SCORE!

Just got back from my favorite market and I scored….

two boxes of organic bananas for $2.00 a box. If you’re a homemade blended formula mom/caregiver like me you know it can get expensive… so save any way that you can and one way… is to be nice to your local store manager, tell them what you do, and ask them to call you if they have ripe produce that is still good but can’t be put out. If you don’t use it they’ll just throw it away so you can get it for a fraction of the price or maybe even free.

You can take some of the bananas out of the peel and freeze them for smoothies for the rest of the family…

And use the rest for your formulas!

If you decide to use frozen bananas in your blended formula, in case you don’t know, make sure that you bring your formula back up to room temperature before giving it. Cold formula can cause painful stomach cramping.

REMEMBER…a ripe easily digested banana is a spotted banana! Countries that eat bananas as a staple of their diet do not eat bright, light-yellow, and partially green bananas like we do. Plantains, yes. Bananas, no. So go talk to your grocery manager and save some money!

The spot where ________

If I asked you to drive me to the spot where you grew up, or went to high school, had your first kiss, or got married…how would it feel? As we saw it in the distance, slowed down, and the brakes began to squeak. When we opened the car doors and the air from outside rushed in…as we got out and the sun beamed down on us. How would you feel? As, you showed me around? For me, moments like that are almost their own energy. It’s like, as I stand there, if I inhale deeply enough I can inhale part of that moment because it is thick in the air. Like that energy abides there though the moment is long gone.

I actually enjoy reliving those kinds of moments in my mind. If you really connect you can feel just like you felt that day. Hopefully when I’m a ripe old age I’ll be able to tell a story just like Ninny Threadegoode, from Fried Green Tomatoes, that brings you right back to that day….

Well, so…you showed me around and we’re getting back into the car… and I ask you to take me to the place that changed your life. Not for the better (that you knew at first). Not the spot that you got married. Or the spot where you bought your first home….the spot that changed YOU. as a person. That grew you. That was hard…the hardest thing that you’ve ever experienced. But now. looking back you know. that it changed you. For the BETTER.

Would you pause? Would you take me there? If you would happily take me there then I might question whether you actually have experienced this place yet…

Well yesterday. I revisited “the place where ____”….where my life changed. A family member was in the hospital and I chose to go. I had to go. My love for them was greater than how difficult I knew that this was about to be. I pulled up. I felt the knot in my throat. I took some deep breaths. I looked around.

There was the tree that I parked under.

There were people still milling around, unaware that my life was forever changed here.

I expected to go back. I drove myself there. So I decided to use the opportunity to show myself that everything was ok. God had allowed my life to take this left for a reason…I know that now…and even though it has brought with it the worst pains of my existence…

It has brought such awareness and connection that I wouldn’t change it just to make my life easier.

So I walked. Instead of making a beeline for the elevator and heading up to the room. I walked. And breathed. To take some ominousness out of the big dark place that changed my life. I walked around the lobby, past the information desk, and into the gift shop. I’ve always thought that they have the best gift shop.

In God’s infinite wisdom and grace…I came across a sign that read…

Life is a chance to grow a soul.

Life is a chance to grow a soul…

Where I have been led has grown me…so much that sometimes I can actually feel myself being stretched. But, I have such a deep connection. Such an awareness of the beauty of things. Laughter. Light. Life in all of its forms. Touch. Feeling.

You think that you know love until your child who can’t control his head takes all of 60 seconds to lift his head and give you his open-mouthed version of a kiss on the cheek as you carry him to the car.

I don’t just live life. I feel life.

And that is the intention of these times, these places, these spots where our lives change forever. If we embrace them in the midst of the pain and the tears. They force us to climb to a new plateau SO HIGH that we would never achieve it on our own.

Accessibly Chic

Since I became a mother, I have never been able to stand hearing my children cry. Something inside of me just would NOT allow my babies to cry for any length of time when they were small. So, as a solution, they went everywhere with me…to wash dishes…to cook dinner…to fold clothes…to take a bath. EVERYTHING! And… when they were really small I learned to do things with one hand because if they didn’t want to be put down… I wasn’t putting them down. Enter Karsten… (who cried for hours on end as a baby)… I don’t think I put him down for more than 10 minutes at a time for his first two years of life…….I know….my family gave me such a hard time about it! He even slept on my chest.

