Shoes --- Had to Share!

****I wouldn't trade my shoes for anything!  ~Ginny


I am wearing a pair of shoes. They aren't pretty shoes… uncomfortable shoes. Each day I wear them. Each day I wish they'd feel more comfortable. Some days my shoes hurt so badly that I do not think I can take another step. Yet, I continue to wear them and continue my journey....I get funny looks wearing these shoes. I can tell in others eyes that they are glad these are my shoes and not theirs. They never talk about my shoes.... To learn how painful my shoes are might make them uncomfortable. To truly understand these shoes one must walk in them. But, once you put them on, you can never take them off.

...I now realize that I am not the only one who wears these shoes. There are many pairs in this world. Some women ache daily as they try and walk in them. Some have learned how to walk in them so they don't hurt quite as much. Some have worn the shoes so long that days will go by before they think about how much they hurt. No Mom deserves to wear these shoes. Yet, because of these shoes I am a stronger woman. These shoes have given me the strength to face anything. They have made me who I am. I am a Mom who has a child(ren) with special needs. I will forever walk in these shoes. ~ Unknown

Giving This Another Try!

     Wow!  I can't believe how long it has been since I have written a post.  I agreed to do some long term subbing 2 and 1/2 years ago, and it seems I am just now getting a break.  It's really pretty conflicting... after all the time I have spent full time in a classroom over the past 2 and 1/2 years I have come to realize how much I truly miss teaching.   However, I have also come to realize just how much I can not go back to teaching full time.  Teaching is truly a calling for me (at least the actual teaching part, not the politics part), and it gives me back a part of my identity that I feel I have lost since I have become a mother.  However, when I am teaching I feel and know that I am not giving my own children (and husband) everything they deserve.  Yes, my eos child gets the food he needs, my learning disabled child gets the help on her homework she needs, and my husband gets his needs met as well, but none of them get the total attention they deserve.  My typical working day schedule goes something like this:
5:30 am -  wake up and get ready for work
5:50 am - wake up Andrew for school
6:20 am - Andrew and I leave for school
7:15 am - 1st bell rings
7:45 am - late bell rings
2:45 pm - home bell rings
5:00 pm - go home
5:00 - 6:00 - help Maddie with homework
6:00 - prepare our meal and Andrew's meal
6:30 (depending on the day take children to various activities--horseback riding, volleyball, basketball, Science Olympiad, etc)
7:30 - leave to pick child up
7:50 - continue helping Maddie with homework
8:00 - put Andrew to bed, then continue to help Madison
10:00 - put Madison to bed
10:00pm - 12:00am - do my school work
So by the end of the day I am exhausted, not to mention the weekends in which I spend working.  Although the extra money is nice and really helps when it comes to paying for Andrew's neocate splash (doesn't insurance stink!), my family is always happy when I stop working and am back at home. 
    So, anyway, now that I am done for a while, I would like to get this blog back up and running.  My learning disabled child is now in 7th grade and is navigating her way through middle school (quite well actually) and my eos child now has 6 safe foods and is trialing venison.  Some things change and some things not so much!
    Stay tuned for my next posts that I am researching:  Esophageal String Test in lieu of Endoscopy/Biopsy for diagnosing and monitoring EoE and Learning Disabled Students and Preparing for End of Grade Testing.  Boy....it feels good to be back!

May 13 – May 19 is National Eosinophil Awareness Week. What is that you may ask? My son suffers from the most common Eosinophilic Gastrointestinal Disorder (EGID), Eosinophilic Esophagitis (EE). I will try to paint you a picture…

Think about food…how many times you eat each day, how much you enjoy the smell as it is being prepared, the anticipation of a favorite meal or going out to a restaurant, the flavor of your favorite food when it touches your tongue, your morning cup of coffee, the sense of togetherness you enjoy when you share a meal with family or close friends, the excitement you or child gets when they see and then bite into their birthday cake, holiday meals with loved ones, taking a spontaneous trip to the ice cream parlor with someone special on a hot summer day…and the list goes on. There are so many ways we enjoy food as an individual and as a sense of community. Now, imagine being told that you can no longer eat food. You have to receive all of your nutrients from an amino acid formula that contains no whole or partial proteins. A formula, I might add, that is so unpalatable that most children that have to be on it have to take it through a feeding tube. Imagine you have to do this because the food that is supposed to sustain you and keep you healthy, makes you extremely sick.

This is how my son and many other children with Eosinophilic Disorders live their lives each day. My son suffers from Eosinophilic Esophagitis (EoE). EoE is characterized by inflammation of the esophagus with an abnormal number of eosinophils. An eosinophil is a type of white blood cell associated with allergies, parasites and cancers. In my son’s case the elevated levels are caused by food and possibly environmental allergies. Symptoms vary by case, but my son started off with reflux that did not get better with medication and chronic stomach pain. As time went on he had chest pain, throat pain, regurgitation 20-40 times a day, and vomiting after eating. He also has had chronic sinus infections since he was an infant and continues to suffer from croup during winter months.

