Hot Brown

from Spoon Fork Bacon

In the spirit of Thanksgiving...here's a recipe I pinned earlier in the month in anticipation for all that leftover turkey goodness;)  

LJ and Nate's grandparents, Nanny and Babu are coming for the holiday.  (other grandparents, Didi and Bop are also coming:)   We're all very excited.  Feeling grateful for having these special moments with my family.  Feeling thankful for all the hours my mom stood in the kitchen lovingly preparing our family's favorite dishes and holiday traditions.  Wish I could go back and hug my mom's younger self now that I have my own wee ones.  And since it's Thanksgiving, I'm grateful for all of you friends who have showered us with support over the years.  Who have sent encouraging words or ideas for new therapies or procedures or that just-right pick me up when I needed it.  Those of you who have followed the blog so that my stories can be shared. I'm thankful that all we're dealing with, health-wise this holiday, is Lew's ear infection (ear tubes fell out. boo!) and a potential urological procedure. I'm also thankful for not having to cook dinner tonight;) We're meeting friends and their family at a local Chinese restaurant for a traditional non-Thanksgiving pre-feast celebration:)

So far, I've made the mashed sweet potatoes using the last from our CSA farm share, a Butternut Squash Cheddar Bread Pudding (also the last from the farm share), a Pear Pie, and lastly a Dark Chocolate and Pumpkin Cheesecake ala Marcel Desaulniers for our Thanksgiving day feast. Seriously, the latter might change your life.  Josh has made the cornbread-sausage stuffing and is on deck for roasting the turkey and making the gravy.  Oh, and Herb and Cheese Popovers.  We're enjoying cooking.  And thinking about cooking.  Come on over those of you who need a place to celebrate!

Flaky-Pear-Pie Recipe from Food and Wine

Dark Chocolate and Pumpkin Cheesecake 

Planning a post-holiday walk-off with my cousins' Nazlee and James, their kiddos, and my Aunt J and Uncle H!  We're having lots of family togetherness over here.  Lots of good food.  Lots of good times. Lots of good conversations.

Thankful for so much this year.  Lots of little things that add up to a big difference.  Just last weekend, LJ's new gait trainer arrived and he spent two hours walking in it. He slept well that night;)  One of the other things I am so happy about is Lewis' increased communication.  Just this week he has started a new gesture/adapted sign. "I don't know".  Ask him if he knows what's for dinner tonight, and he'll sign I don't know.  The sign for "know" touches the side of his forehead with the tips of his fingers and shakes out the flat hand and away from his face and then palms face up toward the sky.  I don't know. Ask him what's for dinner tomorrow and he'll sign "turkey", the letter "g" sign touches underneath his neck for gobble, gobble, you-know-what.

This day, Thanksgiving, brings up so much for me. Especially my fears for LJ's well-being...that he not suffer, that he not face too many challenges, that he be accepted, that he not be alone.  Wishing that I had some control over the road that lay ahead.  And also, having spent so much time in hospitals and doctors' offices, knowing that there are so many kids that have to overcome so much adversity.  Give your loved ones a tight, tight hug.  Be thankful for their health.  For now, I am just trying my own advice to just breathe deeply.  Just stay in this moment right now.

May you all have a wonderful holiday.  May you savor more everyday moments.  May you all find, peace, happiness and acceptance.  May you dance like no one is watching! (Had to throw that last one in there, honoring my little Nate!  He's been coming up with some fabulous dance routines...one of which was only just recently discovered...recorded... on LJ's iPad...the new iPad...the one with a built-in camera...that Nate figured out how to take videos of himself with his song of choice playing on the older, work iPad in the background.  HILARIOUS. )

Hot Brown Sandwich
Makes 4

Ingredients:
mornay sauce:
2 tablespoons butter, unsalted
2 tablespoons all purpose flour
1 cup whole milk
1/2 cup medium cheddar cheese, shredded
1/2 cup sharp cheddar cheese, shredded
1/4 cup fontina cheese, shredded
1 teaspoon garlic powder
1/2 teaspoon dry mustard
salt and pepper to taste

4 slices sourdough bread, lightly toasted
1 lb roasted turkey breast, thinly sliced
6 rashers bacon, cooked and crumbled
black pepper to taste

1. Preheat broiler on high.
2. For mornay sauce: Place butter into a small sauce pan and melt over medium heat. Sprinkle flour over butter and whisk together. Continue to whisk for 2 to 3 minutes, to cook out the raw flour taste. While whisking add the milk until fully incorporated, ensuring no lumps have formed. Using a wooden spoon stir in the cheese until well blended followed be the remaining ingredients. Season with salt and pepper and cook for 1 minute. Remove from heat and set aside until ready to use.
3. Place sourdough slices onto a baking sheet and top each with 4 ounces of turkey.
4. Top each sandwich with a generous ladle of mornay sauce and top with a sprinkle of bacon (you can serve now if you wish). Place the baking sheet in the oven and broil each sandwich for 1-2 minutes. Top with freshly cracked black pepper and serve.

