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Rare disease, exceptional support

On February 28 it was the international Rare Disease Day. Rare Disease Day is an observance held to raise awareness for rare diseases and improve access to treatment and medical representation for individuals with rare diseases and their families. Costello Syndrome is one of these rare diseases. Of course we keep track of medical news ourselves, but the day went by like any other day.

avatar-rare-disease

avatar Rare Disease Day

On Facebook and Twitter we noticed people changing their avatar to raise awareness for rare diseases and often for their own child with a rare disease. See an example on this page.
For us, raising awareness for the rare syndrome our daughter has is not a one day thing: through this website we are continuously trying to show others what it is like to have a child with a rare disease. We are extremely happy to have so many people around us who follow the site with interest and by doing so we feel supported by them. I am not sure if the term “digital caregivers” exists, but to us it is real. People who care and show support make a big difference in our lives, because just feeling acceptance helps a lot. It makes it so we don’t feel uncomfortable talking about Vera’s disease and it prevents us from feeling isolated.

One of the ways in which we have felt this and have come across exceptional support is by receiving donations from many sponsors. We have received financial support from a great variety of people. Because of this we were able to purchase several practical things that help make Vera’s life better: DVDs with sign language (Dutch version, see Lotte and Max) so she can communicate better (we will tell you more about this later!), a PT/play mat that’s easy to clean, a slow juicer to prep vegetables for her tube feedings, an extra small walker, a winter leg warmer/cover for the custom stroller, financing medication that is not covered by insurance and covering expenses that come with the many hospitalizations. For this we thank you! It has a huge positive impact our whole family benefits from.

And on the morning of Rare Disease Day two sweet sisters from our church rang our doorbell and delivered fresh apple pie, flowers, a 3 month supply of diapers and more presents. There was a card signed by many members of our church with encouraging messages and greetings. Incredibly heart-warming. A day we will never forget…
Besides a rare disease crossing our path we also come across exceptional support from many sides. People who walk along, help and encourage. Caregivers in many forms. Either digitally or in physical form. With warm words, practical help or a wonderful donation. A beautiful side of people full of love. We cherish this.

Vera op speelmat

Vera op speelmat (tevens voor fysiotherapie)

Vera op loopkarretje

Vera op loopkarretje

trappelzak voor aangepaste kinderwagen

trappelzak voor aangepaste kinderwagen

zeldzame ziektendag cadeaus

cadeau’s van de kerk voor Zeldzame Ziektendag

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Positive developments

“Have some leniency with her”, Vera’s eye doctor said at the beginning of her life. What he meant is that we needed to be patient. That she really would develop, but that it would take time. More time than with a typical developing child. And he is right, slowly but surely we can see an upward trend with Vera.
One of the main characteristics of Costello syndrome is developmental delay. Everything is very slow (or in some cases doesn’t develop at all) and we see this in Vera also. But if we look at all the facts, we can see several jumps in her development.

The first jump was early in her life, it was the moment she was no longer in intensive care and came home with us for a couple of weeks. During those weeks we saw progress, until another hospital stay followed and things halted again.

Vera met sonde

Vera met sonde

Sonde Vera er uit!

Sonde Vera er uit!

A real jump came the moment the feeding tube came out of her nose because she received a PEG (feeding tube in her stomach). The negative sensations in her nose and throat were gone. This really benefitted her, in particular in making sounds for instance.

On vacation in the summer of 2013 we noticed she was feeling well and that her development continued. Being outside often with nice weather and always having people (without white coats) around to smile at were exactly what she needed and are things that she enjoys.

Zomervakantie met Vera

Zomervakantie met Vera

There have not been any more hospitalizations since October 2013 and a new development in play and discovering the world is taking place.
And then the biggest step to date; this February we made a change in her food. With tremendously positive effects. In the past there were problems with her bowels, she had cramps and ongoing diarrhea. A real solution had not been found. She would often spit up food and mucus several times a day; for sure in the mornings, but also often in the middle of the night so that we had to change all her bedding.
From our closed Facebook-group for parents with a child with Costello syndrome we got the tip that the special tube formula for children who are lactose intolerant caused problems in some children when used for a prolonged period of time. It is unclear why. After all, it is the most allergy free food in liquid form that contains all necessary nutrients. In consultation with our main pediatrician we stopped the special formula for a couple of days as a test and substituted with pure soy milk as her main source of nutrition.

The effect was that within a couple of days she stopped spitting up her food, produced less mucus and for the first time of her life had a solid stool. Her skin calmed down, was less splotchy and even somewhat softer.

Naast medicatie geven we ook groentensap via spuitjes over de sonde

Naast medicatie geven we ook groentensap via spuitjes over de sonde

A week after, she even slept through the night for the first time in her life. Unfortunately, the latter was just the one time.

It made such a big difference that we have switched to our own food. In the USA a so called ‘blended diet’ is used: you puree your own food in the blender so it can be administered through a feeding tube.
And so now we are in the kitchen for an hour every day weighing grams, calculating the calories, taking notes in a food diary and pureeing with the blender or the slow juicer (thanks to donations!). Grinding up sunflower seeds, mashing avocados, pureeing cooked rice, juicing vegetables: it all turns into beautiful porridge.
Instead of using the food pump with a very slow drip of two hours so she wouldn’t spit up, feeding her now only takes 20 minutes per feed.
Only the first and the last feeding of the day are still by food pump (soy milk with baby cereal), but we no longer have to get up out of bed in the middle of the night to turn the pump off and rinse all the equipment out…

slowjuicer

Slowjuicer zodat groente en fruit vloeibaar over de sonde gegeven kan worden

slowjuice

voeding-koelkast

 

 

 

 

 

 

 

 

It seems like making your own food would take more time, but not having to change her bedding and not having to change her clothes at least twice a day due to her spitting up actually saves us time. And above all: it gives Vera so much more quality of life that we gladly do this for her.
And because she no longer has diarrhea and is no longer spitting up, she is even more cheerful and likes to explore more. She is even more interested in solid food. So with every meal, she joins in and tastes, sometimes she chews a little and sometimes she even swallows a little. And, at two years of age, this is a very good development for someone with Costello syndrome.

Video food therapy:

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Vera is 2 years old!

Vera 2 jaar net wakker

Vera just woke up at her birthday

Hip, hip Hooray! Time for a party blog post because March 6 was a wonderful day: Vera celebrated her 2nd birthday!

What an incredible day it was, not in the least because during the past two years we sometimes wondered whether this day would ever come. And we also wondered how Vera (and we) would be doing.
But here we are, happy and blessed. Vera is home (not in the hospital), her health is fairly stable and she is as cheerful as can be.
The birthday girl was enjoying herself noticeably and was delighted with her presents.

Her favorite gift proved to be the Rollipop Ball Drop Set, with large balls that roll on a track. The balls roll slowly so she can follow the balls well with her eyes and grab them off the track again; a development that is important and gives her challenge in her play. Very fun to watch and big sister Mieke likes to join in also!