
Well I got the phone call that I had been wanting for over 5 years now yesterday.....and now I am not quite so sure I wanted that call. Our new neurologist in St. Louis called to let me know that we now have a diagnoses for Sam. Yes I am glad to have a diagnoses as now I can make better choices for her and know what we are up against. Yet, my heart is breaking. Sam has been on the ketogenic diet for almost 2 years now and it has done wonders to help her seizures. However, most people truly don't know how intense this diet is and it will now continue to be for 11 more years. Yes, I typed that correctly...11...ELEVEN...more years. You see Sam has what is called GLUT1 deficiency. Her sweet little body can't transport glucose to her brain and the brain needs glucose for energy and development. That is where the ketogenic diet comes in, her body has received the energy from fats for the last 2 years because of this diet. So the good news is without even knowing it we,Steve and I, made the right choice to put her on this diet almost 2 years ago to help control her seizures. Had we not made that choice her delays would be much more severe as her brain would not have received the energy it needed to grow and develop. Blessing in disguise for sure. So why 11 more years you ask?? Well typically at age 18 your brain is typically finishing developing...or so the research says. Blessing number two...while it's 11 years at least she won't have to do this diet her entire life.
I want to share with you what a typical day looks like for Sam, not because I want pitty but because I want people to be more aware of the challenges that people with special needs children face every day. As always learn from me and grow as a person.
7:15 Wake up...usually on her own, but some morning I have to wake her for school
7:30 Bath time - at almost age 7 I am still having to do everything...undress, wash etc...she is getting better at undressing herself...a work in progress...but those darn shirts deal her fits.
7:50 Breakfast
I am blessed with two older kids who help weigh out her meals...without them I would be lost! Right now we are stuck on one breakfast that she likes....Peanut Butter Smoothie... Out comes the scale to weigh everything out...has to be precise to the ratio of fats/carbs/protiens in check. And she has to eat EVERY single bite, as this is truly her "medicnine" to keep seizures at bay.
Peanut Butter Smoothie
70 grams Heavy Whipping Cream (no milk...too high in carbs)
15 grams Chocolate syrup (fat free/sugar free)
34 grams Egg Beater
25 grams Peanut Butter
12 grams Canola Oil
10 grams Coconut Oil
8:15 Leave for school...If breakfast isn't finished Ms. Wendy will finish it with her at school. Some days are HUGE battles to eat and others aren't...just depends on the mood of Sam.
9:00 Arrive at school. Yes we still go in summer because that's how they roll...and I am SO blessed to have them in my life. We have good days and bad days at school but overall, Sam LOVES school. She does like to assert her independence and will plop herself on the ground and not move when it's something she doesn't want to do. She has even been put in time out...Shocking I know to some of you who know Sam. She is a little spitfire at times. Love her to pieces though
11:30 Head home. Most car rides are good and she might fall asleep because she is so tired. Others she screams the whole way home because I can't figure out what she wants. Not having good verbal skills can be so frustrating sometimes...for her and for me.
12:00 Lunch or Nap depending on if she fell asleep
Sample Lunch: (alternates between about 8 recipes)
Ham with Cheese and Fruit
69 grams Heavy Whipping Cream
22 grams Fruit
19 grams Ham
21 grams Cheese
13 grams Coconut Oil
25 grams Mayo
All the items she eats are VERY brand specific, so it's not like I can whip up her lunch just anywhere.
1:00-2:30 Lunch or Nap
2:30-6:00 Hang out, read books, play.
6:00 Dinner
Sample Dinner
Chicken and Fruit
81 grams Heavy Whipping Cream
30 grams Fruit
30 grams Chicken
10 grams Coconut Oil
23 grams Mayo
There are times we do go out to eat, but we have to pack Sam's meal to take with us. She does pretty good with eating out without to much complaining. Occasionally she gets treated to McDonalds and can have the hamburger patty with 7 grams of french fries (remember a paperclip weighs a gram), so that's not many fries. She also will have the heavy whipping cream with this. We have had to be very creative with different ways to prepare the whipping cream....I couldn't imagine eat whipping cream with almost every meal.
We have come a LONG way since the start of this diet almost 2 years ago. She used to fight me on EVERY meal. Now it's occasionally when she is needing control in her life. Her favorite is to hold the food in her mouth. Have you ever tried to make a kid swallow? Well let me tell you it is a challenge!
8:30 Bedtime
She is not one to complain about going to bed and for that I am greatful. She is sleeping better but still wakes up at least 1-2 times a night. It has been a LONG time since I have slept through the night.
So there you have it... Sam's day...But understand there are such struggles as she has a VERY limited vocabulary and gets frustrated easily because we may not understand what she is needing.
Spencer and Sydney are truly wonderful with all of this. They are master meal preparers! So while I am facing many more years of this diet at least I know now that her brain is getting the energy it needs for growth and development. While her progress will be slow at least I know there still will be some progress. One of the biggest heartaches for me is when I see a child her age and realize how truly far behind she is. Another heartache is how some people, adults and children, react to Sam. I know it's ignorance, but it's so sad.
Yes, I am blessed....and yes there are days I need reminding of this. So thank you for your continued prayers...we are going to need them for a LONG time. Here's to 11 more years!