.Tyler Phoenix Montgomery
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Site updated on 7/31/07
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Kabuki Syndrome

Kabuki Syndrome is quite new, only having been recognized in 1981 by two doctors in Japan.
Most cases of Kabuki are sporadic. It was named after the traditional Japanese Kabuki theater
due to the resemblance of the facial features. Kabuki syndrome is rare. However, it is still
probably greatly undiagnosed since the number of medical professionals who are familiar
with the syndrome is still growing. As more and more geneticists become aware of Kabuki,
more children are being diagnosed.

Characteristics of Kabuki Syndrome

Facial Features:

Long palpebral fissures, long/thick eyelashes, high/arched eyebrows, prominent fingertip
pads, short/curved fifth fingers, cleft or high arched palate, lowset/ prominent ears.

(Tyler has long palpebral fissures,long/thick eyelashes, high/arched eyebrows, prominent
fingertip pads, short curved fifth fingers and toes, high arched palate, lowset / prominent
ears, depressed nasal bridge & plagiocephaly (wore cranial orthosis (molding helmet) for
6 months with a 35% correction.)

Skeletal:

Scoliosis, sacral dimple, vertebral anomalies, hip dislocation, patella dislocation

(Tyler has patella dislocation)

Neurological:

Microcephaly (small head), seizures, developmental delay, sensory difficulties, feeding
problems

(Tyler has microcephaly, metopic craniosynostosis, (Surgical ICP monitor placed 2/02 to
measure intracranial brain pressure - cranial reconstruction not medically necessary due
to poor brain growth, cosmetic surgery not covered by surgery to remove bulge in forehead
and straighten out eyes and ears not covered through insurance.) developmental delay,
sensory difficulties and feeding problems (GERD ~ medicated 1/02 - till 8/05 he has pretty
much grown out of most of the feeding problems over the years)


Opthalmological:

Coloboma(cleft in the iris or retina), strabismus(poor eye muscle control),
nystagmus(involuntary rapid eye movement), Blue sclera(blue overcoat of eyeball), poor
depth perception.

(Tyler has myopia, astigmatism, strabismus and poor depth perception ~ prescribed glasses
@ 18 months old - has not worn them consistently till 2007)

Heart:

30% of children with Kabuki have some type of heart defects.

(Tyler has a bicuspid aortic valve, small left ventricle and a murmur - followed every 6
months)


Other Common Conditions:

Kidney defects, gastrointestinal problems, hypotonia(poor muscle strength), neonatal
hypotonia, neonatal hyperbilirubinaemia, neonatal hyperglycemia, abnormal dentition,
recurrent otitis media(ear infections), premature breast development, small/short stature,
hearing loss, fingernails grow upwards, vitiligo vulgaris(patches of depigmentation),
preauricular fistula(tubelike passage within the body tissue), joint laxity, poor immune system

(Tyler has the Kidney defects - left sided hydronephrosis, UPJ obstruction, (surgery 7/01)
vesicouterial reflux (surgery 4/04) ~6/07 Stable Stage 2 Renal Disease ~ and overactive
bladder) hypotonia, abnormal dentition ~ oral surgery 5/07 & 6/07) small/short stature,
recurrent otitis media, (bilateral myringotomy tubes placed 8/03 ~ fell out 3/07) hearing
loss, finger & toenails grow upward and very thick,  low immune system and joint laxity.
He also has some behavioral problems. He cannot tolerate changes in routine, asks
questions over and over, very impatient, will bang head or bang arms off of walls or
furniture when bored or frustrated, he has extreme tactile defensiveness with things against
his skin & in mouth, upsets easily, Self soothing is virtually impossible (35-55 mins) loses
focus easily and so on.)
"Welcome to Holland"
By Emily Perl Kingsley, 1987.  All rights reserved.

