Monday, December 13, 2010

one day left to live series - 13 months and 14 days

First of all, thank you all for your kind wishes. We can never say 'no more' to 'well wishes'.

This is going to be a long post.


It all started on the 1st of December, Miss.Peg was home for the Wednesday PT session and noticed Sripathi's eyeballs were staggering. I told her that I’ll check about that with the doctor as he was due for the second flu shot on that day. At the clinic the doctor described it as vertical nystagmus. The flu shot was canceled. She said she would contact the neurologist at Texas with his condition. That evening she called to let us know that the neurologist wanted us to contact the neuro ophthalmologist as he did not suspect any neurological activity that could cause nystagmus for Sripathi. Unfortunately our neuro ophthalmologist at TCH did not respond. So our pediatrician suggested that we visit an ophthalmologist here in Orlando. The next day was Sripathi's vision therapy session. So when Miss. Susan came home she also checked his eyes and started noting down certain points that she said she wanted to research further. Her concerns were not just the nystagmus, but as to why Sripathi is not tired of playing his one eyed jack game. He seems to be cultivating a habit of closing one eye most of the time. Maybe he has better view and focus with one eye. If that is the case we need to correct it at the earliest. She asked me to talk to the eye doctor about it.


Our appointment with the eye doctor is only on the 14th of December. So while we were waiting, a lot of other surprises cropped up. No doubt it all began with a seizure at 7:40 am on the 5th of December. It was while Sripathi was trying to take another nap that morning. Later that evening half way through the Sunday Satsang he fell asleep. While I stepped into the kitchen to get the prasadam for neiyedyam Sripathi started another seizure. This time we thought that his congestion was working him up. After that he was in posticale state and did not wake up until morning, sadly with another seizure at 6:17 am. This one was long. We immediately called the neurologist at TCH and left them a message. Then we called our pediatrician as we wanted her to check him for congestion.


So on 6th we went to the pediatrician again. She checked him thoroughly and said his lungs were very clear. All his congestion is working up only in his nose and throat. But since it seems to be bothering him too much she prescribed an antibiotic AMOX TR-K CLV. Also Xopenx via Nebulizer.
The same day the nurse from the neurologist 's office called and confirmed to increased Sripathi's Keppra to 5.5 ml twice a day and of course we have to hold on the wean off process on phenobarbital for another week.

I can really tell he felt better with the nebulizer that night and also the following day. But on the 8th he had another seizure while he was taking his afternoon nap and right after the seizure he relieved himself of gas and also pooped. I cleaned and changed him and he went right back to sleep.
The pediatrician had mentioned that the antibiotic could cause loose stool and I guessed that must be it.

But that night rather just before dawn on the 9th of December at around 3:20 am, Sripathi started breathing heavily. I could not tell if he was having a seizure as he was not stiff not were his eyes pulled to any direction, he was nodding his head rubbing his nose taking real heavy breaths. I woke up Aravind and we were both trying to calm Sripathi. I picked him up and after a while he seemed fine and went back to sleep. We were confused as to what was happening. Should we call 911? But he is sleeping again and does not seem pale or irritated anymore. So we did not want to disturb him.
And he seemed to be fine that rest of the morning. But later that afternoon when he was taking him nap, 12 hours after that last breathing episode he did the same thing again, woke up dazed, nodding his head, taking really heavy breaths. He seems so uncomfortable and when I picked him I noticed he had been drooling so much that there was a big wet spot right where his head was on the mattress. And he kept taking deep breaths even as I was carrying him. I then recorded it so I can show it to the doctor. I then called our friend Dr.Lekshmi at Houston, I was so confused and tensed that I lost my manners to excuse myself for calling her during her working hours. I just said Radhe radhe Lekshmi ji please listen to this and I put the phone near Sripathi. She asked if he was coughing. So that's how loud his breathing was. I told her it was how he was breathing and I told her he was drooling and seemed very uncomfortable. She was worried that he was having an infection in the throat and probably it was swollen and he is finding it difficult to breath. So she asked me to take him to the doctor ASAP.

I called Aravind and told him that he has to come home and we need to take Sripathi back to the doctor. I called the doctor and they asked us to come in at 4:30 pm. Dr.C checked him again; she felt he was doing really well. They checked his SP02, that is the oxygen intake while he was lying, while he was being carried and also while he was sleeping. It was between 95 and even reached 100 while he was sleeping. So the doctor was happy that he was getting enough oxygen. She saw the video and she also checked his throat and said he had no infection and no swelling. So it must be just the congestion.


