Friday, December 31, 2010

Still in ICU, but steady improvement...

Taylor will be in the ICU at least through the weekend, but they said he's been steadily improving.  He's been on morphine a good bit of the time to keep him calm, so he's only been awake a handful of moments over the last 2 days.  You can be sure all of us have been constantly holding his hands, rubbing his legs and speaking words of encouragement into his ears along the way.

They felt good enough about his condition that they're inserting a feeding tube today at 1 so he can begin getting formula again.  (It's been 3 days since he's eaten food! Ugh)  Tough little fella.
The doctor is set to review the latest chest x-ray with us in a few hours...hopefully it mirrors what the stethascopes have been telling us.  The other way they determine how well he's doing is how long he can stay off the oxygen before his stats drop.  When we entered the ICU, he couldn't be off the mask 2 seconds without it dropping.  Yesterday, he could go about 3-5 minutes.  The goal for him to check out of the hospital will be 24 hours off oxygen without his stats dropping.  (Stats meaning oxygen saturation, heart rate, # of breaths/minute...etc)

Lane and I understand from many different sources there are huge numbers of prayer chains all across the country in effect for Taylor.  We're overwhelmed with the outpour of love, affection and concern all of you have expressed.  With the improvement Taylor has seen in the past 48 hours, it seems some of you have pretty solid ties with The Big Man upstairs!  We are so fortunate to have friends and family like you.  We count our blessings everyday.  Thank you thank you thank you.
Love,
The Carter and Taylor families

Wednesday, December 29, 2010

Scary Times Indeed...Taylor Enters Intensive Care Unit

At 1:30 this afternoon, after another horrible night of no sleep, constant monitoring and unsuccessful respiratory treatments, the head doctor decided Tay needed to enter the Intensive Care Unit where he could receive the utmost care.  Once he "turns the corner," they should be able to downgrade him back to a normal hospital room...a room where, best case scenario, we'll be in another 7 days.

The reason for the move to the ICU?  Taylor is fighting two illnesses, pneumonia and the RSV virus <click here for more info on RSV>.  His immune system is pretty low, so he's having a hard time fighting off these viruses.  RSV is similar to the common cold...the only treatment is to give a lot oxygen, continually suction the mucus in the nose and throat...and give the body time to build up antibodies to fight it off.  Typical children don't require hospitlization.  They will fight it off within 7 - 10 days.  Taylor has been receiving oxygen through a nostril ventilators 24 hours a day since he's been here.  He wasn't getting enough oxygen and his lungs were having to work too hard to suck in enough air so ICU was the next logical step.

He now has a more permanent IV, something called a PICC.  It's an IV line that starts in his arm, enters the vein and goes all the way up, just above his heart.  Through this, they can administer all of his medications as well as nourishment (b/c he can no longer eat/drink on his own).  The best part...they can pull blood samples from this as well, so he doesn't have to be a pin cushion two or three times a day.   He also has an oxygen mask taped to his face 24hrs a day.

The head doctor used the word "precarious" to describe Taylor's condition right now.  Quite a juxtaposition of events....finally after battling his seizures for 9 months, we get them under control, only to have him fighting for his life from pneumonia.  Not ideal, but we have faith in Taylor's ability to fight through this.
We're in good hands.  Taylor has proved to be a strong little tyke.  He's just pretty amazing.

Mom or Dad or both are always by his side 24 hrs a day...along with his pals, Ellie the Elephant and Hobbes.
Thank you again for your prayers, concerns and well wishes for Taylor.  God definitely has a plan for him.

Tuesday, December 28, 2010

Hospital Food Isn't That Bad...

Unless you've eaten it 20 of the last 40 days!

We're still hunkered down here in the Children's Mercy of Kansas City.  Taylor is still battling the pneumonia.  We're four days into the antibiotics and haven't seen as much improvement as we were hoping.  The good news is his condition hasn't worsened.  He's getting a little more sleep now (and so are mom & dad)...a welcome break after the previous 5 restless nights.

