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- a (shorter)
translation of Jaimz's diary - PART ONE
| 1999 |
Jaimz
was born Oct. 13th 1999, 5 weeks premature. So this was of
course (everybody thought) the reason why he was so small
(2,145 kilo - 44,5 cm).
Because my water had broken, he had an infection and his first
few days were difficult. He didn't drink well either. After
3 weeks of hospital he was doing a lot better and we could
finally take him home.
End of december 1999 (he stopped growing as well as he had
been doing) he was covered with a very serious rash, the skin
of his face even was bleeding at times.
The Doctor at the consultation bureau (where you can have
your newborn checked) advised (due to having been seriously
ill myself I wasn't able to breast feed for more than 5 weeks)
a different milk-powder (harder to digest, so he wouldn't
feel so hungry all the time) and a cream for his eczema. We
decide to add South African Rooibos tea to his feedings for
additional vitamin C & better digesting. Jaimz stays hungry
& his skin gets worse... |
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| 2000 |
In
January the Doctor suspects
a cow milk allergy so a new kind of food & additional
'Graphite cream' for his skin... At the end of this month
he seems to be doing a little better and his skin looks
almost perfect.
Early February (2000) his skin
is bad again a new cream seems to work and results in very
soft & rosy cheeks for a few days but after this initial
success his skin gets worse again. Jaimz is still hungry
all the time and we feed him much more than should be necessary
for a baby of his length & weight.
Medio February Jaimz now also
starts coughing a lot and he breaths real heavy. Our family
Doctor is sure this is the result of Jaimz' (supposed) cow
milk allergy and immediately makes a hospital appointment
for us with Jaimz' pediatrician for the next day.
February 17th: the Ped is also
sure that Jaimz' problems are caused by a food allergy and
subscribes antibiotics, different creams for his skin and
yet another kind of milk powder: Nutramigen (hypo allergenic,
cow milk protein divided into such small parts that the
body doesn't recognize it as cow milk).
Jaimz hates this new milk and only starts drinking it after
we add syrup to make it taste a little better (tastes &
smells like cardboard). He keeps vomiting (has been doing
that for days). His Ped advices (Feb. 22nd) to stop giving
the antibiotics & start feeding Jaimz lots of small
quantities. This seems to work and he doesn't vomit anymore.
His skin (after stopping with the antibiotics) looks worse
than ever though.
February 28th The Ped describes
another cream. She's worried because he's lost so much weight,
but he is finally drinking again.
March 3rd: Jaimz is fed 7 times
a day and his skin looks perfect again. Finally our baby
is happy!
March 16th: So is his Ped,
cos he also has gained some weight (4,525 kilo - 56 cm).
She advices us to continue as we are doing. Because Jaimz
needs extra calories, she advices us to add extra syrup
to his milk and also to slowly start introducing him to
fruit & vegetables. One new sort of fruit or vegetable
a time, then continue giving him this same food for 3 days
and when no allergic reaction shows, we can give him a new
kind of fruit/vegetable.
March 29th: Jaimz' physiotherapist
is happy too, Jaimz is doing his exercises very well.
The next few months pass without any problems until early
June, when the Doctor at the consultation bureau isn't too
happy about Jaimz' weight. He's not gaining enough. So we
are advised to add grain products to his milk.
In August Jaimz's a little
heavier (6,030 kilo - 64,5 cm) and he's also learning to
crawl, so the Doctors are convinced we're on the right track.
September: Jaimz is doing very
well (4 teeth & learning how to stand & walk hand
in hand with me) but he has foul smelling, very watery stool
and his diapers overflow 4-5 times a day. The skin of his
face looks perfect, but he still has some dry spots on his
arms, legs & back.
We continue giving him Nutramigen & very fine structured
(to avoid vomiting) other food.
