Noah's Adventure

Health Update

2010-07-27T14:07:00.000-06:00

Noah's recent blood tests revealed he does NOT have Celiac or CMV. YAY! We still have to do his stool sample and a follow up panel in 6 weeks but we are that much closer to solving the mystery of Noah's chronic diarrhea.

But it has been confirmed that he does NOT manage his body temp. He doesn't seem to have a hard time making heat (and staying warm in cold temps) but he can't get rid of heat. This causes his internal body temp to raise when he is in hot temps. For example, he was outside in the shade just walking around, nothing strenuous, when it was about 85* outside. After an hour, he seemed really warm and when I checked his temp it was 100*. Normally he is about 97* when playing inside.

So we have to do more tests and possibly see a Neurologist to figure out what the cause of this might be. He will also need to have restrictions on how long he can be outside or in hot conditions. I also need to get him a cooling blanket and other tools to help keep him cold.

If you have any idea where I can get a medical cooling blanket please let me know. My initial searches online have not been fruitful.

It Was Our Home Away From Home

2010-07-27T10:33:00.004-06:00

This is a video that shows the magic of The Ronald McDonald House's in Denver.

How We Got Here

2010-07-07T06:00:00.001-06:00

We've come a long way in the past three years. Today Noah is a spunky three year old who loves to throw balls, jump on the tramp, swing for hours, and watch Curious George. He loves his Nanny and Poppy and asks to go to their house every single day. There were many times since he was born when I wondered if we would ever get to this point though.

I had been induced 4 weeks early due to some worrisome results after a stress test. It was suspected that preeclampsia was causing my placenta to shut down. What started out as a normal induction quickly became serious when Noah wasn't getting enough oxygen. I was put on oxygen and told to lay on my side and when that didn't help the room was filled with Dr's and nurses within minutes and I was told that I had to push him out now, even though I was only dilated to an 8 or I would have to have an emergency c-section. I pushed him out in just a few pushes and I thought all was well because they let me hold him for several minutes. What came next was a whirlwind. I can still remember going into the nursery to see Noah for the first time after he was born and seeing the Neonatologist, from the children's hospital next door, listening to his heart. "Your son has a heart murmur and its not the normal kind of heart murmur. We are going to take him over to Primarys and run some tests. Don't worry Mom. We'll take good care of him." Then I watched as the Life Flight team wheeled him away. That night, after many tests, Noah was diagnosed with Critical Aortic Stenosis. The next day specialist tried ballooning his aortic valve and when that didn't work we waited to find out if any doctors would agree to perform a Ross-Konno procedure. No one would.

Noah was very sick. His Billirubin level was lethally high, his oxygen level low, and the pressure in his lungs climbing every minute. My grandparents came to see him one day while Shane and I were meeting with the Doctors. The nurses told them that he was one very sick little boy.

One day a Fellow assigned to Noah's case informed us in passing that there was nothing left to be done, they were out of options. He gave us the impression that we would have to let our son die. We were devastated. We rushed to the waiting room where my family was and cried in each others arms. Soon after we met with the Attending Cardiologist who gave us another option. Noah would need a Heart Transplant to live.

The Transplant Cardiologist at Primary Children's Hospital had transferred to Pittsburgh the Friday after Noah was born, leaving the transplant program at Primary's on hold. If we wanted to try and get Noah a new heart we would have to go to a hospital out of state to get it. We were given two options to choose from. We could either go to Loma Linda in California or to Denver, Co. I called around and talked with their on-call transplant coordinators, I even spoke with a local family whose son had a heart transplant at Loma Linda. I did research online and everything we saw said Loma Linda. We tentatively made up our minds that we would go to California. The next day we sat in a secluded corner of the hospital and prayed together. the most overwhelming feeling came over us that we should go to Denver. We went over it again; Denver was harder to get to, rougher weather if we had to travel in the winter, we had never been there and they hadn't been doing pediatric heart transplants as long as Loma Linda. But when I had called the transplant coordinator, Alison, had been so much kinder and was more helpful. They had less babies waiting with the same criteria and most of all, it felt right. We rushed back to the NICU and told them we were going to Denver.

We quickly packed up some stuff and drove through the night to meet up with Noah who went ahead of us by Leer Jet transport. We met with the Transplant Coordinators and got the necessary testing finished up to get Noah put on the UNOS waiting list. The next twelve days were so hard. Noah wasn't doing well and he had some complications. He was so sick that we were given a few other options than just a "routine transplant". He was also listed as ABO Incompatible, meaning that instead of only being able to get a heart with his blood type, he was sick enough and young enough to be able to get a heart with any blood type. TCH was also part of a study that allowed them to offer DCD (death by cardiac donation). Then, on Thursday July 5th Noah had a Heart Cath to put in a stent and even possibly have a Hybrid. The process was long and took a lot out of Noah. I was so worried and lonely that I called Shane and asked him to come out that weekend even though his next planned visit was a week away.

Back in the CICU Noah was headed down hill. His tummy was swelling, his vitals were bad and he was losing strength. I knew we didn't have much time.

Friday came without much progress. Everyone was worried and all we could do was wait. I spent the day at the hospital then headed back to the Ronald McDonald House to pump and eat dinner before heading to the airport to pick up Shane. I was sitting on the floor against the door of our little room, pumping, with my phone on one side and the pager from the transplant team on the other when my phone rang. It was Alison, she had come back on call that morning for the first time since we had arrived. Noah was getting a heart.

It was divine intervention that made it possible for Shane to be there that night. I know without a doubt that I was prompted to have him come when it wasn't in the plans. I am so grateful for that. Noah went into surgery at 8:30 am on July 7th, 2007. I waited in a private family room while Shane waited at the Ronald McDonald House with Lilly. Alison gave me updates every hour. I was surprisingly calm. I tried really hard not to think about what was happening and I felt strengthened with a strength beyond my own as I did the entire time I was in Denver. At 3:55pm I was brought into the CICU to see Noah for the first time with his new heart.

He had the corner bed and every space was busy with someone doing something. Dr. Campbell paced at the foot of his bed whistling "Downtown" by Patsy Cline the entire time. His tubes were draining and the pacer leads were keeping his heart beating while he was drugged and sedated. I had been warned about what he would look like when he came out after the transplant. I expected to see all the wires, and tubes, and the incision down his chest. I was glad I had been prepared, it made it a bit easier but at the same time, it was so awful.

