Wednesday, November 13, 2013

Caleb is 4!

Can you believe it's been four years since my little man came into the world?  That day was one of the scariest, best days of my life.

Every year on this day I think about what we've been through.  His first year was a roller coaster, no doubt, and ages 2-3 were pretty awful with lots of vomiting and more questions than answers.  I'm glad to say that we finally have a few things figured out and things are looking up!  Let's hope it only gets better from here on out!

Some things about Caleb at 4 years old:
  • He weighs 28lbs 4oz.  He has gained four pounds in the past year, which isn't much, but all of that has been gained since his DGE (delayed gastric emptying) diagnosis in January.  After being treated with augmentin (1 teaspoon 2x daily) to speed up his digestion, he immediately gained over two pounds.  That was a big deal after having no weight gain in about 8 months.  A few months ago he started plateauing again, so we started giving him 1.5 teaspoons of melted coconut oil through his tube 2-3x a day, and that helped him pack on the next few pounds.  I'm afraid that he's starting to plateau again now that it's sick season, but we plan to stay as quarantined as possible so we don't lose too much ground.
  • He wears 2T and 3T clothes.  His 2T clothes are getting short on him these days.  Yay!
  • He wears size 8 and 9 shoes.
  • He still doesn't eat much by mouth (maybe 100 calories...today it was two baby bites of a hot dog, about 8 green beans, one pea, a minuscule nibble of a piece of pineapple, a little graham cracker square with a melted chocolate chip on it, and a starburst...some days are better, some are worse).  He gets about 17 ounces of medical formula mixed with rice milk through his feeding tube pumped at about 50ml/hour while he sleeps at night, as well as 6 ounces in the mid afternoon and 6 ounces before bed (both fed via gravity feed), and hopefully a few ounces at breakfast or lunch (it's hit and miss), plus a few teaspoons of coconut oil.  He also gets four ounces of water first thing every morning, and gets his tube "flushed" with about half an ounce of water after every feeding.  It sounds like a lot, but it's really not.  That's a minimum of 29 ounces of rice milk and formula combined, plus about 5 ounces of water, and 100 calories of real food.  I wish we could give him more, but it's so hard to increase his volume without making him throw up!
  • His favorite thing to do is play outside in the sand by himself, with the dog, or with his brother.  

  • If you ask him, he'll say his best friend is Russell.

His next best friend is Nash, but judging by these pictures he's actually a bigger fan of Nash.  ;)

  • He is finally forward-facing in his car seat.  When we got our mini van in June/July, we asked him if he wanted to face forward or backward, and he chose backward.  So backward he stayed!  Until he noticed that a few of his friends were facing forward.  When he mentioned it to me, I asked him if he wanted to face forward, too, and he said yes.  Since the switch, it's so much easier getting him in and out of his car seat!  I can even buckle and unbuckle him from the driver's seat.  It's pretty awesome.  Although, we have yet to reveal to him the pleasures of having a DVD player in the mini van.  I'm hoping to keep that one a secret for now.  ;)
  • He sleeps in his own big-boy bed!  He stayed in his crib well past his 3.5-year mark without ever climbing out of it.  It was working really well for him, until a few months ago when he started waking up in the night asking to use the potty.  We wanted to capitalize on the opportunity to have him nighttime potty trained since he gets a lot of fluids through his feeding pump while he slumbers, so we decided it was time to put him in a toddler bed to make the potty easier to access.  We put a little hook on the wall by his bed to hang his backpack with his feeding pump so he could just grab it and go to the potty.  For a while he was asking help to go potty many nights out of the week, but it's been a while now since he's gone.  Oh, well.  Some day.
  • Nap times are a thing of the past.  Whoever said that "a child will sleep when they're tired" has clearly never known a child like Caleb.  He doesn't get drowsy when he's tired, he gets more wild than usual, and he's usually pretty wild.  You don't want to see him when he's tired!
  • He does a great job of staying in his bed at night time.  I'm sure it's mainly because he is tethered to his feeding pump, but he has never once gotten out of bed to join us in our room in the night.  Sometimes he will come down the stairs shortly after being tucked in, but not often.  And in the morning, he almost always stays in bed until I come to get him up.  It's ideal.