EGIDs are considered rare diseases, but are on the rise. According to an article, “Looking Back on 2009” by Wendy Book, MD in EOSolutions Winter 2009, [the apfed (American Partnership for Eosinophilic Disorders) newsletter], a recent study estimates 158,700 people suffer from EoE and 85,000 people suffer from eosinophilic gastroenteritis and colitis (EG-EC). Also stated in EOSolutions, EoE has now been recognized as one of the most common causes of food impaction and difficulty swallowing in adults. Even so, these diseases often go misdiagnosed or mistreated for years due to lack of in depth knowledge of the disease by many doctors and specialists. There is no cure for these diseases, and they require ongoing treatment, management and procedures. The only way to test for and monitor them is by performing endoscopies with biopsies. Many patients are forced to travel hundreds of miles to a facility that specializes in eosinophilic disorders to ensure proper treatment. Therapies include food elimination diets, elemental formula diets and/or medications such as steroids and/or PPI’s. Many families, after getting proper care realize that they can’t treat their child with the one thing that will make him/her well (elemental formula), because most insurance companies don’t cover it, and the monthly cost can be close to many people’s mortgage payments.

At present, even with the rapid increase in prevalence of EGIDs, there is little public funding for Eosinophilic Disorders. It is of utmost importance that doctors and scientists are afforded the funding they need for important research that can lead to better lives for the many people and families affected by this disease. I know my son would enjoy being able to blow out candles on a real birthday cake one day, not one made of boxes, but this will only be possible through research that will help find a cure.

If you would like to learn more or make a donation in Andrew’s name, go to

http//:www.apfed.org/

If you would like to participate in National Eos Awareness Week here are some things you can do (However, if you feel that you can not do any of the following suggestions, just by making one more person aware of Eosinophilic Diseases you are helping our cause):

Wednesday, May 16: Send out mass emails to your friends and/or post on Facebook linking the above sites. Feel free to share any information from above.
Thurday, May 17: Wear hot pink and purple (the color of eosinohils on biopsy slides) and hand out dum dum suckers to your friends and coworkers. Many kids with Eos Disorders can not eat anything with food proteins. However, dum dums are safe because they only contain sugar and artificial ingredients. For many kids, this is their only safe food other than elemental formula.

Friday, May 18:“Eat like Andrew for a Day Challenge”. Andrew began trialing food in October of 2010. He has tried a total of 16 foods. We know he has failed 11 and is now eating 5. He is not currently in remission. We have taken out the last food he was trialing. He will scoped on again on June 14 and we hope he will once again be in remission. The elemental formula is still his main source of nutrition. However, if you would like to try to eat like my Andrew for a day, his foods are sweet potato, lite canned peaches, pinto beans (the ingredients can only be pinto beans, salt and water—I have to make the dried beans), lamb and grapefruit. He can have salt and sugar, but no other seasonings or flavor. You may only drink water, nothing else. Be sure you read every word of every label, and there is no way you can eat out in any restaurant due to cross contamination. The slightest trace could make Andrew very ill, so don’t take any chances. Then, take a few moments to let Andrew know, either on here or a comment on my blog (eeldkids.blogspot.com), how the “Eat Like Andrew for a Day” Challenge went for you.

Saturday, May 19: Please send letters to your congressmen reminding them that this is National Eos Awareness Week.

Thank you for your time.

Ginny and Greg Barton

Special Needs: 3 Emotions it's Okay for Moms to Feel | iMOM

First of all, I need to once again apologize for my lack of posts on this site.  For a year and a half I had agreed to a full time substitue teaching position.  Between that and parenting my two children with special needs, I literally had very little time for anything else, but to remember to breathe.  Because of this, I find the article that I am posting about even more relevent.

Below is an article, Special Needs: 3 Emotions it's Okay for Moms to Feel iMOM, from the blog iMOM that I feel is a must read for all parents with children of special needs.  We, as parents of these children, often expect more from ourselves than those of children without special needs.  As the article states, there is an added layer of complexity to being a parent of our children.  Please read the article to find out more about the 3 emotions we are ALLOWED, and have every right, to feel:  tired, discouraged and sad, but more importantly, some tips to help us through those emotions.

Special Needs: 3 Emotions it's Okay for Moms to Feel iMOM

National Eosinophil Awareness Week - Day 3

Today Andrew and I wore our Eos T-shirts to school.  We also passed out dum dum lollipops to help spread awareness for these disorders.  I was pleased when several teachers asked me what my shirt said and I had the opportunity to educate them, if even just a little, on EGIDs.  The student's in Andrew's classroom (and mine as well) were full of questions.  I continue to be proud of how well Andrew handles his disease and now of the advocate he is becoming.  It is so very important for the people that are suffering from this disease that awareness is spread.  Please take time to write to your congress person tomorrow to remind them that this is National Eosinophilic Awareness Week.

