Feeding the force

Quinns has finally made it back to school. He’ll only be in for short periods of time a few days a week building up gradually as the weeks go on. His class were absolutely delighted to see him back and even now he’s akin to a celebrity as they scream and shout his name every time they see him. 

Quinns is smiling wearing his school uniform with white collar and red sweatshirt. He has a white tube coming out from his nose which is stuck onto his cheek with a piece of tape with colourful planets on it.

Initially the big question they asked was about the tube stuck to his face. One big change from Quinns being unwell and the most noticeable is the nasogastric (NG) tube that goes into his nose and down to his tummy. After various issues with his tummy and lungs he’s currently nil by mouth so he gets all food and medications down his tube.

Community nursing staff are supporting the school in this new method of feeding. They have been in and had a chat with the children in his class to explain it all, answered numerous questions and heard random tube related stories from the children.

Four times a day the NG tube is connected to a feed pump (affectionately known as ‘Darth Feeder’) which delivers a carefully calculated quantity of special feed. It’s a very efficient way for him to receive nutrition and he’s looking really healthy for it. Mealtimes are no longer long and drawn out as it would take him a while to chew and swallow the quantity he needed for sufficient calories.

The majority of the time it works fine. The biggest problem is when he manages to pull the tube out on a Saturday evening. We need to take him on a 30 minute drive to our local Children’s Ward for a replacement. All going well it’s a straightforward process but sometimes there are difficulties that result in an x-ray to check the position. 

At home, we miss the social aspects of eating. Before Quinns went into hospital we would always sit round the dining table as a family. Eating was a huge part of our lives. Quinns would have his eye gaze computer in front of him and we would chat while we ate. He picked out words on his device to tell us he was following our conversation or demand pudding or tv when he had had enough. 

We would often go out to eat on nights I couldn’t be bothered cooking or out for breakfast as a treat on a weekend morning. It doesn’t seem fair to do either now that Quinns can’t join us in eating. We have realised how often we mention food in casual conversations.

As well as being less visible in the community he also misses out on a big part of his social life. Often when we went out we found him making friends with people at other tables while we were eating. They would make themselves known to us at the end of a meal telling us he had been smiling at them.

We’re hopeful that as he gets stronger he might get back to eating orally because he previously loved food. Especially cake and custard! While we wait and if he doesn’t we will find ways to adapt to the new eating situation and find ways to ensure his place in the community. For now we are embracing the brilliantly patterned tube tapes we’ve found on Etsy. Everyone is excited to see what he’s got on each day whether rockets, aliens or helicopters!

Thank you

Over the last few months we have experienced some of the very best of the NHS. While sadly other family members have not due to increasing pressure and broken systems.

I am looking at the camera while Quinns cuddles into my shoulder. He has an oxygen mask near his mouth, a blanket round his shoulders, shaved head and very long eye lashes.

Quinns has been very unwell since the end of September. I don’t think my brain has processed quite how unwell yet. Thankfully his care has been great and he is on his way to being home. I’m not quite ready to share the many complexities of what has been happening but hopefully as he continues to recover and rehabilitate my ability to articulate will return.

He has been helped and is continuing to be cared for by so many people it’s difficult to name them all but here goes.

This New Year we are very grateful to the doctors, nurses, physiotherapists, dieticians, speech & language therapists, occupational therapists, psychologists, radiographers, surgeons, anaesthetists, pharmacists, phlebotomists, play specialists, hospital teachers, cleaners, caterers, administrators, specialists, porters, blanket gifters, volunteers and entertainers at Forth Valley Royal Hospital in Larbert, the Royal Hospital for Children and Young People in Edinburgh and the Evelina Hospital in London.

Special thanks to the ScotSTAR retrieval team, paramedics and air ambulance paramedics who got us safely to where Quinns needed to be. I have some amazing stories to share of our journeys!

Also as a family we couldn’t have managed without Kindred, Ronald McDonald House, the Edinburgh Hospital Children’s Charity, the Evelina Hospital School, Beads of Courage and of course all the support, love and kindness from our family and friends.

