Friday, May 16, 2014

A BADASS ATTITUDE

In the last year or so, Jacob has become pretty savvy using his talker. He listens to his choices with his headphones on. When he is ready to make a selection, he hits his switch connected to his talker with his right foot, and a voice will let us know Jacob's wants and needs. There are definitely days he is more into talking than other days, but pretty consistently Jacob will let us know what he thinks, feels, and wants.



If we truly want him to say or do something, Jacob hardly wants to cooperate. This talker business is on his terms. We worked for weeks on having Jacob prepare his answers to be the Star of the Week in school. He refused to answer the questions. In the end, he said "I am not up for this right now. Please, be quiet". I had to tell him that he wouldn't be picked for the Star of the Week, but I would not torture him with questions any longer!


If there is something he really wants, and we don't act on it right away, he will repeat it until we do it. If he is not up for something, he will either simply tell you that or say good-bye. He loves to tell us to be quiet. When his speech therapist didn't want to take him outside the other week, he told her she was mean and it was time for good-bye. He doesn't like that I work, and often tells me to stop working. When I told him that I had to go to see my boss for lunch, the answer back was: "quit".

Jacob knows his favorite people in life, and he will often ask for his family, his friends, his nurses, and baby Derek. He tells us he loves us, he wants to cuddle, and with daddy he always wants to hang out. He loves that he can ask sis if she has farted. He gets a reaction out of her every single time.





Jacob is also getting better about telling us if he is hurting somewhere or if he is tired and needs to get out of his chair. We wish we always knew what was going on with Jacob when he doesn't feel great, but at least we typically know when we're dealing with tummy problems.

Jacob also has an alphabet page where he can pick words or make his own words. It is one of Jacob's favorite pages. He picks random words, we tell him what the words mean, and he moves on to new words.

Lately, Jacob has started to make word choices we are a little surprised about. One Saturday afternoon, Jacob is out in the backyard in his wheel chair, and the word "jackass" blurts out of his talker. Jackass! How often would I use that word? Where would Jacob even have picked up that word? It is not a choice on his talker. He built it from the word "jack" and spelled out "ass" correctly. Jackass!


This last weekend, we got to hear Jacob use the word "play boy". Sarah looks over and asks us what is the meaning of that word. Before we know it, she is searching the Internet for what that means...Jacob was quick to clear it from his screen, so there was no time to capture it!

Dr. C. laughed so hard when I told her what Jacob has been up to lately. She said: "I knew Jacob had a badass attitude. All the times when we thought Jacob had seen his last day, and he was just fighting another medical battle". I have been thinking the same. This kid of ours has an inner strength that is unbelievable and it must come with a certain attitude.

Jacob is once again throwing us all for a loop. We know something is wrong, but we don't know what is going on. In the last two weeks, Jacob has had more seizures and he can be lethargic throughout the day. Being lethargic is not something anyone takes lightly. Jacob and I spent most of Wednesday at Children's doing a multitude of labs and testing to find out what was going on, but we left with no answers. Some days are better, sometimes Jacob is sleepy in the morning, sometimes in the afternoon. We are all puzzled, wondering if it is medication induced or if there is something else that has changed. It is always that fear that his underlying disease has worsen.

Every night, I tell Jacob to keep up the good fight before I kiss him on his nose and forehead. I hope once again that his badass attitude will help him to fight whatever is going on in his little body.


Love, Maria.

Saturday, May 10, 2014

ICE SKATING IN MAY!

It's me. I have had kind of a rough week. I have struggled with daily seizures. Several of my buddies have been struggling with seizures this week, so maybe it is something with the change in season? My seizures are never short, and often require repeating rescue medications. My para Nerma got to experience it first hand. She told Gemma her legs were shaking when I finally was fine again. Did I tell you I really lucked out on my para Nerma? She is awesome.

Dr. C and mommy had a long chat last night, and they came up with a plan for my seizures. I had a big Ice Skating Party to go to today, but it would all depend on my seizures if I could go or not. By the time it was time to roll me into my car, I still hadn't seized, so we took off for Fort Collins.

