Thursday, November 14, 2013

Yeasty Boy

Last week, we got the report back from Collin's blood and urine workup from a couple of weeks ago. The results shocked me.

Not only is Collin severely deficient in numerous vitamins and minerals, but many of them we are already heavily supplementing. In addition, his markers for energy metabolism are extremely low and his markers for malabsorption and dysbiosis (unbalanced microorganisms) are very high. Even the doctor, who is very conservative, admitted that though he had expected things to be "off", he was surprised that they were this off.

The logical conclusion (at least in the short term) is that something is preventing Collin from absorbing the nutrients he is getting through food and supplementation. Two of the dysbiosis levels that were highest were both yeasts, which can wreak havoc in the gut. This imbalance has likely been present almost since birth, since the NICU protocol involves courses of very strong antibiotics. These antibiotics kill the good bacteria along with the bad, leaving the gut vulnerable to harmful yeasts.

So, our course of action is to perform another special test which will identify the specific strains of yeast present in Collin's body. This will allow us to most accurately treat him, getting rid of the yeasts and replacing them with good probiotics. Then we will retest his vitamin and mineral levels in 6 months to see if anything has changed.

I have also forwarded the report to Collin's endocrinologist and geneticist/neurodevelopmental physician. Though we have a logical next step to take, I can't help but look at this report through a bigger-picture lens. With my limited knowledge, I wonder whether the test is showing us a metabolic disorder. Though that path of inquiry was abandoned by most of Collin's doctors long ago because he doesn't present like a typical metabolic patient, it's hard to look at these levels and not wonder. We are still waiting for the completion of his exome sequence, which may also shed some light on the mystery that is Collin.

Tuesday, November 5, 2013

Halloweeny

Our Halloween was so low key that I forgot to write about it. Thanks to all for the not-so-subtle reminders.

Collin attended his first trunk-or-treat this year. He passed on the candy but got to see a cool fire truck.

Lumberjack Collin

Apparently, lumberjack is no longer part of the shared cultural experience, because our most common guesses were hipster and axe murderer. As if. The closest was "tree cutting man." Sigh.

See if you can see Collin's 5 o'clock shadow.

It was fun for a short while, but ultimately the commotion was a bit much for him, so we grabbed the cousins and some popcorn and went to the park to feed the ducks and geese, which he much preferred.

Halloween night came with very appropriate dreary weather, so he stayed home in his skeleton shirt and Halloween tattoos and watched The Legend of Sleepy Hollow cartoon for the fifteenth time (there is no limit). 

Checking out his spider/web craft accompanied by his
new favorite toy (thanks Grandpa!) and his happy pumpkin
(thanks sweet neighbor!)
Now bring on Thanksgiving!!