Wednesday, March 16, 2011

GRIT Conference


I was asked, along with two other parents, to share our story at Lola's school conference. So I wanted to also share my speech on Lola's blog, as some of you might not know how we truly came to be at this place in our journey. It was not an easy talk to give, especially after hearing the stories of the women who spoke before me. I'm glad that I did it, but boy, was it tough. This picture was taken just before I spoke - this is Kim, Lola's teacher and IPP coordinator - and she is amazing.
Here it is:
"If you learn from your suffering, and really come to understand the lesson you were taught,you might be able to help someone else who is now in the phase you may have just completed. Maybe that's what it's all about after all... "Anonymous

When Paula asked me to speak today, she said, “Your story’s a little different than the others.” What an understatement! It’s a difficult story to tell, but I promise you that it has a happy ending.
We were blessed with two healthy, typical children. My son, Liam, was born in 2003, and Lorelai followed in 2006. Perfectly healthy, all milestones checked off at the appropriate times in the baby book. In retrospect, we were living the perfect life. Little did we know what was just around the bend.
In November of 2008, Lola had what we thought was the stomach flu. She threw up repeatedly, we gave her small sips of pedialyte and waited for it to pass. At 8 pm that evening, she suffered her first seizure. She was rushed to the Alberta Children’s Hospital where numerous tests were run, determining nothing. As we were being discharged the next morning, Lola had a tonic clonic seizure in my arms, in the presence of a nurse. I remember her being taken from my arms, and the room flooding with medical staff. She was whisked off for a spinal tap, where it was determined that she had meningitis. While we waited for other cultures to come back, Lola continued to deteriorate. She was started on IV anti-viral drugs while we waited. I remember the look on the face of the neurologist as she came into our room to deliver the devastating news. I was lying in the crib with Lola (picture that for a minute) as she told us that the cultures came back positive for HSV encephalitis, which carries with it a 70% mortality rate. She had a 1 in 1 million chance of contracting the disease. And then she got it twice.
We spent the next three weeks in the hospital while Lola was treated with anti-viral drugs. During that time, we were introduced to the Brain Injury Team, and started along our road to recovery. Lola was so feisty that some of the therapists had to administer their treatments from the hallway – hoping that their mere presence wouldn’t upset her too much. Within those three weeks, Lola’s recovery was miraculous. She re-learned to walk, and had recovered every element of her previous self except for her speech – all she would say is “Me?” in a questioning voice.
We were discharged home, and three days later Lola had declined substantially. We had taken her to the ACH twice, only to be sent home. They said she was just adjusting to her meds. When we finally took her back into emerg 12 hours later, she could no longer walk, eat, track objects, or respond to painful stimulus. We were re-admitted, and told that she had suffered a relapse. In actuality, it was not the same virus – rather, it was termed “acute demyelinating encephalomyelitis” - an unexplained, random “flare-up” that would leave our daughter substantially brain damaged, unable to hold up her head, speak, smile, cry, sleep, eat orally or sit up, and plagued with a movement disorder and extreme right-sided weakness/hemiparesis.
We were living a nightmare. The Brain Injury therapists became our friends, and we looked forward to their daily visits. They worked diligently, with little improvement from Lola. The movement disorder made things even more complicated, and the meds had brutal side-effects.
I decided that as long as we got to keep Lola, that we would get through anything else that was thrown our way. I remember the social worker at the hospital handing me a pamphlet for FSCD – and I thought, “This isn’t for us, is it? How is this happening? Doesn’t she know we’re the million dollar family?” I thought Lola would bounce back like she did the first time, even though many neurologists would tell us otherwise. I have declined viewing her MRI – I don’t think I ever want to picture my daughter’s brain as anything other than perfect. I don’t want to subconsciously place limits on her because of a picture that’s ingrained in my mind. I know the injury is substantial, and I know that it’s predominantly on the left side, and that it affects the brain stem. Beyond that, I can pretty much figure out that it’s “not good” by the pathetic, pitying glances we’re given whenever her MRI is discussed. But they haven’t factored in Lola when they look at that MRI. And the power of Lola is incredible.
