Sunday, January 10, 2010

Update 2? 3? :)

OK...I am sorry I didn't update yesterday ( I was exhausted and my back was hurting! How do these nurses do it day in and day out?)
Mateo is doing well. The first night and yesterday he really struggled with a bad headache, so we started giving him Tylenol on a schedule to "compliment" the Morphine drip. As yesterday went, he was complaining less and less and today nothing (about the bad headache--backache, bellyache, and iv-pain still but tolerable). He just keeps improving...during the day we have to roll him on his other side every 2 hours (every 4 during the night) And yesterday, it was a very upsetting and painful process, it would take him a few minutes to settle down. And today every time we turn him it is less painful and smoother for him. He is in better spirits today...and is doing well laying still. Soooo... tomorrow they will allow him to try to get up, we wonder how that will be for him. His incision look great (for an incision...) Here are some pictures that my mom has taken on her phone and later we can try to add ones off our camera...I have a really good one of a special dog that came to visit Mateo yesterday. So precious!


Noah is doing really well with Granny but he does miss us, so yesterday I went back to the hotel a little earlier to catch him before his bed time. We had special time before he slept. Daddy stays with Mateo in his room over night and then when I come early in the morning Daddy goes and gets some coffee and breakfast. Then Granny comes with Noah around lunch time. We spend time together (by this time Noah is ecstatic to see Daddy) as a family, and then Josh takes Noah back to the hotel to both take a long afternoon nap. Then Granny after helping me with Mateo, and goes back and meets Josh to switch care of Noah, and then Josh comes back to the hospital all scrubbed clean and somewhat rested :) And we start it again. Also (you will see in the pictures) Aunt Missy and Uncle John with Cousin Jackson come to visit for a couple of hours around lunch time too. We have been sharing a room this whole time and we have been in the spot closest to the door. It has been a little strange having lots of people and dr.s and nurses in and out for the people behind us but we kind of adjusted. But...now our roommates (a teenage boy)have been discharged this afternoon and we asked if we could move into their spot so we could have a little more privacy and a big beautiful window! And we did. So we are now settled and I am loving all the natural day light! I get here so early and leave after dark...so all I have seen in the last few days is florescent lighting...so this view is very cheerful! We are very thankful for the wonderful Doctors and Nurses here...we have had a few bumps, but overall we have been happy with the hospital here!
Here are some pictures...




Noah and Jackson hanging out...


This picture is out of order, but I can't for the life of me get it down further so read the description with the other picture of Mateo and Jackson please.
Noah eating breakfast ...blueberry pancakes!




Mateo and Mommy waiting for the shuttle to go to the hospital for the surgery.




Noah about to go for a stroller ride to the store...he is having a lot of fun walking up and down the halls with Granny pulling his lady bug toy he got for Christmas. You would think he owns the hotel by how proudly he walks.




Mateo just lights up when baby Jackson comes to visit...he is so sweet and precious to his newer cousin and loves holding, talking, and tickling him. (Jackson is almost 2 months old)






Mateo surrounded by a jungle of animals that keep arriving as gifts for him (the monkey came with us).







Granny sporting the "tickle monster" mits and the new book Mateo she and PaPaw gave Mateo as a gift. They both had fun reading it together.












Friday, January 8, 2010

He made it!

Hey everyone!

Mateo made it through! He is doing well...he is not very happy with how miserable he feels, but he is resting now. :) His biggest complaint when we first saw him was how hungry he was! :) I don't blame him though...Surgery was supposed to be at 11 but they didn't start until 1:30. And he was brought to his room from recovery at 5:30 pm. I would be very hungry and thirsty too!

Anyways...the doctor felt it went really well and was very glad they did the surgery. They found what they expected to find...and got it taken care of.

Praise God for his protection and peace during this procedure.

Now it is time to go to bed, sorry this is so short and to the point, but I am exhausted...Daddy is with Mateo tonight in his room and I will be relieving him early in the morning. Thank you for all the prayers and well wishes. We will try to keep updating this as we go.

Thursday, January 7, 2010

Seattle Update - Day 1

A short update ... We made it to Seattle and kind of slept through the night (new place, excited boys, need we say more?). Today started by talking with Mateo's neurosurgeon about what will happen, what to expect, and the questions we had. He was very positive today...and said he showed Mateo's images to the other surgeons in their department and they all agreed and were surprised that he was in such good shape for this type of spinal chord condition and that this is the right first step. After we finished with the surgeon, we headed down to talk with the anesthesiolgist for more explaining, questions, and answers. Then back up to neurosurgery to talk more about what to expect before and after the surgery. Then to the lab for a basic blood draw, just incase he needs blood during the surgery. They all did a great job preparing us for tomorrow (It is very hard to imagine that spinal surgery can sound so simple.)

