Down Syndrome, Family, Medical, Travel Christine Pheneger Down Syndrome, Family, Medical, Travel Christine Pheneger

High Hopes, Low Expectations

When it comes to certain things in life, I think it’s okay to have high hopes and low expectations. In my opinion, high hopes with high expectations, only leads to disappointment.

I generally try live by this motto, but recently I did not.

Sam was supposed to start school today. He hasn’t been in school since October. I think I was looking forward to him starting school the most. When he came down with what we think is a stomach bug yesterday, I was selfishly pretty bummed. When I shared my feelings with Sam’s dietitian, her response was,

Not selfish in my mind. You want this for Sam and it was also going to be a break for you.

She was right. Clearly in this situation, my hopes and expectations were high. Give yourself grace.

We’re still home and hoping to keep it that way. Although, we are very done with this PICC line, it might just be the thing that keeps Sam from a hospital stay.

Before he started feeling sick, he was on track to be done with the TPN (food/nutrition through his bloodstream) by the end of April, which would mean no more PICC line. His g-tube feedings have been going really well. We are hoping this doesn't set him too far back and also know he likes to throw curveballs in the mix sometimes.

The prayer is that this is a stomach bug and not an intolerance to his feedings. As a of now, we are confident he has a stomach bug and hopefully he’ll kick it quickly.

On another note, we were able to take a trip few weeks ago. If you remember from our last trip, we had some memories to last a lifetime. On our way home, our flight was canceled. We weren’t able to get on another flight home until the next day. From that, we were each given vouchers from the airline. Abby had a soccer tournament in Florida so we thought we would use those vouchers and try our luck at another trip.

I say trip because when you are traveling with young kids or someone with special needs, it's a trip, not a vacation. ; )  Although it was another eventful trip, we had a fabulous time. 

Here’s a very short version.

On the way there, our flight was delayed two hours, Sam peed through his sweatpants. We had to leave his wet shirt on because he was still hooked up to his PICC line. He pooped right before we boarded the plane, which held the plane up a little longer. Thankfully, we hadn’t boarded yet. He threw his suction machine (basically his lifeline) into the ocean. Red tide hit our beaches, but we had two fabulous days on the beach. Abby sprained her ankle in her second game. Our flight home was delayed an hour and then we sat on the runway for almost another hour. When we got home, we were locked out of our house.

BUT what we remember was absolutely perfect weather and a wonderful time with family and friends. We kept our hopes high and our expectations low. We had some bumps along the way, but we expected some of those and rolled with the punches.

Sam might not be the easiest guy to travel with, let alone leave the house with, but we want him to have the best quality of life and we have chosen to do what we can to give him that and not hold our other kids back despite his complexities.

Ready to fly!

Trached kid playing is the sand. Sand in the airway, not good. Shhh...

Prayers Sam can kick this stomach bug quickly and go back to school where he makes people better!

Oh, and Happiest World Down Syndrome Day!

Sam Strong

Faith Over Fear

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More on Cincinnati and Update

King Sean and Prince Sam

Before Sam’s surgery, we had some fun at the Cincinnati Zoo again. Sean was nervous about Sam and being around all the people, but it was nice to be able to do something “normal” with Sam since we had to have him in a bubble the month prior. Doing normal things with Sam always tugs on my mamma heart. Sam was more interested in trying to pull leaves off trees, and snatching my sunglasses off my face to throw in the ostrich cages. And, of course, his nose (filter for his trach) went flying too. So, if you go to the Cincinnati Zoo anytime soon and see the ostriches wearing sunglasses...

Okay, this gorilla is pretty cool.

My dad is way cooler than that hippo behind me.

For those of you who don't know sign language, Sam is signing "Daddy". He was telling us the lion was a daddy lion.