She asked me to give Sripathi normal Saline via nebulizer. She said probably the Xopenx is opening up his lungs well but his congestion in the throat is not clearing out and that's the reason he is not getting sufficient air. And she also asked me to continue turning on the humidifier.
We were doing all that he seemed ok but at times we can notice that he is breathing through his mouth.

Phew as things were getting so and so better on the morning of 11th December I noticed a white discharge when he was peeing. "No I don't usually open his diaper and see how he pees." But that morning I was cleaning his diaper as he had just pooped and just as I was changing his diaper he peed and that’s when I saw the white thing and strange that even Aravind was beside me watching the same thing.


It was a Saturday, usually only the nurse would be available at the clinic but we still wanted him checked. Fortunately Dr.C was in that day. We took him in at 10:30 am of course they put a bag on him to collect his urine samples. The doctor came and checked him. Dr.C said he was good, she could not find anything wrong. And I trust her, though he is been going through a lot in the fast 2 weeks and still Dr.C tells me he is doing fine. I don't worry if she was being careless because she really gives attention to Sripathi and is always very cautious before any vaccination or prescription. So far she was able to catch his problems well before they become critical.


So we wait till 11:50 am and Mr.Sripathi does not want to pee even after drinking 4 ounces of milk and close to 7 ounces of juice. Usually the clinic closes at 12:00 noon. They would have waited but Dr.C had a meeting later that afternoon. So she said the nurse will teach me how to go about the whole urine testing process and that Dr.C would call me at home at around 3:00 pm to get the results.


To before we left I did the cleaning and bagging process so the nurse could make sure I did it right if in case we had to do it again at home. Then she gave me the urine testing strips. It was simple all I have to do it collect the urine dip the strip and start writing down the results that is see the change in color of the various tests.


So at home 30 minutes after we had changed his bag he peed. Oh and this time we did not notice any white stuff. I have to admit I'm bad technically and Aravind is almost color blind. So now you can be sure that our results were wrong. And we did not realize it until the doctor called at 3:00 pm and asked me to redo the test and that she would call me back at 5:30pm


Sripathi woke up at 4:00 pm. I fed him and gave him a warm bath and put a bag at 4:40 pm. Sripathi just would not pee and I was told to clean and rebag him if he does not pee within an hour. It was almost 5:25pm. I did not want to mess it this time. So I cleaned him and bagged him again at 5:30 pm. Finally he peed at 5:40 pm. This time I carefully tested the strips and noted the results at the accurate time. And doctor called at 5:45 pm

She was happy about the results mainly the Leukocytes and the nitrates in the urine, which were both negative.

Oh and yes I did not see any white discharge this time too. So I though it must have been something on the diaper. Anyways the doctor asked me to call her if we find anything unusual. But so far he is pretty fine.


BTW in all this confusion I don't know how but I had poured hot water yeah hot water on my face. I have a few burns on my cheek and forehead. Please don't say "ahh". I'm doing fine and the burns are drying and healing real fast. I thank God that it was my face. I cannot image how difficult it would have been to handle Sripathi had the water fallen on my hands or feet. I have never heard anybody, by mistake pour hot water on their face; it would usually be the hands and feet. It was my karma that I have to suffer burns but look at the grace of God; he made it easier for me by making sure I did not hurt my needed hands and legs. I'm just flabbergasted by his grace.


Tomorrow is Sripathi's appointment with the eye doctor. Keeping my fingers crossed.

Friday, November 26, 2010

one day left to live series - 12 months and 28 days

It was a long Monday. We had a scheduled appointment at Shriners hospital for children to discuss with Orthopedics based on suggestion from Sripathi’s physical therapist as he would soon need special equipments to help him sit, leg braces to help him bear weight on his legs and possible a wheelchair.

But first we had to meet with the nurse practitioner who would first read and understand Sripathi’s case. Further they did the x-ray of his spine to make sure it is taken care of before it starts curving or bending like it happens for most hypotonic children.

The Occupational therapist was kind enough to see us on short notice to discuss about Sripathi’s car seat, one that can be used for all types of travel mainly car and flight (to carefully transport him to Houston as needed) Unfortunately the products were extremely pricy and extremely difficult to handle and worst scenario was they were not fit for air travel. So we are just going to investigate further and try to work out without a special needs car seat with just the options available from Britax. We are just waiting for further inputs from therapist.