And finally thanks to the listeners, the pyjama enthusiasts, the ones who were always there, the task givers, the shoulders to cry on, the banner maker, the card makers, the hamper givers, the jokers, the organisers, the sorters, the providers, the bead supplier, the chair deliverers, the video makers, the new friends, the creatives, the tea makers, the custom pillow makers, the custom support makers, the messagers, the massager, the visitors, the cake sender, the flower senders, the chocolate and sweet suppliers, the dinner providers, the Disney enthusiasts and the music providers.

Thank you.

Time to grow

Our garden has been both our haven and our classroom these last few months. When we first moved to this house the raised beds were absolutely heaving with produce thanks to the hard work of the previous owner. We loved picking the peas straight off the plant and finding out about kohlrabi.

I hoped it would all reappear the following summer but sadly in the busy-ness of life and the first year in a new house we didn’t have time to do what was needed. 

This year has been different. Restricted to only our house and garden we’ve had plenty of time for gardening. It’s been a great opportunity to teach Quinns and Big Sister (and me!) all about growing plants, composting and wildlife. It tied in well with Big sister’s  topic of biodiversity adding some practical experience to the written work set by her school.

Quinns of course has been completely involved in it all. He loves holding the trowel and helped plant lots of seeds. 

Photo of Quinns holding a green trowel moving soil from a plastic container into a plant pot guided by an adult hand

Our lockdown routine involved going out to the garden each evening to make sure everything was watered. Right from the start Quinns helped by holding the watering can. We soon invested in a hose and it really goes without saying that he now loves holding the hose to water the plants (and yes Big Sister does occasionally get wet!)

Photo of Quinns holding the hose to water fruit bushes supported from behind by Dad

Our evening strolls unearthed an army of snails that crawl around in the dampness. Sadly for them we have taken to picking them up and putting them back in the compost heap along with our food scraps from the kitchen. Usually Quinns impressively screws his face up when he feels new textures but to my amazement he actually seemed to enjoy the experience of having a snail on his hand!

It must be a love / hate relationship though as a naughty one ate its way through all his sunflower seedlings while leaving Big Sister’s alone. In good home school style we replaced his with the science experiment seedlings we’d planted in a glass jar. Putting up the snail defences of eggs shells and cloches quickly became another part of our evening routine.

I’m glad to report that despite a rocky start the new sunflowers are flourishing and while they may not be as tall and strong as Big Sister’s they continue to grow and develop at their own pace.

Photo of two pots each holding sunflowers which have grown to different heights

I am so grateful to have had this time together and this space to grow.

 

 

Look to read

Photo of a eye gaze computer grid screen with the words 'Quinns be wanting train' selected

Life can be hard at times but I’ve learned the importance of finding rainbows. One of the major positives of being in lockdown has to be the improvement in Quinns’ use of the eye gaze.

Quinns has had his eye gaze computer for communication for over a year now.  I had been transporting it between nursery and home for a few months before lockdown started. Now the eye gaze is set up on our dining table at all times, as opposed to being left in a bag after carrying it home from nursery, and the four of us have been sitting down for meals together three times a day. With no demands on any of us to be anywhere else Quinns has had lots of time to practice selecting the words/pictures and we’ve had the time to listen to him.

Like any child Quinns started out babbling only he used the eye gaze. He would choose words and then repeat them over and over. Every new page or board is a whole new set of vocabulary for him to explore. It was tedious but also very necessary.

Now he’s reached a point where he picks out relevant words from our conversations. When we talk to Big Sister about the tiger in her school work he pipes up with ‘tiger’. His level of understanding is such that when Dad and I were having a fairly in depth discussion about going to hospital with Covid 19, Quinns chipped in with ‘hospital’ and  ‘ambulance’.

He’s showing us that he’s following everything we say. Of course that also means he’s got good at demanding. When he’s finished his main course he always asks for ‘pudding’ and constantly says ‘drink’.

We know him so well we know what he means with just one word but we must encourage him to build his words into sentences. He has shown us he can do it especially when he wants something; ‘Quinns be wanting train’ and ‘Train now Dad’ are a couple of ways he’s expressed his desire to go to the train station. Now he can’t go out and see the trains, train has been replaced with PlayStation, YouTube or tablet.

He has the option of some ready made phrases including a range of jokes. The first part of the joke is one button and the punch line another. The jokes themselves aren’t necessarily funny but him saying ‘that’s so funny!’ after every joke always makes us laugh.

