Wednesday, February 16, 2011

One Week!

One week from today, I will be in California! Wow, I have a lot to do before that, but I am so excited to go. I hope everyone can get/stay well from now until we get back, at least.

Wednesday, February 9, 2011

CT Scan

Annalise had her CT Scan today. The neurologist was looking for calcification on the brain which would be a huge indicator of one of the types of Leukodystrophy. She was suppose to be at St. Joseph's hospital at 7:30 this morning. Since I was still running a fever last night, I knew I shouldn't take her, but we have already had to reschedule this once before. Luckily John was able to juggle his work schedule a little bit and take her in. I stayed home and got Jacob off to school, then loaded the others in the van and drove up to the hospital. The plan was that John would bring her out to me when she was finished and then he could go straight on to work. The kids and I got up to the hospital around 9:00 and they hadn't even taken her back yet. She was finished about 11:00. So we just hung out in the van in the parking lot for a couple of hours. It was really strange not being able to be in the hospital with Annalise while she was going through this. I'm glad it worked out that John was able to be with her.

Dr. Narayanan had wanted me to let him know when she had finished the CT Scan so that he could look at it. So, when we got home I went to call him, but realized that it was during their lunch break. So I fed the kids and put a very cranky Annalise down for a nap. I decided to lie down with Bryce for a little bit and ended up falling asleep. When I woke up, I was going to call the Dr, but decided to check my email first. Sure enough, he had already looked at the scan and emailed me with the results. He is the most awesome doctor! I love that he is so quick about these things! Never again will I let a doctor tell me it will take weeks to get results from these type of tests back, because now I know better. They can see them almost immediately if they want to!

Once I got the email, I forwarded it to John. Here is a copy of that email:

Hi Mrs. Clayton:

Annalise’s CT looks OK – no calcifications.

I’ll meet you next Monday for her spinal tap – what time are you getting here?. We did not collect blood from her for the neurogenetics study, even though we did get all the paperwork. Shall I get two tubes of blood from her at the same time? We were also going to do gene testing on her for Aicardi-Goutieres syndrome.

I did ask Dr. Hyland about measuring creatine in CSF. They don’t do it.

He suggested that the best way is to measure creatine and guanidinoacetate in blood (for GAMT deficiency), and creatine in brain my MRspectroscopy for creatine transporter defect.

Vinodh

As you can see from the email, there was no calcification, the CT Scan was fine. Good news, but still leaves unanswered questions of course.

I wasn't going to add his email here, but I decided to because of something John just said as we were talking about it. He said that as he read it, he was cracking up because the doctor writes these emails to me like I am a colleague or another doctor or something . Using all these big words and asking my opinions on what to do next. I hadn't really even thought about it until he said that, but I guess that's true. It is kind of funny. The scary thing is that all these words and things he refers to are all starting to make sense to me. I actually know what he is talking about most of the time. Who knows, maybe when I grow up, I'll be a doctor after all! The part that has always intrigued me about his emails is that he always addresses me as Mrs. Clayton and then signs them with his first name. Here he is, the very intelligent, well known doctor treating me with such respect. I admire that. I must say, it is nice to have him on our side and to know that he will talk with us, and more importantly, listen to us, anytime we want/need to. I would love for him to be the one who figures out this mystery for us. I know he would love that also!

Tuesday, February 8, 2011

Feels Like Flu to Me!

I'm sitting here wrapped in 3 blankets, drinking hot chocolate, freezing and waiting for the Tylenol to kick in! My chest and eyes are on fire, and I hurt all over. Yep! Pretty sure William has shared his flu with his mom. So far, the other kids are doing pretty well. Annalise has a cough and is a little more cranky, but has not developed a fever or anything else yet. She is suppose to have a CT Scan done in the morning so hopefully she will be able to get that done. Spencer has a slight cough and Jacob and Spencer have complained of not feeling well, but no fevers or anything too severe. Hopefully that will be the worst of it for the kids. They did all have the shots, so hopefully that is helping/will continue to help them. I, on the other hand, never did get one for myself. Maybe next year I will remember this feeling and do better.

William has finally been fever free for 24 hours. He is still coughing, but with his asthma, I expect that to hang around for a while. Hopefully he will be going back to school tomorrow.

As all of this has been in our home we are constantly telling the kids not to touch their noses and mouths. Obviously Annalise still has a bit of learning to do.

From the nose,


straight to the mouth!


One more time. Nose...


mouth! Ahhh, the continual teaching process.

Saturday, February 5, 2011

Ragtime and Stride Piano Benefit Concert

It's official! The benefit concert for Bryce is happening on February 25 at 7 PM! Thanks to my parents, Bryce, Annalise, and I will be flying out to attend. I am so excited. It will be great to meet Will Perkins and thank him in person. I am still so grateful and amazed that this senior in High School who heard about Bryce has decided to help us out in this way. The world is filled with wonderful people!

