Monday, December 1, 2014

Peanut Allergy Treatment - Day Zero

I say day zero, because while we went to the clinic today, we didn't actually start the treatment.  Today was an education day to prepare for the rare opportunity we are about to experience in treating our daughter for her allergy.  

I guess I should say here that my daughter is severely allergic to peanuts.  

It terrifies me.  

Having a child who is 14 years old, you'd expect that she can (in theory) understand their medical conditions, and begin to grasp an assessment of risk and consequences in their lives.  The problem is that my daughter is not 14.  She's three.  I mean, for goodness sake, she's still potty training.  She loves trains and the garbage truck.  She likes to color pictures with markers.  She thinks that every meal should involve chicken nuggets (Okay, so do I, but I can at least practice some self-restraint for both of us at least on that front).  Oh, she can parrot to us very well that she can't have any peanuts because they will "Make [her] sick."  But put a peanut butter cookie down in front of her, and she'll have no idea that this cookie could send a reaction through her little body that could swell her throat shut as she is gasping for air and end up killing her after the terror of it all. 

Oh yeah, apologies for the stark description - but that's the fear I have for her every time we drop her off at someone's house to be babysat.  That's the fear I have when I see some neighborhood toddler at the park suddenly hand her some of his snacks to eat.  And as she's grown up to all of the maturity inherent in a 3 year old, and begins to play with friends more, I'm realizing that tomorrow she'll be starting kindergarten, and the next day will be Halloween at school, and Christmas parties, as well as Valentines day treat exchanges, and friend parties and, oh yeah, sitting at the lunch room table.  

Each one of those is a game of Russian roulette.  Eventually, luck will run out.

We've been to an allergist.  She's done the back scratch test.  She's done lab work.  Without getting into the details, we've been told in no uncertain terms that she is to absolutely stay away from peanuts.  No peanuts in the house.  No peanuts anywhere around her wherever she is.  Epi-pen on her at all times.  Or, as our previous allergist's clinical note says in the last item under "Plan":

My sister was watching the news a while ago and saw a news story on an allergist here in Utah who is doing something different with his patients. She sent me a link to the news story.


He is TREATING patients for their allergy.  He is having great success at taking kids who have been severely or anaphylactically allergic to foods, and giving them the very thing they are allergic to (in small, controlled, but increasing doses under close supervision) in order to desensitize them to it, and remove the danger.  There are kids who previously have been emergently hospitalized and unable to breathe due to peanuts, who are now eating them by the handful without a problem.  

Today, Monday, I met Dr. Douglas Jones, of the Rocky Mountain Allergy clinic in Layton, Utah.  I feel incredibly lucky to have this clinic close by (about a 1 hour drive away for us).  There have been people who have moved here from Hawaii and Australia to get the opportunity to do this treatment. He's the only one in the Rocky Mountain West who is doing this -- who has made the effort to plan, design, and make this treatment happen.  And he's already having incredible success rates even in the relatively short time he's been doing it. 

The actual treatment will start on Thursday.  

I am absolutely thrilled that we have this chance to do this!

Sunday, February 16, 2014

Calvin's "Natural" Birth Story

Relatively short version:

Elective induction set for 39 weeks (I was ready to be un-pregnant). However, unlike most inducees I wanted a drug free delivery (this is your fault Kristin)... Brett wanted a pain free delivery... we got a little bit of both... read on.

2:00pm Started pitocin - dilated to a "2, almost 3cm"
3:00pm Watching Sherlock on Netflix
5:00pm Water broken "3cm+ 90% effaced"
5:30pm Stopped watching Sherlock
7:00pm "4cm, 90% effaced, 0 station"
7:30pm Baby's heart rate dropping with each contraction - put on oxygen
8:oopm Turned off pitocin to give baby a "break" - continued contracting on my own however, and baby's heart rate came back up. My Mom came.
9:00pm "5cm, very ripe"
9-9:30pm Contractions getting to be too much... I thought I still had at least a couple hours of labor left.
9:30pm Called for the epidural.
9:45pm Epidural in place, but wow! Time to push! Like right now! This baby will wait for no one! (Epidural takes about 10 min. to take effect)
9:48pm Baby boy delivered!
9:55pm Epidural starts working and I can't feel the stitches or the nurse sitting on my stomach to clamp everything down.

So I had a natural delivery with an epidural for the after stuff. Yay! If only they had checked me one last time before they started working on the epidural... then we wouldn't have to pay for an anesthetist... oh well.

Brett's sister asked me if Brett was a good birthing coach and I said no... but really that's not fair. He questioned why I'd want to go "natural" when there's such a beautiful thing as an epidural. But he supported my decision nonetheless. We weren't one of those couples who practiced breathing together or really prepared for this, so in that way he wasn't much of a "coach."  Brett didn't want to see me in pain and so he'd occassionally say, "It's okay to get the epidural, if you want... just sayin'." Stuff like that. But he was a great supporter, both literally and figuratively. He helped me when I needed it with some counter-pressure on my knees and hips (we had a great nurse who gave us some last minute tricks, that really helped). He was the one who physically picked me up and got me into a laying position when I froze during the pushing stage. I could not move. They told me to lay down, but I couldn't pick myself up from the edge of the bed where they were putting in the epidural. Brett was also the one to run grab my mom from the waiting area. She stepped out during the epidural procedure (she didn't think she could handle the needles, but handled the rest of it okay... weird). When the pushing urge began, all I could say were one word sentences. "Pushing!" "Help!" "Mom!" When Brett heard "Mom" he realized she wasn't there and ran out to get her just in time. I told Brett it was like an "out of body experience" - my brain could do nothing - my body totally took over. It was a really weird experience for me. Interesting also that at that point there really was no pain, just this crazily strong urge to push with each contraction. Once I was in place they checked me one more time. I heard the nurse say, "Oh, he's right there!" Then about 3 pushes later he was here.

This was probably a once in a lifetime event for me. Although know that I know that the hard part is only going to last about an hour... maybe I could do it again...

Brett's still voting for pain free in the future - and I can now say, "I did it once... I know I can... Sure I'll relax this time!"

Last 3-person family photo

Ignorance is bliss