During lockdown we’ve stayed connected with family and friends via Zoom. Dad is a bit of a tech whizz and early on worked out how to share Quinns’ eye gaze screen and sound while on calls. This means Quinns has been able to talk directly to people using the eye gaze. It’s lovely to see both his screen and his face at the same time as usually we are sitting beside or behind him.

The absolute best bit of the eye gaze though has been getting a programme called Look to Read. When Quinns scans the words with his eyes it reads them out. He reads entire books this way. The freedom it allows, both him and me, is incredible.

Recently during a chat with his friends the only thing Quinns wanted to do was read. Of course I made it happen for him by sharing his Look to read screen. It was amazing to watch his friends faces as they listened intently to Quinns reading them all a story.

With a little bit of camera trickery by Dad we took this video – tiny.cc/BuzzBug – of Quinns reading to share more widely with friends. You can see the screen he’s reading from on the left and Quinns face on the right as he reads.

Massive thanks go to the amazing person who organised Look to read for us (and for everything else she does for us!) and also to Smartbox for making all this possible.

For Susan, the girl in the rainbow dress (https://www.facebook.com/teamhamish/)

I’m fine

 

I’m fine. Or at least that’s what my photographs from the last eight weeks show.

Photo of a frog stuck in a plant pot

In reality I’m not fine. I’m processing a major event along with the rest of the world. It’s hard to admit that life is difficult when you know that it’s tough for everyone. Everyone has circumstances that make this situation difficult whether it’s isolating alone or as a working parent; losing a job or doing a job that’s particularly demanding. Everyone is doing what they can and hopefully communities are rising to the challenge of supporting each other just as ours has.

For us the shutters came down around our family of four a week earlier than lockdown. My instinct was to protect Quinns as I felt he was particularly vulnerable. I questioned myself constantly for several weeks before we finally received his shielding letter. The letter brought a certain amount of relief. Knowing that my instinct was right and that professionals agree is comforting. It doesn’t however bring back the support that we are missing.

We’ve gone from a team that couldn’t fit in the school’s biggest meeting room to just the three of us looking after all of Quinns’ needs while Dad works full time at a stressful job from home and Big Sister is home schooled.

There’s no longer the same NHS input as those who support us have been redeployed to cover other areas. On a practical level I have been unable to get the bigger size in Quinns’ support shoes from orthotics and have no hope for the next few months.

At the beginning of lockdown Dad had to fix the headrest on Quinns’ chair while receiving instructions on the phone from the rep. Later that day the rep was furloughed. For a while now a bit of the chair falls off periodically. We simply stick it back in.

Quinns’ three Nursery days a week provided not only education and socialisation for him but also space for me. He had the benefit of 1-1 support in the classroom while personal care was provided 2-1. Now it’s me providing it all and my much needed space is non-existent. My one saving grace is his classmate, Big Sister who also covers as my teaching assistant and occasionally additional support for personal care.

We chose to stop the carers who came into our home a couple of times a week to help us out. The risk to us and others was too great and we felt we could manage. However with grandparents all isolating in their own homes there’s absolutely no hope of respite. My only relief is when Dad manages to take holiday from work.

Much as I have wanted to I have not had the time or energy to write. I have however tried my best to keep up with developments. There have been times when I’ve desperately wanted to shout about frailty guidelines, DNR letters and serious changes to legislation. It rang so true when I read recently that it’s difficult to write when you are afraid.

‘We are all safe and well and making the most of our time together’ is my cover story for a level of exhaustion and anxiety that is off the chart.

Knowing that we are shielding at home till at least mid July, the only thing we can do is keep on going. We plan to make the most of the opportunity to ‘home school’ making use of the skills and resources available to us (it will come as no surprise that our home school has it’s own name and brand!)

I can’t take on all the roles of Quinns’ team but I can still be an advocate for value over vulnerability by sharing our positive stories.

And one last thing if you’re needing a break in lockdown and haven’t watched the film Crip Camp yet I’d highly recommend it!

Stay home save lives

Photo of Quinns sitting on Big Sister's knee on a picnic mat with apple tree in the background.

Life is a bit full on for everyone at the moment. Round the clock caring responsibilities without a break as well as home schooling is keeping us busy. We are shielding at home for the next 12 weeks but we are happy, healthy and making the most of our time together.