Thank you to everyone that continues to support us!

This is a video put together by another Eos family.

Just......Imagine a Cure!!

National Eosinophil Awareness Week - Day 2

Today is the second day of National Eosinophil Awareness Week.  My goal was to post something each day no matter how busy I was.  I have already missed my goal, but I am going to work hard to obtain it for the rest of the week.

I feel it fitting to start this post with an update on Andrew's status.  Andrew began food after 9 months of an elemental diet last fall.  He has failed 4 trials by symptoms and had "passed" peaches and sweet potatoes with 12 eos per high power field in January.  On May 5 he had another endoscopy with biopsies after trialing pinto beans and grapefruit.  To our delight, the results were the best he has ever had...0-1 eos per high power field in all three sections of the esophagus.  For a child who at one time has had so many eos that the pathologist could not count them on the biospsy slide, this is truly amazing. Actual remission, even if he is on 60mg of prevacid and flovent each day.  What a way for us to prepare for National Eos Week!  And Andrew was able to celebrate by adding Lamb to his diet.  I wish I could have captured the pure joy on his face while eating that lamb chop so that when he is in the hospital or in pain I could take it out, look at it and remember there will be more days like this. 

Please help spread awareness for this frustrating disease so that the children and adults suffering can someday enjoy lives normally once again.  People who suffer from eosinophilic disorders can not tolerate food proteins.  Many of them that are on elemental diets can only eat dum dum lollipops.  Although they are not yet safe for Andrew, he will still be passing them out to spread awareness tomorrow.  Won't you join him?

Just a Glimpse

Video by APFED

Join Us For Eosinophil Awareness Week

May 13 – May 19 is National Eosinophil Awareness Week. What is that you may ask? My son suffers from the most common Eosinophilic Gastrointestinal Disorder (EGID), Eosinophilic Esophagitis (EE). I will try to paint you a picture…

Think about food…how many times you eat each day, how much you enjoy the smell as it is being prepared, the anticipation of a favorite meal or going out to a restaurant, the flavor of your favorite food when it touches your tongue, your morning cup of coffee, the sense of togetherness you enjoy when you share a meal with family or close friends, the excitement you or child gets when they see and then bite into their birthday cake, holiday meals with loved ones, taking a spontaneous trip to the ice cream parlor with someone special on a hot summer day…and the list goes on. There are so many ways we enjoy food as an individual and as a sense of community. Now, imagine being told that you can no longer eat food. You have to receive all of your nutrients from an amino acid formula that contains no whole or partial proteins. A formula, I might add, that is so unpalatable that most children that have to be on it have to take it through a feeding tube. Imagine you have to do this because the food that is supposed to sustain you and keep you healthy, makes you extremely sick.

This is how my son and many other children with Eosinophilic Disorders live their lives each day. My son suffers from Eosinophilic Esophagitis (EoE). EoE is characterized by inflammation of the esophagus with an abnormal number of eosinophils. An eosinophil is a type of white blood cell associated with allergies, parasites and cancers. In my son’s case the elevated levels are caused by food and possibly environmental allergies. Symptoms vary by case, but my son started off with reflux that did not get better with medication and chronic stomach pain. As time went on he had chest pain, throat pain, regurgitation 20-40 times a day, and vomiting after eating. He also has had chronic sinus infections since he was an infant and continues to suffer from croup during winter months.

EGIDs are considered rare diseases, but are on the rise. According to an article, “Looking Back on 2009” by Wendy Book, MD in EOSolutions Winter 2009, [the apfed (American Partnership for Eosinophilic Disorders) newsletter], a recent study estimates 158,700 people suffer from EoE and 85,000 people suffer from eosinophilic gastroenteritis and colitis (EG-EC). Also stated in EOSolutions, EoE has now been recognized as one of the most common causes of food impaction and difficulty swallowing in adults. Even so, these diseases often go misdiagnosed or mistreated for years due to lack of in depth knowledge of the disease by many doctors and specialists. There is no cure for these diseases, and they require ongoing treatment, management and procedures. The only way to test for and monitor them is by performing endoscopies with biopsies. Many patients are forced to travel hundreds of miles to a facility that specializes in eosinophilic disorders to ensure proper treatment. Therapies include food elimination diets, elemental formula diets and/or medications such as steroids and/or PPI’s. Many families, after getting proper care realize that they can’t treat their child with the one thing that will make him/her well (elemental formula), because most insurance companies don’t cover it, and the monthly cost can be close to many people’s mortgage payments.
At present, even with the rapid increase in prevalence of EGIDs, there is little public funding for Eosinophilic Disorders. It is of utmost importance that doctors and scientists are afforded the funding they need for important research that can lead to better lives for the many people and families affected by this disease. I know my son would enjoy being able to blow out candles on a real birthday cake one day, not one made of boxes, but this will only be possible through research that will help find a cure.
If you would like to learn more or make a donation in Andrew’s name, go to

http//:www.apfed.org/

If you would like to participate in National Eos Awareness Week here are some things you can do (However, if you feel that you can not do any of the following suggestions, just by making one more person aware of Eosinophilic Diseases you are helping our cause):

Wednesday, May 16: Send out mass emails to your friends and/or post on Facebook linking the above sites. Feel free to share any information from above.

