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JONAH'S HEALTH HISTORY

Friday, March 26, 2021

CHICAGO

 The boys have been enjoying playing an Indiana Jones video game this winter with Stephen.

This has peaked their interest in all things Egypt/mummies.  

They also love the movie “Night at the Museum”.

So combining all these interests, we decided to take them to the Field Museum in Chicago.

They had so much fun, and they were so well-behaved! These are two precious and sweet boys.  

You should be envious that we get to hang out with these little dudes😊




















Tuesday, March 23, 2021

WE GOT A PLAN


When there's a problem I'm facing, I always feel better when I have some action steps to take to try to fix that problem.

Since Jonah's 2-11 stent removal surgery, I felt like we didn't have any action steps to try and fix the problem of getting rid of his catheter.

Today, Jonah had a urology appointment, and we got a plan!  We got some action steps!  

Unfortunately, there is a chance that none of these things might help Jonah, but at least we get to try something.  

Jonah suffers from severe voiding dysfunction.  For Jonah, this means he does not empty his bladder efficiently which causes urine to back up to his kidneys.  This is what caused his severe kidney dialation (hydronephrosis) in August which is why he needed a stent and catheter.

We do not know exactly why Jonah holds back urine.   The doctor is reasonably sure there is no physical problem that is causing Jonah to not empty his bladder efficiently.  This leaves a behavioral reason (learned behavior/bad habit that is hard to break) or a cognitive reason (can't completely understand how to coordinate release of urine).  Most likely, it is a combination of behavioral and cognitive.  

So Jonah is going to get the following help to try and help him learn to pee more efficiently and safely:

1. MRI of spine to rule out any neurological issues (nerve damage) that might be hindering is ability to void efficiently.  Dr. thinks there is a very low likelihood there is a neurological problem, but it is prudent for this to be checked.
2. Medication (Flomax) to help relax muscles for voiding
3. Targeted physical therapy focusing on pelvic floor muscles
4. Psychiatric help to work on behavioral issues regarding voiding
5. 2 hour voiding schedule
6. Check into possibility of sacral neuromodulation device implantation

As I said before, I like action steps.  They help me feel less helpless about a difficult situation.  

In particular, I am hoping and praying the medicine and the physical therapy help Jonah void efficiently and safely so that his suprapubic catheter can come out and not be a long-term necessity.

So let's go- literally!  
Just some "urology" humor there...





 

Saturday, March 20, 2021

3-2-1 GO!




World Down Syndrome Day (WDSD) , 21 March, is a global awareness day which has been officially observed by the United Nations since 2012.

The date for WDSD being the 21st day of the 3rd month, was selected to signify the uniqueness of the triplication (trisomy) of the 21st chromosome which causes Down syndrome.

Make Aware...Advocate...but mostly CELEBRATE!

These two boys bring enormous joy and happiness to our family!

They are worth fighting for and doing whatever we can to help them reach their fullest potential.


Friday, March 5, 2021

A PLEASANT SURPRISE!

 Yesterday, I called the pharmacy for a refill on Jonah's Flovent inhaler.  

This is a maintenance inhaler that Jonah has been on for many years because of his Reactive Airway Disease (similar to asthma).  

The pharmacy needed to contact Jonah's pulmonologist because there were no refills left on the inhaler.  This contact prompted Jonah's pulmonologist to contact me with this morning to see how Jonah was doing.

Pulmonology has been following Jonah since he was hospitalized for pneumonia at 7 months old.  As a result of that case of pneumonia or perhaps it was the cause of the pneumonia, Jonah has an area of atelectasis on one of his lungs 

(Atelectasis (at-uh-LEK-tuh-sis) is a complete or partial collapse of the entire lung or area (lobe) of the lung. It occurs when the tiny air sacs within the lung become deflated or filled with fluid).  

This is why Jonah has been closely followed by pulmonology over these past 10 years.

In Spring of 2020, his pulmonologist's plan was to take Jonah off of Flovent and see how he did for the summer and into the fall, with the hope that Jonah was now strong enough to get through a cold/flu season without this inhaler.

However, Covid happened so the doctor recommended staying on the Flovent during the pandemic and then check back Spring 2021 and see how things were going.

So this morning I shared with the doctor that Jonah has been very healthy this past year because he has been home so much.  I also shared that Jonah did not catch Covid in December despite the fact 3 of us in the house had it.  

His response surprised me!  He said that he thinks Jonah can go off the Flovent at this point and that any respiratory issues can now be handled by Jonah's amazing pediatrician.  

After 10 years- after many times we thought we'd be done but then Jonah would get a respiratory infection and it would set us back- we are done with pulmonology!  I can't believe it.  Just like that- our Jonah finally "passed the test".  

Of course, the doctor offered he would always be there if something came up that we needed his expertise, but he must feel confident enough in our Jonah to release him from his care.

That was a pleasant surprise!  

It's been quite a respiratory adventure!

FROM THIS:

Jonah at 7 months, hospitalized for pneumonia

TO THIS:

Jonah at 10 years old, 
hanging out with his big brother Stephen






Thursday, March 4, 2021

PREPARING FOR EASTER

 As we have in other years, we are preparing for Easter as a family by using the Resurrection Eggs.  

If you don't have these for your family, I highly recommend them!  They are a very good way for children to learn the story of Easter.  

Amazon link to Resurrection-Eggs


For me personally preparing for Easter, I'm not doing a specific Lenten devotion.  But I have had some devotions lately that have really focused on God's love and mercy being shown to us because of the death and resurrection of Jesus Christ.  

During Lent this year, I really want to focus on this amazing gift of love.  

I am a sinner SAVED BY GRACE, not by who I am or what I have done, but by WHO JESUS IS AND WHAT HE HAS DONE!

I thought this song really captured that thought:


LYRICS:
Yet Not I but Through Christ in Me
What gift of grace is Jesus my redeemer
There is no more for heaven now to give
He is my joy, my righteousness, and freedom
My steadfast love, my deep and boundless peace
To this I hold, my hope is only Jesus
For my life is wholly bound to His
Oh how strange and divine, I can sing: all is mine
Yet not I, but through Christ in me
The night is dark but I am not forsaken
For by my side, the Saviour He will stay
I labour on in weakness and rejoicing
For in my need, His power is displayed
To this I hold, my Shepherd will defend me
Through the deepest valley He will lead
Oh the night has been won, and I shall overcome
Yet not I, but through Christ in me
No fate I dread, I know I am forgiven
The future sure, the price it has been paid
For Jesus bled and suffered for my pardon
And He was raised to overthrow the grave
To this I hold, my sin has been defeated
Jesus now and ever is my plea
Oh the chains are released, I can sing: I am free
Yet not I, but through Christ in me
With every breath I long to follow Jesus
For He has said that He will bring me home
And day by day I know He will renew me
Until I stand with joy before the throne
To this I hold, my hope is only Jesus
All the glory evermore to Him
When the race is complete, still my lips shall repeat
Yet not I, but through Christ in me
To this I hold, my hope is only Jesus
All the glory evermore to Him
When the race is complete, still my lips shall repeat
Yet not I, but through Christ in me
When the race is complete, still my lips shall repeat
Yet not I, but through Christ in me
Yet not I, but through Christ in me
Yet not I, but through Christ in me