SANDS Awareness Month

As June is SANDS (stillbirth and neonatal death) awareness month, please remember the babies born sleeping, or whom were carried but never met, those who we’ve held but couldn’t take home, and those who came home but didn’t stay. Remember those precious babies like Charlie Ethan Simpson.

I know we are continously being asked to donate to charity or to sponsor someone, but I’d really appreciate it if you could just take a few minutes and read this page.

My school friend Katie lost her beautiful baby boy Charlie Ethan, who despite almost being full term, was sadly born asleep on 29 June 2011.

This was obviously an incredibly difficult time for Katie and her husband Graham but one that was made more bearable by the doctors and midwives at the hospital.

The hospital are trying to raise funds to introduce a Baby Bereavement Suite at the hospital which will be used by families such as Charlie’s. This will mean that families in the same situation will be cared for in a private, quiet room giving parents space and privacy.

Such events are very personal and private times and this facility would help families like Charlie’s to continue to be cared for in privacy.

This is an amazing cause and one that is obviously very close to many peoples hearts. Please dig deep and give what you can (if you cannot donate now please click on the “remind me to donate later” button).

If you are able to donate or would like more information, please visit: www.justgiving.com/CharlieEthanSimpson

A gift to help others in Charlie’s memory.

Thank you. x

I wonder

I wonder what Samuel sees as he looks around. Can he actually see light and dark? Make out colours? See shapes? See people? See me?

I wonder how his brain computes the sounds he hears. What does he actually hear when we chat to him? When we tell him how much we love him, does he hear the words we say?

I wonder what it feels like for him when he has a seizure. Does he feel in pain? Is he so use to it that it is just something his brain and body accepts? When he cries during and afterwards is that because he is in distress or just his body reacting to what has happened? Does he feel comforted when we hold him through a seizure?

I wonder if he does try to communicate with us. When he makes cute chatty noises, is he trying to tell us something?

I wonder what he thinks about when it’s bath time. Does he like the warm water around him? Does he like the sensation of having his hair washed and when we pour water over him?

I wonder what it feels like for him when I cover his little face in kisses.  Does it irrate him? Does he like it?

I wonder what he thinks about when we have play time with him? Does it really help him? Is he actually looking at things when I think he is? Does his brain really acknowledge what we are doing?

I wonder whether he acknowledges to himself when it is feed time and likes the feeling of the food coming into his tummy. Does he feel satisfied at the end of a feed?

I wonder if he really knows that we are his Mum and Dad? Does he recognise our faces, our touch and our voices? Does he prefer to be cuddled by us?

I wonder what he thinks about when we cuddle him? Does he feel comforted and satisfied.

Is he content and happy in his little world? I very much hope so.

Zzzz

One question we are asked a lot is about Samuel’s bedtime. ‘Does Samuel sleep well at bedtime?’ This is often asked by other parents, especially when they see Samuel in a very long, deep sleep and I think they worry that he wont sleep for us at bedtime.

But he sleeps very well at bedtime and that is because we cheat. At 10pm each evening Samuel has a medicine called Chloral Hydrate which we call his sleepy drug. It is also thought that Chloral Hydrate has some anticonvulsant properties which of course is an extra bonus.

He’s been on this medicine since he was around two months old as it was felt that he didn’t have a proper sense of night and day. He is only on a small dose of the medicine (about half of what he could have for his weight) but it is very effective. He still does wake in the night if his seizures are very bad, he has a wet or dirty nappy that has disturbed him or he is unwell, but generally our nights are very good.

With the Ketogenic Diet being effective now, I feel a bit more confident about looking at weaning Samuel (and us!) off Chloral Hydrate as he may be better now at night and perhaps he doesn’t actually need it anymore. But I will still keep it in our armoury, just in case!

If you don’t understand about Samuel’s condition this may surprise you but he stays up with us until we go to bed. He is not really aware of the world around him and isn’t disturbed by noise or light so he snoozes with us in the lounge until we decide to go to bed. That way his Dad (who misses him dreadfully when he is at work) gets extra cuddle time in the evening and I suppose is a habit we’ve got into.

Samuel moved in to his own bedroom on his first birthday. Before then he slept in his cot next to our bed on my side of the room and I’d often shuffle down the bed so I could sleep while holding his hand or just lay there staring at him. We both found it extremely difficult to come to the decision to move him out into his own room, but my father bought us a video monitor and that made things much easier (I do have the volume up very high and still lay in bed staring at him during the night!). We’ve so far (will just quickly touch everything in sight that may be wooden) not had any problems with Samuel’s breathing, so feel that he is safe in his own room.