It took Noah a long time to recover enough to be transferred out of the CICU (Cardiac Intensive Care Unit) to the CPCU (Cardiac Progress Care Unit). I knew it would since he had been so sick before. When the day came, I was scared. A new set of nurses and Doctors who were taking care of several patients at once. He wouldn't have one on one care anymore and because I had Lilly at the RMH with me, I couldn't stay at the hospital night and day. Luckily we were blessed with many loving nurses who took very good care of Noah and when I wasn't there and they couldn't hold him there were many volunteers who came and loved on him.

Noah was finally released toward the end of July. I brought him over to the RMH on a Friday morning and we celebrated Lilly's 2nd birthday. By Sunday he was screaming not stop. When I took him back on Monday for his first clinic appointment I could tell Alison was not pleased. It was decided to readmit him. He was put back on IV antibiotics for a suspected infection of his incision. He was having a lot of ectopy (missed heart beats, fast heart beats, etc.) One day while I was holding him his heart rate spiked. A nurse rushed in but it had returned to normal. A few moments later, he went into Vtac. His heart rate spiked to almost 300 bpm. The CICU team was called up and when several different tricks to return him to a normal sinus rhythm failed, he was given a drug to stop his heart. After a few days back in the CPCU, his nurse Ben reported his color off and a low crit level so a blood transfusion was started. That night I received a call about 3am. Ben was calling to tell me Noah had a bad reaction and was taken back to the CICU.

When I got there the next morning nothing could have prepared me for what I saw. Noah was back in the same bed he was in when we first came to Denver. He was on the ventilator and was swollen and red from head to toe. The Dr was digging around in his arm to get a central line and it wasn't working. His lungs were filled with fluid and he had hives inside and out. He was dying.

He ended up having a lung collapse twice and after a few days of no answers he was taken to the cath lab to take some biopsies and check for rejection. What they found was that Noah's blood pressure was dangerously high. Too high for even an adult. He was being taken down to get an MRI of his brain. Dr. Pietra told me that with pressures that high he would be surprised if there wasn't a brain bleed.

That wait was awful. Noah had already been through so much and had come so far... I felt sickly composed on the outside and frightfully out of control on the inside. Much to everyones surprise, the scan came back normal. The next day it was decided to treat Noah as if he was having rejection. The high dose steroid would also help the suspected TRALI (Transfusion Related Acute Lung Injury) that was attacking his lungs. He slowly began to improve.

The ectopy improved and his blood pressure went down and eventually he was released again. Once he was off all the sedation he did cry... a lot. I had to give him large doses of Benedryl to knock him out every single day. He also had really strange diarrhea. Other than that, he was doing well. We continued clinic appointments several times a week and counted off the days until we could go home. Shane visited every other weekend and my parents and sisters even came out to see us once. While they were visiting Noah almost had to go in for another cath to check for and repair a suspect CoArch of the Aorta. The pulses in his feet were faint and at one clinic appointment with another coordinator they couldn't be felt at all. I was so nervous I was nutty. The day of decision I took Noah up to the CPCU to find Dr. Pietra so he could feel for a pulse and make the decision. He grabbed his foot and called off the cath.

The day finally came when we were discharged and sent home to Salt Lake. Now that the day had come I was scared. But it was time. I arranged for enough oxygen canisters to get us through the 8+ hours of driving and I packed up the room that had been home for the past 4 months. We brought Noah home for the first time on October 30th, 2007.

Over the next few months we adjusted to home life again and tried to find a new routine. It was much more difficult that I would have expected. But we were finally together as a family and having Shane in the same house was all Lilly and I needed. Being apart was so much worse than I can even describe.

Noah had lots of clinic appointments and continued to do well other than his strange poop and crying fits. One day he pooped white curds and after several ER visits and insisting on seeing a surgeon we finally figured out what was going on. Noah had gall-stones. He went in for surgery on December 10th to have his gall-bladder removed and his appendix taken out (since Shane had his taken out it was a precautionary measure). I saw his gall-bladder after, it was about the size of 3 M&Ms and the 3 stones filled it to capacity. It was scarred and shriveled and it was a good thing it was removed. While his diarrhea has never gotten better, he did stop screaming and has never had white poop again.

It was sometime after his last surgery that things started to calm down. We found a routine and eventually life went on. It took a long time for me to deal with all of the buried emotions I had been suppressing. They expressed themselves in the form of panic attacks and eventually took a physical tole on me. But through faith and prayer and many several spiritual experiences I have worked through the trauma. And here we are, three years post transplant. We go to clinic every 4 months, sooner if he gets sick. He is active and lively and preparing for preschool in the fall. His speech is getting better and he is learning to express himself. He's growing and learning and loving and living life. Many people and all of his doctors always say you could never guess he had a heart transplant by looking at him.

The road has been rough but he made it through. And while there are days where he wears me out and in true three year old fashion tries my patience, I am so very grateful for every single moment of every single day.

Noah's Transplant Story

2010-07-05T17:28:00.000-06:00

Originally posted July 11, 2007

Thursday July 5th, Noah went to the cath lab to have a stent put into his atrial septum (the hole in between the left and right side of the heart). His heart was so swollen from the increased pressure, the Drs were hoping to relieve some of the pressure and help it shrink down (I saw the x-ray, his left side was SO big it touched the far side of his ribs completely collapsing his lung). As I sat in the Surgery waiting area, I felt so lonely. I saw all these other families waiting for updates on their loved ones. They had each other to talk to and help distract them. I don't think I have ever felt so lonely in my entire life. Then I had a thought. Shane wasn't scheduled to come out for another week because he couldn't take time off work. But it just so happened he had Saturday off anyways. I decided he needed to come out this weekend, regardless if the ticket was more money since it was short notice. He needed to be here. I called him and convinced him to come. I used the hospitals computer and bought him a ticket.

Noah's surgery took over 7 hours and when they were done, Noah was very sick. Over the next night, his stomach began swelling. By the next morning, the Drs were concerned that his bowls would rupture. He needed a heart so badly. The procedure had just taken so much out of him. It was suppose to help make him last longer in case a donor wasn't available for a while but it made him much sicker. I left the hospital scared but with renewed strength knowing I would see Shane in a few hours and that would help me be strong.
I went back to our room at the Ronald McDonald house to get dinner. My phone rang at 5:18 pm. It was the hospital. When I answered it, it was Allison the Transplant Coordinator. When she told me that, the thought came to me... "Do you have any idea what you do to me when you call???" She sounded very reserved and almost preoccupied. Then she said the last thing I expected to hear. "We may have a potential Donor for Noah." I was so shocked I think I actually asked her if she was serious. She told me it takes a while to work this sort of thing out so there was no rush. To go get Shane from the airport and then come on over. I hung up the phone. I looked and Jen and she asked me if he got a heart. All I could do was nod and then I started to cry. My baby was getting a new heart!!

