Tag Archives: OT

November 1, 2019 Halloween, Red Ribbons, and New Therapies

This has been an exciting week for Annadelle. For the past year (literally), she has continued to talk about how much she was anticipating Halloween. While in the hospital last Halloween, Annadelle was in the hospital (in the PICU) and on a vent so she was not able to trick-or-treat (either at home or at the hospital). The doctors and nurses tried to make Halloween fun for her, especially nurse Christy who brought her a bucket of candy and asked the other nurss to come to Annadelle’s room to trick-or-treat. Unfortunately, Annadelle was just too upset about being in the hospital to enjoy it.

Annadelle dressed up as Princess Belle for a neighborhood cart-or-treat in Bear Point

Halloween has always been one of her favorite holidays besides Christmas because she loves to be able to dress up. Having to tell Annadelle she couldn’t participate like she wanted to broke my heart.

Needless to say, I put some effort into Halloween this year by ordering her a beautiful Princess Belle costume off of Amazon. I’m not a very “Pinteresty” mom and I’m usually last minute when it comes to buying a costume, but this year I deserve a cookie or something because this costume was awesome. I ordered her a size 7 since it was as large as was available, thinking that maybe since she has lost some weight it would fit. Well, I was right- it fit like a glove!

Annadelle at school dressed up as “Miss Jennifer” (her para professional)
Annadelle and her dad trick-or-treating in Captain’s Cove

Speaking of weight loss, Annadelle has lost close to 16 pounds since being on a sugar free diet. Some refer to it as a ketogenic diet or low carb diet, but her diet doesn’t fully fit in to either one of those categories. We just try to give her whole foods, little starchy carbs, and low glycemic fruits. We aren’t super strict with her diet because she often gets treats at school (example: birthday parties), but overall her diet has changed a good bit.

When we first started sugar-free, we caught a lot of flack from our friends and family. Some said it was “cruel” to keep the foods she loves away from her. I admit it was rough the first week or so, but after the initial shock of changing her diet she has adjusted to it well. Plus, it’s working and we have seen some amazing improvement since she has lost some weight, such as being able to pick herself up from her wheelchair and transfer to her walker by herself (with her KAFO). She can also hold “high knees” for extended periods of time, army crawl, and lift her left leg up completely. Chris and I are also following the same diet to try to make it easier for her. I’ve lost 13 pounds and I’m not sure how much Chris has lost, but he’s a skinny mini now. He’s started working out frequently and has built up quite a bit of muscle. He says he wanted to since he was lifting Annadelle so much, it makes it easier for him to take care of her.

Annadelle in her Crocodile walker during the 60 minutes she uses it at school (as a part of her IEP)

Annadelle has been loving the first grade! Chris and I recently met with the IEP team and tweaked her IEP after having her evaluated for PT and OT. Educational PT and OT is much different than outpatient PT and OT because the functional goals are often different, but it is important that AFM kiddos get as much PT and OT as humanly possible! She will now receive PT once a week at school which is wonderful.

We also adjusted her IEP to remove the use of the mobile stander and replace it with the Crocodile walker. Miss Jennifer (her wonderful para) or another member of the resource staff puts her in the walker everyday for at least 60 minutes. This means we send her to school wearing both her AFO and her KAFO to decrease the “setup” time for her to transfer to the walker. She has been doing very well wearing the braces all day and tells me it is much easier to stand to go to the bathroom. She says she holds on to the bar while Miss Jennifer helps her with her clothes, then transfers to the toilet.

Annadelle with her friend Grayce during PE at school
Annadelle with classmates and teacher before her school’s parade for Red Ribbon Week

Our next IEP goal will be to have Annadelle utilize her walker for the 60 minutes during resource and ALSO during PE. Our ultimate goal before the end of the school year is to be able to send her to school ONLY in the walker. I am beyond grateful that we have such a supportive school staff that is helping Annadelle to achieve her goals. It takes a village!

Annadelle with her friend Haley swinging in the park during cart-or-treat

Annadelle has continued to show improvement over the last several months, including improvement in her core strength. We noticed she has made significant improvement during the Bear Point cart-or-treat prior to Halloween when her dad put her on the swings with her friend, Haley. I took a picture from far off and couldn’t believe how well she was doing.

We believe she will continue to show improvement for years to come, not just because reports from AFM parents whose children were diagnosed years ago says so, but because we have faith that she will. Especially now that Annadelle has started therapy again at Encore Therapy in Foley, about a 25 minute drive from our house. It is much closer than the previous facility we were going to in Fairhope.

Today we visited Encore so that Annadelle could do her initial evaluation with PT and OT. Her new PT, Tina, and her new OT, Sophia, said they were excited to be treating her. Sophia said she had done some training at Children’s Healthcare in Atlanta and had treated several AFM patients while there, so she is very familiar with the disease and how to treat it! WHAT!? I couldn’t believe it!

We go back for her first therapy session on Monday after we visit Dr. Sharkey (chiropractor). I am beyond excited to see how she progresses and will be posting some videos after that session so that we can “see” how well she progresses in a few months.

As always, thanks for the continued support. ❤

August 25, 2019

I feel like such an old lady. I missed church this morning because of my back, or more specifically, my right leg. I am in constant pain right now from what we believe is sciatica pain. I am unable to sit in an upright position for long periods of time, so unless Pastor Fred is okay with me sprawling out over several chairs, I missed today’s message. Praise Jesus I have another appointment with Dr. Sharkey tomorrow. Until then, I’m going to be flat on my back with an ice pack and a lot of prayers.

Annadelle in prone position after CPT.