Thurday, May 17: Wear hot pink and purple (the color of eosinohils on biopsy slides) and hand out dum dum suckers to your friends and coworkers. Many kids with Eos Disorders can not eat anything with food proteins. However, dum dums are safe because they only contain sugar and artificial ingredients. For many kids, this is their only safe food other than elemental formula.

Friday, May 18:“Eat like Andrew for a Day Challenge”. Andrew began trialing food in October of 2010. He has tried a total of 16 foods. We know he has failed 11 and is now eating 5. He is not currently in remission.  We have taken out the last food he was trialing.  He will scoped on again on June 14 and we hope he will once again be in remission. The elemental formula is still his main source of nutrition. However, if you would like to try to eat like my Andrew for a day, his foods are sweet potato, lite canned peaches, pinto beans (the ingredients can only be pinto beans, salt and water—I have to make the dried beans), lamb and grapefruit. He can have salt and sugar, but no other seasonings or flavor. You may only drink water, nothing else. Be sure you read every word of every label, and there is no way you can eat out in any restaurant due to cross contamination. The slightest trace could make Andrew very ill, so don’t take any chances.  Then, take a few moments to let Andrew know, either on here or a comment on my blog (eeldkids.blogspot.com), how the “Eat Like Andrew for a Day” Challenge went for you.

Saturday, May 19: Please send letters to your congressmen reminding them that this is National Eos Awareness Week.
Thank you for your time.

Ginny and Greg Barton

It's Been Too Long

I just want to say that I have not forgotten about my blog.  The substitute position that was to last 2 weeks in October ended up a full time job for the rest of the year.  Between a child with a learning disability, a child with EoE and working full time (which also means working every waking hour after my children go to bed) I literally have had no time for anything else. 

I miss writing my posts and hope to get one done over Spring Break, but if not, Summer Vacation begins at the beginning of June.  I have a lot of catching up to do!  Thanks for your patience! 

Inhaled Corticosteroids Linked to Diabetes Risks - What About Our EE Kids?

There are few treatment options for our EE children.  They can either be treated through diet, inhaled or swallowed corticosteroids, or both.  In some cases, these inhaled steroids are the only thing that keeps our children in remission.  They have tried food elimination or elemental diets, but have failed until the inhaled steroids that our children swallow were added to the mix.  Although it doesn't cure them, it may allow them to start trialing foods, or eating foods they were unable to before.  Even though we know there may be side effects, they were not supposed to be as harmful as systemic steroids.  The lesser of two evils, and we want our children to feel better and heal.

So when I stumbled across the article Inhalers Linked to Higher Odds of Diabetes in Asthma, COPD Patients I was less than enthused.  It has long been known that oral systemic corticosteroids such as prednisone can cause diabetes, but this is the first time there has been a link to inhaled steroids, said Samy Suissa, director of the Centre for Clinical Epidemiology at the Lady Davis Institute for Medical Research of the Jewish General Hospital. 


In a study of nearly 400,000 people in Quebec, the researchers found that inhaler use was associated with a 34% increase of new diabetes diagnosis and diabetes progression.  The study observed that 30,000 of their patients developed diabetes over 5 and 1/2 years of treatment, and patients that already had diabetes experienced a worsening of their disease. Samy Suissa reports their findings in the most recent issue of the American Journal of Preventive Medicine.  Based on their results, researchers from McGill University and the Lady Davis Research Institute at Jewish General Hospital in Montreal suggest patients should only be treated when there is a clear benefit.  What other choice do our children have?  Does the risk outweigh the benefit?  It seems that we are running the risk of adding just another diagnosis to our already multiple diagnosed children.  But again, I ask, what are the options?

At least in the report Dr. Weiss, who is also a clinical assistant professor at the NYU School of Medicine in New York City suggests that the concern should also be directed at the person's lifestyle, eating habits and other underlying causes of diabetes.  He concedes,  "Yes, we do know that steroids increase insulin resistance and that people treated with steroids require more aggressive diabetes management.  But if we don't generally take an approach that deals with the poor quality of food that people are routinely consuming, the incidence of both these diseases will continue to go up at a dramatic rate."