I called Shane. He was on his way to the airport. When he answered I told him we got the call. He didn't understand what I meant. All he knew was that I was crying. He panicked and asked me what was wrong. I told him... WE HAVE A HEART!!!

We got to the hospital about 10. Around midnight, they figured it would still be a while so they told us to go try and get some rest. We came back to the room and while we were laying down, Lilly woke up and saw her Dad. She then stayed awake for the next 3 hours. She finally fell asleep and then the hospital called and said to come back around 4am. He was suppose to go in about 5:30am but it kept getting postponed. We could never find out if they had actually seen the heart or if there was a possibility it could get called off. Around 8am, we heard they still hadn't seen it then 5 minutes later, they had and were on their way. Talk about a Roller coaster!!
Noah was wheeled into the operating room at 8:30 am. We waited in a family room and the transplant coordinator came and gave us updates every hour.

He did really well and we got to see him at 3:55 pm. He looked so sick. So many drainage tubes and wires. But here was our baby with a NEW heart!

He has had his new heart for 5 days now. He's doing about as expected. He was so sick before that now that he has a healthy heart, we have to wait for the other things to heal (like his lungs and his stomach) and wait for the heart to recover from being cold for so long. The Drs are confident that he will start making major progress within the next few days and he'll be released to the Ronald McDonald house soon. Then, if we don't have any rejection episodes, we will get to go home to Salt Lake in October.
I am so thankful my little man has a new healthy heart and that Shane was here when he got it. I am thankful for all the prayers and faith on his behalf that got us this far. And I am eternally grateful to our Donor Family and difficult decision they made to help save my baby's life. This past month has been a very surprising rocky experience. One I never would have imagined that I would experience. But it has strengthened my faith and enriched my gratitude. And when Noah grows up, I will forever tell him the story of how he was in the prayers of so many and received the greatest gift ever before he was even one month old.
Happy Birthday Noah!! Your first month has been so tough. But your strength has taught your mommy so much and you have already made my world a better place. I love you so very much sweetheart and I can't not wait to hold you and kiss you and give you all the love you deserve.

1 Month old and a new heart! You truly are my miracle!

Minutes after Noah was born. This was the first time I ever got to hold him.

Only a few days old.

While at Primary's we weren't allowed to hold him or disturb him.

When he got to Denver the first thing they did was let me hold him.

He had only been in Denver a few days; he was so strong.

Several days after getting his new heart. The drainage tubes had already been taken out and his color was looking so much better.

Growin Like A Weed

2010-06-12T20:31:00.000-06:00

A recent picture of my 3 year old big boy.

Happy Birthday Mr. Magoo

2010-06-11T23:09:00.000-06:00

My Dearest Noah,

Three years ago today you entered my life and everything changed. My heart doubled in size and I experienced an instant unconditional love that I had only experienced once before. From the moment I first saw you, right down until this evening when I kissed you goodnight, you have taken my breath away. I am amazed at all you do and grateful for every single moment of every single day that I have you in my arms.

I am honored to be your mother. You have been a blessing to me in so many different ways.

I love your hugs and kisses. When you wave to me and blow me kisses my heart melts... every single time! I love watching you play and throw balls. It's insanely cute how much you love cows and moo every time you see one on TV. You are all boy in the things you like and how you play but you have the sweetest heart and tons of love for everyone you know. I am not alone in craving one of your many hugs and sweet kisses.

Never forget that your Mommy loves you, always and forever. You are my little buddy and I am excited for all that the coming years have in-store for you.

You are perfect in every single way and I would have you no different than the way you are.

Love,

Your Mommy

A Special Offer

2010-03-24T19:02:00.000-06:00

I know many heart patients have sensitive skin. I don't know if it's due to the medications or just the body acting out under so much stress. I just know that Noah has always had extremely sensitive skin and eczema. It's both dry and sensitive. He even gets red marks just by touching him. So I have to be very careful what I use on him. One product I love and works great is Skin MD Natural. It's a shielding lotion. It's super thin, light-weight and non-greasy. You can get it with or without SPF 15.

Because I love this lotion so much, I wanted to let you know that over at my other blog, Skin MD Natural has given my readers a discount code for 20% off your purchase... but only for the next 30 days.

If you already love Skin MD Natural or are wanting to try it out now you can get it cheaper. Visit this post to get the code.

I Need Some Advice

2010-02-25T21:09:00.000-07:00

Back in October of 2008 I finally found my words and wrote a letter to Noah's donor family. While I respected their privacy and feelings and knew I may not hear from them, I have to admit that I hoped that I would.

It's been over a year now and I have never received any correspondance from them. That's okay though. I came close enough to losing a child (and have lost those who I loved very deeply) to understand that it just might be too much. But now, I find myself wanting to reach out to them again. Not only to express my grief for their loss and my gratitude for their gift but also to show them how happy Noah is. How much he enjoys life... the life he has because of their selfless gift.

But I am torn. I don't want to push it on them if they aren't ready. I don't want to cause them more pain.

What should I do? Do you think it would be okay to send another letter or should I wait and see if, in time, they try to contact us? I would really appreciate your thoughts on this.

Knock Knock

2010-02-17T22:37:00.000-07:00

Noah's new speech therapy over at the Scottish Rite has been going great! I have been incredibly impressed and I even went it with high expectations. His therapist, Helen, has helped Noah make "talking" fun. He's playing along and trying very hard.

Today he knocked my socks off. Our small exchange went something like this:

Noah: Ma Ma Ma Ma!!

Me: Yeah, Noah?

Noah: Nah Nah (Knock Knock- as he pretended to knock on a door)

Me: (after I overcame the initial shock) Who's there?

Noah: Ta

Me: Ta who?

Noah: Ta Da!! (and he burst out laughing)

He went on to tell me many more made up Knock Knock jokes that he has picked up from Lilly over the past few days. Man, did my heart swell about four times its size.

He didn't say any complete words but he did say knock knock two times in a row (which is a big deal for him) and it was a coherant exchange that made sense and that I could understand. Such a very big deal.

So we spent the rest of the day calling Daddy and Nanny and telling them jokes... which Noah thought was so funny and which made me so very proud.

