On August 11, 2008 we gave birth to a beautiful baby boy, Christopher Harry! Christopher was one of the first babies in GA to be picked up on the newborn screening with a rare inherited Fatty Oxidation Disorder called LCHADD (Long Chain 3-Hydroxyacyl-CoA Dehydrogenase Deficiency). As Ryan and I (Stephanie) gained more understanding about our son's condition and began to watch him grow and thrive, we had a desire to share our story and raise money for research. We hope that by sharing our story we can raise awareness/encourage education about LCHADD and provide hope to other families whose child(ren) have this condition.


This blog shares our journey, hopes, and fears. We also want this blog to contain practical information! Entries will include: yummy recipes, how we manage his LCHADD, conversations about medical issues, educational tools, and useful links on the side of the blog! If you are ever curious about something I have shared feel free to contact me personally!

What is an FOD?

WHAT IS AN FOD?


FOD stands for Fatty Oxidation Disorder. For children and adults with FODs their bodies have difficulty breaking down (or oxidizing) fat to use it for energy. This occurs when an enzyme is missing or not working properly. There are several different kinds of FODs. Some examples are SCAD, MCAD, VLCAD and LCHAD deficiency. Fatty Oxidation Disorders are genetic, which means both parents must have the recessive gene in order for their child to end up with the disorder. It also means that children with FODs will not grow out of their condition. Their condition is just as much a part of who they are as the color of their eyes or hair.

What is LCHADD?

WHAT IS LCHADD?


LCHADD stands for Long Chain 3-Hydroxyacyl-CoA Dehydrogenase Deficiency. Essentially children with this condition cannot utilize long-chain fats for energy. Did you know that the food that we eat has different size fat molecules in it? I never did until Christopher was born! There are short-chain fats, medium-chain fats, long-chain fats and very-long chain fats. I picture them as different size caterpillars (and this is how I explain it to Christopher) running around in our food. The short, medium, and very-long chain fats children with LCHAD can process. Unfortunately, most of our food and oils are primarily long-chain fats (the ones Christopher can’t process). If Christopher eats too much fat (right now he can only have 8-9grms of fat a day through food) then the fat will gather in his liver, kidneys and around his heart.


The other issue with Christopher not being able to breakdown long-chain fat is that it is a great energy source. For most of us, when we exercise or get sick and we burn through all of our glucose stores we start using fat for energy. Christopher’s body cannot do this, so his body starts to break down muscle and use it for energy instead. To say that this is “not good” is to speak lightly. When your body starts breaking down muscle you run the risk of having problems with lots of different systems in your body. Doctors worry the most about your kidneys because kidney failure can happen when your body is trying to process all of the broken down muscle (or myoglobin which is the by-product of the broken-down muscle).


In general, children with LCHADD are put on a very low-fat diet, drink a special medical formula, and most often use MCT oil (a unique oil comprised of medium chain fats) to give them a source of sustaining energy. Christopher's special medical formula, Lipistart, helps to ensure that he gets enough essential fat for brain and eye development without getting too much fat that his body can’t process. Lipistart also helps to provide a consistent form of energy for him throughout the day.



Tuesday, September 23, 2014

Non- Fat Pumpkin Muffins


        We are getting close to that time of year again when pumpkins take over our world and our dishes!  Pumpkin is a beautiful thing!  I think many of us have some fond memory of pumpkin, perhaps related to Thanksgiving, but when you are trying to cook foods very low in fat pumpkin becomes a beautiful staple that adds moisture and flavor!
        A  couple quick tips that I have learned cooking low fat.  First, it is best, whenever you can, to use fresh herbs and spices.  This gives your dish a burst of flavor that you won't get from certain dried and pre-ground stuff.  In this particular recipe if you have a couple extra minutes and a mortar and pestle, grind your own dried cloves!  You will be amazed at the difference and burst of flavor.  Second, don't be afraid to reduce and layer sugar! By layering sugar I mean try to use sugar in the raw, brown sugar, white sugar and a dash of honey- or some combination.  Yes, it takes a couple extra minutes, BUT I think when you are working with less fat layering sugar adds complexity back to the taste of your dish! 

       Last comment:  I have the muffins listed as non-fat, but as you know from earlier posts fat is in everything and nothing can be completely fat free.  So based on labels and the website: nutritiondata.self.com I estimate that there is a total of 3.5 grams of fat in the entire recipe or less than .3 grams of fat a muffin.  (Can you believe that a cup of pumpkin has 1 gram of fat?  Who knew?)  Below is one of the first recipes I created for Christopher to enjoy...but I will be honest...I end up eating half the muffins myself!  Enjoy!
 
