Sam. Conqueror. Overcomer.

"IN ALL THINGS WE ARE MORE THAN CONQUERORS THROUGH HIM WHO LOVES US : Samuel was born on 15th May 2009, two months early and in respiratory distress. After an initial Apgar score of 1, he was taken to the NICU and placed on a ventilator, together with an undeterminable amount of tubes, IV’s and monitors which made it almost impossible to see the little Smurfie character lying within…slightly blue and only three apples high. Sam was diagnosed within 24 hours with Rubinstein-Taybi Syndrome, a scarce medical advantage as, due to the rare occurrence of the Syndrome and the limited medical literature on it, many individuals are only diagnosed well into adulthood and some never at all. The page-long list of medical/health issues related to the syndrome, while vital in providing a prognosis and compiling a care plan, took a backseat, however, as Sam’s struggle to breathe and swallow became the primary focus of our concerns and prayers, deepened only by the heartache of not being allowed to hold and comfort him for the first ten days of his already traumatic life. After seven weeks Sam was successfully weaned from the oxygen but was still dependent on a nasal gastric tube for feeding, with which he was eventually discharged. Once home, what should have been a precious time to recover from the stress of the NICU and enjoy a relaxed and cherished time together, instead became a seemingly-endless timeline of specialist appointments, therapies, illnesses and surgeries as that page-long list of medical complexities came into play, affecting every part of Sam…physically, neurologically, medically and emotionally. Yet, despite these challenges and an “ineducable” future being predicted when his prognosis was delivered, Sam showed a delightful potential and eagerness for learning. Unfortunately though, this learning potential seemed limited to his cognitive abilities as, physically, Sam’s development lagged significantly behind that of his RTS peers. A week before his 5th birthday a brain MRI confirmed that, in addition to the RTS, Sam also has Periventricular Leukomalacia and Static Leukoencephalopathy (included under the umbrella diagnosis of Cerebral Palsy), which would more than likely have occurred as a result of the oxygen deprivation experienced leading up to and/or during his birth. Thirteen years later and with a number of surgeries and medical procedures which appear to be in fierce competition for their own “page-long list” (which surgeries and their subsequent recoveries have left Sam to face his day-to-day life with a residue of unshakeable anxieties and phobias), the boy you meet face-to-face…with his cheeky sense of humour, unfathomable joy and fierce warrior spirit…make it almost impossible to believe that that disheartening brain MRI and poor medical prognosis are of the same kid. As we begin to navigate this journey with a newly aged differently-abled teenager, leaving behind the little smurf whose fears and discomforts could so easily be remedied with a cuddle on mom’s lap, the anxiety of more surgeries and medical challenges now compounded by the universal fear of every differently-abled child’s parent/s (who will take care of their child once their own time here is gone) threatens to become overwhelming. But then the excitement of a horseriding lesson, the sheer delight of spotting a balloon (especially a hot air balloon) or a super silly giggle caused by simply hearing someone sneeze provides a beautiful reminder of the profound joy and courage these children radiate, despite their overwhelming challenges, and it provides the perfect encouragement and inspiration for facing your own. #samtheconqueror
SAMUEL - COMPLETE IN GOD
Our world has crashed, been blown apart.
This can't be happening....why us? Why now?
Your fragile life shaken before it could barely start,
How do we get through this...please, Lord, tell us how?

Drowning in our sorrow, waiting for answers that just don't come.
Our baby "special needs"? It simply can't be true!
The heartache overwhelms us, we're left feeling cold and numb.
The diagnosis tells us little - these children are so few.

But then we finallyget to touch you, to see your precious face
And all the heartache and questions fade, replaced with love and pride.
It's obvious from the very start you're showered in God's grace,
And with His love and guidance, we'll take this challenge in stride.

When once we couldn't pronounce it, Rubinstein-Taybi's become our norm.
When once the future seemed dark, we now welcome the journey as having an RTS angel brings lessons in unexpected form.