Our hotel didn't have a bathtub so we had to improvise. Sam thought taking a bath in the kitchen sink was great. It was a lot less stressful for Sean and I too, because Sam LOVES the water. If he was able, I think he would have his head under the water all the time. He has no idea what would happed if he completely submerged himself in water. He is very brave around water and is constantly trying to put in head under, which makes bath time and water in general, pretty stressful for us. My heart skips a beat when I think of Sam without a trach and the day he can completely submerge himself in water. I think he will be a fish. Oh happy day.

Cleaning my feeding tube.

When we knew we had to cancel our flight home because Sam was misbehaving, I instantly started looking for one way flights. It was not looking good.

We found out on a Wednesday evening, Sam would be discharged the next morning. The soonest flight out I could find was on Friday morning at $835 a piece! Not happening. The flights for the following week weren’t much better and we did not want to be stuck in Cincinnati any longer. Will and Abby were perfectly fine at home with my niece holding down the fort. I think they would have been happy if we were gone longer.

We decided to keep the rental car and drive home. We quickly packed Sean's things at Ronald McDonald House (RMH) after Sam discharged, but couldn't pass up the free toy from RMH for Sam. Of all the toys, he picked the doctor set.

Sean and I had to play a little Tetris to make everything fit in the SUV, but we did it. We were definitely homesick.

Sam does not travel lightly. And there were still six boxes waiting at the hotel for him!

Two days later, we made it home. Sam did surprisingly well with two full days of driving in a car. Sean and I were exhausted and very happy to be home. Sam was happy to see his siblings.

It has been almost six weeks since Sam's surgery. We wait one more week to find out if the surgery worked or not. When I asked the doctor in Cincinnati if he thought it was a zero percent chance the surgery worked because of what happened, his response was, “The only person who knows that, is not in the room right now. We just have to wait and see.” Hmmmmm. Faith over fear, Jamie.

Sam’s ENT trained under the ENT who did the surgery in Cincinnati. Thankfully, we don’t have to travel back to Cincinnati for Sam’s bronchoscopy to get the news. Our expectations are low and our hopes are high for the news. It’s yet another sedation for Sam. Prayers everything goes smoothly next Friday.

Like my friend said, ”I figure no news is good news.” Yes, since we’ve been home, Sam has been doing great. We’re still moving slowly on his feedings, but he started at twenty-four hours a day six weeks ago, and is now down to eleven hours a day! And barely any retching! Progress!

He has had zero signs of intussusception. We’ve all questioned if the intussusception was happening longer than we think. It’s a hard thing to catch because they can only see it on ultrasound or x-ray when it’s happening. It’s likely the other feeding tube (j-tube) is what was causing it, which then makes its less likely to happen again. Continued prayers Sam will not get intussusception again.

And BIG Happy Birthday to my sweet boy today!!!!! We've kept you alive for six years now! Everyday we get with you is a blessing we didn’t think we would get from day one. I’m incredibly thankful we live where we do, knowing in many other places, you would not have made it past the first day. Keep doing what you do best, by making other hearts a little bigger.

Faith Over Fear!

Sam Strong!

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No More Surprises

Thankfully we did not have anymore big surprises and we are home!!!!!

More to come, but wanted to let everyone know Sam is out of the hospital, doing well, and we made it home.

Sam Strong!

Faith Over Fear!

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Family, Medical, Travel Christine Pheneger Family, Medical, Travel Christine Pheneger

The Icing on the Cake

Getting all of Sam’s medical equipment and supplies situated on an airplane takes quite a bit of patience. One of the bummers when flying with someone who has oxygen, is they have to sit at a window seat. This makes things a bit more difficult for us, but thankfully Sam has done really well flying.

We got all of our stuff situated and sighed a big sigh of relief. Right away, I smelled a familiar smell. No, not now Sam. Remember when I told you our only option for diapers was a size too small? Yeah. When I turned to look, “it” was already coming out the back of his diaper. Oh great. What do you do with a five year old who’s pooped on an airplane?!

We were still on the ground so I unbuckled Sam and carefully picked him up. Sean followed me to the front of the plane with the diaper bag.

