Clean Up!

Feeding Supplies

We can all agree that this has been a really tough flu season. As an ER nurse I have swabbed multiple patients and not many have been negative. That’s a lot of flu. I am a big fan of bleach, but when it comes to my children’s personal items, I choose to use a more gentle approach.

Breastmilk can leave an oily residue inside bottles and pump parts. Again, I don’t use products like regular dish soap because they are full of chemicals and leave a soapy odor. In our home, we use Dapple for our bottles, toys, pump parts, and plastic wear. The sanitizing wipes are great for that quick clean at the end of the day.

Our son has a rare neurological condition, but he has been the healthiest person in the house. We attribute this to consistent hand washing, keeping those with cold symptoms at a distance, and vaccines. A respiratory illness like the flu can be deadly for a person with severe neurological symptoms like central hypotonia.

Give Dapple a try, they are affordable and if you’re running low, Amazon Prime will have you stocked and ready for business in the next two days.

Update: Winter 2018

Will hasn’t had a follow up with the Leukodystrophy team since October, 2017. We were scheduled to see his team and also a new doctor from metabolic medicine on February 1st, but Will developed a fever and could not be seen at CHOP unless he was fever free for 24-hours.

We have had some test results since October, but none of them have been informative. We still do not have a genetic or other reason for why Will developed this neurological condition. We are scheduled to travel to CHOP the first week of April and will keep our fingers crossed (and our hands washed) that Will is healthy and prepared for travel. While I’m beginning to lose hope for a diagnosis, we are able to reframe and adapt to our life with this special boy by taking one week at a time.

Our community is generous and caring. Without prompting, we have had the most delicious mac n’ cheese, homemade baked beans, chili, guacamole, pot pies, lasagna, salads, brownies, and cakes dropped off over the past four months. We have had family and friends pick up or take kids when we need rides for them. Most importantly, we rely on family to take the older kids when we need time to be husband and wife. We are all stronger because of this unexpected journey, and it’s because we have all the right people who surround us with love and support.
WeWill

The Little Big Family

Last night we were talking about marriage, relationships, and the challenges of raising kids in a technology-heavy time. While I could trail off and carry on about our feelings concerning children who have unfettered access to the internet and gaming world, I want to write about my favorite topic: Us!

Last night we were talking about our relationship and marriage. We discussed how Will’s special needs add an unexpected challenge for us. Without pause, I said, ‘well, we met, fell in love immediately, merged our families, and married within nine months. Not one moment of that felt like hard work.’ When we met, we knew that being together was the only way we were going to live the rest of our days. We wanted to be married. We wanted a ‘together baby.’ We promised one another that nothing would stand in our way. Well, we attained all of our goals and feel incredibly grateful to be together. We have our blended family, dogs, and our together baby. We didn’t expect the stress that comes with managing a challenging disability, but we can get through it together. Stress and fatigue can bring out the ugly bear in us. However, we have ‘Us.’ We have the union of two families and a beautiful ‘together boy’ who was meant for us.

This is Us: The Little Big Family with one important message:
We are exactly where we are meant to be. Justin and Melissa will take on every challenge that comes along. I may not be able to convince Justin to stay away from soda forever, but I know when he opens his eyes in the morning, the most important people are his family. He also wants whoopie pies, and his feet rubbed. Anyway, Happy Valentine’s Day from The Litte Big Family to yours.
WeWill

The Unseen Bureaucratic Challenge: Obtaining resources for your special needs child

DHHS Office

July 7th, 2017
Will’s 1st birthday we were driving home from a Gastroenterologist’s office after a nutrition consult. Will’s neurological condition had worsened over the course of eight weeks, and we were afraid that he would decompensate further and not eat enough to thrive. As we were driving home, Will’s neurologist called and asked to be placed on speakerphone so my husband and I could both hear what he had to say. In the next few moments, we learned that Will had been given a diagnosis of Leukodystrophy and they presumed he had Aicardi-Goutieres Syndrome (AGS) based on findings in his Cerebral Spinal Fluid (an extraordinarily high neopterin level). Neopterin is a biomarker that is present in the setting of immune system activation. Along with high neopterin levels in his CSF, they reviewed his MRI again, which was read as normal two months prior. After reviewing his MRI again, the neuroradiologist concluded that Will had mineralization in the white matter of his brain. With the high Neopterin levels and calcifications in his basal ganglia, a clinical diagnosis of AGS seemed most appropriate.  It felt especially cruel to get such difficult news on Will’s 1st birthday. Some have said, ‘once you know, you’ll feel better.’ I didn’t feel better. In fact, I doubted the diagnosis. AGS is a genetic syndrome, and the genetic changes are found on one of seven genes. I remember thinking, ‘How can this be? He is our love baby.’ I still feel this way.