Our world has crashed, been blown apart!
This IS happening....to us.....right now!
We've been blessed with a gift, so precious from the very start. How do we get through this? Here's how.....
By believing in a God, so merciful and great,
By trusting that He's right beside us as we journey through the narrow gate.
By believing His love for us is not determined by a human frame,
By trusting that we draw Him near by merely calling His name. This precious baby we asked God for,
Prayed he'd be perfect and complete.
And, as Samuel means "God hears", He's laid His answer at our feet.

(Nicky de Beer : 27/05/2010)

Friday, August 30, 2013

Full Circle

As Sam's sensory fears became more and more challenging over the past two years, it was not just his sitting and basic daily mobility movements that required some creative tactics but so too did his physio sessions. When once Heidi had no problems stretching Sam on the wedge on the mat, this became an impossible task.  Up until a few weeks ago, if you laid Sam on the floor, or on anything too close to the floor, he became so terrified that he would just not move...not a muscle...not a finger...including his lungs. He simply would not breathe. His arms would be thrown out in his still-very-present "startle reflex"and he would lie there frozen until you picked him up. Now while the startle reflex still rears its head quite often (which has left both Heidi and I teary eyed after its resulted in a frightened little hand connecting accidentally with our noses) it's definitely toned down quite nicely.  And so too has Sam's anxiety about lying on the floor. I think I might have blogged about this already, but a couple of weeks ago I had no alternative but to lie Sam down on the floor to change his nappy at a friend's house....Sam was so scared that I had to keep rubbing his tummy while changing him to get him to take a breath.  I decided that we honestly just can't go on like that and so every day since then changed his nappy on the floor at home. At first Sam will still get a bit of a fright but within seconds now relaxes and let's you carry on, so 3 physio sessions ago I suggested Heidi try stretching him on the wedge again and not once since then has she had to resort again to placing him on one of the adult physio tables (which for some reason, even though narrow and quite high up, was less frightening for Sam) to do his stretching.  It might seem like a small victory, but it's actually a pretty huge one for us.  Sam's sensory problems have pretty much controlled much of our lives over the past couple of years so to see at least some of them improving brings refreshed hope.  We've not yet reached the point where I can use the vacuum around Sam and I still have to walk around in the middle of Winter with wet hair as hairdryers are most definitely still on the v-word list but it's really not too important right now.  Yesterday while playing with Antoni, Sam did not feel me moving away from him while he sat on the floor (which usually causes that "plank reaction" as soon as he feels I am no longer supporting him) and sat for a good 15 minutes before he got onto his knees and crawled away as if it is something he's never had an issue with. 
 
This picture is from about two-and-a-half years ago just before Sam had his first attempted testicle repair, which was when his sensory challenges took a major dive.
 


Today...not in the least bit worried about lying on the wedge and not only breathing but doing some pretty awesome happy-flapping too.
 
 
It has been a really loooonnnggg two years :) Watching Sam lose milestones which had taken him so long to achieve, like sitting and pulling himself up into a standing position, etc, really took the wind out of my sails. How could we move forward before we found ourselves back at that point? Well finally, two years later, we are here now...and it feels pretty darn good...and really very exciting.  I cannot wait for the weather to clear up so we can get out there! I don't really know where "there" is but with Sam being able to walk short distances while holding my hand it could be feeding the ducks at the dam, standing watching the kids on the playgym at our local shopping centre, taking a slow walk to the gate at Meg's school :) This morning Sam sat on one of the physio blocks while I put his shoes back on after his session.  When finished I held out my hand, he took it and pulled himself up and we walked to the door. It was such a natural process, something so many folks take for granted. When next you happen to be walking alongside your little one, take their hand and for just a few moments walk WITH them...it is a joy, a heart's desire, too many parents will never have the opportunity to experience.  I am thankful for feeling that joy today xxx
 
