Tactile things Part 2

If you haven't already ready read part 1 of this post please scroll down to read first. Thanks.

Here I have pictured one of the few things I have made specifically for Ambrose as he has all of Sophia's things to play with. That picture is from his first birthday and I made him a sun with 12 rays, one for each year of his life. Unfortunately he does not use his arms and hands as much as Sophia. He is all about the legs. He does touch and bat at things but doesn't open his hands very much and definately is a lefty. I am trying to teach him how useful those hands can be.

Also pictured is Sophia in her "sensory dress." (She only wore it a couple of times.)

Sophia and Daddy with one of the "Discovery Quilts", the first items I made to sell.

Sophia on her Throne, and throne in progress. Made from tri-wall cardboard by a couple of members of Sophia's educational team and myself at the Perkin's School for the Blind's adaptive equipment workshop. This was really amazing because it was custom made to her proportions so she could actually bend her knees over the edge of the seat and rest her arms on the arm rests. This had never been possible before due to her short arms and legs. Hurray! Unfortunately Ambrose can not sit in it as it is too upright for him. His hips and hamstrings are so tight so he is more limited in his seating options.

If you haven't seen it already please watch the Wiggle It video before it drops off the bottom of the page. Or you can find it in the archive menu: title: Wiggle It, date: Friday, March 12, 2010

It's his best video yet!

Tactile things Part 1

I began making tactile play things for Sophia when she was very little. With little if any vision and limited hearing and mobility most commercially available infant toys did little for her. In her case her hands were her eyes. She didn't have fine motor skills but liked to touch things. And with short arms that she didn't bring to midline it was hard for her to be able to reach things on her own as well. The creative skills I honed during my four years at Moore College of Art helped me to design numerous items over the years. I first made a cloth book with crazy trims all over it. Eventually when I learned to knit, taught by a doctor in the PICU, I made balls with highly tactile yarns and jingle bells inside and eventually a "sensory dress" I hoped she would be able to touch and explore while she was wearing it. I made a board to fit over her tray table that I glued all kinds of interesting feeling objects that I had been collecting for just this purpose. I also made a patchwork fabric tray mat to fit over her stroller tray. I got lots of positive feedback on these items from all of the specialists that worked with Sophia. I made a series of "discovery quilts" and tray mats made of black, white, and red (the easiest to see colors for infants and visually impaired individuals) highly tactile fabrics and sold them at the Perkins School for the Blind annual conference for parents of preschool aged children. I eventually started a website called sensoryplaythings.com. Unfortunately people rarely stumbled upon it in the vast world of cyber space. I did make occasional sales and got positive feedback. I took the site down with the intention of redoing it quite a while ago but that never happened. Last year I submitted my traymat design to the Abilitations catalog. They are the largest catalog of special needs equipment and are known to produce items designed by special needs parents occasionally. They did a year of product testing with developmental specialists. They will make them and give me royalties on sales and I am still allowed to make and sell my own if I want. They just came out in their April catalog. I must say I'm disappointed. They don't look as well made, don't have as many different fabrics, and are not shown attached to a tray or being played with, so unless you stop and read the description you probably have no idea what they are supposed to be. Additionally they are shown at the same angle and are similar shape to a tank top/vest on the facing page. Oh well. We'll see if anything comes of it. I don't have time to be making them right now anyway, but they could have done a much better job.

I will post another entry showing more of the items I've made.

Boo Boo Legs

Little Brosie had 3 vaccinations (Hib, PCV, and Dtap) yesterday and is experiencing fevers and hives. Poor little guy!

Nice blue camoflage bandaids, huh? His Daddy said we wouldn't be able to find him in the blue forest.

He was also up most of the night coughing but I don't see how that could be related to the vaccines.

He is now 29 1/2 inches tall, which is as tall as Sophia got, and 23 1/4 lbs. He is the size of an average one year old. He is 28 months old.

Ambrose is doing great. He has been spending all day (13-14 hours) off the vent. I just hook him up to it when I put him in bed for the night.