We were discharged with a list of meds, a feeding pump, crates of pediasure, syringes, emergency seizure meds, catheters, a bath chair, a tumbleform chair, and a kid-cart. We met with an OT who discussed having a wheelchair ramp installed on our porch, as well as having our stairs adapted to our second floor. We shook our heads in disbelief. This couldn’t be our life.
We had a neurologist who uttered the term “poor prognosis” to us while we were in the depths of despair. We cried, and when the neurologist left, one of the older nurses came in and gave us supreme heck. She said, “Don’t you let her decide your daughter’s fate. She has no idea – it’s just a best case scenario. Get up, have a drink of water, and forget everything she just said. Allow only positive words to be spoken about Lola in her presence and don’t believe the doubters.” And that’s what we did. I’m sure that the medical professionals on Lola’s team think we’re ridiculous – when they tell us horrible scenarios, we smile and nod and think, “But you don’t really know our daughter.” She’s a medical mystery, and that’s something that’s on our side. They’ve never had another Lola, with the same diagnosis, with the same outcome. Are we naïve? Sure. But we prefer to think of ourselves as hopeful. We’ve got nothing else. And I don’t think being realistic in this situation would help our daughter. Our nurse practitioner requested a brainstem response test to determine if Lola could see and hear. The neurologist responded with, “What’s the point of running that test. We know that it’s going to be delayed.” Many who worked with Lola believed that she was blind and deaf. Well, lo and behold, the test came back normal. Every now and then, we encountered an angel in the medical profession, who truly believed in Lola. We had an optometrist appointment after we were discharged, and I’d never met this doctor in my life. I must have looked defeated, though I usually do a good job of masking it. She said, “They really don’t know what these kids will do, you know. Even the neurologists are scratching their heads half the time. It’s all just a guess based on the information they have. I think Lola’s got a long way to go.” We also had a physiotherapist who worked with Lola in Ontario while we visited. She got Lola to stand, with much support, and she gave us the gift of hope that day. I always try to extend this hope to other parents who may be walking a mile in my shoes – I often find them online, and I try to be the voice of hope in their lives. Late at night, after the kids are asleep, I find myself online researching. I stumble across blogs for parents of near-drowning children, and I continually find myself drawn to reading their stories. My husband thinks it’s depressing, but I am constantly finding out about new types of therapies, stem-cell research, and even ipad apps by reading about these children’s stories. It helps me to know that there are children who are fighting as hard as Lola is to gain their tiny inchstones.
I recall being in an appointment at the Seating Clinic at ACH – I had picked out several “adaptive strollers” and I had the pamphlets with me. The seating specialist smiled and nodded and said, “Surely you’re not going to send your daughter to school in a stroller.” (Lola was 3 at the time) I said, “No, of course not. She won’t be needing a wheelchair or a stroller by then. She’ll be walking.” The woman looked pityingly at me. When they showed me the wheelchair that my daughter would be eligible for, I gasped in shock. It didn’t help that they only had a really big, bulky chair to show us – the smaller ones that would fit her were being used elsewhere. I said, “I wouldn’t put my grandfather in that thing.” It was an incredible day when we returned the loaner Kid-cart – while Lola strolled along beside me, holding my hand. We received Lola’s standing frame the day after she began to walk. Navigating the ins and outs of equipment loaning/acquisition was interesting, to say the least. Lola was with me when I returned the stander to the hospital as well. They said, “We just had this built.” I said, “I know, but isn’t it great – we don’t need it and some other child can benefit from it.” They looked from me to Lola and shrugged.
Another victory was having Lola’s g-tube removed. By that time, she had been eating and drinking orally for over three months. When it was placed, the doctors told me that it was likely to be there for a very long time. Within 8 months, it was removed.
The first time that we met Kim and Deannie, Kim walked right past Lola to find the “other little girl.” I looked at her confused. Kim said, “Is she upstairs in bed?” I said, “No, that’s Lola.” Kim’s hand covered her mouth as she gasped – completely in disbelief. In the few months that had passed since GRIT received Lola’s intake assessments from the folks at the hospital, Lola had learned to sit up, roll, crawl, and was now cruising furniture. Kim and Deannie were both pleasantly surprised that the little girl smiling at them from the edge of the couch was indeed the Lola they were looking for.
