Sunday, May 29, 2016

Half Way There!!

Well, Eli has almost hit the half-way point of his stay at Our Children's House (if we end up only staying 4 weeks). It has been an eventful and exciting 2 weeks!

First off, let me say just how proud I am of my family, as a whole. There are two major differences between this admission and Eli's last stay here back in 2012: We live MUCH closer now and Ella is here (I was pregnant with her during Eli's first admission). So this stay has definitely been a balancing act with Adam working and taking care of Ella then me being here with Eli and working from the hospital..... then the big switch every weekend with Adam staying with Eli and me going home to be with Ella for a day or two. It hasn't been easy, but we've found a pretty good rhythm and it has worked out really well. Today was also the first time that the kids really got to spend a good amount of time together. We attempted it last weekend, but Ella really didn't seem to like being at the hospital, so she and I headed back to Granbuy just an hour or so after she and Adam got here. So living closer this time around has definitely been a plus, but making sure that Ella doesn't get lost in the shuffle has been a big challenge. But with the temporary routine Adam and I have worked out, along with my Mom and Dave coming up for a few days to help us spoil (and take care of) the kids, we've managed really well! Eli and Ella got so excited when they first saw each other. It melted this Momma's heart!

And Eli.... WOW! I am SUPER proud of him, as we all are. After being at roughly the same weight for the past 2-3 years, he has gained almost 3 pounds since being here! I giggle when I tell people that he has a little 'pudge' in his belly now! That's something we've never really seen before and it's such a wonderful sight!!!  The therapists and other professionals here have really been working hard to help Eli learn to eat, while also helping to manage his stress and anxiety. They seem to have found a good plan for introducing new foods and working them into Eli's diet. Hopefully in the next week or so, Adam and I will be introduced into meal times and will also be taught how to work their plan into our lives at home.

For those who don't know the process here, the first week or two is spent with Eli in a "Feeding Room" with a therapist. Parents do not go to feeds at this point because the therapists are trying to do several things at this point: they want to break any bad eating habits that the parents and kids may have as well as get an opportunity to observe the child and learn their eating habits, strengths and weaknesses. Then, about half-way through, parents are taken to an "Observation Room" where they can view feeding sessions and learn key phrases to use during meals and see how the therapists work through meals, especially rough spots when kiddos are resistant or having difficulty. The last phase it bringing the parents in to be involved in preparing meals and actually participating in meal times. So, hopefully we will start observing soon!

Their plan so far has been to introduce 'table versions' of the pureed foods that he is already eating, like sweet potato, carrots, pears, apples, etc. So instead of being smooth purees, they are mashed or slightly blended, so they are thicker and have a different texture and consistency. He's also eating some of the breakfast bars and cookies (EnjoyLIfe brand, which is one of our favorite products!) that are more dense than the soft Snickerdoodles that he is used to. Eli has really responded well to this. The other day, he told Adam that he didn't like the sweet potatoes (because of the texture and consistency), but he ate them anyway! Adam had a major proud daddy moment!

I think one of the most difficult parts of this admission is the fact that Eli is older. He is such a smart kid anyway, but this time around, he is really struggling with being in a hospital for so long, not able to get out and do the normal things that we are so used to. I get anxious and have to leave every few days, even if it's just to go walk around a store or something. I can't imagine not being able to leave at all for an entire 1 to 1 1/2 months! He has hit a bit of a wall, which is normal for this point in the process. He's more clingy than normal and doesn't want to leave me or Adam. Meltdowns happen fairly regularly at this point. It's hard to imagine for some people, but for Eli.... eating isn't fun. It is stressful. It is hard work. It's a scary thing with a lot of bad memories.

But he's taking on the challenge like to super star that he is and We couldn't be prouder of him and all the hard work that he does each and every day. Even being here and seeing him struggle, I can't fully comprehend how he feels or what thoughts are going through his head. But I do know that he's a fighter. He may only be 7 years old, but this kid, my sweet, funny, fun-loving boy, is my hero and I'm proud to call him that. He's accomplished so much in his 7 years on this Earth and I can't wait to see the adventures and experiences the good Lord has planned for him.

Tuesday, May 24, 2016

Playing Catch Up

It has been an incredibly long time since I've written anything on here. I think it said my last post was in June 2014! EEK! Life was in the fast lane and it seemed like we were constantly on the go. New jobs, new schools, new town.... Lots to explore and an entirely new routine to get accustomed to. And honestly, the past 2 years have really been great! Since moving to Granbury, the kids have been healthier than they have been in such a long time. And they have grown so much!