The doctors are hoping that his immune system just needs a little more time to get up to speed, due to the seizure drugs and their suppressing effects.  Because Taylor is such a unique, complicated case, it seems every doctor in the hospital has taken on his case. 

It looks like we'll be here at least a few more days.  We'll do our best to keep the blog updated.
Taylor appreciates your continued concern.  :)

Saturday, December 25, 2010

UP....down......UP....down....UP...

UP...down...UP...down...UP...
Taylor's health is a constant roller coaster this week. 

Most importantly, he is still seizure free.  Lane frets anytime I write or speak that phrase.  She worries that doing anything more than thinking those words will jinx his record.  When Tay started back on the powerful ACTH steroid shots, the doctors warned us of two things...the first is that he would be incredibly irritable and uncomfortable most of the time.  They were right.  Since Wed Dec 15th, there has barely been 10 mins in his wakeful hours that he hasn't been moaning, groaning and swaying his head in general discomfort.  It has been one of the saddest things in my life to witness...just having to stand by and constantly whisper encouraging words into an inconsolable child.  The docs make a strong argument when they say, "If two weeks of extreme discomfort saves Taylor's life, then so be it."

The second warning was that ACTH actually lowers the immune system, making it easier for him to pick up colds & viruses...sicknesses that could progress into the more deadly pneumonia.  Well, Taylor's temperature started to spike on Thursday evening and he developed a croopy cough that wouldn't subside.  A trip to the ER on Christmas Eve confirmed our worst fear...pneumonia in 3 different areas of his lungs.  I won't go into the details, but I can say this...of all 418 days of Taylor's life, I've never seen him look this ill.

Now the good news.  Actually, the great news.  12 hours of pumping antibiotics, IV fluids, Tylenol, Ibuprofen and a slew of other holistic measures into Taylor has him turning the corner today.  At 3am, Taylor looked like a new kid.  He was suddenly very content, lucid and wasn't irritated at all.  In fact, he almost looked like he was waking up from his 9 month stupor for the first time...taking in and understanding his surroundings.  It was pretty amazing.  We interacted together for 3 hours and had the best time.  The docs think he will remain in the hospital for another 3 or 4 days, but that he should continue to heal and recover just fine.  I believe it's a sign of even better things to come.
Below is a pic of Taylor snoozing in Santa's lap this morning.

Merry Christmas everyone.
Taylor loves you.

Tuesday, December 21, 2010

Taylor has his 1st Seizure-Free Day in 9 Months !

We're walking on egg shells and we know it may not last, but Taylor had his first day in almost 9 months without a seizure!
Memphis Hospital discharged him this morning for the holidays with a pretty positive report.  Not perfect, but positive.  The high dose drugs he's taking are really doing a number on him, but he's fighting through it with extraordinary strength.
On our drive back to Atlanta after New Years, we'll stop back in Memphis for a check-up appt.
Please keep praying...

Thursday, December 16, 2010

Memphis Docs Try Different Approach

This is a difficult post to author.

Taylor is 13 months old but he's operating on the level of a 2 month-old.  He has been experiencing these seizures for almost 9 months now.  When we checked into the hospital in Memphis on Monday, the doctors...who are some of the best in the world in dealing with Infantile Spasms... were very honest with us.  They said, typically, children that have experienced uncontrolled Infantile Spasms for this length of time are extremely complicated to treat effectively.  They told us to expect an uphill battle, but they would be leading the charge very aggressively.

Just to give a brief recap, since the beginning of August when Taylor was correctly diagnosed, he has taken 3 major medications:

1) ACTH - steroid shots given by mom&dad twice a day.  These knocked out most of his seizures, but he was still having 4 or 5 a day.  He was also very irritable, gained a ton of weight and was generally a floppy, nonactive mess.  After 7 weeks, we took him off of that and started him on...
2) Vigabatrin- No change in the # of seizures, but suddenly he was active again, rolling around and fairly happy with no appetite for solid food.  After 6 weeks on this, the Atlanta docs decided to ween him off of this and start...
3) Topamax- Shortly after starting this low dose drug, Taylor started having increased seizures...15 to 20 a day.  Finally, our appt with Memphis docs arrived...

