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Daniel's Website update, written by Daniel's Dad, Daryl


Life has been so busy and in many ways wonderful, I am constantly asked when will you update Daniel's original website. I would like to take this opportunity to apologise for the almost 7 year delay and I promise it will not take so long next time.

Schooling:
After initially searching around our area we identified several schools that we thought would help aid in Daniel's development both Educationally and physically but the school that really stood out was Mere Oaks. This was an amazing place, the staff were fully committed people and everything was on the same site from, Physiotherapy, Speech Therapy, nurses and a full curriculum.

Daniel was aged 2 when he started part time, in November 2000 and the staff in the Nursery really helped to introduce him to the rest of the class. Unfortunately for a great deal of the initial term all he would do was lie still and not really respond that much.
Slowly the staff coaxed him and Daniel became a fully integrated member of his class. The children all had different disabilities but there was a bond between them. I would however say that Daniel was the most severely disabled physically and mentally.

In 2001 I became a Governor at the school and remained so until its closure. Unfortunately this award winning school closed in July 2006 due to government cutbacks under the guise of integration. We fought for 3 years in vain to keep the school open.

 

We presented a petition to 10 Downing Street. Which asked for the Government not to close the school, which consisted of over 25,000 signatures from the people of Wigan. We were almost responsible for turning a Labour majority local council into a coalition council but narrowly lost by 2 votes.
The Save Mere Oaks Campaign appeared on T.V, Radio and National Press and we arranged several high profile marches raising the plight of our children, we even took it to the high court but unfortunately we lost this long fight and with it this fantastic place for special needs children and the break up of their staff. How do you explain to the children what is going on? It was heart breaking.

Hope School
Daniel started Hope School in September 2006 and took to it straight away. All the worrying of the last 3 years disappeared. The Teachers and assistants are fantastic and bend over backwards to help. We miss Mere Oaks and it will always have a special place in our hearts. I think we have been very lucky with this new school and a great weight has been lifted, as Daniel is very happy and settled.
Unfortunately this cannot be said for a percentage of other children that have moved to new schools.

Nebraska USA 2000
As part of our own research for further information about Daniel's condition we attended the 9p- annual conference at Omaha, Nebraska USA in June 2000.
Our close friend Annette Connah arranged a sponsored bike ride from Wigan to Southport, many people took part and the money raised went a long way to covering Daniel's costs. Coupled with this Ian Marshall from the local Royal Mail sorting office ran the London Marathon. The story was picked up in the Daily Mirror, national press and several donations were forthcoming.
Unfortunately during the flight Daniel began to get into breathing difficulties and I had to resuscitate him using mouth to mouth, I managed to clear the blockage and got him breathing again. Not the first time this had happened but certainly the scariest.
The children that attended the conference in Nebraska have approximately 50% of Daniel's condition but we felt it was an excellent opportunity to learn more about the condition and meet other parents. Dr Carol Crowe also attended the conference. Dr Crowe has been researching the 9th chromosome for many years. She examined Daniel and was able to tell us that although Daniel was different as he has an addition to chromosome 9 as well as a deletion. There were certain attributes he would have such as:
· Low muscle tone
· Growth deficiencies
· Learning defficulties
As to what extent, she was unable to tell us. Scoliosis (curvature of the spine) was also an area to watch for.
We came away feeling we were not alone and looking at the children that attended realised there was some hope. I remember feeling very emotional when we first entered the room full of children and that they had similar characteristics yet they were unrelated by blood and from all four corners of the world.
We also experienced our first Tornado in Omaha and had to take cover in the basement of a shopping mall whilst it blew its self out.

Georgia, Alabama USA May 2001
We followed up Omaha by attending the following years conference in Alabama.
A local charity volunteered to help us with fund raising by once again cycling to Southport.
In Alabama it was lovely to see our friends again but this time we noticed Daniel was far and away more delayed in all aspects. All these children were walking and talking and in most cases and their muscle tone was much better, about 90%.

 

Diary of operations:
Daniel has had to have several operations:
· September 1998 he underwent a hernia operation.
· Video Fluoroscopy January 1999, this was to ascertain how his swallowing mechanisms were working.
· Grommets in Left ear removed March 1999.
· Lyrigo Malacia April 1999 (trimming of the epiglottic fold) due to low muscle tone the flap between the air ways and the digestive tract was weak and would flop, hence covering the airways and causing many apnoea attacks (stops breathing)
· Lyrigo Malacia June 1999, Re-trim of the epiglottic fold.
· Lyrigo Malacia Aug 1999, Re-trim of the epiglottic fold.
· Tonsils removed Feb 2000.
· Inter-cranial pressure monitor inserted into the skull overnight to test internal pressure, August 2000.
· Cranial Facial operation to open the frontal sutures of the skull, September 2000.
· Gastrostomy, to aid in feeding March 2001
· Groin operation March 2001.
· 10 teeth removed due to massive overcrowding July 2003.
· A succession of chest & brain scans over the ensuing years up to 2005 but fortunately no medical interventions until 2006.
· O.G.D 2006 Oesphagus-Gastric-Disassociation. Detachment of the oesophagus from the stomach and attaching to lower bowel. Due to severe reflux.
· Exploratory operation oesophagus May 2007, as Daniel had swallowed a plastic object that had blocked his oesophagus.