December: at another weighting
appointment at the consultation bureau the Doctor tells
us she thinks Jaimz doesn't gain enough weight (7,1 kilo
- 69 cm) and advises us to add even more calories to his
food (extra glucose: Fantomal). His diapers continue to
'overflow'... |





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| 2001 |
February:
Another Ped appointment. She's very happy about him growing
so well (7,3 kilo - 70 cm) but after I tell her I don't think
it's normal that he has so many dirty (& very full) diapers
a day, she has to agree with me that another examination &
tests would be wise. So she decides on blood & faeces
tests and makes an appointment for us with a dietitian (who
learns more from us than we from her).
March - June: the test results
show nothing abnormal, Jaimz's development is going very well
& he's a happy little guy... but I am still worried about
his many diapers. Jaimz now gets Flexical (which is the same
as Nutramigen but for older kids).
July: His Ped still thinks Jaimz
isn't growing enough (7,9 kilo - 73 cm) and wants to test
him on C.F. She doesn't think this is what he has, but want
to rule it out just to be sure. She introduces us to a new
Ped (Dr. Hoekstra) who's specialized in C.F. & Gastro-Enterology
& Food. Our first appointment with him is July 17th and
after a long talk, he starts with some serious blood testing
(7 tubes!) and sweat-tests.
July 30th: the 4th sweat-test
has failed (Jaimz doesn't produce enough sweat)
August 6th: Dr. Hoekstra decides
on a DNA test to rule out C.F.
August 23th: another appointment
with Dr. Hoekstra, the test results aren't in yet, Jaimz has
grown a little (8,2 kilo - 77 cm).
August 28th: Dr. Hoekstra calls
us to tell that the test results are in, no C.F.!!! He asks
us to visit him a.s.a.p. Would tonight suit us? Worried we
meet him and he tells us he thinks Jaimz may have S.D.S. and
tells us about this Syndrome and all the necessary tests he
wants to do (X-Rays of Jaimz, faeces tests, blood tests, ultrasound
of his pancreas) and that Jaimz will have to take the enzymes
his pancreas doesn't produce and additional vitamins A, D,
E & K.
We're very worried about all of this and I spend a lot of
time online trying to find out as much as possible on S.D.S.
Early September: the additional
vitamins cause no problems, but the Creon enzymes do! Jaimz
doesn't want to swallow them, though we keep trying. The result
is that he doesn't get them as often as he needs to.
September: 72 hours Faeces test,
blood tests & ultrasound of Jaimz' pancreas, medical photos
& X-Rays of Jaimz' ribcage.
October: Jaimz is now 2 years
old and still doesn't talk much. He is a happy little guy
without a care in the world but still produces a lot of stool
diapers.
October 20th: Dr. Hoekstra phones
(on a Saturday! we ARE glad he's our Ped!) and tells us all
the test results are in and that he'd like to meet us a.s.a.p.
October 22nd: Our appointment
with Dr. Hoekstra (Jaimz: 8,6 kilo - 78,5 cm). He tells us
the ultrasound looked okay. An MRI scan would be better, but
Jaimz's too young for this. The X-Ray of his ribcage confirmed
a strange, small shape. The white bloodcell count showed a
low quantity of white bloodcells (but not too low). His faeces
contain too much fat. X-Rays of Jaimz' upper legs are made.
November 21st: Meeting with a
dietitian who tells us (we had to make a food-diary) Jaimz
gets enough calories & vitamins and compliments us. She
agrees with us to continue giving Jaimz Flexical.
November 26th: Another appointment
with Dr. Hoekstra. Jaimz has lost some weight (8,55 kilo).
He wants us to meet with a clinic genetic expert. Because
Jaimz is having troubles with swallowing his Creon, he subscribes
Pancreatine (powdered enzymes).
December 2001: Jaimz takes his
Pancreatine (after some initial problems) solved in water,
so he finally gets all the enzymes he needs! |





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| 2002 |
January
14th: appointment with Dr. Hoekstra.
Jaimz has gained some weight (9,2 kilo). He gives us an empty
bucket for another 72 hours faeces collecting (yuck!).
March 2002: Jaimz still doesn't
talk much (only a few words) but he has learned to read! He
now can read the complete alphabet! Our little Einstein!