Each of those medicines, we started out at a low dosage and worked our way up over several weeks.
The Memphis docs have a very different approach to treating patients.  An approach that really makes sense.  They hook up 27 electrodes to Taylor's head to analyze his brain patterns while they administer high-dose medicines.  You see, even when Taylor isn't having a seizure episode, his brainwaves are abnormal from this epilepsy.  The overall goal is to completely suppress the seizures and normalize his brain activity so he can begin learning again.  In Atlanta, we would only do an EEG every few months to check to see if the slow drug treatments had been effective.  In Memphis, the doctors have proven that fast, high dosage treatments usually bring positive results quicker than the slow method.  Their theory is, the faster you can suppress the seizures and normalize the brain wave activity, the better chance the child will have at pulling through this.

They did give us some positive news Monday night after the initial tests came in.  They were pleasantly surprised with Taylor's MRI and his EEG readings.  For a child that's been experiencing these seizures this long, they usually see atrophy in the brain scan and a very irregular brainwave pattern, especially during sleep.  Taylor's MRI was nearly perfect and his brainwaves were only slightly irregular...even during his sleep.  That gave them confidence that Taylor may have a better chance than was originally expected.

As we were already taking a medium dose of drug #3 with a mixture of a little of drug #2, the Memphis docs ratcheted up both doses to high levels.  As we expected, it brought his seizure level down to about 5 a day again, but his brainwave pattern was still a little irregular.  The docs decided to stop #3 completely and reintroduce Drug #1 in a high dose right off the bat....mixing with drug #2.  We are in day #2 of this course of treatment.  They said it would take 3 solid days of this to get a true measurement of where we stand.

I apologize for the rambling update, but thought it necessary to pass along the info.

I returned to Atlanta last night to get a week's worth of work in.  Today, Dick Taylor joined Lane and Taylor at the hospital in Memphis.  When they're done on Saturday, they will all drive back to Kansas City.  I'll meet them there to spend Christmas & New Years.

Taylor needs your prayers now more than ever.  We really appreciate your Love and support.
Happy Holidays.  Here's a pic of Tay right out of his bath, just before checking into the hospital:

Wednesday, December 8, 2010

Taylor Tours the Hospital Circuit...

Taylor's seizures had increased from about 6 a day to about 15 a day over the Thanksgiving week so the doctors had us check back into Children's Hospital here in Atlanta for a few tests.  Taylor had a spinal tap...not fun :(    We'll receive the results back from that in 2 weeks.  We also did a 48 hour video monitored EEG and sleep test.  (They should call it a "No Sleep Test" b/c the lights have to stay on all night and it's not comfortable having 28 electrodes glued to your head <see pic below>.....miserable!)

Friday, we meet with our Atlanta neurologist to go over his opinion on that visit.

Sunday we head to Memphis to check into Le Bonheur Hospital for 5 days.  There, we'll meet with some of the best doctors in the world that specialize in Infantile Spasms.  It's a way for us to get a 2nd set of eyes on Taylor.  While there, he'll get another very detailed MRI and a 5 day EEG while administering various drug treatments.

Please keep up your prayers for Taylor.  We really appreciate your continued Love and positive thoughts.
Below is a picture of Taylor getting some Great Grandmother Love...
Merry Christmas to everyone.
:)

Sunday, November 7, 2010

Taylor Turns 1 !!!

Taylor turned 1 November 2- no more Baby Taylor…he’s now called Taylor the Toddler J  We can’t thank everyone enough for their generous birthday present and donation to Tay’s Medical fund.  Chris and I were surprised and overwhelmed…to say the least.  Special thank you to Gene and Isabel for putting this together and for all of the support and love they have given us. 