There Really Are Just No Words

2010-01-28T18:02:00.000-07:00

I had to get up super super early this morning to take Lilly to her Cardiology appointment. We both had ECHOs today to make sure we don't have any form of CHD. I am very pleased to say that we were both cleared. Healthy hearts for us!

But that's not what I wanted to share...

Afterwards, I was so tired. So me and the kids decided to turn on the TV and lounge on the couch for a little nap together. Noah and I slept while Lilly, and her never ending supply of energy, did her tinker stuff all over the livingroom.

When I woke up, Noah was cuddled next to me under the blanket. He loves to lay under blankets with me. If I ever sit on the couch he will go grab a blanket and come sit next to me. He then woke up and went on got a small ziplock baggie of Kix.

He laid there all snuggly, opening his little baggie, and snacking on Kix while we watch Curious George and giving me kisses over and over and watching him about made my heart explode.

He's 2 1/2 and more monster and monkey than little boy but he is the sweetest thing in the entire world.

To remember seeing him a sick teeny little baby and then try to match that up with the big boy I see now almost doesn't make sense in my mind. I am filled with this overwhelming Mommy Pride when people ask me how he is doing, after everything he has been through, and I can tell them he is doing fabulously.

But you know, I still get very emotional when I think or talk about the experiences we had when Noah was born. That wound is still tender and I am still very sensitive about it. It hurts me to think about this precious boy ever being sick and in pain. I try not to think about it too much. Life moves on and we have been given this huge gift of life and time together and I refuse to squander it in the what-ifs and has-beens.

Each new day that we have makes my thoughts about Noah's donor family even more tender. From the moment I received the call that Noah was getting a new heart, I have grieved for them. I think about their loss every day. I think I grieve for them more now than I did in the beginning. Back then, my joy was so profound over the life given to my son. Now that I have had time with him, gotten to know him, and experience the joy he has brought into my life, I realize even more profoundly exactly what they have lost. I continue to be amazed at the courage it must have taken to make the decision to donate right in the midst of their sorrow.

Really, there are just no words. No words to adequately describe my gratitude. No words to adequately describe my sorrow. It's been an experience like nothing I could have imagined. And yet, I wouldn't trade what I have been given for anything.

School and an ECHO

2010-01-07T19:57:00.000-07:00

Noah started his first day of preschool today.

He goes once a week for an 1 1/2 hours. It's part of his therapy and is a class designed for 2 1/2 yr olds. I'm so excited for him to go. Right now he doesn't get any interaction with other kids his age. This will help him make friends and strengthen his social interactions. It also gives him a good opportunity to be away from Mom in a structured environment. I stayed for the class today and he had so much fun. He is one of three kids with three teachers. Just enough to make friends and still get special attention for his needs.

He also recently had his first Cardiology appointment since his Cath over the summer. It went really well.

At first it was a bit sad. See, before we even got to the hospital he realized where we were going and got upset and kept telling me no and shaking his head. But since we don't do labs there (we do them at home and send them to Denver), I promised him there would be no owies. He wasn't convinced at first (walking past the lab upset him a bit) but he listened and tried really hard to be brave.

He was so good during his ECHO. Stayed very still and quiet. That helps eases my worries. Then I know they get good pictures and a more accurate look than if he's wigging out. Then we went into the appointment and played with bouncy balls while we waited for the Doctor.

Everything was great. His ECHO looked good and even though he was sick his lungs sounded good. I even found out that even though he spent a great deal of time in the 3rd percentile for weight and height, he has now made it to the 75th percentile for height and 60% percentile for weight. Music to a mothers ears!

That said, the Dr said it was time to cut the carnation bottles (not necessarily the carnation's part but definitely the bottle part). Problem is, that's his crutch. It's become a comfort thing. I always give in because he needed the nutrition. But Doc says he won't starve now and he should come off. I have since resisted giving him one for about 5 minutes of ~~tantrum~~ begging before giving up. I will try... just not yet.

We had a wonderful holiday and Noah's progress and health made it even more beautiful. We have so much to be thankful for.

An Interesting Realization

2009-11-09T00:19:00.000-07:00

When Noah was born and then in the hospital, both pre and post heart transplant, I took a lot of pictures. But as cute as he was (and still is I must say) I never look at them. I honestly don't remember even opening the folder. Not even once.

I guess I remember it enough still to not need a reminder. Plus, there are some things I never want to see again.

The Swine Flu Vaccine Journey

2009-11-07T16:04:00.000-07:00

A few weeks ago the H1N1 shots began arriving in my state. I've mentioned before (at least I know I did on my other blog) how important it is for our family, and especially Noah, to get our flu shots every year. So I did my best to get him protected from this virus.

I called every clinic and doctors office, I called the Health Department, I checked online. So when I heard the Health Department was going to offer a mass clinic one Saturday morning I made sure we would be there.

If you follow me on Twitter or read Memoirs of a Mommy, then you know how that mess (absolute chaos) turned out.

The clinic opened at 7 am. We woke up early and got there at 6:30. It was cold, dark and raining and yet the line still went down the street, up around the corner, down that street, and then roped back and forth in the parking lot. We jumped out of the car and in the search for the end of the line, I asked one of the employees how many shots they had available and was informed it was under 2000. The problem was, this line had about 5000 people in it.

People were yelling at each other and fighting with line jumpers. There was no organization. I knew we were not getting a shot that day. Besides, I didn't want to risk being near all those people in such awful weather. It would be just our luck to wait and try to get a vaccine and go home sick instead.

So before I even found the end of the line, I turned the kids around and went home. Turned out to be the right decision because I heard an hour later they ran out of shots and everyone (including the people who got there at 4 am) were turned away.

Unfortunately, effort doesn't always keep the germs away and a week later, Lilly got sick. Her symptoms hit her so fast and she got so sick, I was really worried. I took her to the Urgent Care the next morning and her Flu test came back positive. Since the seasonal flu hadn't reached us yet, it was given as a 95% chance as being of the H1N1 variety.

I was worried about Lilly and she was really quite sick and had a hard time breathing but I panicked over the thought of Noah catching it. His asthma and damaged lungs... while not as bad as some (he really does so well most of the time) it's still dangerous for him. Plus the increased risk of rejection when his immune system gets revved up. It was not an enjoyable experience.

Noah's transplant coordinator wanted to do everything we could to keep Noah from getting sick, which included trying to keep the rest of us healthy so his chance of catching it wouldn't be increased. So we all got on Tamiflu that same day. That drug is fabulous. It makes you feel awful (and has the possibility of some nasty side effects) but it helped Lilly get better quite fast, kept the rest of us from catching it, and kept Noah Flu Free!

