Jacob!!!!

This past week and a half we have been going through a bit of turmoil again.  OT came and said that if Jacob doesn't meet certain 'goals' that they will discharge him.
PT and Speech work tirelessly to help him attain his goals and come 2 times per week for about an hour each visit.  OT only comes one time per week and for about 45 minutes or less.  Since having the baby in May we took a little leave and came back to therapy... Jacob has missed out on a LOT of OT (not due to the leave)....
The woman who was to do the sup visit couldn't make it for a couple of weeks so he didn't get any OT then and another time his therapist was late and so his visit was cut very short.  In spite of this he has made great progress as shown in this video taken this past Wednesday morning.

Just minutes before this video Jacob had listened to his OT and I talking about him not meeting his "goals". (we were standing several feet behind him... he listens to EVERYTHING though you wouldn't know it to see him... you would think that he holds no interest)

 She was not bugding.  

To her, what she had just seen him do was nothing new.... hmmmmm... he was scooping food and FEEDING HIMSELF!  

He had NOT done this with her ever! (about 2 yrs ago she had gotten him to hold a spoon with her hand over his and he regressed due to lack of ample Occupational Therapy.)  

His new speech therapist taught him what she had just seen... not OT (just so you know... using a utensil falls under OT... swallowing, taking food without being pureed - that is speech - and, btw, also something new to Jacobs world!  No more mashed eggs and bananas!  He is eating eggs as they are!  Starting last Saturday!)

So, anyway, his OT was going on about his "goals" and that what he was doing did not meet any of them.

What??!!
 You have to be kidding me?!
Right?!
Oh no, not good enough for them.
He would have to feed himself with one hand and hold the bowl with the other to fill the required goal.  At this point I'm seeing red flags EVERYWHERE... Why did they set such a lofty goal?  And why can't they admit to progress?
Let's step back in time a bit.  Jacobs ot has been lacking almost since the beginning.  The place that we have been getting his therapy from is the only one in our area that does home health that we know of.  We are rural and I understand to a point.  That is why he didn't even have OT for over a year to begin with.  They just didn't have the man power to send someone out.  I didn't know it... but they even discharged him from OT, not because he no longer needed services, but because they didn't want to send anyone here.

Back to "goals".  The OT tells me that another way that he could meet one of his goals is to hold a cup with two hands.  Another goal is to "copy a one step activity" and another is to "Increase visual motor skills to attend to visual task with moderate verbal cues".

hmmm.... how many of the three "goals" I have listed did he complete in the video above?
SCORE!  Way to go Jacob!  Way to go Lacy (Speech!)!  Yep, that is correct... speech follows ot on Wednesdays.  I told Lacy what OT had said and that he had already eaten, but that I had juiced for him.  She put the cup in front of him and gave him a smell and a drink.  He Signed More! for her as she had verbally cued him to do and she gave him another drink and put it down again.  He asked for more and she said her "hands are busy" and he reached out and grabbed his cup with his right hand.  She helped him (barely) get his left one in there and there he was holding and drinking with BOTH hands and then actively signing more again and again!  With this documented on at least 10 minutes of video I don't think even they can deny what his new speech therapist was able to do for him in just a few months time.  I feel like we have been watching "The Miracle Worker" at work in our own home!  She is truly amazing!  And has created an amazing eating and drinking - signing machine!  And HE is LOVING every minute of it.
I don't even have to puree his food!  We can all go out to eat together without over-thinking the menu - "will they have something Jacob can eat?"  relief... utter relief...

Now, if only OT would be on board and not threaten, yet again, to pull the plug on his long term care.  It is ever so tiring to go through this at least once a year and then have to beg to keep things going or to talk to his Dr to get it going again... so tiring.
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This is Jacob eating with Miranda on September 20th.  Speech had left and sister finished up his feeding.  He does really good for her!

Lookie there... I guess we really like his Clifford bibs!  LOL

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10-01-11  .....  9:30pm

Just got back from a little shopping in town.  I ran into the OT sup while we were there.  She said that she had a chance to talk with speech yesterday and found out all that he was doing.

They won't be bugging out any time soon!

