Thursday, February 27, 2014

Basketball star

We signed Hannah up for a preschool basketball class at the Y.  She seems more than open to the idea of participating in team sports (unlike certain big sisters who shall go unnamed), and the idea of a group of 3-5 year olds attempting to dribble, pass, or otherwise control a ball that's approximately half their size was too tempting to pass up.

Her first class actually fell on the day of her endoscopy, but she was doing so well after the procedure and a quiet afternoon at home that we decided to try it.

She discovered an immediate perk of basketball class is that her best buddy Hazel is there at the same time to watch her older brother play on the court right next to Hannah's.
She's cute - and she knows it.
The team
"Put me in, coach!"




Endoscope

Though our bloodwork was as conclusive as it could be that we were dealing with Celiac disease, the GI specialist recommended proceeding with an endoscope and biopsy of her small intestine.  According to them, this was the only way to get a 100% firm diagnosis, as well as to assess the level of damage that had been done.  Their arguments were persuasive enough to convince us to go ahead with it, and they were able to get her in only three days after her initial appointment - we were especially thankful for this as we had to keep gluten in her diet until this procedure was done.

We took her to the Golden Corral for her last gluten-filled meal EVER - as an added perk, Grandma and Grandpa Purdy were able to join us, too.

By the looks of that belly, I'd say our "last meal" was a success
We got prepared the night before for an early morning.  Megan did her part by making me a detailed list of her school lunch requirements.
And, of course, school was cancelled for her after a snowstorm and arctic chill that left the expressways looking like this on Thursday morning.  (Thank God for good neighbors, who kept Megan entertained most of the day while we dealt with Hannah at the hospital)
All checked in at the hospital...and seemingly quite happy to be there (?)
She spent the first hour of her morning entertaining the Child Life staff with her mad ipad skills
The IV experience (which required two tries) did not go well - that being the understatement of the century - but she eventually settled back in with the ipad while waiting for the doctor to arrive
She is currently obsessed with Candy Land, and we surprised her with the Disney Princess version that morning.  We even had time for a game while we waited.
The procedure itself only took about 5 minutes.  After a bad IV experience, she didn't want any of the doctors or nurses anywhere near her, and she was screaming right until the point the drugs knocked her out.  This was not pleasant for Mom & Dad to watch, but before we knew it they were coming to fetch us in the waiting room to be there when she woke up.  She was enjoying the best nap of her life, so we took a few minutes to talk with the doctor.  He said the test left no doubt that we were dealing with Celiacs, and the little villi that are supposed to line her small intestine and soak up the nutrients from the food she eats weren't just damaged, they were absent.  That was the bad news, but the good news is we know exactly what we need to do to fix it, and we can manage her condition through diet alone.  Aside from routine bloodwork (approximately every six months), she won't require a lot of continuing care.  Of course we would prefer that she not be diseased at all, but on the spectrum of incurable conditions, this is probably one of the more manageable ones.
Post procedure -  IV out, blue slushy in
She was slightly intoxicated after she woke up, if you couldn't tell from the deliriously happy face she is making at her bag of gluten-free pretzels
Baby's first wheelchair ride - peace out, Children's Hospital!
Grandma Dee & Grandpa Don surprised her with a balloon delivery that afternoon, making for one delighted little preschooler








Wednesday, February 26, 2014

Toothless - again!

It's happened again!  Though not quite as disgusting as the first time, her lower right front tooth was getting awfully darn wiggly.  She was *almost* to the point where she could push it around with her tongue just to torture me, BUT her favorite little game was put to an abrupt end when the tooth suddenly displaced itself for the final time while we were out to dinner.

It was not the most pleasant dining experience, but if there is a restaurant gold star awarded for kids who suffer through bloody mouths and dental work performed in the ladies' restroom, then this girl has for sure earned it.

Proudly displaying her battle wounds
The tooth fairy did not disappoint - collecting her tooth and leaving her a much coveted board game (Headbandz) that she has been raving about for some time...(I figured it was the least we could do after the public restroom experience, the poor dear)

Tuesday, February 25, 2014

Tuckered out

Sometimes, if Dad isn't home and Mom's in charge of bedtime, this happens:

You try getting stuck in the middle of two warm bodies and NOT falling asleep.  It's not as easy as it sounds!
And who needs to do chores anyway?  This is way better.

