Do everything in love.
1 Corinthians 16:14

Monday, March 12, 2012

Time Served

Bryce reached a milestone today.

He flipped 1000 hours, 11 minutes and 58 seconds on his vest
or as we lovingly refer to it - his "Beat Box".


That is 60,011.58 minutes
or 42.13 days
of his life spent hooked up to a machine.



Not your typical milestone, but one we feel is pretty impressive for being all of 3-1/2 years old. He never complains during the two 30 minutes sessions he is hooked up each day.

He is having to do breathing treatments right now due to a lovely cough that has decided to visit us. He does this at the same time he does the vest and again, with no complaints. His cough is worse at night and for the past few nights it has kept him up. He coughs so hard at times it causes him to throw up, which results in middle of the night showers, pajama changes and bed sheet changes. It's heartbreaking for us to hear him coughing continually all night and to watch him cough with such force, but throughout everything he always has the best attitude.


Seriously, he is such a little rock star!
I'm one proud mom.

Thursday, March 1, 2012

Who?

Who's the Student of the Month at Wildwood Baptist Preschool
for the month of March??


This guy...

That's who!!

He was so excited walking out of the school with the sign. He yelled, "Look what I have mom!".

Friday, February 17, 2012

February Clinic 2012

Bryce and I headed down to good old CHOA for his first clinic of 2012.
Our (my) motto for the day was to
"Kick some CF arse and take some names".

Triage' time.
This boy LOVES clinic and his CF team. Being "still like a statue" while they take his pulse and pressures is VERY hard for him.
Usually takes 2 or 3 tries before they can get the necessary information.


Overall we did kick some CF tail, but we have some work to do in order to give CF a complete whooping. His lungs sound great and his nasal passages are clear. His team loves that fact that he does nasal rinses each day. Fellow moms (all moms, not just CF moms), if you aren't using a nasal rinse, you have to give it a try. It's awesome!! Bryce doesn't mind the process at all because he knows afterwards he feels so much better.
(I will work on posting a video of him doing his rinse).

The rain outside provided some entertainment as well as the 3 ladybugs in our room.
So random. Bryce was fascinated by them.

Bryce's weight seems to be our biggest enemy currently. Although he looks like a solid little dude he isn't where they want him to be with his weight. He weighed in at 35 lbs and his height was 39". His weight goal for this clinic was 36 lbs. He is steadily going up in height, but his weight isn't keeping up so his BMI fell to 47%. The highest his BMI has been was 65%. Although it doesn't seem like a big deal to be just under 50%, when you look at his weight/BMI on his tracking graph there is a huge decline; the biggest he has ever had since we started tracking him. Since November clinic he only gained .5 lbs. That is not great at all. Getting this boy to sit down and focus long enough on eating is a daily battle for us. If I had a quarter (note that I said a quarter and not a dollar) for every time I say "drink your milk", "eat your food", "finish your sandwich", "drink that delicious milkshake" etc., I would be a very wealthy woman.
Most of my day is filled with motivating Bryce to eat.

After getting his throat culture and triage' Bryce dug into his lunch while watching some cartoons.

After lunch it was time to play cars.

Multi-tasking.
Playing cars AND watching cartoons.


So the plan is to increase his calorie intake even more. I'm going to start sending him to school with his own snack. The kids in his preschool class rotate snack so each kid brings in snack for the whole class when it's their turn. Now most parents are going to want to send in healthy/low fat snacks for the kids. It's likely that we are missing an opportunity to pump him with calories during his snack at school. I might have to send him in with a milk as well. I didn't want to do that because I was trying to avoid him having something that the other kids don't, but we will do what we must. Bottom line, he isn't like the other kids. :)

Self-portrait time.

We are also going to try a late night high calorie snack also. I'm thinking peanut butter crackers or apple slices with peanut butter. Something small, but high in calories that is will stay with him while he sleeps. I never thought about giving him a snack just before he goes to bed, but it makes sense so we will give it a whirl.

