Saturday, November 7, 2020

Aaron's Suite

 


It's a lazy Saturday afternoon.

Aaron's starting to decide that hospital life isn't all the terrible.

He has a comfy bed to sit and watch TV in... 

.....and of course take naps whenever he desires.

He has his own gaming area in the room - complete with TV, chair and side table for drinks and snacks.

He gets fed three meals a day off a menu that has all his favorite foods.

He received driving rights and can take his med. vac all around the floor.  

He has met other long-termers (some who have been here more than a month) who love nothing more than just chatting or playing electronics together. 

I mean seriously... apart from the surgery, pain, therapy - he's living it up here in his private suite with a view! (Covid does have its benefits)

Me. Not so much. 

I miss home. 

I miss my bed because a pull out chair that pretends to be comfortable is not a great substitute.

I miss my office and my office chair and my privacy and my routine and my kitchen and my non-hospital food (I don't get the same food choices Aaron gets) and my ability to get work done without constant interruptions!!

Okay - I get the constant interruptions at home but still...

I am longing for home.

And honestly - so is Aaron.

His pain is manageable which is a HUGE praise. 

He is doing great in therapy. 

We are homeward bound on Monday.

He will be back the following week for the skin graft and while he is under they will see if the skin flap on his elbow will allow for more range. That is our BIGGEST PRAYER right now. His arm now has the ability to bend and extend - but will his skin give enough to let him do it or will it again rip.



For those asking/praying over Mary - she's been hanging in there. Please keep praying for her and for Rob. 

She's a mess of a roller coaster and every day is an adventure with little girl!!

We are feeling your prayers and for that we are truly grateful!



Thursday, November 5, 2020

Breaking the Ground

We are still hanging out at the hospital... 


At this point we will be here until at least next Monday.

Wednesday was a rough day - breakthrough pain and interrupted sleep have worn him down.

For those who want a visual .... here are some pictures.... for those who don't... sorry!!!

Yes, that fixator is screwed right into his bone!


It it stabilizing Aaron's arm making it easier to do therapy.

As we talk to the doctors, I am gaining a bit more knowledge of the ins and out of this surgery. 

During surgery, when they bent his elbow and his skin began to RIP  - they had to take a piece of skin from above the rip and drape it over his elbow and sew it on. 


The skin they removed is exposed without anything to cover it up, so he has a wound vac to keep it from getting infected. In two to three weeks they will do a skin graft to cover the open area. In the meantime he gets to cart around the wound vac.



There is no guide book for this so everything is a bit of thinking outside the box.

This surgery is truly a groundbreaking one for other children with arthrogryposis. What they did with his elbow was innovative and amazing and they could not be more pleased with the outcome. It is truly going to give hope to many and for that we are excited.

What happened with his skin has also been a huge learning curve. They are already figuring out what they will do the next time. 

I love hearing that.

I love that this was not a dead end but there will be a next time and another next time and for each next time they will modify and refine and smooth out the procedure. 

We know so many children in this small world of arthrogryposis who have unbending elbows. Aaron's first time is their future and hope. 

But for Aaron - breaking the ground has been a bit sorrow-filled. At this point - we don't know if he will come close to his heart's desire - to get his hand up to his face. 

The next weeks/months are going to be so hard on him. He faces two more trips up here - hard hard therapy every single hour, every single day and a long healing process for a dream that just may be out of reach.

I continue to be so proud of him. He's working so hard and trying so hard to be brave.

Please keep praying for him. It's not over and we are not giving up. His doctors are hopeful that in the next surgery the skin flap they used to close the area on his elbow will stretch and allow them to again get his arm to 130 degrees or at the least 110 degrees.

That's our hope too!!

And definitely Aaron's!!!








Tuesday, November 3, 2020

The Good, The Bad, The Hopeful

 

To all who reached out and prayed and messaged and e-mailed... Thank you.

What started as a 3-4 hour surgery ended up taking 7 1/2 hours. 


After surgery, he spent sometime in PACU and then was able to go to his room.

By the time he arrived, I was a bit too exhausted to blog.

Plus, I needed to process all that happened.

He came back to the room with tubes going here there and everywhere.