 

 

I didn’t particularly. really. even think anything about what I did…though, to some people I know it sounds crazy. It was just what I did. Like so many things we just do. I just did it. But then, and I know we all have one of these stories in our lives, someone came along (named Dr. Sears). Created a cool fancy name called Attachment Parenting. And SUDDENLY it’s cool and chic to do the thing that I was doing YEARS ago. Everybody thought I was crazy…but fast forward a few years and give it a fancy name and SUDDENLY it’s cool and a sign of how much you love your kids to hold them all of the time. “If I had a nickel”…

Anyway, this has something but nothing to do with what I REALLY want to talk about…Universal Design (there’s the fancy name). People with disabilities have been adapting homes and cars since the dawn of disabilities. We even rig things up out of necessity. I bet everyone that takes care of someone with a disability (including me)…even if they weren’t before (ME)…thinks of themselves as handy (ME). Necessity is truly the mother of invention. So, does someone have another nickel to give me… because everything that we’ve been doing for years in silence…is suddenly en vogue. But it’s so chic. and cool. and beautiful. that I’ve fallen in LOVE and am willing to overlook another stolen idea so that I can wholly partake in this amazing trend. SPECIAL NEEDS PARENTS OUR TIME HAS COME…SOMETHING INVOLVING WHAT WE DO IS ACTUALLY COOL! PARTAKE IN UNIVERSAL DESIGN WITH ME… FOR THIS DAY MAY NEVER COME AGAIN! (I TOTALLY felt like Braveheart mixed with King Theoden for a second)…anyway. OUR TIME HAS COME!

The Concept:
 Universal design. Universal Design is the fusion of all of the generations of your life. It’s welcoming access for all who enter your home thought out and merged into one design. It’s also access for all at any stage in your life. When a friend in a wheelchair comes to visit, or someone needs to use crutches, as you age the ease of your gait declines, or someone in your home uses a wheelchair and assistive devices for their lifetime, Universal Design is in place to account for every situation accomodating each as you and your family change. Also known as aging in place, it accounts for aging before it comes allowing people to remain in their homes longer and with greater quality of life. And it’s SUPER chic and gorgeous. 

Wheelchair accessible paths, lowered thresholds, widened doorways, larger bathrooms…the house is equipped for differently-abled visitors and its aging or differently-abled residents.

The Principles:
Universal design is intended to allow use of a space by ALL by accounting for most of the things that would make a space difficult to use for a disabled or aging person. Universally designed spaces are meant to be flexible, simple, and intuitive…because of this the finished spaces are warm, modern, and inviting at the same time. If you appreciate design it’s hard not to fall in love.
Room by Room
Exterior Design:

The Universally Designed exterior is adapted to make entry and exit from the home easy, safe, simple, and seamless.

Sullivan Conard Architects traditional exterior

Parking should be level and provide at least 13′ of clear space for maneuvering.

Guida REsidence traditional exterior

Wheelchair accessible routes of travel (at least 36″ walkways) can be provided from the driveway to the front door, from the front door to the sidewalk, and anywhere else that it’s desired on the property.

House of Light: Chevy Chase, Maryland Home inspired by Hugh Newell Jacobsen modern exterior

Wheelchair accessible (widened) paths can be poured to provide access to all parts of the yard: side yard, rear yard, and planters.

Casa Cabo Pulmo tropical exterior
Paths can also provide access from the outside to upper floors of the home. Accessible routes can be provided for all entries and exits.

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Sidewalks should be level with little or no slope.
mountain modern prefab contemporary exterior

Access to the home should be free of steps. All thresholds in the home are lowered to provide no step entries for people with difficulty walking and a seamless passage for wheelchairs.

A House With Zip! contemporary entry

 Entryway Design:

Entry doors can be widened to 36″ or more which provides at least 32″ of clearance for easy wheelchair access.




Green Gambrel Entry traditional entry
Jamie Snavley contemporary hall

Some simple and practical and some amazing assistive devices can be added to make it easier for an elderly or handicapped person to access and to allow others access to their home.

