Sharpened

The story is told of two wood-choppers who went to work in the forest.  The first worked tirelessly from sunup to sundown, and felled a good number of trees.  But throughout the day he grew increasingly irritated with his fellow who left  for ten minutes of every hour.  Even though the second spent less time swinging his axe,  at the end of the day he had chopped more wood than the first. Two woodchoppers worked al day.

“How is it that you get more wood chopped when you keep leaving the job?” wondered the first wood-chopper.

The second replied, “I leave to sharpen my axe.”

The recent Mission Possible: Sailing For Solutions cruise conference was an axe sharpening time for me.

There were two take-home messages for me from this conference.  No, make that three.

First, Linda Kane (Hope and a Future) used pictures for the first time to speak about the last years of Scott Kane’s life.  Scott was about 15 years older than Mary and I had followed his achievements closely. His story was inspirational.  He didn’t begin ND until he was 10, and didn’t begin using  nutritional intervention until he was 14.  Yet, as a young adult his auditory digit span was 7, and he was able to ride his bike to work and do a man’s job as a janitor at an elementary school.  Mary was younger, started nutritional and ND intervention earlier, and I wanted at least those achievements for her.  Then Scott died in 1996, in his late 20’s.

The day I heard that Scott had died in his sleep, I wrote this.

I keep looking at Mary and thinking, What if….?  I don’t know when was the last time I thought about Mary’s mortality.  She is just so alive.  But, so was Scott.  I thought we were over the part where DS just up and kills people.  I thought we were looking at 50 years at least for Mary.  I’m in emotional shock.

What my mind was shouting but what I couldn’t say to Linda at the time was, WHAT HAPPENED!?  And HOW DO I KEEP THAT FROM HAPPENING TO MARY?

I’m so thankful that at the cruise conference Linda risked reopening her grief and told about Scott’s last years.  She showed photos of a handsome young man, short and a bit stocky.  Then a year later, another photo, a bit more stocky.  The next photo would have to be called overweight.  And the photos progressed to a clearly overweight man in a wheelchair.  Linda described Scott’s fight against weight gain, in spite of an intense regimen of weight loss dieting.  She told of his decreasing energy, that he lost his job, and finally was unable to walk.  Then it was all over–and he was only in his late 20’s.

Then Linda told of being given the book, Hypothyroidism Type 2, by Mark Starr.  When she finally built up the courage to read the book, she realized that it described exactly what had happened to Scott in his last years, and what had finally taken his life.

Why was Linda’s story such an important part of the cruise conference for me?  Because, in Linda’s photos of Scott, I saw Mary.  Three years ago Mary (4’10”) was a svelte 98 pounds.  Today she fights to keep her weight under 125.  No matter how hard we try, her weight keeps going up and up.  Could it be that Mary’s problem is not calories and eating, but that her mitochondria are not responding to the thyroid hormone that we are giving her?  And is there another solution to her trajectory other than nagging her about her eating?

I’ve said in the past that “DS is not a tame disease.”  You don’t get a handle on it and then coast through the next years.  Nope.  Trisomy 21 is constantly on the prowl and as soon as I relax my guard it finds an opening and comes roaring back in.  Linda Kane, through sharing Scott’s story, gave me weapons to continue to fight for Mary.

The second take-home from the cruise conference was information gained from a reflex assessment.  Three specialists with Masgutova Neurosensorimotor Reflex Integration explained the effect that non-integrated primary reflexes can have on later development.  They spent an hour with Mary to assess her primary reflexes.  And I learned that Mary has not integrated her Fear Paralysis Reflex.  The FPR emerges in the womb and probably helps the mother deal with threats.  If baby freezes, mother is not distracted and can focus on the danger.  But, the reflex is supposed to integrate before or shortly after birth.  If someone has not integrated that reflex,  events would trigger irrational fear resulting in the muscles freezing up and the person becoming unresponsive if even for just a few seconds.

Having a non-integrated Fear Paralysis Reflex explains some of the behaviors that we see in Mary.   Poor kid!  Imagine living your life with events constantly triggering reflexive fear and freezing up!  Knowing that it is reflexive is soooo helpful.  No more trying to reason with Mary or teach her logical responses to what she perceives as threats.  That would be like trying to teach her not to blink when someone throws something at her eyes.  Logic isn’t going to solve it.    All this would be fairly useless information except that I also came away with exercises to integrate that reflex into her mature nervous system.  YAY!