Influenza A

Thursday afternoon I got a call from the school just a few minutes after school was over letting me know that William was not feeling well. They did not want him to ride the bus, so I figured he was sick to his stomach. I went over and picked him and the other boys up. William looked very pale and complained of a sore throat, nauseous stomach, and feeling achy all over. When we got home I took his temperature and he was running a fever of 101. We filled him with fluids, pain meds and he went to bed early (his decision). He then woke up multiple times during the night with pain and coughing. I debated Friday morning whether I should take him in or not and decided that I would wait and see if it would just run it's course on it's own. By 2 pm I knew I needed to take him in since his fever was up over 103 while on medicine and his cough had gone down into his chest. He has a lot of trouble with asthma so I didn't want to take a chance over the weekend.

Well, it was a good thing we decided to go in. Despite the fact that he had a flu shot earlier this season, they swabbed him for Influenza A and B which are both strains that are going around. His doctor said that they are beginning to see more children who are coming down with these flu viruses even though they had the flu shot. She told us the test would take about 15 minutes. Less then 5 minutes later she came back and said it had tested positive for influenza A almost immediately. Since it is so highly contagious, and we have two kids other than William who are at high risk for complications from the flu, she considered putting all the kids on Tamiflu. We decided to just have William, Bryce, and Annalise on it in the hopes that they at least would avoid it, or have a much milder case of it if they do get it. She also said that if Jacob or Spencer have any symptoms at all to call immediately and she would call in a script for them as well.

It had begun to go into William's bronchial tubes, so she is having us start him on albuterol (which we already had) and pulmicort in hopes that his asthma will not get worse. To make a really, really long story of trying to find a pharmacy which still had these medicines in stock short, we'll just say that 2 hours and $180 later we have the medicines that they need. I sure hope they help!

William had a rough night of coughing, puking, chills, fever, and pain. The poor kid is really sick. I could not believe how fast this flu came on. He is still running a fever and very miserable today. We will continue to push the fluids and hopefully soon he will be feeling better. I also really hope that no one else gets it!

Thursday, February 3, 2011

Goals and PT

I've never been one that has really liked setting goals. I think it all started back when I was a teenager and life seemed to be all about setting goals. It seems like if I plan to do something and work toward it, I get it done, but as soon as I "set a goal" to accomplish something, I fail. I know it is probably just some lame mental block in my head, but that is how it is for me. So, for many years now I have avoided setting goals. Well, today I have a whole new reason to dislike goals. Annalise began physical therapy today. I am very amazed and grateful that she has been able to get started so quickly, but these therapies can be brutal on the heart strings. The therapists had names for almost all of the little strange things I have begun to see Annalise doing. I was hoping that they were just things that I was imagining, but no such luck. They said that she is really beginning to compensate for the loss of strength that is occurring throughout her body. As part of her therapy, we had to come up with goals for her to work on. Of course the state wants us to set goals of progression. Well, unfortunately those are hard to set when you are working with something like Leukodystrophy. They don't progress, they regress...and it sucks!

There were two therapists here today working with Bryce and Annalise and working on coming up with realistic, attainable goals. The therapist we work with is awesome, but it was so hard to hear her and the other one who came along talk of the things that Annalise is not able to do and of the things she may never be able to do or will soon no longer be able to do. Many of these things she was doing just a few short months ago, some just a few days ago. This week has been a bad one for her. I know what they are saying is true and we have to be realistic when making plans for them, but it is so hard to wrap my head and heart around what is happening. I still just don't want to believe it. I finally got to a place where I could accept it with Bryce (not like it, but at least accept it) and have been a little more able to work with it from that point, but going through it all over again, is torture! Knowing what is coming and not being able to stop it just makes me crazy!

Annalise's legs have been very stiff the last couple of days. She is still walking, but has begun crawling a lot more or just standing and crying when she just can't seem to get her legs to do what they are suppose to. She really struggles with getting up from the floor now and sitting and rolling over are becoming much more difficult for her. She is losing strength in her trunk muscles. The spactisity in her legs has increased. She also seems to be in some pain. She has been waking up at night the past couple of nights and it is just so pitiful to see her try to roll over in her crib or get up on her own. It is becoming so difficult for her. She cries and I cry with her.

Now Bryce on the other hand is doing quite well. He is definitely on a peak right now, although he too has been in a bit more pain the last few days due to increased spactisity and tight muscle tone. His OT said that the cold weather may be making it worse. Hopefully we will be back to our 70 degree weather again soon! He does have a low dose of Valium that seems to help with the muscle spasms while he sleeps. He is working really well with Tess, his new PT. He has had a bit more strength in his neck and trunk muscles and moves all over the place when he is on the floor. He has almost rolled up onto his side a couple of times. If only he could get that arm out of the way, he would be rolling over. With help from me or the PT he is able to roll and he loves it.