I explained the situation to the fight attendants. “Can we just lay him down right here?”, I asked. It was the only place I didn’t see carpet and knew this was going to be a messy situation. They politely obliged.

A messy situation might have been an understatement. As we started to change him, there was poop EVERYWHERE. We ran out of wipes. Of course we did. At this point, there was one flight attendant holding open a garbage bag, another one wetting and handing me paper towels from the bathroom, and another giving us moral support. Sean was helping wipe the poop off Sam and that, was everywhere. Bless all their hearts.

After we wiped the poop off the floor and were about to pull Sam up to put new pants on him, Sean stopped me. “Jamie, look at your arm.” For real?!?! There was literally poop from my wrist to my shoulder, on ALL sides of my arm! You cannot make this stuff up!!! You know your husband loves you when he’s holding your hand and wiping poop off your entire arm.

We remedied the situation as much as we could, obnoxiously thanked the flight attendants, and trudged back to our seats. I’m pretty sure we held the plane up a bit longer. Okay Lord, I’m done with the mishaps. Get us home safely and smoothly.

We hooked Sam up to his oxygen once we got into the air and he fell asleep shortly after. My sweet little boy was clearly exhausted. He slept for almost the entire flight. Thank you Lord. I needed that.

All tuckered out.

We were all very happy to be home, even if it was below freezing.

Like I said, we made lemonade, out of quite a few lemons on this trip. Would I do it again to not miss out on the good parts I had with my family? Absolutely.

THE END.

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Family, Medical, Travel Christine Pheneger Family, Medical, Travel Christine Pheneger

Going Home

We had one more full day with our family.

Cousin love.

Our flight was not scheduled to leave until 8:00 p.m. the next day. Since we had to check out of our rental by 10:00 a.m., we spent the day at the Tampa Zoo. We had a great day at the zoo and celebrated Will’s fifteenth birthday. How is he fifteen already?!

I was too cheap to buy the photos, but they did get a few good ones!

Happy 15th Birthday Will!

We returned our rental vehicle at the airport early in the evening. Not only did the rental company not charge us for the upgrade, they took a good chunk of money off of our total bill for the inconveniences. We took the tram to check our luggage.

As we were waiting in line, a staff member from the airlines called everyone who was flying to Minnesota up to the check in desk. She informed us, "I'm so sorry everyone, but this flight has been cancelled." Are you serious?!?!All fifteen of our family members made it home today! Not that I didn't want them to make it home. Why us?!?! I'd be lying if I said these thoughts didn't come into my mind.Now, pull yourselftogether, Jamie, and never mind the "why's".Do I have enough medical supplies for Sam?! You can’t buy suction catheters at Target!

After four hours of waiting in the airport, the airline booked everyone on the flight a room at a nearby hotel. We waited at least another hour for the shuttle to come get us. Thankfully, I had already drawn up Sam's nighttime meds that morning. His nighttime nebs would have to wait. To say we were all getting cranky at this point would also be another lie.

The airline was very accommodating to Sam and his medical needs. We were the first to get on the shuttle to the hotel. We were getting some major dirty looks, which made me feel sad and a little annoyed. Most people take one look at Sam, us, and all that comes with us and give us looks of sympathy. If they only knew.

It was pretty late (for us) when we finally made it into the hotel room. We were very grateful, the airline booked us two adjoining rooms. As we came into the first room, we discovered if we didn't get two rooms, we would have had a very difficult time getting all of our luggage and Sam's medical supplies in one room! After we got Sam's nighttime nebs (thankfully I had packed a few extra neb cups) done, we sandwiched him in between Sean and I, and tried to go to sleep. He still sleeps in a crib so he thought this sleeping arrangement was very funny. After about forty-five minutes of me grabbing his ankle to slide him back onto the bed, he finally fell asleep.