Samuel can snooze anywhere!

Another little achievement we made is taking Samuel off his saturation monitor. Saturation monitors are used to monitor heart rate and oxygen in the blood. This has always been a frustrating piece of equipment as they aren’t designed for children who twitch and jerk a lot and it would often have a poor trace and give an inaccurate reading. There were times that I would notice that it didn’t seem to react when Sam had a seizure but would alarm when he cried afterwards! I told Samuel’s pediatrician that I was going to stop using the monitor and he said that he was very happy for us to do so as we have so far not had any problems with his saturation levels or his breathing. We are keeping the monitor though as we may wish to use it when he is poorly.

I wonder if you are reading this thinking that this all sounds so very alien to you. Quite bizarre in fact. But to us it is normal and works very well. Samuel is like a very little baby, so isn’t distracted by things that other 18 month old children would be. But anyway, what matters is it works and that is all that matters.

This post was inspired by Little Mamma Said and her post Bedtime. Please do pop over and have a read.

This post hs been included in the the #definenormal blogging challenge. Pop over to Just Bring The Chocolate to find out more and read other #definenormal posts.

Love rules

In our home epilepsy and love rule. Both are so very strong and both feel impossible sometimes to control. Love gives us the strength to fight epilepsy and gives us hope. Without love epilepsy would surely beat us. Epilepsy and love rule this house. But love will always be stronger, no matter what.

20120528-151630.jpg

Quality not quantity

I’ve blogged before about friends (Days like these) and what they mean to me, in particular my online friends (I get by a little bit with help of my (cyber) friends).

When a friend is in trouble, don’t annoy him by asking if there is anything you can do. Think up something appropriate and do it.
- Edgar Watson Howe

I lost friends when I had Samuel. Some people backed off completely as soon as they heard there were problems. They would probably say they didn’t want to intrude. They wanted to give us space. I’m the age where a lot of my friends are having children. I think some of them backed off (or just disappeared) because they didn’t really want to know about what could go wrong, what could happen. Perhaps they felt guilty that their child was fine and healthy. Maybe they thought we’d be miserable and rain on their ‘new baby’ parade.

I backed off too. Having Samuel and finding ourselves in our situation, made me look at people differently. Casual acquaintances or people I just gossiped with, I didn’t need them or have time for them anymore. It made me refocus on the people who mattered. In the early days I found many relationships, friendships difficult, hard work. Having to explain everything to them so they understand about Samuel’s condition and abilities (or lack of), seeing their apologetic, sympathetic looks. Being rubbed on the shoulder and being told rather patrionisingly, with a head tilted to one side, that we were doing really well and were both very brave, by people who would then go back to their neat little worlds. I know they meant well, but it did my head in.

I felt at first that having Samuel had shrunk my world. My world had got dramatically smaller. How wrong I was.

But having Samuel opened my eyes and my heart to those I needed in my life. Those people who are pure gems that you just need to have around.

Friends like Sam’s Auntie T, JJ, Gem and Kate were there before and they are here still with bells on. When Sam was in NICU they no doubt had absolutely no idea what to do or say, but they put themselves forward. They’d email and text and offer to get us shopping, to come and visit in NICU, to just be there for us. I know damn well that I could send out an SOS to each of them and they’d get here as fast as they can. I’ve even got a former work friend of mine who is much younger than me and a bit of a party animal, but she still finds the time to regularly check in with me to see I’m ok. Likewise with an old school friend who has had her own heartache to deal with, but she’s always there you know, there in the background.

And of course there is Auntie C. She is our guardian angel. We knew her before we had Samuel of course (to those who don’t know, she is our neighbour and was one of Sam’s NICU nurses) but not the way we know her now. She is a crucial person in our lives and means means the world to us.

And apart from our bond with Auntie C, our time in NICU brought us together with three sets of families who are so very dear to me. Each of their little chimps had various problems. They are all miracles in their own way. And their mum’s adore Samuel. They hold him so close and tightly like he was one of theirs. They keep up-to-date with how he is doing and treat him like he is a real little VIP.

And then my mum-friends I’ve met through Julia’s House. I’ve made friends with three fabulous, intelligent and strong women who really do ‘get it’. Nothing I can say will particularly shock them and they certainly wont sit there patting me on the shoulder, telling me I’m doing really well and so brave. They treat me like a normal parent with just extra challenges like them. Their children are much older than Samuel and I’ve been able to learn so much from them already. It’s not quite like the girls from Sex and The City when we get together. We talk about wheelchairs and medicines, but we do have a great laugh together too.