Does that make me feel better?  Not so sure.  My wish, as I'm sure is yours, is for one of these doctors/scientists to come up with a cure for our children so they don't have to take all this medication everyday, and they would enjoy a life WITH food and WITHOUT pain.

Biopsy after Food Introduction

After being an elemental (EO28Splash) only diet for 10 months, Andrew began eating food in late October.  As I had mentioned in a previous post, he started with bison, but soon had symptoms, so we eliminated it and began sweet potatoes.  He has since been introduced to peaches and broccoli as well.  We had to eliminate the broccoli after a week due symptoms.  The sweet potatoes and peaches have remained a constant, seemingly causing no symptoms.

He had his first biopsy after the food introduction on January 30.  The results, although not positive for EE (>15), were 11 eos per hpf.  This is elevated from his pre food introduction biopsy of less than 5 eos per hpf.  The scope was done only 2 weeks after stopping broccoli, so our doctor said that CHOP reccommends to stop the last food that caused symptoms, but not take out the other foods.  So at this time Andrew will continue with the sweet potato and peaches.  He was also allowed to begin another new food yesterday from the "A List" given to us from our doctor.  He chose one of his old favorites, grapefruit.  It was so wonderful watching his pure joy eating it for "dessert" last night.

That is our plan for the immediate future for Andrew.  However, as all of you with children with EE know, nothing with EE is ever uncomplicated.  As I had mentioned before, he began symptoms with the broccoli a week after beginning it.  One of the symptoms was a constant stomach ache.  This stomach ache has continued even though he has been off broccoli for about a month.  He has battled problems with constipation in the past and is on Mirolax daily, but when they took an abdominal X-ray at the hospital it was clear.  The GI feels that it may be functional stomach pain, but I'm just not convinced.  There is never a dull moment with these kids.   If anyone has any ideas I would love to hear them.

Well, here's to hoping grapefruit will be a successfull food!

A New Year

Wow, once again it has been quite a while since my last post.  In early October I was asked to sub for two weeks for a teacher that was 14 weeks pregnant.  She was put on modified bed rest for the duration of her pregnancy and was unable to return to school.  I agreed to continue teaching the class for the remainder of the school year.  Although I have been crazy busy and extremely tired, it has also been very rewarding.  It has reminded me of the reasons I entered into teaching all those years ago.  And, as an added bonus, I get to teach my son content and writing each day (in our school, third graders switch classes)...and he likes it, too!

So, between teaching and taking care of my two children with special needs of their own, my blog has taken a back seat.  This saddens me because topics constantly creep into my mind that I know will be perfect for this blog.  I am hoping that now that the holidays are over and I am becoming acclimated once again with teaching, things will calm down and I will have some time to devote to some posts once again. 

As for today, a bonus day here in the Carolinas, due to the day off because of the snow, I plan to use some of this time to start some posts...and maybe even finish one.

Happy Snow Day....And Happy New Year!

Food Trials

This has proven to be a complicated process, just as I know it is for most families with EE.  Andrew failed his trial with bison based on symptoms.  He was having stomach pain, chest pain and increased regurgitation.  The GI took him off the bison and had him back on elemental only for about a week before he was able to trial his next food.  He noticed a difference in the way he felt almost immediately.  We knew we were taking a chance with bison.  On the food introduction list that we are following, most meats are in the "C" list category, where as "A" and "B" list foods are less allergenic.  However, months ago, Andrew had been told he could eat a meat first, so the doctors wanted to grant him his wish, and he started with one of the least allergenic meats.

After he failed bison, he chose to start over again with sweet potato, a vegetable on the "A" list.  He has truly enjoyed eating sweet potatoes, a food that he did not like before the elemental diet.  It's amazing what 9 months on EOSplash will do for the taste buds.  I mash them with a little of the water I boil them with and slice them very thin and bake them in the oven.  He has also had a baked sweet potato.  He never complains and will eat them any way they are fixed, but prefers the "french fries" best.

Believe it or not, we had 2 weeks symptom free so we began peaches.  I'm not completely sure how they are going.  He says that he is fine, but I know that his stomach bothers at times.   It is hard to say if it is an "EE" hurt or just from the constant constipation.  We just keep trucking along and hoping for the best. 

Our doctor recommends scoping after 5 foods,  which would be 10 weeks.  We are hoping to get a scope done over Christmas Vacation.  I never like to get my hopes up.  There have been so many times he has been symptom free, but has had 75 or more eos per hpf....even on the elemental only diet.  But wouldn't it be a wonderful Christmas present if he was able to eat 5 foods safely and scoped clear for Christmas!!

***I feel as though I need to apologize for not posting in such a long time.  I accepted a 2 week substitute position at my children's school (that was 6 weeks ago), and there is no end in sight.  Between that and my children I have been extremely busy and seem to have neglected my blog.  Although I never had any intentions of accepting long term substitute positions, I am completely enjoying teaching again....it has reminded me why I went into the profession so many years ago.  

