Christopher’s
passion and intense practicing led him to play on two teams this year! He started off playing t-ball with the
4-6 year olds, but it was clear to the 7-8 year old coach that he was ready to
play with the bigger kids and be a bit challenged. So the coach offered to let Christopher practice with the
older kids, and then half way through the season invited Christopher to start
playing games. My husband and I
were a little worried about 3 practices a week and two games on Saturday; is it
too much? But Christopher really
wanted this…and we didn’t want to kill his passion for the game!
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.
Thursday, June 26, 2014
Love, Obsession, or Passion?
Christopher’s
passion and intense practicing led him to play on two teams this year! He started off playing t-ball with the
4-6 year olds, but it was clear to the 7-8 year old coach that he was ready to
play with the bigger kids and be a bit challenged. So the coach offered to let Christopher practice with the
older kids, and then half way through the season invited Christopher to start
playing games. My husband and I
were a little worried about 3 practices a week and two games on Saturday; is it
too much? But Christopher really
wanted this…and we didn’t want to kill his passion for the game!Wednesday, May 21, 2014
Pancake Day!!!!
| Are you getting hungry yet? |
Math: When Christopher was really small I had him simply count the
pancakes with me. Then we started
doing simple addition by adding the pancakes on the plate with the pancakes on
the griddle. Recently, after he
learned how to read “total fat” on labels he started to tally fat grams from
the blueberries and various grains that we use to cook with. Pancakes are also a great way to
introduce measuring and sifting because, lets be honest, pancakes are one of
the most forgiving recipes.
Nothing has to be perfect and they still turn out yummy!!!!Wednesday, January 29, 2014
Snow Day!
| Christopher's first snowman! Age 4 |
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| Christopher had a marvelous sledding time today! |
Tuesday, August 14, 2012
Adventures in Traveling
flights might seem like a drag (just something to elongate the process of getting to our final destination) but to Christopher these connection flights meant another adventure and more opportunity to see these massive creatures (the airplanes) take off. He decided quickly after the flight to Chicago (which led to our connection in Seattle) that he wanted to be a pilot. And so he carried his small airplane around and practiced “landing” his aircraft throughout the day! (with as much vigor and determination as an actual pilot, I would add) So you can only imagine the amazement and excitement when a wonderful pilot let Christopher sit in the cockpit after our second flight!
The journey of traveling with a child who has LCHADD has a lot of similarities to anyone who decides to travel with children. There are the similarities like the story above, but also there are the missed naps, tantrums, songs sung to pass the time, beauty of new places, the joy of raw education, and the smell of hotel rooms. Amidst all the similarities, differences exist as well…and these differences can lead to adventures in and of themselves!
Lets start with exhibit A (the picture to the right of the screen). Now if you are an FOD/LCHAD parent reading this, the sight of the suitcase on the side of the screen probably brings a chuckle or a knowing smile…but if you are with the security at the airport the look on your face might be quite different. The largest responsibility I have found in packing for our trips with Christopher is making sure that we have all of his medical formula, medical supplies (glucose monitor ect.) and his
Now lets talk food. By plane we carry a mini-cooler with a large assortment of snacks and meals, and by car we pack a very large cooler. I must admit meal planning was something that I had to get used to when going on trips. Before Christopher was born when Ryan and I would go on vacation, meals were a lot more relaxed. Sure we would take snacks with us on road trips andcook at our destination, but during vacation time we eat out a lot more and were concerned less about meal planning. Now it
I find the most challenging thing about traveling via car is making sure that we have enough food for Christopher for several days. Occasionally we are lucky enough to find a place to stop and get sushi or I can peel part of a chicken breast away at Chick-fila and add our own sides, but we have to plan as if these options do not exist, just in case. Christopher at this stage is really accepting of what he can and can’t eat while we are traveling. He is way more concerned with having a chance to play and having a cup with a straw in it when we stop to eat, than whether he can actually eat something off the menu.