I still felt it was important to try and get Noah his vaccine. Even though he was exposed, it's just not the same. So I continued to call around and try to track one down. Unfortunately I was turned away empty handed every time.

Then on Thursday I got a call from his pediatricians office. They had a very limited number of shots available and one was waiting for Noah.

We went up there first thing Friday morning. I went to check in and we weren't on the appointment list. I explained that the nurse had called me the day before. She replies, "Oh, you are on the hush hush super VIP list!!"

Turns out, the University Hospital Pediatric clinic who has many Doctors working there and who I am sure have THOUSANDS of needy patients, was given 10, yes TEN H1N1 vaccine shots.

TEN!!

To say that I am thankful the office thought of Noah and saved one for him would be the understatement of the year.

That done, a huge burden has been lifted from my shoulders. I still need to find one for Lilly. Since the actual flu strain wasn't confirmed, I don't want to take any chances. So the hunt continues.

But this whole mess has just confirmed my feelings that socialized medicine is not the answer. It's obvious that in the hands of the government, things are poorly ran.

I hope that I don't have to make any more phone calls this year to tell anyone we have exposed them to contagious germies. That was not fun and carrying the burden of possibly causing someone elses sickness is not fun. Of course it was unintentional, I would never purposefully want or try to get someone sick. We are so careful about that. But just as Lilly catching it in the first place was an accident (probably from school) anyone we may have gotten sick was an accident too. But I am still sorry.

I really hope we ALL get our shots and stay healthy here on out.

The 10 Month Wait Is Over: A Trip To A Geneticist

2009-09-08T22:02:00.004-06:00

Today the wait to see a Geneticist came to an end.

When I made the appointment, in November '09, Noah was not walking, not talking, having a difficult time learning, and the diarrhea.... Oh the diarrhea.

I emailed my concerns to his pediatrician, Dr. Samson-Fang (who we love), and she agreed that there were enough items of concern to warrant a visit to a Geneticist.

I called to make an appointment and was told the next available opening was at the end of September. An entire 11 months away. So I made the appointment and we started the wait.

A few weeks ago they called and told me the Doctor was going to be out of town that week and rescheduled us to today (a whole 3 weeks early).

So bright and early this morning Noah and I climbed into the car and made the 30 minute trip to Primary Children's Medical Center (the fantastic Children's Hospital here in Salt Lake).

After a 10 month wait, I was hoping not to feel rushed or discounted and I wasn't disappointed.

We talked with the P.A. for 40 minutes then the Doctor came in. Here is what we discussed:

Based on a family history of Left-Heart abnormalities (both my cousin and my grandma), Noah's Congenital Heart Defect (CHD) is most likely just a "runs in the family" sort of thing and NOT part of a larger syndrome or disease.

The Doctor did not believe Noah fit the mold of any other diagnosis. There is a reasonable explanation for everything from his heart defect to his gallstones.

We discussed his diarrhea and how it seems to get worse with high fat or sugar intake (even whole milk... but not cheese). Celiac Disease didn't really fit so he mentioned Cystic Fibrosis. He didn't think Noah had C.F. but to just rule it out, we decided to get the test done anyways.

I don't know much about C.F. I've never researched it or read about it. I thought it was just a lung disease. But I guess the diarrhea and fat absorption fit. Since the test is non-invasive, in-expensive and gives a definite result, we decided to get it done. It's very simple. They just stimulate sweat production then test the sweat for the level of Sodium Chloride. As everyone with C.F. has high sodium chloride in their sweat.

He also said that Noah received some genetic testing as part of the basic newborn testing and also due to his immediate health concerns. Everything was normal. There is a new test that checks and diagnoses more items but given that Noah doesn't seem to have any disorders and his first test was negative, the Doctor didn't see the need to retest.

All this is good news! I doubt the C.F. test will be positive, but it's always nice to rule things out.

The Doctor also told me, that based on our family history, that I, along with my siblings and Lilly, should all be seen by a Cardiologist to rule out any abnormalities. Left-Heart abnormalities do run in families (like Bicuspid Aortic valve, which is what we suspect my Grandma and Cousin had, Aortic Stenosis, CoArctation of the Aorta, etc.). A Bicuspid Aorta doesn't always cause a murmur in children and can go undiagnosed. So we should ALL have a work up for it.

Because of this family history, I have a 1 in 25, or 4% chance that one of my future children will have a CHD. This is exactly what I have been told by Cardiology. If either I or any of my siblings end up having an abnormality, then my chances go up a lot.

So it's nice to know that Noah's history isn't smaller pieces of a bigger picture. Kinda cruddy to know that this family history of heart defects (which I did not know about until recently) is as prevalent as it is.

When the sweat test results come back, I will post again. But I will honestly be very surprised if it's anything other than negative.

BUT, if it is, Noah has proven time and time again that he will raise above it and do it with a smile.

The 4-11.R

2009-08-25T19:24:00.005-06:00

Last year, when Noah went in for his Cath, I think he was fighting off an infection. We had decided to fly to Denver that year and as luck would have it, we had a lunger on board.

I spent the entire flight cringing as I imagined all the infectious germies spewing forth as we breathed in the recirculated air.

While there were no complications, Noah still was weakened and sick afterward.

This year, we drove and only had our own recirculated air to breath. And while the day was long we did eventually get to our destination. And lucky for us, the night manager at the Ronald McDonald House in Aurora stayed up to check us in.

Noah's cath this year went exceptionally well. He didn't want to sleep and had to be given everything under the sun but as soon as he was allowed, he was up and running.

I was so relieved that everything went well and Noah had the strength he needed for the procedure.

I've been (not so) patiently waiting for the biopsy results to come back. I suspected that if all was well Alison would just text me. So I was a bit suspicious when my phone rang.

Turns out, it wasn't the "big fat zero" I had hoped for. His rejection level is a 1R (formally a 1A). This means there were rejection cells present. However, it's such a low level that it's not treated and it's not really classified as a rejection episode.

I was a little bummed, if I am being honest. Is it better than full-on rejection? Yes. Is it the ZERO he had last year? No.

Alison came to my rescue (as usual) and put it into perspective for me.

Last year, his level was Zero but his pressures where way too high and not good. This year, his pressures are perfect but his rejection level is a 1R, not even high enough to need treatment.