April 8th: appointment with Dr.
Hoekstra who's satisfied that Jaimz has grown again (9,4 kilo
- 81 cm) and that his tummy's not feeling so hard as it used
to. Some more blood tests today.
May 6th: blood test results are
in. Everything looks good. Jaimz has to take more vitamin
E because he has grown.
May 27th: appointment with Dr.
Hoekstra who's very satisfied that Jaimz has grown (9,8 kilo
- 83 cm) and impressed when we tell him that he can read!
May-Oct: Jaimz is a very bad
eater which gives us headaches! We slowly see some improvement.
Speech development is still not good.
August 14th: because there isn't
much information available on SDS and all of this information
is in English, I've decided to develop a Dutch SDS website.
Dr. Hoekstra has helped me translate some medical stuff that
SDS USA & SDS Canada let me use. Today this website's
online!
August 15th: blood test results
are in: blood counts are low as usual, but not too low.
Jaimz is down to 2 stool diapers a day!
September 4th: blood test results
on vitamin levels are in. Vitamin E level is a little low,
so we have to give Jaimz more. Dr. Hoekstra has discussed
the low % of neutrophyls in Jaimz' blood with some other specialist
and thinks a biopsy (because of a possible high risk for Leukemia)
would be wise.
October 2nd: Jaimz has his first
biopsy. For the complete story see 'Jaimz's
1st Biopsy'.
October 10th: biopsy results
are in: no abnormalities are found!
October 13th: Jaimz' 3rd birthday.
Because he still doesn't talk very well we give him a 'phonetic
speech computer' and at the end of October this result in
him talking a little more.
November 11th: first time speech
therapy for Jaimz. Dyspraxia is a possibility. |



|
| 2003 |
January:
the speech therapist doesn't think (after some tests and
because Jaimz is talking more & more) that Jaimz has
dyspraxia. Jaimz has learned to pee on his potty!
March 20th: appointment with
Dr. Hoekstra who's very happy to see Jaimz is doing so well
(87 cm - 11,5 kilo & blushing apple cheeks)! He will
look for more information on biopsies - Leukemia - bone
marrow transplants - etc.
March 27th: blood test results
are in: nothing has changed. Jaimz's liver's not performing
for 100% but nothing to worry about. Faeces test shows normal
fat % (with enzyme taking). So Dr. Hoekstra's very satisfied
with everything (as are we!).
April 15th: Dr. Hoekstra &
we agree on a yearly biopsy for Jaimz. Vitamin % in his
blood is a little low, so we have to give him more additional
vitamin A, D, E & K.
May 1st: we're moving to a
new home in a new town.
May 6st: Jaimz goes for the
first time to a pre kindergarten and he loves it!
June & July:
Jaimz' speech is developing so well! Since he's started
going to school we stopped with speech therapy, but at school
he's learning so much more. He's talking our ears off! (Finally!).
After a lot of problems (fear of the unknown - unknown SDS
- for the school board) we finally get Jaimz admitted for
kindergarten & elementary school.
He'll start going there January 2004.
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| Growing chart Jaimz from birth
until March 2003 |
 |
Here
you can see that Jaimz unfortunately doesn't grow too well. |
| The
past 3,5 years: (dated July 16th 2003) |
We've
been through a lot with our little guy. A lot of worries
until we finally found out why Jaimz wasn't (isn't) growing
very well. Of course our worries didn't stop once we found
out Jaimz has SDS, but at least now we know what is 'wrong'
with him so we can deal with a known fact.
We also found out that Jaimz is one of 'the lucky ones'
who doesn't seem to have a lot of SDS features and we hope
this won't change.
Jaimz himself is a very cute, smart, happy
little guy (& much loved) who's finally learned (and
is still learning) to talk well. He seems to start realizing
that he's smaller than other kids his age, so when he'll
start asking questions about this, we'll give him the answers...
There's also a PART
2 of Jaimz's story, for reading PART
2 please click here!
Christel |
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