We always have a good chuckle at Lola’s IPP meetings, as the women on Lola’s team cross out, delete, edit, re-word, and smile, as they revise Lola’s goals – for the 4th or 5th time. Lola is an enigma – make no mistake. She is constantly changing and progressing –despite her seizures - and you really never quite know what to expect. Nobody at GRIT puts limits on Lola – and I love that. When she aims high, they aim just a bit higher. And they love her and encourage her every step of the way. Somehow, I know that they’ve experienced their fair share of miracles along the way.
What does our life look like now? A year after Lola’s brain injury, she developed seizures. After a year and a half of trying and failing several meds, we are now on the ketogenic diet. It requires hours of preparation daily, close monitoring of her blood ketone levels, vitamin intake, etc. And we’re not even convinced that it’s doing much to control her seizures, which is frustrating. The seizures are a constant in our life, and we have tried numerous meds, in combination, and also receive ivig every three weeks, which is intravenous immunoglobulin – the pooled blood product of 3000 donors. The intent is to supercharge Lola’s immune system in the event that the seizures are auto-immune related. Each night, either my husband or I sleep with Lola because of her seizures. She has a helmet which she wears when her tonic and atonic (drop) seizures are really bad. Living with seizures is a nightmare – on a bad day, she can have up to 30 per day. Many of the things that we try are a “shot in the dark”. We are currently discussing our next step with neurology – there is a possibility for a right temporal lobe re-section (and that’s her “good side” so we’re terrified).Well, it’s never going to be easy. We are currently transitioning from a less-than-ideal live-in caregiver situation to a hopefully much more positive one. My husband and I work full-time, and Lola is with a nanny for a good part of the day. Lola has music therapy once per week, and of course all of her therapies through GRIT. She attends playschool two mornings per week with Deannie, her DS, and is doing really well. We try to balance all of Lola’s needs with those of our son, and we fail miserably.
We are trying to find new ways to interact with Lola, and the ipad definitely helps in this capacity. Lola can play with her brother and “communicate” with him in a way that we had never imagined. It’s very exciting. If we can get her to stop turning it off every 30 seconds, imagine the possibilities. We’re trying to get out of the house more, but it’s tough. The seizures and diet further isolate us. I often feel like we’re the only special needs family in Airdrie – which Deannie assures me we’re not. I often say, “How come I never see them out in the parks, at the school?” I guess I’m just not looking hard enough. I long to connect with other like-minded parents who “get it” – who understand that seizures aren’t a big deal, and neither are g-tubes, glasses, AFOs, wheelchairs, trachs, etc. etc. I still get sad when I see other little girls who remind me of the perfect life we once had. But then I look at Lola and I’m reminded that she’s still here, and that she’s still fighting with everything that she has. Then the sadness fades into something else: hope. At 4 years, 8 months old, Lola has now been brain injured for as long as she was previously healthy. That’s difficult to swallow.
Lola is a feisty, sassy, curious, loving wee sprite. I love her personality and the way that she approaches life – full on. She walks, runs, walks up and down stairs, plays, reads books, loves music, loves her brother, makes us laugh, gives really big kisses and hugs, and dances. She screams like a pterodactyl caught in the wheels of a car, and throws really big tantrums. The absolute best part of my day is when I snuggle into Lola’s little pink bed, and she hugs me tight, puts her cheek against mine, and says “Ma” almost like a sigh. She doesn’t say it any other time. It’s the most amazing gift.Without the help and expertise of our team at GRIT, I don’t know where we’d be. They are our lifeline, and our link to integrating Lola into everyday life – things that other littles get to experience. Swimming, riding a bike, dancing, playing with friends – who doesn’t want those things for their child? I can’t thank them enough for everything that they bring to our life. They get to experience the Snuffleuppagus Effect numerous times with Lola – where you think you’re imagining things when she does something new (Deannie swears she said “alphabet” plain as day a couple of weeks ago). Lola has regained the use of her right hand, which in itself is incredible.
So I promised you a happy ending – and here it is – in pictures. Our life doesn’t look like we thought it would – but the rewards are so much bigger than we ever thought possible. Lola has taught us patience beyond belief. She has made us prouder than we ever thought possible. She is truly a miracle. I’ve grown so much along this journey with her. We quote William Shakespeare on our blog, and it so accurately depicts our Lola “Though she be but little, she is fierce.”