I am often asked to describe the experience of raising a child with a disability - to try to help
people who have not shared that unique experience to understand it, to imagine how it would feel.
It's like this...... When you're going to have a baby, it's like planning a fabulous vacation trip to
Italy. You buy a bunch of guide books and make your wonderful plans. The Coliseum. The
Michelangelo David. The gondolas in Venice. You may learn some handy phrases in Italian. It's all
very exciting. After months of eager anticipation, the day finally arrives. You pack your bags and
off you go. Several hours later, the plane lands. The stewardess comes in and says, "Welcome to
Holland." "Holland?!?" you say. "What do you mean Holland?? I signed up for Italy! I'm supposed
to be in Italy.  All my life I've dreamed of going to Italy." But there's been a change in the flight
plan. They've landed in Holland and there you must stay. The important thing is that they haven't
taken you to a horrible, disgusting, filthy place, full of pestilence, famine and disease. It's just a
different place. So you must go out and buy new guide books. And you must learn a whole new
language. And you will meet a whole new group of people you would never have met. It's just a
different place. It's slower-paced than Italy, less flashy than Italy. But after you've been there for
a while and you catch your breath, you look around.... and you begin to notice that Holland has
windmills....and Holland has tulips. Holland even has Rembrandts. But everyone you know is busy
coming and going from Italy... and they're all bragging about what a wonderful time they had there.
And for the rest of your life, you will say "Yes, that's where I was supposed to go. That's what I
had planned." And the pain of that will never, ever, ever  go away...because the loss of that dream is
a very  significant loss. But...if you spend your life mourning the fact that you didn't get to Italy,
you may never be free to enjoy the very special, the very lovely things ... about Holland.
Celebrating Holland- I'm Home
By Cathy Anthony  
(my follow-up to the original \Welcome to Holland\ by Emily Perl Kingsley)

I have been in Holland for over a decade now. It has become home. I have had time to catch my
breath, to settle and adjust, to accept something different than I'd planned.I reflect back on those
years of past when I had first landed in Holland. I remember clearly my shock, my fear, my anger, the
pain and uncertainty. Inthose first few years, I tried to get back to Italy as planned, but Holland
was where I was to stay. Today, I can say how far I have come on this unexpected journey. I have
learned so much more. But, this too has been a journey of time.  I worked hard. I bought new
guidebooks. I learned a new language and I slowly found my way around this new land. I have met
others whose plans had changed like mine, and who could share my experience. We supported one
another and some have become very special friends.  Some of these fellow travelers had been in
Holland longer than I and were seasoned guides, assisting me along the way. Many have
encouraged me. Many have taught me to open my eyes to the wonder and gifts to behold in this
new land. I have discovered a community of caring. Holland wasn't so bad. I think that Holland is
used to wayward travelers like me and grew to become a land of hospitality, reaching out to
welcome, to assist and to support newcomers like me in this new land. Over the years, I've wondered
what life would have been like if I'd landed in Italy as planned. Would life have been easier? Would
it have been as rewarding? Would I have learned some of the important lessons I hold today?  
Sure, this journey has been more challenging and at times I would (and still do) stomp my feet and
cry out in frustration and protest. And, yes, Holland is slower paced than Italy and less flashy
than Italy, but this too has been an unexpected gift. I have learned to slow down in ways too and
look closer at things, with a new appreciation for the remarkable beauty of Holland with its tulips,
windmills and Rembrandts.   I have come to love Holland and call it Home.   I have become a world
traveler and discovered that it doesn't matter where you land. What's more important is what you
make of your journey and how you see and enjoy the very special, the very lovely, things that
Holland, or any land, has to offer.  Yes, over a decade ago I landed in a place I hadn't planned.
Yet I am thankful, for this destination has been richer than I could have imagined!  
~*~
sleep little angel on your cloud of snowy white a
blanket from heaven is covering you warm & tight
magical stardust has been sprinkled on your bed
sweet dreams of wonder fill your sleepy head
sleep little angel the moon is shining bright
sleep little angel you're in loving arms tonight
~*~
Visitors since June 19, 2007
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Welcome to Kabuki Kutie
A site all about our Kabuki Kutie: Tyler Montgomery
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Tyler's upcoming procedures
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