We are very thankful for Seattle Children's Hospital and everyone there. It is hard to explain how much we apprecitae all their efforts to care for Mateo. Everyone (and I mean everyone) has been so friendly, helpful, and cheerful and they just love Mateo (and he loves all of the positive attention!)

We spent some special time tonight with our family (Granny and Aunty) swimming and having a treat - pizza! Tomorrow is the big day. The surgery is scheduled for 11:15 - Seattle time (10:15am Alaska time) so if you think about it, please pray for Mateo, the surgeon, doctors, nurses, and us.

We will try to update tomorrow! Thanks in advance for your prayers!

Monday, December 7, 2009

Answered Prayers!!


Thank you all for your wonderful and supportive responses to our last update! You all were a big encouragement to us and it was good knowing so many people were praying for our family and our precious Mateo! God has answered our prayers!! It was so good to finally be at Seattle Children's Hospital and to actually be talking to the doctor who knows about Mateo's condition! We were so thankful for NEWS, any News! And as far as we are concerned this is great news!! So here is the scoop...( bare with us through the explanation so you can understand why this is good news)...

The first day: Mateo went in to get another MRI and a CT scan of his spine. The nurses were very nice and Mateo was being very brave...though we could tell he was nervous, the nurses were very impressed with his attitude. I guess it is pretty common for a lot of screaming and crying....our child? No...he was laughing and giggling (at some moments uncontrollably!) Thats our Mateo for you! Though we knew that he was doing this because of his nerves, we were still comforting him and being positive with him. He was scheduled to meet with the anesthesiologist first then get his MRI and then they would move him to the CT Scan and do that next. But...they decided that because he was a bright and compliant child, they would have him do the CT scan first before they put him under anesthesia. Two reasons...one they actually get a better picture if he is awake and can follow there orders of stretching arms..etc. and two...then he won't have to have as much anesthesia given him (twice as long). So we did it first and he did great!! Josh and I got to be in there with him and we were so proud of him. And as we walked back, all along the way there were people asking if it worked and our nurse said yes...and they were all impressed! (If it sounds like I am bragging a little...I am! I am so proud of my son and for all of your prayers! We knew God was with us (we had prayed this with Mateo) and that he was comforting and protecting Mateo! Then we went back to our room and he went under anesthesia for the MRI part. We were told that we could go get coffee and come back in 45 min. So we went up and got some food and when we got back he was done and in his room. He was still sleeping and slept maybe 20 mins more. He woke up, they took his IV out, gave him some juice and crackers (which he promptly downed and immediately asked for more- that's our son! :)) and then they sent us home.