The next morning, we got ready and packed up our obnoxious amount of stuff for the airport again. We realized we wouldn’t have enough diapers to last us through the day. Sean tried the gas station across the street from the hotel. No such luck, and the attendant told him unless you have a car, there’s nowhere close to get diapers. Great. The hotel had them, but they were going to cost us a pretty penny. Fourteen dollars for four diapers! For real?! It’s important to note for the last mishap, the diapers were a size too small.

The shuttle took us back to the airport and we checked our bags. The airline gave us meal vouchers so we ate very well for lunch.

We headed for security. We were without a TSA agent to help us this time. Going through security with Sam’s oxygen, emergency bag, suction machine, med bag, diaper bag, feeding bag, and our things is quite the ordeal. They have to check every med and test every liquid, which includes his sterile water for suctioning and all of his formula. If people stare, I wouldn’t know because my focus is on Sam and getting us through as quick as possible.

We were almost through security when a woman walked up to us. She said, ”You guys are amazing. You must do this often.” I laughed and told her, ”No, it’s only our second time traveling with him, but thank you so much for the encouragement.” She responded, ”Well you make it look flawless.” With much sincerity, I thanked her, she smiled with all her heart and walked away. It felt like an angel was sent from God in that moment. After the last twenty-four hours, she had no idea what that did for my soul. I call these little moments in life, God winks.

Sam and I had wandered off. Sam is a very busy little boy. Although he’s five, I would say he functions more at the level of an eighteen month old. That being said, we tried to let him be as busy as possible before the plane ride. We wandered back towards our boarding gate.

Sean and Will were walking towards us on a mission with somber looks on their faces. Oh no, what now?! "The flight is cancelled.", they informed me. You have got to be kidding me!?!? No!!!!! They instantly started laughing. Hahaha, real funny you two. I think I might have cried at this point. Actually, with the lump in my throat that built up instantly, I know I would have cried. Although the flight was not cancelled, they did tell me it would be delayed another hour. Now that doesn't seem so bad.

We were all extremely happy to board the plane and get situated in our seats about an hour later.

To be continued...

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Family, Medical, Travel Christine Pheneger Family, Medical, Travel Christine Pheneger

The Wedding

The next day was my niece’s wedding. This mishap is not ours, but I couldn’t leave it out of the story.

The wedding was suppose to start at 5:00. My sister-in-law had ordered flowers that were suppose to be delivered at 2:00. At 3:00, the flowers had still not arrived. After failed attempts of trying to get a hold of someone at the flower shop, it was time to figure something else out.

By looking at the beautiful flowers, that matched perfectly, you would never know this mishap even happened. The original flowers showed up during the wedding ceremony. They made for some more pretty décor and thankfully my sister-in-law did not have to pay for them.

The weather was perfect, as was the wedding.

Wedding Party

The Grant Family

To be continued...

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Family, Medical, Travel Christine Pheneger Family, Medical, Travel Christine Pheneger

Our Car At Home

The next morning Sean had a voicemail left from the middle of the night. Hmmmm, that’s weird.

As he listened to the voicemail, his facial expressions told me something was not right. Oh boy, now what?!

The call was from the sheriffs department at home. The officer explained Sean’s car was in the impound. Say what?! Overnight, the police found it crashed and deserted in a snow bank on the side of the road. They had to impound our car because it was blocking traffic. Is this really happening?!

Yep, it was really happening. We were in Florida, what could we do?! We did what we could by calling the police and our insurance company explaining we were in Florida. We tried not to think about it after that. We’ll deal with it when we get home. And, we still are. Thank you Lord for insurance!

We weren’t going to let that stop us from enjoying this beautiful day.

The beach here was much less stressful for Sean and I with Sam. The waves were smaller and it had a much longer, shallow shoreline.

Playing Uno

"Helping"

It’s hard to see, but Will’s on a paddle board and Abby is watching.

No lie, it was a mansion.