Potty Fairies Don't Exist

At least this time around.  Apologies in advance.  Feel free to skip this post if potty talk doesn't interest you.  When Nate was potty training, we tried to play a game, "aim for the Cheerio". (Yes, we were silly enough to have floating cheerios in our toilet bowl). Then we tried the M&M thing. A candy bribe for each time there was a success.  Neither game must have been enough incentive though.  One M&M for each time he produced? He was over it.  But then the Potty Fairy showed up on the scene. At almost 4.5 years old, he was fully potty trained.  The Potty Fairy was similar to a Tooth Fairy.  Instead of money Nate got a small prize, like a match box car or a board book.  Mostly whatever I could find from the dollar store since it was such a long process;)

Fun letter to Nate from one of the Potty Fairies....

We weren't sure whether LJ would have either the strength to hold himself up long enough or the muscle awareness/control to work on potty training.  (Let alone whether we needed to enlist the Potty Fairy).  Bring it on cerebral palsy!  I have it on good word the Potty Fairy would have gladly delivered treats as success demanded.  However, he did it!!  He is using a plain, regular ole potty seat with handles on it.  When he feels he needs to be taken, he uses his left hand to sign potty.  The sign is the letter "p" shaken from side to side.  We help him get on and off the seat and he waves us out of the bathroom to take care of business.  And the thing that gave him enough desire to use the potty?  This beautifully crafted stamp chart.  1 for Pee.  2 for Poo. (Thank you Anna!)  No glitter glue, no candy, no bells, no whistles.  Just the desire to be like his peers at school and his big brother.

LJ is potty trained for the most part!  We've had a few accidents here and there, but its usually if we haven't planned our outings well enough.  He still wears a pull-up at night, but I am just so proud of him.  He's been coming home dry from school for the past month now.  His teacher and Bop are now working together to engineer something for the bathroom at school to prop him up while at the same time using his only functional hand to pull up his pants independently.  There's a grab bar already, but the problem is LJ only can use one hand.  No small task when his tone frequently causes him to lose his balance and he can't stand on his own.  If anyone knows of something like this that already exists, it would be great to not have to re-invent the wheel.

I'm so ecstatic not to be lugging a million pull-ups along with me every time we go out.  Potty fairies, potty charts, and big-boy pants....we are now a diaper-free household.

{photography with red portrait} capturing the bday boy

There are probably 365 reasons (if not more) I'm grateful for all the love and support Anna shows our family.  Anna is our caregiver & she's affectionately called "Nona" around here.  Well, she and her business partners own Red Portrait, a photography studio in Alexandria.  Ever talented, so passionate and the most beautiful person inside and out.  Well, she gifted us a gift beyond measure by coming to work on LJ's actual birthday and taking him out to do a surprise birthday photo shoot!!!  Here are some of the moments she captured.  Just brilliant.  I am captivated.  Words cannot begin to thank you enough Anna!  You have been such a blessing to us and you have impacted LJ beyond measure.

Balance and Other Matters

Wow, I have to apologize for the long time since I've posted a blog entry.  Why wait to live life right?  We're living it now.  Let me reintroduce ourselves and give the LJ fan club a teeny, tiny update on the progress and challenges we've faced this past month. While I feel like I might be juggling most times, I have come to realize I am really, really juggling all of the time. Life is all about the art of a balancing act...

With the start of school for both boys..... new routines have taken shape (I can thankfully say this finally).  For me, I've also squeezed in some additional yoga teaching which I am still absolutely loving.  I have so much deep gratitude for all that this opportunity has afforded me- more awareness, appreciation, stillness, presence and reflection.  There is almost no end to the positive things. 

