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Monday, August 16, 2010

Ryan's Story

We adopted Ryan when he was six years old, before he had a trach or vent.  He did have many different abilities like my son, Kyle, whom we had already adopted.  I love giving a family to a child that no one wants, and watching them get enjoyment out of the little things we take for granted.


I remember telling my husband that I didn't think I could adopt a child with a trach or vent, because I knew nothing about them.  God had other plans!  We took Ryan to the children's hospital for surgery, and he went into respiratory arrest, was intubated, and admitted to the PICU.  He was then trached for laryngomalacia.  We miss Ryan's cute little laugh and his cry, but he is healthier with the trach.


Things went okay for the next couple of years, but Ryan's need for O2 kept increasing.  Another sleep study was done, and he stopped breathing 504 times - no wonder he couldn't sleep!  Since then, Ryan has used a ventilator whenever he is asleep (night time and naps.) Sometimes the vent is a pain and annoying, but it is also his best friend. Ryan's need for O2 went way down, and he sleeps much better on the vent.  He also had a laryngotracheal separation to stop his chronic aspiration, and has been much healthier since then.


Ryan was born with Bilateral Open Lipped Schizencephaly.  He also has CP, dystonia, developmental delays, and Lennox-Gastaut Syndrome (a severe seizure disorder.)  He is also non-verbal, blind, has a G and J-tube, and is 100% J-tube fed.  But, please remember to look past Ryan's disabilities, and see his huge smile and what a happy boy he is everyday!

Tuesday, August 10, 2010

Kimi's Story

My name is Kimi, and I'm a 31 year old with autosomal dominant Emery Dreifuss Muscular Dystrophy.  EDMD is one of the more rare muscular dystrophies.  I was actually first diagnosed with Spinal Muscular Atrophy, but was recently re-diagnosed with EDMD (long story).  I've experienced a faster progression of EDMD than is typical.  I was able to walk as a young child, but received my "driver's licence" at the age of 5.  I was completely wheelchair dependent by the age of 8.  I started experiencing respiratory issues at the age of 11.  From the age of 11 to 13, I was in and out of the hospital for pneumonia.  My saving grace was the Bipap.  Once I started using Bipap at night at the age of 13, I felt much more rested and the occurrence of respiratory illness decreased tremendously.  During this time I also started experiencing cardiac issues, which at the time were thought to be unrelated to my neuromuscular disease.  It later turned out they were part of the EDMD progression.  

I was pretty stable until my Junior year of college.  I got very sick during the 2nd semester of my Junior year, and ended up being hospitalized for 6 months.  This is when I was trached and vented.  I also received my G/J tube during this hospitalization.  I use the LTV 950 and have a 5.5 pediatric Bivona cuffed trach.  At first I was on the vent 24/7, but after 4 years I was able to sprint off the vent during the day.  I now still sprint off the vent on a Passy Muir valve during the day, but must take vent breaks.  In addition to the vent/trach, I have a pacemaker, severe scoliosis, motility issues, GERD, and chronic abdominal, neck, and back pain. 


Now to the fun stuff... I enjoy hanging out with my great friends, shopping, mini scrap booking, card making (visit my Etsy site www.craftykfox.etsy.com), music, and Dunkin Donuts Iced Mocha Lattes.  I graduated Summa Cum Laude with a BS in Bio/Chem from Immaculata Univ, and pursued my Masters in Bioethics at UPENN.  I run a world wide Yahoo group for people affected by SMA called SMAFRIENDS.  I also run the Yahoo group for my college sorority's alums.  I volunteer for the state of PA by serving on a committee that advises the Governor and the Secretary of Public of Welfare on the Medicaid Waivers which allow disabled citizens to live independently in the community by providing them with nurses and/or attendants.  I mainly advocate for those on vents.  Another highlight of my life was being engaged to a wonderful guy named Eric, who unfortunately passed away before we could get married. 


My number one goal in life is to inspire others to do their best.  I personally need to learn how to be thankful for what I have, and hopefully in the process teach others to do the same.  Oh, and I don't want to grow up and be just ordinary!

