Sunday, September 28, 2008

evening update...

As we got to my mom's house this afternoon (I was dropping the boys off so I could go to work), Ricky said he felt dizzy and had a headache... The same thing that has been happening a lot lately. When we got inside I checked his blood sugar and found it to be only 72! My mom immediately gave him some Life Savers at my request. It is strange with this dizziness thing... Sometimes it is related to the blood sugar and sometimes not.

When I came later to pick the boys up, Ricky said he had still had a headache during the day, along with the chest tightness that he had this morning. I sure hope he is not getting sick. Especially since our insurance from Dave (the boys' stepdad and Misty's dad) ends on Tuesday. The boys are supposed to have Medi-Cal (state insurance) after that but who knows when it will be processed? I applied 9 days ago and so far not a word. I was assured "well it will be retroactive", which helps for hospitalizations but doesn't really help much for prescriptions, etc. The idea of being without insurance, ESPECIALLY with Ricky, scares me to death.

I guess I just have to trust that things will be okay.

Ricky today...

Today I got to sleep in a little bit, because Misty is with her daddy for the weekend. When I got up, Ricky was sitting on the couch watching TV, doing this gaspy, yawny thing he does when he's not getting enough air. I asked him how he was feeling and he said that his chest was tight. Yep, time for his breathing treatment. So far that seems to have helped, but even just this little bit of trouble this morning has reminded me that things will never be easy, and that this disease SUCKS.

For now he is fine. And we just go day by day and take things as they come. I hate that life is uncertain, but I have come to realize that I need to give my kids the best life I can, and the most enriching experiences I can find, because we never know how much time we have left. Does that sound morbid?

The picture with this entry is of Ricky (in yellow) playing with some littler kids at the beach last night. We went to a geocaching event with a bonfire and s'mores. Ricky and Andrew both love playing in the sand. Ricky had some issues with the other kids... He has some social skills problems and they ended up becoming a big issue yesterday. I told him, though, that even though I was upset with his behavior, I will always love him just the way he is. He's my boy.

Wednesday, September 24, 2008

eye doctor appointment


Ricky with his new glasses
Originally uploaded by Beckerbuns
Today Misty and I got Ricky from school and took him to his ophthamology appointment up at Stanford. I called the transportation department at least an hour before school was going to get out and canceled Ricky's bus. I also called and talked to the classroom aide and told him that I was picking Ricky up. Nonetheless, I got there and the classroom was deserted and Ricky was on the bus! It's a good thing his driver saw me and didn't leave, or I would have missed him! Apparently the dispatcher and the teacher had not passed on the message to anyone. Grr.

Anyway, we headed up to the eye appointment. We got there a little before the appointment, which was scheduled for 3:45. They warned me that she was running about 15 minutes behind, and we did get called in at 4. The technician did some preliminary examination and testing and administered the dilation drops (ick) and said we should sit in the waiting room for 20 min.

20 minutes turned into half an hour... And then an hour! We finally went back again after 5! The doctor then didn't even come into the exam room til after 5:30, apologizing profusely. It's a good thing that she's a great doctor, or I would have been more annoyed. She examined him and determined that his prescription will be staying the same... I think it has been the same for 2 years now, but I may have lost track.

I mentioned the dizziness but she didn't think there was a connection. She thinks we need to pursue neuro and endocrine, which I had a feeling about anyway. She wrote him a note to excuse him from today's homework, because his eyes were dilated. Lucky kid. :) We go back in a year.

While we'd been waiting I'd visited the lab, right across the waiting room, to see if they could go ahead and do the labs that the gastroenterologist ordered, but it turns out that our medical group uses a different lab, so we'll have to go a different day. It's just as well, since for accurate results he really needs to be fasting (which with him is always SO much fun). They also can't draw it out of the port (not certified) so there's no point. I THINK that the lab down here will give me the vials and let me draw him from the port myself. So either I'll do that (because I can get the vials in advance and draw him first thing some morning so he doesn't have to wait around in their waiting room to be drawn, starving to DEATH -- he is so dramatic) or just let them draw from a vein sometime. He's just getting harder and harder to draw peripherally.

By the way, the picture you see with this post is a scan of a scrapbook page from the day that Ricky got his first glasses. He was all of 4.5 years old! You might be able to see he's a little cross-eyed... He had a lazy left eye, and that's still his weaker eye.

Monday, September 22, 2008

Ricky & soccer


September 14, 2008
Originally uploaded by Beckerbuns
Yesterday was Ricky's second soccer day this season. He actually missed the first day, two weeks ago, because I was working.

Ricky plays in VIP soccer, which, according to the AYSO website, "...provides a quality soccer experience for children and adults whose physical or mental disabilities make it difficult to successfully participate on mainstream teams."

Many of the kids on Ricky's teams have been on the autism spectrum. He has also played with kids with spina bifida (with their walkers!), Down Syndrome, severe ADHD, and mild to moderate retardation, as well as a visually impaired child.

The teams are co-ed but grouped by age and ability. Ricky's abilities are very good as far as the scoccer part goes, but he does have some frustrations with some of the rules, etc. His main impairment which would not make him suitable for a regular team is his energy level. When the kids run around the field to warm up, for example, he cannot keep up and ends up walking, due to his lung capacity. He is also a little awkward, which would probably be a problem in regular soccer.

So, every Sunday at 1:30 we go to the field and Ricky practices with his team. Each player has a "buddy" who assist the player with playing and getting involved in the game. The buddies are pre-teens, teens, and adults who volunteer their time. They and the volunteer coach ensure that each child has the opportunity to score in the game and to play various positions. Ricky prefers goalie, possibly because he doesn't have to run around as much. He takes pride in his position as goalie and takes it very seriously!

