Baby Number 2 / Maternal PKU journey 2, facebook, Madelyn, Managing the diet, MPKU Journey!, News, Social Media, That's my PKU life

PKU Awareness month means, Maternal PKU awarness too!

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For #pkuawarenessmonth I will be mainly focusing on the miracle and wonders of maternal PKU Syndrome. All of my life I was told I would never be a mother. Hearing those words does not make the dream die, it does not take away the wish. It does not take away the hope. It does not prevent you for wishing and praying. As the years melted into each other the want never went away. In 2006 I was told for the first time, it was possible. That it was alot of hard work, that it was not for everyone. Well neither is motherhood, pregnancy or parenting. Hard work does not scare me. When the want is there, you can do anything you set your heart and mind to. I relate to those who struggle with infertility and the want to be a mother but for other reasons. I relate to the heartache and the deep deep passionate and consuming want. I relate to the heart work. Though its not doctors tests , injections and treatments for fertility. Its keeping my blood , my body, my brain and my uterus from being toxic.

For many PKU women , its months and months of planning. For many its returning to diet and treatment. Its many months of preparing the body. For preparing your brain. For many its withdrawing from toxicity of high phe levels and side effects. Its adjusting your body to major food changes, to major life style changes.  How do they do this?

With the recommended maternal pku pre conception diet and treatment.  It is highly recommend that any women with PKU who wants to have a healthy sucessful pregnancy and healthy baby follow a even more restricted treatment then normal , to get their phe levels even lower into pre conception range and keep them there for 3 to 6 months prior to conceiving and then the duration of the pregnancy.  I didn’t have this chance. I did things back wards, looking back its totally way harder.  both of my pregnancy’s where unexpected and unplanned. But very very much wanted. I prayed to god, I prayed to my deceased grandparents, I prayed to my grammie in heaven. I talked to her regularity. I dreamed. I wished. I wished on ” the first star I see tonight”  when the clock stuck 11:11 am or pm. When I had something lucky. I hoped. I held on.  I pleaded, and I bargained. Please god, let it be me one day. Let it be my turn. Bless us. Choose us. I promise I will give it my all.  Please let it happen one day. Please change his mind, please want him to want this to.

Both times I found out I was pregnant my levels where very high.  I was not off diet, I wasn’t compliant. I made allowances. I ate rice, and mashed potatoes, and corn and hash browns. Vegetable sushi, peas, beans, and sooo much rice.

I indulged. I did not weigh my portions. I did not keep track of my intake. I made allowances, and made excuses. Its to hard, Its not fiesable, its not sustainable, i’m to hungry. Its only me that suffers the side effects.  Im not hurting anyone but myself. I will do better tomorrow. I will eat less in the morning so I can eat more later.

Having to crash my levels down with in a week, having to re learn the diet, re learn how to cook low protein recipes, how to measure everything. How to track everything. All at once, plus come off anti depressants , anti anxieties and pain medications all at once. If I could change one thing, I would have done better at looking after myself, managing my PKU and actually planning for my babies I would have. But you know what they say about could have, should haves? and if you change the past you might not have the same present or future. I would not change my life for anything.

For I am a mother.

The fact that my daughter is here is truly a miracle in its self,  Life is a miracle, growing, creating and giving life is a miracle. Pregnancy is a miracle, but then add my PKU on top of it.

Now here I am about to bring another baby girl into the world. The weight of it is not lost on me. Through all the highs and the lows, through all the tears and sleepless nights, through all the struggles and all the ups and downs, through the smiles and the I love yous, The way my precious girl looks at me, I wouldn’t trade a thing for this life ive been blessed with.

Its not always easy and sometimes we get lost in the moment and we forget where we have come from and anxiously worry about tomorrow. But its worth it. Its worth every single moment. Id gladly pay for every second through this life and eternity.

There is no bond like that of a mother and her child. The bond I have my daughter is everything I ever dreamed of.  I cannot simply express in words the depth of my love for her . I see it reflected back in her eyes and its so powerful.  It is deep and beautiful and powerful.  The way she holds my hands, touches my face, the words that she says, the joy she experiences , the happiness she is and gives, that she lives and shares.  Its worth it all.  Now that she is such a fluent talker, her vocabulary really floors me. She talks better then some 4 and 5 year olds I know.   She really expresses herself, she speaks her feelings and her thoughts and the wow the stories she tells me. The way she tells me she loves me, and how i am the best swimmer ever! make me burst with pride.  How even though she is a very strong willed , independent, vibrant , busy 3 year old, she still needs and wants her mama. She still wants our cuddles and our talks, our hugs and our kisses.  I will always give her all of me.

It excites me to hear her talk of her baby sister, the stories she tells me about how she will be a big helper, how she will hold and change ” her baby” and all the things babies do and how her baby is in my belly. How every day she tells me what she wants to name her baby.  It makes each day that I struggle with this damn life, this damn diet, and these damn foods worth it.

Each day when I have to test my blood, and drive it to the lab, Each day when I sit down at my computer to record every gram of food I have eaten, when I plan my meals in advance,  when i make my food, prepare my formula. I am reminded why. My daughter is why. Both of them. For every high risk OB appointment, every midwife appointment, ever extra ultrasound, trip to Vancouver maternal fetal medicine, every email to dietitians and specialists, every panicked phone call, every kick and roll. Every thing I am doing its to give my children the very best start in life.  To ensure their health and ensure their futures. The literately weight of their life hangs souly on me , and what I eat.

They say being a parent is always putting someone else before you, and I do that by watching and weighing and counting every single thing I put in my mouth every single day and more.  I do it because I am so much more then me. I am their mother. I am a parent.  I am a partner and a wife.  This is just one part of my life and my daughters. This is how I give them the start in life they need and my care and my devotion and my love and my hard work grows with them and my role changes. From the day they are made, to the day they are born. To all the years to come, I give them all of me.

If anything having PKU has taught me so many life lessons. It has taught me hard work and sacrifice, it has taught me patience, it has taught me how to be strong. It has taught me how to give, and how to be a voice.  I use my voice in hopes of inspiring others. To help even one person know they are not alone. To provide support, to provide education, to spread awarness.

Many wonder why I do this year after year . Why I share my story so personally. Why I am so open, why I blog, Why I volunteer for CanPKU , Why I plan fundraisers and events, and why I post soooo much about PKU.

