Lip & Tongue Tie Revision / Evening After Procedure

November 8, 2014

When I had my son 12 months ago a nurse told me in the hospital, “your son will always want to be held”. Night two in the hospital I told my husband, “I got this, go home and take care of Ady (our 2 1/2 year old).” Andrew was up all-night and screamed all night. This would be the first in 12 months of days/nights my son would just scream in pain. I struggled with nursing issues for 6 months. My son has been seen by lactation consultants, 2 GIs (approx 10 visits), endocrinology, neurology, sleep doc, allergist, chiropractor, ENT, and a dietician. He has been diagnosed having milk & soy allergies without the usual symptoms. He has had 2 strains of the flu virus at the same time (hospitalized), Roseola virus, Hand, Foot & Mouth, Croup, ER trips, x-rays, 2 ultrasounds, upper gi, allergy testing and nothing. No one has been able to explain to me why my son cant sleep night or day, has feeding issues, food intolerance, bloody murder cries, constipation and reflux. After giving up nursing at 6 months, pumping round the clock for a month, elimination diets, food journals, & 7 formulas our symptoms stay the same. My son has been on Neocate (Hypoallergenic, $45/can formula) for a month which is dairy free and that didn’t do the trick either. I have been on a 12-month mission to find out what hurts my son so much? I research day/night and people close to us know this has been the hardest year of my life.

I challenged our pediatrician yet again on Thursday about tongue-tie. We spoke on the phone and I questioned again. I said, “I think we missed something. I know we have discussed this before but are we sure Andrew is not tongue-tied.” He responded back to me that I needed to move past the fact that I could not breastfeed and may need to consider the fact that Andrew needed to be evaluated for behavioral issues. Andrew was 12 months and two days old. I couldn’t fathom that at 12 months you could have behavioral issues.

That night I was very frustrated. I was a part of an MSPI support group on Facebook and I described my frustrations in a post. I described Andrew’s symptoms, my nursing issues, his reflux, constipation issues, his pain cries, and all the diets he had been on. One mom replied to me asking if I had considered tongue-tie? She then referred me to a national tongue-tie support group. From there I got involved in the Ohio Tongue/Lip Tied Babies Support Group. I posted about our story. I was overwhelmed at the response I got. A mother replied to me right away asking for a picture of my son with his mouth open. She insisted my son was tongue-tied. Several moms agreed. I researched the page and read all of the literature. I looked on the preferred provider list and found the name of Dr. Milton at Brunswick Kidds Laser Dentistry. For the next 24 hours I researched tongue-tie like crazy. This time I dismissed what my Pediatrician had told me. I called around and researched places in the area to get information on how they perform tongue-tie procedures. I learned that Dr. Milton’s office was one that had state of the art technology that could treat him with a laser if he did in fact have a tie. I called an ENT office and discussed Tongue Tie. They told me that in order to perform a frenectomy they would have to put Andrew to sleep and use a knife. I called Dr. Milton’s office and had my first encounter.   After describing our story to the receptionist she found a way to squeeze us in the next day on a Saturday for a consultation.

Saturday, November 8, 2014

When I arrived with my husband, Adalyn and Andrew at Dr. Milton’s office I had to complete a questionnaire.   It was the first time I had been to an office that our symptoms seemed to match up. I checked almost every box on the list and anxiously waited.

Dr. Milton brought our family back to his office and evaluated Andrew. Not only was my son tongue-tied but he was lip tied as well. We also learned that Adalyn had a lip tie but that it was not something that needed to be taken care of until she was older.

He was extremely professional and he was able to explain why Andrew had each symptom that he did. While I can’t explain his reflux and constipation issues as he did, it was all about the fact that digestion begins in the mouth.   We also learned that he had seen other cases with similar symptoms that had been confused with having food intolerances and that we probably could put him back on cow’s milk with no issues.

He tried to be realistic with us when he was setting expectations with us. He explained that he had “never seen a case this bad to go this long undiagnosed.” He explained that since he had such learned behavior and had been in pain so long we would be lucky if we saw a 20% improvement.

He was able to laser the two ties without putting him under. The procedure lasted 4 minutes. Andrew fell asleep immediately in the car.

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We were sent on our way with instructions on how to do stretches to keep the areas from reattaching and with the understanding that it was going to take some time to learn how to suck from a bottle. This was going to be new for him. We were to give him ibuprofen for any pain and to relieve discomfort.

I can’t tell you the relief I feel in my heart tonight. I hope this truly changes things. My family really needs some much-needed rest. I hope this encourages mommas everywhere to keep fighting, trust your momma gut & challenge what you feel is right. Thank you to all of my family & friends who have supported us through this past year.

***

February 20, 2016

I can tell you that Andrew has never thrown up or refluxed since that procedure. He can stick his tongue out with ease and no longer battles constipation issues. Andrew is currently on cow’s milk with no issue. The only issue this procedure did not resolve was his eczema. I will continue to work on that.   My husband and I agree that we have probably seen an 80% change in Andrew since this procedure.

From the bottom of our hearts we thank Dr. Milton and his team at Brunswick Kidds Laser Dentistry. You changed our lives and we thank you for your kindness and professionalism.