A week later we met Will’s neurologist to discuss the diagnosis. I remember not talking about the diagnosis because it took my breath away. A genetic test was pending, and we were told that AGS was an autosomal recessive syndrome passed onto Will from my husband and I. I asked, ‘what happens when Will’s genetic test does not show the gene changes associated with AGS?’ The doctor looked at me sympathetically and softly said, ‘I think we will, but if for some reason we don’t see the genetic markers for AGS, we will look for mimics of AGS.’ We asked, ‘what would you do if this was your child?’ He replied, ‘I would take him to the experts, and in this case, they are in Philadelphia at CHOP.’ Our neurologist had reached out to an expert at CHOP who runs the Leukodystrophy clinic and had information about their program, specifically the compassionate use program at CHOP. There is currently a compassionate use trial for AGS kids at CHOP and they have seen clinical improvements with the drug they have been using. To be included in the trial, there is a list of criteria each patient needs to meet. There has to be genetic confirmation of AGS to be included in the study. As awful as we felt, we envisioned a hand reaching to us from Philadelphia. We thought, ‘this won’t cure him, but it could help him in some ways.’ A week later the genetic test results came back, and his Whole Exome Sequence (WES) was normal. No sign of AGS, and a denial from CHOPs compassionate use trial head researcher.

Fast forward to September (two months after Will’s provisional diagnosis of AGS), and we were meeting the Leukodystrophy team at Clinic Day in Philadelphia. We met with a renowned pediatric neurologist, Dr. Vanderver, and her team. We had consultations with a developmental pediatrician, nutritionist, physical and occupational therapists, and a rehabilitation doctor. The therapists recommended many pieces of adaptive equipment. Some things I had heard of, some I had not. Over the next three months, we were managing flares in Will’s condition; he was hospitalized, traveled back to CHOP for follow up care, and focused on Will’s nutrition. Will was growing longer, and I began feeling like we would need options for safe seating (supportive chairs, adaptive feeding chairs, adaptive strollers, a stander, etc.). We also lost our childcare because Will became too much to care for in a traditional daycare setting. Will wants to be carried and cuddled while he is awake. His favorite place is snuggled against our chest, heart-to-heart. My husband and I rearranged our work schedules, and with the support of our colleagues, we have managed to piece things together week-to-week. I have been working most weekends and one day a week, and my husband works two full-time jobs around my schedule. We also have five children and manage their interests simultaneously. Children have been getting rides from family and friends, waiting patiently for their turns, and learning that there are some things that we just cannot do. Everyone is adapting.

We are fortunate to have good insurance. Our insurance company is billing the in-network rate for our specialists in Philadelphia because there isn’t anyone in Maine who specializes in Leukodystrophy. One of the things I did not realize is that even though we have great insurance, there will be equipment and resources that are not covered. In Maine, people who do not have insurance or have disabilities can apply for MaineCare. Without MaineCare, it isn’t possible to access many of the services you rely on when faced with a complex medical condition; specifically in-home services. As we wrestled with the reality of our child being disabled, we didn’t realize that we should be applying for MaineCare (as soon as possible). It had been ten months since we first saw our neurologist, we were already behind the eight ball. We were adapting to our new life and were completely overwhelmed with grief and shock. I was (am still) looking for a treatable cause. I was slowly adapting to his new physical and cognitive limitations; not at all ready to accept this was the fate of our boy, completely disabled.