                                                                                                                                            

Dual peepholes and sidelight windows let everyone in the home see “who’s at the door”.

Door locks can be controlled by remote or electric door strike which allows access to the home from any phone in the home.

Lever style door handles make grabbing and turning more easy.
Video cameras can be installed and connected to the home’s televisions to act as a visual doorbell.

General Interior Design:

Hallways should be wide. Preferably 42″ or wider for comfortable wheelchair clearance.
36″ interior doors and doorways provide easy wheelchair access to all rooms.
Kickplates protect doors from shoes of people unable to use their hands.
Toddler Room contemporary kids

Light switches should be placed 36″-40″ above the floor. 

Illuminated switches glow at night for added visibility.


Electrical outlets should be placed 18″-24″ above the floor.

Thermostats and other controls should be placed 48″ above the floor and should be easy to read.

Thermostats and lights can be made to operate from a remote control.

                                                                                        

Laundry Room modern laundry room 

Laundry and Closet:

A front loading washer and dryer on pedestals with controls on the front of the machines provide the most universal access to laundry.

Childrens Closet - Newport Beach, CA Residence modern closet

Pull down closet rods make the closet ENTIRELY accessible.

Classic Kitchen traditional kitchen
Levels are the best thing to make the Heart of the Home an inviting space for everyone. The kitchen island can be configured with levels and knee space so that everyone can gather and make memories. 32″ high counters are the perfect height for wheelchairs.
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Other useful additions:

Open floor space to maneuver around the kitchen.

Open space under counter top appliances and sink for wheelchair knee space.

Touch activated faucets are not only very cool…they are so functional when you lack the dexterity to reach, pull, and lift a lever.

A raised platform under the dishwasher eliminates bending and kneeling.

Anderson Residence contemporary kitchen 

Kitchen appliances can be relocated to unconventional places to provide complete access to modern conveniences to people of all abilities…and the end product looks chic, beautiful, and different.

Cabinet shelving can be substituted for lower pull out drawers and upper pull down units.

bathroom contemporary bathroom 

Bathroom Design:

The no step shower is invaluable whether you use a walker, hoyer lift, are on crutches, use a bath chair, or some other assistive device there is always a reason to forgo a threshold across the shower entrance. It’s more safe and convenient for the person showering and for caregivers assisting with the shower.

 

Carpenter Gothic Shower modern bathroom
  

A no step shower can serve multiple purposes…it can also serve as a transfer area and a utility wash area for washing equipment.

The shower should be equipped with at least an adjustable hand held shower…

and the shower should be a minimum 36″ by 60″ to allow for adequate space for a person and possibly their caregiver.

Master Bath- Modern Glamour modern bathroom 

Clearance under the bathroom sinks allows for that much needed knee space for a wheel chair to roll right under for dressing and hand washing…and the end product can be beautiful! It’s the perfect mix of edgy and glamorous.

Landmark Builders - Custom Home Builder mediterranean  

Second Floor Access Design:

Many families that have a two story home and a family member that uses a wheelchair are choosing to install elevators instead of stair lifts…and they can be customized to your hearts desires…rich wood paneling, stone mosaics, mirrors, grab bars…whatever opulent addition your heart desires they are putting it in. YES, even elevator music!

          

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The stairway lift has evolved! No longer does it carry just one person who must transfer from wheelchair to seat… NOW the stair lift carries you down wheelchair and all!                                                                                                                                                                                                                                                                            
Many new home builders have heard the cries of the people and they are beginning to offer Universal Design modifications in addition to the standard new home upgrades. Adding Universal Design features this way is exponentially cheaper because it is being done during construction and many times they will do these types of upgrades for cost.


Universal design is current and futuristic. It is practical and chic. It uses the principle that has become so evidently necessary in the past few years, practicality and adds a level of security to the words “forever home”…it teaches us to think, plan for the future, and relish in the security of knowing that it is taken care of.  