I hope and pray in my heart that this reaches other families that are struggling to find answers. My goal of putting this story out there is that others find answers much sooner than we did.

 

The Bills

The file. It is something I have dreaded going through for a while. The large manila envelope is such a large heap that I had to keep it in a box. It is marked “Paid / To File”. I had thrown all of the doctor bills in this file. Every bill is another reminder of each trip to each new specialist. Each time I had to tell again, “our story”. Each time I would wonder if this was it. Each time I would stress out leading up to the appointment over the possible outcomes. Each time they told me “I don’t think I am the right one to help”. As I pulled this file out tonight to finally sort through I got an awful feeling in the pit of my stomach. Had I really dreaded this file this long? I guess I really didn’t realize I had this much pent up frustration over what I had been through. As I sorted I was reminded of each time I paid each bill and how I stressed over every payment. How I would check the HSA account each time to see how much we had left. How I dreaded telling my husband each time another bill came. How so many times I wouldn’t tell my husband bills would come and I would just take the money from my savings. This was the first time in my life I wasn’t working. The first time in my adult life, in our marriage that all the financial responsibility and healthcare lay fully on his shoulders. How I knew that no matter how awful it was each time I paid another bill that I would still keep searching for answers and call another specialist. There were times I believed my husband thought I was losing my mind but in reality I was just desperate for relief for my son.  I just felt utterly helpless.  I knew how much stress it was putting on my husband and our marriage. The financial burdens that come along with searching for healthcare answers are excruciatingly painful. I think at one point my husband calculated that we had spent $20,000 on Andrew’s healthcare in his first year. As I continue to sort through these bills, I am reminded of the times that I thought that I didn’t care how crazy my husband thought I was, I was going to keep searching. I was going to figure out what was hurting my son. For every bill I see tonight, it is a reminder that I sometimes do not believe our marriage survived that year.  Every time I would tell my husband of a new allergy test or holistic doctor that was going to help his reply was always, “what is this going to cost?” It was never that he didn’t care but he knew how much it all added up. Tomorrow my husband and I are celebrating the 10-year anniversary of our first date.   As I finish up for the night, I am so thankful to still have a strong marriage. I know in my heart that if we made it through all that we did that year we can make it through anything. I am so thankful that my husband stood beside me through it all and he loved me even on the toughest of days.  I am also so very grateful for all the tests that came back negative.  How I know things could have been so much worse.  I am thankful Andrew is a healthy and happy little boy.  It was the time of the unknown diagnosis that was the toughest and I am thankful to have had my partner along by my side, I love you husband.

Andrew Poops Snow

It’s a special time at night.  When you bring your lil one up for bed.  The final snuggles, books, and songs for the day.  A momma is nearing or surpassed her limits for the day and she is eager for rest too.  As we reached Andrew’s room I lay him on the changing dresser and pull out the overnight diaper.  As I remove his diaper I see twinkling snow like crystals burst from the diaper and spill EVERYWHERE!  The infamous diaper fail.  I have not had too many of these instances but this was one I sure will remember.  My 4 year old ran into the room and screamed, “Mom! Ewww.. Why does Andrew poop white?!?!”  As I attempt to clean Andrew up I realize these were sticky jelly like absorbent beads and this was not going to be easy.  I continued to thoroughly clean him up and change his clothes.  I put him in his crib while my husband brought in the vacuum from downstairs.  We quickly found the glistening snowlike sticky jelly beads would not vacuum up!  I was finally able to clean the beads off the top of dresser and sides with baby wipes.  Of course this will be the last time I fall for the buy 2 cases of our brand diapers and get a gift card sucker scheme at the store.  It always seems like those cases last you forever too!  Back to my trusted Pampers Sensitive brand I go!

 

He Pulled A Fast One

My little man has never been one who cared much for his pants changed. I even attempted (failed) potty training when he turned two just because he hates pants changes so much. He was peeing fine in the potty but it all went south the first time he dropped a pooh nugget in the potty. He took one look and screamed in shear horror and wouldn’t go near the pooh pot after that. I gave things a break for a while and went back to the pants changing battle. Lately however he has been more cooperative. Well until he pulled a fast one. Last week I was changing Andrew’s pants and as I unwrapped I was taken back by the size and roundness of this pooh ball. As I reached for a wipe Andrew pulled a fast one on me… literally. With a quick pull of his hand he yanked his diaper right out from underneath him. Something he had never done before. His pooh ball flew! It landed and lodged right between his chin & neck. As Andrew’s eyes met the sight of the pooh ball a look of horror shot across his face. His look of horror & disgust reflected on my face. I paused for the tiniest of seconds, as I knew I had to act fast and I picked up the nugget. Oh I picked it up barehanded and quick. I have never moved so fast in my life as I cleaned him up, wrapped it up, disinfected myself and bathed him quick. There is not much more to say. It is amazing the things a parent will have to do when they have to change their kiddos pooh.