Annadelle stayed home with me because she is fighting off a cold. She came home from school with a runny nose so I have been on high alert. I am constantly checking her O2 levels with a pulse oximeter, checking her temperature, loading her down with vitamin C, rubbing all kinds of oils over here, throwing together a blend in the diffuser (frankincense, lemon, and thieves), running the humidifier 24/7, putting her prone and doing some CPT, and following her around with tissues telling her to blow her nose. I have reached peak paranoid mom.

Annadelle at school (first grade)

Since going back to school, we haven’t been able to schedule her for any therapy in Fairhope. She is scheduled for a quick PT appointment tomorrow so we will know more about a future schedule after that. I sent a message to the special education director for Baldwin County schools this week asking when her PT and OT evals were going to be completed. She said she would forward my email on to someone else and that they would work on scheduling that.

I also asked about plans to make the playground accessible. This was a topic of conversation during all of the IEP meetings we had and I was assured it would be accessible for Annadelle. Her recess is toward the end of the day, so we have pulled up to get in the car rider line and noticed Annadelle away from the other kids under the awning with her wonderful para, Miss Jen (as Annadelle calls her). She has a very small tub with legos to play with. Meanwhile, other kids are on the playground or sitting at benches eating their snacks. I brought this up to Debbie, the director I emailed, because I had specifically asked that Annadelle not be isolated during recess and mentioned the “play box” idea that a few other AFM parents had recommended in the parent group.

I know this may seem petty to some readers, but schools are actually required to ensure a playground is accessible for children with special needs. In this case, it may be as easy as pouring a pad in the playground instead of having mulch, or installing a wheelchair swing, etc. I know Annadelle may be the only child needing this right now, but who is to say other students won’t need it in the future?

School is otherwise going wonderfully for Annadelle. She is understanding the homework pretty well and we are reading every night. I make her read along with me and say the words that she knows. We also practice ABC, number, and sight word flashcards quite a bit. It seems we may have finally gotten into a routine, although having the problems with my back/leg disappear would be fantastic.

I’ve been looking for a job. I’ve applied to approximately 873985738497589374587345897389475893745897348957 jobs and have yet to get a call back from one. I even applied at Target, a job well below my skillset, and got an email saying I didn’t meet their minimum criteria. Obviously, I’ve been feeling like a total failure and am extremely stressed about it.

I did manage to get accepted to Columbia Southern University. I’m trying to finish my bachelor’s, but I switched my major from Nursing to Information Technology & Cybersecurity. After being in the hospital for 5 months with Annadelle, I never want to step foot inside a medical facility again unless I have to. My heart races and I feel sweaty every time I walk into a hospital or doctor’s office, and I think it is safe to say I’m a bit traumatized from the entire experience.

When thinking about what I wanted to swap my major to, I chose IT because I have always had a knack for it and am obviously tech-savvy. Did you know I know HTML and can create databases from code in Microsoft Access? I am self-taught and did all that for fun, which apparently makes me a bit of a weirdo! And to think- my parents told me all that time in the basement on AOL wouldn’t do me a bit of good. 😉

Luckily, all of the classes are online. I have an option to do it at my own pace or enter the term classes. I believe I have 57 credits, but CSU may not accept all of those for an IT major. I’ve been applying for scholarships left and right, some with essays and some not. It’s a full time job just figuring out how to pay for the courses!

Last night I used the HealerTech FlexrGo! on Annadelle’s legs to see if there would be any response. It has been a while since I checked her left leg/foot, and I was unable to get a response on her anterior tibialis or gastrocnemius. I was so bummed because of all the people who had said she had been moving it, but it looks like nothing is there. I did manage to get a small response on her right quad. I am really praying her quad wakes up because she would have much better control in her walker with it. She is able to stand well in the walker (with braces only), but is slow to move around. She is starting to put weight on the left leg just barely. Basically, we have seen great gains from the waist up, but her legs are not making much progress at all.

This is Cami, part of our extended AFM family who was diagnosed in 2016.

I tried to encourage her yesterday by showing her videos of Cami, a little girl whose grandmother we know through the AFM parent page. Cami was diagnosed with AFM in 2016 as complete quadriplegic and has made miraculous progress over the years. She is now walking with a KAFO (no walker). Her story is so inspiring to me and I was hoping it would be for Annadelle, too.

I showed her videos of Cami at Disney World, dancing with her dad and grandmother. Annadelle loved the design on Cami’s KAFO and kept asking if we could fly out to meet her. “We can see Matthew, too!” she said.

Speaking of Matthew, he is undergoing nerve transfer surgery this week in St. Louis with Dr. Moore. Please keep our extended family (Frances, Mike, and Matthew) in your prayers!

I have actually been questioning whether or not we made the right decision to skip out on a nerve transfer. I don’t think her arms need it, as she is continually making great progress with both arms, but I think at least one leg needs some help. Chris is absolutely adamant that we do not proceed with a nerve transfer so the topic has been a source of conflict for us. Chris says that the research will say something like, “7 of 10 patients with nerve transfers showed progress”, but it won’t include any information about the other 3 patients or even progress of patients without nerve transfers. There was a series of podcasts from the TMA about nerve transfers that featured Dr. Amy Moore, the physician we consulted with about nerve transfers, but I did not listen to them. I felt like it would be a biased conversation and our experience with Dr. Moore’s office left a bad taste in my mouth. I felt like we were just a number, and our decision not to do the surgery wasn’t even a second thought from their office. I guess had we at least received a call from Dr. Moore, we may have reconsidered, but overall we just did not feel comfortable with it at the time.

I have been reading on nerve decompression lately, but don’t know enough to really talk about it. It might be an option in the future. I would have to do more research to give more information.

Anyway, I say all that because I’m obviously struggling. Emotionally. Financially. Spiritually. I’m on the struggle bus. I could really use some prayers.

I’d also like to ask that you pray for Annadelle, for complete healing for her and for us to see progress in her legs.