We Got Something More (by Lori Borgman)

My friend is expecting her first child. People keep asking what she wants. She smiles demurely, shakes her head and gives the answer mothers have given throughout the ages of time. She says it doesn't matter whether it's a boy or a girl. She just wants it to have ten fingers and ten toes.  Of course, that's what she says. That's what mothers have always said. Mothers lie.

Truth be told, every mother wants a whole lot more.  Every mother wants a perfectly healthy baby with a round head, rosebud lips, button nose, beautiful eyes and satin skin.  Every mother wants a baby so gorgeous that people will pity the Gerber baby for being flat-out ugly. Every mother wants a baby that will roll over, sit up and take those first steps right on schedule.  Every mother wants a baby that can see, hear, run, jump and fire neurons by the billions.  She wants a kid that can smack the ball out of the park and do toe points that are the envy of the entire ballet class.  Call it greed if you want, but we mothers want what we want.

Some mothers get babies with something more.  Some mothers get babies with conditions they can't pronounce, a spine that didn't fuse, a missing chromosome or a palette that didn't close.  Most of those mothers can remember the time, the place, the shoes they were wearing and the color of the walls in the small, suffocating room where the doctor uttered the words that took their breath away.  It felt like recess in the fourth grade when you didn't see the kick ball coming and it knocked the wind clean out of you.  Some mothers leave the hospital with a healthy bundle, then, months, even years later, take him in for a routine visit, or schedule her for a well check, and crash head first into a brick wall as they bear the brunt of devastating news.  It can't be possible!  That doesn't run in our family.  Can this really be happening in our lifetime?

I am a woman who watches the Olympics for the sheer thrill of seeing finely sculpted bodies.  It's not a lust thing; it's a wondrous thing.  The athletes appear as specimens without flaw - rippling muscles with nary an ounce of flab or fat, virtual powerhouses of strength with lungs and limbs working in perfect harmony.  Then the athlete walks over to a tote bag, rustles through the contents and pulls out an inhaler.  As I've told my own kids, be it on the way to physical therapy after a third knee surgery, or on a trip home from an echo cardiogram, there's no such thing as a perfect body.  Everybody will bear something at some time or another.

Maybe the affliction will be apparent to curious eyes, or maybe it will be unseen, quietly treated with trips to the doctor, medication or surgery. The health problems our children have experienced have been minimal and manageable, so I watch with keen interest and great admiration the mothers of children with serious disabilities, and wonder how they do it.  Frankly, sometimes you mothers scare me.  How you lift that child in and out of a wheelchair 20 times a day.  How you monitor tests, track medications, regulate diet and serve as the gatekeeper to a hundred specialists yammering in your ear.  I wonder how you endure the praise and the platitudes, well-intentioned souls explaining how God is at work when you've occasionally questioned if God is on strike.  I even wonder how you endure schmaltzy pieces like this one saluting you, painting you as hero and saint, when you know you're ordinary.  You snap, you bark, you bite.  You didn't volunteer for this.  You didn't jump up and down in the motherhood line yelling, "Choose me, God! Choose me! I've got what it takes."

You're a woman who doesn't have time to step back and put things in perspective, so, please, let me do it for you. From where I sit, you're way ahead of the pack.  You've developed the strength of a draft horse while holding onto the delicacy of a daffodil.  You have a heart that melts like chocolate in a glove box in July, carefully counter-balanced against the stubbornness of an Ozark mule.  You can be warm and tender one minute, and when circumstances require intense and aggressive the next.  You are the mother, advocate and protector of a child with a disability.  You're a neighbor, a friend, a stranger I pass at the mall.  You're the woman I sit next to at church, my cousin and my sister-in-law.  You're a woman who wanted ten fingers and ten toes, and got something more.

(Lori Borgman is a newspaper columnist and author. You can find her at: www.loriborgman.com)

Sunday, August 8, 2010

Evan's Story


Evan was born in August of 1996 on my due date.  The only complication of his birth was that the cord was wrapped around his neck.  He was 7 lbs 7 oz and all boy.  He was born with dark brown hair which all fell out and was replaced with snow white curls. Evan was my third child and both of my older children were pretty easy to raise.  Evan however was born with attitude!  