To be continued…

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Family, Medical, Travel Christine Pheneger Family, Medical, Travel Christine Pheneger

The Rental Car

We had a fantastic week at our first destination. We were able to spend a few days with my mom and my sister’s family. The weather was close to perfect. We mostly hung out at the ocean and went on long walks.

The little boy with a hole in his neck loves the sand and the ocean, of course. Sand and water might be a pulmonologists worst nightmare for a trached kid, but look at this guy! How can you not?!

On Day 6, we were headed to a different destination to spend the rest of our trip with Sean’s side of the family. We packed some stuff the night before. We wanted to try and make a somewhat early start the next day. There was about a four hour drive ahead of us.

We had to play quite a bit of Tetris to get all of our luggage and Sam’s medical supplies in the rental minivan. We were all packed and ready to leave by nine-thirty in the morning.

I pressed the start button. Nothing. It's not like back in the day when you put the key in the ignition and turned it to start your car. I tried again. Nothing, not even a sound. Sean, Will, Abby, and I looked at each other and instantly started laughing. Is this for real!?

Sean and Will got out of the van and popped the hood. Abby and I thought this was pretty funny stuff. Um, what are you guys gonna do?! Neither of you know anything about cars. Gotta give them credit for trying. Hehehe. All four of us had another good laugh about that.

I called the rental car company and after we tried a few tricks they gave us, they decided it was time to send us a tow truck. Bummer. We had to wait for the tow truck to come, which of course, was going to take at least an hour. We decided to get something to eat. The place we wanted to go to was closed. Fitting. We went to the little café in our condo which also had lots of convenient store items right at Sam’s eye level. Oh boy. Not the best place to bring a very busy little boy with special needs. Sorry to everyone else in the café, I’m doing my best.

About an hour and a half later, we walked back to the parking lot where the rental van was. Because we had so much stuff, the rental car company was going to send us two Ubers to bring us to get a new rental vehicle. The more we thought about it, we figured two probably wouldn't even be enough. We decided I would go to the rental car place myself, get the new vehicle and come back to pick everyone up. This way, we wouldn’t have to unload, load, unload, and load again.

On the way to the rental car place, I got a call from Will telling me the tow truck driver jumped the van and it started. We contemplated keeping the van. The tow truck driver told them, ”It will get you to wherever you need to go, but don’t shut it off.” Hmmmm, probably not a good idea to keep it.

Shorty after, I got to the rental car company. I waited my turn in line and explained our situation. The manager looked at me with a bummed look on his face and said, ”I’m sorry, I already told them on the phone, I don’t have anything big enough here for you. The biggest vehicle I have is that.” He pointed to a very small blue SUV. Ummm, yeah, that’s not going to work. I kindly explained, how unfortunately, it wouldn't work. Now what?!

The manager told me the airport is the only place that will have a vehicle big enough to accommodate us. Oh no, how far is that?! Thankfully, the airport was only twenty plus minutes away. Thank you Lord!

Soon after, the fam arrived in the van. I could see them laughing when I came out. Apparently, Sean and Will quit playing Tetris. They quickly jammed everything back into the van, which meant Abby and I had to share one seat. Hopefully we can make it to the airport without getting pulled over! Don’t worry, we did. Whew.

We got to the airport and jumped through a few hoops to finally get to the company we rented a vehicle through. A sweet pregnant gal told me to walk through the lot and pick any car I wanted. She said after I picked one, I should grab the keys out of the console and bring them to her. I searched for the biggest vehicle I could find on that lot and quickly grabbed the keys! There was no playing Tetris in this vehicle. We quickly loaded our luggage and Sam's medical supplies easily into the new vehicle. Five hours later, we were finally on the road to our next beach destination.

We made it there after dark. Our family happily greeted us and helped unload our obnoxious amount of stuff. My sister-in-law and mother-in-law rented a beautiful mansion on the water. No lie, it was literally a mansion, with an elevator and all! It easily accommodated all twenty of us.

We got somewhat settled, did all the Sam stuff, and went to bed.

