Sunday, August 29, 2010

Ch-ch-ch-changes

The past month has been full of changes for the twins.

My daughter is talking up a storm, labeling everything, running everywhere, eating me out of house & home and climbing out of her crib. Best of all, she adores her twin brother. She'll bring him his sippy cup, share snacks (on occasion), push him as he sits on a push-toy and generally needs to be around him at all time.

My son has changed so much in the past month. He's turned into a climbing monkey, taken independent steps, cruises with confidence, attempts to get into standing position from sitting, babbles A LOT, shows me his toys, offers me a bite of his muffin but pulls it back at the last second (laughing all the while) and generally enjoying life. It's good. It's very, very good. I'd even go so far as to say that he struggles less with diaper changes! Like his sibling, he needs to be around his sister 24/7. It's like they are each others' fuel or maybe it's the twin connection.

I recall meeting a woman at the lactation clinic when the twins were a couple of weeks old, I was there to get some help with my son's latch. She told me that the twins were very fortunate to have each other and I agreed, not really knowing what else to say (in the early days many a stranger stopped to tell me some droning story about their father's cousin's stepdaughter's aunt who had twins). The woman went on to say how lucky they are to have had each other since the very beginning, "since always" she said. I think of that often - since always - and it warms the heart knowing they are so interconnected yet so different, that they will impact and shape each others' lives and have been since conception.

I love them both so very much.

Monday, August 23, 2010

Walking on Sunshine

I have some Big News to report: the little guy took his first independent steps yesterday and took a bunch more this morning! I was wishing and hoping that he'd be walking by his second birthday (less than one week away) so I am simply bursting with pride.

My son is fascinated by his twin sister. Whatever toy she is playing with - he wants, if she looks out the window- he'll look out as well, if she laughs and sings - he does the same. So last night she was playing with some toys on the t.v. cabinet and I was holding him in standing position. I was only supporting him by my index finger which was touching his spine. He really, really wanted the toy that his sister had so I gave him a little shove with my finger and, four steps later, he arrived at his destination and promptly ripped the toy out of his sister's hand!

I'm on cloud nine and I can't wait to help them blow out the candles on their second birthday. I think the next year is going to be full of surprises.

Tuesday, August 17, 2010

Summertime

I haven't posted much mainly because I've been busy enjoying the summer and working hard not to obsess about my son's diagnosis. Easier said than done.

He had a physical assessment and follow-up appointments with the geneticist and neurologist. We've been given physio sessions at the local children's rehab hospital (once a week for three months) and we will be starting a speech & language program in September called "It Takes Two to Talk". There is also a music program starting up in October through the developmental disabilities centre that I can bring my daughter to so that will be fun. I like the concept of integrated programs and look forward to meeting other families affected by special needs. The fall is shaping up to be busy!

Our meetings with the geneticist and neurologist were relatively uneventful. We again asked the question that only a crystal ball can answer - where will my son be 20 years from now? The only certainties we were given is that he will not go to university and language will always be a problem (I believe the exact words were "his language will never be normal"). Does that mean he'll have trouble reading or will he be illiterate? Will he have difficulty forming sentences or will he be non-verbal? Will he go to a community college or never finish high school? Will he have a job or be completely dependent? Sigh. When I was pregnant, one of the (many) things I worried about was how on earth were we going to pay for their university education. Now I worry how we'll finance the rest of his life. Funny, huh?

On a more positive note, the neurologist said that my son and other young children with his diagnosis and on the same treatment protocol will re-write history. She said that this is an exciting time for research on cerebral creatine deficiencies and that the published papers out there (you know, the depressing ones that say there is no treatment and give a bleak outcome for those affected) are already outdated. She said that we need to focus on early interventions and essentially train my son to learn new skills. It was surprisingly comforting to hear and, dare I say, positive!

We're off to spend more time in the sunshine. My son's new favourite park activity is to crawl up the stairs of the slide and zoom down on his belly, face-first, before I can say go. He's fearless that one, his mama sure has a lot to learn from him.

Wednesday, July 21, 2010

Roll Call

Through this blog, internet searches and our health practitioners I've come across five more families dealing with creatine transporter deficiency. My objective is to allow other readers dealing with something similar to gain an understanding of what lies ahead and not to infringe on people's privacy. They live all over the world, from Australia to Germany to the USA and to Canada!

