Friday, March 29, 2013

Happy Birthday, Miracle Warrior!

Birthday Kisses at the park!
Uncle Brandon, Cael & Daddy at the heart walk!
Flying his first kite!!!!
Our heart walk shirts!
Our family & Piper's Family
Opening presents at his party!
Enjoying his Mickey cake!
Very much over the Mickey cake now... lol
Grandma & the birthday boy!
Brandon & the one year old!
Daddy, Cael & Momma! One Year photo session.
How many men does it take to feed a baby?
Enjoying his first ever ice cream cone!
love.this.boy.with.everything.
Drinking from a straw!
At the cardiology appointment.
Yes, he

Oh sweet smiles!
The Guys!!
Rockin' his Detroit Tiger's jacket from Grandma!
Lookin' all awesome in the Jeep at Toys R Us!
Hi Grandma, I missed you!
Opening his gifts!

On March 15th at 4:59 PM Caelin turned ONE YEAR OLD! He received an astounding amount of birthday cards from family, friends and fans from all over the world! We are amazed and thankful that so many people helped up celebrate Caelin’s first birthday from afar by sending Caelin a birthday card, writing letters, and even sending gifts. He received some surprise gifts of crocheted hats, outfits, toys, stuffed animals, books and more! Thank you for making him feel extra loved and special! All of the cards are going into a scrapbook for safekeeping and he is enjoying wearing and playing with all the other gifts!

For his birthday, Caelin’s Grandma flew down and his Uncle Brandon drove down, too. So we (Mommy, Daddy, Caelin, Grandma & Uncle Brandon) spent his actual birthday opening presents and playing with his new toys at home. Then in the evening we went to the park and Caelin got to help Daddy fly a kite for the first time ever! It was a cool and windy evening but the sun was shining and Caelin’s radiant smile and contagious giggles while flying the kite warmed all our hearts! The day after his birthday was the Heart Walk in Tampa Bay, which was a major success. This was the first heart walk we ever participated in and we are thankful we got to all walk together and were able to raise a total of $650 as a team! What a great contribution to fighting CHD! Caelin got to walk with many other heart warriors, including his friend Piper, and some of his nurses from the CVICU. Thank you to everyone who supported us and donated. Also, a HUGE THANK YOU to Bill Tipton of Loyal Tees for creating our AWESOME tee shirts specifically for the heart walk and gifting them to us! You are a blessing! To end his birthday weekend, we had a birthday party at Seminole park on Sunday. We were able to celebrate this special milestone with not only Caelin’s Grandma and Uncle from Michigan but also with many new friends (which include nurses, staff and families from the CVICU). All the family arrived to the park early to decorate the area and set up for the party. Daddy and Brandon left a little while later to talk Caelin home to nap while Mom and Grandma stayed at the park finishing the details of the party. Around 10:40 AM Daddy woke up Cael from his nap and Cael was less than thrilled. Despite Mommy suggesting to just grab Cael and go and dress him once he got to the park, Daddy dressed Caelin at home, which increased Cael’s frustration. By the time Cael was strapped in his car seat he was screaming and choking on his saliva. Well, when he screams that hard he usually vomits… which is exactly what happened. Caelin projectile vomited all over his birthday outfit, the car, his car seat, and of course, Daddy.  So Sean had to take Caelin back inside, calm him down, clean him up and change his outfit. Caelin finally arrived to the party at 11:35 AM, 35 minutes late and after ALLLLL the guests were there, of course. Apparently he just wanted to make a grand fashionably late entrance. And boy did he ever. He did not get to wear his Mickey Mouse suspender outfit as Mommy had envisioned but he sure did rock his button up, blue striped shirt with his green tie, Khakis and Nike Shocks. Although the day did not begin as planned, it recovered thanks to everyone being so understanding, wonderful and in love with Cael! J His birthday weekend could not have been any better! We praise God for placing such remarkable people in our lives, extending our support system and giving us the greatest gift of all- Caelin!