Well every year that goes by I am grateful for medical advancements , for changes in treatment and new research. For being alive and being healthy. For new born screening and I am proud to be able to use my voice to spread awareness . For each new friend I’ve made through out the year , for each new follower who does not know my story , for each new baby born , for each new diagnosis , for each new family effected , and for each new maternal pku mother…I share for you. If I can help just one new person by sharing , that is one more person who feels supported , one more person educated. And 1 by 1 more people will be aware and pku will be less unknown , less scary and less rare !

Remember, together we are all #PKUSTRONG

 

 

Happy PKU Awareness month!  thanks for following along. I look forward to connecting with many of you this month through social media. Through Facebook lives, though live questions and answer videos, through Instagram and Facebook.  Please feel free to share, write me a question you would like me to answer a topic you wish me to cover!

 

 

Baby Number 2 / Maternal PKU journey 2, MPKU Journey!

Announcing baby number 2 !

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Well, Here we go again! It seems God had other ideas for us and has sent us a second unexpected unplanned blessing.  I learnt on December 3rd that we where expecting again but we only just announced on Saturday our news to the world. I am now 12 weeks 2 days along. It was a huge shock and took a few weeks to settle in.  I had all my blood work done on Dec 4th and contacted the clinic asap. We started working right away to get my phe levels down because i had not been on the pre conception diet and had no real plans on having a second baby any time soon. My phe level from Dec 1st was 14.8 so  my clinic dropped my intake down to 200 mg and i started tracking my intake on How much phe ( http://www.howmuchphe.org ) and weighing all my food. I stopped my anti depressants and stopped eating rice and high phe foods immediately.  My hcg levels came back to show i was just around 4 weeks pregnant. I got my levels down into safe maternal PKU range with in 10 days.

 

We had a dating ultrasound done on January 10th. It showed I was 8 weeks 5 days. A bit behind my dates. But because I was on the birth control pill Alesse we were not sure when ovulation or conception was so we are using the ultrasound dates as they are more accurate.  The heart beat at the scan was 188!

 

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At this point only coles parents knew and a few of my very closest and dearest friends.

We had to tell Coles parents at Christmas because I could not eat Christmas dinner. Nothing! I had to take my pasta and my scale and cook my food. Family members noticed and asked alot of questions because I normally allow myself to enjoy mashed potatoes, carrots, Brussels sprouts, applesauce and apple pie at Christmas but couldn’t.  We just said to everyone else that i was watching my levels.  Morning sickness was and is hitting me way way harder this time.  And OH! The food aversions!!!! food is my enemy! Getting enough calories in with such a low tolerance is insane. I changed my formula twice in those early weeks because i could not handle it.

 

Now at 12 weeeks pregnant I am at 240 mg but I get 138 mg just from my formula! so it does not leave alot of room for food.  I pretty much dont eat breakfast just have my formula.  I have a mix quick low pro muffin or waffles at lunch and low protein pasta at dinner.

Some days i am so sick i dont want to eat and other days im so hungry that it makes the nausea so much worse!

Some days id sell my liver for some real food! I want nothing more then mashed potatoes, rice, applesauce, stir fry, hash browns and all my favorite comfort foods. I cant wait for my tolerance to go up. Even just a little bit!!!

I have already seen my midwife, she prescribed diclectin so that has made things a bit easier and able to get those calories in so with more calories my levels are going back down, maybe i will see an increase next week!

I do my blood dots Mondays and Thursdays and take them into the lab to be courier to newborn screening in Vancouver.  I drive them in on Monday and my best friend chantal does Thursday because i have day care kids all day an cant leave with them.

 

Today I did my 12 week blood work at the lab. The PKU Clinic has sent me lab requisitions for 12 weeks, 20 weeks and 32 weeks.

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My next appt is with the OBGYN on march 11th and then our midwife on march 12th as we are doing shared care again. Im lucky to have the same OB and midwife that I did with our daughter.

We are scheduling our 20 week echo/cardiogram with maternal fetal medicine at bc women’s hospital and will see my PKU clinic then too. We are hoping to find out the gender this time at this appt as well.

Our due date so far is August 17th so A summer baby this time! Hopefully its not a 40 degree summer with lots of forest fires again! I am still shocked we are doing this again!

I am so happy I was able to get my levels down before ogangenisis which occurs at 6 weeks of embryo development. IF you levels are high at 6 weeks and beyond it can be very bad for the baby and cause serious impairments as well as death or deformities.  I just thank god we caught it early enough and there is no danger or threat to the baby now. If I caught it later or was not able to get my levels down experts recommend an abortion because the risk of deformity or handicaps and mental disabilities, and death are so high. I am so eternally grateful to god, to my pku team and to my support network and my husband that i was able to have the strength and ability to get them down!

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WOW! I will admit i cried for 3 days after i found out with so much fear on how we would make this work how having 2 kids will be and how will Madelyn handle it!

so when the stress gets to much we just remind ourselves one day at a time, baby’s are a blessing and we will make it work! of course we also agree that 2 is enough! so even though we are twice blessed we also know and appreciate this is our last . So just trying to soak it all in and take it one day at a time!

1 month today Madelyn turns 3! She is doing amazing.  Fully potty trained , sleeps all night in her own room, no more soothers , hasn’t had a bottle since before she was 2.  She has her first dentist appt next week and she is so advance still and talks amazingly well. Sometimes I forget she is not even 3! she is high energy and busy. She loves swimming and dancing.

She is excited to be a big sister!

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She tells me stories on how she is going to be mommy’s helper. She will help change diapers and sing songs and dance for the baby. she knows there is a baby in mommy’s belly and she will talk to my stomach and ask to see the baby. She pulls up my shirt and says keep growing baby!

I hope shes as happy when baby is born lol

 

Be sure to check back often and follow our second maternal pku journey as  I will try my best to record it all again!

 

 

 

 

 

 

Madelyn, MPKU Journey!, That's my PKU life

1 vs 2

How do you know? How do you decide? when your ready or not for that second baby.

No I am not pregnant. We have no plans to have more children. But There is a part of me that constantly goes back and forth. Sometimes I think it would be nice for M to have siblings. Then other days I worry. I worry a lot.

