About Me

Wife, Physical Therapist turned stay-at-home SMA mom, and Independent Wellness Advocate for essential oils. I'm Meredith and this is the journey of our beautiful life! I am Mom to our sweet Leo, who was diagnosed with Spinal Muscular Atrophy (SMA) at 3 wks of age. SMA is a terminal, neuromuscular genetic disease. Our life is not what we "planned", and it can certainly bring many tears at times, but Leo shines a light brighter than we could have ever imagined. His love and joy has changed our lives, and we are forever grateful for our greatest blessing. He is medically fragile and requires 24/7 skilled care, but to us he is perfection. He is part of a greater plan we are just beginning to get a glimpse of. We live life embracing every moment, and doing everything we can to give Leo every experience possible all while praising God for our MANY blessings.

Friday, September 18, 2015

A letter to Leo's Pride

Once a private person, many have seen how Leo has transformed me into opening up in ways I never imagined. Revealing thoughts and emotions to all of you because you all have fallen in love with my son and surrounded us with a support network that gives us strength everyday.
Your love and support for our family has been unbelievable. Prayers, cards, meals, donations, parades, sharing Leo’s story, donor milk, your comments, gifts for Leo and so, so much more. Over 600 people registered last year for Leo’s race. Over $80,000 raised and double from an anonymous donor! Thank you will never be enough. Humbled doesn’t begin to describe the way we feel because of all you. We love reading and hearing your kinds words saying we are amazing, that we are an inspiration, but the very people saying these things, going out of their way to speak to us when they don’t even know us, and volunteering their time for us are the inspiration! You are listening and sharing and helping us change things for Leo and so many others.
And here I am! Horrible with thank you notes, hard to reach on the phone, and late to respond to texts, messages and emails. We are bad about RSVPs because we want to be there, but we just never know if it will work out. We sometimes struggle to make what seems like a simple plan, and we are very particular when we do make them. We miss birthdays and important events. We try to be as active as possible and give Leo every experience possible, but we still very much live in a bubble. It can feel selfish, because we are so deeply grateful for all of you and have trouble expressing our gratitude.
And we keep asking for more. And that can be very hard for us when we already feel so incredibly blessed by your support thus far. But the thing is, what I remind myself, this is for Leo. And children like Leo. We want to spread SMA awareness and change the stigmas and biases that can affect individuals with different abilities than you or I. We want to live life to the fullest, and never take a moment for granted. But ultimately we want to save Leo’s life. Because we choose not to think about the “what ifs” we can often be detoured from stating the obvious, and that is we need a cure for SMA. Statistics show most will not live past two years old. No one can put a timeline on Leo’s life, but it is a fact that SMA has significantly shortened his life expectancy. That is our reality, and things have to change for Leo and for other families going through what we go through every single day.
It is a natural reflection at the end of the day to spend time thinking if this was it, if Leo was not here tomorrow, would I be proud of the mother I was today? Could I live with myself if this was my last day with Leo? Writing this is difficult, because the thought process I go through is so natural and easy. I don’t dwell in the sadness, and I don’t let my mind drift to the darkness that life would be if this did happen. It is a simple self-reflection, and I try to make tomorrow better in whatever way I can. It occurred to me last night that perhaps I have not been as open about his inevitable shortened life. I have been trying to educate, and update, but I feel like I have been missing being the advocate I need to be for my son. Do you know that we save his life every day? Do you know that what starts as Leo just crying over something small can easily turn into him not being able to breathe and an emergency situation?
So here it is, after all you have done and continue to do, we still need you. We need all of you. You all know there is no cure for SMA. This does not really encompass the concept that there is NO treatment for SMA. There is NOTHING. We manage the progression with various interventions, we change diet, give supplements, have therapy and try to do everything we can but there is nothing available for Leo. We have learned a great deal about the ridiculous timelines that exist before a drug is available to the public. We have learned even more where the funding comes from for the labs and research that leads to treatment. It is from you. The groundwork and the development of ideas that could lead to trials, treatments and a cure, come from people like you. From large corporate donations, to the child emptying his piggy bank to pay his registration fee, every single donation and registration matters. So as his mother, being his advocate, I am asking you to please share Leo’s story. There are so many generous and loving people in this world that would to make a donation for something that could save lives, but just don’t know about SMA! Ask your company if they match donations. Do what you can, and challenge yourself to think how you can help raise money and include others in this event. Invite friends! Do a 5 weeks to a 5K challenge with your social group. Encourage the friend that suffered a stroke to come celebrate all the obstacles they have overcome. Bring the senior athlete that has worked hard their whole life to maintain the physical health they have. Tell every person at your next meeting or gathering about SMA and Leo, and what Love Every One means. Invite your neighbors! Do you have a special contact that comes to mind that might could help us? Do you have a place you could pass out flyers or place a poster about the event? Everything will help. And don’t forget to tell them how much fun this event will be!
SMA has stripped Leo of almost every physical ability. Down to his ability to breathe and smile, and now we fear it could start affecting the muscles that control his eye movements. We have to stop SMA, and we have to do it now.
Many ongoing thanks to all of you and thanks be to God for our very blessed life and this opportunity.
runhard.org/pages/race-leo.php