Teeth #7 & 8 are making their way in and do not appear to have the Enamel Hypoplasia like his one front tooth, so hopefully it is confined to just that one. He had his first visit with his new Pediatrician on March 21st. She seems great and I already like the office much more than his initial Pediatrician. Cael currently weighs over 23 pounds and is about 29 ½ inches long.  WOO HOO! He got his shots but only cried one tear out of his left eye. He will have to get shots at 15 months and 18 months to get caught up completely caught up from falling behind in the hospital. I did express some concerns about the tough transition from pureed foods to solid foods because Caelin’s gag reflex is so strong and his palate is so high. So once a piece of food hits that reflex, he brings up everything he ate previously… this is just not healthy and it is scary and sad each time it happens. Also, when he does drink fluids he often sounds wet, even when he doesn’t vomit/spit up. These two concerns brought up the discussion of trying Speech therapy again. The ACH Speech department just happened to have a cancellation that same day, so Caelin had a new speech evaluation on March 21st. The speech therapist said he is doing really well and is impressed that he drinks through a straw because many normal children his age do not but she did recommend a swallow study to check for aspiration. Cael will have his swallow study on April 11th and we are waiting for an opening for once a week therapy visits for feeding; the department is really busy and there is currently a waiting list. Meanwhile, we will continue to work strongly with him at home. The therapist who did his evaluation, Victoria, gave Mommy some new suggestions to try and so far they seem to be helping! Praying for continued improvement with oral feeds!

As for advancement with oral feeding, he is on 53mLs/hour for 10 hours of night feeds. We went to this rate on Tuesday, March 26th from 47mLs/hour for 11 hours. We are beginning to condense the feeds (same volume in 10 hour period as was given in previous 11 hours) to stretch his stomach and eventually come off night feeds… this process will take months if not more than a year but we have to start somewhere. J We have no intention of getting rid of Caelin’s Mic-Key button before his Fontan but it would be nice to be rely on it as little as possible so the transition is not more challenging later in life. …Hopefully that makes sense to our readers. Lol He does drink about 3-7 ounces of formula a day by mouth!!!! This is a HUGE improvement from NOTHING just a couple months ago! On March 9th, he learned how to drink from a straw and now that is all he uses. We are done with the bottle and he really does not like the sippy cup. So straws it is! Next step, big boy lidless cup! He can also start having dairy products. We are starting him with cheese products and yogurt. The cheese is going to take some getting used to because of the texture but he LOVES yogurt! We got him the Yobaby and so far he is devouring the peach and blueberry flavors! Great sign! J His struggle comes with more solid foods like pastas, fruits and vegetables. We have not yet tried meats because he cannot tolerate the easier foods yet so we know meat is just not an option. So most of the food that he still gets is pureed but we are mashing a variety of foods with our forks and offering it to him to try to get him used to these other textures. As with everything else, one step at a time. He will also be switching from Elecare to Elecare JR. The doctors want him to stay on formula for a little while longer because he is primarily tube fed and the formula is such a great source of vitamins, minerals and overall nutrition. And with his heart defect and being so active now, adequate nutrition is crucial to his continued growth, recovery and progress.

He had a full Cardiology visit on March 12th; Dr. Stapleton said his heart looks good and that his regurgitation appears to be even less than in December. YAY! His blood pressure was at 94 systolic, which is actually on the low end for Caelin and Dr. Stapleton is happy with it and will keep him on the same medicine. Great news! J We did receive some sad news while we there though- our other favorite cardiologist, Dr. Wilmot, chose to leave ACH and go to Cincinnati to further develop his career. We were told his passion is with transplant and ACH could not offer him enough experience in this area so he sought out a program that could. We are disappointed and heavyhearted that he left because he played such an imperative role in the survival and recovery of Caelin. We prayed he would be there for Caelin’s Fontan but God seems to have other plans. He invested in Caelin so greatly and frequently stayed late to care for Cael, answer our questions and comfort our fears. He truly has a gift and we are so thankful for everything he did for Caelin and for our family. His intricate involvement in his patients’ care is a treasured rarity and we hope his future patients and coworkers realize this and respect him for it. We miss him but wish him well and all the best during this new chapter in his life. Again, on a happier note, since Caelin’s heart looks good he has been cleared to travel to MI in June! As long as Cael continues to do well, our family will be up there! We are planning for June 8th to June 15th. Mark your calendars!! :D


