Momma went MIA and couldn't take it...

My last post was on July 9th - almost two months ago, and, although I feel badly for leaving some of my readers "hanging," I must admit it felt good to drift away for a bit.

I went M.I.A. -- missing in action. Didn't know a mom could do that, did you? Well, this Momma didn't have much of a choice.

While blogging is still my favorite coping mechanism, I needed that break. After our last trip to Riley Hospital for Children in early July, I made a very conscious decision to enjoy the remaining weeks of summer, knowing fully well that as soon as the calendar flipped to August, my life would once again become chaotic.

So, I did. I enjoyed this past summers more than many of the previous. I played hard. We swam. We ran. We played baseball, built forts, watched movies - at home and in the theater! We stayed up late, laughed, and spent so much more time together than we had been able to during the school year. Even Phil was able to enjoy summer a bit more during July and into August.

It's not that I didn't want to update you about Graden, I did. I just couldn't bring myself to jinx his speedy, smooth, and strong recovery... Plus, we needed that time together. Time to just "live."

August came and went. Again, we gradually got busy as we prepared for school to start. Graden started Kindergarten without a hiccup. I struggled (and still do) leaving him. I know he's in great hands, but that doesn't always take away the feeling that I should be there with him (for him) in case something happens. Everyday, I remind myself that I'm close and that he is tough - in so many ways.

As I mentioned in my last post, we continued to "recover" and learn about Graden's restrictions. We had our follow-up appointments a few weeks ago; that is why I came back to blog...

I need this blog as much as I need the air that I breathe.

I can't explain that and I'm sure it sounds ridiculous, but I can't say I care. I just know that writing, explaining - however disorganized and chaotic my thoughts, and sharing helps me through these challenges. Being able to "get it out" allows me to be a better mom somehow. I'm telling you -- it does.

You  may have heard or read on Facebook that Graden's swallow study went great! The therapist spent all of fifteen minutes checking him and was so pleased to tell us he was "swallowing normally" that I cried when she smiled at me. It was the first time we went for a test and received an "all clear." I will never forget that feeling and hope that I will be able to experience it again someday.

Because of the success of that test, and because his recovery was so much easier than we had anticipated, we went to his sleep study with fewer worries than we had in the past. I honestly allowed myself to believe that this could be it - that he could have improved to the point of living differently. Living with fewer restrictions, fewer complications...

I can tell you that I had never allowed myself to feel so positively about a test. I try to be very borderline:  not too pessimistic but not too optimistic, either. I have faith, but I'm not naive. I'm tough on the outside and weak on the inside. It's a fine line to walk. I can't let Graden see me struggling, so I remain in the middle. We always talk about it with him so he's prepared, but we don't want to scare him... But, this time... This time, I walked in after two weeks of waiting patiently, confidently for the results, thinking that I knew we would be okay.

I didn't expect it to be gone or disappear magically. I didn't expect a miracle. I just wanted an improvement, and I didn't think that was too much to ask for...

Friday, though, Grado and I met with his Neurologist here (in FW), and as soon as she entered the room, sighed, and pushed her chair closer to me, I felt my positivity slap me in the face. For starters, she always comes straight into the room and acknowledges Graden. Friday, she did not. I've never heard her (or any doctor) sigh upon entering an appointment. Friday, she looked defeated and didn't work to hide it. And, she always stands or sits by Graden while she talks to me. Friday, she came close and looked straight into my eyes...

Immediately, I wished that Phil had come with us. He stayed at work, though, because he was feeling positive, too. We thought it would be a routine follow-up...

Instead, she began by telling me there are still concerns, which I assumed by her demeanor. She continued by saying she was concerned. I remember feeling like she took too much time to continue with her next statement, and I didn't know what to say, so I watched Graden play.

Finally, she began again, going through the results of the study.

It seems that Graden's Central Apnea has, in fact, improved; however, he is still having several "episodes" a night -- to the point that she described them as "dangerous."

No parent ever wants to hear that their child is having "dangerous" "episodes" during the night.

Additionally, he is hypoventilating and his carbon dioxide levels are off...

There was more, but it all blended together and will be addressed in the next few days and weeks.

I'm sure I've said this before, but I'll say it again: you can judge your level of worry by how quickly you are scheduled for your follow-ups and tests. Before Graden and I left her office Friday, we were told that we needed to be in tonight (Wednesday) to conduct yet another sleep study. Thus, my level of worry is high. Extremely high.

No parent ever wants their doctor to press the issue with urgency.

So, now, we go back and will - hopefully - find levels and pressures of oxygen that we can alter in his BiPAP machine to assist him during the night.

As if I wasn't already worried about him not waking up in the morning...


I've got a call into his seizure specialist at Riley -- our Neurologist (here) wanted us to touch base with her for input and a possible second opinion on other issues that may be influencing or are being influenced by his brain activity while sleeping.


So, yes, Momma went MIA and look what happened. I can be strong - I can. I will because I have to be. But, I surely won't be letting my blog go much longer without an update... I can't take it. I need it.

I'll be back with an update as soon as we get the next set of results.

Today is one of those days...

While we've been on this journey, I've tried my best to stay positive, strong, supportive, and open. I'm realistic --  not too optimistic and not too pessimistic. I try to focus on making sure everyone else is okay, especially the boys.

 

There are days, though. There are days when I just feel like shit - to put it bluntly, honestly. There are days I want to just quit, pack up, and have it all disappear. There are days I'm selfish and ask why. There are days when I'm mad... then sad... then mad again. There are days when the "I know it could be worse" and "God doesn't give me more than I can handle" phrases don't cut it.