Monday, February 24, 2014

Our first visit with the GI Specialist

We were excited - as excited as one can be when dealing with incurable diseases in your children - that after the results of Hannah's bloodwork were in, we had a relatively short wait before we were able to get in and see the GI specialist (less than two weeks, which is nothing short of a miracle as we hear it).

We are blessed to have an amazing Children's Hospital and excellent doctors across all kinds of pediatric specialties right here in Grand Rapids.  The offices are spectacular, the staff is amazing with the kids, and everything there is designed to be as "fun" as possible.

We met with the nurse practitioner and the pediatric dietitian, both who gave us a wealth of practical and useful information - not all of it was new, but as we are sort of inundated with information right now, it's helpful to have the highlights reaffirmed from time to time.  The nurse practitioner has a husband who was diagnosed with Celiacs just a couple of years ago, so her perspective was especially refreshing...and she adored Hannah, which earned her lots of brownie points with Mom and Dad.

Hannah, as you can see, took the visit very seriously
Give her a tiger gown and she thinks it's a party, I guess

Wednesday, February 19, 2014

One of life's little curveballs

Hannah, Hannah, Hannah.  Keeps things interesting, this one.  I have often said that God dealt us a wildcard when He gave her to us.  She has kept us on our toes since approximately the day we found out we were pregnant with her, and the excitement really hasn't slowed down in her nearly four years of life.

But look at this face!  How could you not love this face?!
Brace yourself, because this post is about to go into graphic digestive details...

After three rounds of diarrhea and/or vomiting (see, told you) in the first four weeks of January, we became concerned about Hannah's health, and her tendency to pick up these "viruses".  All of these episodes lasted less than 24 hours, and aside from a reduced appetite the following day, she didn't really seem too miserable.  However, the frequency was unusual, and though she goes to daycare and is certainly exposed to all sorts of delightful germs, we would have expected her immune system to be taking over by now.

And... when she's not throwing up, it seems like she is always constipated.  (Sorry, but don't say I didn't warn you)  There just doesn't seem to be a happy medium with this girl.  Her belly is always the size of a basketball - adorable, don't get me wrong, but it doesn't appear normal or particularly comfortable.

We saw the doctor on February 4th to discuss our concerns.  She listened to all of my complaints, examined Hannah's bloated belly and also noted her steady decline on the growth chart over the past year.  Hannah has always been off the charts for height, and right up there for weight - over the last 10 months, she has fallen significantly into the middle of the range in both.  While we saw an increase in height over the last year, her weight stayed the same, and her poor little feet haven't grown at all in over 15 months!  Her body was getting to the point where she had a 5 year old top (because of her inflated belly), 3/4 year old legs, and 2 year old feet!  This was particularly concerning, and she sent us for blood work right away.

I love our doctor because she is very thorough, yet down to earth, and doesn't always lead with the catastrophic diagnoses or worst-case scenarios.  With that being said, she mentioned the possibility of Celiacs disease no less than three times during our appointment.  Over the weekend, while we waited for the results of labs, I googled Celiacs disease to check out the symptoms (which I normally NEVER do, I swear).  On a list of the 10 most common symptoms in children with Celiacs, Hannah didn't just have 3 or 4.  She had 9!

On February 11, I answered the phone call from the doctor's office.  When I heard that it was the doctor herself calling, I knew it wasn't going to be super news.  Though I wasn't totally unprepared for the Celiacs diagnosis, we were still hoping for something else.  She let us know that the blood work showed that her antibodies were crazy high, and all of the markers for Celiacs tested positive.  She recommended taking immediate steps to get gluten out of Hannah's diet while they worked on expediting our referral to a pediatric GI specialist.