The Second Day: We had to check in at 7:45am for our appt with Mateo's Neurosurgeon. We ended up waiting 45 mins...but we were ok with that, because we figured he might have been using that time to go over everything. Then Mateo said he needed to go potty...and so Josh took him (as they were leaving I told them to hurry incase the dr came) 20 seconds later the Dr. walked in :) Of course! So he asked me to tell him about everything leading up to this appt. while we waited for Mateo to come back and while he pulled up Mateo's MRI pictures and CT Scan. on the computer. It was amazing to finally get to see the Mateo's spine! The doctor was great at explaining things and showing us things on the pictures. He was also good at answering questions...not once did we feel rushed ( I have been very nervous about covering everything in a half hour appt!) So...Mateo's spinal cord is split, but there is no bone (as of now) in between the cords! There is just tissue. Which is amazing news! Mateo's cord is tethered, but it is tethered at the bottom, which is relatively simple to go in and snip it. If it had been tethered by the bone or cartilage in the area were it is split...the surgery would be much more difficult, complicated, and risky! When I say tethered, keep in mind a normal spinal cord is supposed to hang loose in the spinal column. So tethered means it is attached somewhere. This is a problem because as he grows and moves the cord will be stretched and cause pain and loss of neurological functions (walking, bladder and bowel function...) So Mateo is going to have this surgery at the beginning of January. Why do we think this is good news? Well, first of all, this type of spinal cord untethering surgery is fairly straightforward. And this Dr. does it 1-2 times a week (unlike the worst case scenario surgery to fix a split cord tethered by bone, 2 times a year). It is a small incision and Mateo will have to stay flat for 3 days and be in the hospital about 4 days total. After that he should be good for a while! As far as we know, no physical therapy, no special treatment afterward... For a little better basic explanation from the hospital click here.
So we are encouraged because after this surgery, there is a good chance that Mateo will be great! (of course he is already great!) We will just keep our eyes open for any major changes in his functions, and then he would get another MRI when and if that would happen. The Dr. also wants us to have a urodynamic test done on Mateo before the surgery to get a baseline of his bladder function (which we are so thankful for...from my research I felt it was very important to have this done and I couldn't get anyone up here to agree with me...so when he was trying to convince us that it was important...I was so relived! :)) We will do this the week before the surgery. There are still some unanswered questions about how all of this could effect him and what does this mean for him in the future, but they are questions that really no one knows, because it is such a rare condition and when it does happen each child "malforms" uniquely. So each child has unique challenges and so we will just have to wait and see. :) God knows! And He is taking care of Mateo and us as his family! We are thankful for Mateo's doctors and nurses! We are thankful that he can have it done soon! (Jan.) We are thankful for my sister Melissa and John, who live in Seattle and have let us stay with them and use their car as needed! We are thankful for my mom and sister Mindy who watched our house and dog Oliver, while we were gone. We are thankful for insurance and the Native hospital! We are thankful for my Uncle Rich who offered his $50 Companion fare so we could afford for Josh to fly down with us! We are thankful for Josh's family for their offer of upgrades (bummer we couldn't use) and any help we needed! We are thankful for all of your calls, email, and post showing your concern and love, for the offers of help, money, and meals! Thank you for loving our little ones, and taking such good care of us!

Praise God for listening and answering our prayers and for giving us such a support system!

Love
Maria, Josh, Mateo, and Noah
P.S.
My grandma is doing great after a triple heart bybass surgery (80 years old and counting :)!!) Praise God!
My Sister Melissa is recovering from her C-section and baby Jackson is doing great...he is almost 6 pounds now! It was a blessing to get to meet him and help them a little. :) I will try to get some pictures of the boys together! Their first cousin! Josh and I are now an Aunt and Uncle for the first time! :)
And we should be able to continue in our adoption! Yay!

Throwing in a few pics!

Here are some pictures from October...We do have more recent pictures but we have left our camera at Josh's parents house in Kenai. So this will have to due. :)

Mateo in his new "hoodie" Granny made for him! Cute, warm, and snuggley!


No, this is not his natural smile...but it seems to be hard to get one these days if you say "smile"...so now if I remember I use my sister Mindy's trick and have him say "monkey".

Our boys doing one of their favorite things! Isn't that just the funniest expression on Noah's face?


Our handsome boy in a kuspuk his Grandparents had made for him for his first birthday. This is us about to go to his Grandparents new church in Kenai and surprise them (they didn't know we were coming). :)


Some precious time with my grandparents...Mateo and Noah's Greatgrandparents! I love this picture!

Sleeping on the way home from Kenai. My two "michelin men".

Our handsom growing Mateo....he is almost 3.5 (at Christmas), which means he is almost 4! Which means he is almost 5! Which means he will be off to college soon!! Yikes! How does time pass so quickly?

I wish you all could hear Mateo's "belly laugh"! Maybe you could just imagine it from the next 2 pictures!


Noah feeding himself with a spoon for the first time. :) Not bad for the first time! (I am one of those parents who wait a little longer to let them start feeding themselves when they are actually capable of getting most of the food in their mouths...instead of everywhere else...but that is another topic...;)



Monday, November 23, 2009

Where Our Family Is Now

Well...our family has been through A LOT in the last 3 months! This is a post we have needed to write, but there are times when I think about writing it I am not sure how or what to say. I know that sounds a bit dramatic, but there has been some tough news and circumstances. One thing that hasn't changed is that we are trusting the Lord to help, guide, and comfort us through it. Also, God has blessed us with a loving supportive family, church, and group of friends (even Josh's colleagues), and we are so thankful for all of you!