Sunday, February 13, 2011

Video - Mr. Right in action
















I have no idea what she was doing with this jacket - she played with it like this for over an hour!





You can see her using her hand from time-to-time though!




















Saturday, February 12, 2011

Mr. Right...

Our big news this month is that Lola has found her right hand! Yay! She's not 100% with it yet, but she is using it all the time to help carry big books and toys, her sippy cup, etc. Wow, what a miracle! She hasn't used that hand in over two years - neuroplasticity at its finest! We're pretty excited about it. Finally, Deannie got to see her use it this week - she'd been hiding her talents up till now.
Another trick is to walk down the stairs while holding onto the railing. She used to scoot down on her bum - safe and easy. The problem is that our railings are on the right side. So she will try to cross her arm across and hold on with her left hand - which is a problem. We're working on it! She is alternating feet when going up the stairs as well - pretty cool!
Seizure-wise, we're not seeing the miracle we had hoped - at least not yet. The diet's restrictions are draining on us. I spend easily an hour each day preparing her meals - before I leave for work in the morning, I pack Liam's lunch, get his breakfast ready, measure out Lola's breakfast (scrambled egg,cream,butter,raspberries,bacon, "juice"), then measure out and pre-pack Lola's snack for school (bacon, lettuce, tomato,cucumber,butter/cream as dressing), her lunch (a variety of things), her afternoon snack (see a.m. snack), and her supper. It's a lot. We've tweaked the diet ratio to 3.25-1 as per Lola's dietician. We'll see if there are any changes.
We're bored of this weather, and of feeling stuck in the house, in a rut, in our lives. The days and commute are exhausting. We're waiting for spring like everyone else. Liam is finishing up indoor soccer, and is having fun at gymnastics. We'll be signing him up for baseball in the spring as well.
Steve says that Lola's up from her nap! Gotta go!

Saturday, January 22, 2011

Slow and steady...
















We're still getting the kinks worked out of our new regime with the diet. We have seen a reduction in Lola's seizures, for sure, but it's not 100%. Will it ever be our cure? Who knows? We are hopeful, for sure. So everyone asks, "But what can she eat?" Don't worry, she's eating just fine - her portions are smaller than she's used to, but she's eating a variety of fruits (raspberries, blueberries, mango, blackberries, etc.) and veggies (swiss chard, romaine lettuce, carrots, asparagus, broccoli), lean meats, and even a bit of pasta (shiratake noodles/yam noodles). For the mostpart, she's doing fine with it. She endures the needle pokes when I test her blood ketones, she's slowly getting used to being without juice, chocolate milk, cheerios, and yummy stuff. She's still crying at the end of her meals, to let me know "that wasn't enough, mom." It breaks my heart, but I know that it's doing her good. She isn't losing weight, or wasting away, don't worry. Check out the pics - she's doing just fine.





We've had some sort of superbug invade our home. Everyone's been sick. And not just the run of the mill cold/flu. It lingers, and morphs, and reinfects. I don't get it. At any rate (touch wood), Lola and I are feeling better - the boys have wicked coughs, and I'm sure that it's triggered by their asthma. sigh. Liam had to leave soccer after only a few minutes today because the exercise made his cough worse.





The weather has been insanely cold this January, but we got a bit of a reprieve this week. So Lola and I went out for a little walk to get the stink blown off of us.





Wednesday, January 12, 2011

....just whispering....

......don't want to jinx anything, but Lola has had NO seizures today. I can't believe I'm writing that. Every morning for nearly a year, we've watched Lola have a massive tonic seizure in her chair while waiting for breakfast. Sometimes she hits her face on the table, the floor (if she's walking at the time), or on some other hard surface. It's devastating - you never get over the horrible feeling in your stomach while you watch helplessly - trying to sooth her with your touch, and with your words. Today, we waited...and we watched....and we waited....no tonic seizure at breakfast. Well, it would surely come during playtime with Deannie. Nothing but a few quick "episodes" (which are also a type of seizure, but they don't render her exhausted for the morning) that she quickly recovered from. I am in complete shock. I don't want to get too excited, but seriously? I want to scream it at the top of my lungs!