We met with the neurologist last Wednesday. He has tweaked the dosage levels and combination of medicines again.  Hopefully soon we’ll find the right mix to stop the spasms and help Taylor get to a better place.  He sure is ready to start learning the fun stuff in life.  

December 13th we’re headed to Memphis to see one of the top Infantile Spasm specialists in the world.  He is at Le Bonheur Children’s Hospital.  Taylor will be wired for a week long EEG.  This will allow them to fully analyze his brainwaves during the different cycles of his day.  The doctors in Memphis will then work with our neurologist here in Atlanta to formulate a strategy for the next several months.

Even with everything going on, Taylor continues to be a strong little boy.  You can see his determination in everything he does.  Please see the link below to his latest pictures of Halloween and the birthday party:

CLICK HERE FOR PICTURES
"Thank you all once again for making my birthday so special." -Tay

Thursday, October 28, 2010

3rd One a Charm?

Last night, Taylor started his 3rd major anti-seizure drug, Topamax.  Last Wed, Taylor had an 8 hour EEG.  The neurologist said he noticed 4 seizures during the procedure so we're shifting gears to try and knock out these last few remaining spasms. 
Check back soon for a few great videos....we'll upload them this weekend. 
Keep your prayers coming...Tay's not out of the woods yet.
                                          "Thanks for my Halloween Costume Aunt Marilyn!" -Tay

Monday, October 11, 2010

GREAT PROGRESS !

Taylor unveils his
Fall Fashion
Tips!
It has been 7 days since we started infusing Klonipon, another anti-seizure drug, in with the Vigabatrin Taylor has been taking.  He has responded very well to the combination of the two.  Some days it seems he has no seizures at all.  And the seizures we think we see, have just a small fraction of the intensity of the ones a week ago.  Taylor is sleeping through the night again and his appetite for food is waaaay down, so some of the pudge and chunk seem to be falling away.  He's beginning to get his knees underneath him, track objects, focus more intently and grab a bit for hanging objects.  Milestones we're thrilled about! 
This Sunday is the Buddy Walk for the Down Syndrome Society of Atlanta.  We have plans to attend and walk with a family that's been coaching us through this ordeal.  Their daughter, Hannah, also has Downs and went through the Infantile Spasms situation a year ago.  <see pic of Hannah below>  Hannah is now seizure-free and leading an extraordinary life....and she's darn cute too!
Taylor continues to appreciate your Love and support.
Thank you.

Sunday, September 19, 2010

ACTION video of Tay!

Taylor is still experiencing a few seizures every day, but his energy and action are uncontrollable!
Here's a video of what Taylor is doing every minute he's awake these days:
www.youtube.com/watch?v=OZYu8EdauoU 

We're thrilled, seeing as how he's been fairly floppy the last few months.  At this rate, we'll have to baby-proof the house soon!

Monday, September 13, 2010

Tay's 1st Braves Game !

Saturday evening Taylor attended his 1st Brave's game!  The weather was quite pleasant.  Taylor enjoyed the constant action, the cheers, and all the bright lights from the jumbotrons and fireworks.  Taylor just completed his 5th day on Vigabatrin and he's had some very good days.  Unfortunately the seizures haven't  ceased yet.  Many families say the drug usually takes at least 10 days to take it's full effect.

However, Vigabatrin has definitely unleashed Taylor's energy.  We've never seen him so active...even before the seizures.  He's constantly rolling over, pushing himself up with his arms, grabbing things and using his legs to propel himself around the floor...all the while babbling and yabbling away.
Tay wasn't happy about the Cardinals scoring...