To be continued...

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Family, Medical, Travel Christine Pheneger Family, Medical, Travel Christine Pheneger

The Medical Emergency

Okay, the suspense is finally over, partially anyway. I decided to tell each mishap separately. I thought it would be much more fun this way. Like I said, you seriously can’t make this stuff up and it makes for a good story...later anyway!

Don’t worry, the medical emergency was not Sam.

We set off to Florida very early in the morning. TSA Cares is a wonderful program and definitely makes going through security with a complex child a much more smooth process. I would highly recommend taking advantage of this service if you are traveling with a medically complex child.

All was going well. We had just got into the air. All of the sudden, I hear screams coming from the back of the plane. My instant thought, looking at Sam’s nurse, ”You're a nurse, you should go back there!”

Come to find out an older man had passed out. They were about to lay him on the floor and start chest compressions, but thankfully he came to. Sam’s pulse oximeter came in handy. We took it off Sam for a few minutes and Sam’s nurse was able to use it to check the ”patient’s” oxygen level and heart rate. His numbers showed he would hopefully be okay.

They turned the plane around to go back to Minneapolis. After we landed, the ambulance got the passenger, and who I assume was his wife, off the plane, we sat on the runway for a very long time. During all of this, we were not allowed to “move about the cabin”.

Sam did great on the almost six and a half hour flight we were not planning for. Like when we went to Cincinnati, he needed a little oxygen in the air. This VERY busy little boy surprised us for how well behaved he was. Thank you Lord for IPads!

Once we finally got there, got all of our luggage, and the rental car, we were all pretty hungry at this point, except for Sam, of course. After searching for a bit, we found a great place right on the ocean. We had some time, or so we thought. It was around 3:00 and check-in wasn’t until 4:00. We got our food and I began to get text messages from two different people about checking into our condo.

The message that took me by surprise, and the only message I remember is, ”The office closes at 5:00.” Say what?!?!

I knew we couldn’t check in until 4:00, but I had no idea we only had a one hour window! Uh oh! Everyone, eat fast because we have to go! Sam’s activeness didn’t leave much food in the bellies of Sean and I. Oh well, we gotta go!

We made to it our condo and that’s another story in and of itself. There was A LOT of confusion and a language barrier. We rented two different condo's with different owners. Thinking this had something to do with the confusion.

After things had mostly been figured out, I asked the about the packages I had delivered and where we could get them. The security officer, responded, "Sorry, the office closes at 5:00, you'll have to get them tomorrow." Um....yeah, that's not going to work. This isn't extra clothes I sent. My son needs the things in those boxes to live. I politely explained the packages were for my son who is medically complex and needs the supplies in the boxes in order to live. For real. Their eyebrows went up and all of the sudden, we were able to get the packages. Whew.

Once we finally got all of our luggage and Sam's medical supplies to our condo, we were all pretty tired and hungry, but weren't going to let that ocean wait another day for us! It might have been dark, but it was still beautiful!

To be continued...

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Family, Medical, Travel Christine Pheneger Family, Medical, Travel Christine Pheneger

You Can’t Make This Stuff Up!!!

We it made home from Florida, Sam stayed healthy and out of the hospitals there. Overall, we had an amazing time and awesome weather.

We’re off!

It’s seriously insane the events that took place from the beginning of our trip to the end, but I wasn’t sure how to title this post so I figured I’d keep you in suspense for a few days and throw out each title I thought applicable.

To be continued…

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Tips for Traveling with a Complex Child

Those of you following Sam's story, may get a little bored with this post. I've joked several times throughout the process of figuring out how we will get Sam to Cincinnati, who travels with a complex child for fun?! I'm glad, in a sense, we've been "forced" to travel with Sam. Honestly, if we hadn't, I don't know if I would have otherwise pushed myself to navigate this uncharted territory. It's my hope I can ease some anxiety of a mama or caregiver who will be traveling with a trached kiddo for the first time. Here it goes!