Inspiring Talkers is a therapy center, and I receive my speech therapy through them. Brittany comes and talks with me twice a week, and I love to boss her around. Brandi-Lynn Greig, the founder of Inspiring Talkers, is also pretty awesome. She was the one who found the first switch for me, so I could start using my talker. She is always looking out for great things to involve us kids in the community. She put on a race last summer, and Mrs. Brittany and I completed my first 5K together.


Today, it was time to test the ice with Brittany!


Daddy is a pro. He started playing hockey when he was 9 years old back in Sweden. Mom had not been on skates in 20+ years, and she was shaky on her figure skates. Sis was scared at first, but she got really good at it at the end.



I made sure to wear my Avs shirt, and I loved the speed of being on the ice in my wheel chair! Mom and dad didn't bring a warm hat or mittens for me, so I did get pretty cold after about an hour on the ice. Mrs. Jill from Bal Swan was there too, and she was warming my ears at the end.


It was also a time to meet friends. I got to hang out with my friend Keely!


It was my first time on skates, and I like it very much. We have to come back soon again!


Tomorrow, we're getting snow for Mother's Day...maybe mommy wants to go ice skating?

Love, Jacob.

Tuesday, May 6, 2014

FIELD TRIP DAY!

It's me. Today was field trip day! The destination was the Museum of Nature & Science. We skipped the school bus, and got down there early to secure a handicap parking spot. I had been so excited to go on this field trip, so I hadn't slept all night. My tummy was also bothering me. There was no way I could keep my eyes open as we got down to the Museum. I tried so hard to stay awake.




As soon as my classmates arrived at the Museum, my buddy Owen made sure everyone knew I was there too! I was immediately picked to join Owen's group. We got to explore the museum in our smaller groups, and I was so excited to hang out with my friends. Some of the girls in the class wanted me in their group too, but the boys said I was with them. That worked for me!


One of mom's first American friends volunteers at the Museum. When Shue found out I would be there, she decided to volunteer today! She made sure we didn't miss anything, and told us all the details we would never have known by simply walking around the Museum. Did you know that 1400 kids visited the Museum today? Did you know the Museum has 1800 volunteers? 


My favorite part of the Museum was the Space Odyssey. I got to see an Astronaut, feel different meteorites, and I loved watching all the airplanes going around the globe. The airplanes looked like little fishes. 





I really liked the Planetarium. We tilted my wheel chair back, so I got a really good view.

Before it was time to head back home again, I had lunch with my classmates outside. It was a gorgeous day in Colorado!


Mrs. Rep, when is our next field trip? I will sure not miss it. I had an awesome day!


Love, Jacob.


Thursday, May 1, 2014

BACK TO SCHOOL!

It's me. As my friends are starting to make summer plans, I went back to school today! It looked like I was moving in to Coyote Ridge when I came with my bags of supplies, school work, and talker. It took three people to get it all into the building.


The first day of school is always a bit chaotic. Gemma helped my team of teachers and therapists to get into a routine with me again. I have a new para Nirma who is with me all the time together with Gemma.

I loved art today. I used my talker to make my choices. The kids loved to hear me talk, and they wanted the art teacher to turn off the music, so they could hear me. The problem was that Coach Mo had made a special CD with music for me, so we simply had to listen to it. The music was on low volume, so the kids could hear me. I can't wait to have PE with Coach Mo this spring again! He made my return very special.





I also had fun in math and social studies this afternoon. Math is my favorite subject. We worked on the clock today. The good thing about coming back at the end of the school year is all the extra fun activities. Next week, I am off to a field trip with my class. We are all going to the Museum of Nature & Science. I can't wait!



I have to admit that I got in trouble this week...I really wanted to go outside, and neither nurse Brenda or my speech therapist Brittany wanted to go outside due to the wind. Who cares about a little bit of wind? I told them both they were "mean" and "good-bye". Mom said it is good that I have a strong will and that I can express it, but I do need to think about what I say and to whom.

I also wanted to let you know that I am so proud of sis. Last night, she was awarded Honor Roll at her school. She is just rocking my sister!