 

Areas of concern
In late 2005 and early 2006 we noticed Daniel's oral feeding was beginning to decline. As each month went by his intake became less and less, which in turn meant his gastrostomy volumes would need to increase to counter balance the oral decrease. Worried by this we met with Dr Downes and Dr Agbenu. Daniel was not putting on weight, he was producing a lot of mucus orally, which was also being vomited, as well as a high degree of reflux (gastric acids travelling up the oesophagus from the stomach. His bloods were low on iron.
The Doctors prescribed dom-peridome, which moves foods through the body quicker and has less opportunity to be vomited hence giving it a chance to be digested and turned into calories and ultimately weight gain. Daniel was also prescribed omepriezole which is an anti reflux agent which would help to stop the acids climbing up his oesophagus and damaging it.
In July 2006 we were in Corfu when Daniel started to choke and produce large amounts of mucus, so thick was the mucus that it was blocking his airways. Suctioning helped remove the mucus but we knew there was still a massive problem.
On our return we met with Dr Downes and Agbenu who referred us to Daniel's ENT Consultant Dave Willets. After checking him over he said the problem was not in the throat but possibly the stomach. We were referred to Adrian Bianchi, who had fitted Daniel's gastrostomy.
After an endoscopy, (camera down his throat whilst anaesthetised) Adrian noticed the walls of the oesophagus were very narrow. This was being caused by the reflux acid, which was climbing up the oesophagus and burning the sides of it.
The effects being swelling, narrowing of the walls and at times blockage and choking.
On Boxing Day 2006 Daniel was admitted to Pendelbury, Manchester Children's hospital for an (O.G.D) oesophageal gastric disassociation.
This was performed by Adrian Bianchi on the 27th December.
The operation was a success and as you can imagine Christmas and New Year were muted but it was worth it.


Paediatrician.
Daniel regularly sees his paediatricians Dr Agbenu & Dr Downes every 6 months, if we have any questions or concerns they are always available. As well as Doctor Downes we have the support of the 'Complex Needs Team' who we are in constant contact with during the day via our mobiles, they are fantastic and even if Daniel is off school because of illness they will ring up to see how he is.
Dr Downes recently identified the onset of scoliosis in November 2005 via x-ray this is being monitored closely.

Speech Therapy/Dietician.
Over the years we have worked with a succession of Dieticians, part of Daniel's condition is that he does not gain weight very well even though he has a gastrostomy.
Daniel's current weight is 23kg age 8.5 years.
We agreed at a very early stage with Lynne John, Daniel's Speech Therapist that it was essential that though he was fitted with a gastrostomy he should still feed normally if at all possible. Between Heidi and Lynne they tried a succession of different textures and tastes. Pureed foods seem to be best. Daniel loves most sweet thing such as chocolate buttons and this came in handy when we were weaning him onto savoury foods. We would introduce the sweet and gradually put on more savouries. In the last 12 months though he has wanted to eat less and less. He seems to tolerate a rusk or cereal most mornings, will drink orange or milk shake but we have had to keep a record from school as he is not eating a great deal during the day. On average 6 teaspoons of savoury and 8 of sweet. This is topped up with tube feeds in order to maintain his calorific weight and strength.
Daniel's staple diet, which is fed through the gastrostomy, is Paediasure Plus with fibre, which is very high in calories and this helps him to gain the essential weight and vitamins he needs. Daniel's weight as of writing this is 23kg and 120cm in length. His formula is supplied via prescription from Abbott Laboratories, Abbott Nutrition, Queensborough, Kent, ME11 5EL and is delivered monthly by courier.
Daniel is tube fed at school at 10 am, 12 noon and 2 pm. (the 12 noon tube feed is only used if he has not taken enough food orally) He is then fed by Linda his Carer, orally at 4.30pm when he arrives home from school and then bathed. At 6pm Linda leaves and we take over Daniel's cares which include quality time playing and talking with Daniel, a 6.30pm tube feed and at 7.30 pm Daniel goes off to bed. What is of massive importance to Daniel is his routine. One step away from this routine and he is unsettled. He also only likes to listen to the same music each night, which is 'Celtic Themes'. We have had to make several copies of this cd just in case we lose or break the original, woe be tide if he does not listen to it before he goes to sleep.