How would it change things? Our family works so well.  M and I have such an amazing and close bond.  She is my whole world. I cannot imagine sharing my attention and focus away from her.  not being able to give her my 100 % .  I know how time consuming and how much attention newborns need.  What if I cant be there for her to? What if she pulls away from me because Its not the same , or she gets jealous? Or she wont understand?  Will I ever get our closeness back if i loose it?

What if  it makes her unhappy?  what if she never adjusts to sharing her parents?   what if we wait to long and the adjustment is just to hard?

When is a good age ? Is there such thing as a good age gap between children?  Am I already to late? Have we waited to long? Am I running out of time?

I have always been told to not have children more then 3 years apart because it makes it so much harder on the first born. Well  M will be 3 in march. Does that mean if we cant decide or have a baby in the next year that we are done and its to late?

I dont really want to have baby 4 years apart or after 34 . I am to scared of the risks that come as we get older plus the added risk of PKU.  I am 32 right now.

We are so not on the same page cole and I about if we should.

Some days i am fully content to be 1 and done.  I cant imagine loving another child as much as I love her. Shes prefect! How can you match perfect a second time!?? nothing and no one can be as good as her.

I wanted her for years before she became. I prayed for her, I wished for her. Every superstition. On stars, If I saw the clock change to 11:11 , on falling stars, on anything that brought good luck. I prayed to god and to my grandma in heaven to send me one happy healthy beautiful baby girl.  she is the answer to all my prayers. I never thought it would be possible for us to even have one baby. She is my miracle.  Am I pushing it for asking for a second?

What if the pregnancy is harder? what If I am more nauseated and more sick? What if I cant keep my food and formula down? what if my levels arent stable? What if its unplanned again but I dont catch it in time?  What if i gain to much weight? what if i end up with diabetes this time? what if its a difficult delivery this time? What if something is wrong with the baby? Or the baby is born sick or has colic? Will we manage? can we make it? Are we strong enough?

Being pregnant with M was an amazing experiance. I was so lucky. I really treasured every moment because I never thought i would get the chance. I loved learning about her development every week, tracking the progress , watching my belly grow. Feeling her grow and move and kick and roll.  It was both the hardest thing I ever done but also the most amazing. The 3 times a week blood dots where hard, driving them up to the hospital all year round. The large wack of blood work every trimester. The traveling to Vancouver every trimester, the weighing, tracking and recording of every single thing i touched or put into my mouth. I worked so incredibly hard.  Never have I worked harder. I did everything 100 % in my power to make sure my baby had the best chance and the best start at life. What If i cant work that hard again? what if i was only able to fully dedicate myself to her was because i wanted her so bad? what if wanting another less some how effects me subconsciously and I dont work as hard?

I had the best delivery experiance with M that i could have ever expected. I was able to deliver naturally . I did need the drugs in the end and I am so glad I took the epidural. 36 hours is a looooong time lol.  But then she was here, she was ours,  she was mine. I will never ever forget the feeling when they placed her on my chest for the very first time. my daughter. My first real good look at her. I looked her all over and touched every part of her to make her real, that she was here and she was healthy. My heart grew so much i felt it would burst.  I still feel like that so often. Watching her grow and learn and play. She is amazing. She has changed so much. She is playing pretend now and making her toys talk, she is imagining. She loves to paint and play tea party. She loves our dog copper. And she talks alot! for 2.5 she says alot of words and talks alot. She can carry a full conversation. she is so independent and strong willed but she still wants to cuddle and be loved and snuggles.  She still reaches for mama and needs me and asks for me. I am so proud of her , their are not enough words. I have never know a love like this. I am extremely protective and proud. I finally get why they say “mama bear”

Can i feel like this again? Can I be this twice?  Do i have enough room  in my heart? because seriously it already feels soo full , to every corner of my soul.

near the end of my pregnancy with M I thought , wow I can so do this again. my body is made for this.  this was almost easy. I started to be able to picture 2 children, not just one. I let myself dream . I would never have more then 2. Coming from a family of 5 and being the oldest , as well as watching all of my friends have 2 or 3 or 4 or more I know 2 is my number. Id be done after 2 . Tie my tubes done.

Even after she was born for the first few months I was like yup I can see 2 kids running around our home.

Then my love grew and grew and grew for M and my anxiety too. I didnt feel like I had anymore room. The fear I have for her , keeping her safe and healthy is a full time job. Making sure shes happy and her needs are met and challenged. That I am giving her my best. Then the fear and anxiety of having another and changing our perfect little world.

so I ask again. how do you know ? how do you other moms know when you want more? did you always know? did you change your mind? what changed your mind? How do you cope?

I have only recently started entertaining the idea. I see mommies from mommy group that i joined having a second or third already. Dealing with a newborn and a toddler. Seeing their photos their toddler and the newborn bonding and loving each other . I dont want M to be lonely. I know I run a daycare and she has cousins and a large extended family, but their is something special about a sibling , specially when they are close in age. I dont have a very close bond with most of my siblings. Large age gaps, different dads and distance between where we live. We where closer before I moved away.  they are mostly teenagers now and I am in my 30s with a family of my own. I think the larger age gap has been the toughest gap to over come so thats why I am feeling the pressure to make a decision soon. I dont want to wait to long.

But I dont feel 100 % ready yet and of course Cole is way far away from even considering it. But If I can sort through my own feelings maybe we can come together and talk and make a plan.  But I am so worried about running out of time now. Madelyn will be 3 in march so if we want to have another baby before she turns 4 and I turn 34 we dont have alot of time.  I always said if we decide to have another it will be planned by both of us and i will do the pre conception diet this time around. Finding out at nearly 4 weeks with M added so much stress until the anatomy scan at 13 weeks i was constantly worried if i got my levels down i time. I dont want that worry again.  Also M was not planned. she was a surprise. For us both. Cole had always said he didn’t want kids at all so i was terrified of how he would react but he was amazing from the very first moment on and has been every step of the way. He is the most amazing daddy and you can see how much they love each other. He says he wouldn’t change it for the world.

He has his own reasons for not wanting another, the biggest being my PKU. We where lucky, what if we arent again? that is a big risk. My health is a big risk.  But I did do it. so we know I can.

I just keep having this argument in my head over and over again. Around and round with no answer in sight. When I look into the future sometimes I can see myself and cole with 2 beautiful daughters who have this close sisterly bond.Other times I see only madelyn.