 

Thursday, August 29, 2013

Techno Smurf takes a fall

So the inevitable happened...Sam took a tumble from his walker.  It might sound terrible, but it was sort of kinda funny...I guess if it had been a more serious tumble I wouldn't be saying that.  He's gotten so confident with the walker that if he gets himself stuck in a corner or something, he simply pulls and lifts the walker up until he's free...but pulled a little too hard this time and overbalanced. The funny part was that it was in the most comical slow motion. Usually, when about to fall, Sam makes like a plank, often resulting in his head been the first part to hit the ground. This time, he fell (really quite softly) onto his bottom...sat there for a second or two and then ever so slowly toppled backwards. Thankfully the only thing thing hurt was his feelings at me trying to stifle a giggle while comforting him.  I did worry that with his tendency to avoid actions which have caused him "trauma" he might be reluctant to stand up with his walker again but just minutes later he was waddling around as if nothing had happened.  Phew! 
 
Apart from his newly acquired walking skills, Sam is fast acquiring a new skill....surfing...the net.  A couple of weeks ago, while trying to post Sam came crawling over and asked to be picked up. When it became obvious that him sitting content on my lap while I typed (Really?) was not going to work out, I went onto Youtube and let him watch some kiddies video's (where we discovered the Mother Goose Club - which Sam is now heavily addicted to). What was I thinking? Now the second I come sit in front of the computer, he's trying to get up on my lap, pointing at the screen and signing which video's he wants to watch. Yes, we actually downloaded his favourites onto his iPad but apparently they have a completely different appeal when watched on mom's lap in front of the computer. Another favourite activity is checking out Facebook and watching what his RTS sibling across the globe are getting up to, particularly this last week with it being back to school for our overseas RTS family...which meant even more photo's. 
 
Mother Nature has evidently been spending too much time social networking too as she's been a bit slow on the nearing Spring transition.  So, still having really lousy not-much-good-for-outside-activities weather, it was an absolute blessing to have some wonderful sunshine this last Sunday made even better by an impromptu visit to Haven of Hope...
 

 
Sam's friend Antoni with his mommy, Marili

Sam and Aunty Cheryl, enjoying a cuddle after not seeing each other for so long




Here's longing for some more of the same xxx

Wednesday, August 21, 2013

The Good, The Bad and the Ugly

Let's start with THE UGLY   and work our way back :)

 
 
 
This is a letter received by the grandmother of 13 year old Max Begley, a child with severe Autism, in Newcastle, Ontario, Canada. The letter is self-explanatory and has pretty much gone viral on the net, been covered in the news and probably been read by a decent number of parents to children with disabilities.  I can go on and on...and on...about how despicable the letter is and what an appalling character this woman has. But, although I am sure she is one of few who had the audacity to actually vent her feelings about how she views people with disabilities, I am just as sure that she is not alone in simply having had these thoughts. The news report showed short clips of a lovely-looking young boy, excitedly bouncing his ball around and jumping up-and-down with all the attention and support the community is offering the family and I thought "Heck woman! Imagine what you'd say about Sam in 9 years time!"
 
So instead of going on and on...pffft...can I just ask whoever might be reading this post who does not happen to be the parent of  a special needs child, just please DON'T be this woman. Don't disregard a disabled person's life as a waste of body parts, don't ignore that they have feelings just like you and your children do, don't instantly condemn their behaviour just because it is something you have no knowledge or understanding of, don't frown upon their parents as being lacking in the way of discipline and guidance when you see a disabled child struggling to cope with his/her social environment, don't fail to bless a disabled person with your smile just because you think it might go unnoticed or, worse, not be worth the trouble....don't not respect them...don't not accept them...don't not love them...Yip, that's about it.
 