 

Linda, Daniel's Carer, our friend and newest member of the family.
Linda has become an essential part of the team and family over the last 4 years. Prior to becoming Daniel's Carer she was his escort to school. Her sunny disposition, sense of humour, flexibility and willingness to take on anything make her invaluable and of the many things that have happened since we have had Daniel then meeting Linda has been the best.
Linda has become a Grandmother since being with us and brought up her own disabled child so is well aware of the level of attention Daniel needs. Daniel & Jordan meanwhile love Linda to bits. She has also helped raise funds for Daniel's Dolphin Therapy (see Dolphin Therapy story later on) 1 night a week Linda stays over in order to give Heidi & I a rest as his sleep patterns are not regular and you can be up between 4-6 times a night especially if he is having breathing issues or sickness. Linda has her own room and we pass over the intercom to her on these nights. Though she is always able to deal with anything that comes up we are on hand just in case. I would say though that Linda is as qualified and experienced as we are when dealing with Daniel's needs and we trust her implicitly.
During Daniel's school day he receives a great deal of one to one in the class room, as he is virtually non communicative this helps and we have found he responds better in this environment, the school and staff have always been very receptive to our suggestions and we are very grateful for this.
Daniel also receives a lot of sensory therapy with lights, music and textures, which help him to explore and relax.
Physiotherapy is an important part of Daniel's school day, the Physio's work on his muscle tone and from just lying still at the age of 2 Daniel is able to navigate obstacles in any room by rolling, he is unable to crawl due to the very low muscle tone in his forearms, even though these have been worked on extensively over the years they are still weak. We use a standing frame at school and at home which aid in strengthening his legs and posture and though improved he is still unable to stand unaided. We also use a walking frame but very little success has been gained from this over the years. Daniel's has special seating that supports his sides and has a 3-point harness. Its incredible how low muscle tone can affect a person so much.
As he grows we have had to make some major adaptations to the house in the form of a large extension, adding over 50% of our house in size. We now have a separate purpose built bedroom and bathroom for Daniel along with Hoist for lifting him, special toileting and bathing facilities. As he has no fear, beds have been a major problem as Daniel will roll out of them, we tried a bed bar but as he grew he was able to climb over it, we have just purchased a large cot that had hydraulics which enable him to be raised and profiled this aids in lifting him. Instead of bending to lift him the bed can be raised, this also works with the bath that can be raised and the side folds down to enable easy extraction from it. All of this has cost thousands but we feel it is well worth it as it helps us all. Our house is fully wheelchair accessible as the garage door is electronic and the floor of the garage has been raised to the same level as the house for smooth transition form the garage to the kitchen. From the kitchen you are able to access all rooms downstairs. We have large patio doors from the kitchen that lead out to the garden, which is sloped via paving to a raised 2nd patio and lawn.
At home he knows where everything is and will go to his toy box via rolling and select toys to play with. Daniel is a very happy child, always smiling but if he is unsure of anything he will grind his teeth. He loves to be held and kissed and cuddled but does not understand the concept of gentleness most of the time as he will grab at ear rings and necklaces as he is attracted to the colour. Many things go into Daniel's mouth as he still explores by mouthing and has recently decided he likes to bite things. This is not meant as an aggressive gesture as I have said before he has no concept of inflicting pain on others. Another example of Daniel's habits would be his head throwing. He will suddenly without warning throw his head back and if you are holding him his head will hit you in the face which can be very painful.

It's not what you know but who!
We are very lucky. One of our closest friends Neil, is a pharmacist, he is married to Christine, who is a Nurse.
Another of our closest friends Annette, is a registered childminder who now specialises in looking after disabled children and she is married to Wayne, a computer programmer hence this web site

 

Dolphin Therapy Florida Keys USA 2005
In June 2005 we visited Florida, we went to Disney but the main reason for visiting Florida was to travel down to the Keys. It was a 5-hour drive from Orlando and we stayed in Key Largo. The Dolphin Therapy centre is based there.
After a great deal of research including phone calls, emails and the Tamizin Outhwaite documentary on children working with dolphins to aid in communication we decided to try it out. Some good friends from Daniel's school had visited the centre and they also gave it the thumbs up.
The cost can be prohibitive so we set about trying to raise additional funds.
· Linda organised a sponsored walk and raffle, which raised a lot of money.
· Colette, a very close friend of ours and her friends Tracy and Derek were sponsored by many people to run the Great North run , which in turn raised a considerable amount of money.