Thankfully, they put in a nerve block that will last 4-5 days so his pain is currently under control.

How it went is a bit of a loaded question.


The good news - after many hours of very intensive, delicate surgery (they reconstructed his entire elbow) - they were able to get Aaron's arm to bend from 40 degrees to 130 degrees. That's HUGE. Aaron's arm could only bend 10 degrees. What they accomplished was groundbreaking. There was much rejoicing in the operating room.

But...

When they tried to sew his skin back over the open wound - things went south.

Aaron's skin cannot stretch 40 degrees to 130 degrees. It stopped at about 85 degrees. When they tried to stretch it past that - his skin split. 

They were shocked. It never dawned on them. Sixteen year olds are supposed to have soft elastic skin. They spent a long time considering all the options. They had two hand surgeons and a plastic surgeon working together on this surgery and they brainstormed every option they could think of. They are no easy solutions. Because of the need for Aaron to be moving his elbow starting today, most of the options are not options. 

By doing a little bit of jury-rigging with a skin graft from the inside of his arm, they were able to stretch the skin to 90 degrees. That jury rigging means that Aaron's wound is not fully closed. They stapled what they could close and set up a wound vac to help with healing.

In two weeks he will come back for another skin graft. They are hoping with this graft they can gain another possible10-15 degrees. 

That would hopefully get him to 105 degrees. Not 130 but a tad better. 

It's not what we were hoping for but the fact that the surgery worked was huge!

He has a fixator on his arm which provides stability. He gets to keep that crazy device on for 6 weeks or so. EWWWWWW!!!!!


His attitude this morning has been amazing. We've already had therapy sessions and he's fighting through the breakthrough pain as we move his arm. I'm being trained on how to do it. He didn't kick me when I was working on him which was a great sign and in fact told me to do more!! WHAT????


For once in my life I am ENCOURAGING him to play on his electronics to keep his arm moving. 


That makes him very happy!!

Aaron is not despairing. Our boy is brave and he's a fighter. 


I couldn't be more proud of him. Everyone coming into his room is marveling at how well he is doing considering what he went through yesterday!!

Thank you for all your prayers. We are feeling every single one.

Monday, November 2, 2020

Brave



One word. Brave.


They just took him back. He skipped the relaxation meds they give. He was chill. Talking. At peace.


He was so ready. So hopeful.

I cried PROUD tears as they took him back.

He is so brave!



 

Friday, October 30, 2020

Ground Breaking Surgery!


Next Monday.


Aaron and I leave early early Sunday morning so he can get a COVID test at the hospital. 

(I had my COVID test this past week)

Monday is surgery.

He is nervous. 

He is excited at the idea that he may have an elbow that bends.

But he's definitely a bit stressed about the surgery and the therapy involved. 

He will be at the hospital for 5-7 days.

I'm nervous too.

This surgery has never been done before on someone with arthrogryposis which is a bit nerve-wracking. We want the best for Aaron. We want this to work so that he can have increased mobility and independence. This holds so much hope for him. It's a delicate surgery. Aaron has NO biceps and his bones are tiny and not the strongest. I'm grateful he is in the best hands possible or we would never consider this.

Leaving Mary for 5-7 days scares me. Rob tucks her into bed with me around midnight each night and I snuggle with her and keep tabs on her seizures. 

I shouldn't be nervous. We have 2 different monitors in her room and ours and she wears a seizure alarm. Rob will have access to both monitors and I will be able to watch her on one of the monitors from Philly. 

Rob is the BEST Papa in the entire world. He's better at reacting to her alarms blaring than I am. He is stronger and can carry Mary when she is seizing. He has given her more rescue meds than either of us can count. She's in the best hands possible. 

But still... Mamas have a hard time leaving their kids and Mary makes it doubly hard. She throws curve balls at us so often that we always live on high alert.


We are stepping out in faith this next week. Believing that God holds both our kids in His loving arms. Knowing that He knows what we need before we have to ask. Knowing that He will carry us through the next few weeks.

We are definitely asking for prayer.