 
 
THE BAD
 
The bad is actually kind of relevant considering the above. Sam has developed this new sort of grunt-type sound and his love of his newly acquired sound is growing as quickly as what his dislike for attention is and his, seemingly, growing frustration with not always being able to communicate properly.  It's two of Sam's most challenging Sammerisms at the moment....if he does something cute or clever he'll point at me to show his dad or Brampies or whoever...but then when the person looks, he gets so upset and protests with this loud type of grunt.  Also, when he's refusing to do something like lie down for a nappy change, he uses this same sound.....going completely bright red from the neck up and causing his little RTS moodlet on his forehead to almost glow. Honestly, this may sound crazy, but it sort of looks as if Sam's trying desperately to actually SAY something and becomes frustrated and angry when he can't verbalise his thoughts.  If we're in public and someone happens to look at him or, horror of horrors, talk to him he instantly gets agitated and a-grunting we will go.  It's almost a little sad to see it when you're not busy worrying that the poor little dude could burst a blood vessel at any moment.
 
THE GOOD
 
If I choose to endulge myself in the thought that Grunty Smurf is in actual fact trying to get his brain and his tongue/mouth on the same page, I would have to brag that it's not the only bit of remarkable progress we've had over the passed week.  Sam's absolutely atrocious "driving"of his walker has had me just a tad concerned and when I eventually had to resort to moving all the furniture safely (well kind of) up against the walls to avoid them being shredded by his bumper-car-manuevres, a fleeting thought of whether he would ever grasp the concept of walking lurked in the back of my mind.  At about the same time last week I decided to go full steam ahead with a gluten-free diet for Sam. It requires a little more effort and creativity where meals are concerned but it's definitely getting easier and Sam doesn't seem too concerned that gluten-free foods are definitely not as tasty as the good ol' unhealthy stuff. So, take a little fear (that he might not walk) add a little motivation (derived from the hope that I'm doing something useful with Sam's diet) and one gets a surprising amount of dogged determination. I decided last week that it was Sam and I...and his walker. And for two days every half hour or so I put him in front of the walker and made him stand up into it on his own and get down again on his own which were two of the biggest issues Sam struggled with when becoming more comfortable with the walker. On Thursday I was standing in the kitchen, the walker left in the passage and Sam happy-flapping in front of the tv.  Next moment Sam's head bobs out of view....and back in again, just a little higher this time...and around the corner he comes with his walker. Of course I went berserk with uncontrolled excitement which made him grunt at me in defense.  But how could I not....and now, almost a week later, it's still kind of surreal to see him calmly pull himself up and waddle away. His driving skills are not much less shocking than before but his sudden confidence is astounding.  As cruel as what it might seem, one day I really need to take some video's just to show the type of fears Sam deals with when having transition through "normal" day-to-day movements...sitting, lying down, etc.  But for now, you'll just have to take my word for it that this is all pretty huge. 
 
Sam is so confident about the whole thing now that sometimes he pulls himself up with his walker...walks like two steps...gets down on his knees...pulls himself back up, almost like he himself is having trouble believing that he was once so scared. And even though Sam's using the walk back-to-front it still building his confidence up even further, he now walks with me holding onto just one of my hands, he's started pulling himself up again in his cot and on furniture and even manages to manipulate himself around on his teeny weeny little chair so he can get off all on his own. He's exploring new parts of the house which previously he avoided, even though it's almost exactly a year since we moved here. Now I don't know if it's the gluten-free effect making his little brain streamline certain input more clearer or if it's me borderline harrassing the poor kid to the point of tears (mine, not Sam's) to get this or possibly a combination of both but it does feel so soooooooo good to see a little progress. No wait, to see a LOT of progress :)
 
 
We're even confident enough to play tenpin bowling in our walker 
 
 
And what we don't knockdown with the ball, we simply ride over
 
Going for a walk
 

Climbing off the chair



I know that these might seem like such trivial accomplishments but my-oh-my for a kid whose mobility sometimes causes him such fear that he forgets to breathe, it ain't so trivial at all xxx