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Treating Depression with Diet

All of us have heard... "You are what you eat."

Well, lets look to uplifting foods and kick the foods out that drag us down.

An organic plant based whole foods diet plan that incorporates farm fresh eggs, grass fed beef, wild caught Salmon (and other omega fish), pastured poultry, raw dairy and plenty of fermented foods is the perfect recipe for fighting off depression and keeping it away.

A little nervous?  Don't know where to start?  Well, lets take a look at some mood enhancing foods and why they work.

Eat Plenty of Organic Whole Foods

• Fish ~ three times a week or more. The best choice is pink salmon or fresh tuna or mackerel.  High in Omega 3 fatty acids which helps with a wide array of body functions and keeps a lot of preventable diseases away.  These omega fish also have a good influence on the serotonin production which turn your mood enhancers on.
• healthy carbohydrates ~ such as steel cut oats, long grain brown rice, amaranth, quinoa, fresh fruits(citrus fruits, banana, pomegranate, apple, pineapple, blueberries) fresh vegetables (beans, peas, carrots, tomatoes).
  ****If you are on a low carbohydrate diet it can contribute to your miserable mood.****
• garlic has beside its many health improving properties, a slight mood elevating effect. Eat daily one clove of freshly chopped garlic.
• The amino acid Tryptophan (The brain turns the L Tryptophan into serotonin, a neurotransmitter that controls our “feelings” such as depression, hunger, thirst, sleep and other "moods.")
  Dietary sources include:
  Skin on Baked Potatoes, Bananas, Beans, Raw Cheeses, Cottage Cheese, Eggs,  Fish, Hazelnuts, Raw Milk, Hummus, Lentils, Kelp, Pastured Meats, Nuts, Long Grain Brown Rice, Raw Pumpkin Seeds, Peas, Peanut Butter, Sesame Seeds, Shellfish, Sunflower Seeds, Tuna, Turkey, Yogurt and Kefir.
  Where possible eat them with carbohydrate rich foods which facilitate the brain's uptake of tryptophan.
• seasonings such as cayenne pepper, rosemary, ginger, cardamom and basil have proved uplifting properties. 

What to Drink

• Lemon Water ~  Drop a few slices of fresh lemon into your water and listen to some nice music or the sounds of the outdoors ~ it is uplifting for body and mind. If you do not care for the sour taste of lemon juice, fresh grapefruit or fresh orange juice will also do the trick. They are fine depression cures if consumed regularly.

• Earl-Grey Black Tea. The scent of Earl-Grey Tea comes from Bergamot oil, which is a time-proved mood enhancer. A cup of Earl-Grey Tee (without milk or sugar) 3 times daily keeps you alert and fit. You can add a dash of fresh lemon juice to enhance its uplifting abilities.
• Herbal teas: Peppermint, Passion Flower, German Chamomile, Lemon balm and Ginger teas are lovely natural cures for depression.
  
  Lemon balm got its name from strong lemon scent of the plant.  Lemon Balm teas help with depression, minor sleep problems and nervousness. The infusion of Lemon balm has a calming, relaxing effect as well as the power to reduce hyperactivity and agitation. The best choice is drinking it in the evening, after food, before bedtime. Put 2-3g of dried leaves into 1 cup of boiling water and strain.
  Caution: avoid long term usage (1-3 months) as lemon balm may reduce hormonal activity of the sex glands.
  Peppermint infusion is a warming and stimulating depression treatment. It stimulates brain functions and aids clear thinking. Peppermint tea clears the head helping one to feel fresh and bright and ready for mental effort. Refreshing and stimulating peppermint tea is a natural remedy for depression. Put 1 spoonful of dried leaves into 150ml of boiling water. Leave to infuse for 10-15 minutes and strain. Drink 1 or 2 cups after meal in the morning and midday as refreshing depression cures.
  Ginger has anti-inflammatory properties that can help alleviate depression.

Cut back or Give up

• coffee or cola. Caffeine suppresses serotonin production and has been linked to depression.

• alcohol. Alcoholic drinks may initially lift your mood, alcohol is actually a depressant.