Eosinophilic Esophagitis is in Remission (FINALLY) on Elemental Diet and Flovent - Now Bring on Food Trials!

Finally...Andrew is in remission!  The scope he had on Thursday September, 29 confirmed it.   The elemental diet of EO28 Splash plus swallowed flovent has done the trick.  It's taken a while to figure out the right combinitation, but thankfully we have. 

Andrew had been anticipating this scope for quite a while.  He knew that if it was clear he would be able to begin food trials.  As we waited for his procedure to begin he chatted with the nurse about normal 8 year old boy stuff, as at ease as if he was talking to a friend's mom.  It still amazes me how unconcerned and comfortable he is while he is at the hospital.  I, on the other hand, feel sick to my stomach each time he has a scheduled procedure.  Then the conversation turned to food and what food he wants to be able to eat if he has a clear scope - a reminder of the reason we were there, although to Andrew it was still a matter of fact conversation.  Although I am glad that he does not get nervous or upset about going to the hospital, there is still something unsettling about knowing that your child has had so many procedures that he is actually comfortable, at ease, and the staff knows him by name.

After the prep time was over and I signed all the papers, basically signing my baby's life away, he was rolled back to the OR where we met the anesthesiologist, the GI and the rest of the team.  They answered any questions Andrew, my husband or I had and then they put the mask on his face and he started to fall asleep.  I absolutely hate that feeling-watching my baby go under.  I gave him one last kiss, told him I love him, and my husband and I went to the waiting room until Andrew was brought into recovery.

About  half an hour later a receptionist came for us and brought us to recovery.  Andrew was still partially asleep, in that drugged state.  Dr. Caicedo walked in shortly after.  I could tell by the look on his face that he had good news for us.  It was the best looking scope to date.  He said there were no visible white spots.  The only other time that has happened was when Andrew was in remission on systemic steroids.  After he said that, there was this little drugged voice from the bed, "Does that mean I get to have food?!"  My heart almost broke.  Even though he was still drugged, he knew enough to understand what was being said.  Dr. Caicedo was optimistic, as were we, but we had to wait for the biopsy results.

Fast forward 5 days:  A nurse calls to let us know that Andrew is definitely in remission, which meant that Andrew could begin his first food trial.  I needed to speak with the doctor about the particular food that Andrew wanted to eat (bison) before allowing him begin, which took another 2 days.  After waiting so long to eat, I was not going to do anything to jeopardize it by not speaking with the doctor before we began.  So a week after the scope we got the green light from the doctor.  On Friday we purchased some ground bison and on Saturday, 282 days since the last time he had food, Andrew was able to eat a bison burger.

What a wonderful lunch we had.  We were all able to sit down and actually eat food as a family for the first time in over 9 months.  Watching Andrew eat his bison burger brought so much joy to our family.  He ate it so slowly, savoring each bite.  He enjoyed his meal thoroughly.  Madison was so happy for him.  She grabbed her camera before lunch started and continued to take pictures of him throughout lunch. 

When Andrew started his elemental diet he was told it would be for 6 weeks.  It has been 282 days.  Can you imagine not being able to chew food for 9 months? How would you feel knowing your family is eating meals and you can't each day for 282 days?   Watching your friends at school eat lunch, celebrate birthdays with cupcakes, use candy for lessons for 38 weeks and not participating?  The list goes on and on.  But my Andrew did this with maturity, grace, and so little complaints.  I know the challenges have just begun, introducing foods can bring on issues of their own, but I am so grateful that God has given Andrew the strength to deal with curve balls that are thrown his way.  I know that as a family we will be able to handle the challenges of food trials if we follow Andrew's lead.

The next step?  Andrew will continue eating bison for 2 weeks.  If he has no symptoms, he will reintroduce a food every 2 weeks.  If symptoms occur we will stop that food and he will be scoped.  If no symptoms occur, then he will be scoped after every 5 foods , or every 10 weeks.  There is a systematic way to introduce foods based on a scale of the least allergenic foods.  It usually starts with vegetables, fruits, and moves on from there.  We are deviating some from the protocol by allowing Andrew to start with bison, however, it is on the bottom of allergenic scale for meats.  Now it is just wait and see....Wish us luck!

Triennial Meeting - IEP vs 504 Plan

Thursday we had Madison's Triennial meeting along with her IEP meeting.  As much as I know the goal is for the child to place out of special education and no longer need services, at first, I was hoping that my daughter would still qualify.  I wanted her to have the option to receive pull out services if she needed them, as well as maintain her current modifications.  However, as I began to think about it, I realized that it would be okay if she didn't qualify, because she could still receive a 504 plan for the remainder of her school career....even through college.   Many parents do not realize that if their child tests out of receiving special services that they are still eligible for a 504 plan, allowing them to continue to receive their accommodations.  As stated in the article "A Parent's Guide to Section 504 in Public Schools" 

Section 504 states that: “No otherwise qualified individual with a disability in the United States, as defined in section 706(8) of this title, shall, solely by reason of her or his disability, be excluded from the participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving Federal financial assistance...”  

