May 2010 Edition

Family Life


Perspectives

Family Matters:  Seeing with the Heart
by Erin
I spent years learning to speak French, beginning in elementary school in England, and ending in my college years to fill a language requirement.  Never having had the opportunity to use it, however, I now remember little more than basic conversational phrases, many of which would offend native speakers if I dared try to speak them with my French American accent.  Ironically, the most useful piece of information I learned from my years of instruction has nothing to do with the spoken language, but is instead a sentiment expressed in a book, Antoine de Saint-Exupery's Le Petit Prince, read during class: 

"On ne voit bien qu'avec le coeur.  L'essentiel est invisible pour les yeux."
or
"We only see clearly with our hearts.  What matters is invisible to the eye."

As a parent of a child with complex medical needs, this sentiment is very powerful.  When brought to mind, it is a strong reminder of what is truly important during a challenging journey. 

Focus:  Family Life

Beating the Odds:  Making Your Marriage Work
by Deb Millard
In October, my husband and I will celebrate our 14th wedding anniversary.  We are the very best of friends, a wonderful team and truly in love.  BUT, despite all that we seemingly have going for us, according to experts, over 80% of marriages like ours will end in divorce. 

We will never forget the beautiful day our son was born.  It was one of the happiest, most amazing days of our lives, as we became parents for the first time and saw our son enter the world!  It was also one of the scariest and most terrifying days we ever experienced, as we watched doctors rush him from the birthing room to the NICU, purple and not breathing. 

That same unbelievable day, a social worker walked into our room and told us that our marriage was doomed to fail because our son had been born with very serious and complex needs.  That is a moment I don't think either of us will ever forget.  We made a choice that day, and every day since, to beat the odds by being vigilant about our relationship.


Raising Children Who Don't Eat in a Food-Centered World
by Sharon Gauld
Food, glorious food.  I love to eat.  I love everything about food actually.  Growing it, picking it, coming up with new ways to prepare it, sharing it, and yes, eating it.  So isn't it a little ironic that I have two children whose main source of nutrition is liquid?

Both my children have little to no stomach motility and poor esophageal and colonic motility.  My oldest, at five, will eat cheese sticks and crackers.  She also enjoys butter and other condiments.  My two-year-old loudly proclaims his dislike of food but can be persuaded to have canned peaches or pears and the odd bite of apple.
(Read More)

Raising Healthy, Happy Siblings
by Shannon Gonsalves
Our oldest daughter Hannah spent almost two and a half years as an only child.  It was just the three of us going to the zoo, beach, park, putting together puzzles, coloring, or reading stories.  We spent a lot of time each day just simply enjoying her happy, bubbly personality.

We began preparing her for the addition of a baby brother, and even moved her into her very own pink bedroom that she helped us set up.  Following the advice of professionals, we did this early on in the pregnancy and didn't use her brother as the reason for having to give up her crib.  Everything was progressing quite well. 

Babies in general require more time and care than an older child.  Rationally, we knew this and began the process of preparing Hannah.  Nothing, however, could have prepared any of us for the premature birth of Hannah's brother, Caleb, and the subsequent care that came with caring for a preemie with health issues.
(Read More)


Specialty Article

Other Specialties
Organizing Your Child's Lab Results
Children with complex medical issues often need frequent monitoring of their blood, urine, and other bodily substances to ensure they are healthy.  For example, a child on a certain medication may need liver function blood testing done periodically to make sure that the medication is not affecting his liver.  Another child may struggle with anemia and need her hemoglobin and hematocrit measured.  Still another may need frequent urine tests to check for protein.

While children routinely get many labs done at a time, you are probably aware that it is more important to keep track of certain ones than others.  For example, my daughter routinely gets a Complete Blood Count (CBC) and Complete Metabolic Panel (CMP) at least every three months.  While the total number of tests in these two panels spans a full page, we only keep track of the 16 most important parameters.  In her case, these include liver and kidney function tests, red and white counts, hemoglobin, hematocrit, platelets, retic count, ferritin, CO2, and albumin.   

Feature Article

This is Part 1 of a two-part series.  This month we take a look at the many hidden financial costs of having a child with special needs.  Next month, we will discuss solutions to minimize these hidden costs and prepare for future costs.

We are fortunate to have good private insurance as well as a secondary Medicaid waiver for our daughter with special needs.  Most people would think that having two insurances would mean that my daughter's medical needs would be met sufficiently.  As those of us with children who are medically complex know very well, that is simply not the case.

There are many, many hidden financial costs of parenting a child with special needs, and most of these would not even cross the minds of the average person or politician.  These include lost work hours, paying out-of-pocket for denied items and services, and needing expensive non-covered items, to name just a few.