Sunday, November 6, 2016

HSP Outbreak

We've put these alphabet letter magnets on our fireplace and we leave little messages for everyone. Emily left this one. (No one in our family truly loves HSP but it made us all smile and laugh as we joked together) She created this shortly after another aggressive wave hit Devin last weekend.

Our visit last Wednesday October 26th was great. His blood pressure and urine came back perfect. The rash was down to a few spots on his ankles and feet, with minor pain and little to no swelling. Our doctor said we could come back in two weeks unless things flared up (meaning more rash, more pain and more swelling).

Thursday, the 27th, I got a call about lunchtime from Devin's school. His tummy was hurting so bad he needed to come home. At this point I'm not worried. I'm actually slightly hopeful because tummy pain was how it started so possibly tummy pain was how it was ending. Unfortunately, I was wrong. Friday he had tummy pain again but made it through school and Saturday he woke up with lots of pain and a mild fever of 100.4. We kept him home from the primary program practice to get him rested because our whole family had parts and we all sang a song (whenever I have to choose) together for the primary program.

Thankfully Sunday morning he seemed better until right before church when he complained of his tummy hurting. I just figured it was nerves. Things went well during the program until after our part. Both Carlie and Devin had grumpy faces until the end of the program. Mostly I think it was caused because all the adrenaline had worn off --at least for Carlie. Devin, however, couldn't walk down the stairs. I pulled up his pant legs to find the rash way worse than before all over his legs and his knees and ankles were almost as badly swollen as the first day. :/


Poor Devin! He was in a lot of pain for pretty much the rest of the day. His swelling was better Monday so with medicine he made it through Halloween. Tuesday he was doing a bit better than Monday but because he has music class right after school I checked on him to see if he would need medicine to make it through the rest of the day...

When I saw him he immediately asked to go home and started tearing up. I was worried he was really hurting but when he finally spoke it was a different kind of pain he was experiencing. You see, he wore shorts that day and his rash was very noticeable. The kids in his class kept calling them chicken pox and Devin told them it wasn't but they kept teasing him. :( If you know much about Devin it's that he is very sensitive to things like that and being different from everyone else. (We are working with him on that but he still gets tender). Needless to say I was heart broken for him. Here was this wonderful boy who hardly complains about all the pain he's in. He was having to take medicine to even be able to get to school and then he got teased. 

I knew it was because his classmates didn't understand or know. His teachers didn't even really know. The class was gathered to practice their dance for the Spanish dance festival and I asked his teachers if I could talk to the class briefly. So with Devin at my side I told very simply about HSP and the pain Devin is dealing with and asked them for kindness. Of course they were sweet and willing. (I think everyone in his class really likes him so they were more than caring about it). I followed up with emails to his teachers with a more detailed explanation.

It's slightly difficult because one minute he's fine and the next his ankles are swollen and he can't walk or his hands will hurt so bad it will wake him up in the night but some days he seems almost normal. I'm sure that is confusing to a lot of people.

Since then he's been better and better. The rash is lessening and it's usually one swollen thing a day. Just now he came to me because his feet are puffy and swollen but he has been fine all day. (The pictures never do it justice)

We obviously scheduled a visit for this past Wednesday since the rash and symptoms came on so aggressively again. Our doctor is just making sure his kidneys are not affected. Everything looked great which is a relief!  So we'll go back in two weeks for another check up unless it flares up again.

I know what you might be saying...How long will he have it? The answer...not sure. All I've read has said the average time is 4-6 weeks. Since tummy pains began it's been almost 5 weeks. Since the rash started it's been 4 weeks. He could have several more flare ups before it finally leaves and even once it's gone we'll have kidney checks until it's been about six months.

We all love Devin so much! He makes us giggle lots even when he feels crummy. What a blessing he is to our family!

This is him trying not to laugh and smile after he saw Emily's magnets.

Drop and Give Me Twenty!

I love this boy! He gets in this position often and he stays there like he's thinking to himself "Come on knees! Bend!" Sure enough, after a time, they do.

Sunday, October 16, 2016

This is How We Roll at Costco

Enough said!

Harry Potter and Henoch-Schönlein Purpura


If I was you I would say, "Harry Potter and WHAT?!"

It's called HSP for short and Devin has it. Don't worry it's not contagious. HSP is the body's random immune response after a virus. It targets small blood vessels causing them to leak fluid. Devin has all the classic symptoms. Tummy pain, rash, joint pain and swelling.

How did we figure it out? We didn't. Our doctor did. Two weeks ago Devin was having tummy pain enough to call and come home from school 3 days in a row so we took him in thinking he had acid reflux or something residual from the tummy bug he had a few weeks previous. Our doctor felt like it was acid reflux so Devin started taking medicine for it. 