Because a person with a disability is anyone who:  " (i) has a mental or physical impairment that substantially limits one or more major life activity; (ii) has a record of such an impairment; or (iii) is regarded as having such an impairment” a child that "tests out" of services, but would still benefit from accommodations can and should receive a 504 if they no longer qualify for an IEP.  As well as including specific learning disabilities, a child may also receive a 504 for medical conditions such as diabetes, epilepsy, allergies and for my EOS followers, it would include eosinophilic esophagitis as well.  If one of these issues are impeding your child's ability to perform in school, they should qualify for a 504.  The purpose of this plan is to level the playing field for our children.  What sense does it make to phase a child out of their IEP and give them no support afterward?  It is in your child's best interest to know which accommodations will benefit them while they work toward a complete phase out.

As for Madison, it didn't end up making a difference.  After struggling with the decision to have her privately tested again or letting the school do it, and then thinking about what to do if she didn't qualify, she did...in reading, writing and math.  However, her resource teacher was shocked about the math, saying that she knows Madison knows how to do the problems.  It was visually confusing, but she also could have just had an off day.  Her IEP team is wonderful including the resource teacher, a new school psychologist (who wrote up the most comprehensive eval I have seen from a school psychologist), the classroom teacher and principal.   We reviewed her test results and rewrote her IEP making it more effective for her needs now.  It was a very productive meeting. 

So, I know I said in the beginning that I wanted her to still qualify, and I did/do, so that she can receive the services that she needs, but as a parent, there is still that feeling you get in your stomach and heart when you hear the news.  I want what is best for my child, and I will never stop fighting to attain that, but truth be told, there are so many times I just wish that she didn't have a learning disability and could complete all her work as easily and quickly as most of her peers.  However, I am so blessed that she is my daughter.  She is such a hard worker, so smart, kind, loving and beautiful.  I'm so proud of her!

Back to School

Wow, it's hard to believe that the children will be going back to school tomorrow.  The summer has flown by as it always does, leaving me feeling rushed as the last day of vacation has arrived.  Although we always look forward to the "lazy" days of summer vacation, somehow, they are always filled with appointments and activities that somehow leave us little time for that "laziness" that I crave in June.

This week has been filled with last minute shopping, Back-to-School Night to meet the teachers and my personal meetings with my children's teachers to discuss their various special needs.  Of course Madison loves the shopping part, whereas Andrew would rather be home doing anything else.  They both enjoyed meeting their teachers, discovering the other students who will be in their class and exploring their new classrooms.  And then there are the first teacher conferences that I set up before school starts each year.

Because both of my children have special needs, I feel it is important to schedule a meeting with their new teachers before they ever step foot into their new classroom.  For Madison, this gives me an opportunity to go review her IEP with her new teacher so that she will be familiar with the accommodations that Madison is supposed to receive during the year.  This year when I contacted Madison's teacher, I asked to meet with her, stating that I knew she would be changing classes for subjects.  Her email reply asked if I would like to meet with the entire 5th grade team, as Madison would probably be working with each of them at one time or another.  That immediately gave me positive feelings about the year.  The meeting went well.  The entire team listened to me discuss Madison's background, her strengths and weaknesses.  They also asked questions and gave suggestions as to how they could make modifications in the classroom to better accommodate her.  It was a truly productive and positive meeting.  I am a true believer that when the student, teachers and parents work together, the education process works at its best.

Andrew's meeting was less involved, but yet just as important.  I needed to explain to his teacher what eosinophilic esophagitis is and what impact it has on Andrew.  She needs to be aware that he is on an elemental diet and will need to drink his "juice boxes" at various times during the day.  Andrew also asks that I go into his class the first day of school and help him explain to the class why he can only drink.  So I needed to set up a time with the teacher for me to do this.  The meeting went well and I will meet with the class tomorrow. 

Here's to a great year!  First conference....done!

Elemental (Amino Acid-Based) Formula Coverage

For some children with Eosinophilic Disorders, an amino acid-based elemental formula is a large part, if not the only form of nutrition that enters their body each day.  Due to allergies and reactions to so many foods, they are unable to consume a regular diet of everyday foods.  These formulas are life-sustaining to these children.  Without them they are sick each day, some to the point of vomiting constantly or having recurrent diarrhea. 

