Wyatt was born on June 27, 2013, and had an emergency transfer to the Children's Hospital of Eastern Ontario (CHEO) because he could not open his mouth. The fear of needing an emergency intubation was of major concern for all of the medical staff, therefore, he required specialized care that only CHEO could provide.
We spent the next two weeks in the Neonatal Intensive Care Unit (NICU) and then an additional two months in Complex Care or the Ward. This is where we met Wyatt's Pediatric Doctor, Kheiri Issa. Wyatt's care at CHEO improved immensenly once Dr. Issa took Wyatt under her wing. By having a "hub" where all of the specialists referred to; Dr. Issa, Wyatt's prognosis for his Congenital Trismus was as follows:
- physiotherapy done on his mouth twice a day;
- suctioning nasally and orally when needed;
- having him connected to a Oxygen saturation monitor (O2 Sat monitor);
- teaching him sign language;
- being fed through a Gastric tube (G tube) until he learns to eat on his own.
As his parents, we were taught how to read the O2 monitor, feed and suction him, as well as, perform his physiotherapy, which was extended to chest therapy in January 2014, after a bout of pneumonia.
Wyatt is currently being followed by the following specialists:
- Ear Nose and Throat (for Botox injections, to paralyze his mastication muscles), this treatment ended in May 2014, as it proved to not aid with physiotherapy;
- Neurology (believed he had myopathic muscles around his jaw), a muscle biopsy was done, and confirmed his muscles are normal;
- Genetics (Wyatt may have a rare syndrome);
- Physiotherapy (this includes an Osteopath). Wyatt no longer sees his Ostheopath as her work may counteract the Chiropractor's adjustments;
- Anaesthesia (to monitor Wyatt's improvement, and to eventually put him under for another MRI his brain, brain stem and jaw);
-Chiropractor for adjustments done at least 2 to 3 times a week;
-PED Dentistry, to clean and monitor his teeth for decay.
Additionally, Wyatt does not blink very much, although he is slowly improving. He blinks intermintently, and rarely do the eyelids blink in unison. After a feeding study, it was confirmed, Wyatt does not swallow. As his parents, we believe, Wyatt could not swallow or open his mouth in utero, (he had a low birth weight and mom had an abonormal amount of amniotic fluid).
Wyatt has been seen by Dr. Hazel, from Synergy Chiropractic Wellness Centre for since June 2014, and we have found that he is less stiff when turning his torso to follow an object. With that said, he still does not follow an object normally - a child should use their neck to follow an object, whereas Wyatt uses both his neck, and compensates with his torso once his neck cannot turn any further. Additonally, Wyatt's swallowing has improved, he is eating minute amounts, (ie: less than 1/2 tsp), which can be found within his stomach contents when venting him. Also, his eyes are blinking at a more normal rate, however, he still does not blink as often as you and I would.
An interesting side note to Wyatt's eye sight, is that if you drop something right underneath his chin, he cannot follow it. His flexor muscles are so weak (confirmed by his neurologist, Ostheopath, Occupational Therapist and Physiotherapist), that he can look down, but cannot bring his head back up. For example, if mom places a block between his legs, Wyatt will use his hands to 'search' for the block, and without actually looking at it, will pick it up. The flexor muscle, coincidentally, also aids with one's swallowing. Mom and dad must do daily exercises with Wyatt which involve lying him down, and raising him from the a supine position to sitting by using his arms to raise his torso. This movement helps with his head and neck to 'anticipate' being raised, and to use his flexor muscle to keep his head in a forward position.
Wyatt has also started using more words. Between July and August he has said the words 'car', 'grandma', 'Aila', 'dog', 'cow' and 'all done'. Wyatt began to to actively sign in September, adding the signs 'all done' + 'bath' + 'diaper change' = "I'm all done my bath now, it's time for a diaper change." He has also signed 'I love you' + 'dad' = "I love you, dad".
Wyatt had a Gastric Emptying study done in November, and according to the Gastroenterologist, Wyatt's stomach empties quite quickly, and well.