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Category Archives: 31 for 21
31 for 21- Day 6

one chamber of my heart
31 for 21 Day 5- Meet the therapist

Meet Kathy- Our awesome OT
We just finished up with PT and OT for the day. And Kathy our dear OT will probably be sorry she mentioned to me that another family’s blog had her photo up- Sorry Kathy :). But here’s the thing- the services we have been receiving from Pediatrics Unlimited are top-knotch. Our experience getting the Quail the services she needs to be all she can be has been a good example of the need for strong advocacy and the importance of trusting your instinct. Breastfeeding is important to me and more importantly it is an extremely important exercise to help the Quail strengthen her oral-motor muscles in order to assist in good speech clarity and as well as assist in minimizing future feeding issues. I’m aware of this from my own research. When we left the hospital after her birth the lactation consultant told me be sure to get our pediatrician to refer us to either a speech/language therapist or an occupational therapist because with her hypotonia or muscle weakness she was having great difficulty breastfeeding. I knew it wasn’t going to be easy. I had come home with a nursing plan after the birth of Zuzu and had spent more time in consult with the LC then with the pediatrician those first few months. Fortunately for all of us Zuzu became a comfort nurser which enabled her to continue to nurse during my pregnancy with the Quail when all the milk dried up. This in turn has been the greatest gift she could give her little sister. Because she has ensures me a grand milk supply I am able at 7 months post-partum to continue to pump daily and provide breast milk for the Quail while she continues to learn to nurse. This milk will help her through this vicious cold and flu season we are about to enter as well as giving her the opportunity to boost her IQ. We are all so grateful for this symbiotic relationship amongst us that Mother Nature has bestowed.
But I digress, after the Quail’s birth I started in on calling the LC that had been so helpful with Zuzu. She didn’t have much to offer- and let me tell you generally speaking the LC’s at this hospital are top-notch. But as I’m finding out- most people really don’t know much about working on feeding issues. They continued to say we should find a SLP or OT. After we got our Babynet (county early-intervention provider) services set up we got a referral made ton an SLP. Her goal was to get the Quail eating without taxing her and to ensure adequate nutrition and growth- especially considering her ventricular septal defect and the fact that the cardiologist informed us that the deciding factor between open heart surgery or not will be her growth- if she can maintain between the 30-70% on the Down syndrome Growth Charts then surgery would not be necessary. We spent the next 3 months going regularly to speech therapy and having the Quail hooked up to a monitor to check her oxygen saturation while she drank her bottle. I asked repeatedly what else we could do to work on breastfeeding. At the last appointment I finally asked directly for the SLP to give us a list of exercises to develop the breastfeeding skills she needed. She told me that there were no exercises that would teach that. We decided to hold off on therapy at that point since there wasn’t any progress being made we could witness. I started asking around to other families in the area trying to find another family that had experienced difficulties breastfeeding in the beginning but had gone on to have a successful nursing experience and find out what they had done. Another family in the area passed on Kathy Maxwell and Pediatrics Unlimited’s phone number and said to specifically ask for her. It took me a few weeks to work up the nerve, you know; you really do believe what people tell you when they have initials behind their name. When I finally called and explained our situation and asked if that was her opinion as well- that there are no exercises to teach a baby to breastfeed who isn’t doing it naturally; she said no- that is what she makes her living doing and while it would be difficult to start a 5 month old baby out, if we work hard and do the weekly exercises we could give it a try and she was willing. We went in the next week and have been going weekly ever since. If you go back and read The Quail updates here you will learn about the progress we have made. It is definitely two steps forward and one step back, it isn’t easy- but The Quail is making so much progress and the closeness of our relationship (when she isn’t screaming at me to stop trying to make her breastfeed) is lovely. Of course the lemons to lemonade version of her screaming and fighting me on breastfeeding is two-fold- we’ve had the opportunity to witness the blossoming of an incredible will in her and hey- it strengthen’s her neck and arm muscles as she continually pushes off 🙂
So the lesson in all of this is this- trust your instinct- if you think your child is capable of something then don’t let someone tell you different- find that partner that can help you and your child out. Not every therapist will be a match with every child- and many have very different styles and training. And if you live in the Upstate of South Carolina and are in need of someone with excellent skills with teaching a baby to eat- call Kathy.
The Quail got her cereal “training” today and she is so very excited- and with Kathy’s expertise we are confident she will grow into the little foodie lifestyle that the rest of her family embraces.
PS- And Kathy if you are reading this- we really do appreciate you- you inspire us and hearten us. Thank you so very much-
Gratitude Journal; 31 for 21, Day 4