Evan was a skinny baby and a skinny boy, and then one day he started to gain weight.  A LOT of weight.  And everyone kept asking me why.  I had him tested for diabetes and underactive thyroid. All of his tests came back negative, but at 9 years old he weighed almost 110 pounds. Evan always had problems breathing, but we were always told it was asthma and or bronchitis. Later, when he was overweight, we were told it was his weight.  Evan's breathing problems were not consistent with asthma, however.  He would scream "I can't breathe!" and I thought it might be anxiety related to his beghavior problems.  We have a family history of bi-polar disorder and OCD, whcih he seemed to be displaying with his anger and sadness.  By the time he was twelve, though, he was calming down, his behavior was excellent, he was getting taller, and was slimming down.  I thought the bad times were behind us.

Then, one day Evan went to school and, on a dare, he downed 32 oz of tequila straight.  He was not breathing on his own, and was rushed to the hospital where the doctor's said there was nothing they could do for him.  Evan survived, but an MRI showed that Evan had a brain tumor on his brain stem.  48 hours later the tumor was removed.  The neurosurgeon said it was a juvenile pilocytic astrocytoma, not malignant, and that Evan would never have to worry about it growing back.

The location of the tumor, however, made the surgery very difficult, and there was major bruising to his brain stem nerves during it's removal.  Evan has been in recovery since May 2009.  He has regained most of his vision and hearing, he can walk in almost a straight line, and he can vocalize just fine.  However, he can't move his tongue, he can't swallow, and when he falls asleep he forgets to breathe on his own.  So, Evan has a tracheostomy so he can be ventilated at night, and gets all his nutrition through a feeding tube. 

Evan spends his time, and uses his intelligence, working with computers.  He will be 14 years old next week, and is trying to be more independent.  We take it day by day, and try to keep him healthy and happy.

Saturday, August 7, 2010

Colton's Story


Colton has been a fighter in every sense of the word since his birth in 2008.  He has led us on a journey, teaching many to think outside the box in terms of medical conditions and abilities.  In the first year of life Colton acquired a custom tracheostomy tube, a ventilator, a feeding tube, glasses, many medications, and many diagnoses. One of the major diagnoses is rare and called "Autonomic Nervous System Disorder" that affects literally almost every system in his body.  Autonomic medicine is all about the central part of the brain that controls our automatic functions that we don't think about.  When this short circuits, the body reacts to things it thinks are happening, but aren't always.  Most of us, if we try to hold our breath, feel when we have to stop and take a breath.  Colton and kids like him don't feel like they are suffocating. They may breathe, but not very deeply.  Or, they don't always feel thirsty even though their bodies are literally dying of dehydration.  It is a rare specialty and even rarer in pediatrics, and there are very few physicians that can even explain the disorder.  The medical community told our family recently, that in this field the science is very young, and science must make advancements before there could be any answers.    

We take each day for the best it can offer, and hope the next will be equally good or better.  We are aware that the instability of the autonomic nervous system within Colton’s body is something we do not understand, nor does the medical community.  We never take the next day for granted.  Everyday Colton greets us with a glowing smile; he does not understand that he is anything other than a two year old little boy who loves everyone he meets.  His body doesn’t agree with the speed that he wants to go, so we have to place restrictions on him so he does not overstress his body.  Colton always feels hungry because of his autonomic dysfunction, to such a degree that a lock is on the refrigerator, along with a restricted diet due to constant weight gain.  

New transportation equipment is being ordered to enable him to have the necessary equipment Colton needs at all times.  We hope to travel to Ohio for testing in the beginning of September for more answers, and are still awaiting final approval from Medicaid that they will cover the out of state funding.  Colton, like so many other chronically ill and medically fragile children, relies on Medicaid to cover most of the expensive medical equipment and medications that would otherwise not be affordable.  Yet there is still so much they do not cover.  Our family, like many others with special needs children, are living on a very restricted budget due to frequent illnesses and medical appointments (that are often a long distance from home.)  Soon we will need a vehicle with modifications to meet Colton's needs.  Despite all of this, we try to keep things as normal as we can for all of our family.  We have nursing assistance for Colton, which helps us tremendously to give Emma (who is 3) the individual time she needs.  We also take some time alone as a couple.  We were an ordinary family, who thought we were going to have a typical baby boy.  Colton is way beyond typical - he is a fighter, a miracle, a brother, and a son who is LOVED!