Caelin is now going into the sitting position on his own. The first time he did this was on Tuesday, March 26; Sean walked into Cael’s room after his evening nap and he was sitting up in his crib!! He did it again on Wednesday while playing on the floor in the living room; Cael was lying on his back when I went into my bedroom to hang up some laundry, I walked out and he was sitting up! He is now pulling himself up on all fours and rocking (3/27) and he is scooting backward forcefully. He can go forward with assistance but hasn’t quite mastered the coordination to do it himself. He can scoot forward while sitting up on his knees (started this on 3/28) and we practice moving from side to side while sitting on his knees (did this first on 3/11), too. He does really love to stand and on March 9th he started walking with assistance. Now pointing is his new favorite thing. So he will point to something, reach for mommy or daddy and then want to walk over to the object he points to. His communication skills really are fantastic! He is beginning to repeat signs that Mommy practices with him, too! He is just learning so much and we LOVE it! I remember the days when Caelin would keep his legs frogged and never let them touch the floor and did not even want to try to lie on his side, let alone his belly. He has come so far and is well on his way to catching up to be as physically capable as a normal, healthy toddler. TODDLER? That still is just bizarre but so cool at the same time. And no matter his age, he will always be Momma’s baby Cael!

During this time last year, Caelin was recovering from his Norwood and emergency bedside reopening for his shunt thrombosis. Looking back at the photos, reading the details, and reliving the emotions creates this ultimate sense of blessing and gratitude for every person who helped Caelin to recover and get to where he is today and for The Lord’s protection and guidance to help Caelin fight so strongly and live as normal of a life as possible. We pray and hope for continued recovery and many more days, years and birthdays to celebrate with Caelin! LIFE IS SO GOOD!

Sunday, March 3, 2013

A Mended Heart is a Special Heart!

Cute face.
Momma & Cael @ the park.
Someone found the toilet paper roll... trouble.
Lunch time cutie!
First Valentine's Day!
Help support Cael on his heartwalk! (See Below) 
Great Papaw & Cael
Our 11 month old! 
Cool dude in his Harley outfit, shades, beanie & on his ride!
Loves his new walker!
East Coast Family!
Great Aunt Sheri & Cael
Sleeping baby on the beach! <3
Uncle Tristan & Cael
Cael and Piper!
Beach Baby & his football!
BUBBLES!


One month. Over four weeks since the last blog update. I am a slacker, so much so that I had to go back and reread the last blog to remind myself what I needed to follow up on and what exciting new things I get to share! So here is what Mr. Cael has been up to in the month of February and the beginning of March:

We had family visit! Caelin got to meet his Great Papaw for the first time ever and he was also reacquainted with his Uncle Tristan and Great Aunt Sheri. Caelin loved the company! He was not afraid or shy with them, he went right to them to be held and to cuddle and he loved playing games with them, like peek-a-boo and pat a cake. He also loved his Christmas in February! Originally, their trip down was supposed to be in December but Papaw’s dog had some complications after being neutered so they postponed the trip a few weeks. I do not think Cael minded their coming later because he got to have a second Christmas! And boy, did he love opening all his presents! He tore through the paper so well, much better than on Christmas day. While they were down here, we also went to the Pier in St. Petersburg, John’s Pass and to Sand Key Beach. We weren’t sure how Caelin would do with a day on the beach but he did WONDERFUL! Great Aunt Sheri rented a cabana and so Cael got to be in his pack and play under the shade of the cabana, feel the ocean breeze, hear the waves crashing on the shore and watch all the seagulls. He even drank 70 mLs from his bottle this day! So perhaps the trick to getting him to drink is taking him to the ocean. Unfortunately our family had to head back North and resume life’s responsibilities but we are so grateful for the week they spent down here with us! We also got to see some family who are on the East Coast and that was really nice, too!

