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)

Monday, November 30, 2020

2020 - THE YEAR THAT KEEPS ON GIVING...

 ...uncertainty, curveballs, heart palpitations, stress migraines, anxiety attacks. You know, all the good stuff. I feel like one could publish a blog post made up entirely of 2020 memes and GIF's 😅 

And here we were, quietly minding our own business (and all those who know Sam and/or live within a 5km radius of our house have just gone "Wait! What? Quiet??"), breathing a welcome sigh of relief as this year draws to a close that, other than scaling down our already scaled-down social life and having missed so many precious therapies, the pandemic and its host year has not impacted our lives too terribly and we have certainly (almost) come out of 2020 with far less significant hardship than many others. In fact, I daresay, there have been many blessings as a result of the pandemic and its subsequent lockdown...a nudge to relook at the things we place the most value on and (more importantly) take for granted, a (not too) subtle reminder to make the most of opportunities to enjoy friendship and interacting with others when the choice to do so is still within our control, a welcome break from the usual respiratory illnesses Sam is niggled with every few weeks. And the blessing of being 'still' which (as for most special needs parents) didn't mean having a few spare hours every day to just sit and read a book, splash around in some new creativity or whatever other joy might have indulged the soul. Rather, it was more of a slowing down and being more present with the need to juggle the usual day-to-day special needs parenting around therapies/specialist appointments, etc. been forced into pause.

The rushing around to and from activities did bring with it a hidden benefit though...an element of physical activity for Sam which I completely underestimated. While Sam needs his wheelchair for distances, when we're on our usual trips to therapies and other activities I rather "walk Sam" (support him from behind while he walks) and even if it's just driving somewhere, we still have to walk to and from the car. But then all of that stopped. And the 'still' resulted in some heartbreaking regression for Sam's beautifully-unique feet. A few weeks ago Sam's default mood started swaying heavily towards grumpy. I just couldn't figure out what the cause was. The fact that he was spending more time on his feet again after such a long period of predominantly knee-walking, just didn't occur to me. We had had a consultation with the orthopaed fairly recently (in May) who confirmed that the original plan of action for that little rocker-bottom foot was still the same - major surgery when Sam is 14/15 to fuse bones together and some equally cringy plans for the collapsed right foot.

Sam's discomfort became more and more obvious though, to the point that he was flinching with most of his movements. Still, I could not figure out what was wrong...my first thoughts were his back or tummy (which has taken a liking to fecal loading lately 🙄). In hindsight, most of his discomfort was when he had his AFO's on or had just had them taken off and, seeing as he generally had them on for 6-8 hours at a time, that was pretty much most of his day. As Sam's emotional state deteriorated and desperate attempts to ask him where he was sore revealed nothing (does the circulating overwhelming heartache of 'non-verbal' ever go away?) We even planned on increasing/adding anxiety meds in case it was all emotional/psychological. The frustration of not being able to figure it out is second only to the frustration that there were so many clear indications that I missed! Thankfully (and I know I've said this before but I am going to say it again...and probably 100 billion times more before our journey ends) Sam has been truly blessed with THE most amazing pillars of encouragement, support and expertise in the shape of his therapeutic and medical team! Aunty/Princess Nicole became increasingly concerned about the tightness and tenderness of Sam's left foot, to the point where she personally went to the orthopaedic surgeon's rooms to ask if Sam could piggyback off an appointment I had last week for my shoulder...the alternate which would have been to wait the usual 6 or so weeks for an appointment. The orthopaed confirmed Aunty Nicole's suspicions that what I had originally thought was merely 'normal' pressure points from the AFO's, are actually the foot's bones making their way through the side of the foot. In other words, Sam might land up with "holes" in his foot. So, our three-year plan for foot surgery has turned into a seven-day plan. Doing major surgery on the left foot now is still not an option as we need to be sure that Sam has stopped growing first but there are some things that can be done which can hopefully take some pressure off the left foot and get it safely to 14 years 🙂 So tomorrow the orthopaedic surgeon is taking Sam into theatre for neurolysis of the calf muscles on both legs (which will lengthen his calf muscles and minimise the degree at which they are pulling on his feet) and then he is going to go ahead and fuse the ankle joint of the right foot through Arthrodesis Subtalar Joint  surgery so that the kid has at least one stable foot. 

I am fighting off bouts of anxiety which threaten to smother me a little...not around the procedure itself, but more the recovery. The same feisty warrior spirit which carried Sam through all his other, more serious surgeries, is still the same as always! What isn't the same is the Mom : Sam ratio (although, with the help of lockdown, I have managed to keep it slightly in my favour). So, where in the past I could just carry the lil dude around on a pillow or cuddle him on my lap, post-op TLC might look a little different this time. We are at a point where I cannot pick Sam up unless he is already in a standing position so his not being able to weight-bear is going to bring an interesting twist to the situation. If anyone knows of some exercises which do a super-speedy beefing up of one's core and upper body strength, feel free to flood my phone!! 

Thankfully, I have a feisty warrior spirit of my own I can draw strength, courage and peace from...and it is rooted in He who is faithful, loving and unimaginably generous with His grace. 


This tattoo has a bit of a charming story to it...I had it done a few years ago. It was not what I had originally envisioned for my next tattoo (which are there to whisper the words my soul is often too overwhelmed to hear) but for some reason, at the very last minute, these are the words I chose. And the skin had barely healed when a challenging season filled with uncertainty, failures and hopelessness found me not only regretting my choice, but on very many days unable to even look at the words which seemed to burn into my skin as they taunted me. 

 Two years later, after that 'challenging season' seemed like a walk in the park compared to what 2019 had in store, on 11 November 2019 those words burnt into my soul again. But this time the intensity of their weight on my skin...and my life...was welcome. So, I am trusting that our longterm plan for Sam's feet has been curveballed by He whose answer to my prayers for Sam to walk one day, is being presented in a way much more glorifying than the blueprint I had dictated 🙏

#samtheconqueror #rubinsteintaybisyndrome *RTSwarrior #cerebralpalsy #CPwarrior #isurrender #morethanaconqueror #bingejesus #mustardseedfaith