When you die, if you’ve got five real friends, then you’ve had a great life.

It is because of Samuel I have these amazing people in my life. Even my friendships that I had before I believe have been strengthened because of him. Samuel has opened the door to a whole new world for us and do you know what? It’s big, warm and full of people with golden hearts (and a great sense of humour). Thank you Samuel. x

The Gene Team

Some people say that super heroes aren’t real, but do you really think that is true? Because I know for certain in hospices and consulting rooms, super heroes are waiting for you. Underneath their wheels, tubes and signing hands, are powers as yet unseen. You can spend hours  studying their hospital notes – but you’ll never discover the ‘Gene Team’. They are children who are undiagnosed or their syndromes rare, holding unique and special DNA. But if you’re in trouble, they are there on the double, letting their super powers lead the way.

First of all there’s Super F, with his walker shiny and green, it can teleport and make you invisible – the best mobility aid you have ever seen. And if par chance you need his help, he will run and fall to the ground. And the world around him then shakes and groans, the villains are buried without a sound!

Then there is silent Super N, with his special fuelled wheel chair.
The ‘nitrogen’ canister secretly disguised, as tanks of his oxygen enriched air. Of course without question he can fly, in his supportive Lycra suit.  And if ever stuck in out in space, he has special weighted Piedro gravity boots!

Super H is hero 3…His powers are second to none. He can help people under water in caves or holes, but he really scares his mum!
See he can hold his breath for minutes on end, rescuing people from the depths of the sea bed. And through his cheeky laugh and smile, he sends telepathic thoughts without a word being said.

Then there is the ninja – Hero C, and when there is music in the room, he squeals with joy as the music plays, letting out a sonic boom!

Super S is the youngest hero of the group, his superpower protects them all. With just one hug he can summon a force field of love, that stands unbreakable – strong and tall. And with a blink of his long black lashes, you can see the trees suddenly bend and sway, as he summons the wind to help his friends and blow the villains away.

Of course they have a hideout, where Thea and Cheeky spent their time. These siblings work hard to help these heroes, to ensure their equipment is fine. Thea is the hide out boss (naturally), and the inventor Cheeky aspires to be. But sometimes he can make mistakes, after all he is only 3. Their roles are truly important, They are the masterminds who put the plans in place. Though their hardest most difficult job of all, is the keep the heroes identities safe.

Heading this master operation, is Super F’s best friend – his Ginger Cat. Hearing calls for help and tracking the heroes, Ginger deals with that. He can shape shift and move through time, he is silent, quick and sly, setting off the heroes ‘help’ alarms, teleporting them or tracking them fly.

They may all have different powers and strengths, but the villain they all fear, is the very same Dr Helix…They can tell when he comes near. He can be found in research labs, trying to amend their DNA. See he believes all genes should be perfect, though these super heroes don’t feel the same way. They believe that the world needs different, and it’s their differences that keep the world safe. As they battle with Dr Helix, as he tries to create his perfect human race.

So now Ginger sits quietly, awaiting a call…
I wonder what adventure lies in store. For these most unsuspecting Hero’s, The Gene Team’s Super 4!

This was beautifully written by Katie from The Life and Times of Team Kitchen. It was written in conjunction with superhero week raising awareness of hospices throughout the UK… you can use this app to find out which super hero you are! http://superheroes.herokuapp.com

Celebrate: The diet dream has come true

I’ve been debating all morning about whether to publish this post. I’m not sure why. I mean do I really think I’ll be tempting fate or am I worried I’m just wrong? But I really don’t think I am.

I think I need to finally say this out loud because everyone around me is saying it and perhaps I just need to get a grip and say it myself.

So here goes,

the ketogenic diet is working.

There I said it. It shouldn’t be working quite as effectively as it is. His ketones are very low and not in the therapeutic range where you could say he is in ketosis. But the diet is working. It seems that Samuel is as usual making up his own rules once again.

It’s not just me that has noticed a difference in Samuel. He spent a whole day last week at Julia’s House and they were all in agreement that he was far more settled and barely displayed any of his normal twitchy behaviour. His Dad, who only seems him during evenings and weekends because of work has barely seen him seizure at all over the last couple of weeks. I’m keeping a note of all his seizure activity and it tells me that he is only having about three seizures a day and they are all quite short ranging from about 30 seconds to just over two minutes. For Samuel that is incredible.