I have been having alot of dreams lately about being pregnant again. They use to scare me but now they dont as much.  Sometimes I see sharing the special moments with M , having her kiss my belly, or feel her sibling move, having family maternity photos, Seeing her hold a baby sister in the hospital room kissing their forehead.  Sometimes I feel all the feelings, fear and excitement. I wake up with the feelings lingering through out my day,

I never picture a boy or a brother lol because the thought of having a boy terrifies me lol

I think its weighing heavily on my mind lately cause I have these 2 day care girls in my care, who also happen to be my best friends daughters. Madelyn has grown up with both of them.  They are her best friends to. She calls their mom aunty and the girls call me aunty.  They are apart of our family.  They are 3 and 1 . so M is 2 right in between , she has watched the youngest grow up from birth. the older one who is 3 calls the younger one her sister all the time and M called her sister once to and i corrected her and i told her she didn’t have a sister or a brother because mommy would have to have another baby but the girls where her best friends.  she said ” ok mommy i want a brother then” She totally didn’t understand what she was saying cause she dosent know what a brother is but it just shocked me so much. Maybe it would be nice for her? she is such a social child. I dont want to deprive her of that.  I just wish i could know for sure if she would adjust ok or not? Would she still be as happy?

can we handle the sleep deprivation again. ?  can we make it through the newborn phase again? it was tough and it did change cole and my relationship a little. Can I manage a newborn? a toddler and a daycare? Can we afford it? Will our relationship survive?  there is just so many what ifs to help decide .  Just how much will it change? Can I even begin to understand ? will i regret the changes? Will i regret rocking the boat?

Our life is pretty manageable and happy right now. Why should we change that? as cole says, why change something that works so well?

not to mention we arent actually married and my children have a different last name then me. that bothers the fuck out of me so much. My last name is from my step dad. Its not even my last name. I dont want to carry it forever. I hate having to show ID when i book appts for M and I or i take her somewhere health related.   Cole and I have been together 13 years so we are practically married, but at the same time we are not. It is looking like we never will be? Can i be ok with that and have another baby i wont share a name with?

I dont know what to do. I dont know how to decide. I had hoped by sharing this and writing it all out, that maybe it would give me some clarity or answer any of my questions but i am still just as confused.  I think I want another, at least a part of me. It would be nice to experience another pregnancy and knowing it is the last. It would be nice to see M bond with a sibling and grow up together? At least i think it would? will it? maybe?

Maybe only god can know and he will decide for us if its in our path.  I just wish I had some sort of sign or clue.

 

 

 

 

 

 

 

 

MPKU Journey!, That's my PKU life

Deleted post from 2 years ago.

I found this deleted post in my archives from over 2 years ago that was never published. so im deciding to publish it now. I believe it is from a guest blog post i wrote for a friends blog.

 

 

30 years ago in 1986 I was born with a genetic metabolic disease called Phenylketonuria , also known as PKU. PKU is when someone like me, is born with out the enzyme that converts one of the amino acids in protein called phenylaline into tyrsoine . Because I dont have this enzyme, phenylalaine accumulates in my blood and is toxic to my body and brain. When the level of PHE ( phenylaline) is to high in my blood, it causes serious side effects and risk of brain damage or mental disabilities  PKU is diagnosed through new born screening at birth. It is a simple heal poke blood test. All babies in north american are screened for at 24 hours old. Results take 2 weeks to come back, if you are positive, you are to start life long treatment to protect your brain and body. IF you are not diagnosed or it is missed, by 6 months old most babies are completely handicapped.  However, when diagnosed, babies who are treated can grow up happy and healthy like me! Treatment consists of a very restricted low protein phenylaline free diet . Which is mostly fruits and vegetables and medical food s that dont contain protein or PHE . As well as a special medical drink called formula that is full of good amino acids, vitamins and minerals and protein with out PHE . There is also one pharmaceutical drug that has shown to help different levels of PKU .  Also we monitor our blood levels of phe very regularly and we have a number range we must stick in to avoid side effects. This range is 2-6 mg/dl . My levels have always been on the higher side of 8 to 11 mg/dl because I am flexible with my diet and dont always eat things i should and eat more of things i should not.

Our treatment of Diet for life – that consists of the medical foods and formula fruits and vegetables is very restricted. We have to weigh and measure every single thing we eat. We need to weigh it to the gram and then count how much Phenylaline is in the food, down to the gram. AT the end of the day, we need to meet a daily tolerance. If we are over or under it can have side effects.  to high and it causes impairments , neurological and behavioral and sometimes physical. It can cause mood swings, depression, anxiety, trouble focusing, retaining information, concentrating, and can cause you to loose IQ points. You can also experiance tremors and headaches , this is just a few of the possible side-effects. TO low and you can become catabolic and your body starts to break down its own protein, which also can release phe into the blood and effect your brain.

PKU treatment and lifestyles have changed so much and come so far since I was born. Up until I was 18, I was told I would never have a baby. Because my PKU would make my uterus toxic and cause serious side effects to my unborn baby and myself. That my baby could be born deformed or handicap or die.

When I was 18 and luckily for me, medical advice changed, and we now knew  that it was possible for women with pku to have a normal happy healthy baby. If she worked very hard and followed a even more restricted diet, and was closely monitored . This was called the maternal pku diet. it was recommended that if a women with pku wanted to have a baby she had to follow a preconception diet and treatment plan for 3 months before getting pregnant to lower the risk and toxicity to the fetus.

This was the news I had always secretly hoped to hear, as my deepest more secret dream was one day to be a mother myself. Even with this news, i still didn’t fully believe because I didn’t have all the tools i needed to be sucessful at the maternal pku lifestyle available to me , and I didn’t have the confidence in my ability to comply.

In 2014  thanks to Health minister Terry Lake and myself and a team of PKU advocates was able to get funding for our medical foods and this helped with me being able to be more complaint with my special diet and get my body healthy so one day i could realize my dreams.

In may 2016 i went off birth control to ready my body to one day have a baby.  over 10 years on birth control i expected that it would take my husband and i a while to conceive and thought we would have fertility issues. low and be hold i got pregnant June 1st. i did not find out until June 17th 2016. I was not on the pre conception diet yet so i was terrified.  My phe levels ( the level of phe in my blood)  where not in the safe range. My level was 11 mg /dl when I first found out we where expecting.

