see if it is truly reflux.
Beautiful week ahead so hopefully we can get out and to the park!!
Isn't she funny?
Another fun thing I believe she has learned is separation anxiety. She threw the most awful fit tonight after Joe went to bed and I was getting her formula ready for her pump.
As soon as I came back in the bedroom and touched her she was fine.
I know most parents hate this but with Emily it makes me happy because she is learning something first of all and secondly she figured out that when I leave the room she can't see me or touch me. That is exciting because she is learning new things. Albeit not the most fun but hey she is learning and that is all the matters!
The end of the week is supposed to be very warm, high 70's so I plan on lots of time at the park. So expect some pictures! It's not like I ever take pictures of this kid anyway. It is just so hard to not take a picture of her lately, she is just so happy. For the first 4 months of her life all she did was cry, we very rarely got a smile so most of her pictures were of her sleeping.

This is where she is supposed to be. Over on the pillow with the circles!
She was as happy as could be! That is where she currently is too. I got a cute video of her too, its dark because I do try to get her to go to sleep. After she was so happy on my pillow she started talking up a storm! Also listen closely, is that a mom I hear? hmmmm
I love this rotten little girl!!
Next, I would like to say that out in this massive blogging world I found a family that has a little boy named Collin, very cute I must add, who has infantile spasms too. They live near us and their journey has had quite a few similarities. He is on the diet Emily is getting ready to start. Click here to go check them out! Please pray for this family. I know how hard this is and every added prayer does help!
On to the seizure stuff. I have not updated on Emily's seizure activity over the weekend because we wanted to make sure what we tell everyone is actually what we are going to do.
On Friday evening Emily had one of her big seizures (aka scary) in her sleep. I was holding her and she never even woke up. If I was not holding her I don't think I would have even heard her. Not that we ever let her our of our sights. It was incredibly scary. It only lasted about 30 seconds, we did not even have to give her medicine. I was on the phone with the on call neurologist with in minutes. Luckily I got to talk with one of my favorite people, one of the nurse practitioners, and she knows Emily well. I told her what had happened and she agreed that it is time to start the Ketogentic diet and to place a g-tube. She is eating less and less by mouth everyday. Today she ate 5 ounces.
To do a much better job at explaining the ketogentic diet click here . This site has been very helpful to me.
Next, I know some of you don't know what a g-tube is. It is a feeding tube that goes directly into her stomach. On the outside all you see is a little "button".
Something similar to this. By the way I do not know who this is. Just googled it.

This was the only picture I could find on google of a smaller kid. My point is that it is not some huge tube coming out of her belly.
The nurse practitioner is going to call me on Monday evening to let me know the plans.
It will take probably close to a week stay in the hospital again. We will meet with the dietitian and she will lay out Emily's course as far as the diet goes. We have to slowly switch to the keto-cal formula and check her blood sugar among other levels to make sure her body is tolerating it. Some kids it works right away, others it may take a couple weeks. The goal with the diet is to take her off all of this medicine and obviously stop her seizures.
I just pray this works. So far none of the medicine is working 100% and one seizure is one seizure too many!
Listening to her laugh just makes me want to cry! ( tears of joy ) I love her so much!!
So today we increased her Keppra and Dilantin and he sent us to the eye doctor to get the ok to start the sabril (vigabitrin).
The eye dr was great and we did get the ok to start the medicine. We have to follow with him very closely because one of the side effects of this med is peripheral vision loss. Emily HATED the eye drops! That was her only melt down of the day. She was tired and hungry and she just did not want to be held anymore.
She loves to just lay on the couch on her bobby and stretch out so for her to be held or in her car seat all day was asking a lot of her but she did so good!
Our hopes with vigabitrin is that we will be able to start to wean her off of some of her seizure meds and that we will gain seizure control and she will begin to improve developmentally.
Her occupational therapist did notice better muscle tone and she is not a tight either.
Poor thing though she is losing her hair on the back and side of her head. She does not hold her head off the floor, pillow, boppy yet and she has begun to turn her head better. We turn her on her sides as much as she will tolerate it and she hates tummy time.
So I guess for now I just need to find some wide headbands to cover her little bald head. :)
We also are waiting on genetics testing. She doesn't really fit any obvious disorder so we wait and see what the next tests shows.
He does believe it is genetic but for some children its just such a rare cause they may never find it. I did get a letter about one of our tests and if insurance does not cover it they said it costs $5,000. So lets pray it covers it, i find out tomorrow.
From here if this medicine does not help will will start the Ketogenic diet. I can't explain it well it like Adkins on steroids. All fat with a little protein, no sugar at all. They don't know why it helps but for some kids it stops the seizures. We will do more research on that later.
We will be going to the Cleavland clinic soon for a 2nd opinion. After she gets started on the vigabitrin he wants us to go up there and see what they have to say. The neuro says its one of the best in the world. I have not done much reasearch on them yet though.
Pretty good day and the great news is we have nothing to do tomorrow, no therapy, no appts, just rest!! I get to sleep!! AHHH.....
On a good note, she has begun to babble again and smile and laugh a lot more! I missed her babbling and her little voice so much. While she was on ACTH she did not do anything except cry and then that was even a different cry. It is so crazy how much that medicine changes them.
Emily is also trying to move a lot more. Joe was holding her and we usually have to hold her pacifier in her mouth until she gets a good hold on it but this time she put her little fist up there and was holding it in. She has been stretching her arms and kicking her legs more too!
I can't wait for next week when therapy starts, I am sure she will being doing a lot more soon!!