Early this summer Mateo had had a couple of weeks where we saw something like seizures. So he was given an EEG and then referred to the only Pediatric Neurologist in the state. We have seen him 3 times this summer and each time he does not seem concerned with Mateo's brain. He did agree to do some standard testing to look for some things that might have caused the seizures including an MRI. During the first appt. with him he did a physical evaluation where I remembered to mention that he has had a slight curve of the spine that yearly we are supposed to be checking. He did see it and that reminded me that at Mateo’s 3 year wellness check up (coming up soon) I was going to ask Mateo’s pediatrician to x-ray it again. It had been X-rayed when we first got home with Mateo and was just a slight curve that we would watch yearly…not enough of a degree of curvature to officially call it “scoliosis”. So when I took him in for his 3 year appt. we had it x-rayed and we were told there was a slightly greater curve than before, and that we would be referred to an orthopedic dr/surgeon. I didn’t think too much about it, because I already believed he had scoliosis and figured this appt. would just make it “official”. In the three weeks between our 3 year check-up and the appt. with the Orthopedic Dr. we had Mateo’s MRI scheduled. For anyone who is not aware of this, to do an MRI on a little one they have to sedate them so they won’t move or be completely freaked out during the time they are in the big, loud tube. Well, Mateo did not do well on the sedation and he kept fighting it, so they kept giving him more. Though they say they never went over the amount they were suppose to give him…I was not happy with how much they gave him… and I could tell something was wrong. They eventually kicked me out of the MRI room, but then shortly after, the nurses were running around grabbing things, and I knew something was really wrong and they wouldn’t say. Shortly after that they were wheeling him out and it sounded like he couldn’t breath. It was a very scary moment for Josh and me!! And to make it worse they weren’t answering my questions…they were giving me answers but not to anything I was asking. Anyways…to try to wrap this up briefly…(I know it is too late for that) our first MRI try was not a positive experience not to mention unproductive. He was shortly fine, they rolled him on his side and had him on oxygen, and then they let him sleep off all of the drugs. Then, when he did wake up, we had about 1.5 hours of him screaming bloody murder…and if you know our little guy this was very uncharacteristic of him. He was so disoriented and nothing we could do would comfort him. It was a very hard time. They pretty much said he must have had too much flem and he couldn’t protect his airway when he was on the drugs and that next time we do this, if we were to decide that this was important enough to try it again, he would have to do general anesthesia and have his airways tubed. At that point, I was thinking… if it is up to me I don’t think that this is worth all of this!

Next we met with the Orthopedic Dr. and he told us, yes, there was scoliosis but that was not what he was concerned about. There were a couple of vertebrae that were malformed and that could be indicative of a few serious conditions, but of course he wouldn’t be able to know for sure until he could look at an MRI of Mateo’s entire spine. So….back to the MRI drawing board.

The second MRI went a lot smoother, though it was practically a whole day of it. Maria had just had surgery 2 days before (more on that later) so Josh and Josh’s dad took Mateo and spent the day at the hospital waiting. It was supposed to be a 2 hour MRI of the brain and the spine, but ended up being 4.5 hours not including the sedation part and the recovery- waking up part. Then it took us almost 3 weeks to get a follow up appt. to be told the results (our original orthopedic dr. hurt his knee and needed surgery himself so we were referred to another orthopedic dr.). During this month and a half Josh and I were trying to stay positive! It seemed like it could be serious or not too serious, and we didn’t have enough information to freak out one way or the other. Also, while we did the waiting game, we would both look at our Mateo and just be amazed at how wonderfully he was doing and think “how bad could it be?” So…needless to say we were not prepared for the results. We also had both boys with us and though we both felt like we had been kicked in the stomach, we felt the immense responsibility to react neutrally for Mateo’s sake. (He was already really jumpy at this appt. –the last time he was in the building was for the MRI). So our news: Mateo has a VERY RARE condition called Diastematomylia. In-uetero his vertebrae formed incorrectly and instead of curving around to create a spinal column to protectively house his loose spinal cord, they curved around and then continued to curve back around and split his spinal cord into two pieces. So kind of like for a part of his spine he has two small spinal columns housing a spinal cord split into two pieces. Now what does this mean for Mateo? Well, basically without treatment (which is at least one major, risky surgery) in a few years as he grows through growth spurts, he will be paralyzed and loose all functions at least from the waist down, and there is also great, chronic pain associated with this condition. The pain caused by the spinal cord being tethered (or attached to the spine in some way that will stretch when he is growing or being active) The spinal cord is supposed to be loose because as you grow the spine grows at a 40% faster rate than the cord eventually being much longer than the cord. There are still a lot of unknowns because each case of this condition is unique and we have to wait to see a specialist –a pediatric neurosurgeon- to tell us how bad Mateo’s case is and when they think surgery will be needed. From the little we can find online about this condition…there are two controversial differing thoughts on when to do the surgery (surgeries). Some think it should be done as soon as possible, before any loss of neurological function appears, and others prefer to wait until symptoms appear (I think with the caution if you do it too early there might be later surgeries that will need to happen and then you can end up with secondary problems and problematic conditions from more spinal surgeries). Deep Breath… The first 2-3 days were hard (for lack of a better work) but the one thought both Josh and I had that was comforting to us that first night was “this is new news to us, but not to God. He has known it all along, part of his plan, and he will be with us through it all.” We also, were/are so thankful for our Medical care/insurance, and SO GLAD Mateo is a part of our family!!