The first season, Ricky was at first on a team with some profoundly disabled kids. They moved him to a different team with higher-abled kids. Last year, he was on an appropriate team. This time around, I think he's on the wrong team again... The kids on his team have pretty serious autism and other disabilities, and in the next field over there is a team that I think would be more appropriate. If his coach doesn't decide to change him over, I might say something soon and get him changed over myself. I think he gets frustrated with the amount of help needed by the kids he's currently playing with. We'll see what happens. :)

Sunday, September 21, 2008

worried about Ricky...


Ricky likes enchiladas! :)
Originally uploaded by Beckerbuns
It's probably a minor thing, who knows? But Ricky's dizziness has continued. He has had this going on for at least a year and no one has been able to figure out why. He gets so dizzy that he has to sit down. Sometimes it's accompanied by a headache. Sitting down and putting his head down sometimes helps it; sometimes it doesn't. He has had every possible blood test from the pulmonlogist, gastroenterologist, psychiatrist, and endocrinologist. When he was inpatient, they fiddled with some of his meds. The latest thing is that the neurologist upped his seizure med just in case these "spells" were complex partial seizures.

But nothing has worked. The med changes have not accomplished anything. I'm starting to wonder if he's having vestibular issues from the TOBI (inhaled antibiotic) that he takes. To me, the spells he is having don't sound like vertigo or vestibular issues, but it's hard to tell because maybe he's just not describing them accurately. I often test his blood sugar when this happens. Once or twice his blood sugar has been low, but usually it's spot-on normal.

We are seeing the psychiatrist on Monday, and the ophthamologist on Wednesday. I'll bring it up to both of them. Next step will be the pulmonologist again to see if she has any ideas. It's starting to scare me, and it definitely bothers him.

Thursday, September 18, 2008

a visit to the gastroenterologist


lunch!
Originally uploaded by Beckerbuns
Today we went to the gastroenterologist. Ricky gained several pounds! He is up over 90 pounds again! Go Ricky! However, he is the same height (and has been for three years now). So we discussed that a little bit. She felt a good bit of poop in his bowel, which has been a chronic problem, and encouraged me to give him mag citrate and an enema this weekend. Pooooor Ricky. But we don't want it to get worse because that can lead to a serious bowel obstruction, hospitalization, and even surgery. :(

It has also been four years since he had a DEXA scan (bone scan to check to make sure he is absorbing enough calcium and that the steroids he takes periodically haven't affected his bones) so he needs to do that, but they're not going to be able to put in the authorization until after we get the kids onto Healthy Families (a form of state-funded health insurance), since the kids lose their insurance at the end of this month.

I also told the doc about the divorce, and she seemed sorry to hear it. She has been Ricky's GI doc since he was in the NICU, so she has followed the whole darn saga of the past almost-13 years.

She gave me a lab slip for Ricky to get a bunch of blood tests. We'll have to try to do that before the end of the month.

We go back to see her in 3 months.

Saturday, August 30, 2008

Update


Ricky at the Mingei
Originally uploaded by Beckerbuns
Hi everyone! I'm happy to report that Ricky has been doing much better since his course of IVs followed by oral antibiotics in July. He did develop a sinus infection this week, but it seems to be clearing up with the help of oral antibiotics.

Earlier this month, Ricky went to bipolar camp and had a great time. This time, he even tried the rock-climbing wall, zip line, and ropes course -- which he'd been afraid to do in previous years! Everyone at the camp had so many great things to say about him -- it was quite gratifying.

Ricky and his brother both started school this week and are settling back into the routine and doing well. Ricky is now in seventh grade (!) and has one period of elective (ceramics), a period of PE, and the rest of the day in the special day class. He loves every minute of it -- go figure! Can you believe he'll be 13 in November? A teenager!

I'm doing okay as a single mom. The kids don't seem to mind it, even though I spend part of every day running around like the proverbial chicken. Misty is having her first overnight visit with her dad this weekend, and she seemed excited about it. Guess we will see how it goes!

Thank you all for your continued support!

Monday, August 25, 2008

Ricky's first day of school

Today was the boys' first day of school and everything is going fine so far! Ricky has the same teacher in the same SDC class that he started in the spring, and the same kids are in there, so there were no surprises. I have high hopes for him this year! His first elective is ceramics and he will be in PE as well (this is something new that he started right near the end of the last school year). Yay Ricky!

Sunday, August 17, 2008

vacation

Ricky, as it turned out, was on IV antibiotics at home for three weeks followed by two weeks of a very powerful oral antibiotic, Rifampin, which threw his bipolar disorder out of whack. So I had to up some of his Seroquel (bipolar med) to even him out.

At the end of July we went to San Diego with Dave's family. We went to the beach a few times and also to Sea World on two different days, and it was a great time. We really needed the time away after Ricky being sick and the other thing that is going on...

This is the first time I have posted this here -- Dave and I are getting divorced. He moved out on August 9. The kids and I are doing all right. Misty had her first visit with him today, just a few hours, and did fine. Somehow we'll make it on our own. We have a lot of support from my mom and from friends.

Wednesday, July 2, 2008

Making use of the port for the first time!


Ricky's port, accessed
Originally uploaded by Beckerbuns
Ricky went downhill fast this week, from a bad cough to a pneumonia in his lower left lung in just two days. The hospital had no available beds, and he has a medi-port, so he got to start on IV antibiotics at home today. So far it is going great! He has to sleep on the couch in the evening because the gravity infusion can't go uphill to his Ikea loft bed, but he is taking it all in stride.

I am so proud of him. :)

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