Late September 2017:
Applying for MaineCare
What a cumbersome process. We have a family friend who is familiar with the forms, and she assisted us step-by-step. We faxed hundreds of pages to DHHS so they could review our application and financial documents. They often misplaced things that were sent and faxed to their office. More than once we called them, or they called us looking for additional information. This went on over the course of several weeks. Two months later the phone call from DHHS came: ‘Hi, this is Michelle, I want to let you know that we have deemed William completely disabled as of August 1st, 2016.’ That wasn’t something I could repeat without feeling constriction in my throat and chest that made it too difficult to speak. We should be excited at this point, we have moved through the MaineCare process. It feels awful. I’m not excited; I feel immense pain. At this point, MaineCare has been denied because we both work and do not meet the financial requirements for approval. Once denied access to MaineCare, families can apply for Katie Beckett, another way to access resources through MaineCare.

January 2017:
The next step, applying for Katie Beckett
To get this benefit we needed to complete a Goold Assessment at DHHS. The State of Maine requires both a financial and functional assessment to determine an individual’s eligibility for most In-Home Services. The Goold assessment helps individuals and families understand what services are available to them through MaineCare.

If a parent or guardian works and has insurance, they are not eligible for MaineCare assistance. However, all of the services provided by the many mental health agencies are only available to those whose children receive the MaineCare benefit. Some families have gone years without help or services because they didn’t know they existed or they didn’t know there was a way for the child to become eligible. There is an answer, and many families can qualify for services paid by MaineCare through the Katie Beckett Option. The Katie Beckett Option is a MaineCare option for children with serious health conditions. It is one of the many ways a child can get MaineCare. Katie Beckett has a monthly premium, just like our primary insurance. This secondary insurance will cover co-pays and hopefully, pick up where our insurance leaves off. We had our Goold Assessment at DHHS January 3rd, and the nurse conducting the assessment said we would hear from our contact within DHHS about our premium within a week or two. We heard nothing from DHHS despite calling and leaving messages twice a week for almost four weeks. At this point, we have several thousand dollars paid to medical doctors and hospitals and have been denied equipment and nursing services for our sweet boy. We have been anxious to welcome home nursing care into Will’s life because, with the right caregiver, my husband and I can leave him in loving arms and go to work.

To get coverage through the MaineCare Katie Beckett option:
•You must fill out a MaineCare application;
•Your child must be 18 or younger; and
•Your child must meet financial and medical rules.
YOU must also have the stamina of a Pronghorn Antelope because the ball will be dropped so many times during the process.

Assumptions:

  • I assumed that anyone who has a significant medical disability would encounter the initial steps of acquiring these services with the aid of their primary care provider. That was incorrect.
  • I assumed that Child Development Services (CDS) would interject and get the MaineCare Labrinth started with our family; that was also incorrect. What I learned is that the average person has no idea where to begin with this process.

The reality of the situation is that some people have to seek out case management services on their own. Or,  someone recommends applying for MaineCare and they go home and search the internet. Some people post a general question on Facebook to a private group; something along the lines of, ‘What is MaineCare and how do I get it? Or this, ‘I’m told I need MaineCare but none of the doctors have mentioned it.’ Someone may even mention that they should obtain a case manager. How do you do that??

People who are involved or work with individuals in mental health or other medical services recommend case management services to the patients, and it’s up to the patient to agree with receiving this help. There are people who have submitted their application (DHHS has 45 days to make their determination of approval/denial), and they hear nothing from DHHS about their decision. I have heard stories about people who didn’t realize that if DHHS doesn’t make their determination on time, that they automatically receive temporary benefits until a decision is made. There are some people who didn’t realize they had received temporary coverage because they got lost in the system. It’s only when a case manager keeps track of ‘the clock’ that people get their coverage faster because DHHS is hounded by the case manager to complete their file.

Where things get lost in the land of DHHS:
DHHS Office of Family Independence (OFI) receives the application and has two days to process it into their system and then sends it forward to the medical review team to determine disability. Once the DHHS OFI confirms receipt of the application, the 45-day clock begins. The Medical Review Team (MRT) sends medical requests to all providers involved in the individuals care. Once they have the file completed, they send it to an independent medical reviewer (medical doctor or psychiatrist) to determine disability. Once the MRT receives the determination from the reviewer, they immediately acknowledge it in the system and send the determination back to DHHS OFI. I have learned that the two systems (MRT and DHHS OFI) do not interact and that is where the biggest GAP is. There have been instances where the MRT has approved the individual for disability, but DHHS has sent out a denial letter; completely erroneous and leaving people desperate for care and resources in limbo.