Thursday, September 10, 2015

SMA Awareness: not just muscle weakness

A diagnosis of SMA means so much more than just “muscle weakness and wasting”. Aside from the feeding, swallowing and respiratory issues, there are many other issues that develop because of SMA. Many have orthopedic problems, GI dysfunction, and new research is being conducted regarding autonomic dysfunction in early onset SMA.
Orthopedic problems can also become a major issue for individuals with SMA. Issues vary with type of SMA. Individuals with type 1 can have limited range of motion and can develop contractures due to the inability to move joints within their normal range. They also have poor postural control and alignment because of their profound weakness. They often have progressive scoliosis and this can lead to the necessity for surgical correction. They are also at risk for hip dislocation, increased risk for pain, osteopenia and fractures. Proper postural support, orthotics/braces to prevent contractures, assistive and adaptive equipment and ongoing reassessment are very important.
Research is also currently being conducted to examine autonomic dysfunction in early onset SMA. Autonomic dysfunction is a broad term that refers to the autonomic control of basic bodily functions including heart rate, body temperature, breathing rate, digestion and other systems. It basically refers to the things that happen that you don’t have to think about. According to Dr. Bach, “about 20% of children with SMA type 1 and 2 have slowing of heart rate below 60 beats per minute. At times the slowing is to below 40 beats per minute and results in loss of consciousness.” He also explains that there have been several cases in which children have died suddenly because their heart rate drops to zero.
Most individuals with type 1 SMA are on special diets. While all children are different, and there is some variation, in general most do best on an amino acid diet. Unfortunately, because the research has not been conducted yet, many physicians and dietitians are reluctant and might refuse to right for this diet. It can often be yet another battle we as parents have to fight. And it is so important to do so!! This diet consists of an elemental formula that is easier to digest and has very little fat. Most parents using this particular diet have found their children to have slower/less progression of disease, fewer secretions, less constipation, improved respiratory health and overall improved. Too much fat can result in the baby working so hard to digest their food that they end up burning too many calories and actually struggle with weight gain. Many have found decreasing fat to less than “typically” recommended levels can result in healthy weight gain. Children do still need some fat in their diet. Breast milk is a well tolerated fat that provides calories and fat needed without added complications and side effects. Leo has been receiving donor mild for sometime. We are so thankful to have had friends, friends of friends and strangers reach out to provide Leo with this priceless gift. We have been running very low on milk, so I decided to post to a group on Facebook to see if their were any donors willing to donate to Leo. Once again we were blown away by the outpour of love and support shown to us and Leo. This has taken a stressor out of our lives. The thread is really something to read. So many moms coming together to help give Leo a gift than I can not. It brought tears to my eyes. We are so thankful.
Leo had a great weekend! We went to Charlotte to visit family. Leo loved the Whitewater center! He loved watching all the action and of course being outside! We also had a great trip to Freedom Park. Leo loved getting to play with his cousins and spend time with his family!

