Our first full day in Florida. We went with Selah to all her therapies. She certainly was "off" again. She had thick green guck coming out of the trach and was still on oxygen. the culture came back positive and now she is on antibiotics. It bothers me that this was not noticed until we got here and I started pointing things out to the staff. Obviously she is not doing all the things she normally does but we did see her do one new thing. When quickly moved to her right side ( to mimic a fall) she does startle and reacts in an alarmed way.
We had a long conference with our main doctor and staff to get clarity on some issues. Our main concern is that she gets rehabilitated, and gets as much services as possible while she is here. She was placed in a 2 week "evaluation program" That is not exactly what we agreed on during the conference call we had. We did agree to
start with that with the belief that reasonable goals would be set and achieved and she would meet the requirements for the insurance to keep her here. Once we got here, it seemed that only the two week evaluation program was being considered for her. There is definitely a difference in opinions between us and them. It was explained to us that her brain is slowly healing and that no therapy would help her get better any quicker. Therefore rehab won't do much for her at this time. That is
NOT our opinion nor is it the opinion of various therapists we have had over the years for Sam. (in fact most of the time I've felt that Sam had been pushed too hard at times)
I am not sure what is going to happen. We do get some positive feelings here and I think if she were higher functioning they would give her more but they don't because of her lower functioning ability. That bothers me. We did like the doctor's approach to the meds, she is interested in taking her off of as much as possible that could give her sedation! I'm thrilled with that and all for it! Also tomorrow she will be started on a new drug called
Amantadine this is a drug that seems to help children with brain injuries. In a study 63% of the children saw significant changes within 3 days. The changes included increased alertness, initiations and verbalization and decreased agitation.
Please pray that this will work significantly for Selah without any bad side affects!!!!!!!!!!
In my opinion, the outlook for Selah by the staff here is not good. They seem to think she will have increased problems with the spacity (stiffness) and may need a pump placed inside to give her continuous meds to combat the stiffness as well as other issues. Although they are very respectful and pharse their statements gently, it is depressing. They tend to point out the negatives and not the positives. We are realistic, please do not get me wrong- I am the Queen of Realism but we also have hope. I told them in our meeting that we have seen how far she has come, without
any regression (until now) and that only gives us hope for the future.
My philosophy as a parent of a child with disabilities is to give the child as much therapy as possible and work the body, which in turn stimulates the brain. I've been told that by other therapists and doctors. I've done that with Sam and if you know us, you know how
far Sam has come, much farther than anyone ever thought he would. This philosophy that they are sharing with us goes against my gut feelings and everything I've been told for the past almost 9 years.
There is not alot of options for us to be honest. Our insurances will only cover so much and obviously we can't afford to just go anywhere we want to get therapy. If you have any real suggestions, or if you are a millionaire and would like to pay her therapy (lol) , please feel free to share with me. Believe me, if there were any real options to go to after here, I would be doing them.
I'm confident in God tonight, He has led us these past 19 weeks and He will continue to work things out for Selah. If you know me, you know I'm not naturally "at peace" with things if I don't agree with them. I will continue to advocate for Selah and I believe I know what is best for her and I will go with my gut instinct about things.
Please pray that she will respond more and that they will see the potential in Selah, not just the negatives. Pray that the staff will see our commitment to bring Selah back as far as possible and want to work with us in a stronger more pro-active way. Pray that this new medicine will work mightily in her brain! And that she will 100% tolerate the decrease in some of the other meds and this new one being added with no side effects. This has not been the easiest day for us. Jon is sick and feels down, which is not how he usually is either. We have so much responsibility on us, it is easy to feel alone.
The other kids had a great time today in our hotel suite, they fixed lunch and watched tv:) They called us to tell us what all they were doing. they are loving it here! (but they miss their RMH friends as do we! The hotel is wonderful but we do miss the interaction with our friends! But are loving the privacy!!!! )