Rachel Nyberg's Website
   

Gastro 
Today we made a really quick trip to Duluth to see her gastroenterologist. We also got Kaleigh's 1 yr old portraits taken. While I was doing pictures, Luke was walking around with Rachel in the mall and ran into Rachel's former nurse Mary and her sister. Of course Rachel wouldn't show off her talking skills for Mary but when Luke went into Barnes and Noble and asked Rachel to be quiet she got a big smile on her face and started talking really LOUD. Then Luke would say, "No, no Rachel, we have to be quiet now." And then she'd smile and get even LOUDER!! Stinker.
So it was a really quick trip to Duluth but the weather was great and it was fun to see the view of the lake and all the tourists from the new Pediatric center. I love that we can have an appointment at 6:45 pm when no one else is there. We just park right across the street from the front door, walk right in, get checked in quick and see the doctor right away. I love it! The Dr. wanted to wait to do anything drastic about her refluxing until spring to see how she does this winter. If she doesn't have too many problems with aspiration we'll just leave things as they are. When we have to get her teeth cleaned then we'll also have him check out her esophagus since she'll have to be put under general anesthesia to have her teeth cleaned anyway.

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Adventure for the day 
Yesterday the city was working on the water pipes by our house. This caused our water to sputter forcefully from the air in the pipes or look a nice murcky yellow. :p
At one point I thought that it was fine for the night because all the yellow was gone and then it sputtered out and was completely gone. Sigh. I called Linda on her way to our house and warned her and she stopped by the grocery store so we'd have fresh water for Rachel. That was nice. We have sterile water for Rachel but it's much to expensive to be giving to her to "drink" or flush her meds/feedings through her tube. It's funny how you take clean water for granted, so I reminded myself of all the people who don't have indoor plumbing and treated it as an adventure.
Hudson wanted a glass of water and when I told him to have 7-up instead he must have thought I'd gone bonkers. (But he didn't ask twice, he must have figured he won some sort of lottery and squirreled off with it before I could change my mind.)

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Goofy Kid 
Rachel was being silly in speech therapy yesterday. Remember a month or so back when Rachel was able to make up stories and they were usually about princesses? It's a story book that's set up like Mad Libs, she picks from pictures how the story will go. Well today in her story we lived in an RV, had a pet bat, and a magical potty. She thought it was soooo funny. She's also doing a good job with turning her head. They have scents for her to smell and that helps her to turn right away.
Happy Birthday Kaleigh!!!

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Corbin's Outta Space! 
Hi All!
As many of you know Corbin is Rachel's boyfriend from when they were both in inpatient therapy together down in Duluth. Miller Dwan had some experience with pediatric cases but they hadn't had kids as young as ours for a very long time. (Rachel had just turned two and Corbin was almost a year and a half.) So you can imagine what the chances were for both of us to be there at the exact same time! I feel we were definately brought together for a reason.
So if you could, Caradie has gone through the process of submitting an application through the ABC Extreme Home Makeover website but if you would check out her petition here, that would be great. They have three boys in one little house and the whole family has sacrificed so much to help out the Corbmeister, so please check it out!
Thanks!


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Not much going on 
I keep trying to come up with something to write about but not that much new is going on. Rachel is continuing to do well in therapy. She's turning her head well. One of her speech therapy goals was met. Her therapist wanted Rachel to be able to expand her upper ribs while breathing in. She used to take breaths that were much shallower.
I was cuddling with Rachel the other day and she would mimic the syllables of what I was saying. When Connie left at the end of the day Rachel right away started calling out. It was as if she was saying, "Hey mom! I'm all alone in here! I'm bored! Get in here already!"
Kaleigh's had a fever for the last couple of days so we've been busier with her as well. The summer is almost over so we're quick trying to fit in the few last activities before fall and school creep up on us!

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Pics of new stuff 
Whoo hoo! Rachel has a new chair! It's the same color as Hudson's bike. "Toxic Green" Luke was giving her a hard time for not smiling in the picture. He asked, "Well I guess if you don't like it, should we give it back?" Rachel said, "Uh-uh" in the normal way when someone says no... how do you spell that? Hmm it looks right but, well, now you know what I mean. :)



Rachel was really crabby at us for taking all these pictures and putting her in the stander so here's Rachel crabbing at Kari.



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New stander... well to us anyway 
We haven't really done much exciting this week that pertains to Rachel... Kari got pinkeye of all the crazy things to catch so Luke just decided to hang out with the kids on his own for two days. (instead of calling someone else in) Rachel is borrowing a stander from therapy that is much more comfortable. She was able to be in it for an entire hour and she didn't have to wear all of her extra supportive gear. With her old stander it would take 5-10 minutes just to strap her into her torso support, knee immobilizers, and ankle supports (SMOs). Now she only really has to wear the SMOs.