With this in mind, one would think that the insurance world would see it as a necessary medical need, therefor providing coverage for this extremely expensive and unpalatable medical food.  In most states, this is not the case.  There are only 14 states that provide coverage for elemental formulas at this time, and some of those with minimal coverage at best.  Here is that list with links to their coverage:

• Arizona
• Connecticut
• Illinois
• Maine
• Maryland
• Massachusetts
• Minnesota
• New Hampshire
• New Jersey
• New York
• Oregon
• Rhode Island
• Texas
• South Dakota

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Individualized Education Program (IEP) and Tips for Parents

With August quickly approaching, so is the beginning of school...at least for those of us that live in the south.  The start of school also means IEP meetings for many of us with children with special needs.  Below I have given an overview on Individualized Education Programs (IEP), as well as listing resources to help parents prepare for an IEP meeting, whether it be your first or your fifteenth.  Hope you find this post useful.

An Individualized Education Program is mandated by the Individuals with Disabilities Acts (IDEA).  The IDEA requires the public schools to develop an IEP for every child that has met the requirements to be considered in need of special education or related services.

In order for an IEP to be successful, parents, teachers, other school staff, and even sometimes the student must work together to identify the student's needs and the best way to address them.  So if your child has been identified with a learning disability and is eligible for services, the next step is to set up an IEP meeting.

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Thanks To the National Institutes of Health (CoFAR) and Voters for EGIDs at Chase Community Giving

During National Eosinophil Awareness Week it was stated that the National Intstitutes of Health (NIH) gave $0 a year in funding toward Eosinophil research.  I am happy to say, that is no longer the case.  In a press  release on Wednesday, July 14, NIH Expands Food Allergy Research Program Consortium of Food Allergy Research Renewed With a Five-Year, $29.9 Million Grant, NIH announced the Consortium of Food Allergy Research (CoFAR) will be funded for 5 more years.  CoFAR has been working on ways to treat and prevent food allergies since 2005.  It will now broaden it's scope to include genetic causes of food allergy and studies of food allergy associated with EGIDs, mostly EE (EoE).

While food allergies are associated with the production of immunoglobulin E (IgE) antibodies as a response to a food which may lead to symptoms anywhere from hives to anaphylaxis, EGIDs can also be associated with IgE, but are also associated with stomach pain, vomiting, chest pain, and trouble swallowing.  There is also inflammation, irritation and a large number of eosinophils in the esophagus.

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No I CAN'T -- Yes, You CAN - Building Your Learning Disabled Child's Self Esteem

Reading has always been a struggle for Madison.  It has taken a long time, has been challenging to figure out words, and she just plain has not liked it.  This is all related to her Visual Processing Disorder.  In order to help her with this she has endured Vision Therapy for 2 years--the problem is, she does not recognize the progress she has made.  She has programmed herself to believe that reading is difficult, and will be difficult, regardless of the gains she has made over the past couple of years.  So the question is, how do we reprogram our children to believe that they CAN do something that has been forever difficult and challenging to them?  How do we encourage them to take the risk to forge ahead?  How do we get them to ignore that "bully" in their mind telling them "this has always been difficult, therefor I still can't do it and I don't want to try...I'm just going to fail".

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Andrew Update: Biopsy and Ph Probe Results

We received Andrew's results from his endoscopy/biopsy and ph probe  a couple of weeks ago, but  things have been crazy so I haven't had a chance to post the results.  Let me start by giving a brief review of his treatment history to this point.  When he was diagnosed at age 3 he was put on a high dose of systemic steroids which did not help.  Over the next few years he was on and off swallowed steroids with no success as well.  At that time we changed GI's and he had him patch tested.  He started an elimination diet of 5 foods and his Eos count went up.  He was then patch tested again at a different clinic, was taken off 13 foods, and again his Eos count went up.  At that point we put him on an elemental only diet (Neocate Splash) for 8 weeks.  When he was scoped after those 8 weeks there were so many eos phf they couldn't count them.  So then we decided to try a round of high dose steroids while he was also on the elemental diet.  So now for the results....

The endoscopy showed that there is still furrowing and irritation, but no visible "white patches".  The biopsy results showed that he is in histologic remission (5 eos/phf, the first time he has ever been in remission).  The Ph probe showed that he has excessive reflux which is all acidic, apparently the cause of irritation in the esophagus.  So what about the treatment?  Our doctor explained to us the importance of getting Andrew's reflux under control first.  So he will be going from 20 mg of prilosec 1x/day to 40mg 2x/day.  Pretty big jump.  Next we need to taper him off the high dose steroids.  This process takes 4 weeks.  After he is weaned off the steroids, we will see if he can maintain remission off the steroids, but still on the elemental only diet for at least 3 weeks.  The doctor that our GI is consulting with suggests that we have Andrew scoped again after this period to see if he has maintained remission.  Our GI feels that we could go on symptoms, and if he doesn't have any symptoms after the 3 weeks, we could then begin to trial a food.  So that is the treatment plan.

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