Still, some things remain frustrating.  We're still fighting with our insurance companies over one thing or another- from picking an occupational therapist that is not 15 miles from our home and also that is handicapped accessible...to payment for the power wheelchair which we finally got at the end of the last school year.  One thing after another.  { So side bar here, if you live in the metro area and take your child to Children's National Medical Center for therapy, one word of warning.  They can discharge your kiddo from therapy even if their goals have not been met; on account of their long, long wait list!  It's crazy to me.  Anywhoo, that's the reason for trying to find an acceptable alternative to the pediatric OT situation }  Doctor's appointments to therapy sessions to my own doctor's appointments followed by a rather large speeding ticket ($200=lead foot) in order to get there to said appointment on time in DC rush hour.  Ouch, that hurts!

The motorized chair is coming along.  Conflict enters the equation again though.  Are we doing the wrong thing when we promote LJ's use of the power chair?  We feel torn that we are not working harder on his gait trainer and walking abilities.  We sometimes feel that the incentives are not inline.  Nonetheless, LJ is enjoying the chair very much!  In typical toddler fashion he doesn't listen when we tell him to stop, danger might be looming.  He is a dare devil, often heading straight for the steps despite a ramp being several feet away.  His left hand is the dominant hand so the joystick to steer the chair is on the left side.  LJ also primarily signs to us with his left hand, so that makes for lots of stopping and starting.  We also got a new articulating arm extender gizmo that connects the iPad to the chair.  Suffice it to say there is a lot going on with the wheelchair and it takes a very long time just to get from the school exit to the car, with all the signing, and attempts to self-regulate the chair speed (LJ has learned how to use his pointer finger to switch the chair speed from low to high).  I will post a video soon but this teeny, tiny post is not so teeny, tiny.

Right arm/hand mobility:  We are still trying to resolve his right arm tension and since the DMO (dynamic movement orthotic) glove was not successful we've recently gotten a splint for his right elbow to stay extended.  We chose cast material over splint material since little Lew is a bit of Houdini and gets out of every splint that's ever been made for him.  He was given a color choice so he picked blue and promptly came home and had good friends Anna, Nate and Hannah sign his cast.  Still doesn't seem to do the trick at least from a therapeutic sense. Too much fisting is still going on with it ...he's supposed to wear it at night but its a full-on cast...don't see that happening in our future. 

Mobility/gait:  Rt foot is turning out onto the outside edge when he walks with assistance... we recently had his foot orthotics adjusted and he walks better if he wears them.  His hamstrings are very tight too.  Who knows, perhaps LJ had a growth spurt setting off the change in his weight bearing, but we're keeping a close eye on him.  We've submitted a letter of medical necessity to our insurance company appealing for a new walker.  Hopefully we should get it approved.  If so we'll be ordering LJ's new gait trainer, a "Mustang".  Why are all gait trainers named after animals?

Good fun:  We had a one night sleepover with Nanny and Babu so Josh and I could go to a wedding overnight in NYC.  I felt kind of guilty when I was away, thinking about how I shouldn't have left the kids on such a busy weekend...but it was so nice to relax with Josh on the train, take walks window shopping in the city and eating good eats.  Thank you so much to the extraordinary Anna and Caroline for alternating shifts during our absence to hold down the fort.  And as always to Didi and Bop for all their helpful assistance with pick ups and drop offs.  Here is one of the activities Nanny did with Play Food.  LJ and Anna's project are the eggplant penguins...Nate's is the the monster truck made from green peppers.

Communication program PQ2Go:  Oh! Somehow, very inexplicably, it was deleted on our weekend away.  No idea what happened to our back up copy...but long story short, LJ was frustrated about getting a thought across and I could not figure it out.  I tried to resort to PQ2Go only not so fast.  It was completely gone.  After much frustration trying to find it, contemplating perhaps rebuilding it, or maybe see if we could copy the school's PQ2Go version back onto ours.  Two days later, the lovely Bridgid from school was able to sync up the school's version of LJ's customized communication. AWESOME. 

And a major milestone- Lewis turned 4 today! We had a bowling party for his class friends and friends from outside of school.  Uncle Jon and MJ (Josh's uncle and aunt) were visiting from Massachusetts so they got to participate which was good fun.  I'm not sure who had a bigger blast.  The adults or the kids.  I got a strike but it was only on account of the bumper guards!

Nate's newfound love is fishing... Here's evidence in his latest art project (not for school.. but just hunkered down at his desk).