Except for a few times, when he has left his bed after being tucked in and waits for us on the stairs, where he eventually falls asleep, pump backpack and all!

  • He is allowed to eat anything but the top 8 allergens, is known to have eosniophilic reactions to dairy, soy, and wheat (debatable, but for now we're considering wheat a "fail") and still has to trial the other top allergens, and goes wild if he consumes red food dye (so it's also not allowed).  We just started an egg trial.  It sounds so complicated, but it is so much easier than where we've been!  We can actually share family dinners!
  • He can hold a conversation with anybody and everybody, is super easy to understand, and uses correct grammar (other than "I don't want no -fill in the blank-"), but still likes to regress back to Russell's style of talking (ugh), probably because Russ gets attention for talking in his little learning way.  It happens a million times a day.  Not my favorite thing.
  • He isn't one bit shy.  Not one bit.  While trick-or-treating, he said to one person, "So, how is your day going?"  He also likes to tell strangers, "My name is Caleb.  My dad is Nate and my mom is Anna.  My brother is Russell, and the girl in our house is Auntie Jenna."  We talk often about how he shouldn't talk to strangers, and what to do if one tries to take him.  He's great at reciting "I bite and kick and scream," but I don't think he could identify a stranger if his life depended on it.  That's why I keep my eye on him every second when we leave the house!
  • He gets himself dressed on his own, so he sometimes ends up with some pretty creative outfits.
  • He tries my patience on an hourly basis.  
  • He has some pretty intense sensory needs--can't stop touching things, talking, moving, or putting things in his mouth (other than food).
  • He is a pretty sweet big brother.  I'm fairly certain that he doesn't see Russ as inferior to him because he's two years younger.  They talk and play so well together (a lot of the time--not always).  
  • He is suddenly very scared of things.  If there's an intense scene of a movie, he runs to the playroom doorway and pokes his head around the corner to watch.  He has seen a few movies in theaters and always does awesome while there, but when he had the chance to see Despicable Me 2 for a second time, he absolutely would not go because he was scared of the purple monsters.  
  • He has an amazing memory.  He not only talks about the Christmas tree that he had in his room last December, but he talks about how we sing one song and open one present every night in December, and how the presents are wrapped in paper that he finger painted.  Sometimes I don't even know what he's talking about because I don't remember as much as he does!
And now, here is an interview with Caleb on the day after he turned 4:

And a few "then and now" pictures (no smiles...I'm just happy to have a few that weren't completely blurry):

Isn't he amazing?  He sure has come a long way and beaten a lot of odds!  We love our little miracle!

Thursday, November 7, 2013

Home Improvements: Magnetic Chalkboard Wall

Remember how I said in my kitchen blog post that there wasn't anything that I would change in my kitchen now?  Well, I was wrong.

This wall, to the side of the fridge.  It bugged me.  It was big and plain.


And it had this water damage on the bottom ( don't know what from).  It just always looked dirty.  Yuck.

Soooo...I turned it into this!:

(Yes, that is my husband scrubbing the dishes in the background.  Yes, I hit the jackpot.)

I first painted it with magnetic paint.  The directions on the can say it needs three coats, but I literally put on about 10.  It was a huge pain in the rear and I was afraid that it would be my first official DIY disaster.  But!  It turned out great.  It doesn't hold all magnets, but it holds lightweight ones with a strong pull.  After the many coats of magnetic paint were dry, I put on two light coats of chalkboard paint.

And now the entrance to the kitchen is much more welcoming!  We use it for keeping shopping lists, hanging the boys' artwork, working on ABCs and fine motor skills, and allowing creative expression!  I'm excited to use it to display Christmas cards this winter.

If you've got a spot in your house that's begging for a little bit of creativity, magnetic and chalkboard paint is a great way to go!  Just search "magnetic chalkboard DIY" on pinterest.  So many cute ideas!

TDC Before and After

Monday, November 4, 2013

Best Buds

They don't always act like it, but Caleb and Russell really are best friends.  I love moments like this.