February 2nd, 2018
Where we are in the process: almost 5 months after getting started with our MaineCare application.
We talked with DHHS yesterday, and our point person gave us information about our premium for Katie Beckett. She is ‘pushing the information through the system’ and we should receive our paperwork so we can begin paying our premiums and using the benefit as secondary insurance. To get reimbursed for out-of-pocket expenses and the insurance co-pays we have already paid, we need to contact every provider and have them submit Will’s MaineCare information to their billing department; they would get reimbursed from MaineCare once the bills are processed. Once they are reimbursed, the providers would then reimburse us. We would need to hire someone for this process alone; I can barely keep groceries in the house; let alone find time to shuffle all this paperwork. Going forward, we will have the Katie Beckett benefit, and this will help us with future co-pays and out-of-pocket expenses.

Don’t complain if you can’t recommend a solution:

When given a disabling diagnosis it would be helpful for the primary provider to immediately connect families and patients with a case manager who can begin the process of applying for benefits. In my opinion, this should be done at the initial encounter because we are doing patients a disservice by letting this fall by the wayside. It’s not enough to have follow-up appointments with specialists and not have this piece in place. Specialists are charging between $350-$600 per visit; some thought should go into the social, emotional, and medical wellbeing of patients and their families. Assigned case managers should be following up with patients while the approval process is underway. Even with my effort and the effort of our family friend, it was an overextended process that went on for months on end.

We can and should do better for our families in crisis.

 

Adaptive Equipment: AFOs and Standers

AFOs from Maine Orthotics

Will has dystonia affecting his extremities. Because of his strong, involuntary tone, he needs ankle-foot orthotics (AFOs) to hold his feet in a flat position (dorsiflexion), so he can bear weight on flat feet. When standing, or held upright, he points his toes downward (plantar flexion) and cannot stand. Will’s condition will prevent him from walking and standing on his own, so we need to adapt to his limitations and support him into those positions.

In order for Will to stand in his ‘stander,’ he needs to wear his AFOs. Will needs to stand at least twice a day for 20 or more minutes each time (our current goal), so his bones and muscles develop normally. Check out these cute shoes from Old Navy! I love a good deal, and these were only $7.99! Winning!

After Will has his AFOs on, he is able to use a stander. There are prone standers and supine standers. We are trialing these standers so we can assess which type of stander will be best for Will. To obtain durable medical equipment (DME) you need a letter written by a therapist demonstrating the medical need for the piece of equipment you are requesting. A physician has to sign the letter written by the therapist, then it is sent to the insurance company for review.  If the insurance company approves our request, the medical supply company will order the piece of equipment from their vendor. Once ordered, the equipment is delivered to the medical supply company (this takes a few weeks) and they use the patient’s measurements to set up the equipment. It can take 3-6 months to go through this process.

Prone Stander
Supine Stander

 

Feed My Baby

Mom and Will: December 2017

I have four children and two stepchildren. As a mom, I chose to breastfeed my infants into toddlerhood. I was able to stay home with my first batch of kiddos until they entered elementary school. Child-led weaning worked well for us; it’s when the toddler replaces nursing sessions with meals over a period of time. We ended our nursing experience around the time they turned fifteen months old. At fifteen months, they were only nursing once a day, so it was an easy transition for both of us. The fourth child started off very much the same way, breastfeeding from the start. The difference with Will is that I returned to work when he turned three months old. I had never pumped and stored milk; my other children were breast to sippy cup kids. I was a little worried about banking enough milk for days when I had to work. Additionally, I worried about the stress of pumping while at work and feared that my supply would dwindle. I began storing milk as early as three weeks and had a hearty frozen supply by the time I went back to working twelve-hour shifts.

The ER nurses are fortunate to use the ED provider call room.

Houston, we have a problem:
When Will’s neurological symptoms became more obvious at nine months old, he also became a noisy eater. I didn’t know what all the noise meant until about three months later when an Early Intervention Speech Language Pathologist (SLP) was at the house for a consultation. She asked, ‘does he always sound like that?’ I told her that I thought maybe changing his bottle nipple from a number one to a two changed something, producing the audible noise. She replied, ‘no, that is a disorganized suck.’ All of a sudden a light bulb went on. Will has a disorganized suck because of his worsening neurological condition. He has central hypotonia and cannot hold himself upright, hold his head up long periods of time, and has stopped babbling. Friends, who are physicians would ask me, ‘how are feedings going?’ It still hadn’t registered until I connected the disorganized suck with his other symptoms. What else does this mean? He is also at risk for aspiration.

