Jaimz's Story

- 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...
Oct 23rd 1999 - Jaimz in his hospital bed.
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'...

January 2000: poor Jaimz  & his eczema.

February 2000

April 2000

May 2000: Jaimz & his Daatjes

September 2000: almost Halloween

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!

January 2001

March 2001: Jaimz & his Smirnoff

September 2001: Jaimz & monkey, both unaware of each other

Oct. 13th 2001: 2 year

November 2001: hello!

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.

March 2002: 'writing'

June 2002: at the beach

September 2002: wow this one is gigantic!

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.

January 2003: Jaimz loves snow!

June 2003: our new home

Growing chart Jaimz from birth until March 2003
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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