I called my special PKU clinic in Vancouver for help. My medical team who monitors and treats my PKU is located in Vancouver and is the only clinic to treat pku in adults. It consist of 2 dietitians who support me and guide me with my diet and treatment plan and my blood levels. a nurse, and a specialist doctor. The first thing I needed to do, was get my blood levels down to safe range. I did a home blood test immediately. i take my blood from my finger and place it on a card and courier it to the newborn screening laboratory in Vancouver where they read the results. Because pku is so rare, we dont have a home testing device like diabetics do.

The best way to get levels under control is to reign in my diet control. TO eat right and measure and weigh my food and track my phe intake. i need to be very careful about what i was putting in my body now. I started getting back on track and doing regular blood tests. While pregnant I did blood tests 3 times s week and drove them to our local hospital so they could send them to Vancouver and i got the results back quickly enough that if there was a issue or to high we could correct it before damage was done to my baby.

I was followed by an OBGYN and a midwife. I had specialized ultrasounds to check for deformities and issues with baby’s heart and brain. Because I did to amazing on my diet and controlled my levels, my baby never had any side effects from bad pku levels.

 

Had i not gotten my levels down before organgenisis  started in the fetus they baby would have been deformed, had a very small head, been mentally handicapped or still born.

so having PKU myself, I needed to catch my pregnancy and my diet before baby was 6 weeks along. I got my levels down 3 days after the first positive pregnancy test. I was 4 weeks along. I kept my levels in the safe range for my whole pregnancy.

I was also followed by a maternal fetal specialist in Vancouver at the high risk pregnancy clinic and that is where i had most of my ultrasounds and fetal echo done. we even saw our baby in 3D though we asked not to know the gender.  A pku pregnancy is medically considered high risk , even though I was doing so well.

A very interesting phenomeon occurs in maternal pku in the second trimester. Once the baby is able to eat and break down protein in its liver, if it has the enzyme i am missing it takes my protein and breaks down the phe and takes it out of my blood. So My levels get even lower , to keep my levels in range, i get to increase my tolerance of what i am able to eat. So while I was pregnant, for the fist time in my life, I got to try new foods that i have never eaten before with out worrying about the protein hurting me.  My regular daily tolerance is 7 grams of protein from food, and 90 grams from my medical formal that doe snot have PHE.  By the end of my pregnancy, i wa sable to eat 40 grams if protein from food!  However since as soon as my baby was born, i would have to give up all these new foods I was very careful about what i introduced so I wouldn’t miss anything or struggle after my baby was born. So i added things like rice, potatoes, oatmeal, chow mein noodles, bread, beans , ice cream , and cookies! I did not want to eat things like meat and dairy and sea food that i would need to stop eating as soon as baby was born. I found it challenging to eat this much protein , where many would be so excited i was anxious and apprehensive about these new foods and protein that i had spent my whole life avoiding because they are dangerous to me. i found i really did not like a lot of the tastes and textures.

At 33 weeks my obgyn was so impressed with my progress that My midwife was given the go ahead to deliver my baby when he or she was ready to be born .  My baby was born 10 days over due.  A happy healthy baby girl who weighed 6 lbs 11 oz, the same as her mommy did.  My dreams had finally come true. As i had always dreampt of a baby girl. In all my dreams i saw a brunette baby girl with her mommies curly hair and her daddy’s smile. I saw this little girl bouncing on his shoulders while walking along the beach. She was and is everything i have ever drempt about. I am so happy and blessed to have experienced a healthy pregnancy and have such a beautiful intimate birth. Then to have my perfect baby girl too. My world feels so complete. she is healthy. I worked so hard to ensure that. Her brain developed normally and she is growing and thriving and now is almost a year old. She is walking and talking and actually doctors say she is advance for her age and size.

 

Since giving birth and coming back to my regular diet and back down to my normal intake I have struggled. I am having post partum anxiety ( not depression) I get panic attacks and I have not been eating well or weighing and tracking my intake anymore. Life has been so busy. I dont always find time to manage my diet or weigh and measure and prepare my meals.  I am so hungry and eating over my recommended tolerance. I have recently learnt that the first year for a mom with pku is very hard to adjust back. I though to would be so easy since i did so amazing while pregnant.  My diet lacks in nutrition and whole protein and is high in carbs and starches and sugars so I struggle with my weight and eating healthy and staying full.  I thought my daughter would give me the intensive to stick to my restricted diet so i can be my best for her, but i have defiantly had my ups and downs.  My levels after birth took a while to come down, and where high for the first few weeks, then they dropped and then went back up again. They have been mostly around 11 or 12 . Finally this month I was able to get at 7.5 so a bit closer to range. I try everyday to do better. At least I enjoy my special medical formula and drink it everyday. I find it hard to do my meal preps and baking of my special foods so when i am hungry i have something pku friendly to grab and i end up making bad choices and eating something quick , like minute rice.  I am working with my clinic again to get back on track and maybe loose some weight so i can be active with my daughter and family and lead by example for her. I dont ever want her to struggle with food or weight or activity like I have. Most days I am cooking 3 different meals for my family, as my daughter has a milk protein allergy and my husband has no allergies and them my PKU . Since my baby girl has started solids and we do baby lead weaning i have noticed a huge learning curve for me about regular foods and diet needed to keep her healthy. I dont look forward to the day i have to explain my pku to her and why mommy cant share her foods when she tries to share with me. I sometimes wish I could eat the same healthy foods as her.  luckily she is not a picky eater like her mommy.  She is a great eater and does not have pku like me.

I tell myself everyday is a new day, and another chance to do better and try harder and fix what i didn’t due yesterday. Today I have already had my formula and some low protein bread i baked from scratch while she had her toast.

I look forward to watching her grow, helping her thrive and finding new ways to teach her and challenge her. She has taught me so much already and filled my life with so much joy and happiness. I am so in awe of this little person  , and that i was able to grow her and nourish her and give her the best start to life I could.

I will be forever grateful for advancements in treatment for pku. But PKU is still not well known so i hope this opportunity to educate others on pku will be well received and that maybe now one more person knows about pku, they can share it with someone the to. The more we know , the more we can research and evolved pku care and thus improve quality of live for pku people like,

 

to learn more about pku or to read my journey in maternal pku and to motherhood please visit my blog about living with pku. Follow the tab called my maternal pku journey to read more about my pregnancy.

 

thank you for taking the time to read this post.