Around Sunday or Monday after his appointment I happened to tell Mark, that I saw a random red dot on Devin's thigh and asked him to remind me to check it out. But I figured it was a mosquito bite or something of that nature. About this time Devin started complaining about his legs hurting but I attributed it to growing pains or small pain from falling from the monkey bars. On Wednesday, one week ago, he limped out of the car after school and could hardly walk. Once we got his jeans off we recognized the problem right away and worried he had injured his legs. Both knees were very swollen and tender to the touch. His left ankle was also swollen. 

We deliberated what to do and ultimately took him to the doctor. (He went dressed as Harry Potter!) Once we were seen I was surprised when our doctor started asking about the rash that was slightly faint but distinct on both sides of his legs. That's when we learned Devin wasn't injured but had an unusual sickness or disease thing called HSP. He also informed us that Devin didn't have acid reflux but the tummy pain was also apart of this HSP. They did a urine test because the main concern is how HSP can potentially affect the kidneys. They look for blood and protein. Devin had some protein which other than the rash confirmed the findings. Treatment isn't anything really. Ibuprofen is used to help relieve swelling and joint pain but the sickness usually clears up on its own with the exception of potential adverse affects to the kidneys. So Devin had to go back to the doctor on Friday for a blood pressure check which was great and he had another visit today, Wednesday October, 19th.

During the week between these two doctor's visits the main swelling went down on ibuprofen. The rash of red splotches showed up lots more all over his legs. He had some tummy pain and then occasional joint swelling. An ankle one day, hand the next morning and then a knee that evening. It's been sporadic like that for the last week. Devin would tell me something was hurting and sure enough I would look and it would be swollen. He only missed school the day after the first doctor's visit just to make sure all of that initial swelling went away and he wasn't limping anymore. After that he's been to school everyday. It doesn't seem to bother him much and if it does he tells me and I give him ibuprofen to help with the swelling.

On today's visit they checked his blood pressure and did another urine test (they'll do this for all his HSP checkups) and everything was great and normal! It doesn't mean he is all cleared from HSP yet but it isn't seeming to affect his kidneys so the checkups are now as follows:
He has a checkup next week and if all is normal, he'll have a checkup two weeks after that. If that one is normal he'll have a checkup two weeks after that. If that one is normal we'll go to monthly checkups until it's been 6 months. After 6 months of normal visits then he'll get checked at his usual yearly well visit. If everything is normal through the six months then it will be safe to assume that his kidneys have not been affected by the sickness.

We're not worried about him or his kidneys. Everything should work out just fine. He's been a champ and most of the time isn't bothered by the symptoms at all. We love this boy so much! To end on a funny note...

Whenever Devin's legs hurt he shows me where and I look for swelling. Usually when I touch the spot of swelling he'll say ow, ow! He says it in a painful giggle. Well, next thing we know, Shelby lays down next to me and Devin and holds her leg and says ow, ow!
Lol soo funny! The picture below is that first or second day after I had just checked his legs and she got up there and copied him. It made us all laugh and smile!


Teeth!

He stuck his fingers in his mouth and then started to cry. I knew exactly why! Sure enough he'd popped his first tooth and the second followed close behind!

Just for Fun

Carlie begged me to take their picture. How could I refuse?!

Monday, October 10, 2016

Corn, Clementines and Squash


I know it's not a memorable picture but this picture is surely worth a thousand words to me!

One year ago about this time Shelby was having a hard time drinking. As I started weaning her from breastfeeding it was obvious she was having difficulties getting the liquids she needed. On top of that she would hardly eat anything other than those baby food pouches. About this point I had just barely convinced her to at least touch bread or a crust of pizza but hadn't succeeded in getting her to put it in her mouth. So my awesome pediatrician referred us to pediatric rehab where we met with a specialist to help Shelby.

We learned a lot. Found a drinking bottle Shelby relearned how to suck from. (It was a honey bear bottle with tubing inside it.) At these appointments we also learned she had major food aversions (mostly sensory). She liked dry crunchy things. Things that were wet and mushy like peaches or green beans she couldn't even have on her tray without freaking out. So the specialist taught us strategies to help Shelby overcome this. 

Man, was it slow! The first major success was corn. I remember celebrating as she downed it one night at dinner. Next it was rice. I couldn't believe she finally got brave enough to put it in her mouth and she never turned back! The next huge success was when she held a Clementine piece and put it to her mouth. One time she slightly bit into it! Next thing I know she ate two whole clementines for a snack! Couldn't have been happier! Then just a few days ago for dinner she was okay with squash on her plate and after eating one she couldn't stop! I was so excited because it's such a huge texture issue she overcame that I had to get a picture with her eating it, hanging out and all!

It has been a process but wow has she come a long way from just one year ago!

Way to rock it Shelby! Keep it up!