Eli is just finishing up 1st grade. This kiddo loves school! He is a fantastic reader and really enjoys reading anything he can get his hands on. Of course, Dr. Seuss is a favorite, as well as dinosaur books and Ninjago books! About a year ago, he also started playing golf! There is an amazing program here and two of our favorite people from church run it. Eli is such a natural and he really enjoys it. After playing 1 season of flag football, it didn't take long for us to decide that any kind of contact sport was not something we wanted to explore. So golf came along at a great time and has really been a saving grace! Most evenings, he'll be in the back yard chipping balls up on to the roof! He won a tournament last year and was even on the front page of the news paper! One thing that has always been true about our Eli.... He's an amazing kid; a true fighter and a little hero. His kind heart and sweet smile; God has blessed him and I pray his personality and spirit never change!
 


And then there's Ella! That little girl is a ball of energy running around! There's definitely never a dull moment with her! She is three now and is the definition of a "threenager"! Haha! Sassy, strong-willed, talkative, silly.... and absolutely amazing! We started her in dance this past fall. I love seeing her in her little tutu's and outfits. She's had fun, but we've discovered that dance is not her thing. She is in need of something more active and a little faster paced. We've joked that she will be our football player! She's actually surprised us and has been begging to play golf with Eli. So, she has some little clubs (passed down from some amazing friends) and she enjoys getting out in the backyard and playing around, too. Either way, I'm keeping the tutu's... She's just too cute in them!


I know I've said this before, but moving to Granbury was definitely  a "God thing". This move was a difficult choice and it hasn't always been easy, but we know that God knew what He was doing when He led us here. We've gotten involved in an amazing church. The people there are an amazing support. They have wrapped us in love and acceptance. It's nice to truly know what "Church Home" really means. We're blessed to be a part of this church and are so happy to be raising our children to know God.

No matter how old you get, I don't think making new friends ever gets "easy". But we won the lottery in that arena! We met some pretty amazing people here. Their family has become our family. Our kids all love each other and it's an awesome feeling to have a couple that we mesh with so well! Our weekend bar-b-ques and pizza & wine nights are some of our favorite times!

I truly believe this move has played a huge part in our kid's health. Less stress, amazing doctors (and easier access to them) and the opportunities the kids have had here; I think it all plays a roll in their physical health and we're so happy to be where we are!

Monday, June 30, 2014

We got on the boat!

It seems like it has been forever since I've sat down to blog. The kids are getting older and have more going on in their lives, as do Adam and I. I keep thinking, "I need to blog today", then time gets away from me and the day is gone before I know it. Finally, the kids are napping and I'm excited to finally be sitting down at the computer to update all of you on what has been going on the past few months. 

There's an old parable about a drowning man that goes a little something like this:

While out to sea, a large boat became shipwrecked and there was only a single survivor. This man prayed and asked God to save his life. Soon thereafter, another boat came by and offered the man some help.

"No thanks," he said. "I'm waiting for God to save me."

The men on the boat shrugged their shoulders and continued. As the man became more deeply concerned, another boat came by. Again, the people aboard offered this man some help, and again he politely decline. "I'm waiting for God to save me," he said again.

After some time, the man began to lose his faith, and soon after that he died. Upon reaching Heaven, he had a chance to speak with God briefly.

The man asked God, "Why did you let me die? Why didn't you answer my prayers?"

God replied, "I sent you two boats!" 


While living in Lubbock, Adam and I felt a bit trapped, almost like we were drowning. When I was pregnant with Ella and the doctor said that she would most likely be diagnosed with Eosinophilic Esophagitis, Adam and I discussed the possibility of moving closer to Fort Worth and the doctors at Cook Children's Hospital. After Ella was born, our trips to Fort Worth became much more frequent. We were driving to Cook's about every 4 - 6 weeks. It was breaking us. While living in Lubbock, Adam and I felt a bit trapped, almost like we were drowning. The discussion of moving came up more frequently, but we just didn't know how to make it all work. I wasn't working at the time, but had been looking for jobs in Lubbock with no avail. I loved the time that I worked at the Children's Advocacy Center (CAC) and I knew that was what I wanted to do. So, I began emailing the CACs around Fort Worth asking if they had any therapist positions available. (For those of you who don't know, I have my Masters degree in Counseling Psychology and am working toward being a Licensed Professional Counselor.) I was surprised and excited when I got an email back from the Paluxy River Children's Advocacy Center in Granbury, Texas that they had received a new grant for a part-time therapist! I had never been to Granbury, but I was excited to visit. So, Adam and I came to visit and I fell in love. I interviewed for the position and got it!