The diet is working. It’s only a month in and I am saying out loud. The diet is working.

To spend the day with Samuel and not have to sit and watch him regularly seizure, not have to see his little body regularly twist and stiffen as he cries, not have to keep an eye on the clock in case I have to start thinking of getting out his emergency medicine – it’s a luxury, a dream, a wonderful feeling that I can’t explain.

We still have a couple of months to go on the trial before it is agreed that Samuel stays on the diet long-term. But a month in, things are looking good, very good.  My dear reader I will say it one more time. The ketogenic diet is bloody working. But if it can have this effect when his ketones are low, what can we expect when they are high? That thought just makes my heart flutter.

The Ketogenic diet is a high fat and protein but low carbohydrate diet that is used to treat difficult to control epilepsy in children. The diet mimics aspects of starvation by forcing the body to burn fats rather than carbohydrates. Normally, the carbohydrates contained in food are converted into glucose, which is then moved around the body and is particularly important in fuelling brain function. However, if there is very little carbohydrate in the diet, the liver converts fat into fatty acids and ketone bodies. The ketone bodies pass into the brain and replace glucose as an energy source. An elevated level of ketone bodies in the blood, a state known as ketosis, leads to a reduction in the frequency of epileptic seizures.

More information: If you want to find out more, please have a look at Samuel’s Ketogenic journey and you can also read a round-up of all my blog posts about Samuel’s Ketogenic adventures. Matthewsfriends.org is a fantastic resource full of really useful information and case studies about the Ketogenic Diet (and explain things much better than I do!).

This post is part of the Celebrate Blogging Challenge. This world of special needs and disabilities has many rocky roads, we will find ourselves on many rollercoasters along the way. But, there are a lot of positives. Through our adventures so far, we have met a lot of amazing, supportive people. It has made us stronger. We have learned to look at the world through new, wider eyes and find ourselves celebrating what to others may seem such a small achievement but to us, it’s the world. It’s a tough world, but there is so much to celebrate. Our children. So please join me each week and post about what there is to celebrate in your world during the past week. I’m looking forward to reading your posts and celebrating with you.

Share your celebration post below and then grab the Celebrate Blogging Challenge badge for your blog! Don’t forget to tweet about it too using #celebratebloghop

Click here to enter your link and view this Linky Tools list…

My previous ‘Celebrate’ blog hop posts:

 Tricky Customer Celebrate Blog Hop

Seizure monster has gone missing (and left his lazy assistant in charge!)

I have absolutely no idea where I should start with what I want to say, what I want to tell you. In my previous blog post A day to remember, I told you that for one day last Friday, Samuel had no seizures. None. Zilch.

I couldn’t understand it because his ketones were so low (to anyone new reading this, Samuel is on the Ketogenic Diet – pop over to my ketogenic blog posts page for a quick round-up of what’s it all about), so it couldn’t be the new diet.

But it wasn’t all plain sailing. He was miserable. Grumpy like I’ve never seen him grumpy before. But by Friday evening we realised why. The area around his gastrostomy site was very red, angry and sore looking. Plus the tip of one of his little fingers was very red too. We took him into hospital Saturday morning (and spent 5.5 hours there waiting to be seen and then waiting for antibiotics) and were told that he had a skin infection.

That would explain why he was so very grumpy. And we discovered that infections can reduce ketone levels which is why his ketones were so very low. (For those who still haven’t got their heads around ketones or haven’t been over to my Ketogenic pages to find out more – basically we need Samuel’s ketones to be high and at a consistent stable level for him to be in ketosis and therefore for the diet to work).

But dear reader, and perhaps this is the point of the post, so well done for sticking with me, you will be rewarded, Samuel didn’t have a seizure on Saturday either. And this time his Dad was there, so I have a witness. He didn’t have one seizure on Saturday. And Sunday? Sunday he did have a one minute seizure but that was all. That was all. Samuel has severe ‘off the scale epilepsy’ (to quote his padetrician) and has seizures every single day. Well he did.

And today? I’m not going to jinx it, but so far he’s had two 30 second seizures and that is all.

Original image ‘borrowed’ from www.littlemammasaid.blogspot.co.uk

So is it the new diet? Is it actually working? I still can’t answer that. And it’s not me being coy or over-cautious, I just really don’t know. His ketones are low, very low, so the diet shouldn’t really be working. But it makes me wonder if Samuel is again making up his own rules, even for this new diet.