The third take-home was that glutathione (GSH) is a big deal.  Yes, I’ve known about glutathione, and have even spoken about it, but this little molecule kept popping up in presentation after presentation on that cruise.  Glutathione  plays into a good bit of the pathologies associated with DS.  So, I need to revisit some recent research about GSH and its relation to DS.  This will probably result in changes to Mary’s supplement protocol.

So, I stepped away from my routine for five days to attend the cruise conference.  As a result, I may have found the way to step Mary off of a downward health pathway, found an explanation (and solution) forSharpened axe some of her inexplicable behavior, and found research relating to glutathione that can be applied to Mary’s supplements to keep her healthy.

Yes, the axe has been sharpened.

Pain Tolerance in DS

Paul Doney has compiled a fascinating bit of research and anecdotal evidence about the role of Ginkgo Biloba in normalizing pain responses in Down syndrome.

Normal pain response is a gift.  Pain tells us to remove our hand from a hot surface.  It convinces us to stay off a damaged ankle so it can heal.  And it alerts us to sickness so we can take corrective action.  As much as we hate pain, we must realize that the absence of a normal pain response is dangerous.

Therefore, this is good news:

The main conclusion that I would TENTATIVELY draw from all of the following is that Targeted Nutritional Intervention, and in particular the supplementation with Ginkgo Biloba, MAY normalize or improve the pain tolerance of a child as well as “wake them up” from a more sedated state.

Paul details his research and evidence at Super Down Syndrome.

Iron Depletion Warnings

My friend S– posted a warning to the ES list about low iron/ferritin levels in kids who have had duodenal atresia or stenosis surgery, or Celiac and Crohn’s.  I’m going to reproduce here some of that discussion for you.

I wanted to pass on some news about J–  as you have been kind enough to listen to me whine about her health problems all these years. After her most recent hospitalization for severe anemia she was treated by a hematologist as well as a gastroenterologist. They put their collective “ologies” together and came up with the plan to treat the iron depletion first.

Had any doctor ever suggested treatment of  iron depletion?  Read on.

No one ever suggested this before….low iron, and other nutrients were considered a result of GI disease. I’ve learned the hard way how extremely important iron stores are to the well-being of the brain and the heart and general health.

And for J– treating iron depletion had dramatic results:

She had 8 IV infusions of iron over a period of 9 weeks. Her most recent labs show her hemoglobin and iron numbers to be in the normal range. She is no longer yellow (this was attributed to my feeding her too much carotene, and low iron to my not giving her enough meat). She’s no longer pasty and pale and cold. And I almost want to say she is no longer “retarded” but of course that’s not quite the case. We’ve had a pretty intense Verbal Behavior program going for the past couple of months and she is talking so much more and willing to vocalize and learning so much more quickly.

… I did some checking and apparently one of the 4 reasons given for an inability to absorb iron can be small intestinal surgery, in particular the duodenum..which results in a much smaller area of absorbable intestine. This is where most iron is absorbed. So while I’m ready to go kick some more doctor butt because absolutely noone in all these years has put this together I did want to get the word out there to any of you who’s children have had duodenal atresia or stenosis surgery as babies to be vigilant about iron levels [emphasis added].

This information that some of our kids are at particular risk for low iron is important.

I, like many of you, was volitionally brainwashed into the idea that extra iron for our kids was a bad bad thing.

S- was referring to this article on the danger of excess iron in Down syndrome.

I’m hoping you will help get the word out that low levels of iron can be equally if not more dangerous, particularly in kids who’ve had these duodenal surgeries. (Also kids with Celiac and Crohn’s).

According to Paul at Super Down Syndrome (one of my new favorite sites), the blood test to get is a ferritin reading.

Both a paediatric sleep paediatrician and a paediatric gastroenterologist that we consult with strongly recommend supplementing with iron for sleep disturbances in children IF A FERRITIN LEVEL LESS THAN 50mcg/L IS SHOWN.  Note that the “normal” range is 20 – 200 mcg/L.  Ferritin is the iron storage molecule of the body.  In children with DS iron supplementation should only be undertaken if low iron levels are proven and they should be monitored regularly during supplementation so that the supplement can be stopped ASAP.