 

Amanda Cosburn and Baby Madelyn.

 

 

 

 

Managing the diet, MPKU Journey!

The postpartum diet.

It is not easy for me to admit , but i guess the first step is saying it out loud.  I am struggling.

Not with motherhood or depression or life in general. With my diet.

I swore i’d say on track after my baby was born. To continue to be at my best so I could give her my best. I told myself it would be easy since id had been doing amazing for 10 months of my pregnancy.  For almost a year my levels where mostly under 4.

I did a level 1 week after giving birth to Madelyn and had been eating really well. Back to a intake of 400 mg of phe, lots of fresh fruit and vegetables and low protein.  Than my levels came  back!

March 11th – 12.0

March 23rd : 13.6

March 28th : 15.5

April 4th : 11.1

I am feeling so defeated and shocked. I was trying so hard.  Very hard to accept after all my fantastic levels during pregnancy.  I was weighing , tracking and still using how much phe and drinking all my formula.

It has hit me so hard since the last level that I pretty much gave up.

I dont weigh my food anymore, I havent done any more blood tests, I am not tracking what  I eat on how much phe anymore.

I eat my low protein cambrooke omelets for breakfast, I eat low protein at lunch but dinner is where I am screwing up. I am eating lots of regular rice and potatoes, corn and avocados.

I am really feeling the effects of my high levels this week and struggling to reign myself back in and to ashamed to ask for help. Not that I am sure how anyone can help me anyways. I know it is something I had to do myself, I know how to do it. I just cant seem to.

 

My head feels like is moving a mile a minute. Rushing.  I am very emotional.  I am having headaches and dizzy spells. I am very tired to. Most people would say that’s all normal since having a baby.  But Madelyn is now 8 weeks old and I have had a fabulous recovery. I never experiences crazy emotion mood swings after her birth even with our breastfeeding struggles and her milk allergy. I had a few weeks of high stress but feel that I am coping much better then i would have in years past. I have felt like I have handled everything to my  best and have not felt overwhelmed or defeated and have been thoroughly enjoying motherhood and my precious daughter.

Madelyn falls asleep around 10 or 11 pm and sleeps till 3 am for a feed then back to bed till 7 am so its not lack of sleep either. we have been walking a lot this week and getting out to enjoy the fresh air and lovely weather. For the most part I feel great.

I know it’s my levels.  I know how I feel when my levels are off. They are off. They make my emotions much more heightened and make me much more sensitive and I begin to take things personally that would not have bothered me normally.  Which is why I told all my pregnant PKU mom friends to stick to the diet after giving birth. I could not imagine caring for a brand new born in those first few weeks with high levels and feeling like this . How can I look after my daughter and not myself? How can be at your best if your levels are off.  It made me angry to know end to hear these mom friends say openly how they planned to go off diet as soon as their babies where born. I wanted to scream and yell at them . I thought it was so selfish.

Now here I am.

It’s hard. It’s so hard. I am not making excuses , but I am so busy looking after Madelyn and Cole since he broke his leg and can’t do much, Plus our Dog Copper, Cat Figaro  and our house and all the normal day to day that cole use to do , that I have let my own care slide.

I am the last to eat, and by the time it’s my turn I am so hungry I dont make good choices and grab something quick and high phe.  I know I should do baking and have thing prepared to grab that are low so I dont have to do all the prep and cooking. But I havent had time.

My time management sucks.  Honestly I have not made myself a priority. I have not made my health and my levels as high up on my list of Madelyn or Coles needs. When it comes down to it Madelyn is more important, If she needs feedings, changes , or just to be held and cuddle that’s what I am going to do. I know I can give her to cole or ask for help but  I like being able to do it myself. I need to remember I am important to and look after myself to be able to give her my best, to look after her and lead by example.

I hate the way my head feels right now. Like it cant slow down. Or its moving and rushing around me when I am sitting still.

Its time to get back on track.

I reached out to my clinic and my dieticans and have a plan to reign it in in stages and steps.  Not my all or nothing attitude that sets me up for failure everytime. Ive always been about quick results and doing it all at once. I need to do this right , one day at a time. One meal at a time and show myself some compassion. To not be so hard on myslef and not give up when I make a mistake. To shake it off and try again at the next meal or the next day.

For Madelyn , For Cole and for myself.

I can do this.  why can’t I do this ? it was so easy when I was pregnant.  I had all the incentive in the world and I still do when I look into my daughter’s eyes and she smiles up at me with her big bright blue eyes, toothless grins and coos at me!  1461953448936

I can do this. I can do this, I can do to this!

 

 

 

 

 

MPKU Journey!

It’s a Girl!! – Madelyn’s birth Story. March 2016

Madelyn Rickett was born March 4th at 2:50 pm .

 

Our birth story;

Labour 36 Hours from the moment it was real and not braxton hicks to when she was born.

I started getting pain at Thursday March 3rd 2016  at 3 am in the morning. Thought it was braxton hicks again .Then when i got up at 6 am I had a gush of water. Not a full break. I went to the bathroom and then another big gush. Had a shower still wasn’t sure it was my water. I laid on the floor during contractions or on my ball with the breaks between. I had few small gushes and then a big gush again and then I knew .

My midwife student Kate came around 9am . I was only 1 cm dilated . I got into my bath at 10 am. Stayed there for as long as I could. Few hours for sure. By 4 pm I wasn’t coping with the pain. Our OBYGN had called while I was in the bath i was trying to talk to her but the pain was to much and threw down the phone and called for Cole. He spoke to her and she suggested we go up to the hospital for morphine.

We met our midwife at the hospital for a non stress test and morphine. Came home at 630 had dinner. Went to bed at 830. That was Thursday.

Friday March 4th at just after midnight I woke up pretty much screaming in pain contractions one on top of the other. Lasting to long. To intense. Felt like I was constipated and was straining to go. It tried sitting on the toilet but cole told me to stop and then he called midwife again. We where told to go right up to the hospital ASAP

Went to the hospital by 130 am Friday Was 8 cm dilated.  I had managed to sleep and rst long enough for my body to do what it needed to do and had great progress.

I was then  admitted and got into into the shower. It was not expected to go very long agt this point. But then I stalled. I Labored there in the worst pain for hours. I was up and down as cole used the shower head and moved the water over my back. I was leaned over the shower chair. I swayed and rocked. I moved from the shower to the bed to be  checked. No progress. I was stalled. Their was a cervical lip covering her to.