The next step was finding a job for Adam. He did find a job working for a plumbing company outside of Granbury and was offered the position on the spot. We immediately went house-hunting and found a great rental property and put down our deposit. So, the decision was made and pretty well set in stone... we were moving! We got on the boat! Adam and I felt like this was God sending our rescue boat and we did not want to pass it up. 

We moved to Granbury the end of March 2014, got settled and have started building our new life here. It has not been easy. There are those times that we think, "Okay... did we make the right decision?" Then we think about the fact that our kids are 30 minutes away from their specialists instead of 6 hours. That was our main goal in moving here. Then we think about the fact that I was hired at an agency that I love doing what I feel is my calling and that just affirms that we made the right decision for our family. 

We still have a lot of work to do. We're getting the kids settled with all their new doctors; specialists that they saw in Lubbock and now have to find in Fort Worth. But so far, we've been very pleased and have been able to get into doctors all affiliated with Cook Children's Hospital, which is such a blessing. We have our house in Lubbock on the market and are hoping it sells soon so we can begin to look at getting "officially settled" in the next year or so and buy a home in Granbury. Eli is signed up for flag football this fall which is very exciting! We always wanted him to play sports, but did not feel comfortable with it in Lubbock. And maybe in a few years, Ella will be doing gymnastics or cheer! The opportunities and experiences we've had so far in the past 3 months have been amazing. We love our new town and what it offers. We're just thankful that God sent that boat and we had the awareness to trust God and climb on board!
While out to sea, a large boat became shipwrecked and there was only a single survivor. This man prayed and asked God to save his life. Soon thereafter, another boat came by and offered the man some help.

"No thanks," he said. "I'm waiting for God to save me."

The men on the boat shrugged their shoulders and continued. As the man became more deeply concerned, another boat came by. Again, the people aboard offered this man some help, and again he politely decline. "I'm waiting for God to save me," he said again.

After some time, the man began to lose his faith, and soon after that he died. Upon reaching Heaven, he had a chance to speak with God briefly.

"Why did you let me die? Why didn't you answer my prayers?"

"Dummy, I sent you two boats!" - See more at: http://www.spiritual-short-stories.com/spiritual-short-story-101-Drowning+Man.html#sthash.4MiyPYeh.dpuf
While out to sea, a large boat became shipwrecked and there was only a single survivor. This man prayed and asked God to save his life. Soon thereafter, another boat came by and offered the man some help.

"No thanks," he said. "I'm waiting for God to save me."

The men on the boat shrugged their shoulders and continued. As the man became more deeply concerned, another boat came by. Again, the people aboard offered this man some help, and again he politely decline. "I'm waiting for God to save me," he said again.

After some time, the man began to lose his faith, and soon after that he died. Upon reaching Heaven, he had a chance to speak with God briefly.

"Why did you let me die? Why didn't you answer my prayers?"

"Dummy, I sent you two boats!" - See more at: http://www.spiritual-short-stories.com/spiritual-short-story-101-Drowning+Man.html#sthash.4MiyPYeh.dpuf

Friday, March 28, 2014

We're Ba-ack!

Driving in to Fort Worth a few weeks ago for the kids' procedures was like deja vu. Two trips in two weeks.... Our days, our appointments... they all seemed to just run together. Even though we were exhausted, it was also a relief to be there, having tests run again on both kids and having procedures done, all with hopes of getting answers.

This was eighth set of scope and biopsies. They've become fairly routine. Every few months, we introduce new foods, and then follow up with scopes and biopsies to see if there are any eosinophils (evidence of a reaction to what he has been eating). This go-round, we did not introduce any new foods. In the past, Eli had been find with eating blue berries. Then, one day, he came to us and said that he did not want to eat them anymore. This was probably around October 2013. And this was a first. I don't remember him ever coming to us like this before. He told us that blue berries hurt and he did not want to eat them anymore. Eli was almost 5 at the time and, in our opinions, old enough to tell us when something was going on. So, we removed blue berries from his diet. (We do occasionally offer them to him, but he still refuses them.) Even though we removed the blue berries, we continued to see signs that Eli was having a flare. He had a horrible cough. He had dark "allergy shiners" that teachers, therapists, etc. were noticing and commenting on. His eczema was horrible on his legs and hands. We just weren't comfortable with introducing a new food to his diet while he was having all these symptoms.