A Meal
1. Capturing Spot
2. Rain
3. a meal plan
4. a pizza fundraiser
5. Swim Classens
6.Corner View
7. 31 for 21
8. multiple nursings in a row
9. graduating from one supplement to another
10. random occurances
11. developmental leaps
12. ABR technology showing no hearing loss
13. The Quail’s cries at her families bellows
14. Nystantin
15. Babies rolling on their very own!
16. 3 year olds
17. E.E. Cummings
18. coffee
19. Heffalumps
20. a park full of party-goers
21. good friends helping things go smoothly
31 for 21- Day 3~

The Quail in a Cap
I’m so very excited by this blog challenge- it’s our first challenge and its for a great cause. I will wax philosophic and perhaps poetic about advocacy and disability and inclusion and Down syndrome. I have ALOT to say. I’ve taken to reading our new library with a fervor. I’m a book gal and I’ve had the good fortune to have been trained both vocationally, personally and academically in all things ability and disability.
I’ve had the grand pleasure of seeing David Hingsberger speak. The man is graced with the good fortune of seeing all people as whole and perfect long before his advocacy applied to himself in such an intimate fashion. The man is also one of the most articulate speakers I could hope to listen too. What he has to say- I’m a listenin. I’m so pleased that in the advent of this blogging world he has reentered our lives- and for me at such a time that is so very personal for me and my family. Often my spirit lunges ahead before the words are able to be articulated from my mouth. And with that I am ever so grateful for others ability to articulate.
As this world of advocacy is now a daily occurance for us sometimes it is hard to see and articulate about what is so essential in our lives. And sometimes, well life just gets busy before we have time to ponder it. On those days I will shamelessly use this advocacy month to post pictures of our dear Quail- because- frankly- you knowing her- will teach you more about her heart, her mind, her will and self determination then I could ever hope to articulate.
Please introduce yourself- I respect the lurkers- but lets use this month to get to know each other- shall we? Even just a Hello- so I know you are out there and part of our world- well it means the world.
much love and friendship- Cole
Happy 31 for 21!

The Newest Little Advocate in our House
October is National Down syndrome Awareness Month! Join in the challenge either click here:
http://unringingthebell.typepad.com/my_weblog/2009/10/31-for-21-important-admin-stuff.html#comments
Or on the Get it Down button the sidebar! On Tricia’s lovely site you’ll see a link to many of the wonderful families in our community. Time to make the rounds and introduce yourself folks! Come along and meet the people in your neighborhood!
Let me start- I’m Cole, my dear husband Lovey and I have 2 amazing little girls. Zuzu is turning 3 and The Quail is 7 1/2 mos old. Please read our “Meet the Happy Little Family Page” to learn more about us. Nice to meet you!
Quail Day- We have a WINNER! and Day 1 of 31 for 21

Lookin

Almost...

We have a Winner!
Jessica has won the copy of Gifts 2! Thanks to everyone for playing! Jessica email me at nicolehinesstarkey at yahoo dot com with your address and I’ll ship it out to you!
And on a happy Quail-bird note- the ABR went swimmingly yesterday! After an hour of what felt like herding cats- I was able to coax the Quail into dreamland and the test went off without a hitch. While the OAEs still didn’t provide a decent reading the audiologist said it was probably a function of wax in her ears. But the ABR showed her hearing was normal down to 20 decibals (which is normal for children- 25 is normal for adults- so yes- your children should be able to hear you better then your husband). We are so unbelievably grateful and will save the cute Hanna Anderson Pilot hat for winter and also for The Quails upcoming halloween costume!