Caelin also had his first (play) date with a fellow heart warrior, Piper. She has HLHS like Cael and was in CVICU at ACH with him. The similarities between the two of them is uncanny… even in the hospital the nurses said they were practically spitting images of the other with regards to their health, history and behavior and always referred to them as conspiring together as boyfriend and girlfriend. ;) We met Piper and her family at Burrito Border in St. Pete before Piper’s GI appointment and they were so cute together! Once they locked eyes, they just started at each other. We parked their strollers across from one another and they were trying to play footsie. Then we brought them up in our laps and sat them next to each other. Cael was shy and turned away smiling while Piper was smiling and talking to him. We are really excited about their next play date and getting them to actually play on the floor together!

Caelin now has SIX teeth! So drooling and chewing are his favorite things to do right now. He chews on anything and everything he can get his hands on. In fact, the other day he was giving Daddy’s hands kisses when he very sweetly chomped down on Daddy’s skin leaving faint teeth marks. But Caelin’s front top right tooth is coming in yellow so we wanted to seek treatment right away. Finding a dentist was not as straightforward as one would think because of his heart condition. If he has to have an oral procedure done that requires anesthesia, it must be performed at All Children’s; which means the dentist must have access to and privileges at the hospital. Thank goodness he has THE MOST WONDERFUL nursing staff at the heart institute who got us into contact with a highly recommended dentist with the required privileges. We are so blessed to have their support and guidance every step of the way when it comes to Caelin’s health. They never make us feel incompetent, inadequate or overprotective/paranoid about Caelin, even when we make ourselves feel this way (… it’s not often but it does happen). Despite our superhero disguises, we really are just humans. ;) So Caelin went to his very first dentist visit on Friday, March 1, 2013. The entire staff was welcoming, friendly and smitten by Cael. They do not typically accept patients under 3 so I think an adorable 11 month old as a patient was a treat for them. The dentist office is decorated in trains. It has an enclosed track mounted on the ceiling where electric trains go around. It has a free train for kids to ride (like the ones at Chuck E Cheese and similar to the penny ride horse at Meijer). Plus, Mickey Mouse Clubhouse was on the big screen TV, so what more could a kid ask for?! His dentist was thorough, quick, compassionate and interested in his history. After examination, she concluded he has enamel hypoplasia on his front, top right tooth; this means the enamel did not form all the way on this tooth. There is no direct cause for it (could have been a number of things- heart surgery, antibiotics, anesthesia, in eutero, etc) and it is common in even normal healthy children.  She said it is uncommon for only one tooth to be effected, as both front teeth usually have the same diagnosis but his adjacent tooth seems to be normal. She said his whole tooth may not have enamel hypoplasia but we won’t know until his whole tooth grows in. She also said some of his other teeth may have it, but so far it is just the one! J This was good news. We were worried it was coming in decayed or infected but it’s just a little softer than the rest. So we need to brush his teeth twice daily to help protect the tooth and keep it healthy.

Right now, he has a frustrating and finicky appetite. But I am incredibly proud to say that throughout the whole month of February he tolerated bolus feeds during the day. For the average parent you never think about it, but for the parent of a G-tube baby it is so nice to have him not be attached to that darn pump! It really is a pain to lug around and my shins are finally free of bruises for the first time since August 25th. As for oral feeds, he drinks a little each day, three times a day. The most formula has ever taken by mouth is 70 mLs. During the day we go back and forth between a bottle & sippy cup. We use the bottle to measure the amount of his oral feeding & bolus and one day he reached for the bottle and chugged it. So if that’s what he wants, that’s what he gets because if there is one thing we have learned since he has been born it is that HE calls the shots. So Cael is still pretty inconsistent and unpredictable with feeding but he at least takes SOME formula and SOME pureed foods every day. And that is what is important at this time. He also loves Mum Mums, Puffs, Crunchies, Saltine crackers and non-dairy yogurt melts.