· The Plough & Harrow in Shevington did a sponsored bike ride and raised a lot of money.
All in all we were very lucky and we managed to cover Daniel's flights accommodation and the cost of the therapy. Linda travelled with us to help us with Daniel's care and to give Heidi and myself some time together.
Heidi, Jordan , Linda and I paid our own way.
I must admit I was sceptical, what could a dolphin do that we had not tried over the years but I was intrigued. It's a 5-day course and starts with the introduction of the tutor Kathy, and her staff to Daniel and us.
Daniel was asked to paint a wooden dolphin, in order to do so he has to choose the colours and with the help of the staff actually paint it himself. Kathy explained he was to nod his head for yes and shake his head for no. Once they had worked on Daniel's dolphin his reward would be to swim with a real one. The Teacher was very concise about what she wanted from him. I sat back and watched really doubting but saying nothing. Within minutes Daniel was nodding and shaking his head when choosing colours, I couldn't believe it, I was the biggest sceptic but here he was working with the teacher and laughing. Why Daniel chose to start to communicate that day we will never know. Prior to our visit the Dolphin Therapy centre had asked us to complete an extensive questionnaire and send video footage of Daniel for them to access his abilities. It seemed to work by a process of recognition and reward but whatever it worked.
In the pool Daniel was introduced to Squirt the dolphin and he was given a choice of things he could ask Squirt to do, he had to communicate by nodding or shaking his head. For the first time Daniel was in control. The teacher, Squirt & Daniel were working together. I am sure if you are reading this you will be asking yourself how could this happen, I am still asking myself today.
Daniel was encouraged to continue the nodding and shaking throughout our stay in the Keys, at one point Kathy asked if Jordan could go into the water with Squirt. Daniel shook his head meaning no, then burst out laughing, my god a sense of humour, it was amazing. We all laughed and I must admit I had to choke back the tears.

On his return from the Keys to the U.K we have continued with this programme and communicated this with his own teachers, his teachers were amazed at the response and say he is a different child at school.
We continue to this day with this method, there are days when he is not so forthcoming as with any child and you need to be aware of the response times as it can take 30 seconds to a minute for an answer but it is definitely there.
The people that work there are amazing. We plan to go back again in 2007.


Charity and some people !
Unfortunately I feel I have to put this into the content of this web site because of the world we live in. In fact I have been paranoid about this from the very beginning of fund raising for Daniel.
We are happy to accept any help with Daniel but feel strongly that we should not benefit directly or personally from money raised for Daniel's trust fund.
Therefore any monies raised are paid into the trust fund account or paid directly to the companies that are supplying specialist equipment or services.
It is a funny world in which we live in and you need to protect yourself from people who would gossip and are less than Charitable in their thoughts and deeds.
It is a difficult position to be in at times, an example of this would be:
If I have a new company car delivered as a part of my job. To the untrained eye a normal car but actually specially adapted at great cost to ourselves, to carry Daniel and his equipment. I pay tax on this like anyone else. The gossips might say, "they want to raise money for their child but they are driving around in a new car".
As we both work and we manage to save enough money to buy a much needed second car, once again adapted for Daniel's needs and big enough to carry a wheelchair and giving us the ability to go to Daniel at the drop of a hat should he be at school ill etc: as I work some distance away at times.
Of course the gossips would have a field day, " a second car now".
Sometimes you have to be thick skinned as I have learned, perception is not reality and cowards only whisper and gossip.
Why would they do this? Is this envy and if so what are they envious of, the car or the disability of my child?
You can still be successful in life and yet have a disabled child.
You can still be happy and laugh, and you are still entitled to have a life yourself.

Our aim is to secure the long-term future for Daniel and we see it as our duty as his parents.
Daniel is 9 and we are 45, in 20 years time we may not be physically able to look after him and may have to buy in additional help and therefore we need to work towards securing his future via our own investments. We need to have that peace of mind should anything happen to us.

 

Summary:
Over the last few years there has been a slow realisation of Daniel's condition.
As there is no record of anyone having his condition there was no concrete knowledge of what to expect.
Daniel is a very happy child.
He continues to grow and become heavier which in its self causes additional problems but all in all life is good.
People say, "I don't know how you cope, I don't know if I could do it".
This always amazes me as he is our child and we love him, for Daniel to not be with us would make us all unhappy. As for "I don't know if I could do it" what is the option?
We are no saints or special chosen people and I am often embarrassed by the implication, we just love our children unconditionally whatever way they are.
Isn't that what being a parent is all about?
I consider myself to be a very lucky guy, great wife, great kids, great friends, and great life. I believe I am a better person for being Jordan and Daniel's Dad. So for those people who feel sorry I would say, yes its sad that Daniel is not like us, running around, walking talking etc, but at the end of the day if you could go through life laughing and smiling without a worry in the world and surrounded by love, is that such a bad place to be?


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