The last two things that linger on my mind that wise older FOD parents have warned me about:
“Always make sure that where ever you
travel to has a kitchen.” and “Remember that excitement uses more
energy/calories.” We have been
really lucky because so far all of our trips have provided easy access to a
kitchen…but I know that as we plan out future family trips this is something
that will remain on the fore-front of my mind. The whole excitement piece…I feel so grateful for the warning! So far Christopher has
done really well on trips, not exhausting himself from excitement, but I feel
like I have to give credit to the families that have gone before us and shared
that excitement can lead to extra calorie use and thus lead to metabolic
crisis. This warning has made us
super vigilant on trips to feed him often even though it seems as though he is
sitting more and possibly not using quite as much energy.On a completely different note, I did want to let everyone know that we met our fundraising goal of $10,000 and that the clinic was very excited and grateful! I apologize for my delayed response in letting you know (as many of you know I have been having some of my own health challenges the last couple of months). If you meant to give but didn’t get a chance you can still give using the link to the side of our blog or by mailing in a check to the address below. Please e-mail me if you gave and didn’t receive a tax credit letter, or the letter was mis-printed in any way!
Thursday, May 10, 2012
Race Day!
We arrived at Chastain Park around 6am to set up our "transition material" in the bike area. It was amazing to watch all of the race participants setting up there things and learn their methodology and approach, so as to have a quick transition. When the race started I was awed at all of the people in the pool doing laps. In all my years of life guarding I had never seen such a spectacle! For the most part it was pretty civil, but there were definitely feet kicking various people out there! Ryan and I started about 20 people from each other, but Ryan quickly caught up to me on the bike and we did the bike and run together! Overall, we did very well. We finished our 400 yrd swim, 15 mile bike and 3mile run in exactly two hours! The most challenging segment for both of us was the bike, as the hills were monstrous! We knew that the hills would be challenging and so we trained a lot on hills, but the steepness and length of each one was crazy! Ryan laughed at me trucking up one hill because I grunted so loud (I couldn't let it conquer me!) he could hear me twenty feet behind him.
Thank you to every friend, family member and acquaintance who has taken the time to lovingly read our blog, learn more about LCHADD and donate money to Christopher's metabolic clinic. As of this Tuesday, with your help, we raised $9,760. It takes about a week before money is processed, so we are expecting that money donated last week will be tallied up by next Tuesday. I am excited because I am hopeful that we will have reached our goal! If you haven't donated and meant to, or would like to, it is still not too late. You can mail it to the address below or donate on-line at the link on the side. (I know there has been some confusion with the on-line link. The appeal code for on-line giving is different than the one below but it still goes into the same account. When you go to the on-line site the direction box will say, "School of medicine" and below it will say "Nutrition Research"...this is all correct! Sorry about the confusion! But thanks for everyone's diligence in wanting to make sure your donations go to the correct place!)
And hey, even though the race is over, the fight to help children with metabolic disorders and raising awareness about LCHADD will continue! So please check in and continue to read our blog and pass it along to friends! Knowledge of FODs, their struggle and process will only better their care! I have several more post ideas brewing...that will include cute pictures of Christopher (in case you need something to lure you in....lol)... I will be posting soon! Much love! ~Steph, Ryan and Christopher
Wednesday, April 18, 2012
What I hope for Christopher...
As Christopher grows, I find myself thankful (as I pull my hair out) when Christopher experiences those challenges that any two or three year old experiences. I find that it is this odd balance of trying to be in the moment with him as much as possible, educate myself about his condition and studies, and process the unknown that accompanies his condition. I find that I carry so many emotions with me, and although I can force some into dormancy for awhile... illness, muscle breakdown and doctor visits can bring these emotions back to the surface. I realize that for all kids there is a certain level of unknown and that life is fragile for everyone to a certain degree. Yet, I think this reality is a little easier to push out of our minds, when a child doesn't have a chronic condition. It is the reality of our own mortality that sits too close to home these days...and yet we can't give up hope...we won't!