Prayers for peace. Prayers for steady hands and wisdom for the doctors. Prayers for pain control. Prayers for Rob at home with Mary. Prayers for protection over her - especially in the night hours. 


Last Sunday, Aaron was anointed and prayed over in church. It was a precious time and we are grateful for a church body who is surrounding us with love, support and prayers.

Those prayers carry us through.

Thank you to those near and far who will be lifting Aaron up to the throne.

It's a ground breaking surgery with so much potential for both our son and others!!

I will be posting as I can next week so stay tuned...








Monday, October 5, 2020

What They Don't Know

This Boy


Ten years ago he crashed into our world.



A Lost Boy.


He spent his days sitting inside a shed.

Surrounded by 20 other miserable, biting, howling boys.


He was so precious. Locked inside his silent world where he had hidden.


So cautious.

His moods ranging from a smiling adorable dimpled six year old to haunted eyes to screaming fits.


He surprised us.

We were told he was severely mentally disabled but in those first days - he surprised us.


Though he did not understand a word spoken, he sat quiet and listened as we read book after book to him. He drank in the pictures. Memorizing them.

Later - when he escaped his hell - and we walked the streets - he would point - showing us things that were in his books.


His fingers were stiff and unyielding. But he could draw with his toes.

All he needed was a stick and some dirt.

He spoke only a few words. The trauma of the shed shut him down.


But that didn't stop him from laughing. He surprised us with his laughter.

We found little pleasure in where he lived but joy burst out of him.


He smiled. He laughed.

When we weren't there they made him sit. Confined inside a shed.

Or locked inside the building.

Our boy. He was never made for sheds.

He was never made to be confined.

Ten years ago he broke free.


Ten years ago he left hell. He said goodbye to the sad world of the Lost Boys.

I marvel at his resilience.

He astounds me at all he has done these last 10 years.


That severely mentally disabled boy loves books. He loves to read. He flew through series after series this past summer.

He loves to sketch.

He loves to build.

He loves machines and ships and planes.

He never shuts up. He still struggles to fully express himself, but he uses 'Aaron-speak' and always gets his point across. And he is always talking. 

He is in high school now.



It's a challenge but he is making it.

He has to work twice as hard as the other students but in Aaron-fashion - he just plows ahead.

It's hard being Aaron.

What he lost in his first six years is not easily made up. 

His arms and hands are unforgiving.

He walks on legs that don't move with ease.

When we first came home he endured months and months of castings and surgeries on his feet and knees so he could walk without falling. 



Then surgery on his arm so he could feed himself.



At first it worked.


But his arm grew. And it turned. And so he had another surgery to reposition it. 

But then his elbow froze.

It is now unbending. Unyielding.

He's had more surgeries on his other arm and thumbs to make them more functional.

Function for him is nothing like function for us.

Yet he never complains. Ever. 

Life has thrown him a lot of curve balls.

The mountains he has to climb on a daily basis would put most of us to shame.

He has expressive and receptive speech disorders - again from six years of neglect.

He struggles to do simple tasks that the rest of the world takes for granted.

Yet he wants to do everything himself.



Don't tell him he can't.

Because he will figure out how he can.


He is a fighter.

My boy. He's a fighter.

In November we try again.

Another surgery.

It's number ten since he's been home.

This one has never been done on someone with arthrogryposis.

They are going to reconstruct his elbow. Round it out in hopes it will bend.

He will have two doctors operating and a lot of watchers.

He's already been told that it may not work.

He's already been told that the pain of therapy afterwards is going to be hell.

What they don't know is that Aaron lived in hell.

He knows all about it. 

He's tough.

The toughest boy I know.

We let him choose.

He didn't take that decision lightly. He spent time thinking about it. Weighing his choices. There is an easier surgery, one with less pain. But the results would mean a permanently stuck elbow.

He could have said no altogether. Just live with what he has now.

The pain is a huge factor. His doctor described it to him in vivid detail. Therapy will require an hourly 'ripping' of the elbow. 

But our boy is tough.

He weighed his choices and said yes.

Not that he's not scared. We are too.

We don't know if it will work. But he has nothing to lose and everything to gain.

And if it does work then it gives hope to other children with arthrogryposis.



He said yes.