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Sunday, November 3, 2013

Pumpkin Patch Pics

We had to continue our pumpkin patch tradition for the fourth consecutive year.  This year we had five adorable little boys in the pumpkin patch together.  It was great!





Aren't they so handsome?

Halloween 2013

When Caleb saw that I had picked out an elephant costume for Russell, he insisted on wearing the exact same costume.



They were pretty darn cute elephants, if I may say so.

Monday, October 28, 2013

Gluten-Free

It's finally time for Russ to go gluten-free.  I've been putting it off for so long, hoping that it wouldn't come to this, but it's clear that it's in his best interest, so here we go!

Why is it in his best interest?

Russ has had two scopes, and both showed that his villi in his duodenum have mild damage.  It's not enough to automatically diagnose him with Celiac Disease (CD), especially since his blood test for CD was negative (false negatives are common), but combined with a family history of Celiac plus Russell's other symptoms, it's always been a distinct possibility lingering in the back of my mind.

His other symptoms of Celiac Disease are:
  • anemia
  • poor weight gain and weight loss, even when he eats well
  • blood in his stool
  • mucous in his stool
  • extreme bloating
  • abdominal pain

This is skinny little Russell in the morning, after a bowel movement and before eating much:
This is bloated little Russell at the end of the day:

The big factor making us decide to go gluten-free for Russ is that he has been putting words to his pain.  In the evenings, he will often say "owie" in the saddest little voice.  When we ask where his owie is, he says either bum or belly.  And it's no wonder, being as bloated as he is.  I've always thought I could ignore symptoms as long as it doesn't affect Russell's quality of life, but now it's clear that he's in pain and I can't ignore that!

Russell's weight gain (or loss, I should say) has been concerning.  In the last two months he has gone from 20lbs 3oz to 21lbs 3oz and back down to 20lbs 6oz.

This is what I have recorded for his weight over the past three months:

  • 7/26: 20lbs 0oz
  • 8/5: 20lbs 1oz
  • 8/8: 20lbs 3oz
  • 8/13: 20lbs 7oz
  • 8/16: 20lbs 3oz
  • 8/21: 19lbs 11oz
  • 8/27: 20lbs 1oz
  • 9/2: 20lbs 7oz
  • 9/8: 20lbs 8oz
  • 9/13: 20lbs 7oz
  • 9/23: 20lbs 13oz
  • 10/8: 21lbs 3oz
  • 10/22: 20lbs 13oz
  • 10/28: 20lbs 6oz
As you can see, he's not doing well with his weight gain at all.  When Caleb was 21 months adjusted, he weighed more than Russell does at 22 months.  And at birth, Russ weighed more than 3x what Caleb did!  It's just not right.

I've come to terms with the fact that I can have healthy kids who aren't on the charts (you don't need to be 50th percentile to be healthy), but when he's eating a good variety and volume of foods and drinking plenty of rice milk and he's still not growing, it's just not ok with me.

So, the next most obvious step would be to remove gluten (found in wheat, barley, and rye and their derivatives) for a time and watch for improvements.

It's going to be weird that Caleb can have things that Russ can't (Caleb can't have wheat, but he can have barley and rye).  I'm not concerned about my ability to give Russell good food that is gluten-free, but I'm worried that Russell won't be happy about not having his favorite breads and crackers.  I suppose he'll just have to get used to the substitutes.

So, wish us luck in this next big step!  It's disappointing, and life-changing, but still so minor compared to what we've been through with Caleb.  But still, I wish my little guy didn't have to go through this.  It baffles me to think that there are kids out there who eat and drink and grow without problems.  That's crazy talk!

Here's to better health for my little Russ!

Wednesday, October 23, 2013

Changes...Diapers, that is....

This week, Caleb wins the prize for the best big brother and the best son.  My almost-4-year-old changed my almost-2-year-old's diaper with very minimal help.  It. Was. Awesome.









If he makes this a habit, I'd be much more tempted to have a third child.  I could get used to this!

Also, Russ was a great sport.  He just laid there the whole time.

My kids are awesome.