Lactation:
The suckling action of an infant produces prolactin, which leads to milk production; more suckling leads to more prolactin, which in turn leads to more lactation. This is a positive feedback system: the product (milk) produces more suckling and more hormone. Breastfeeding is all about supply and demand. The baby suckles, or the mom uses a breast pump, and essentially an email is sent to the brain that signals the whole thing continue: Make more milk! The disorganized suck Will had acquired led to him receiving less milk, which in turn made me produce less (decreased supply). The other thing we didn’t anticipate was that his hunger cues changed and it became harder to know when he was hungry. He wouldn’t fuss or pull at me; he would just sink into me and act tired. His weight plateaued. He became a Failure to Thrive (FTT) kid because he wasn’t gaining weight.

Feed the boy:
We began offering my stored supply of milk to satisfy his hunger. Within a few months we had used most of my stored milk despite my effort of pumping while I was at work. I would pump approximately ten ounces of milk during my 14 hours away from the house, and he was drinking twenty or more ounces in my absence. I panicked.

What does a mom do when she feels like her milk isn’t enough? She offers other types of nutrition. Well, Mr. Will would not have it, any of it. PediaSure, powders, ready-made formulas…none of it. I consumed pro-lactation supplements, teas, brownies, cookies, and pumped my ass off. I’d increase my supply by an ounce or two, but that wasn’t enough. The stress of trying to unravel the neurological mystery was not helping matters. From the time he was seven and a half months old, I stayed awake into the early hours of the morning researching Will’s symptoms. My father told me when my stepmother was diagnosed with cancer, ‘when something like this threatens to take something precious from you, you learn everything about it. You become an expert; you become their advocate.’ That is exactly what I did. The more I learned, the more I worried. However, the more I learned, the better my questions became, the stronger I felt holding conversations with what became Will’s team.

Our special boy’s neurological symptoms were worsening:
As Will’s symptoms continued to worsen, we asked our medical team about his weight and nutrition. We went to see a pediatric gastroenterologist, and he recommended a g-tube for supplemental nutrition. He didn’t think it was something we needed to do right away but thought that we could give Will extra breastmilk overnight to boost his calories. My brain began to turn; the nurse in me thought long and hard about this g-tube business. The purpose of this invasive surgery is to give nutrition to people who cannot consume enough calories by mouth or not eat/drink safely. If the purpose of this was to give Will an extra twelve ounces overnight (that was what the GI doctor had recommended), could we not exhaust other noninvasive ways to support Will? I offered him lobster, ice cream, rotisserie chicken, avocado, and anything else we could think of giving him during the day. His weight improved incrementally, he also grew longer; he was growing. Then, he ended up being prescribed prednisone for encephalopathy, and his appetite increased more. He was eating most of what we offered him. We decided to cancel our surgical appointment and see how Will did with nutrition for a month. We traveled to Philadephia’s Children’s Hospital (CHOP) and met with the Leukodystrophy team. They agreed that we should wait on having the surgical procedure and try to adjust his nutrition before going under the knife. We felt relieved that our feelings were validated by the doctors at CHOP. So, for now…no g-tube.

Mother’s Groups on Social Media: The AAA for whatever you need.

Advice on sleep, feeding, vitamins, infant swings, car seat questions, emotional support, the mom groups have the answers. Within moments, these women will rally and come to your aide. In this case, it was breastmilk. I had about a week of milk left in my freezer. My hair was standing on end. I need to find a way to feed my baby. I turned to a private group of Facebook and posted my statement: The stress of caring for my fourteen-month-old baby who suffers from a severe neurological condition has reduced my breastmilk supply and storage; I have a week of milk left in my freezer. I posted this statement to Maine New Mamas Facebook Group and Human Milk for Human Babies. What happened after my plea for help was nothing short of amazing.