Another option is to replace his lunch milk with an Ensure. As of right now he gets one Ensure per day with his dinner. He drinks the Ensure Plus which has 350 calories in addition to his meal. His regular full fat milk tops out at 200 calories per serving once I add strawberry or chocolate syrup. By dropping the milk and adding the Ensure we can tack on another 150 calories to his lunch. I cringe because the Ensure's are SO expensive!! I buy the store brand when available to save money, but still.

We are also going to buy a scale. I'm not thrilled with this because I tend to obsess with weighing myself if there is a scale around. It's silly I know, but that is why we don't have one. Having a scale will be handy as we can then we can see if these new changes are working or not.

Chair jumping time.
Since clinic was slower than usual I was coming up with all sorts of ways to entertain this ball of energy in a 10 x 10 room.
He did this for about 20 mins.
It was riveting.


Our mission until the next clinic will be to add calories and gain that weight. My hope is to avoid him being put on Periactin (an allergy drug that can also be used as an appetite stimulant) which is the next step. I weaseled out of using Periactin last year when he had a dip in his weight gain, but an increase in his height. We increased our efforts on getting him to eat then and it paid off as his weight went back up. I'm sure going on Periactin is not a big deal, but my view is that Bryce has a life that will be full of medications. Before jumping on another medication I would much rather see if we can't get him to gain weight on his own. If our efforts don't produce the results we need then of course I will give the Periactin a try. I'm just not one for jumping on more medication when it may be something we can fix on our own.

Photos courtesy of Bryce. He did a great job taking a picture of my shoe.

And finally - I asked about Kalydeco. The CHOA CF program has around 150/160 kids. Seven of those kids have the G551D mutation and two of the seven are 3-years-old. Bryce and one other kid. Crazy huh? Anyway, our clinic is of course excited about the medication, but cautious at the same time. As excited as I am about Kalydeco, I also realize that Bryce is technically not old enough for it. Since Bryce has been very healthy and we have had little CF related issues his docs including myself feel it's best for him to wait. So for right now we are going to sit back and see how the drug performs on those old enough for it. With that said, I asked about the pediatric trial for this Kalydeco - the trial to help determine dosing for kids 2 - 6. Our clinic at Scottish Rite is not participating in the trial, but their sister site at Eagleston is. I made sure they knew we were interested in trying to get into that trial regardless of what site it was at. The research coordinator came in to talk to me and said she would keep me in the loop on everything. They believe things will get underway in the next few months. Hopefully we can get Bryce in that trial. Bryce will be 6 in just 2-1/2 short years so if we need to wait things out we will. Like I said, he has been very healthy so there is no urgency on our part, but getting in the pediatric trial would be awesome. If we have to wait, maybe by then there will be more information on how insurance companies plan on handling the hefty price tag that is associated with with Kalydeco. I keep hearing different stories, but would like to see how things pan out over the next year. For now we are at peace with waiting...or observing if you will. ;)

Oh those eye lashes...

Oh and one last thing that made me happy. Bryan and I have been talking about another Disney trip for the kids. Key word is talking because taking 3 kids to Disney is umm..pricey to say the least. With the girls being in full time school and with Bryan's work we can't go on vacation anytime we feel like it these days. I asked our pulm nurse if we could get a medical note/prescription to use for a medical/handicap pass in the parks. I couldn't even finish the sentence before she said, absolutely...anything to get her kids to the front of the line! So, that is a nice little nugget to have when planning a possible Disney vacation. A reliable source told me they did Magic Kingdom with their medical pass in about 3 hours since they literally walked onto every ride.
This makes me slightly excited!

Next clinic is on May 10th.
Please pray for his weight gain until then.

Wednesday, February 8, 2012

Aww Man.

Here is a little mid week cuteness to start the day off of Bryce saying the blessing at dinner.



I pray everyone has a blessed day, Aww-man.

Friday, February 3, 2012

Happy Friday.