I'll end with some pics of sis and me.







Til next time. Love, Jacob.

Sunday, April 27, 2014

AT A CROSSROADS

What is the one question you know you will ask every day? In our house the question is very simple: has Jacob pooped? It has become normal dinner conversations. I have at least one text a day from one of Jacob's nurses asking about his tummy.

If the answer is yes to the named question, there is an array of very detailed follow up questions about amount, consistency, color, pain level, number of baths, number of loads of laundry and the list goes on and on. Believe me, the new wood floors in our home are saving my sanity.

There is never a happy medium when it comes to Jacob's tummy. He is either having a flare up of his colitis or he is constipated. It is a delicate balance to manage the two extremes with medications helping him to go or medications helping him to not go. Colitis is also very painful for our little guy, and it is the one reason we see seizures these days.

Despite poop being the topic of the day, Jacob's GI doctor still took me by surprise when he suggested a colectomy for Jacob. A colectomy is major surgery removing the colon. Jacob would have an ostomy bag, which would collect his stool. His thinking is that Jacob gets so very sick with his colitis, and Jacob would not have colitis any longer. His GI doctor is also concerned that Jacob will never get off steroids. Every time we are weaning him off, his colitis flares up, and we have to start all over again. Lastly, an ostomy bag would help with Jacob's motility issues which very likely will continue to get worse as his disease progresses. We can definitely say it has gotten worse over the last couple of years.

But there is a big BUT. A colectomy is major surgery. The big question is if Jacob could handle that. What about complications? Jacob's care is already very involved, so adding an ostomy bag and everything that goes with it is yet a thing we will take care of daily. Have we truly exhausted all options before jumping the gun?

GI is scheduling an outpatient care conference to discuss Jacob's tummy and what our options are. We know that Dr. E. and Dr. C. are against the surgery. We know Jacob's mitochondrial doctor gets to weigh in as well at the care conference. GI sees this as a quality of life decision. My initial thoughts and gut feeling tell me to not go ahead with the surgery. I would love to never have to think about colitis ever again, but I am not entirely sure we have exhausted all options yet. I am also not sure Jacob would handle this type of surgery very well at all.

We're at a crossroads when it comes to Jacob's GI issues. These discussions and decisions are never easy, and they always challenge us to try to make the best possible decisions with the information we have with no guaranteed outcome. At the same time, I welcome discussions across Jacob's team. There has been times where Jacob's seizures and respiratory issues have been at the top of his medical list. Over the last couple of years, his GI issues have taken over the number one spot.

Tomorrow, we are also back at Children's to learn how to inject stress doses of hydrocortisone in case of Jacob having an acute adrenal crisis again. There is always something new to add to the list.

Despite big decisions ahead of us, we are enjoying this beautiful Colorado spring. Everything is in full bloom, boots and winter jackets are tucked away, and our boy is happy!




And if everything goes well, Jacob is back in school with his classmates this week again! Cross your fingers!

Love, Maria.















Friday, April 18, 2014

SPECIAL CELEBRATIONS

It's me. I have settled at home again, and I have had a week of special celebrations. Today I got to go to the zoo with some of my favorite people. My best friend Selina even got to skip school to come along. As her mom signed her out of school, she put SPECIAL CELEBRATION as her excuse to miss school. I love it! What better excuse to miss school for than go to the zoo with me?



I love this photo where none of my favorite girls is looking into the camera!



Leandra!



Me!

 The whole crew at the zoo today!

The Easter bunny made a special visit at my house yesterday. This is the B.E.S.T Easter bunny ever! 


I even got to cuddle with the Easter bunny.



Good friends and the Easter bunny hanging out in the garden.


I also got to meet puppy Charlie for the first time yesterday. Isn't he adorable? My special friend Camilla will have to share her birthday present...just saying...


Wouldn't I be the perfect big brother??? I don't understand why Gemma doesn't just bring him every day? I ask for baby Derek all the time with the help of my talker. He and I have a special bond.


This has been a beautiful week of friendships and celebrating life. 


To more celebrations...and Happy Easter!

Love, Jacob.