Tuesday, September 7, 2010

ACTH Out....Vigabatrin In

We are weening Taylor off of the ACTH shots and moving on to Vigabatrin, an oral anti-epileptic drug.  ACTH seems to have knocked out a fair portion of his seizures, but we're 4+ weeks into the treatment and still seeing at least 8 a day.  Many children have found success with Vigabatrin when ACTH didn't work for them initially.  The side effects can be more severe, but we're praying for the best.

The last week has been a bit of a roller coaster with Taylor's moods.  He has definitely become more irritable and his appetite has become voracious.  His new game is to demand a full meal at 1am.....and then another at 5am....definitely reverting back to his newborn days.  Mom, Dad & Nina have all learned to make a bottle while sleepwalking.  :)
Here's a picture of our chunky monkey taking a little snooze:
Yes...bad hair day.

Friday, August 27, 2010

Improvement, but not out of the woods yet

Our neurologist reviewed the EEG and there has been much improvement in his brainwave activity.  However, it has not completely normalized yet, especially during his sleeping hours.  Starting today, his steroid intake will be cut in half....only 1 shot a day!
We'll have another EEG next Friday.  The outcome of the results will determine if we stay with the current steroid or swtich to another drug. 
Lane's mom has been in town the last 8 days and has been a huge help with everything.  Thanks Nina!  And a huge Thank You goes out to Dick Taylor for lending her to us for the extended stay!  :)
love to you all.

Wednesday, August 25, 2010

EEG pic in action...

No News is Good News...

Our neurologist will be reviewing Taylor's EEG charts tomorrow morning and we'll have a conference call with him in the afternoon to discuss the results.  The improvements we've seen in Taylor over the last 6 days have greatly eased our tensions.  For instance, over the last six months we've average 3 soiled burp cloths per day from Taylor's spit-ups.  In the last 6 days, we haven't even used one.  His general demeanor of late has been cool, calm and content with an appetite like a competitive hotdog eater!
...look for an update tomorrow night.

Sunday, August 22, 2010

Look mommy, I'm not in the hospital!

Knock on wood, but it's the first weekend in 3 weeks we're not checked into Chateau de la Hospitale!
(yes, Travis, I know that's not grammatically correct)
We are 23 needle-sticks into the steroid treatments.  We don't want to get too optimistic at this early stage, but the past few days have been fairly decent for Taylor.  He is still having seizures, but the total number and severity of them have decreased noticeably.

We're keeping a detailed daily chart of everything that occurs.  Our next EEG is on Wednesday.  This will help us understand if his brainwaves have become less erratic since last Sunday.  The goal over the next several weeks is to completely suppress his seizures and normalize his brainwaves so he can return to learning the fun stuff in life.

The steroids have definitely increased Tay's appetite.  He's racking up the pounds by the minute, so you may not recognize our little sumo wrestler next time you see him.  :)

Taylor appreciates your continued concern.
more to come...

Sunday, August 15, 2010

Bad news & Good news...

Bad news:  Taylor had a very bad bout of seizures and vomiting all day Friday which led to an ER visit and a weekend in the Hospital.

Good news: He's feeling much better today.  He's now in the care of one of the best neurological doctors in Atlanta.  Today, Taylor is undergoing a 24 hour video monitored EEG test to monitor his brain-waves to help us understand his seizure patterns.  We're continuing our steroid treatments.  Doc said we should see improvement within 10-15 days of treatment.

Continue to pray.  We appreciate the outpour of concern and words of encouragement from everyone.  Taylor loves you.
:)

Thursday, August 12, 2010

Taylor perks up...

3 shots down....many many more to come!
Even in the few days Taylor has been on his medication, we have seen little improvements here and there.  For instance, the last 3 months Taylor has rarely given out smirks, smiles or giggles like he did in months 4-5.  On Sunday night, just before bedtime, Taylor went on a 5 minute smiling tirade.  Check out the You Tube video below:

http://www.youtube.com/watch?v=e7-UEWhrNYU

We believe Taylor was giving us a sign that everything is going to be OK and there will be great things in store.
:)