After the cath yesterday, I asked Dr. Pietra (he is FABULOUS!) if Noah's chances of developing Acute rejection (the type of rejection you think about in reference to transplants vs Chronic Rejection like CAD) was lower because he had his transplant so young and he said it was.

It's very possible that 2 years from now (yep, you read that right.... next cath is TWO years from now) his rejection level could be a zero again. For me, it's sort of hard to not think of it as progressive... like once the rejection cells are there they always will be and will just keep adding more until the rejection is serious or treated. But that's not the case.

So while it wasn't exactly what I had been praying for, it's still wonderful news and an outcome that I am extremely grateful for.

I want everyone who reads this to know how much I am thankful for your support and love. I know you have been praying for Noah and my family and there are no words to express my gratitude.

May the Lord bless each of you with the blessings you are in need of.

Cath Lab Update

2009-08-24T17:20:00.007-06:00

Noah's cath went fabulous!

As I mentioned before, he really fought the sedation. But he is now resting comfortably... which is a good thing since he has to stay laying down for at least 4 hours post procedure.

The pressures measured in his heart are wonderful. Any signs of the stiffness we found last year, are gone. There is no sign of Coronary Artery Disease (which is thought to be a form of chronic, long-term rejection). The biopsy results won't be back until tomorrow around noon. But seeing as how everything else was good, it would be surprising if the biopsy results were good too.

So, no additional medications and we don't have to come back for 2 years this time.

Thank you everyone for your thoughts, prayers and support. It's so reassuring to know that you all care about and love my little man.

A Cath Lab Update

2009-08-24T14:52:00.003-06:00

Noah is having his Heart Cath right now.

He resisted tons of sedation. To fall asleep and stay that way, he needed 2 doses of Versed, 2 doses of Demerol, 1 dose of Benedryl, and a dose of Ketamine.

He is one tough cookie.

Alison (Noah's Transplant Coordinator) is back there with him and sending me text message updates. (Have I mentioned lately how much I adore her?)

Her last update said the pressure levels were good and they were moving from the left side on to the right.

I'll post more later as I get updates. If you are interested in real time updates, follow me on Twitter or visit my Memoirs of a Mommy and read my Twitter Updates there.

Thanks for your support... I feel it.

Headed Back To Denver

2009-08-19T15:01:00.002-06:00

It's that time again.

On Saturday we leave for Denver. Noah's 2nd annual (eventually only every other year) Heart Cath Lab visit is set up for Monday.

I know I said I wasn't as nervous. And I'm not. But, truth be told, I am still feeling the worry though.

I'm starting to worry about his Cyclosporin level. Since I'm on a "truth telling roll"... I haven't sent his level in to be checked in a while. He's way past due. So I'm worried his level won't be high enough... but then I worry that maybe it's too high since he does seem to have some thrush as the moment. (Small beans... I know.)

I'm worried about finding rejection. I'm worried the stiffness he had last time will have gotten worse since he hasn't been on any heart meds for the past year....

I'm mom. I'm worried.

I recognize that we are in a very good place. So many of the people we have met and love, and even those who we just follow on their blogs, are having rough times. So many are so sick. So many are taking hit after hit. I remember what that felt like. So even pretending like our current situation is half of a big deal feels so very wrong.

I would have cut off my right arm to be where I am now. I would have laughed at myself for worrying over small beans... and I would have fiercely scolded myself for not getting his level checked on time...

Yet, to everything there is a season... and it seems so much easier now to be worried over small beans when I don't have BIG beans weighing me down.

So, off we go.

We are visiting the Denver Aquarium while we are there since it's the coolest ever. Maybe we'll even hit the zoo. But we get to see old friends, walk old roads (and hospital hallways), and eat a little Boston Market.

My prayers are that his Cath will go well. That Noah will be strong and sustained. That Dr. Pietra's hands will be guided and his knowledge, sharpened. That Noah's heart and body will be one, with no rejection... no stiffness.... no complications.

Honestly... I feel so very fragile sometimes. I hate the worry. I hate the unknown. But I also know that all I have to do is get on my knees and ask Heavenly Father for the strength I am in need of. He never lets me down.

I felt very strongly after Noah was born that God DOES give us trials we can't bare. BUT He also gives us the strength we need to see them through. So while I feel weak and powerless and even fearful of the unknown... I also know that whatever may come, He will give me the strength I need.

So now, as I have many times before, I must ask for your help.

Please keep Noah in your thoughts and prayers. Sometimes there are blessings that God wants to give us but can only be given if they are asked for. So, please... help me ask our Heavenly Father for the blessings that Noah needs.

Dodged Another Bullet

2009-08-12T17:48:00.003-06:00

Today, Noah and I went to Primary Children's Medical Center (the local Children's Hospital) so he could get an in-depth eye exam.

It's been one of those things that has always tickled a nerve for me. Being that he was so low on oxygen before transplant, on O2 therapy for a long while post-transplant, and all the hoopla surrounding his blood transfusion reaction (including the insanely high Blood Pressure), I was worried that his tendency to run into EVERYTHING was more than just toddler recklessness.

Luckily, he passed his dilated exam with flying colors. Because of a family history of Amblyopia, he does need to be seen again in a year, but I can totally deal with that.

The Doctor did ask me if he had ever needed to have an MRI of his brain before (no idea why he asked) and it got me to thinking...

I remembered that awful Heart Cath day when Dr. Pietra decided to take Noah in to check out the ectopy and found out his blood pressure was lethally high, even for an adult.

They rushed him downstairs for a brain scan, fully expecting to find a devastating bleed.

Talk about losing it... that was the day my sanity started cracking (and I'm just barely getting it back together again).

He dodged a bullet that time. No brain bleed and no significant rejection (although he was treated and the ectopy and blood pressure resolved). Now it would seem he has done it again. His hearing is great, his eyes are great, and every single person who sees him is shocked when they learn he had a heart transplant.

I am not saying this lightly. I know just how very different things could be. Every single day Noah is healthy is a blessing. Every test he passes, every medication he gets to avoid... it's all nothing short of amazing.

And while being kept awake hours on end, every single night to the "mamamamama" screams and then starting the day out every morning by 5 am playing dodge-ball while I'm trying to sleep in bed, is not on the top of my list of favorite things... it's still a million times better than any alternative.

You know, when I was pregnant with Noah, I used to wonder how my life was going to change. And this is going to sound horrible, but I wondered how it was going to be possible to love him as much as I already loved Lilly.

I looked back, now, and laugh at how much I didn't understand.

Still Here

2009-07-29T13:52:00.004-06:00

I don't know why I have such a hard time updating Noah's Adventure lately.