• Grocery store - fast food &/or excessive consumption of meat, canned foods and sugar (hfcs fits in here too). Excessive amounts of meat, canned foods void of real nutrition due to high heat used in canning process, and sugar consumption all make you drag down rather than lift you up.
  
  

Supplements

• B12 Complex ~ "Vitamin B-12 along with other B vitamins play a role in producing brain chemicals that affect mood and other brain functions. Low levels of B-12 and other B vitamins such as vitamin B-6 and folate may be linked to depression."  Mayo Clinic
• D3 ~ actually a hormone not a vitamin, D3 deficiency is a common cause of depression.  The easiest way to up your D3 is to get outside in the sun.  Cod liver oil is also rich in D3.
• Barlean's Flax Oil ~ "There isn't a person living today who won't benefit from omega-3 fatty acids, a type of essential fatty acid found most abundantly in some kinds of seafood and flax. However, persons suffering from depression, alcoholism, attention deficit disorder, impulsive and violent behavior or emotional hostility can particularly benefit by bringing more omega-3 fatty acids into their diet. In some of the most amazing research done today, scientists have discovered that the type of fat one consumes is "inextricably linked with your state of mind." 
• Olive Leaf Extract ~ "People suffering from diseases such as Chronic Fatigue Syndrome, fibromyalgia and Epstein-Barr have reported less depression and increased energy when they added olive leaf to their regimen."
• Folic Acid ~ People with low levels of folate often suffer from depression.  Eating foods such as green leafy veggies and fruits will help improve the levels.  Make sure your B12 complex contains B9 (folic acid/folate)
• GABA (Gamma-aminobutyric acid) ~ " Mood, behavior, and brain biochemistry are intricately linked. Depression and anxiety may be the result of flawed message-sending in the biochemical brain, flawed because key brain chemicals called neurotransmitters are in short supply. They're short because the body's amino acid pool (from which they're made) is itself low. For example, deficiencies in the amino acid GABA are strongly correlated with states of anxiety."
• Inositol ~ "An organic, glucose-like compound that facilitates the transmission of serotonin and other neurotransmitters. People ingest about 1 gram of inositol a day from fruits and vegetables, whole grains, meat, and other foods"
• Saffron ~ "Saffron is a culinary spice used in many Middle Eastern dishes. It has also been used in traditional Persian medicine to relieve stomachaches, ease the pain of kidney stones, and treat depression. Some studies suggest that saffron may also have anticancer and memory-enhancing properties."
• SAMe ~ S-adenosylmethionine (SAMe), a naturally occurring compound that are involved in the synthesis of  neurotransmitters such as L-Dopa, dopamine, and related hormones including serotonin and epinephrine.  From experience I can tell you that supplementing with SAM-e works!  It may take a few days for one to start feeling it, but when it kicks in you know it.
• St. Johns Wart ~ For MILD forms of depression this works nicely.
• Tryptophan ~ "An amino acid—most famous for being found in Thanksgiving turkey—that helps produce serotonin, the neurotransmitter targeted by drugs such as Prozac (SSRIs). It is sold over-the-counter in capsule form as L-tryptophan and 5-HTP, which represent different stages in the serotonin production process."  That turkey doesn't have to be for Thanksgiving!  We try to consume at least one turkey per month.  Incorporate turkey into your diet via ground turkey, turkey sausages, etc.  We have supplemented with both tryptophan and 5-HTP and found it to help.

Candida may play a large role in ones depression.  Read my post on Candida here.  Incorporating coconut products such as extra virgin coconut oil and coconut butter, probiotics such as kefir, yogurt, kombucha and Garden of Life's Primal Defense along with movement, such as dance or another form of exercise, into ones daily routine can also go a long way to helping one defeat depression.


Try an elimination diet... avoid gluten and/or dairy... check for salicylate sensitivity ...
Food sensitivities and undetected allergies can also effect mood and behavior.


Some books that can help you explore diet and nutrition as a means to keep you healthy in body, mind and spirit:

Nourishing Traditions by Sally Fallon

Fit For Life by Harvey and Marilyn Diamond

A New Way of Eating from the Fit for Life Kitchen 

- companion book to Fit for Life by Marilyn Diamond

Coconut Cures by Bruce Fife