So, on Wednesday, March 5, Eli went in for Scope and Biopsy #8. The results: no eosinophils, but esophagitis. This basically means that he has inflammation and irritation in his esophagus. He also had yet another yeast infection in his esophagus. So he was prescribed a 21-day round of steroids for that. Also, while talking to all the nurses, doctors and anesthesiologists before the procedure, we discovered that Eli had actually had an anaphylactic reaction to a medication when he had his procedure in August 2012. After that particular procedure, Eli's face and neck/throat were very swollen and he had coughed so hard, he popped the blood vessels in his face. At this procedure in march, the anesthesiologist discovered that they had accidentally used a medication with egg, causing the anaphylactic reaction. We're just grateful we were at this particular hospital, where they were able to handle the reaction appropriately.


(This photo is from the procedure in August 2013, that shows the visible effects of the anaphylactic reaction Eli had.)

The yeast infections seem to be caused by Eli being on too many antibiotics. With Eli's compromised immune system, Eli gets sick very often and very easily. I should probably go back to the week between the appointments and procedures....


After returning to Lubbock after the kid's appointments and preparing to return to Fort Worth for procedures, both kids seemed to have colds. I HAD to have them well for their procedures the following week. So, I took them to their pediatrician, fully expecting it to be allergies or a mild cold. They tested both kids.... and Eli came back with Flu - Type A..... FOR THE THIRD TIME SINCE DECEMBER!!! Eli and Ella both are unable to get the flu shot because of the egg in it. The pediatrician actually took the test around to other doctors in the office to have them confirm it because they simply couldn't believe it was positive for the same strand for the third time! All he had was the sniffles! The pediatrician believed he was on the tail end of it, so she did not prescribe Tamiflu, but sent Eli home, to stay out of school the remainder of the week. That was on Tuesday.


Wednesday morning, Eli woke up vomiting. He wouldn't eat. He wouldn't drink. He would go into the restroom, but was unable to urinate. At one point, he came out of the bathroom, buck naked. I asked him if he was okay and what he needed. Eli looked at me, with a blank stare on his face, then looked around, shrugged his shoulders and walked off. This was, obviously, not normal. We tried running Gatorade through his g-tube, but did not see any results. So... it was off to the emergency room. They ended up admitting him Wednesday night and discharged him Friday evening. They believe that the flu just hit him too hard and caused him to become too dehydrated for his little body to handle it. Thankfully, he was still able to have his procedure the following week.


Fast forward to today, March 28 (Ella's First Birthday)... we have just finished the steroid for the yeast infection in his esophagus... and started a 10-day round of antibiotics for an ear infection. He's such a trooper!


Now, on to Ella!


This was her first procedure. It never gets easier; even with it being Eli's eighth. Then combine that with Ella's first.... talk about a nervous wreck!! But, as always, Cook Children's Hospital in Fort Worth was AMAZING!!! Ella was first on the list and Eli was third. So, once Eli arrived for pre-op, the put both of them in the same room, with made them (and us) very happy.




On top of having the upper GI scope and biopsies, Ella was also having a pH probe done. Since she was very young, Ella has always had horrible reflux and has sounded like she was aspirating. Medication has yet to help. The pH probe has a sensor on the end of it; it goes up the nose and down, into the esophagus and is supposed to record data for 24 hours.Note, I said SUPPOSED..... Ella, who we've since nicknamed "Hurricane Ella" managed to reach her little hand passed the tape and RIP the probe out of her nose after about 6-7 hours. This is a before pic. You can obviously see how displeased she is!



The probe was an outpatient procedure, so we were at the hotel when she ripped it out. I can honestly say, Fort Worth drivers were INCREDIBLY nice. I flipped my emergency flashers on and made my way to the Cook Children's Emergency Room. Other drivers were so courteous to let me go through traffic. Unfortunately, nothing could be done about the probe. It has to be placed under sedation and it was too risky to try sedating Ella again, twice in one day, and after eating and drinking some. So, we are still hopeful that some results can be found; Otherwise, we will have to complete the probe again in a few weeks. The doctor also ordered a stool sample. He wanted to see how (and if) her body was absorbing fats and sugars. We are still awaiting those results.