The Rock Behind the Scenes

Thank you so much for all of your kind comments, likes and shares of Leo’s interview! Even if we did not get to respond to every one, we read them all and they meant so much to us!
I was so very proud of how great Leo did. We were sad Adam couldn’t be there with us, but maybe next time! Being a parent to a child with SMA has many challenges, some are the same of any parent and others are unique to our situation. Being an SMA Dad is like no other. Adam is often, as described to me the other day, “the rock behind the scenes”.
He is the one that has had to leave Leo when he was not doing well. He is the one that has to be gone everyday to support our family and provide Leo with insurance. He can’t make all of Leo’s appointments, but wishes he could be there to hear all the details. He is sometimes left out of decisions regarding Leo, not because we don’t communicate, but because there simply isn’t enough time in the day to discuss everything that needs to be decided. He is the one that has to listen to me complain about my 90th call to insurance I had to make that day.
He is the one that has had sit through a phone call listening as I worked on Leo to get his oxygen and heart rate up. Called because it was taking so long, and if I couldn’t, if something happened, I wanted and needed him there.

When you are with Leo it is impossible to feel anything other than love, hope and joy. Busy yes, anticipating and prepared for scary scenarios, yes, but negative thoughts don’t stand a chance when you are with our sweet boy. I am so very blessed that I get to be with him all the time. The hard part is when you are away from him. We are so blessed to have our “rock” with a strength and faith that others might never see.
And Leo sure does love his Daddy!!

Leo's Interview!

Here is the link to the interview!We are so very proud of Leo! He did so great!
Thank you Jasmine Styles and wltx for helping share Leo's story! He had so much fun watching himself on TV!

Go Leo Go Registration!

Leo is very excited to announce that registration for the 2015 Go Leo Go is now officially open!! It is October 31 at his favorite park, Saluda Shoals in Irmo, South Carolina. The 5k will begin at 8:30 am and will be followed by the 1 mile family walk and Lionheart Dash! We are so excited that this event will be for everyone! Whether you are a competitive runner, this is your first 5k or 1 mile walk, or you are a special and exceptional athlete, this will be an event for you! Last years winner came in just over 16 minutes, many ran their first 5k and more walked and rolled in the 1 mile! Wagons, strollers, wheelchairs, walkers ect. are welcome and encouraged!
Following the events we will have awards, and we will be celebrating Leo turning TWO years old! This is a huge milestone for our special boy and we are so very proud of him. Awards this year will also include a costume contest, so start thinking about your costume! We will have also have games and activities following!
When you register you will be able to select from three options 1) 5k runner 2) Walk or 3) the Lionheart Dash which is for exceptional and special athletes.
The website also has links for sponsorship, volunteer opportunities, and the option to make a donation if you are not able to participate. (All donations will be qualify as a tax write off)
The event will help raise awareness for SMA, fund research to find a Cure for SMA, support the medical equipment pool through cureSMA.org and fund the LEO grant.
We look forward to bringing everyone together in celebration of our unique abilities!!

Thursday, August 20, 2015

SMA Awareness: Is there a cure for SMA?