Our 1st delivery from our MilkLord

Within four hours of posting my plea for help, I had a mom reach out to me and ask where I lived. She had frozen milk on hand and was willing to bring it to my door. I couldn’t believe it. I was thinking, ‘that’s it?’ Within seven hours I had two weeks of milk delivered to my door. Not only did she deliver milk, but she also gave me peace of mind because I was learning that there was help available. This mom became my personal MilkLord. Within moments of meeting her, I learned she was a close friend of a mom I know, so immediately I felt comfortable receiving the milk. Her personal milk quest inspired her to help other women. She has a toddler son and received breastmilk from twenty different sources for her boy! She was so moved by this gift that she committed to helping other women get the milk they needed for their babies. For her child, she received milk from as far as Massachusetts and was part of the milk train that made it possible for milk to be delivered to a child in Camden, Maine. In my opinion, she is undoubtedly the MilkLord for most of New England. Within the next four weeks, I had four other mothers contact me about the stored milk they were willing to share. They delivered to my door. I explained that Will’s condition made it difficult for him to travel in the car and it was some crazy phenomenon we didn’t understand, but horrible to witness.

The gratitude I felt as my baby drank this milk was something I can’t explain with words. What I learned was when mommy needs to feed her baby, the village delivers…And delivers. This bag (pictured below) was brought to me while I was at work in the ED this weekend. My friend’s sister is exploding with extra milk and happily sent some to us. I think this bag weighed about 50 pounds. Incredible.

Women use donated milk for a variety of reasons:

  • Mom is receiving chemotherapy or taking other medicines contraindicated in nursing.
  • Mom’s milk supply is low, or she has stopped producing.
  • Mom has adopted a baby and wanted him or her to receive breastmilk.

Some babies will consume only donated milk; others a mixture of mom’s milk and donor milk; a mix of donor milk and formula; or a mix of all three – mom’s milk, donor milk and formula. There is no one ‘right’ way to feed your baby. Some mom’s donate milk because their loved one refuses to drink the leftover supply. In some cases, women donate milk after they miscarry as a way to process their loss and embrace something positive that came along with their loss.

Obviously, I am a fan of Milk Sharing. But, understand that Milk Sharing may not be the right option for every mother who is in need of an alternative way of feeding her child. I support you in whatever your choices are regarding breastfeeding, donated milk, or formula. Fed is best. The Academy of Pediatrics recommends milk screening to ensure safe milk. Breastmilk is a bodily fluid and can contain trace amounts of medication and also bloodborne pathogens. If not stored properly, the milk can also grow bacteria and if left too long in storage, lose its nutritional properties.

Photography by: Danielle M. Peterson

It’s Almost Christmas

Christmas WonderA year ago Will, our newest member of the household was five months old. He was wide-eyed and curious, attempting to turn the pages of his board books. In the next three months, we noticed gradual changes in Will which later became obvious signs of a severe neurological problem.

Over the last eight months, we have turned every stone, looked for every known condition that might lead us to a cause for Will’s symptoms. Will has symptoms of Leukodystrophy, a general diagnosis for a disease process in the white matter of his brain. He has central hypotonia, dystonia, is globally delayed, unable to speak, and a quadriplegic.

This year our ‘together baby’ should be tearing the paper off of every present under the tree, a real terror! He would likely have stripped off the ornaments and lights while I was busy tending to the other children. I wanted that so very much; the craziness of a larger than life toddler. I know that we don’t always get what we ask for; things don’t always turn out as we had planned. As magical as Christmas can be, it can also be a painful reminder of the journey we had in mind. I came across an important reminder of how holidays or other times of the year can trigger feelings of anxiety and depression. Though my feelings are mostly grief and anxiety; I have to be honest with myself and others and acknowledge that these reactions are very real and important to process properly. Take a look at the blog post by Jacqueline Bogg or this piece by M. Lin. Remember to be present with the feelings you encounter along your journey; it’s important to work on all of the pieces of you, especially the not so pretty pieces.