There is much, much more at Super Down Syndrome, including the relationship between iron deficiency and sleep disturbances.

DS Autism Discussion

For discussion of bio-medical treatments for the dual diagnosis of Down syndrome and autism, join  the Yahoo group  DSAofLouisville.

Update: Here is the group description:

I’d like to invite you to join a newly active group dedicated to the dual diagnosis of DS and Autism. We’re hoping to provide an openminded discussion of biomedical, alternative and complementary medicine and treatments. This would include treatments for Down Syndrome as well as Autism. Of course traditional allopathic medicine is considered on topic and crucial for our often medically compromised children as well. Perhaps you have a child with only one diagnosis but are still interested in learning from and sharing with us. Perhaps you are a professional or family relative who cares about these issues…everything from gfcf diets and TNI to HBOT and RDI.

Plus, Super Down Syndrome has collected resources for the DS/Autism dual diagnosis.

3. Acknowledge and Treat Gene Over-expression

The year my daughter, Mary, was born was the year that the old paradigm of Down syndrome started to crack.  Prior to that year, every one just knew that Trisomy 21 was a static condition that didn’t change and couldn’t be treated.  But in that year a parent got on the new thing called the Internet and started looking at what was known about a few of the genes on Chromosome 21.  Based on what she learned, she developed a protocol to treat her daughter.  She realized that her baby daughter was not yet retarded, and so she looked for what she could do to stop the negative progression.

Making Pancakes

To understand what that mom did, imagine you are making pancakes with a recipe that comes in twos.  The recipe calls for:

Making pancakes with a recipe that comes in twos
2 milks

2 flours

2 salts

2 baking powders

2 eggs

2 butters

Now, imagine that someone comes along and dumps in an extra cup of flour.  You no longer have pancakes, you have muffins!

Can your batter be fixed?  Well, yes, you can add in some extra liquid.  It won’t be the same as your original recipe for pancakes, but it will still be good.

The human chromosomes are a recipe that comes in twos.  Trisomy 21 comes along and dumps in a bunch of extra metabolites.  Can it be fixed?  Well, we can’t make it the same as the original recipe, but we can adjust some other ingredients to get closer to the original plan.

“Gene over-expression” means that because a particular gene has three copies instead of two, the cells make too much of the particular protein coded for on that gene.

It’s a New World

Unless you acknowledge the fact of gene over-expression, you will ignore the most potent tools to treat the cacophony of metabolic errors that is Trisomy 21.  Understanding gene over-expression gives us a focus for our research, and it provides suggestions for supplemental nutrients and drugs to ameliorate the imbalance.

Those suggestions are coming rapidly now because of three major developments in the last several years.  First, parents themselves are (more…)

4. Research the Vaccine Controversy for Yourself

This is the post which is going to make me unpopular.  Vaccines are so doggone controversial, yet so much a part of the medical orthodoxy that questioning them is tantamount to heresy.  But I gotta say this to new parents of children with Down syndrome:

You simply must research the vaccine controversy for yourself.  You just must.

The statistics of incidence of autism in the general population are bad and getting worse. But  in Down syndrome the statistics are terrible.  Various estimates range from 1:10 to 1: 5.  Something serious is going on if one out of every ten children with Down syndrome also is diagnosed with autism.

It didn’t used to be.

On the Einstein-syndrome email list the ratio holds true:  about one in ten.  And from the stories and struggles told by these parents, the DS/autism dual diagnosis is just heartbreaking.  Down syndrome alone is a walk in the park compared to dealing with autism piled on top.

If this health issue is so prevalent, then we parents must do all we can do to prevent it from happening in our own children.  Once again, Professor Parent PhD must get on the Internet and research a difficult topic.

If you do not know the best theories about the causes of autism then you do not know how to protect your child. Let me say that again:  If you do not know the best theories about the causes of autism then you do not know how to protect your child. Period.  If you do not know the risk factors for autism, then you do not know how to minimize the risks in your own little guy.

As you research, be sure to read about gut dysbiosis, contraindications for the various vaccines, the safety studies which have been done on vaccines, particularly the safety studies done in  medically complicated populations, and alternate vaccine schedules.