Maybe it's because not having anything to update makes me feel like we are just a typical, non-special health care needs family.

Maybe it's because Noah is doing so well that his updates just get mushed in with regular family updates over at my other blog.

Or maybe I have just been so distracted with other things that I'm a huge slacker with blogging.

Yeah, that sounds more likely.

Noah is doing really well though. So well, in fact, that while counting our blessings and remembering our miracles, I still seem to always be "looking over my shoulder" for the sky to be falling again.

Noah may be immune-suppressed and we try to keep him away from germs and stay disinfected but I do a better job at exposing him than I do at living in a bubble. We are home bodies at that helps a lot. We don't really have many "hang out in real life" friends so that helps too. But we still go to amusement parks, aquariums, the zoo, and even the mecca of germies; Chuck E Cheese's.

I know it's naughty and I don't want it to seem like we are ungrateful for the wonderful gift Noah was given. I have many thoughts on the subject. Deep, thought-provoking, self-reflection sort of thoughts. I haven't decided what my story on that is yet though.

I just know that we have been so insanely blessed. I can't even begin to imagine what my life would be like without him.

Some recent Noah News:

He celebrated his 2nd birthday and his 2nd transplant anniversary.
Shortly after the Dr started to suspect he might have more than just a speech delay (apraxia) he said his first full word Bah-Gul (aka bottle). He still says just the first sound for most things but he's figuring it out. He did say "I tackle" when he jumped on my back yesterday. And he also said "Not yet" when I asked him if it was time to leave the park.
We went swimming at my grandparents house on the 4th of July. As we were leaving we caught him laying on his tummy in the garage LICKING the floor. Thank goodness my grandpa's garage is cleaner than my kitchen. Unfortunately he still got a bit of a rash on his upper lip. But I suspect it's related to the rash behind his ears. The staph and strep came back. So while the antibiotic (oral and topical) did help a bit, it hasn't cleared up completely and we will need to take a trip to the Dr's soon.
He has his next heart cath in Denver this August. I'm not nearly as freaked out about this time around. All I needed was one cath without an awful outcome. When I got that last year it really helped calm my fears. Of course, it's still worrisome. I am afraid that's when the sky might fall again but I am visualizing a completely negative (Zero Rejection) result. Plus, I want to make sure the stiffness is getting better.

I promise I will do a better job at updating. Sharing Noah's story and helping to raise awareness for Organ Donation and for Congenital Heart Defects is still such a huge priority for me. I just needed to get to a place in my life where I can do it and I think I am almost there.

Thank you for sticking around. I do read many of your blogs (if I don't, then you need to leave me a comment so I know to come visit). I may not comment a whole lot, but that is on the needs improvement list also. So hopefully you will see me around here and over there.

Much Love,

Happy Birthday Noah!

2009-06-11T23:49:00.004-06:00

My Sweet Boy,

Oh how Mommy loves you. It's been two years since you entered my world and it's been the best two years. While times haven't been easy for either of us you have brightened my world and taught me more about being a mother than I ever could have imagined.

You give me loves and hugs and kisses. You have taught me about faith and hope and sacrifice. You make me laugh. Every single day you make me laugh.

You are brave, my little one. Don't ever lose that. Continue to face every challenge in your life as if there was never an option to fail. Remember to find humor in the simple things and you will always be able to keep a smile on your face when times are hard. Most importantly, give thanks to your Heavenly Father every day for the blessings he has blessed you with. You have been a miracle in the lives of many and have been given so many blessings already in your life. If you remember that all that you have been given is a gift of a loving Heavenly Father, he will continue to guide you through your journey on this earth.

These are things that you have helped teach me from the moment you took your first breath. I am a better person because of you. You are my hero, little one.

Never forget that I love you more than words could ever say and I always will.

Happy Birthday my Heart Warrior. Love is the reason you're here.

Your Mommy

Clinic Check Up

2009-06-04T20:57:00.003-06:00

Noah had his first clinic appointment in 4 months today. He passed with flying colors.

Everyone was pleasantly surprised at how good he looks. His hair stealing the show as usual though.

When we got to Primary Children's Hospital Noah seemed to get a little anxious as we walked in. All it took was walking past the lab to start the melt down. This continued on for some time but luckily he calmed down enough while looking at pictures on my BlackBerry for him to get a good echo done. Probably his best in a while since he's cried through the last few I remember.

The echo results looked good, his Dr check up looked good, and we'll send his labs to Denver on Monday. So we are set for another 4 months. Except we'll cut it short and make our trip to Denver in August for his Cath.

So, just a quick update. But I thought I would pass along the good clinic news.

Noah, Beckham, and Evan

2009-05-24T00:21:00.004-06:00

I was told it would happen. I didn't ever think it would and it seems that is has.

Life has gotten to a point post-transplant where I don't have to blog every day to keep you updated on things. But I am SHOCKED that I went two whole months this time. It's a wonder anyone even reads this blog still. I do hope that I still have readers. Because as I get things mended in my own personal sphere, I plan to revamp Noah's Adventure a bit. I have a lot of ideas in the works.

But I digress.

A few posts back I wrote about how I took Noah into the Peds office but had to see a Doctor we were not familiar with. She said sounded okay. Then I took him to our PCP's office since I was going to be there anyways. He said Noah sounded ucky but to wait it out. If it wasn't better in a few more days then call and he would give him an Rx. Which we did. It cleared up his runny nose right away. But that darn cough and raspy breathing were as bad as ever.

A few days later, almost on a whim, I took him to an Urgent Care. What I wanted was an X-Ray of his chest but I didn't want to drive all the way to Primarys to see the Ped then have to go to Radiology... YaDa YaDa YaDa.

The Dr listened to him and was surprised he sounded so sticky and rattley. And sure enough, the Chest x-Ray showed pneumonia. So poor little Noah got two yucky antibiotic shots. One in each leg. Then he was on a 10 day course of oral antibiotics. Sure enough, that stuborn cough went the way of the high way. But if it hadn't of been for that cough I never would have know he was sick. He wasn't acting sick at all.

Now I'm starting to have my suspicions on how long he really was sick though. Cause right now, this kid is eating like a CHAMP!! Which he has never done. He still gets his bottles here and there but his main nutrition is starting to become FOOD.

He is also trying to communicate better. In the sense that he's realizing that there is a way to show us what he is thinking or wanting. Whether it be words (ma, da, pu aka for puppy), gesturs, grunts, pointing, or even throwing a fit until I guess the right answer. It's all wonderful because it means he is starting to understand that there is such a thing as communication. There is a way for Mommy to understand!!! YAY for both of us!