I might blog again and tell you that we’ve had a shocking evening tonight, had to give him his emergency medicine (Midazolam) and the rest of the week is dire. It is normal for us to not have two days the same. What is normal is to have two dramatically different days. So I’m confused. Feeling rather shell-shocked actually.

But to sit here with my precious boy and not have to watch his little body twist and stiffen, his arms and legs jerking manically, him screaming and crying, is an overwhelming, wonderful feeling. I wish I could bottle it.#

I’m not sure if the Seizure Monster has just gone away on a short holiday and left his lazy assistant in his place. The Seizure Monster may be missing. But we aren’t missing him.

UPDATE (15/05/12) - Samuel didn’t have any more seizures after I posted yesterday, so that was just two small ones he had yesterday. Today? Well, it’s 8pm and Samuel has only had three very brief seizures today. You may be thinking, ‘well three seizures, that doesn’t sound good’. But three very short seizures in one day, for Samuel, is brilliant. Whatever happens tonight or tomorrow, I am such a very proud mum.

More information: If you want to find out more about the Ketogenic diet, please have a look at Samuel’s Ketogenic journey and you can also read a round-up of all my blog posts about Samuel’s Ketogenic adventures. Matthewsfriends.org is a fantastic resource full of really useful information and case studies about the Ketogenic Diet.

Celebrate: A day to remember

20120511-173350.jpgWhat happened (or not happened) yesterday may be just a one-off, never to be repeated again. It may have just been a miraculous day, coincidence, a fluke, just a bloody good day.

Samuel had NO seizures yesterday. None. Samuel can have something like anywhere between 5 and twenty seizures a day. Yesterday, Samuel had none. He has had seizures every single day of his life. Until yesterday.

Is it the ketogenic diet? Did the seizure monster just decide to have the day off yesterday?

Yes, I must admit he was a bit grumpy for a lot of the day, which I’m assuming is teething. Again. But no seizures?

What happened yesterday may never be repeated. Today, tomorrow we may have a terrible day with seizures in full force. But even if that is the case, I will always appreciate and celebrate our day yesterday.

The Ketogenic diet is a high fat and protein but low carbohydrate diet that is used to treat difficult to control epilepsy in children. The diet mimics aspects of starvation by forcing the body to burn fats rather than carbohydrates. Normally, the carbohydrates contained in food are converted into glucose, which is then moved around the body and is particularly important in fuelling brain function. However, if there is very little carbohydrate in the diet, the liver converts fat into fatty acids and ketone bodies. The ketone bodies pass into the brain and replace glucose as an energy source. An elevated level of ketone bodies in the blood, a state known as ketosis, leads to a reduction in the frequency of epileptic seizures.

More information: If you want to find out more, please have a look at Samuel’s Ketogenic journey and you can also read a round-up of all my blog posts about Samuel’s Ketogenic adventures. Matthewsfriends.org is a fantastic resource full of really useful information and case studies about the Ketogenic Diet (and explain things much better than I do!).

This post is part of the Celebrate Blogging Challenge. This world of special needs and disabilities has many rocky roads, we will find ourselves on many rollercoasters along the way. But, there are a lot of positives. Through our adventures so far, we have met a lot of amazing, supportive people. It has made us stronger. We have learned to look at the world through new, wider eyes and find ourselves celebrating what to others may seem such a small achievement but to us, it’s the world. It’s a tough world, but there is so much to celebrate. Our children. So please join me each week and post about what there is to celebrate in your world during the past week. I’m looking forward to reading your posts and celebrating with you.

Share your celebration post below and then grab the Celebrate Blogging Challenge badge for your blog! Don’t forget to tweet about it too using #celebratebloghop

Click here to enter your link and view this Linky Tools list…

My previous ‘Celebrate’ blog hop posts:

Tricky Customer Celebrate Blog Hop

When I was…

When I was five I wanted to be a ballerina.

When I was 10 I wanted to be a vet.

When I was 14 I wanted to be a police officer.

When I was 18 I wanted to be a journalist.

When I was 22 I wanted to be a communications/PR whizz.

When I was 30 I became a mother and carer….what career can top that?

It’s all in the lyrics

The Beatles – All you need is love

Love, love, love, love, love, love, love, love, love.

There’s nothing you can do that can’t be done.
Nothing you can sing that can’t be sung.
Nothing you can say, but you can learn how to play the game, it’s easy.
Nothing you can make that can’t be made.
No one you can save that can’t be saved.
Nothing you can do, but you can learn how to be you in time, it’s easy.