I think about these things while I am training or while Christopher and I are out hiking. And at the end of these thoughts I always come back to, "What do you hope for, for Christopher?" And I suppose there are a lot of things I hope for that any parent would hope for, for their kid...but somehow it feels a little different. I hope that Christopher will not lose his laugh and excitement for life. I hope that he will see the world differently and challenge people's ideals or notions of
how things are "suppose" to work. I hope that he will love who God has created him to be and that he will embrace the beauty of all that surrounds him. I hope that he will continue his excitement to expand his mind, and explore his environment. I want him to be comfortable in his own skin. I want him to love nature and creation. I want him to be able to do what excites him (I worry about this at times because he is so athletic...loves basketball already...I hope that he will have the stamina to play sports if he wants to...the LCHADD could effect this.). I hope that he will embrace his LCHADD, his special diet, and seek to be an advocate and example to his peers. I hope that more doctors will desire to work in the field of metabolic conditions and that my son will have continued health care as he grows.People have asked me if I think that LCHADD will be cured. I suppose that I am not really sure how the science around that would work, because LCHADD is a genetic condition that occurs on a cellular level throughout the body. I know that research is the beginning and that there is so much hope for children with LCHADD, that they can have full lives, the more that scientists learn about the mitochondria and how fatty oxidation works. I hope that research will change the progression of the vision loss that these kids experience. I hope these kid's diet will be so effective that they will be able to participate in life in a way that they choose. I hope that doctors and clinicians who have never heard about LCHADD will hear about it, and so when a child is sick and in the hospital, treatment will be easier for families, patients, and clinicians.
And so I suppose we hold a lot of hope in our family. Our hope comes from each other, God and friends like you who love and support our journey. And so we hope on...
Tuesday, April 17, 2012
How do you train with a three year old?
Well, I must admit training with an active three year old little boy is quite the adventure! It has forced us to get creative with our training! We try to work out about five days a week. Sometimes this is done together, and sometimes we have to sneak it in around each other's schedules. As you know, Christopher got quite sick in the beginning part of our training and so this added an extra obstacle. Ryan and I tried to take turns going on runs while he was sick and recovering. Then as Christopher started getting better Ry would push Christopher in the jogging stroller while we all ran together as a family.Although Christopher doesn't mind the jogging stroller for short distances, he got really excited when we go a bike trailer off of Craig's list! This has helped us tremendously! The middle of February was when we first started using it, and it couldn't have been better for a child who was recovering from metabolic crisis. Christopher was strapped down (so he
had to take a load off and not use energy) and we were able to get him some fresh air without exposing him to other children who might have been sick. Christopher loves the trailer, the wind in his face...and books that he brings along for the ride. He can last about eight miles before he is done and ready to get out and play or ride his own bike. After every bike ride Christopher pops out of the trailer and heads straight for his tricycle. "My turn!" he seems to be saying.Other than family bike and run times, Ry and I go to the YWCA and they have childcare so we can swim, weight lift, and/or run. Oh, and there is our wonderful friend Catherine who has come over two Saturdays so Ryan and I can do a long bike and a run. (Our last long bike and run was two weeks ago. We biked 16 miles and ran 3miles...and I didn't even sprain my ankle this time!)
Christopher is starting to understand more now why we are training. Yesterday, he looked up at me as we were getting out of the car and said, "You have to run to help Dr. Singh...she helps me?!" And Christopher, I think, considers himself training as well. This past weekend he ran up and down our hallway several times then looked at me and said, "I ran four miles mommy!" But my favorite moments are when we all sit on the floor together and stretch. Christopher is by far the most flexible!
On a fund raising note, we are up to $8,000! Thanks so much for everyone's support! It has truly encouraged Ryan and I to see how many people have given joyfully from their heart! We will be thinking of you all come race day, and know that you are making a difference by supporting research of FOD's. (Maybe I sound a little cheesy...but know that I am sincere.) If you would like to support FOD research and have any questions please do not hesitate to contact me! Or if you just have any question about Fatty Oxidation Disorders contact me as well!