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Monday 
Today Rachel practiced more with letter sounds. They would ask her a word and she would look at the letter it began with. She got H for Hudson right away. Now we have letters at home to practice and also small words like "in" and "out". I don't even know how she knows all this! She watches a lot of PBS and is read to a lot so that must be really sinking in. She is amazing us all the time!

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Congrats Naomi and Ryan! 
This weekend we picked up Hudson from camp and Luke and I went to Naomi and Ryan's wedding. We got a new camera on Wednesday so we have a bunch of pictures already, here's just a few.

Here's Naomi looking gorgeous:


Here's Rachel on the car trip down to get Hudson:


And Hudson and Karina asleep on the way back home after our busy weekend.


We also had fun taking pictures of Gage, Rachel's cousin when we watched him the day before.





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Neuro Appt 
We did labs today. Rachel didn't like getting blood taken but she only fussed a little at the initial poke. When she was more sedated she used to not fuss at all so I'm probably one of the few moms who actually likes to see her child react to getting blood drawn or shots given.
If the results show that Rachel's Dilatin is way off that will change but as of now only her Keppra went up and everything else stayed the same. Her hips and ankles are a little stiffer so we're staying at the same place with her baclofen for now. We see him again in 4 months so it won't be too long until we reevaluate again.
We weighed Rachel and she's gained 3 lbs since we started the increased feedings!

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Rachel and Phonics 
Rachel know the sounds of letters! She continues to surprise us all the time with these things that she's picking up. In speech therapy her therapist would ask her what word starts with the "buh" sound and Rachel would look at Blue. Or I think that's how they did it...
We also might borrow a more supportive stander for awhile. Rachel's neurology appointment is tomorrow so I'll update again soon.

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Good therapy day 
In PT Rachel was able to lift her legs while in the walker. She didn't drag them either. If Bev tapped her leg Rachel would lift it forward. We have a neurology appointment this week and we'll probably ask if we can go down on her bacofen again.
Speech gave us more ideas for helping keep Rachel's mouth happy. Spritzing cool water and giving her small amounts of cold water and asking her to swallow. So that eventually she'll swallow on her own a lot better. I never knew how much work it was to swallow!

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Happy 4th and Crabby 5th 
Rachel had a great 4th of July, she was happy and smiling most of the day. She didn't do as much talking but she was much happier than she had been back when we thought she had an ear infection.
On the 5th though she was just crabby. She didn't want to really do anything... she crabbed at Kari. It was actually pretty funny because Kari would ask if she wanted to push the button to make the bubble blower work and Rachel would make crabby noises at her as if to say she didn't. I don't know if she didn't want to work that day or if she was tired out from all the activity on the fourth. But it was a complete opposite from how she was acting the day before. She wasn't in any kind of pain, just grumpy.

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And another week goes by... 
Wow, time is just flying by this summer! In therapy they are looking at ordering Rachel a new wheelchair. She's doubled her age and more than likely her length since we first ordered her stroller-like wheelchair. Luke's hoping this next one will be more sturdy, because even though the other one was $3,000, pieces were falling off of it all the time.
Rachel and Kaleigh both have colds... then we were thinking that maybe Rachel had an ear infection. The Dr. said if it's still bugging her tomorrow to bring her in.
We were in Duluth for my youngest sister's college graduation party and we got to see family and then Luke and I went out with a couple of friends. Rachel threw up a few times and it was either from the traveling or was because we were feeding her with a 60 cc syringe instead of her feeding pump. We still feed her slowly so we're not sure why the difference but she was fine once we were home again. Rachel has been the same weight for a year so each of her feedings is going up by 30 mL or the equivalent to one extra feeding a day. In one week she already gained two pounds so it will be nice to get a little more weight on her. I have to e-mail the nutritionist after a month of the increased feedings and keep her posted. We've been upped the amount for two weeks with no problems until we were in Duluth, and now she's back to doing just fine.

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Week update 
Now that I'm looking through Rachel's notebook I see I forgot to mention a couple of things that happened this week. Let's see, in speech therapy Rachel can turn the pages of a book, it takes her a while but she doesn't need help. She's also getting better at pushing with her legs when they're helping her play on the therapy ball.
Today we went to church and it was the grand opening of the new wheelchair lift. Well actually we used it last week when we went upstairs for Sunday school. It looks like a glass elevator so I make Luke go in it with Rachel and I carry the bags and the baby up the stairs. Then at home I weeded the flower garden and both the girls sat in their strollers outside. Luke was watering everything and ran cold water over Rachel's hand a few times. She'd smile and lift her arm up out of the way. She liked being outside so I hope we don't have such a hot summer this year so that she can get outside more. She's almost as pale as I am! ;)

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