About a week ago he spit up 15 times between 3 am and 6 am. (He is on a feeding pump over night.) Then he was fine. It happened about 6 weeks ago too. He had a Nissen Fundoplication when he was about 9 weeks old. This surgery wraps the top of the stomach around the bottom of the esophogus to make it a one way valve so food can go down but not come back up. He had severe reflux prior to this and could barely keep any thing down. About a year ago he started being able to spit up and generally does it a couple of times a day. They checked it by upper GI when he was hospitalized in Feb. It was still intact but may have loosened up a little.

Sophia also had this surgery but not until she was 1 1/2. Prior to it she had 3 life threatening (8 weeks in PICU on vent) pneumonias. After she was much healthier. I really think it saved her life, which is why we got it so early with Ambrose. Hers also loosened up and she did seem to aspirate her spit up and got sick. We had to admit her to a different hospital as our usual hospital had no room available. Their solution was to put in a G-J tube in place of her G-tube.

In this case there are two ports inside- one that goes to the stomach and one into the small intestines. Medicines and anything that isn't a thin liquid have to be put into the stomach. What goes into the small intestine cannot make it back up. The problems are that it has to be placed in interventional radiology using fluroscopy. It cannot be changed at home. The tube is very narrow as there are 2 openings in the same diameter that used to have just one and it clogs very easily. We were constantly struggling with trying to unclog it. Believe it or not you use Coke to do this. Also she steadily lost weight as you cannot absorb as much of your nutrients in the small intestine. Fortunately she had extra reserve from steroids and thyroid issues.

Wow. I didn't intend to write a big thing about that. Hope you learned something.

I will post more cutie-pie pictures soon.

Thanks for reading and have a great day!

Brosie is my Hero!

Brosie is up to spending about 11 hours a day off the vent. Hooray Brosie! He is my hero!

Pretty soon it'll be just over night! He doesn't seem to notice the difference.

My sweet baby boy!

Weaning!

My darling boy has been weaning from the vent for a few weeks now. He went from a PEEP of 8 (CPAP) to 5 and off of pressure support during the day and back on at night. Then about a week and a half ago, I was inspired by the beautiful weather and I started taking him off of the vent (and onto the trach collar) for a few hours at a time. He's doing fine with it. He has gone for several walks and sitting on the deck with Mommy and Daddy. He's currently spending about 6 hours off of the vent per day. I think he would be fine with being off compeletely, but I want to go slowly and use it preventatively to try to keep his lung open and healthy.

He gave me 5 heavenly nights of sleep in a row a few weeks ago but has been back to his up all night schedule. I was just learning in my A & P class that the hypothalmus regulates our sleep-wake cycles. Perhaps that is a factor as well as his blindness.

Everyday I try to celebrate the joy that is Ambrose! I feel so blessed to have him on loan to me from Heaven. I am so proud of him and in awe of him. But sometimes it is hard not to be painfully aware of all the things that he will never be able to do, that we will not be able to share with him. And of course I am constantly aware of his mortality. I want him to stay with us forever!

Before and After Mommy Cut My Hair

Update

4. That is the number of nights Ambrose has slept through in the 6 weeks since he has been home from the hospital.

He continued having lots of secretions which were finally staring to slow down a couple of weeks ago.

About 10 days after coming home he had some fevers and went back on antibiotics. His poor little hiney is still trying to recover.

He was having positional-related desats a few times a day due to his (non custom) trach. We finally received the custom Bivona and it has made a huge difference: no desats or air leaks (which also means no sound.) It is also easier to get in and out and did not cause any bleeding. It did however, cause another increase in his secretions. Hopefully he will adjust to this soon so I will not need to keep waking up to suction him as he lays awake all night.

He has been needing less O2, often as low as .25 L. We hope t0 start weening him from the vent soon and only using it at night. That will make it much easier to take him out for walks to enjoy the upcoming Spring.

Ambrose is his usual wonderful adorable sweet self.

If you haven't already seen it, please check out his "Wiggle It" video in the previous post. It will make you smile!

Wiggle It!

Watch video and note the light radiating off of my darling boy!