I Tried the gas for only one breathe and hated it.  Instant headache. Convinced to accept some fentanyl it took the edge of but stopped regular contractions . I had so hoped to go drug free and fought so hard.

The team Stated to talk about an epidural and oxytocin to start them again.

Bawled my eyes out. That was not what I wanted. I was scared of needing a c section if I did. i was sacred of to many interventions and wanted to let my body be as natural as possible.

They left cole and I alone to talk and Then I called my best friend to help me decide what to do. It took my BFF Laura, Cole, my midwife and the nurse to coax me into  accepting both. So freaking glad I did now. Wow I wish I had of sooner. Getting the epidural helped me relax enough to let my body do what it needed to do and gather its strength. But the time I had the epidural i had been laboring for 28 hours and it was not over yet.

Got set up with the epidural and iv and Oxycontin around 9 am i think it was?

Cried the whole time but felt instantly different. They tried to get me to sleep but I was to chatty. Not stoned or drugged just calm.and relaxed and casually chatted with the nurses about pregnancy life and my pku. Cole fed me water juice ice chips and My special formula.

Everything seemed to move slowly and quietly. Every time Cole needed to leave the room to get my something i had the nurses cover me up. the idea of him seeing me like that was dreadful. I was trying to maintain some decency.

At 1 pm I was fully dilated. Pushed for an hour and a half and the Joanna said if I didn’t make more progress in half an hour she needed to call the ob for an assessment. That we may need forceps or a vacuum.  That made me fear assisted delivery or c section. She was born 20 mins after that talk lol. guess it was all the motivation I needed.

I used a push bar with blankets tied on it to pull. I didn’t tear or need an episeotmy thank god. I had slight bleeding near the labia so she gave me 2 stitches but classified it as intake

Cole stood up at the very last minute and saw her be born .  Madelyn was born at 250pm March 4th 2016 . 10 days past her due date. Weighing 6 lbs 11 oz and 48 cm long.

I wouldn’t let him watch before but he saw as she came out. I asked her if he could see and he said yes. I asked him to tell me what the baby was,  so he told me it’s s girl and I said really ??? I didn’t believe him.

Joanna my midwife said yes he’s right . She was born with the cord wrapped around her neck. So Joanna cut the cord asap and she was given oxygen . When she started to cr she was was placed on my chest it only took seconds. Cole cut the rest of the cord . They left some for him ceremonially. We a few  hours of skin to skin. She had no interest in breastfeeding, she never did the “breast-crawl” her lungs where to full of mucus though I did not know that then.

My labor had stalled cause she moved postier for a bit but the Oxycontin encouraged her to rotate again. So her head was a bit swollen. She had no effects from any of the drugs  which was a fear of mine the whole time. 

I also found out later she had a large amount of meconium at birth.

We had an amazing team of nurses and I was up walking around with in 2 hours of birth and even got to use the bathroom. I retained alot of water from the iv and drinking fluids. I ate nothing all day. I was very puffy and My legs felt weird I walked very bow legged.

Joanna said i did not bleed much during delivery and it’s already not as heavy as I expected. I had a shower right after I got up to pee while cole held her.

Then we where moved to the other side. We could have gone home at 10 pm but chose to stay the night I’m glad we did because we had a rough night learning to feed and she was choking and turning blue in color from all the mucus in her lungs due to the cord being wrapped around. So establishing feeding was slow . Her belly was full to so she wasn’t very interested.

We got home just after 2 on Saturday ♡ coles parents got to our house 5 mins after we got in and stayed for an hour.

She won’t sleep in her bassinet only wants to be on cole and I.

She was up frequently last night our first night at home. This morning cole took her from me at 5 30 am and put her in her bassinet and I passed out. When I woke at 8 am (OMG!) When I got up they where not in the room and I found them cuddled on the couch watching movies.

She’s having a lot longer feeds today and long naps !

All in all we are so happy ♡♡♡

I cant believe we did it. I am so in awe and so in love. she is the best part of us both. She is beautiful and perfect and so very teeny . She has changed our world and filled my soup. She is the answer to all my prayers, my wishes and my deepest dreams.

2016-03-04 18.46.05

 

our midwife came to our home on saturday  March 5th when we got home and just as Madelyn turned 24 hours to do her PKU and newborn screening test. It has already come back as negative.

20160305_150848

 

newbornscreening

Madelyn is now 3 weeks old and doing very well. We recently learnt that she has a serious milk allergy so we have had to stop breastfeeding and switch to a special hypoallergenic formula.

Both Cole and I had milk allergies as babies , Cole outgrew his and well I have my PKU .  Apparently my diet contains more milk products than we thought despite my low protein diet and this is why we had to end our breastfeeding journey.  My formula ( bettemilk) contains whey protein, milk and soy . So does a lot of the cambrooke products such as the cambrooke eggz.

I returned to my diet the next day after Madelyn was born. I didn’t eat the day she was born other than juice and Popsicle in the hospital. When we got home my fridge was stocked by family and friends of fresh fruit and veggies and low protein food baked by my friend kyla.

I didn’t weigh or measure right away  or track on how much phe again till Madelyn was 10 days old.  Then i started back at 400 mg phe and 2500 calories for breastfeeding.

My first level post pregnancy was when Madelyn was one week old and it came back at 12.  Apparently that the best post pregnancy level my clinic has seen. I was very upset after seeing below 4 for 9 months and then up to 12 when i thought i was doing so well. I am awaiting results on my 2 weeks post level and due to do one this monday.

Madelyn amazes me everyday and i am just in awe of her. My heart swells when i look in her eyes and hold her tiny hands. I’d do anything for her. Its hard going back to a limited amount of food when i am so hungry but i look at her and know i need to be at my best so i can give her my best . she deserves that.

Here are a few more photos to enjoy! I will try to write again soon. Right now I am just enjoying my time with my family and these fleeting newborn stage!

 

 

 

 

 

 

CanPKU, Events, facebook, MPKU Journey!, News, Social Media

Rare Disease Day 2016

In honor of ‪#‎rarediseaseday‬ 2016 I am going to share a personal story with you.