As for the biopsy results, they were the same as Eli's: no presence of eosinophils, but esophagitis. So, we are still very careful with what we introduce into Ella's diet, while also trying to introduce a variety of textures, consistencies and flavors (not an easy thing to do!).

So, now we wait. We wait for the other test results. We wait for the next appointment. We wait to see how both kids react to the foods we introduce to their diets. We've become quite accustomed to this waiting game.

We continue to thank everyone for their prayers and concerns. Adam and I have been blessed with some pretty amazing kids and we cherish the adventures we have with them as we enjoy the good and learn from the not-so-good!

Thursday, February 20, 2014

Information Overload

Even though, when I started out with this blog, it was all about Eli and his journey, it has definitely developed into a shared blog about Eli AND Ella. So, from here on out, my updates will be concerning both of them, their medical updates and our journey as a family through all of this medical "stuff" (for lack of better word).



We just returned home last night from another trip to Fort Worth for appointments for the kids. We've gone from a 30 minute doctors visit with occasional procedures with Eli, to an all day or two-day trip with appointments and procedures and lab work, etc..... Eli had his second appointment Wednesday morning with Dr. Pfaff in the Pulmonology Clinic. We are still working to figure out what the best route of treatment is for Eli. It is difficult because of the overlap with his cough variant asthma and the symptoms of his EoE. The changes in weather (which happen quite often in West Texas) or an allergy flair can set off his asthma symptoms. However, Dr. P said that, all things considered, Eli seems to be doing well. We'll have to wait to see what his next GI scope and biopsies show, but otherwise, Dr. P is okay with us waiting 6 months to return for a follow-up. We have a fairly comprehensive Asthma Management Plan with meds, rescue inhalers and steroids, so that helps so much with managing his symptoms and being prepared for a "worse case scenario".

Wednesday afternoon was dedicated to both kids seeing Dr. Osuntokun in Gastroenterology. We've been so anxious, nervous and excited for this appointment. It was Ella's second appointment; we've been slowly introducing a very limited, carefully selected array of foods. However, she has still been visibly reacting to something. She has had the notorious "allergy shiners" like Eli gets when he is "flairing"/reacting, as well as eczema on her arms and legs. These are signs Eli had as a baby, but we didn't know then that they were related to food allergies. Anyway, Ella has also been having horrible reflux. Even though she is on meds, they don't seem to be controlling it. She has had several times that you can hear her spitting up or "refluxing", but nothing comes out; Then she starts to gasp for air and her eyes fill with tears. We're fairly sure that she is aspirating. It's pretty impossible to NOT compare our experiences with Ella to our experiences with Eli. When Eli was a baby, it seemed like we were doing lab work every time we turned around. With Ella, she hasn't had lab work since she was a newborn! So, Dr. O ordered a full panel of lab work; CBC, check for Celiacs, anemia, etc. We are hoping to get those results in about a week.

Dr. O also said that we need to go ahead and scope Ella to check for EoE and any damage to her esophagus. At the time of her scope, they will also be placing an Impedence PH Probe. This is similar to an NG tube, in that it will go up her nose and down into her esophagus. It has a little sensor on the end of it that will monitor any reflux and aspiration and record the results. It will have to stay in for 24-hours, so they will discharge us to the hotel after the scope, then Adam and I will be responsible for removing it the next day and taking it back to the hospital to get the results. While we're somewhat excited to do these procedures, simply for the fact of getting the results, we're also very nervous to have Ella sedated for procedures before she is a year old. It's also going to be very difficult to have the PH probe in for 24 hours and keeping her from pulling it out. But, getting these answers will definitely help us with planning and preparing for a course of action for Ella!

Since Ella will be one in about a month and a half, we will also be transitioning her from Elecare for Infants to Elecare Jr. Vanilla, which is the same formula Eli is on. It will be kind of nice to have them on the same formula instead of constantly worrying about giving them the wrong one! =)

Eli will also be having an upper GI scope and biopsies at the same time as Ella. It has been August of 2013 since Eli's last scope. Although we have not added anything new to his diet, he also seems to be reacting to something; allergy shiners, cough, eczema... the whole 9 yards. So, the scope will help us to know if it is something in his diet or just environmental allergies. If it is something in his diet, we will have to work to remove things to see if he improves symptomatically, as well as scoping clean. It kind of feels like we are starting over at square one. While we were at the appointment, Dr. O also changed out Eli's G-button since it hadn't been done in a while. One of these days, Adam and I will have to get comfortable enough to do it.

