Jax is a 6 year old boy and the son of Lacey. She writes that "Jaxson was born on Nov.20 2005 with Trisomy 21. He has spent half of his short life in the hospital. He has heart defects, pulmonary hypertension, severe reflux, sleep apnea, and a hypoxic brain injury that resulted in severe siezures." Jax is a trooper, and Lacey generously offered to share more of his story for this blog:

Jaxson is my 6 year old son, and he has Down syndrome. He has several medical problems, and his little body works very hard just to stay alive. He has congenital heart defects, pulmonary hypertension, severe lung disease, tracheal and bronchial malaysia, sleep apnea, seizures from a brain injury, severe reflux, gut immotility, a clotting disorder, severe osteoporosis, already causing a break in his femur bone. His spine is starting to curve due to lack of being able to hold himself upright at all.
He has a trach, oxygen, feeding tube, and a ventilator to help him breathe at night. He has more equipment, and uses more electricity, than everyone else in the family combined. He costs thousands of dollars a month just to keep alive. The equipment in his bedroom is only seen in ICU rooms, not even in a typical hospital room.
The machine that keeps Jaxson alive:

Jaxson doesn’t wake up at the same time every day. Sometimes he wakes up before he sun even comes up. On those days, I have medications I can give him so he’ll go back to sleep. When he wakes up, I have to get up, because his alarms go off and he requires a lot of suctioning. The meds don’t always work, and make for one tired momma. Since Jax has gotten the trach, my average sleep a night has been cut in half. Let me just say now that I don’t get a single second of nursing care help for Jaxson! Usually around 8 is when I take Jax off his ventilator and put his trach nose and oxygen on. I turn his feeds off, change him, and take him down to the family room. He always requires a lot of suctioning in the morning, after sleeping all night. So that’s what I spend most of my time in the morning doing, and getting my coffee! 9 is when I start getting his meds ready. Jax has over 20 medications a day, they vary depending on how he is doing. Some medications are as needed, and some stop for a while and then start back up again. Most of his meds have to be crushed and mixed with water. He has a shot, nebs, and inhalers that he also gets. It usually takes me about an hour, again, depending on what meds he is getting at the time. I bath him every other day, but every day I change his trach ties, and his dressing on his gj-tube. I can change the dressings pretty quick. If you add the bath, his morning cares take about an hour. After his cares I get his feeds set up. He gets a formula through his gj-tube, he takes nothing by mouth. Normally he gets bolus feeds 4 times a day that run over an hour. But right now he is on continuous feeds, meaning they run all day long. We can’t put anything into his stomach right now, because his surgery to prevent reflux is not working, and he’ll aspirate anything in his tummy.

Because we just moved, he doesn’t have any therapists set up yet. He normally has OT and PT once a week. He has a stander that I have to put him in every day. Even with that, he is starting to show signs of not being upright and on his feet. His spine is starting to curve, and his hips are starting to pop. Things we need to bring up with an orthopedic doctor. I try to leave him in his stander for an hour, depending on how much he will tolerate. If he cries, or acts like he’s upset, I take him out! If he has doctors appointments, those take up pretty much the whole day. Driving, waiting, being seen, and then coming home is a full days event. Most of his specialists are an hour away with good traffic. Any time we go out, we have to take oxygen, feeding supplies, suction, our emergency kit, and sometimes a pulse oximeter. Our emergency kit has extra supplies in case something happens. An extra g-tube, trach, and supplies that go along with them.

We get tons of supplies sent to our home every month. A lot come by UPS, and a driver will deliver his oxygen tanks. He has a respiratory therapist that comes by once a month to check his vent and make sure everything is running the way it should. I just bought a supply rack that has been a dream! In fact, I need to go get one more. I’ve been able to sort and label his supplies so we can easily find them. So great for a busy kid that needs organization!
Evenings seem to be the quietest time. Jax doesn’t usually need anything, besides suctioning. That’s my time to get other things done. The bad part is sometimes I relax for too long, and get started on his night routine late. That is hard because then I don’t get to bed until 11 or 12.
I try to start Jax night routine at 8, after I put Arina down for the night. I have to give him a liquid suppository, because he can’t poop on his own. Then we put his jammies on. Nigh meds are next, which again, many have to be crushed in water, or done as a nebulizer treatment. If he is on Tobi, that takes a half hour by itself.
Jax night meds on this particular night. 3 are nebs that take about 20 minutes each:

When we put him in bed we have to hook up and plug in all his machines to charge for the night. His suction, feeding pump, and pulse oximeter. We have to take his oxygen off, plug it into his ventilator, and put the ventilator on him. Put his pulse ox on, connect his night feeds, and put a bile bag onto his g-tube so his tummy can let extra air out while on the vent. He has a whole mess of wires in his bed at night. Luckily, he doesn’t roll around much, so we don’t have to worry too much about disconnecting tubes! If he doesn’t fall asleep in a half hour or so, we’ll give him melatonin or trazadone to help him sleep.
Even though Jax is 24 hour care, and a million dollar kid, I wouldn’t trade him for the world. He shows me everyday just how strong he is. There have been many times that we thought he wouldn’t leave the hospital.
But he always fights his way back and amazes the doctors. His smile lights up a room! Because of him we have connected with so many other families, and made some fantastic friends. He truly is our little angel!

You can follow Jaxson's story, and that of his sister Arina who has Down Syndrome and was adopted from Ukraine, at
Tales Of A Knight And A Princess. Be sure to check out the post
I'm The Same.This post is one in a December series of National Blog Posting Month, where I am advocating for children with special needs. To make a difference in the life of someone living with special needs, check out THIS POST.