Eating to Live

“Everyone has a doctor in him or her; we just have to help it in its work. The natural healing force within each one of us is the greatest force in getting well. Our food should be our medicine. Our medicine should be our food.” ~ Hippocrates

As the parent of a special needs child initially there are many things that you don’t feel like you have control over: when your child gets sick, when your child goes to the hospital, how many doctors they see, how they need to be cared for, if they have a feeding tube, what they eat, who comes to your house and how often…the list could go on and on.  Then, as you go further on your journey, get your feet wet, you find that as you experience more and more events and obstacles they will start to… first build your confidence in your ability to be a member of the team and make decisions for your child… and second open doors of choice for you that you didn’t know were there or were afraid to open. YOU HAVE MORE CONTROL THAN YOU KNOW AND NO ONE KNOWS YOUR CHILD LIKE YOU DO.
The last door that I opened, after I conquered my fear, was feeding Karsten homemade food. Eating…such an ordinary act to most but actually such a privilege . Such a simple thing. As parents we feed our kids. As a mother it’s part of the pride of raising your child…”I feed them well and they grow”. But, if you have a child that can’t eat by mouth…then what?  You do like I did. You give them what you’re told to give them. It comes to your house monthly. Delivered in little cans or bottles with a bunch of supplies. You take the bags, syringes, extension sets and milk and do as you were taught. Which, don’t get me wrong, is a very necessary and functional part of your child’s life. It is the reason that my son is alive…..
BUT…
I could never stop thinking…
What if…there was a better way? What if we could marry the invention and science of the amazing physicians and scientists that created ng-tubes, g-tubes, j-tubes, nissen procedures, mic-key buttons, and all of the supplies that keep our kids alive…with my FIRM belief that God has supplied us with an amazing ability to heal and with perfect tools to help that process along…FOOD. In the right amounts and the right combinations food can heal our bodies.
What type of healing?
Am I saying that Karsten is walking because I started feeding him a natural diet?
No.
Can Karsten hear again because he now eats raw fruits and vegetables?
 Absolutely not.
But!!
Does Karsten’s body recover from sickness more quickly?
 Absolutely! His recovery time is like a “normal” child’s.
Does he get sick less often?
Absolutely!
Has the insurmountable problem of Karsten’s airway being constantly full of mucus almost completely cleared up?
Absolutely! Before, Karsten had to be suctioned daily. Each and every day. Now his suction sits waiting to be used and we only occasionally need to use it during times that he’s sick.
I am not suggesting that this path is for everyone. It takes commitment. After I explain it you’ll see that it takes less commitment than you would think. But, for those people interested I want to take the fear out of it because it can be done…and it can be beneficial for your child.
Having said that…on to the fun stuff…how to get started…and what I feed Karsten…
First Things First 
I am a team player and I believe in working as a team for Karsten. I would never make any decision for him without research and conversations with his doctors. We are an orchestra composing a symphony for Karsten. So that is the first part of the three steps to get started. Talk to your child’s doctors… technically you are doing something that is beneficial but you need to know certain things to give your child a balanced diet and feed them in a safe way. I consulted with Karsten’s pediatrician, his gastroenterologist, and a dietician before I made Karsten’s food. The pediatrician will see you most often. So… if you get their ok you can tell the specialists that your pediatrician is on board and has agreed to monitor your child. They’ll want to have your child’s weight checked to make sure that they are gaining. The GI doctor is the mathematician. They know how many calories, in how much volume, how much volume is too much, and many other important things so that what you’re doing is safe. safe. safe. The dietician is the one that will tell you what vitamins, minerals, proteins and fats you need to feed your child to make it as well rounded a formula as possible.
There are ALWAYS individualities that you have to account for in your own child’s food.
For instance, Karsten has two…first, he is G6PD deficient (we’ll talk about that another time) so there is a list of food that he has to avoid…second, kids with cerebral palsy (especially Karsten) burn calories at an enormous rate when they move their bodies. So, Karsten’s formula is made for him, made with only food that he should have. And, it is high in calories to keep him from losing weight. But that is also the beauty of taking the reins! You are tailor making something perfectly suited for your child!
Second Things Second
You’ve talked to all of the doctors. You have your list of vitamins, minerals, ratio of fat and protein. Now what?
This is where it starts to get fun!!! You can hand choose what you give to your child. Google is your friend! Type in vitamin E top foods and you’ll find lists. Do the same with the other parts and you’ll find things that spark your interest. Things that you like. Things that you think that they’ll like. These things will be the base of your formulas. Get a list of categories and foods going because as you slowly introduce foods you’ll eventually want to add in different foods for variety and if you list foods by category of their main beneficial ingredients then it is easy to swap one for another.
I highly recommend The Homemade Blended Formula Handbook it is priceless for people embarking on this adventure. It is THE reference for homemade blended formulas. It was written by dieticians and also has parent and physician contributions. AMAZING.
Once you have your list and you’re ready to try…there will be some trial and error…and some throwing away of formula… before you come up with something that works for you and more importantly your babies tummy. But once you find that holy grail…it’s priceless!…and easy!
Third Things Third
Get a good blender and gather your ingredients, your references, lists, recipes, and start testing! During this time you’ll be looking for signs of food intolerance…irritability, arching, gas, or vomiting, for example. There is some debate about whether checking stomach residuals is an accurate indicator of feeding intolerance so follow doc’s orders on that. But, checking stomach residuals is an invaluable tool, if your kiddo has a highly sensitive stomach like Karsten’s, to make sure the last feeding has emptied completely before you introduce another food.
There are so many different schools of thought on diets that I won’t be biased in this section about any specific thing to try. Karsten and I have found our path and I love it! Karsten is on a vegan diet and it works for us…but there are people that put meat and eggs and dairy in their formulas. Karsten is 100% vegan and mostly raw and it works for him. The change in his breathing has been miraculous! Sorry I think that might have been a little biased ;) .
Now onto what I feed Karsten…
Let me start by saying that it has been a journey. I didn’t put together a great mixture and suddenly we were blending away with no problem. It took trial and error to get to the point that we are at now. But, now we are a well-oiled machine. I will try to add as much detail as I can so that you can avoid some of the problems that I had.
Karsten’s formula started out as a formula based on a recipe that I loved from an amazing mother who inspired me to say “if she can do it I can do it”. Her daughter was on the same high calorie formula as Karsten before she started blending. So, I told myself  I can do it too! I can pack enough healthy calories into an amount that Karsten can handle. I’ve got this.
Then, I hit my first wall! Karsten is not her daughter. As soon as I put that goat’s milk inside of him, as close to human’s milk as goat’s milk is supposed to be, his phlegm factory kicked into high gear! It actually made it worse.
So then my study deepened. It got a little more….off the beaten path. I came across Arnold Ehret’s The Mucusless Diet Healing System, raw foodism, fruitarianism, food combining and it all came together and it was a beautiful thing!
First things first I took out anything that was mucus forming from his formula…eggs, goat’s milk, everything. I replaced them with non-mucus forming equivalents.