Our first step was to rid the house of gluten.  One advantage?  Increased cupboard space.
Just some of the product offered in our Going Out of Gluten "Sale"
On Wednesday, I took my first trip to the grocery store to stock up on some gluten-free goods.  While I'm certain that the product offering is much, much better than it was just a few years ago, it was an overall depressing experience.  I just narrowly avoided a major Mommy meltdown.  :(

The grocery store yielded our first major victory - a gluten free pretzel substitute that Hannah LOVES (this was critical, as pretzels are her go-to snack)
Thursday's dinner - does this look the meal of a child who is "suffering" from an incurable disease?
By Friday we were ready to take gluten-free to preschool
While I don't appreciate major life disruptions in the middle of the week, I was pretty proud of the progress we made since Tuesday afternoon, when we learned of her condition.  We were definitely looking forward to the weekend where there was more time to read and research, as well as meal plan.

Mom & Dad were not the only ones studying up on Celiacs over the weekend.  Big Sister read us the children's book on Celiacs disease we picked up over breakfast on Saturday (and we have already caught her reading food labels, too!)
We are big bakers around here, and by Saturday we were ready to try our hand at our first gluten-free recipe (Nutella brownies - YUM!)
Monday brought our visit to the dietitian, which Hannah particularly enjoyed as they had a multitude of "play" food to keep her occupied.

We now await the visit to the GI specialist, scheduled for this coming Monday (2/24).  While her blood work is done, they will likely want to do an endoscope/biopsy of her small intestine to assess the damage done and confirm the Celiacs diagnosis.  Though we had her on a totally gluten-free diet for 3-4 days, they have asked us to put one serving of gluten BACK IN until she meets with the specialist, as it's important for them to see her with gluten in her system.  We are struggling with giving her foods that we know hurt her, especially after seeing how well she responded to being gluten-free (my beloved basketball belly all but disappeared!), but thankfully it's only for a few more days.

We hope to know more by this time next week.  Meanwhile, the "victim" seems mostly unphased by the whole thing.  She understands that we need to change the food she is eating, but many of her favorites are already gluten-free (funny how she had sort of steered herself in that direction already), and we have been able to find substitutes already for others.  Mom & Dad still have a long way to go in accepting this, and learning how life works as a gluten-free family, but we're up to the challenge if it means our little girl feels better.

We'll keep you posted!

Saturday, February 15, 2014

Skyzone with McKenna and Lyla

Megan has acquired a new best friend in first grade.  McKenna has been the subject of most of her banter since September.  As such, she is a VERY big deal around here.  They also happened to be in the same gymnastics class this fall for awhile, and I was able to get to know her Mom, as well as learn that McKenna has a little sister, Lyla, that is the same age as Hannah.  While Megan and McKenna have had several outings together, we decided it was time to get the little ones introduced as well, starting with an adventure at SkyZone, an indoor trampoline "park" in town.

Lyla, Hannah, Megan and McKenna
Hannah was a first-timer, but showed no hesitation at hurling herself into a pit of foam blocks
"Oh yeah, that was totally everything I thought it would be"
"Rescuing" Lyla from the pit - the younger two really hit it off!







Friday, February 14, 2014

Preschool Valentine's Party

So excited to pass out Valentines to her friends

Valentine snuggle for her beloved Miss Erika


Thursday, February 13, 2014

Daddy Daughter Dance

Appletree has the cutest Daddy Daughter dance every year around Valentine's Day.  Megan has "aged out", but Hannah and Kyle have enjoyed the experience the last two years.

All dressed up and ready to go!
The dance featured a photo booth, which Hannah was particularly attracted to

Photo booth fun with Daddy

I don't know how they convinced her to take the glasses off, but I'm impressed

Fun with Morgan - rumor has it Hannah was a photo booth hog for most of the night






First grade Valentine's Day party

Pretty happy that Daddy got to join us
Mid-snack photo

Attempting to extract conversation hearts with chopsticks in one of our minute-to-win-it games

Constructing a conversation heart tower - game #2

Photo booth time with friend McKenna

One goofy lady

Posing with another first grade friend

Still silly

The kids quickly discovered it was just as much fun to photo-bomb as it was to be in the photo booth

There was a particular interest taken in photo-bombing their teacher, Mrs. Stehouwer

Class photo...with lots of moving parts