
It's been quite awhile since I have posted an update about Nicholas and how he is doing, so without further ado...
It took a couple of months but we finally figured out a diet that works perfectly for Nicholas (and lots of other SMA kids) called the Amino Acid diet. When Nicholas was discharged from the hospital back in August 2010, he left with a new gastrointestinal tube and was on a formula called Nutren Jr. After a couple of months of him being on that formula with severe instestional issues which included vomiting, constipation, and diarrhea we consulted with Tara Liston who is another SMA mom. Tara told us about the Amino Acid diet and that it works really well for her daughter, Brynlee. We decided to give it a shot and after just four days we noticed a tremendous improvement in Nicholas's overall health. He started to feel better, look better, and the digestive issues ceased. So we owe a huge THANK YOU to Tara...our little boy is so much better because of your help and guidance! Also, Nicholas's nutritionist was happy to learn about the AA diet because she also works with another baby who has SMA and will be able to share it with that family when the baby is no longer nursing. Here's the breakdown of the AA diet that Nicholas is on:
Morning: 200-250 mls of breastmilk + Culturelle (a probiotic) + 1 ml of Enfamil Poly Vi Sol (a vitamin)
Afternoon: 200 mls of water mixed with Neocate Jr. (AA formula) + 4 oz. juiced food (celery, pears, kale, spinach) + banana, avocado, & sweet potato
Night: 600 mls of water mixed with Neocate Jr. (AA formula)
Between feedings his g tube is flushed with water and Miralax
He continues to sip water orally and tastes foods on occasion
Nicholas is happy, joyful, and talks up a storm! He has many new words and calls for mommy or daddy when he needs something. During the day he will yell, "daaad!" and I have to remind him that daddy is at work. He loves playing and has better hand/finger strength since switching to his new diet. He spends time playing games in the iPad, loves to watch movies on his DVD player, loves to listen to mommy read him books, and loves to play with his cars and toy balls. One of his favorite things to do is roll a ball on the floor and ask mommy to fetch it for him. He could spend hours playing the "ball game" even when mommy is worn out from getting that ball off the floor!
In the last week or so he has been wanting to sit up more often which is a huge improvement for him. He had a cold that seemed to hang on for about six weeks and during that time he never wanted to sit, he could only tolerate laying down. Recently he has been sitting up in his Tumble form seat and his high chair, and he enjoys being propped up on pillows to watch movies or read books.
His stats have been consistently good...his heart rate is typically between 108-125 and his oxygen levels between 94-99. We continue to keep him hooked-up to his pulse/ox during the day, at night, and when he travels in the car. He probably doesn't need to be hooked up to it as much as he is, but it gives us peace of mind and he doesn't seem to mind it at all.
Next Monday Nicholas will receive a loner power chair that he will get to use at home for a couple of months. We are so excited that he will be able to explore his own environment! I am looking forward to him being able to come visit with me when I am cooking in the kitchen, check out what dad is doing in the garage, and pay a visit to his neighbor friends. This is such a huge thing for us because Nicholas has been practicing in a power chair since he was a year old and the vendor at Shriners kept telling us that he was not able to get a loaner power chair for Nicholas because of the special driving device Nicholas uses. It's a fiber optic device and apparently too much of liability to loan to us. We stopped going to Shriners back in December when Nicholas wasn't tolerating sitting in his upright car seat and I honestly think it was a blessing because his physical therapist through the ESD (who comes to our home) hooked us up with a vendor she uses and he is fabulous! We met with Derek mid January and he said it would not be a problem to get us a loner power chair with the fiber optic driving device...and lo and behold, the power chair will arrive on Monday, about a month after our initial meeting!
Another wonderful thing that happened recently is that Nicholas was approved for Medicaid. I don't know why we didn't apply for it sooner considering that we paid nearly $8,000 last year in medical expenses. Now Nicholas is double covered and we don't have to pay anything out-of-pocket. Ella is also automatically covered by Medicaid as Nicholas's sibling which is a complete bonus. I can think of so many ways our money will be better spent now that we won't have to shell out tons of cash for medical expenses!
Nicholas adores his baby sister and they are starting to form such a sweet bond. Sometimes I ask him to "baby-sit" her for me while I am making dinner or taking a quick shower. When I come back I will ask him how she was and he will say, "Good!" and then proceed with toddler babble which I imagine is him explaining what she was doing while I was away. He likes to watch what she does and cheers for her when she's in her Jolly Jumper or when she rolls over. The only thing he is not fond of is when she grabs his ears, hands, or feet and pulls. She is strong and sometimes she hurts him (and us for that matter). So we have to be careful where she is placed when she is next to him since she doesn't understand the word "gentle" yet. I kind of have a feeling that gentle might be her first word considering how often we say it to her. Ella squeals with delight when she sees her brother and likes to fly over to him and give him kisses-it makes her laugh. It is so wonderful to see these two siblings interacting with each other and I already love how Nicholas has taken on the big brother role with his little sister.

Overall, Nicholas is thriving in spite of his SMA, and that, my friends, is a wonderful thing.