All you need is love, all you need is love,
All you need is love, love. Love is all you need.
Love, love, love, love, love, love, love, love, love.
All you need is love, all you need is love,
All you need is love, love. Love is all you need.

There’s nothing you can know that isn’t known.
Nothing you can see that isn’t shown.
There’s nowhere you can be that isn’t where you’re meant to be, it’s easy.

All you need is love, all you need is love,
All you need is love, love. Love is all you need.
All you need is love. (All together now).
All you need is love. (Everybody).
All you need is love, love. Love is all you need.
Love is all you need.
Love is all you need…
(Yesterday)
(Oh yeah)

Knowing then what I know now

Do you ever wonder if you knew way back when, what you know now, what you would do differently? The different decisions, different choices you would make.

I’m not one to dwell on the past, it’s all about the here and now. But I do catch myself sometimes wondering about knowing what I know now, what would I have done differently.

  • Started trying for a baby a lot earlier than we did.
  • Tell myself, reassure myself that Samuel will come home from NICU.
  • Asked Julia’s House for support a lot earlier than we did.
  • Started blogging and tweeting earlier.
  • Asked the doctors to consider putting Samuel on the Ketogenic Diet a lot sooner.
  • Knowing that I wasn’t able to go back to work, been better with my money and savings before going on maternity leave (more specifically paid off my credit card!).
  • Remind myself that Genetics doctors aren’t psychic and only know so much.
  • Accept that people don’t always know what to say or how to react to disabilities and not to dwell on it too much.
  • Tell myself that I can do it. I may not be a nurse but I do have it in me to nurse and care for Samuel and keep him out of hospital.

But if we did know about ARX, would that have meant that we would have avoided conceiving naturally? But would that mean there wouldn’t be any Samuel? On second thoughts, knowing what I know now I think I’d just tell myself that despite the rocky moments, the rollercoasters and curve balls, all of it is worth it. Samuel is so worth it. But I don’t think I’d need to ever tell myself that.

Having another

Recently it seems that there are a few bloggers out there, namely Pressure Support, Little Mamma Said and SwanFreddie who have been writing posts that could have come straight from me, it is like they are reading my thoughts. One particular blogger, Hayley from SwanFreddie has particularly struck a chord with me with her post Grief and more recently If only it was a simple decision.

This recent post of Hayley’s looks at her thoughts and feelings about having another child. Hayley’s post echoes a lot of what I’ve been thinking about lately.

As I mentioned recently, we met with the genetics doctors to discuss our options for me falling pregnant again. We are in a fortunate position in that we have a diagnosis, we know I’m a carrier and how to avoid passing ARX on again to another child. We have a lot to think about as a couple about the way in which we want to have another child. Do we want to go down the IVF PGD route, egg donation or maybe adoption?

But it’s the practical stuff I can’t stop mulling over. Other ‘normal’ couples, when discussing more children, talk about whether they can afford more, have they got room, can they face sleepless nights again and potty training?

We’ve got to think about all the practical things in quite some detail to make sure that we make the right decision about having another child. We are limited with people to look after Samuel – we literally only have Auntie C and Julia’s House carers (and the latter is organised, booked in childcare). So if I was poorly during pregnancy, when I come to give birth, if the second child is poorly and so on, we have to think about our options for who would look after Samuel.

Samuel will never be able to walk. He will always have to be in a buggy, wheelchair or be carried. I will need to think about that, will it be practical to always put second child in a baby carrier/sling  when we are out and about – what about when they are bigger but not properly walking? Would I be able to carry a big, heavy Samuel if I was pregnant?

Will it be fair for second child to have to come along to hospital appointments and what we do as a family will always be heavily dictated by Samuel and his condition.

What about Samuel? Will having another child mean I will be giving him less, less time, less attention, less of me? I’ve got a big heart bursting with love, so he will never lack there.

I hear comments from people about negotiating with husband about wanting more children and I look at them and can’t imagine that decision being so simple.

If we go down the adoption route, we will have to think about all of this upfront. We will have to prove to the adoption people that we can do this. We will have to prove that we will be able to juggle it all while providing a stable home and a loving family. Although neither of our families or friends (other than Auntie C) look after Samuel (because they do not feel confident to do so despite our offers of ‘training’), they have made noises that they would help us with the second child. They would step in and provide practical help rather than just the (very lovely) cuddles they give Samuel and the numerous pats on the back for us.

