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)

Wednesday, October 4, 2017

You know that point you get to...

...where you know you've FINALLY mastered this special needs parenting thing?

Nope? Well, me neither! In fact, I think I'm moving further and further AWAY from THAT point...like it occasionally flits a little closer to taunt me and I shakily breathe a 'we've-got-this' sigh of relief and then next thing it hightails away from me and I'm left reeling in a whirlwind aftermath of W.T.F(lip)'s!

It's been a rather busy 3 months...magazine articles, 1 year schooliversary, meds fail, testis hunt, die-hard viral URTI's, flourishing receptive communication and and...

Sam's story is featured this month in a very popular local magazine, although the shoot for the article was done in July already.


The actual shoot was loads of fun, complete with hair and make-up and Sam, who just loves the camera, did really well. The only downside of the morning was Sam's ever-increasing fear of being in a car, as we travelled 45mins to the venue...and then back again. It's something you really have to see to completely comprehend but because holding my phone while Sam is frantically grasping at my neck/hair/face/clothes/arms as if I am about to ease him over the edge of Nanga Parbat's Rupal Face as opposed to over the annoying arm of his booster seat, catching it on video has proven a little tricky. So you will just have to take my word that the lil flappy dude does not do great with cars...eight years on, sometimes up to six or even eight into's and out of's a day and yet each time I open that car door, panic hits him like it's the very first time.

It's this very irrational anxiety which led us to probably one of our worst medication epic fails. With Sam's anxiety levels really affecting his quality of life and with him having been on his current anxiety meds since he was 2 years old, we decided to replace his Faverin with Serdep which, on paper, looked like a better fit (Sam's absent seizures have also increased and the risk of seizures is statistically higher with Faverin), plus the longterm use of the Faverin might have made Sam's system too accustomed to the Fluvoxamine so a change in med seemed like a good idea...until we did it. Said system was not as impressed with the change as we'd hoped and Sam's days became just one emotional turmoil after the other. At the same time, an EEG confirmed that we needed to increase Sam's epilepsy meds AND, for good measure, Sam suddenly sprouted some very adult-looking hair in his nether region indicating that a certain little testis we had presumed lost (and inactive) to the flappy dude's innards was, in fact, not all that inactive after all #gasp!!!

I make light of the situation, but I can assure you that almost every morning for two months I stood clinging to the gate of Sam's school in very-near despair, listening to the amazing team of ladies at Edu-Play Early Learning Centre reassure me that they would cope with Sam's completely over-the-top emotional state and accommodate what behaviours they needed to at that time...and those reassurances and encouragements were, without a doubt, both mine and Sam's saving grace!

I say "were" because Sam is once again back to his version of a "happy place" and our days are no longer filled with unpredictable bouts of emotion, aggression and insanely-pitched  screeching. We switched Sam back to the Faverin after 2 weeks of giving the Serdep fair chance and Sam's system has also now adjusted to the increased dose of Epilum. That darn little testis though...that's a whole other issue (and venting-full post on it's own), but in short, we have to try bring it down again which is not great news as, above spinal cord surgery and thumb reconstruction surgery, Sam's testicle surgeries (this will be the third) always seem to knock him the most. The fact that the little bugger has been hiding out in the inguinal canal for a good 4 or 5 years already means that we aren't doing any more considerable damage by waiting till the beginning of December to do the surgery so that a) Sam has at least had a couple of months to enjoy some (relative) calm before we slap him with another round of trauma and b) he gets to enjoy his Christmas concert and the festivities of the end of the school year.

Thankfully, through all the issues
over the past few months, Sam's
love for school has not been
affected. The fact that some of his
favourite people are there sure
helps. It's crazy to believe that on
18 July he'd been at Edu-Play for 
a full year already!


To close off, there has been a sudden flourish of receptive communication on Sam's part. His receptive language has always been good and we've even noticed him picking up on some Afrikaans words...but more than once now he has reacted to something that was said in a conversation in his presence, but not directed at him. It's been really quite amusing, with a flappy conqueror's twist of course, eg...a few nights ago Sam whacked his head a startling shot on the wooden headboard. Sam has an incredibly high pain tolerance, but still feels the initial pain completely, in other words, he feels the pain...reacts, but then has so (almost sadly) become accustomed to pain that he will continue functioning despite (I believe this is very much an RTS thing). Anyway, he knocked his head but instead of crying momentarily and then moving on as usual, he sobbed for over half-an-hour afterwards and was extremely heartsore. My neurotic, mama-brain went into overdrive of course and imagined all sorts of devastating consequences which might have made this head knocking different to the hundred others #eyeroll. About two days later Sam was rubbing his left eye and I mentioned to his dad (while Sam seemed preoccupied with his iPad) that his eye seemed to have been troubling him ever since he'd knocked his head. Sam (who was on the bed again at the time) calmly put the iPad down and, albeit it very cautiously and in super slow mode, replayed him falling and knocking his head. It was the cutest thing ever because, of course, it came complete with fake tears and the need for more of the same hugs and cuddles as well  💜

  




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