Sunday, January 9, 2011

Hello 2011!


This is Lola's friend, Abby May. She passed away Thursday evening after a lengthy battle with mitochondrial disease. Many prayers for her mom, dad and brother as they mourn her loss. Such a sweet girl.



















Well, this will hopefully be the year that we get a handle on Lola's seizures. We've got our fingers and toes crossed.






We are just home from our inpatient (or "impatient") stay at the Alberta Children's Hospital to initiate the Ketogenic Diet. It was rough. First, it's RSV season, and PACKED on the unit - not a bed to spare - so we were at first sharing a room. sigh. So Lola spent a couple of days just trying to run to the other side of the room, dive under the curtain, etc. Second, she was battling a cold. Third, her seizures were brutal. Fourth, she had to have IVIG as well as an EEG all while I was trying to do the Keto training with the dietician.

Anyway, we started out the stay with four meals of "formula" - poor Lola. She was not happy at all. I guess in a way having a cold was a blessing because she wasn't very hungry anyway. After those meals, they began to introduce the Keto meals - problem is, being in the hospital, they weren't exactly gourmet standard. We're talking a teaspoon of applesauce, butter, mayonaise and a piece of cheese. Poor Lola! Anyway, she did okay. We finished off the stay with a 9 hour EEG - she had a ton of seizures while we were connected, which in neuro land is a good thing. The last EEG we had showed no seizures so how are they supposed to know what's going on? Our neuro came in to discuss the EEG with us and he gave us some surprising news - the seizures were coming from the RIGHT temporal lobe - Huh? But her main injury is on the LEFT?? Anyway, this is a good thing in neuro-land because it means that we would have the opportunity for surgical re-section of the right temporal lobe at some point down the road if the diet doesn't work. So we're scared, but hopeful that at least there's another option - and that at least they can pinpoint one area (rather than several) that is causing these debilitating seizures. And that's about all we know. We were happy to see our old pals on the unit - so many amazing people who care so much about their little patients. We were lucky to have Grama and Grama visit to help with Liam - they are heading home today and we'll miss them tons. Liam and Lola have had lots of playing, checkers, crosswords, stories, etc. We were also very happy to have Grampa Ed visit before Christmas - there were so many games played, lights seen, hot chocolate drunk, and much spoiling done. We are blessed to have awesome Grama/Grampas/Papa in our lives.

Lola's starting to wake up so I'd better not be late with breakfast! False alarm.

On a very sad note, late last week, Lola's little pal Abby lost her fight with Mitochondrial Disease. She was a very sweet, feisty, beautiful, determined little angel. Lola has known Abby since her first stay at ACH - and they also went to "school" together at GRIT. We are devastated for the Halford family, but know that Abby is in a better place. Hug your kids tight.

Monday, December 13, 2010

Got her sights on Santa!
















Lola is once again fascinated with the fat man in the red suit. I just lost a huge post so forgive me if I just give you the highlights. Lola got to see Santa at my staff party and she did great! She walked right up to him, sat on his knee, looked at the camera for pictures, and held her gift. When we got back to our seat, she opened her gift and seemed to like it (it was a little puppy in a pet carrier with veterinarian supplies). Liam was a great big brother and helped her back to our seats. We got a few cute shots.





Grampa Ed is visiting and Liam is loving the attention, the rides to and from school, the chats, the fights, and most of all, the game-playing. I think these two have played every card game known to man, along with lots of Battleship, Candyland, Hang-man, ipad, etc. etc. Lola has given Grampa Ed lots of hugs and grins, and has enjoyed having him read to her or play ipad. Fun stuff.





Our appointment with the ketogenic diet people is on Wednesday. That's right - this Wednesday. Just another hoop to jump through. We should be admitted early in January - though we've been "next on the list" for months.