Have patience.

Start planning WAY in advance. The earlier you start planning, the better. I started planning over six months prior.

Ask lots of questions.

It's okay to cry throughout the process.

Rely on your child's home care nurses and respiratory therapist.

Connect with and talk to a few mamas/caregivers who have "been there, done that".

Click here to download this SUPER helpful travel checklist from Pediatric Home Service. The first page took a lot more patience than I expected it to. I had a tough time figuring out who the pediatric medical supply company in the area was, but it was worth the diligence because they have been a HUGE help. Give yourself lots of time to slowly fill out the checklist.

Decide what supplies you will have shipped to where you are staying and what supplies you will pack. Sam's home care nurses and I tracked his supplies for the same number of days we will be traveling a few months before our trip. This gave me general idea on how many supplies we would need for the trip. Keep in mind, your insurance will only cover your normal maximums. If you're still reading and don't have a complex child, we get ten to twelve boxes of medical supplies each month for Sam. Yes, we go though most of the supplies each month. That makes for a lot more extra packing when traveling with a complex child.

Connect with a general manager of where you will be we staying. Make sure they are aware you will be having medical supplies shipped there. Get a contact name you can address who the supplies will be shipped to. This will likely be foreign to them. Be very transparent. You will want the supplies to ship a day or two before you arrive.

Get a file folder to keep all of your child's paperwork. I combined a lot, but the basics are...

Hotel/Car Info.

Cincinnati - I put all the paperwork I received from Cincinnati or will need for our hospital visits. This includes Sam's itinerary and pre-op (Pre-Procedure Physical Exam) form

Plan of Care/Orders - Portable Oxygen Concentrator Approval, Statement of Medical Necessity, Plan of Care, Any other orders that may apply

Medications/Supplies - List of all of Sam's medications, List of supplies which includes the supplies we will pack and the supplies that will be shipped to the hotel

History/Scope Pics - Copy of Sam's in patient history, Cincinnati requested I bring the copies of all of Sam's scopes

Care Team Contacts - List of contact information of anyone on Sam's Care Team

If you are flying...

See if your airport has a program for traveling with children who have special needs. Sign up and go to this before you travel. In Minnesota, we have the Navigating MSP Program. The most useful part for me was going through security with all of Sam's medical supplies he needs with him at all times. Keep in mind, security will open and test every liquid.

Kids will get a chance to go in the cockpit.

Sam thought it was pretty great in the cockpit.

Take all of your child's medications with you as a carry on. We bought a backpack cooler so the meds will be easier to transport. All medications need to have their prescription labels attached.

Does your child eat by mouth? If not, ask what others have done to ease ear pain. We're going to try EarPlanes. I'll let you know if they worked or not for Sam.

OXYGEN...start this process very early in your trip planning! You cannot take oxygen tanks on an airplane so you will need to get a portable oxygen concentrator (POC) that is FAA approved. Depending on your child's oxygen needs, the FAA requires 150% battery life for every one hour of flight time. For example, based on our one and a half hour flight, Sam will need three charged batteries. The POC will need to be approved forty-eight hours before you fly. Unfortunately, your insurance will likely not cover a POC, but if you're child is on a waiver, that will. You will have to go though the process of getting the concentrator denied by your insurance before the waiver will cover it. You will not be able to fly if you do not get approval for the POC.

Call TSA Cares 72 hours before your flight to get assistance at the airport with security.

There is A LOT more I could add to this post, but these were the things that have taken up most of my time and energy. Acknowledge it's a very overwhelming process, but don't dwell on it. On the days you become too overwhelmed, quit for the day and try not to think about it.

If you fall upon this site and need to talk another mama/caregiver who's "been there, done that", please do not hesitate to reach out to me. I would be happy to answer your questions or just encourage you along the way.

We haven't traveled with Sam yet, so stay tuned for part two of “Tips for Traveling with a Complex Child”.

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