Our family all have sweatshirts with T21 on them. I wear mine ALL. THE. TIME. Besides being super comfy, it's the go-to shirt for educating the masses. There are a lot of people who ask me what it means, and I get to tell them. It stands for Trisomy 21 - the medical term for Down syndrome. October is Downs awareness month, and I try to wear my comfy sweatshirt everywhere I go. Truly, people must get tired of seeing it. But that's alright with me because I'll never get tired of championing my son's cause.
************
You know what I worry about on occasion? Teeth. Micah's teeth, to be specific. At 6.5 years old and has yet to get a loose tooth. I get brave every now and then and put my fingers in his mouth to check because how else would I know? I just envision that whole scenario to be a nightmare. The sore tooth, his love of eating everything non-stop all day long, the sore tooth... I'm also envisioning anesthesia and extractions involved because the boy won't sit in a dentist's chair to even have a look-see inside the cavity of his mouth.
Fun times ahead, my friends. Fun times. Let's just hope that I'm exaggerating things a wee bit in my mind.
The slow loss of teeth isn't really uncommon for someone with DS, nor for someone in our family. They say teething patterns are hereditary. Sam was a late bloomer as far as teeth were concerned, and the kids have all taken after him. They've all sported weird eruption patterns as well. Becky was my fave - she got her top corner teeth first, on the days before and after Halloween. Daughter, thy name is Vampire.
Micah has some weird teeth going on in his mouth, and while it's par for the course with Down syndrome, it's not overly noticeable. The kid has his sister's fangs. Only when she got her other teeth in, her fangs were no longer noticeable. Micah's definitely are. They're considerably longer than the rest of his teeth. I'm really wondering what he'll look like when his permanent teeth are in, and hoping that braces aren't a necessity for the boy because that would not be my idea of a good time either.
Thank goodness we have a dentist who sees a number of patients with DS and has considerable experience with it. And thank goodness our dentist isn't one to panic nor raid my pocketbook and insist that we do everything that we can to keep him in business. So far, he's good with Micah not really (okay, not at all) brusing his teeth, he's good with Micah's tooth grinding (and strangely, after 18 months, so are we - it's amazing what you can grow accustomed to when you have zero choice) and won't prescribe an insert unless he's wearing down his teeth - which he's not, and he's good with getting bit on occasion (Micah drew blood several times) to check out the overall health of the mouth. Our dentist is a keeper. Unfortunately, he doesn't doctor at Children's, so if an extraction under anesthesia is involved, he probably won't be.
*************
And here's another fun tidbit of information. Most individuals with Downs have smaller airways (trachea, mouth cavity, ear canals, sinus passages) which not only cause a world of fun times at the ENT (hello, 6 sets of ear tubes, I'm looking at you) but cause a bit of problems when the kids are under anesthesia. Intubation is almost a given. Couple that with the fact that anesthesia slows the heart, and all things heart-related freak doctors out when working with DS patients, and you've got a recipe for impending disaster.
I know that any time
anyone is put under anesthesia there are risks. I'm just saying that, according to Children's Hosptial, those risks are greater in individuals with Down syndrome. Just about time we'd convinced ourselves that we could get ear tubes placed at our local hospital by a local surgeon (of whom we've heard great and glorious things), we heard the policy from Children's Hospital that they will only place ear tubes for those with DS at the main campus and not any of their branches. Their reasoning: there are too many things that could go wrong. Well that just makes me feel warm and fuzzy all over.
So we'll continue doctoring at Children's any time anesthesia is involved. And continue praying as he's in surgery. Because really, that's all that we can do. Well, that, and double up on procedures when we can. Multi-tasking is the way to go.