Can I be honest with you? I do envy people who not only is the decision for them to have another child quite straightforward, they seem to be able to have another child quite easily and then also go on to have two, three, four more. I love being a mother and Samuel’s Dad is an absolutely fantastic father and I have this dull ache in my heart and stomach for another child.

I believe we can do it though. I’m sure we can. We have so much love to give another child. It will be tough, very tough juggling it all. But surely we can handle it? Or could this be the most craziest idea we’ve ever had?

DEAR READER, I realise this may be the only ‘special needs’ blog you read and maybe you only read it because you are fond of Samuel and I. If this is the case, I ask a special favour of you. When I link to another blog post, please do pop over and have a quick read as what the other blogger has written may give you that extra insight into my world and my thoughts. You don’t have to of course, but it might just help you understand me and my ramblings that little bit better.

Julia’s House article: Samuel

Article written by Sally Rowe and published in the Julia’s House newletter and online at juliashouse.org

Meet the children: Samuel

“You know that holiday advert on TV where the family are made to feel like VIPs – well that’s how I feel when I take Samuel to Julia’s House.”

Zoë and her son are new to Julia’s House and her enthusiasm for it bubbles over: “I love it, love it love it! It feels so good, it IS like being on holiday.”

This ‘mini break’ Julia’s House-style means a breather from the endless slog of caring for a really poorly little boy, but more than that, the chance to be among people who just know how hard it is to find that elusive normality when your world has been tipped upside down.
Samuel has a rare genetic condition which has affected the development and formation of his brain. “It is smooth where it should be ridged and he is missing his corpus callosum, which links the two sides of his brain.”

The physical and – to outsiders – disturbing side effect of which is Samuel’s extreme seizures.

Snuggled in the crook of his mum’s arm, he looks very content. But this peaceful scene is shattered, with alarming regularity, by fits – some barely registering on the richter scale of epilepsy: a slight twitching of the eye, a flick of the head. Others go on and on, to the point where they need monitoring or he needs to be given his emergency medication.

“Samuel, come on, do I need to start counting?” Zoë talks gently, yet firmly, when, as if on cue, his body stiffens as it is wracked by stronger spasms. “Sometimes he has very good days, sometimes very bad days and everything in between.”

There is little Zoë can do apart from hugging Samuel just that bit closer as he rides out this horrible internal storm.

“The Julia’s House staff couldn’t believe it when they saw that his care plan actually includes hugging,” she laughs, “it’s true, cuddling is actually part of his protocol!

“It makes him feel safe, and also, it helps me judge his fits better when I’m holding him. The doctor’s call it ‘containment’ – I call it cuddling!”
Samuel is utterly irresistible. With his soft golden curls, big blue eyes and long, long curly eyelashes, he is really handsome boy and as such, attracts a lot of attention when out with Zoë and her husband, Chris.
“People think he’s just a very big baby, but that’s because developmentally he is, but he’s actually 17 months old.

“They say things like, ‘enjoy him now, you just wait ’til he starts toddling and getting into everything’. It’s hard to explain that this isn’t going to happen, so it’s best just to say nothing.”

“We can feel normal when we go there. The staff have seen it all before. They are so wonderful, so welcoming, so lovely. Nothing fazes them.

Harder still, though, is when people do know the situation, but find it difficult, or embarrassing to put their feelings into words.

“People sometimes say to me ‘I’m so sorry to hear about your baby’.
Zoë is indignant: “It sounds so terrible – he’s not dead!

“We don’t feel sorry. We feel thankful. Some people can’t have children at all, but we’ve got Samuel. He brings so much joy, he has really brightened our lives.

“That doesn’t mean to say he doesn’t break our hearts now and again, but we love him to bits.”

Zoë is very animated when it comes to people’s attitudes towards Samuel. “We wish he wasn’t ill, but we don’t wish we didn’t have him.”

Samuel is all the more precious because he could well be the only child the couple ever have. For in the course of all the post-natal tests to determine the cause of his seizures it was discovered that Zoë , in some cruel chromosomal version of Russian roulette, had passed on rare gene mutation to her son.

His condition – ARX or Aristaless Related Homeobox – is passed on mother to son.

It’s so rare, that apart from the outward signs apparent in his epilepsy, no-one really knows for sure what is going on in his head.

“It was devastating to think that I was responsible for Samuel being so poorly. The doctor’s say he could be having fits all the time in his brain that we are unaware of, which really upsets me.”