So it was a frustrating 3 week journey trying to find the right pediatric neurosurgeon to be referred to. But we finally know who we are seeing and when. Until then, we will not know much more than what I have just typed. Please pray for us the first week of December! Mateo will be spending another half day getting his MRI redone with an additional CT scan at Seattle Children’s Hospital. Then the next day we will meet with the Neurosurgeon. J It is good to have an appt. and look forward to a time when we will have more answers.

Of course because we are unsure if Mateo will need surgery right away or it is a few years off for him, we have had to put our adoption on hold. So after this appt. in Seattle the first week of December we will not only know more of what life will look like for Mateo but also what the next year will look like for our family. We still as a family pray for our little one in Ethiopia, and know God has a plan for our family! Now, just for the patience to wait and see how it will all work out! J

During this time I (Maria) have been having health problems. I have had a bad gallbladder for almost a year and I have been doing everything in my power to keep it (was scared of surgery). But right about the time of Mateo’s MRI’s it seemed to flare up along with new worsening symptoms. So I ended up having my gallbladder out. Praise God it went well, and for my husband, family and church for helping our family out during a very stressful week! I couldn’t pick up Noah for 1-2 weeks and so I needed lots of help taking care of my little ones! Since the surgery I have had quite a few of my symptoms return, which is so discouraging! I have to pray almost daily to fight against the fear of the “unknown” or “unknown symptoms” going on with me! We are still narrowing down all of what is going on with me. I am working with my naturopathic doctor and my primary care provider on it. We are checking some food allergies including but not limited to gluten, wheat, and dairy! So, please pray that we would figure out what is going on so I can spend more of my focus on Mateo’s doctor trip coming up and Noah! I would love to feel healthy again!

Sweet, Noah, he is doing well! We have also, had some health issues with him! He stopped gaining weight at 9 months and then slowly lost it. He also, has seemed like his stomach was always bloated, yet he was always hungry!!! Poor little guy started to seem more miserable than good! Though, after just figuring out some of his food allergies, and trying to get his iron up, he is starting to be a much happier and content baby/toddler! We are so thrilled to see him doing better! He has just started walking on his own (more than 2 or 3 steps) and it is so fun to watch! Mateo and Noah are great buddies and miss each other when they are not together! Noah even takes better naps when Mateo is around!

And my husband Josh! Thank God he has been blessed with good health during all of this! What a precious husband and daddy he is!! He has held our family together in support, prayer, and understanding. Please pray for him! Please pray that the stress our family has been through in the last few months and maybe about to continue through, would not crush him under the heavy weight of responsibility!

Also, during this time, my mother had shoulder surgery, my older sister just had her first baby a month early, with about 2 weeks of complications until they induced her and she labored for 28 hours and then they did a c-section, and my grandma is about to go in tomorrow for open heart/bypass surgery. Please pray for my Grandma! We love her so much…and selfishly would love to have more time with her! Though, I know she is going to a much better place! Praise God Mom’s shoulder is recovering! Praise God I have a new (small) yet healthy nephew- Jackson Cole! Praise God that Melissa is recovering and enjoying being a new mother! (though it hasn’t been updated with pictures yet you can read their blog on the left under “twitchell zoo”.) Praise God that John (Melissa’s husband) was offered his dream job the day after Jackson was born! (He has been laid off since a month after they knew they were expecting their first child) God’s timing is perfect!

Well, I need to go now! This has been a very long post. Please pray for us and our family, and please feel free to contact us…I will try to respond J Also, so many people have asked me to let them know how things go…I am worried I have forgotten already everyone whom I said I would. So please, feel free to call or email and ask…and I will try my hardest to make time to update this when we have more information.

Love

Maria