Then I found out about food combining…and I separated the formula into two different formulas to increase digestibility. One vegetable/grain based and one fruit based.

And…..voila! Almost there with only a couple more lessons to learn that I’ll tell you about after the recipes…
Karsten’s Fruit Formula

 This formula is the one that Karsten digests most easily. By this time you’ve researched (nothing beats your own knowledge) and checked with your child’s team so you know which if any fruits to avoid. For example, Karsten is G6PD deficient so we avoid high doses of vitamin C which means (refer to the food combining chart) he doesn’t eat many fruit from the acid category because they are usually very high in vitamin C…we mostly stick to Sub-Acid and sweet fruit.
  •  1 banana (a ripe easily digestible banana is a banana with spots)
  • 3 regular apples or 6 small apples (cores removed)
  •  5 dried dates (seeds removed) or 5 dried figs (stems removed)
  • 2 c. cultured coconut milk (vanilla or strawberry flavor because it’s higher calorie)
  •  6 Tbsp. organic raw honey (not for children under 1 year of age)
Place all of the ingredients into your blender. Blend for 30-60 seconds. Place a strainer over a large mixing bowl. Pour into strainer. Using a spoon make circular motions around the strainer to push liquid through. Separate into individual feedings and refrigerate.
Straining is one of the steps that I added… after much thought (I try to keep his food as close to its natural form as possible and straining pushes it through metal and removes some fiber) BUT it is very necessary even with a Vita Mix if you want to be successful. Dealing with machine clogs every five minutes will end your formula making quickly!  I suffered and lost sleep a long time before I started straining!