Many of you already know that I have PKU. To the point your probably all sick of hearing about it. And over the last 40 weeks you have been flooded with information about ‪#‎MaternalPKU‬ or ‪#‎MPKU‬ and how PKU affects my pregnancy. But what you may not know, is that until I was an adult, I was told that I could never have children.

I was told that due to my PKU, that I could not carry a normal healthy baby. That If was to get pregnant the chances of my baby being born mentally handicapped , disabled or deformed was extremely high. At the time it was recommended that women with PKU do not have babies . At the time it was recommended abortion and adoption.

I have always wanted to be a mother, I dreamt of being pregnant and having a baby someday. I tried to convince myself it didn’t matter and I told everyone I could not.

At age 18 , the BC PKU Adult Clinic sat me down and told me about all the advancements and research and that one day if I worked really hard my dreams could become true. I could not accept it at first.

You see for a women with PKU we must be so very careful and follow an even more restricted Maternal PKU diet. It is recommended that you have low blood phenylalanine levels for up to 6 months before even conceiving a baby. As whatever your blood phe levels are , they are about 2.0 times higher in the uterus. If your levels are not in a safe range in yourself, it created a toxic environment to grow a baby. Leading to deformities, mental disabilities, handicaps, small head syndrome, learning disabilities, heart issues, and even death. To be able to carry a baby to term that is healthy and safe , a PKU women must follow a much more restricted diet. Do blood tests 2 to 3 times a week, and much much more. AT the time , to me it sounded impossible. I was already having enough trouble trying to manage my own PKU low protein diet and struggled with paying for my special medical foods. I did not follow my diet as closely as you need to, I suffered as a teenger by eating things i should not , not weighing or recording my intake and didn’t even do regular blood tests. I suffered from high levels and made myself very sick.

After meeting Cole and falling in love, I still tried to tell myself it was not a good idea to ever have kids and tried to not think about it. But the clinic had opened that door and my heart dreamed to the point of self torture. meeting Cole and falling in love with him changed my life and set me on a much better path. He inspired me to do better, to get myself healthy and to love myself too.

in 2008, Cole and I where invited to a maternal PKU seminar in vancouver where we met other women my age, and we met Nicole Le Vecque. She had recently given birth to a beautiful baby boy. She had a sucessful PKU pregnancy. I stared at her in awe and this perfectly healthy baby boy! She inspired me and showed me dreams can one day come true. This is when I really started to accept my PKU and notice how much it was really affecting me and my health. This is when I first started to advocate for PKU and improving qualtiy of life. It was shortly after I organised my first walk and became involved with Canadian PKU and allied disorders.

Over the years life got in in the way and I doubted my ability to have a healthy pregnancy. I battled with many health issues, including chronic major depression, anxiety and multiple physical injuries. I lost all faith that we would ever have children.

I never gave up on my advocacy work and my dream still lingered in my secret heart.

Year after year being involved in the community, working with and having the support of CanPKU I watched my small rare community and world around me expand. Doors and opportunities opening and awaiting me!

Over the past 3 years life has changed so much, so has PKU treatments , research and there has been improvements to the quality of life for people like me.

One of the biggest was the low protein food funding we where awarded by Terry Lake. Having the food covered and not struggle to buy my low protein foods that help keep my brain healthy was a huge step forward towards my dream of one day being a mother. having these foods on hands and not having to worry about how i would make the diet took a huge weight of my shoulders.

Fast forward to today, A rare day. Leap year 2016 and #Rarediseaseday and I am 41 weeks pregnant tomorrow. Dreams really do come true. I am‪#‎PKUstrong‬. I am ‪#‎PKUproud‬. PKU does not run my life, I run my PKU and I am happy , healthy and about to have my life long dream come true before me! I cant wait to meet this beautiful baby to be and start this next chapter of our lives together.

A huge shout out to everyone who has supported me over the years and through this journey. I could not have done this with all of you. To Cole, I love you so much more then words can say!

Happy Rare Disease Day everyone!
www.canpku.org
https://www.raredisorders.ca/
https://globalgenes.org/
http://www.rarediseaseday.org/
www.npkua.org

MPKU Journey!

Summary of my PKU Blood PHE levels by Trimester.

Trimester 1 :  

June 1st to August 24th 2015

chart (1)

 

08/24/15 2.20
08/20/15 3.40
08/17/15 2.50
08/12/15 4.50
08/10/15 5.40
08/08/15 5.20
08/05/15 6.80
08/03/15 6.30
07/31/15 5.20
07/29/15 4.50
07/27/15 5.19
07/24/15 5.80
07/21/15 6.70
07/18/15 5.20
07/16/15 4.40
07/15/15 1.70
07/10/15 2.00
07/07/15 1.80
07/05/15 2.00
06/29/15 1.70
06/25/15 4.82
06/22/15 7.20
06/20/15 9.00
06/17/15 10.70
06/13/15 11.50
06/04/15 9.40

 

Trimester 2 : 

August 24th to November 17th 2015

chart

 

11/16/15 1.20
11/12/15 1.10
11/02/15 1.90 37.00
10/31/15 1.50 40.00
10/28/15 1.90 40.00
10/26/15 1.80 49.00
10/23/15 1.40
10/21/15 2.30 33.00
10/12/15 2.20 45.00
10/05/15 2.50 47.00
10/01/15 2.35
09/28/15 1.90 37.00
09/23/15 2.40
09/22/15 2.90
09/18/15 2.70
09/16/15 3.20
09/15/15 2.40
09/09/15 2.30
09/07/15 2.80
09/05/15 2.30
09/01/15 3.20
08/27/15 2.80
08/24/15 2.20

 

 

Trimester 3 ( So far)

November 17th 2015 until now February 5th 2016

chart

02/03/16 5.30 74.00
02/01/16 4.50
01/27/16 4.20 60.00
01/25/16 3.60 45.00
01/21/16 3.10 54.00
01/18/16 3.10 37.00
01/15/16 1.90 45.00
01/11/16 1.40 61.00
01/07/16 2.50 54.00
01/04/16 1.90 43.00
12/31/15 2.00 40.00
12/29/15 1.80 56.00
12/24/15 1.60 52.00
12/21/15 1.30 39.00
12/18/15 1.10
12/16/15 1.20
12/15/15 2.40
12/14/15 1.10
12/07/15 1.58 35.00
12/04/15 1.15 38.00
12/02/15 1.56 47.00
11/30/15 1.10
11/26/15 1.30 41.00