He's had lots of soccer games and birthday parties this month.  Yesterday I chaperoned his class field trip to the fire station.  It was awesome to see such inquisitive, polite kids.  One boy asked what the firemen used the ax for and the man replied, "if the fire's getting really hot, we chop a hole in the side of the house to let the heat escape." The boy responded with another question, "and then who puts the house back together?"  Hah, that's someone else's job.  All the adults had a good chuckle.  Oddly enough (or maybe not), Nate was most impressed by the ambulance.  He told us he liked the stretcher part that hooked onto the back of the ambulance and had a hydraulic lift to move it up and down.

Annie is adjusting well to living amidst the chaos.  Nate just adores her and I love watching the two play.  He gives her giant hugs when he gets home from school and Nate has also enjoyed playing tug of war with Annie and her rope toy.  Most often Nate follows Annie around the house trying to get her to obey his commands.  Or he winds up laughing so hard he falls over when Annie gets hyper after her walks and tears from one end of the house to another.  And that's the current news by us.  Hope you are all doing well. I'm going to sign off as the utility company is doing some work on the transformer box & I've just been informed that I will lose power for the next three hours.

Waiting for the Bus

Nate's first day of First Grade (he has a locker! when did he get so big?) and LJ's first day of preschool (that's his new power chair...which he showed the teachers how to put in drive!). No tears were shed.  It was a good first day for both of them!

We've Acquired a New (Furry) Family Member

All boys need a buddy and our house had been far too quiet these past few months.  This is Annie, Nate's new pup.  She's a one year old, Whippet, Terrior, Hound, Mix (a dog of diverse heritage, Josh says, not a mut). I'm falling in love with her as we all are.  She is a wiggle worm, goof ball and also a love bug. She comes to us via Texas where she was taken in by a friend's mom.  Our friend and her husband as fate would have it, own a new, local company called Dog Gone Tired and have been raising Annie in her adolescence for the past several months. For any Arlingtonians, they do dog obedience, dog walking and even dog grooming! If you have a dog, call them!

We're so excited for all the fun times to come.  In other good news, we're still working on getting LJ's service dog.  But that is in the works and will take about another year.  More pupdates to come!  Until then, I will try to articulate the bond and love that Nate seems to have instantly cultivated with Annie.  On their neighborhood walk tonight, Nate had the leash wrapped around his waist and Annie was right up next to his side.  They were several yards ahead of us and clearly were old, good friends.

Inspiring Me Today

Words don't come easily.  Lewis continues to work so hard in speech therapy.  A few weeks ago, he reduced me to tears when he approximated the words and I had wished and held out hope to hear someday. And it happened.  Out of the blue.  We were just hanging out at home playing with his toys.

"aaayyy. PAUSE. uuuhhh. PAUSE. ooooo"

I love you.

Sweet, sweet music to my ears. Three words and they brought tears to my eyes.  Still does each time he tries to perfect the sounds and vocalizations of "I love you." And he's been practicing every day.  My heart is so happy.

He's working hard at other words too, like "hi", "eat", "on", "up", "belly", "ear", "eye" and "arm".  But clearly the I love you's are the ones that make us feel so wonderful.

On Happiness at HHI

Travel to the Sea

We're off to the sea.  It is beyond satisfying to be returning back to our week-long, annual family beach trip!  It's familiarity year after year and my appreciation of getting to know my aunt and uncle plus cousins' family history and stories.  They are becoming our stories now too. My mom and dad will be there too!  We all can't wait to reconnect with the cousins and enjoy each other's company.  Onward we go to Hilton Head Island- sunsets, walks on the beach, early morning yoga, the smell of the ocean and big family meals together. Before long we will be ensconced in our refuge, relaxation and frolic.

I'll catch you all on the flip side.  Until then, happy days to you!!

Cranio what what?

Pizza Chef Lewie, who prefers a little hat with twirlie thing on his dome instead of a chef's hat; 
LJ is also now able to independently sit without falling over for extended periods. See above photo;)

Cranio what?  Are you scratching your head?  We've started Lewis on craniosacral therapy (CST) this summer.  As if we didn't have enough therapies we're involved with, I thought it might help relieve some of LJ's muscle tightness so we've scheduled Saturday appointments for the summer.  First off, I really like the therapist's quote on her business card so much I though I had to share it.

Regardless of age, innate wisdom exists.

I don't think this needs more introduction.  It definitely gets me thinking and hope it does the same for you.