NO. Currently there is no cure for SMA, BUT there are care options, and they can allow these babies and children to have wonderful lives!
I will never forget being told by a nurse that was taking care of Leo while we were in the hospital, “Don’t trach your baby. Then he will just be there. He won’t be able to do anything, and he will not have a good life.” I cannot express the anger I felt when hearing that. This was our baby, and we were going to do everything we possibly could to give Leo joy, happiness and an amazing life. (All of our other nurses were great and loved Leo)
Part of SMA awareness and sharing Leo’s story is to share our message to Love Every One. Part of this is understanding that we are making the decisions that we think are best for Leo. There are other care options, and we believe every parent is doing what is best for their child. They are all horrible decisions, and there is no right or wrong. We just hope and pray that parents will be educated about the specific care options. All too often we hear stories of little ones in critical condition being told they don’t have options all while receiving improper care that is completely against protocols that were established years ago for SMA. Below are the very basic care options.
1. Non-invasive Care- this includes chest physiotherapy, cough assist and BiPAP, feeding tube
2. Invasive Care- this includes a tracheostomy with ventilator support.
3. Palliative Care-this is when the parent would choose that the above options are not right for their child. It is often termed a “comfort care” approach in which alternative treatments such as oxygen and medication are used to keep the baby comfortable. The majority will not live past 1 year.
This does not mean that there aren’t gray areas and overlap, and it certainly doesn’t mean once one path is chosen you no longer have choices or options for another. We have had many difficult decisions to make. We are currently doing a non-invasive approach with Leo, but again, we believe that there are no wrong decisions. We pray that God will continue to guide us along his path he has chosen for us and Leo. We are doing everything in our power to give Leo the very best life. He is not just there, he is living and he loves his life!!

Wednesday, August 19, 2015

SMA Awareness: Respiratory

One common question we often get is if Leo uses oxygen, or if his BiPAP is giving him oxygen. Although we do carry an oxygen tank in case of an emergency, Leo does not get oxygen. SMA does not cause a problem with gas exchange in the lungs. Therefore, the blood is getting oxygenated as needed. What happens with SMA is the actual muscles that are used to take a breath are weakened to the point where breathing becomes very difficult. The muscles in between the ribs, the intercostal muscles, are weakened to the point that Leo uses his diaphragm to breathe.
A drop in oxygen levels can occur but it is typically due to 1) airway blockage by mucous or a plug which must be cleared using cough assist or suction 2) Leo becomes so fatigued to the point he can not physically take a breath (this can happen when he gets very upset) or 3) improper BiPAP settings or mask/interface. Unfortunately
we see all too often when these babies are being treated under physicians care that are not familiar with SMA, they are quick to put them on oxygen which only masks the underlying problem and can actually be very dangerous.
Most babies with type 1 SMA would benefit from breathing support at night starting at a very young age. When sleeping, the muscles used to breathe are more relaxed. When these muscles are already weakened, the breaths become very shallow. This can result in a drop in oxygen levels and an increase in carbon dioxide (hypoventilation). Non-invasive support using a BiPAP machine (or ventilator) can be extremely effective in helping provide support. This machine uses a mask that covers the nose, and provides additional respiratory support by forcing air into the lungs. This allows the baby/child to receive a higher volume of air, and also helps keep the lungs more expanded during exhalation. The vent has a set rate of breaths it gives in a minute and can also sense when Leo is taking a breath. So it gives breaths when Leo is having trouble taking them (or asleep), and helps give the breaths he does take on his own more support. A BiPAP can also be lifesaving during times of illness. We call it a BiPAP often but technically this is a ventilator (vent) used non-invasively as a BiPAP not a true BiPAP machine. We also sometimes call this “his mask” when referring to the vent.
When Leo is on his vent, he gets to rest. For the most part he only needs this while sleeping at night and during naps however, there are often times when he had to be put on his vent when awake for different reasons. He is usually on his vent when I am driving any further than our local park or on the interstate. If it is past naptime or if Leo is staying up late one night, we will also put him on it so he can rest. Leo is pretty laid back, but like any toddler he can get upset and have a tantrum. For Leo, this can spiral into serious situations if not handled quickly. He will clamp down and his heart rate and oxygen can drop rapidly, and he will need his vent to give him those breaths to recover. It is also helps him while sitting up or standing. Leo has always been a little fighter, and he will still fight being put on the vent when he does not want it or think he needs. For the most part though, it has become very comforting to him, and he enjoys being able to rest and breathe easy.