 

And, I'm not sorry to admit it...

 

Today is one of those days.

 

Today, I'm not "feeling it" -- It's been one call after another (yesterday and today), and I just don't want to do anything.

 

Friends, I'm sorry I've been MIA. Family, I'm sorry I'm grouchy. I hope you can forgive me and ignore me. I'll be fine tomorrow. Today, though, I'm done. I couldn't even get creative enough to blog, so I'm copying the email I sent to some of you earlier today.

 

Here it is:

 

Many of you know we were waiting for the results of the sleep study. We got a call from Graden’s Pulmonologist early this afternoon with the results. It wasn’t good; in fact, they said it was worse than they anticipated. Graden had several “episodes” throughout the night - they even saw other abnormalities than what they were looking for.

 

We are waiting for a call for a CPAP machine (continuous positive airway pressure);  it has a mask that he will have to wear every night while he sleeps due to the lapses in his breathing. The machine will help regulate his breathing and control the pressure in his breaths. (For more information on Central Sleep Apnea, click here.)

 

She did say this would be something he would have to deal with forever.

 

It could be a side effect from his malformation, but it is more likely that he has developed this because of all his respiratory issues/trauma.

 

After therapy, I called his doctor at Riley. The Neurosurgeon said she wants to keep our appointment April 5th to allow time for the remaining test results. Then, she can decide if surgery will help these side effects; however, she may be leaning away from surgery until we can get more information -- these issues may really be because of his respiratory trauma, in which case, surgery won’t be beneficial. At this point, the risks may outweigh the results...

 

More side effects from his Chiari Malformation are appearing and seem to be strengthening as his brain grows. We knew this would be the case, but it is proving to be more challenging than we expected.

 

Additionally, his swallow therapy has been extended through September; today, they told us they heard some improvements. One small step, but we will take it.

 

On another note, Graden will be having a 24-hour EEG next Tuesday at Lutheran; Graden’s Neurologist is concerned about the increase in seizure activity in his brain. We have seen this increase during other tests, but we will be able to specifically focus on this during the EEG. At this point, this is a serious concern... seizures and breathing concerns are a bad combination, especially considering the growth and changes Graden has experienced.

 

We know this can be difficult to read and imagine. Graden is our ornery, athletic comedian and we joke that you cannot tell he’s “sick,” but please know that just because you don’t see it doesn’t mean it isn’t there. I am thankful that I have always been the one to see these issues (seizures, etc.), but now, Phil and others are experiencing it as well. I certainly hope you don’t have to witness his “moments” and appreciate that you all continuously think of, pray for, and send love to our little man. As we continue this path, as scared as we are for Graden, he is still “living normally” and is happy as can be! Our wish is that through this all he is able to be happy, even if it means he won’t be “living normally.”

 

Love you.

 

Days go by...

It's true: Time flies. (I haven't decided about the "when you're having fun part" yet, though.)

Can you believe we began this journey two years ago? Graden had his last full seizure in March -- two years ago! During that time, we have gradually found out what caused many of his traumas from birth to 3 years old. During 2012 alone, we have had more visits and tests than we have in the past 5 years of his entire life. 

A week has passed, and we continue our therapy. At our "check-in" on Tuesday, we were told he was doing great with his exercises at home. While he worked/played with the therapist, she reminded him about little techniques until he was doing them on his own. It's bittersweet watching him do so well, be so grown up...

When we got home from therapy Tuesday, I received a phone call from our Pulmonologist asking if I could come in Wednesday (the next day!) at 11:20 for an appointment. I wasn't sure what to expect, because the nurse didn't give me any information. Needless to say, Phil and I both went, unsure of what to expect.

After a painful 24-hour wait, we arrived at the appointment, which lasted longer than many of our other visits. The Doc reviewed Graden's last month or so of files, test results, and current condition and informed us that he wanted to touch base and pursue the next steps now instead of waiting until after therapy (remember, our doctor at Riley is giving us until April 5th to see if we can see an improvement).

So, next Thursday we are doing that "sleep study" I mentioned in my last post. Graden and I will be spending the night at Lutheran so they can watch him overnight. Our doctor will be the one doing the test, and he will be looking for a "Central Apnea," which is defined as: when the part of the brain that controls breathing doesn't properly maintain the breathing process (cited here).

The doctor continued to inform us that because of Graden's minimal (but difficult) side effects from the Chiari, we need to determine if there are other concerns being caused by the malformation; one such issue would be the central apnea, which, combined with the aspiration, would be two major side effects and be grounds for surgery. If we do not notice any apnea - or slight - we may be able to report back in April at Riley that our therapy is working and no other issues have been produced (at this point) from the Chiari.

Obviously, we're are hoping for little-to-no apnea! As if I don't already worry, especially about the seizure activity he experiences, the thought of Graden not breathing while sleeping is horrifying.

The doctor also suggested we do a test with an ENT on Graden's vocal chords (which I'm pretty sure just fine -- the kid is LOUD) to be sure there is no pressure there like we've seen in his laryngeal muscles (swallowing). 

Before we left, he calmly told us that this was not going away; even if we did the surgery, he wanted us to understand that the malformation would be there. And, worse yet, the surgery isn't a "cure all." We already knew, but that doesn't take the hurt away when we hear those words.

So, we're still at it... one day at a time, and that time is flying -- thankfully!