As for the deets on craniosacral therapy:  Craniosacral therapy is a holistic integrative approach to an individual's symptoms getting better, be it from a chronic illness/disease, pain or something as minor as ear infections and colic.  CST is used to effectively manage sensory processing disorders and communication difficulties through the use of whispering fingertips.  The therapist feels for abnormalities in the craniosacral pulse (completely different from a heartbeat or breathing rate) that belongs to the fluid and membranes surrounding the brain and spinal cord.  CST also works on the hydraulic-like fluid of the nervous system.  The premise is that it helps realign things and calm the nervous system.  Our therapist, Ms. N, uses a feather-light touch and then cradles LJ's head, face or chest as I play with him (aka distract him) or he lays back in her lap.

Last week Ms. N worked on the lymphatic system to try to ease some of LJ's chronic chest congestion...one side effect he had was a runny nose for the next few hours afterward.  One can only assume this was due to everything draining more effectively.  His hearing was also quite sensitive.  He insisted in signing to me that I needed to use the otoscope to look in his ears.  He emphatically pointed and tugged on his ears...but I didn't see any redness, nor were his tubes missing.  Then Nate was curious so everyone had a turn looking in each others' ears. Not sure if there's some other explanation but I'm sticking with sensitivities since the ears are no longer bothering him.  NIH describes the lymph system as a major component of the body's immune system.  Nonetheless, we're quite hopeful for the effects CST will have for LJ.

Some other benefits of CST are improved blood flow, promotes relaxation and reduces muscle tension and pain.  I'm not surprised the American Academy of Pediatrics has no official policy on craniosacral therapy but they confirm it is non-invasive.  Since we've been willing to try alternative therapies such as hyperbaric oxygen treatments (which btw we were happy with), a holistic wellness route seems like a no-brainer...excuse the pun if you will!  Still, if it can't hurt what's to lose except the weekly out-of-pocket session fee (it's so not covered by our insurance policy!)?

He's been so relaxed that he asks for a nap three quarters through each session.  Then he comes home and takes an even longer nap. The therapy also completely relaxes his digestive system too!  Sorry for tmi.  Everything is more relaxed.  Perhaps he feels blissed out?  Fun stuff either way.  I've been researching this therapy since November and can't believe it took me this long to get therapy underway.  I think it is fair to say we are following every lead we can.

Lobster, Friends and Fireworks

We hope you had a happy fourth of July!  It sure doesn't get much better than hanging out with great friends, dining on lobsters and berry cobbler and watching the fireworks go off all around the city.  Lew has signed to me that he would like our friends to come back for another sleep over!  Fortunately for us (I love me some lobster!) he wasn't that interested in the lobster, so he enjoyed fish sticks instead.  Life lately according to pictures...

Summer is Officially in Full Swing

Kids start camp tomorrow. CSA Farm share is on it!  The pool is open.  Nate had his last day of Kindergarten and his first lemonade stand (He earned $8 of which 10% will go to a charity of his choice).  Family vacay is next month.  Here are some snapshots for ya.  Summertime and the livin' is easy.  Well at least its more fun.

Nate's Last Day of Kindergarten

Radishes for the Feta, Cucumber, Radish Salad

 

 

LJ's impromptu visit to the splash park

Get Your Lemonade! It's 100 degrees!

iPad Extended Warranty

The below picture is proof for why you must buy the extended warranty. Unfortunately, LJ's iPad which he uses for proloquo2go, bit the dust. As it was the first generation iPad, no warranty existed at the time. Still, I think it would have cost a good sum to try repairing it. It was accidentally crushed when folding up LJ's wheelchair to put in the back of the car. You couldn't even turn it on to get to the settings screen. The Otterbox Defender case is 100% intact. As you can see, just the glass and the screen shattered to bits.

I'm off to reconfigure and reprogram the most important parts of P2GO that we lost.  The last back up was done in May.  It's a must before summer camp begins and new folks need to be able to use it for communication with LJ.

Father's Day

Happy Father's Day to all you rockstar dads out there. And to mine, the most awesome, bestest, coolest, funniest, smartest, nicest Dad around. Here's a nice photo of my Dad with the family in the spirit of oneness. You rock! PS Regarding that photo above. Yeah, that's circa 1974 and my dad is sporting some nice duds! My big bro too for that matter;) Just a snapshot of what an amazing Dad looked like back then.