He's isn't growing much or gaining weight but he is starting to look different. Outgrowing the baby look and change into a toddler look. I see his face change every day. I need to take and post more pictures. Because he really is the cutest and sweetest thing. He still gives tons of kisses and hugs and now that he says Ma he says it all the time. He likes to come over to me and point to me and say Ma over and over again so I don't forget that he knows who I am. I LOVE it!!

~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*

Our sweet dear family the Scadlocks are having a rough go of it right now.

I've posted in the past how Beckham had clotting and bleeding problems referred to as ITP. (I as in Idiopathic because no one could figure out the cause.) Well, he recently developed a new symptom. Kool Aid blood. Seriously, it's not really called that. It just looks like it. Now, in addition to his platelets being affected, now his red blood cells are being attacked. (Sort of like being DEATHLY anemic.) I'm sure I am total butchering this description. So you would be better off heading over to Our Baby Beckham to read it straight from Nate and Kim. But in short, he has now been diagnosed with a very rare and chronic condition called Evan's Syndrome.

Evan's Syndrome is so rare that there really isn't too much information out there in relation to a Pediatric Heart Transplant patient with Even's Syndrome (ES). So the Dr's have their hands full trying to figure things out and tracking down experts in the fiels of ES. As of now, Beck is back in the hospital. He has had several blood transfusions and is now on IVIG and high dose Steriods.

The Steriods are giving Beck some major Roid Rage. Kim says he scowles and "baby cusses" (not real cuss words) at everyone who walks past him. Ordering them around and being all grouchy.

You know, seeing Beckham going to through SO MUCH. . . and his poor family. AARRGGHHH!!! Beckham was born right after Noah. They both went through the same things. They are both strong little fighters. It created such a special tie to the Scadlocks for me. I love that little guy like my own son. It pains me that they are so far away and I can't help. It breaks my heart to see him so sick. And as a mother my heart breaks for Kim. Who is torn between caring for Beckham and caring for Gwen. Not to mention how a mommys heart is pierced every time her child is sick let alone super sick and needles involved.

Kim and Nate, if you happen to read this, please remember that we love you. You are not only our Family Family (I don't care how distant, it's still family) but you are also our Heart Family. We will do anything to help you through this time. (Kim, my invitation is an open door.) We are praying for all of you. May the Lord give you the comfort and the strength that you need to accomplish was is set before you. And may the Doctors be inspired in the correct course of actions to take to get Beckham on his road to recovery... and hospital free for a long long time!!

And to my Dear Constant Reader: Please send good thoughts, vibes, what ever it is you do, to the Scadlocks. If you pray, please shower Heaven with prayer on their behalf.

Beckhams bruises caused by his ITP

Knock Knock

2009-03-26T01:48:00.000-06:00

I'm knocking on wood.

I think Noah's nose may have ceased leaking for the first time in almost 3 months.

He had been sick for so long I was starting to worry. Being immune suppressed and having a donor heart can make for a less than stellar combination when mixed with nasty viruses and bacteria.

The diarreah? Still visiting. It doesn't ever go away. It just gets a bit better. This kid has had 3 non-liquid poops in his entire life. I went back to soy milk after 2 bottles and his foam poop cleared right up. I think it's the extra fat in the dairy that he can't tolerate.

He is making great progress on his speach too. He isn't saying more words really but you can see his desire to communicate and he tries. He surprises me each day with how much he really understands.

Today I tried to lay him down for a nap without giving him a bottle first (he gets several bottles of soy and carnations each day to make up for the food he won't eat). He adores his bottles and this made for one very upset and tired little man. He instantly started crying and saying Ba. I told him I would go get him one and he immediately stopped crying (for being able to instantly turn it off he sure sounds like it's a real cry). When I came back I asked what he had done with his binky and he point to the small space between his crib and the wall. I can't reach back there and I was frustrated. "Noah, why did you throw it back there?", I said. He looked at me, shrugged, and grunted something that really sounded like "I don't know." I chuckled. I couldn't help myself. When I picked him up to sit in the chair for his bottle, he raised both arms above his head excitedly said "Ya!". I tell you, he surprises me more everyday.

When he woke up from his nap, Lilly was in the bath tub. Some how I had the misguided idea that he could see water and not insist on getting in it. He immediately proceeded to try and take his clothes off while saying baa (for bath) over and over. When I wasn't quick enough for him, he let me know it.

He is doing ordinary toddler things and yet they are so extrodinary in every way. I can't help but see everything he does as a miracle. I'm sure he doesn't mind when he gets away with being a stinker.

Sick and Sick of Winter

2009-03-12T21:43:00.002-06:00

Noah has been sick since January. He just can't seem to shake it. It flares up, gets a bit better, then flares up again. We finally did one round of antibiotics last month and it helped enough to turn his snot from green to clear again but his poor nose is like a broken faucet. It runs and runs and runs.

What's weird, is that it seems to get worse after his synagis shots each month. This past week he got his shot on Monday. Tuesday morning he was sicker. By Wednesday morning, he was having such a hard time breathing that I hooked him up to his nebulizer and the pulse ox. His Oxygen saturation was about 89 and that's with very fast labored breathing. So I called the pediatricians office. Dr. Samson-Fang wasn't available but the nurse, Diane, said it was best to come in. So up to the hospital we went. Since we did the breathing treatment before we went, by the time we got there he was back up to 95. We saw a Doctor we have never seen before but she said he didn't sound like he had pnemonia and his ears were clean. So she sent us home.

It seemed like a wasted trip because he still sounds so awful when he struggles to breath that I have a hard time believing he doesn't at least have bronchitis. But, I also have a hard time trusting just any Doctor when they aren't familiar with Noah's status as a medical enigma.

Either way, we are doing his breathing treatments several times a day to help him breath. I also had to put him back on the oral Gentamyacin IV since his super stinky diarreah came back too.

Even though this has been a rough winter full of hard to kick germies, we really are very lucky and blessed. The germies we've had have been manageable from home. Our sweet Heart Cousin Beckham has been in and out of the hospital with low platelet counts. It's so bad, that he is now back in the hospital indefinately until they can get it back to a normal level. It's just too dangerous for him to be away from the hospital since he bleeds so easily and it doesn't want to clot. The poor little guy is covered in bruises. It breaks my heart!! Please keep him and his family in your thoughts and prayers.