But apart from the car seat, she provided us with arm holders for Sripathi to learn to weight bear on his arms. She showed us special needs bath chairs. If we were in India I’m pretty sure bathing a special needs child would have been different. But here in an American apartment where I doubt a special needs bath chair for Sripathi may not fit, I’m desperately looking for alternative ways to help support him while bathing.

By the end of the day Sripathi was taken to the prosthetics department to get a cast of his legs. Sometime in January he will have to go back again to get the braces for his legs. We also have further appointments for his wheelchair and other special needs equipment evaluation.

We had left our house at around 9:45 am and returned only at 7:00 pm. We were all tired especially Sripathi.

To further append his list of troubles, Sripathi cannot wean off Lactulose rather we may have to go up on his does because he is not relieved of constipation. We visited the gastroenterologist the previous week and she confirmed that hypotonic children like Sripathi always need help to gets their bowels moving.

And his water therapy is not as successful either. He is not confident about staying in the water. And I’m not the least confident of letting go of the neck ring which will I suppose facilitate him to experiment. And Nancy from water ways has e-mailed me to check on our progress. So I’m thinking of capturing the therapy session on video and send it over to Nancy, maybe she can help suggest what I could do better.

It was thanksgiving, wanted to share this from the book of Ecclesiastes

To everything there is a season, and a time to every purpose under the heaven:

A time to be born, and a time to die; a time to plant, a time to reap that which is planted;

A time to kill, and a time to heal; a time to break down, and a time to build up;

A time to weep, and a time to laugh; a time to mourn, and a time to dance;

A time to cast away stones, and a time to gather stones together; a time to embrace, and a time to refrain from embracing;

A time to get, and a time to lose; a time to keep, and a time to cast away;

A time to rend, and a time to sew; a time to keep silence, and a time to speak;

A time to love, and a time to hate; a time of war, and a time of peace.

Happy Thanksgiving!

Saturday, November 20, 2010

one day left to live series - 12 months and 22 days

Updated video of photographs taken on Sripathi's 1st birthday on the 29th of October 2010, the evening satsang and his Ayushya Homam on the 15th of November 2010.


Friday, November 05, 2010

one day left to live series - 1 year and 7 days

Happy Diwali to your family from ours
Sripathi is a year old now. He started taking whole milk and has almost stopped taking Formula. In the past 10 days he met his hematologist who tested his blood and mentioned that Sripathi's hemo levels are at 13 which is great. He also visited his pediatrician and had his prevnar shot finally. And yes he has been doing fine after the shot. We have postponed his gastroenterologist appointment. And also we are weaning him off the Lactulose. I found that Avocados help with his constipation. So he gets a quarter of the pulp every day. Also the stage three Gerber foods - pears and blueberries also help.

Sripathi had a wonderful birthday celebration with satsang. He wore kurtha and dhoti sent by his paternal grandparents. Of course he received a lot of toys and books from his satsang family. Thanks to Lekshmi ji and Jeevan ji family for send me this wonderful book. This should really help me help Sripathi with the ABM. - Move into life by Anat Baniel.


Sripathi's water therapy is going great. So is his physical and vision. His occupational therapy is on hold for now.

BTW October 31'st is Halloween here in the USA. Aparna had given me her elder daughter Sadhana's Halloween costume for Sripathi. So here he is dressed up as Tigger from Winne the pooh.


We are now trying to get Sripathi to use a sippy cup. I found this product - think baby which I think should work for Sripathi. Let's see.


Monday, November 01, 2010

The Three Questions

This is based on the short story by Leo Tolstoy - The three questions.
The story goes like this.... (Credits - Wikipedia)

A king determines that he will be able to cope with any occurrence only if he has the answers to three critical questions:
  • What is the best time to do each thing?
  • Who are the most important people to work with?
  • What is the most important thing to do at all times?