 This recipe can be easily changed day to day just by changing out one fruit for another fruit, always paying attention to calories and volume (I’ll explain later). If you want to follow fruit combining remember that the circles must touch to be a good combination. No mixing acidic and sweet fruits. Eat melons alone or leave them alone.
 Organic Raw Honey is solid. Run it under warm water to soften it for measuring.
 Karsten’s Veggie/Grain Formula

This formula is the one that I have had to tweak. The fat content is higher because it is vegetable based and vegetables are lower in calories. So to keep the volume something that Karsten can handle I must increase the fat. Though it is healthy fat Karsten’s sensitive stomach has had some trouble. I will list the original formula because it should be fine for most kids and (in bold parentheses I will list the changes that I’ve made for Karsten).
  • 1/2 c. quinoa
  • 1/2 c. brown rice
  • 4 Tbsp. flax oil
  • 1 in. piece of ginger
  • 1 avocado
  • 6 oz. hemp or oat milk
  • 1 c. rice milk
  • 1 Tbsp. Udo’s 3-6-9 oil
  • 1/2 c. aloe juice
  • 1 c. any type of raw greens ~ Karsten’s stomach prefers collard greens
  • (Now, I juice the greens and the ginger and then juice cucumber to make 4 oz. of juice and then add water to make 8oz. of liquid and use it in place of the whole greens and whole ginger)
  • (Now, I switch off between grains and avocado. I don’t put them together in the same formula anymore. I double the amount of whichever I am using and the next time I switch to the other)

  Place all of the ingredients into the blender. Blend for 60 seconds. Place a strainer over a large mixing bowl. Pour into strainer. Using a spoon make circular motions around the strainer to push liquid through. Separate into individual feedings and refrigerate.

I change this recipe from day to day by changing the grains that I use alternating between quinoa, brown rice, and forbidden rice (similar to wild rice). I also change the greens from batch to batch. The calorie count does not vary greatly because most grains and greens have close calorie counts.


What’s with the book with the crazy calculations?
This book is how I make switching my formula easy. For example, if I want to change a fruit, I just compare the calorie count that the fruit I want to substitute out is adding to the formula…and then I know how much of the new fruit I have to use to make up for it.
Also, it is how I keep track of a very important thing…
Calories : Volume
You want the formula that you make to mirror as closely as possible the commercial formula that your child was on because your doctor chose that particular formula and feeding dose and rate for a reason.  So, if your formula closely mirrors the calories and volume those important feeding doses and rates won’t have to be changed. Also and most importantly, you can be sure that your child is getting the right amount of calories. For example, Karsten was on Boost Kid Essentials 1.5. This is a high calorie formula that Karsten used because he could not handle the volume of a lower calorie formula that he needed to continue to gain weight.
What does that mean?
For Karsten, there were 1.5 calories for every mL of formula. If your child is on a 1 calorie formula, there is 1 calorie in every mL of food.
Why is that important?
This is the quick check for the right calorie count in your homemade blended formulas.
If your child is on a 1 calorie formula – The calorie count should at least equal the amount of food that your recipe makes. If it is more, not a problem, you can always give less volume.
If your child is on a 1.5 calorie formula – The calorie count should be at least 1.5 times the food that your recipe makes.
So know which type of commercial formula that your child is getting. Use your blenders graduations. After you’ve made your formula find the mL graduations on your blender. Get your sheet where you calculated the calories in your formula and check…
If your child is on a 1 cal…
Are the calories at least as much as the amount of food you just made?
If your child is on a 1.5 cal…
Multiply the amount of food that you just made by 1.5…does it at least equal the calories that you calculated?
If not, pack in a few more calorie dense goodies. Calories are extremely important!
If yes, congratulations! You’ve just made your first formula!
Happy Blending!

My Little Conundrum

My Little Conundrum

co-nun-drum            1: an intricate and difficult problem.                                                                          2 : a question or problem having only a conjectural answer.                                con-jec-tur-e               : a conclusion deduced … Continue reading