Today the girls had a celebration at school for the "100th Day of School".
The kids were allowed to dress up like old people. Not sure if what we came up with looks anything like an "old person", but we did our best. I think the dollar store reading glasses (sans lenses) we bought were a nice touch.

Acting like "old ladies".
They were walking around this house like this all morning.
Makes me giggle just thinking about it.



********

Bryce enjoyed some outside playtime yesterday before we headed out to get the girls from school. He burned off some energy and I got to enjoy time with just my little man. We have been enjoying beautiful mild weather here in the south.
Winter should always be in the upper 60's.
I'm just sayin...

Tuesday, January 31, 2012

This. Is. AMAZING!!!

I was rather busy today and hadn't had a chance to waste time on Facebook like I normally do. I went to pick Bryce up from school and while waiting in the carpool like I hit up the old Facebook to see what was going on. This is the news that greeted me...


FDA approves Kalydeco to treat rare form of cystic fibrosis

Say WHAT?! I was so not expecting to see this news today and I'm not going to deny that I didn't break down in tears of joy. I knew this drug was awaiting approval, but to actually see it set in stone...AMAZING!!! Kalydeco works to correct the underlying issues of one of Bryce's mutations. The mutation is called G551D and it is a rare mutation that affects approximately 4% of the CF population - that is roughly 1200 people. Our boy is one of 1200. To me, this is like winning the lottery. I don't know what this means for Bryce as of yet, but the fact that I know this drug is available is an amazing feeling. There isn't anything I can do to "fix" Bryce, but this drug definitely gives us hope that a long and normal life is a reality for him.

Read the good news below or click HERE.

FDA NEWS RELEASE

For Immediate Release: Jan. 31, 2012
Media Inquiries: Morgan Liscinsky, 301-796-0397; morgan.liscinsky@fda.hhs.gov
Consumer Inquiries: 888-INFO-FDA

FDA approves Kalydeco to treat rare form of cystic fibrosis
Breakthrough therapy targets defective protein

The U.S. Food and Drug Administration today approved Kalydeco (ivacaftor) for the treatment of a rare form of cystic fibrosis (CF) in patients ages 6 years and older who have the specific G551D mutation in the Cystic Fibrosis Transmembrane Regulator (CFTR) gene.

CF is a serious genetic disorder affecting the lungs and other organs that ultimately leads to an early death. It is caused by mutations (defects) in a gene that encodes for a protein called CFTR that regulates ion (such as chloride) and water transport in the body. The defect in chloride and water transport results in the formation of thick mucus that builds up in the lungs, digestive tract and other parts of the body leading to severe respiratory and digestive problems, as well as other complications such as infections and diabetes.

CF, which affects about 30,000 people in the United States, is the most common fatal genetic disease in the Caucasian population. About 4 percent of those with CF, or roughly 1,200 people, are believed to have the G551D mutation.

“Kalydeco is an excellent example of the promise of personalized medicine – targeted drugs that treat patients with a specific genetic makeup,” said FDA Commissioner Margaret A. Hamburg, M.D. “The unique and mutually beneficial partnership that led to the approval of Kalydeco serves as a great model for what companies and patient groups can achieve if they collaborate on drug development.”

The FDA reviewed and approved Kalydeco in approximately three months under the agency’s priority review program that is designed to expedite the review of drugs. The priority review program uses a six-month review, instead of the standard 10 months, for drugs that may offer significant advances in treatment over available therapy.

Kalydeco was approved ahead of the drug’s April 18, 2012 prescription user fee goal date and is designated as an orphan drug, which identifies the disease as affecting fewer than 200,000 people in the United States.

In patients with the G551D mutation, Kalydeco, a pill taken two times a day with fat-containing food, helps the protein made by the CFTR gene function better and as a result, improves lung function and other aspects of CF such as increasing weight gain.