-An 11 month old boy diagnosed just a few weeks ago and the youngest case I have come across.

-A 2 3/4 year old boy diagnosed in May.

-A 3 1/2 year old boy diagnosed at age 3. Began taking the CTD cocktail (arginine, glycine, creatine) in January 2009 and an improvement in language and developmental skills was noted. Yay!

-A 4 1/2 year old boy

-A 9 year old boy

I've also come across two families dealing with GAMT, one of whom has a 2 year-old boy and the other family has 2 children affected, a boy and a girl.

Anyone else?

In the coming weeks I hope to post links to research papers and articles of interest. If you come across anything you'd like me to post, please email me at crtr.boy@gmail.com

Wednesday, July 14, 2010

We're in!

After being on the wait list for 11 months, we are FINALLY going to get a physical assessment next week from the kids' rehabilitation hospital in my city. This means that he'll get services (free to us) at an amazing facility and hopefully we'll see more progress in the gross and fine motor skills department.

At his one-year check up last September, our pediatrician referred him for the assessment. At the time we thought he was just a little delayed but she used "special needs" as a way of describing him which sent us over the edge. She couldn't have known about the creatine transporter deficiency at that time nor could she have predicted that he wouldn't be walking or talking at 22 months. I guess her experience and expertise told her that this was a child who would need extra help.

She is an amazing pediatrician and we are so lucky and fortunate to have her caring for our boy. Had we waited until the CTD diagnosis to get him on the waiting list, I would not be seeing anyone until winter 2011. Still, I really can't help wishing that he didn't have CTD.

Wouldn't it be lovely to wake up in a world where our kids were typically developing? I would give anything to have him say "woof" when I pointed to a picture of a dog. I would absolutely give my heart and soul to hear him say "mama" or "dada" but I need to work on becoming more patient and enjoy today rather than worry about tomorrow.

Tuesday, July 13, 2010

Progress?

We had a physio appointment today with the most cantankerous woman I have ever met. It was our 4th visit and the only reason we keep seeing her is because a)she's free b)she comes to the house and c)the agency doesn't have another available physio. She's really negative and directly implies that the reason my son isn't walking is because I coddle him and let him play with toys on the floor. Like I need a guilt trip on top of everything else! I do a perfectly good job of feeling guilty for everything all on my own thankyouverymuch.

Anyway, she asked how my son was doing and I told her that it feels like he's plateaued and that we hadn't noticed much improvement over the past couple of weeks. She did her exercises with him and, shock of all shocks, proclaimed that he had made huge progress! I couldn't believe my ears, or my eyes for that matter, because my son was initiating stepping! I don't know what surprised me more, my son willingly stepping or the physio saying something positive for once. It was a day of firsts!

He still has a long way to go but if I stabilize one leg, he will step with the opposite one which is so huge for the little guy. Not long ago I couldn't even get him to bear weight on his feet so I'm thrilled with the progress. I've been so engrossed in the widening developmental gap between him and his twin that I didn't even see what was right in front of me. I think it's time for me to take a step back and appreciate all the wonderful things that he can do instead of what he can't.

Thursday, July 1, 2010

MacAthur-Bates

Is anyone familiar with the MacArthur-Bates CDI Words and Gestures booklet?

The booklet contains a mountain of questions around the understanding of language and the imitation of words. It asks whether your child can understand things like "are you hungry?" "come here" don't touch" and my personal favourite: "time to go night night". It also goes through a vocabulary checklist and you're meant to indicate whether your child understands a particular word or if he understands & can say the word. Same for pronouns, prepositions, quantifiers etc.. Our son is meant to repeat this test in 6 months to monitor any improvement. It will be interesting to see if the supplements help boost his score.

Our developmental pediatrician asked us to complete it about two months ago but we haven't done anything with it yet. Every time I open it, I feel anxious and a little nauseous so I close it and ignore it for another little while. I guess, in a sense, we don't need to complete it because out of all the items listed (at least 150)we can't check off a single one! Still, he does understand some things that just don't happen to be in that godforsaken booklet. I'm pretty sure he understands "snack" "drink your milk" "blueberries" "no" and "up".

According to MacArthur-Bates, "before children begin to speak, they show signs of understanding language by responding to familiar words and phrases". Looks like we have a long road ahead of us but my sleeves are rolled up and I'm ready to give it my all.