A pregnancy scan had revealed that Samuel had swollen ventricles and excess fluid on the brain. Doctor’s started talking about learning difficulties.

Samuel spent lots of time in neonatal intensive care where they were given a lot of support “by the NICU angels”. But while there, the couple were told to prepare themselves for the worst. “They basically said: ‘be prepared for the possibility that you may never be able to take him home.”

Yet despite the fact he has little more development than that of a six-week-old baby – he can’t hold his own head up, for instance – it’s not thought that his condition is deteriorating.

Zoë knows that as he gets bigger, it won’t just be his beautiful looks that draw attention and she is braced for more questions, more inquiring stares.

Which is why there is much comfort in finding a place where Samuel can be accepted, welcomed, enjoyed for what he is, not judged for what he isn’t.

Zoë believes she has found that in Julia’s House.

“We can feel normal when we go there. The staff have seen it all before. They are so wonderful, so welcoming, so lovely. Nothing fazes them.
“I was daunted about my first visit, but the reaction of all the carers was fantastic. They were genuinely excited by a new child arriving. They got down on Samuel’s level and spoke to him.

“They were even vying with each other over whose turn it was to give Samuel a cuddle and when he had a seizure it didn’t scare them. They took it all in their stride.

“And all the time, those little gentle touches to reassure Samuel. Tiny gestures that only a mother would notice.”
“When I walked out of there I felt like a proud mother – and that means the world.”

To find out more about Julia’s House and the amazing work they do for children like Samuel and families like ours, visit www.juliashouse.org where you can also make a donation.

Ketogenic Diet – first 14 days

So we are almost coming up to 14 days since Samuel started the Ketogenic Diet. We have finally got the hang of putting together the recipe, currently it’s: 3:1 ratio – 30mls cooled boiled water, add 1 scoop of SMA LF, use only 14mls and discard the rest, add 20g KetoCal, shake well then add cooled boiled water to make a total feed of 180mls. Feed Samuel 160mls via the pump and once finished add 20mls of cooled boiled water to the feed bottle to flush through remaining feed.

His ketone levels have been a bit up and down. We thought hoped they would get a bit more stable come the end of week one and the start of week two. But that doesn’t seem to be the case. But he is tolerating the new diet well (ie keeping it in both ends) but we are wondering if it has made him a little constipated which apparently is common on this sort of diet.

But you want me to tell you if I think it’s working, don’t you? I don’t think I can answer that. It’s still only very early days. We did feel that towards the end of week one, as his ketones were increasing, that he had improved. Although he was still having daily seizures, he was sleeping more (in a good way) and when he was awake he did seem a bit more alert. But the problem you see with this boy is that we have bad patches, bloody bad patches, good patches and bloody good patches. So it is really hard for us to say yet whether the new diet is having an effect.

I think we will only be confident about whether it is working or not when Samuel has been on it longer and his ketones are more stable and he is in effect in ketosis.

When I met with the pediatrician last Monday (which would have been Day 7 of the diet). I told him that we had a good weekend before which I had noticed had coincided with his ketones increasing. The pediatrician started smiling and said he is now optimistic that it may work for Samuel. He gave himself away there. I realised that before we started the diet, although he felt strongly that we had to try the diet, he wasn’t expecting it to work. Why? Well because of the severity of Samuel’s seizures. The fact that some epileptic medicines that usually work didn’t even touch the sides with our boy. But Dr H said he was like us, now cautiously optimistic.

Cautiously optimistic. I can live with that. Because in that there’s hope, isn’t there?

The Ketogenic diet is a high fat and protein but low carbohydrate diet that is used to treat difficult to control epilepsy in children. The diet mimics aspects of starvation by forcing the body to burn fats rather than carbohydrates. Normally, the carbohydrates contained in food are converted into glucose, which is then moved around the body and is particularly important in fuelling brain function. However, if there is very little carbohydrate in the diet, the liver converts fat into fatty acids and ketone bodies. The ketone bodies pass into the brain and replace glucose as an energy source. An elevated level of ketone bodies in the blood, a state known as ketosis, leads to a reduction in the frequency of epileptic seizures.

More information: If you want to find out more, please have a look at Samuel’s Ketogenic journey and you can also read a round-up of all my blog posts about Samuel’s Ketogenic adventures too. Samuel’s pal Little H is a couple of months ahead of Samuel on the diet. Pop over and have a read of the Diary of the KetoCal Kid

matthewsfriends.org is a fantastic resource full of really useful information and case studies about the Ketogenic Diet (and explain things much better than I do!).