So.... In two weeks, right after Eli's 5th Birthday, we will be heading back to Fort Worth for these procedures for the kids. Our anxiety level is already through the roof. I don't think it ever gets easier, even though this will be Eli's eighth scope. Then, add Ella's first scope AND the PH Probe on top of that.... we're pretty nervous. However, we are still so excited to be moving in a good direction, getting answers and getting to a point of knowing where to go from here!

As always, prayers are greatly appreciated and we will post updates as we get them!!!

Saturday, December 7, 2013

Ella's Turn


When we found out we were pregnant with Ella, it was about 2 days before Eli was admitted to the inpatient feeding therapy program, Our Children's House, at Baylor University Medical Center in Dallas. It was also about 2 months after Eli was diagnosed with Eosinophilic Esophagitis. Once Eli was diagnosed, we began researching like crazy; what causes it, how is it diagnosed, is it genetic.... One thing that we did learn was that, while researchers have not been able to identify a gene that is passed along, EoE does tend to run in siblings. So when we went for our first visit with Dr. Osuntokun at Cook Children's, I asked him what the possibility was that Ella would end up with the same disease. While I was expecting an answer of "50/50", "There's no way of really knowing", etc., I was kind of shocked to just get the short and simple answer of, "Yes."

So once Ella was born, we knew that we would need to be very diligent with watching for symptoms, documenting what she ate, how she reacted.... dissecting everything that went into her system. At least with Ella, we knew what to look for. And we knew we would need to follow-up with Eli's GI doctor.

Ella was initially breastfed. I also supplemented with Similac Supplementation formula. Ella was spitting up thick, fluffy, soured milk. This continued when I stopped nursing and switched to Similac Sensitive formula. Her pediatrician suggested trying Similac Alimentum formula, a hypo-allergenic form. Her spit-ups lessened, but it was still soured milk. Finally, they gave us samples of Elecare for Infants, the non-dairy based, hypo-allergenic "elemental" formula Eli is on, only for Ella's age. The difference has been pretty dramatic.

When Ella was about 6 months old, we introduced rice cereal. She seemed to handle it okay, but we did notice that she began to break out with eczema, one symptom of EE that Eli also had. One day when I was feeding her, I just took her shirt off. A bite of rice cereal dropped on her chest and she quickly broke out in a rash where it had touched. We've been able to introduce apple, sweet potato and green bean all without incident. With carrots, she began spitting up quite a bit, all of it orange, like it was not digesting.

We did do skin-prick allergy testing with Ella, like we did with Eli. Amazingly, she tested negative for everything. Once we met with Dr. Osuntokun on Thursday, he explained it that she tested negative because her body has never been in contact with these foods. So naturally, her body is not yet reacting to it. He said she was basically just too young to allergy test. However, Dr. O said that, based on these reactions Ella has had to dairy, grains and carrots, she is allergic to them and they need to be avoided.

Dr. O prescribed Nexium for reflux and ordered that she stay on Elecare for Infants. We were so glad for this order! When the pediatrician was wanting her on the formula, it was basically without reason since she did not have a formal diagnosis. So, we were going to be stuck paying for it out-right ($68-93 per can), then being reimbursed for it. With the GI's diagnosis, Ella's insurance will cover it! We are so thankful for that!

So, at this point, Ella is diagnosed with food allergies and GERD (Gastroesophageal reflux disease). We will continue to monitor Ella's foods and reactions to them. We will also return to Cook Children's in February with Eli to follow up. Dr. O does not want to have to do an upper GI scope at this point, but it may be something we have to do in the future. We will also look at repeating the allergy testing later on, once Ella has had more contact with different foods.

So, the process begins. We just have to continue to be diligent and cautious. Again, at least we still have more information and awareness with Ella than we did with Eli. Hopefully this awareness will be in our favor as we proceed with Ella!

Adding Another Doctor to the Mix

Eli and Ella had doctor appointments at Cook Children's Hospital on Thursday. On top of his regular GI follow-ups, Eli also met with a new doctor, Dr. Pfaff, with Pulmonology.