Many educated men attempted to answer the king's questions, but they all came up with different answers. The king decided that he needed to ask a wise hermit in a nearby village. The hermit would only see common folk, however, so the king disguised himself as a peasant and left his guards behind to see the hermit. The hermit was digging flower beds when the king arrived. The king asked his questions, but the hermit went on digging rather laboriously. The king offered to dig for him for a while. After digging for some time, the king again asked his questions. Before the hermit could answer, a man emerged from the woods. He was bleeding from a terrible stomach wound. The king tended to him, and they stayed the night in the hermit's hut. By the next day the wounded man was doing better, but was incredulous at the help he had received. The man confessed that he knew who the king was, and that the king had executed his brother and seized his property. He had come to kill the king, but the guards wounded him in the stomach. The man pledged allegiance to the king, and he went on his way. The king asked the hermit again for his answers, and the hermit responded that he had just had his questions answered.

  • The most important time is now. The present is the only time over which we have power.
  • The most important person is whoever you are with.
  • The most important thing is to do good to the person you are with.

Here is a person who has answered his three questions.
Narayanan Krishnan personally cooks and feeds 400 mentally ill destitute every single day since 2003 and he is selected as a candidate for the CNN hero of 2010.
Voting is open until Thursday, November 18, 2010 (6 am ET) on http://heroes.cnn.com/vote.aspx.

Monday, October 25, 2010

one day left to live series - 11 months and 27 days

We recently found about water therapy for babies with hypotonia and developmental delays. So I checked with Sripathi's physical therapist if we can try water therapy for him. She was very supportive about the therapy and we immediately bought the equipment from Water Way Babies with kind assistance from Nancy.

This morning when Ms. Peg arrived, I told her that i had filled the tub and its ready for Sripathi's therapy. She was all excited and helped me put the ring around his neck and lower him into the tub. He obviously looked perplexed his eyes widened and he started crying but as we started singing all the rhymes that we used to sing for him during PT, slowly he calmed down to the song but was still very scared. But Peg helped him move his feet and then he was fine. He kept moving his feet, started feeling the sides of the tub and then I started moving him hands. He could reach the floor of the tub and was able to stand with one foot. I can't say he likes it, but I'm guessing he will be okay after a couple more sessions in the water.

I'm so grateful to Peg for helping me with the therapy. Its really hard for just one person to handle a baby in water. Well eventually I'll learn to do it alone but its just safe to have one more person around.

That's with water therapy. And about Anat Baniel method its way too expensive for us to visit Anat herself for therapy. So I hope we could at least make it to Gainesville again but for a longer session than before.

Wednesday, October 20, 2010

Bye Bye Paati

Sripathi's grandma is returning to India.
He will miss her games and I'll miss her help in the kitchen.
But I'm also glad she is going back to India where she can resume all her usual activities, none of which she could do here in the US.

Bye Bye Paati


(And Hema ji thanks for the info, I'm trying everything everyday, now he is getting closer, but still poops like a goat :)

Tuesday, October 12, 2010

Golu 2010

Navrathri 2010 - Season for the doll fesival of south India. Last Sunday we had a navarathri satsang with golu.

24 Puratasi 2010

Friday, October 08, 2010

one day left to live series - 11 months and 11 days

Consistency is not Sripathi's game. A visit to the gastroenterologist resulted in increased of lactulose from 7.5 ml to 10 ml twice a day. Added to it Dr.B strongly recommended giving Sripathi an overload of fluids. So we came back to try anything and everything to help Sripathi poop.

Some of the things we tried abundant fluids like apple juice, orange juice, prune juice, pear juice. Apart from fluids some of grandma’s therapies like juice of dry grapes soaked the previous day, boiled and cooled water of caraway seeds, boiled mashed corn, some tea.

Somehow finally he did start pooping regularly for the past 3 days. But sadly we are unable to determine what helps him and he is still on medication as well. Basically he is just not consistent with one method of relief so we just have to keep doing every method we know on a frequent interval.



Friday, October 01, 2010

one day left to live series - 11 months and 3 days

Thank God for a happy baby at last. After over 3 days of constipation and of course followed by cluster of seizures almost 7 in a day! We informed about his condition to the pediatrician and neurologist.
They discussed with each other and the pediatrician later discussed Sripathi's case with a gastroenterologist. Then they prescribed Lactulose 5 ml twice a day. Then after a day Sripathi finally had a bowel movement. Now he is on 7.5 ml twice a day.
But since his seizure was not a welcome sign the neurologist suggested to hold on the wean off process on the phenobarbital. And on top of it the keppra was increased to 5 ml twice a day.
I'm grateful to the pediatrician who takes so much care every time she examines Sripathi or prescribes medication or administers vaccinations.