His physical abilities increase daily. Everything I wrote in the last post regarding his mastered physical skills holds true, with increased confidence, strength, endurance and determination. So he can do everything he could a few weeks ago but requires less effort, less support and fewer breaks. He requires less help getting into a sit position, attempts to go on all fours, claps his hands on command and pulls himself up completely on his own with his pull-up bar in his bedroom. Just this morning he was standing on the floor holding onto his Mickey chair when he attempted to move to the loveseat. He reached his left hand first then moved his right hand onto the loveseat but needed some assistant with his legs… it was awesome! He is just full of surprises! He wants to stand… All. The. Time. Although he is learning his body will not allow him to do this. I tell him his heart gives him some limitations that he must abide by but he refuses to believe it as he moans, groans, and shrieks at me when I force him to lie down for a break. And I tell Sean that his brain is working too fast for his body. His frustration with his physical limits is frequent; he wants to climb off our lap onto the floor, he wants to crawl (he is very close and can do it well with help), he wants to reach for objects that are far away, etc. He is just physically is not there yet but we know it is coming soon as he is mentally ready. THIS KID NEVER STOPS AMAZING US.

He is also big on communication now. He is constantly reaching and pointing to toys and objects he desires, often pairing noises with those objects. He shakes his head “no” in response to questions and this is getting more accurate. He is slightly beginning to nod “yes” but when he means “yes” he more often verbally says “Yah” and claps. He also pairs waving with saying, “HI.” Wednesday he started saying, “Key” while watching Mickey Mouse Clubhouse and playing with his Safari Mickey and Singing Mickey. He tries to say “Dog” while pointing to Audee or Louee and he is trying to say “Mom” but it just comes out as “Ahhh” or he says “Dada.”

Caelin has a cardiology appointment coming up on March 12th so we will see how his heart is doing then. He also has his one-year check up at his new pediatrician office on the 21st. It is so hard to believe he will be one year old in 12 days!!!! Good gracious, where does the time go? There were so many moments where time seemed to stand still, now that Caelin is healthy and home time just flies by. Even though we wish it wasn’t going to fast, we do love and enjoy every moment. If you would like to join in our celebration of Caelin’s birthday and are far away, we would love for you to send a card! His first birthday is such a huge milestone and so many people have helped Caelin get to this point and we would love for you to send him a card with birthday wishes and a little blurb about yourselves. I am going to be creating a birthday card collage to show off at his first birthday and then store them in a memory book. These are keepsakes that we want to be able to share with Caelin when he is older and show him just how loved and supported he has been since the day he was born! You can send the card to:

Caelin Clingan
PO Box 1631
Largo FL 33779-1631

Caelin will be walking in the heart walk in Tampa, FL on 3/16/2013. If you are in the area we would love for you to come meet him & help spread awareness of his heart defect and other CHDs on the day after his FIRST BIRTHDAY! Please help Cael and his team raise money to fight CHD and spread awareness. If you are close to Tampa and can walk, please join our team & help raise money! If you cannot walk, we would still greatly appreciate a contribution. We understand times are tough, but EVERY donation counts and helps our children fight the trying battle against CHD. Nothing is too small! Thank you Barb, Dawn, Sue, and Michele for your contribution in honor of Caelin! http://congenitalheartwalk.kintera.org/faf/search/searchTeamPart.asp?ievent=1050004&team=5403052

And an announcement to all of our Michiganders:
We will be in Michigan in June! We plan to arrive June 8th, 2013 and depart June 15th, 2013. So clear your calendars! We hope to have a little meet-n-greet celebration at a park on Sunday, June 9th for family, friends, fans, acquaintances & friends of friends to meet Cael! J We have not worked out complete details yet but just want to give everyone an early heads up. See you all soon!