Eli has always struggled with asthma symptoms and upper respiratory infections. At his GI appointment and upper GI scope in August, Eli had a horrible asthma flair. The doctors were hesitant to do the scope, saying there was too much of a risk that his lungs could collapse during the procedure leading to him being admitted to the hospital and being put on a ventilator. But they sent us for chest X-rays to check his lungs and to the hotel to do back-to-back nebulizer treatments until his scope the next day. Once we arrived to the hospital the following day, his lungs were clear and they felt confident in going forward with the procedure. Once it was done and they removed the breathing tube, Eli coughed so hard that he ended up busting the blood vessels in his face. His body also had a bit of an adverse reaction to the meds, so his face and neck were very puffy and flushed.

Since then, we have been doing nebulizer treatments every morning and night with Albuterol and Pulmicort mixed and cough medicine every morning. The treatments haven't necessarily "helped", but we could always tell when we did not do the treatments; he would cough non-stop and wheeze horribly. A few days before his first Pulmonology appointment, Eli asked me why he coughed so much. I assured him that we were going to try and figure that out.

I know I say this all the time, but I continue to be impressed each time we go to Cook Children's Hospital. Dr. Pfaff was absolutely amazing. From the time he entered the exam room, he was incredibly engaging with Eli and respectful of Eli, treating him not like a child, but like an equal. Eli even said that he liked Dr. Pfaff, which is NOT normal for him.

One of our major concerns with Eli stems from testing that was done several years ago, before we had the Eosinophilic Esophagitis diagnosis. Before this, the doctors had questioned if Eli had Cystic Fibrosis. They tested him three times for it. The first two times came back "elevated", with the final test coming back "negative". Dr. Pfaff explained that the sweat chloride test probably did not collect enough sweat, so it was very concentrated, leading to the "elevated" results. But after looking at all of the results, Dr. Pfaff felt confident that Eli does NOT have CF!

Dr. Pfaff does believe that Eli does have cough-variant asthma. This is the diagnosis the docotrs had given him in Lubbock. However, Dr. Pfaff feels that, with the combined diagnosis of EoE and cough-variant asthma, the "medium guns" treatment we had been doing to control his asthma was simply not powerful enough. So, he gave us a "big gun" treatment plan. We are changing the medicines that Eli has been taking, plus changing from nebulizer treatments to inhaler treatments. He also gave us a prescription for an oral steroid to have on-hand if Eli's asthma gets to the point of treatments simply not working.

Dr. Pfaff went ahead and ordered another set of chest X-rays so he could make sure that there are no anomalies that have been missed during past X-rays. He also wanted to do another test to check Eli's lung function, but Eli was not willing to cooperate. He sent a piece of the test equipment home with us so that Eli can practice with it and get a little more familiar with it. We follow up with Pulmonology again in February and can hopefully complete the Lung Function test.

After Pulmonology, we went to Eli's GI appointment. We were concerned because Eli is only eating sweet potato, carrot and butternut squash. His skin is starting to turn orange again! Dr. Osuntokun assured us that this is actually a GOOD thing! It is called Carotenemia and it simply means that Eli's intestines are working very well and it is not harmful in the least.

Because all of Eli's veggies are orange, we had hoped to introduce a new vegetable to his diet: peas. We found several "mixes" that include pea, so he wouldn't be eating straight peas. However, peas are very high on Eli's allergen list; TOO high actually. So, Dr. O recommended that we do NOT introduce peas and that we, in fact, NEVER introduce peas to his diet.

He sent us to speak with the Dietitian/Nutritionist on staff for suggestions. Tomato is very low on Eli's Allergen List, but we didn't know how to go about introducing it. We were pleased to find that Campbell's Tomato Soup is dairy and soy free! So our next plan is to introduce tomato soup! We're also very excited about this because Eli has NEVER had warm food! All of his foods have been room temperature or cold. So this will definitely be a new, although difficult, experience for him. We plan to water it down a little bit and let him "drink" it rather than try to eat it with a spoon. I have also been able to find Sweet Potato soup and Butternut Squash soup for him to try!

Dr. O also gave us samples of a probiotic to keep on hand for Eli based on the oral steroid that Dr. Pfaff from Pulmonology gave us. Oral steroids tend to be hard on Eli's tummy, so the probiotics will be very helpful for him.

So, it was definitely another successful trip to Cook Children's Hospital! We are pleased to have been able to get in with Pulmonology. Even though it adds another doctor into the mix for Eli, we feel that it is one more huge step toward making sure that Eli is as healthy as he can possibly be!