Tuesday, May 8, 2012

Sadbh’s update – May 8th, 2012


Sadbh had a wonderful night sleep and only woke up once at 1am for a very quick feed. She did not really wake up fully and was back to sleep within 20 minutes.
She finally woke up at 6:45 and was ready for a big breakfast.

Sadbh had her follow up appointment with Dr. Inglis today to check out how her Botox treatment.
Even though her appointment was in the early afternoon, we all had a very early start to the day.
Molly arrived at 7:30am and Sadbh was eager to get the fun and games started.

The weather was very nice, so Nini, Molly and Sadbh headed out for a coffee and then on to Trader Joes to pick up some groceries.
Sadbh was flirting like crazy with people as they went by and even met with two babies her own age.
Eventually the excitement got the better of her and she fell asleep.

Sadbh’s first appointment at Children’s was with her Occupational and Physical Therapist Robin.
She was very impressed with Sadbh’s development and gave us lots of advise on next steps.

Her next appointment was with Dr. Inglis and his team. They were almost an hour late, so we had to reschedule Sadbh’s 2:30pm appointment with Caryn, her speech therapist.

The meeting with Dr. Inglis confirmed our suspicions that there was no significant improvement since she received her Botox injections. We did learn that it could be a result of granuloma build up rather than the Botox not working. We scheduled a follow up appointment in July so he can carry out a flexscope to see how her vocal cords are working and to discuss if we want to consider additional Botox treatments.
We also scheduled an appointment for the end of August for a bronchoscope to see if there is any granuloma build up and to administer Botox should we decide that is the right next step.


Since Sadbh is now officially a toddler, Dr. Inglis wrote an order to change her trach from a Neonatal Shiley 3.0, to a Pediatric Shiley 3.0.
The difference with the Pediatric trach is that it is more secure and less likely to get pulled out, especially now that Sadbh is a lot more active.

Even though we had expected this news, it is always very deflating to us to learn that Sadbh has made no noticeable progress whatsoever. I know that the day will come when we will see improvement, however it is a bit of a let down in the meantime.

Sadbh was exhausted by the time we left Children’s and since we had postponed trach care until after we got home, we had to work hard to try and keep her from falling asleep during the journey home.
We failed and Sadbh was in a deep sleep within a few minutes of leaving the hospital.
Once we arrived home, Nini and I set up everything for trach care and when we were ready, we woke the little princess up.
Princess Angry Bird was quite upset, however she calmed down as soon as she got into her bath.
Sadbh loves bath time, and within no time she was smiling and waving at her reflection in the mirror.

It took a while to get Sadbh back to sleep, and once she drifted off, Nini and I jumped into action.
Trach care was stressful since we were all tired. Sadbh obviously picked up on our stress and started to get very fussy. This only stressed us out more, but we managed to keep control and got Sadbh’s neck cleaned up and her new trach ties secured as quickly as possible.

Once we were finished, Sadbh decided that she did not want to go back to sleep, so we got her dressed and fed her.

Overall, it was a very tiring and stressful day.
We are seriously lucky to have such a wonderful and intelligent daughter.



Take care,

Wayne, Katie and Sadbh.

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