As you research you’ll begin to understand the social concept of herd immunity, and the expected collateral damage to a percentage of the herd.  Herd immunity is a great social concept for policy makers.  But for me as a parent, it is my job to keep my own high-risk child from becoming the collateral damage.  The first step to do that is to research the vaccine controversy for myself and then act on what I learn.

If you have researched this topic and have relevant links for other parents to look at, both pro and con, please post them in the comments.  Please write a sentence or two on each link, why it is relevant and/or helpful.  And limit your links to two per comment or WordPress’ spam filters quarantine your comment and I may not see it.   You may post multiple comments if you have multiple relevant links.

Vine-heart-line

Top Fifteen Things New Parents Should Know

This post is #4 of a series which was written specifically to a couple who have a baby boy with Down syndrome. These fifteen are the things I would do if I once again had a baby with Down syndrome.

A Question About Iron

Iron toxicity in DS has been discussed elsewhere on this site.  Because of this toxicity, iron is not included in Nutrivene-D.  For this reason I also avoid any foods for my daughter that are “fortified” with iron.

Now, today I received private correspondence asking whether children with DS usually are low in iron.  I don’t know what those statistics are, so I’m taking this opportunity to try out the poll feature that WordPress offers.  There are two polls.  The first asks about blood levels.  The second asks whether your child is receiving supplemental iron, either by fortified formula, fortified foods, or MSBPlus, or other vitamin supplement.

If you have other comments about iron, please post those in the comments.

9. Learn to Build and Support the Immune System

If you have a child with Down syndrome, you probably have a child with a poorly functioning immune system. Frequent sickness is an expected part of the “syndrome.” Yet it doesn’t have to be. Once you understand the “very good” design of the human immune system, then you can begin using tools to  support that design rather than taking actions which undermine it.  Your goal should be to build the immune system, not just to achieve a quick reduction in symptoms.

In this post we will look at antioxidants, essential fatty acids, herbs, the gut and sinus protective barriers, and fever as they relate to the immune system.  Entire books are written about these topics, so this will be a quick overview.  As the Professor Parent you’ll have to do the deep study yourself.  The goal of this post is to list some tools that you can use to build the immune system in your child. (more…)

10. Focus on Gut Health

This post is part of a continuing series, The Top Fifteen Things a New Parent Should Know which was written to the parents of a particular baby boy who has Down syndrome.  These are the things I wish I had known from the beginning when my own daughter was born.

Parents of a baby with Down syndrome must become Professor Parent PhD

Constipation is a gut wrenching problem in our kids.  Literally.  If you spend any time at all on Down syndrome related forums and email lists, you will see this problem discussed.  Yes, we moms actually get on the Internet and talk about poop.

There is a comprehensive collection of parent solutions to constipation elsewhere on this site, so I won’t list them here.  Instead, I’ll look at three areas to focus on preventively to keep the gut healthy.gut

First, a healthy gut  is lined with a carpet of microvilli on the ends of the absorptive cells.  These tiny tendrils produce enzymes for digestion.  A healthy gut hosts billions of friendly bacteria which also digest food, and which form a protective wall against unfriendly bacteria and parasites which attempt to set up residence.  These friendly bacteria form an important part of the immune system.   Finally, a healthy gut has regular, strong peristalsis, the rhythmic squeezing that moves food through the gut.

Problems in any of these areas are interconnected.  (more…)

12. Begin Now with a Kitchen Makeover

vegetables1Most of us have kitchen cupboards full of stuff that our great grandparents wouldn’t recognize as foods.  What is recognizable as food has been treated and processed to the point that much of the health-giving properties are gone.  This is fine for most of us.  We are reasonably healthy, and what ails us can usually be fixed with a medical treatment or two.  We may not feel great, but we feel OK, and we function well enough.  Our bodies are designed with enough of a buffer that even when our foods aren’t great, we aren’t hurting.

It’s not so with our special kids.  A child with that extra chromosome has used up the buffer just staying alive.  Your son will not thrive on the foods found in the cupboards of most American kitchens.

Learn to Cook

In order to thrive, and to avoid the unhealthy processed foods, you gotta learn to cook.  Many years ago I decided that it must be possible to make a casserole without a can of cream of mushroom soup, and I went on a hunt.   If you are (more…)

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