Will’s gift to me is bigger than the sadness and fear I feel about his condition. Though I cry most days leading up to events like Christmas, I have to remember that he has shown me much more than sadness in the last eight months of his neurological mystery. The community who support our family by giving the gift of time, phone calls, messages, and food has lifted our family along this journey. Because of Will we have better seen the beauty of others. Our children have learned compassion, patience, and empathy because of Will. The work that I call my own is part of my ‘iWill’ story. The beauty I see as a result of Will’s gift to others is the ‘WeWill’ mantra I write about. Self-care is the personal work I do to stay strong for Will. My infrequent opportunities to exercise or get my nails done are ‘iWill’ moments. The words I write to help me process and accept this new normal are my ‘iWill’ moments as well. What are your ‘iWill’ moments like? Do you take a moment to think about how self-care fills your own cup?

How lucky are we to have the chance to see the world through Will’s eyes? What does he experience as a little boy with so much love and activity around him?

Family Photo Session

DaniellePeterson-2794

Background:

My husband works two full time jobs and has two boys from his previous marriage. I have three children from my previous marriage and work part time as an Emergency Room nurse. I am the CEO of the Hagar-Christensen household. In 2014 we welcomed our ‘together baby’ to our blended family. Our toddler Will is disabled and suffers from a form of Leukodystrophy; he requires 1:1 care at home. 

Being a mom of a blended family is full of fun, adventure, and…in reality, it’s mostly organized chaos. It had been three years since our last family photograph and we have a new addition to add to the gallery, Baby Will. This year our family photo was about capturing all of us together, without sweatpants or yoga pants! I won’t lie, it took me about three weeks to come up with clothing that everyone would wear. A couple of the kids are stuck in their groove of wearing Target cotton pants and my girls are most often found wearing breeches to the barn.

Photo Time:

I was able to find a cozy blanket from Target for a couple outside shots. The women’s footwear were Lucky Brand Basel Booties. My girls put on their booties and towered over me.
Let’s all take a moment to marinate in the glory (reality) of what it takes to pull of a family session like this: 2 different child contact schedules, hoping that someone doesn’t dye their hair blue with kool-aid at their other parent’s house, horseback riding schedules and caring for the beloved horse, Octavia. My adorable husband refuses to wear sweaters and I have a child who I hold 14 out of 16 hours of the day. The boys have various hobbies and my girls are avid dressage enthusiasts.
We live in a small house in Maine, it’s packed full of kids, stuff, and two dogs. The best room for a photo session is blocked by the Christmas tree. I agonized over how I would talk the boys into nice sweaters and JEANS. Then, I came to the last minute detail of THE VENUE. A family friend had offered to do our session for us and I had incorrectly assumed that she had an indoor setup in her barn. Well, she does, but it isn’t heated in the winter. In a six-week block, we had one opportunity that all the kids would be together for a brief window of time. We had 8am-10:30am on a Saturday morning, that’s it! Then it was off to basketball, followed by a swim meet, then a kid headed to New Hampshire for a wrestling match. The date and time could not move because if it snowed or someone got sick, we were going to have to postpone. The day before the photo shoot, my friend offered up her living room for our session. I was thrilled because she has a photographers dream of a living room. The natural light is phenomenal in her home. The best part, she lives around the corner. Winning!
The morning of the shoot my son got dressed in the previously approved wardrobe I had set out for him. He comes into the master bedroom and says, ‘there is no way I’m wearing these pants.’ My head implodes. I gave him the peaceful answer all my positive parenting friends recommend…no, I didn’t. I said, ‘man, you told me we were good to go with the pants. You’re wearing them! Do you realize how hard I worked on this?’ Yes, I was projecting, but good grief, wear them for an hour and shush your mouth! The others decided that my rage looked a lot like something they wanted no part in, so they did exactly as they were asked. After helping six kids with their camera-ready look, I had time for a power shower, but there was no time to wash and dry my own hair.
Complaining aside, I had the opportunity to help my 13-year-old with her makeup and my 15-year-old with her eye makeup and hair:
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Mia used my go-to quick blow out spray for her long blonde hair.  She used a few shades of my favorite, all-time go-to, eye make-up palette as well.
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Next, Liv used: Sephora foundation, applied with a Beauty Blender, and They’re Real! Mascara. She had been using a beauty blender, but didn’t know she was supposed to wet it first. We started off by cleaning the never cleansed Blender with the Blendercleanser, then we set their makeup with a primer that doubles as a finishing spray.

Photos were a success; everyone felt handsome/beautiful and the kids had a blast.