“Kalydeco is the first available treatment that targets the defective CFTR protein, which is the underlying cause of cystic fibrosis,” said Janet Woodcock, M.D., director of the FDA’s Center for Drug Evaluation and Research. “This is a breakthrough therapy for the cystic fibrosis community because current therapies only treat the symptoms of this genetic disease.”

Two 48-week, placebo-controlled clinical studies involving 213 patients, one in patients ages 12 years and older and another in patients ages 6 years to 11 years, were used to evaluate the safety and efficacy of Kalydeco in CF patients with the G551D mutation. In both studies, treatment with Kalydeco resulted in significant and sustained improvement in lung function.

Kalydeco is effective only in patients with CF who have the G551D mutation. It is not effective in CF patients with two copies of the F508 mutation in the CFTR gene, which is the most common mutation that results in CF. If a patient’s mutation status is not known, an FDA-cleared CF mutation test should be used to determine whether the G551D mutation is present.

The most common side effects of Kalydeco include upper respiratory tract infection, headache, stomach ache, rash, diarrhea, and dizziness.

Kalydeco is manufactured by Vertex Pharmaceuticals Inc. of Cambridge, Mass.

Sunday, January 15, 2012

My Nanny

Another chapter of life has come to a close. Yesterday, January 14, 2012, I said goodbye to my last living grandparent. My grandmother, Elizabeth Lois High; lovingly known as Nanny, is now living her eternal life in Heaven.
This is the vision that kept popping up in my head yesterday. This was taken a few months before my grandmother got a terrible burn on her leg which was the start of her deteriorating health. Prior to that...this woman seemed almost unstoppable!! She was amazing.
I love how Bryce and Nanny are looking at each other...and he is smiling at her!

On January 5th I took the girls to see Nanny after Jordyn finished up her dance class. Mom had told me earlier in the day that the end was near. I wanted Nanny to see the girls and for them to see her before she passed. I can't begin to say how happy I am that I took the girls to see her that night. Jordyn had on her dancing clothes and did some ballet for her. Sydney joined in as well. It was so sweet. Nanny's eyes never left the girls for the time we were there. I'm not 100% sure if she knew who they were, but she definitely enjoyed watching them. When we first walked in the room I think Nanny was a bit confused. She looked at my mom, then me and then at the girls. My guess is she was like...wow, all these girls look the same!

4 Generations together one last time. :)

On the morning of the day she passed I got a text from my mom saying that the end was drawing closer. Sydney and I met up with my brothers at the nursing home around lunch to let her know one last time how much we love her. It was very hard seeing my grandmother laying there in such a frail way. She did not look anything like she did just a week before so I immediately looked to Sydney to make sure she was okay. I think my brothers were very taken aback by her appearance as well. Being in that room seemed to transport me back to the deaths of my paternal grandparents. It's been years since my other grandparents passed, but its kind of like reliving each of their deaths again. It's seems so strange that all of my grandparents are gone. It's a good feeling to know I was blessed with some pretty fabulous grandparents that helped me make some pretty special memories.

After our visit with Nanny, my brothers and I went to lunch with mom. Nanny passed away while we were on our way back from lunch. We had dropped mom off at the nursing home and within just a few minutes she called to say that she was gone. I called my brothers and we all turned around to go back to check on mom. My aunt Bonnie had come for a visit while we were at lunch so Nanny was not alone when she passed. I was worried my mom would be upset that she wasn't there, but she said that she knew she would probably go while we were at lunch. I'm glad my brothers and I were with mom. We had a really enjoyable lunch together...a great memory to have.

As always it's so bittersweet saying goodbye to a loved one. I'm sad...the family is sad, but at the same time we are thrilled she is without pain.
She is free from the shackles of this life...
She has seen Jesus...
How absolutely amazing is that?!

Some of the pictures from the last 3 years...

Nanny with her girls: Judy (Right), Bonnie (Left) and Nancy (my mom in the red).
Her 88th birthday last January. She would have been 89 on January 21st.
A favorite picture!