He's going to tackle this surgery the same way he tackles everything else - with determination, resilience and a toughness that puts the rest of us to shame.

And we are going to be behind him cheering, praying and encouraging him all the way.



Friday, September 25, 2020

Racing After Mary

 It's a helpless feeling.

Laying in bed with little girl next to me.

2:00 am and her body jerks.

Just one time but I knew then.

I knew that status was coming.

I rolled over and snuggled next to her. Wishing I was wrong.

Hoping. 

I was not wrong.

Two hours later it hit.

There was nothing I could do. We gave rescue as fast as we could but it was a bad one. 

That was last Saturday.

This morning again. Status. It took two rounds of rescue meds to pull her out.

If that was the whole story it would be bleak and sad.

But it's not the entire story.

Over the last 4 months little girl has turned a corner on day seizures.

To the point where there are some days when  you could count on one hand how many drops she had.

She wears her helmet to school but at home sometimes we can get away with just a headband.

She has occasional bad days. But most days she's beating the beast!

The middle of the night ones are outside of our control. She goes fast and we just race after her. 

The early mornings - each and every morning - that's where the real battle happens.

As soon as she moves we move. Getting in her CBD oil (prescription and extra) is our first line of defense. Between 5-6 am. It has a calming effect and will often relax her and let her sleep for a few more minutes. When she starts moving again we run - get her in the bathroom. Her system needs to clean out. It's a huge trigger.

Then downstairs. Normally she's out of it. Barely functioning. Seizure clusters washing over her. Her seizure pill is next. Getting her to swallow. Holding our breath. Swallow Mary. Swallow. Sips of Zevia. Yes we give her soda in the morning. It helps. It's all natural and tastes nasty. She loves it.

Then breakfast. With chocolate. It too is nasty. 90% but she devours it and we are realizing it too helps.

Each swallow a victory. Her one eye 'blown.' We watch it carefully. It's our tell. When it starts to focus with the other eye we start to breath.

She smiles. Her sassy mouth starts going. She's back on-line and dancing and singing.

Another morning won.

More and more we are winning.

Not always. Once a week or so we lose. Status like this morning hits. Or we lose her at breakfast time.

But not as much. And she's conquering the day seizures.

How? Why? 

We have no blazing idea but we have theories.

  • We removed all artificial everything. Only natural.
  • We stopped giving her cream - this wasn't intentional but she was fighting it so we switched to giving her straight oil for her fat 
  • She gets chocolate. Just about in every meal. Go figure.
  • We push fluids. Starting with Zevia in the morning, water all day and herbal tea
  • Her VNS is working at full tilt - it's been a year and a half since she had that surgery and it's doing what it is supposed to do...
  • Her CBD oil and the extra we give her is making a huge difference...
  • She is on one seizure med -  Banzel - which works on the drops. It has no behavior side effects (Praise the Lord) so we don't mind giving it to her
  • The Keto diet is our best and best defense. When she was tanking last winter the conventional wisdom was - her diet isn't working so let's get her off. My gut said no. It is the BEST defense for children with Doose Syndrome and I was not going to quit after two years knowing that if we quit, then our only option was surgery (separating the two sides of her brain) or more epilepsy drugs which do not work for her. So we did what seemed nuts. We increased her ratio instead of decreasing it. They went along because ... well... we have nothing to lose with Mary. And she breaks every other rule - why not this one! At first it was a disaster. At first she tanked and we worried we had made a mistake. But then slowly - oh so slowly - she started improving. Her day seizures slowly slowly decreasing. We have been holding our breath for months and months thinking it was just a phase and she would eventually break through but she is holding steady. Just nighttime and mornings do we battle. 
We don't know what is working and we don't care. We just know that she's better. 

We figure it is the full combination of everything.

It's helping us beat the beast.

Not counting this morning. Not counting Saturday.

We wish we could free her of the night and morning trauma. 

But we love watching her dancing and singing through her days without constantly falling and seizing.

We love that her language has exploded.

We love that her brain has days where it is wide open - not having to deal with the on again off again which happens with constant seizures.

We love this season with Mary and we are praying our hearts out that it only just keeps getting better!