The Christmas Nugget

It was the morning before my 4-year-old’s Christmas concert. It was time to start getting ready to leave.  We had our new puppy Rosie for about 2 1/2 weeks at this point.  We were starting to get a routine but were still learning our new habits as well.  This was a bizarre December for Ohio this year. We have had temps in the 50’s & 60s thus far and nothing more than a few flurries.  It has been perfect for a new puppy.  The kiddos love to throw their coats on for quick trips outside while we take Rosie out.  She had recently been out so when she was standing by the door scratching to go out I knew I had to be quick.  She is starting to tell us if she needs to go out in between her usual let-outs.  I picked up Andrew (my 2 year old) with no shoes on and told Ady come out with me quick.  I threw a hat on Andrew.  Today was in the 60s and since we would be quick, I would forgo the coat just this once I thought.  Ady ran out behind us.  We gave Rosie a minute and she peed twice.  We all headed back to the door when Rosie tugged for one more.  While Ady was walking back up the steps I said, “Wait one sec Ady.”  When she proceeded I headed up to the house behind her with Andrew in arms and puppy on leash. As I approached, the door closes and I hear the “click” of the lock.  At first I remained calm. “Ady can you open the door?” I called. I heard footsteps run away and giggles.  She thought she was being funny.  While knocking, “Ady open the door”.  I am repeating this while remaining calm.  If she knows I am mad she will never come.  No answer and no open door.  Andrew is getting heavy at this point.  He is 28 solid pounds with no shoes may I remind you so I can’t put him down.  I head to the back of the house.  The back stairs are steep.  Our tiny pup cant climb so now I am carrying both pup and Andrew.  I search for the spare key in our secret spot.  Thank goodness we put this here about 4 weeks prior.  I find the key and make my way back in the front door.  Ady is giggling as I enter.  I was a furious sort of mad.  I tell Ady that mommy is very upset and she needs to go to her room so mommy can calm down for a minute.  As Ady walks upstairs and momma catches her breath Rosie drops her pooh nuggets on the hardwood floor.  Momma thought she was on the verge of a meltdown.  It was a mere seconds later Andrew would go on to poop as well.  Its always a pooh pooh palooza in this house.  When momma recomposed Ady and I had a serious talk.  It wasn’t about momma being mad because she locked me out.  It was about the danger of her locking me out and what a big deal this was.  I was clear if this happened again we could not keep puppy. She promised she would never do it again. While I felt horrible for what I threatened, I think/hope/pray she took me seriously. Oh a day in the life of a parent.

Later on, Andrew, Daddy and I watched Ady as the “Star” in her school Christmas program.  I thought about how proud I am of this little lady. She had the biggest smile on her face and waved to us between each song.  While she dressed as a Star she truly was the “Star”.  I wasn’t thinking of how mad she had made me only hours before rather how proud she made us each day.  It only reminds me that while there are tough minutes/hours, there are far more precious moments to be proud of.

I am so proud to be this “star’s” momma.

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A Big Thank You, One Year Later!

Dear Dr. Milton,

A year ago yesterday you performed Andrew’s tongue tie & lip tie procedure.  From the bottom of my heart I just wanted to say “Thank you!” What a difference a year has made for us!  This year we celebrated Andrew’s birthday and tongue tie surgery anniversary at Disney.  You changed our lives.  Thank you for the work that you & your team do each day.  Thank you for the patience and the kindness that you show to each sleep deprived and desperate mother that calls and walks through you doors.  While you must have that conversation you had with me 100x you never were rushed and you showed true compassion and so did your staff.  Today, I got up and shared Andrew’s story on Facebook again and on every social media site I had been a part of on our journey.  I had a friend reach out and she will be seeing you on Thursday. No matter how many people I send to you & Dr. Brittany they all have the same experience.  Your office should be proud of the work you all do each day.  The impact you have on these families is immense.

Thank you for asking me to do the video. I am so proud to be a part of something that helps families find answers sooner than we did.  Thank you for bringing something positive out of our journey.

God Bless you and your family,

Minnie

(Lip & Tongue Tie Revision/ Evening After Procedure: http://www.poohnuggets.com/?p=68)

 

A note back from Dr. Milton:

Words cannot express how great this makes me feel. It is always a goal of mine to make a difference, but Andrew’s story exceeded all expectations! That’s why I have to give God the glory… One of my mentors always said: “we treat but God heals”, and surely He did!!!

Thank you so much for your kind words… They mean more than you can imagine 🙂

– Milton Ntragatakis

 

Finding Breastfeeding Support

Finding Breastfeeding Support

If you are struggling with nursing issues here are some places you can seek support.

1) La Leche League www.llli.org. – Worldwide Breastfeeding Support Organization

2) Ask your pediatrician – Ask to be connected to a Lactation Consultant experienced in tongue-tie & oversupply. Ask about a nipple shield early on.

3) Seek out a Pediatric Dentist – Do you suspect tongue-tie? After speaking with your pediatrician and LC if you are still suspecting tongue-tie seek out a Pediatric Dentist for a 2nd opinion. There are different types of tongue-ties and they can have different levels of severity. A Pediatric Dentist knows how to properly diagnose ties and if it is even necessary to correct.

4) Pediatric Doctors Offices and Hospitals offer excellent classes and support groups for breastfeeding moms.