Non-Fat Pumpkin Muffins 

Ingredients:
·      2 c. flour (1 cup white; 1 cup whole wheat pastry flour)
·      1/2 c. sugar (1/4 cup sugar in the raw; 1/4 cup brown and white mixed)
·      3 tsp. baking powder
·      1 tsp. baking soda
·      1 tsp. salt
·      1 tsp. cinnamon
·      1/2 tsp. ground cloves
·      1 c. canned pumpkin
·      1/2 c. skim milk
·      2 egg whites
·      1/2 c. mashed bananas
·      1/2 c. raisins

Directions:
1.     Preheat oven to 350°F
2.    Sift dry ingredients into large bowl.
3.     In a medium bowl stir pumpkin, milk, egg whites and mashed bananas until well blended.
4.    Add wet ingredients all at once.  Stir slowly, until dry ingredients are dampened. Do not over stir.
5.    Stir raisins in with only a few strokes.
6.    Prepare muffin tin with cooking spray.  If using muffins cups, spray these with non-stick spray as well, as these muffins can stick to the cups.
7.    Fill cups 2/3 full. Bake 20-25 minutes. Makes 12-14

Saturday, September 13, 2014

Christopher Starts Kindergarten!


           
        Every day brings new challenges, and new beauties!  Many years ago a dear friend said, “You just have to be prepared for your experience to be different,” in regards to raising a child with LCHADD.  In this statement I have found wisdom.  Our stories are all different, this is true for the family with LCHADD and the family without, but perhaps I am forced to accept this understanding more often and in a unique way.  People asked me throughout the summer what my fall would look like with Christopher starting school, and I found myself often stumbling over words or just staring at them thoughtfully.  I didn’t know what to expect and I wanted to be open to each new day, embrace it for what it was and love it regardless.  I knew that Christopher’s kindergarten experience was going to look a little different than his friends, but what that entailed I could only speculate.
Christopher's first day of school!
            First, Christopher LOVES kindergarten!  In general he gets excited about anything new he is about to pursue, so it didn’t surprise us that he grinned ear to ear that first day of school.  He has loved learning about shapes, the classrooms rules, music, PE…and of course recess.  When I asked him the other day what his favorite thing about school was he said, “My friends!  I love playing with Ireon and Beck!”  I am so glad he is there and able to have consistent friendships, and learning how to communicate to others without me.
            Our journey into school has been filled with twists and turns that are quite different from the average student.  Many families enroll their child into school, buy school supplies, cry the first day and then drop them off at school.  Our experience started a week and a half before school when we learned that his number was called off the waiting list for West Side Charter School.  We were elated and a little nervous about how we would proceed with his 504 Plan so close to school starting.  The principal was amazing.  After we accepted the open spot at West Side Charter and shared about Christopher’s condition, he e-mailed us immediately.  The principal and the Dean of Curriculum organized a meeting for us to come and share with the staff about Christopher’s LCHADD.  We then met with the nurse, filled out paper work and had meetings with his two wonderful teachers, Ms. Rosella and Ms. Monica.  We worked together creating and implementing his 504 Plan.  I stayed in the classroom most of the first week, so we could all get a better handle on how to navigate his extra snacks throughout the day and monitor his activity.  Through this experience I have not only gained a better understanding of what his day looks like, but I've also been able to meet his dear classmates, who have captured my heart!
       
Christopher and Ms. Rosella, lead teacher!

    
After two days of school Christopher got a cold, so we (the teachers, nurse and I) worked closely to navigate his extra fluid intake. (When Christopher gets even a common cold we have to increase his fluid to 60-80oz a day to flush his kidneys, in case of muscle breakdown.)  We are still navigating how to handle half-days.  Our general rule of thumb is that when he is recovering from a cold, or his energy seems low we have him attend until 12:30 or 1pm.  Yet, even with this general rule deciding how often to use half-days is tricky.  Our reality is that he has already been sick three times this year and we are in the first month of school.  Also it’s hard to navigate what is the typical “kid tiredness” that comes with the transition to full-day school and what is LCHADD.  I am so grateful to have his wonderful teachers and administrators to discuss this with.  It is comforting to not have to make these calls on my own.
            Perhaps what hit me the hardest today is that all of the sudden we have a team of educators and extra people in our lives that really care about Christopher.  This is a wonderful thing!  Last year I made the hard decision to home school Christopher because he seemed to spend more days at home sick then participating in Pre-K.  We enjoyed each other and had a lot of fun, but there was a certain level of loneliness to our experience, even amidst all the events we participated in!  Toward the end of the year Christopher said, “I love you mommy, I just need to be around other people.”  I already knew we would try public school again the following year because I
Christopher and Ms. Monica, para-pro!
felt like I was drowning trying to lesson plan, be teacher, nurse, create play-dates, stay on top of medical appointments, fight with the insurance company…and then just be mommy. Christopher’s statement solidified it all and we have appreciated our new community this year.
            Christopher’s school year will be filled with adventure!  Christopher will attend school.  I will participate and help out in the classroom on occasion.   He will come home early at times when his is tired, have school at home with special projects when he is sick, and have Skype calls with his class if he is out for awhile due to illness.  He will carry a massive cooler every day with all of his snacks and milk, and communicate with the teachers about how his body feels.  He will make friends, laugh and cry with them, learn to read, learn to engage in meaningful conversation and learn how to wait his turn.  Our journey may have a few different mountains and turns, but it truly is delightful!