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Monday, July 30, 2012

Allison's Diagnosis

I don’t know why I’ve put off this update for so long.  I think I just needed some time to let it all (Allison’s diagnosis) soak in.  I spent a week or so gathering information and calling all Allison’s doctors, making sure the diagnosis didn’t impact any of her current treatment.  So far nothing has. 

So here it is: Allison has a genetic disorder, also known as a metabolic disorder and a mitochondrial disorder, called Rotenone Sensitive Complex I and III Deficiency.  So, what does all this mean?  Well, I’m not sure.  No one is.  Basically Allison’s cells cannot break down nutrients and turn it into energy.  But there are three tiers to this disorder (from what I understand), one affecting the brain (not Allison; she just had her fifth normal MRI), another affecting the heart and liver (not Allison; she has always passed ECHO’s and labs perfectly), and the final affects the muscles.  Although we haven’t spoken with a doctor about what tier Allison is in, we think it clearly must be the one that affects the muscles. 

I’m not sure I would want to know, but no one has been able to give us a life expectancy estimate because mitochondrial disorders vary so much; no two kiddos are alike.  But one thing is for certain: we must have our other kids tested.  We probably won’t do this soon for two reasons.  First of all the test is still new, and therefore very pricey.  The other is we won’t need to know until they are ready to start their own families.  They will probably all have to go through genetic counseling before doing so.  I wasn’t very good at biology, but the odds are two out of the three other kids are carriers, and one is not.  Both Greg and I must be carriers.  I do get a little comfort out of this, and I am able to stop wracking my brain, thinking it was something I ate or inhaled or did or didn’t do while I was pregnant to give Allison a life like this.  Her disorder is not a result of a birth injury or a lack of oxygen.  It was just in the genes. 

Treatment: Not much.  Diet and vitamin supplements.  We are still waiting to see a biochemical doctor at Mott’s Children’s Hospital in Ann Arbor.  When we see her, we will also see a nutritionist who specializes in metabolic disorders.  I did speak to this nutritionist over the phone, and although she has to do some looking, she thinks the formula that Allison has been on for over a year is the complete opposite of what she should be on.  At first, we were trying to get Alli J to gain weight.  Now she is a big fat baby who doesn’t burn calories like other two year olds.  Because her body cannot process her food intake correctly, she needs something that is easy to break down, something low in fat.  Her Elecare Jr formula is high in fat.  So this whole time we’ve been doing her a disservice bulking her up.  She has also been started on four different vitamins.  These are supposed to make up for what her body cannot do, and I noticed a difference right away.  She speaks much more, plays for longer periods of time, and kicks her legs a lot more.  She is not able to sit yet, but she has really mastered rolling from her back to her belly in the last couple of weeks.  Now if we can only get her nutrition in order…

Another thing about her food: We have been dreaming of the day that she can eat enough on her own to ditch the feeding tube, but from what I’ve read, eating at a slow rate all day and night is easier on the body.  It would be hard for her body to fast, then eat a lot of calories at once, fast some more, eat a lot, and so on.  So maybe ditching the tube isn’t such a good goal.  Oh, how I hate carrying around that backpack and having my child on a leash, but, if it is better for her…

We are not sure at all what to expect in the long run.  Will she ever be able to sit?  stand?  walk? potty train? drive?  be independent?  We pray a lot.  We are optimistic.  We have seen such a difference since February when we started the Herbalife aloe water, which now makes sense.  Herbalife is cellular nutrition – Allison’s cells are dysfunctional.  She hasn’t vomited since we started giving her the water.  I’d like to see what else Herbalife can do for her, but it is hard since I have to keep track of her daily caloric intake, potassium intake, and sodium intake.  (Sidenote: Herbalife has helped me lose almost 50 pounds. If you want more details about Herbalife, send me a message.)

So we are going ahead with the construction of our house, a handicap accessible house.  Our goal is to be in by Allison’s third birthday.  We are trying to balance our optimism with reality, and plan for a life in a wheelchair.  Wide hallways (actually no hallways), big closets for equipment, large bathrooms with accommodations, and just space, space, space.  We will also have a ramp from the inside of the garage to the door.  I’m trying to convince my husband to build a therapy room with a therapy pool, but he is maybe too optimistic about what Allison will be able to do.  Just the other day, when getting estimates about patio pavers, I asked him if we’d have a ramp from the back door.  When he asked why, I was slightly annoyed, and said something like, “Well, how is Allison going to get outside?”  He responded with, “She’ll walk.” 

An old lady stopped me in the store the other day to tell me how sorry she was for me, having four kids and a special needs one to boot.  I don’t feel that way.  In fact, my big three are the best thing for Allison right now.  They are getting her to talk, to eat, to sit, everything.  She loves them.  Actually I think things would be more challenging if Allison was our first baby and we would have made different family planning decisions based on her needs.  I don’t want people to feel sorry for us.  It is what it is.  God put Allison into our family for a reason, and fortunately we are able to give her the support she needs to have a quality life.  She brings us so much joy with her spunky little personality and great gap-tooth smile.  I’ve always thought of Greg and I as pretty good teammates, but this situation proves it.  By the way, we will be celebrating 13 years of marriage two weeks from now. 

As August approaches, we prepare for Mason’s football season and 4th grade, Morgan’s entrance to 2nd grade, and my Chicken Little, Avery Janelle going to school.  I prepare for my tenth year at OHS.  I’m not panicked yet, but I always freak out a little on the first day of August, when I feel the pressure to plan out every minute of every period for the entire first semester.  My teacher friends know what I’m talking about: August means summer is over. 

Drop me a little message if you know anything about mitochondrial disorders, handicap accessible houses, or if you want to know how Herbalife can change your life. 

Friday, May 18, 2012

May Update - It's a good one!

I took Allison to Mott’s Children’s Hospital in Ann Arbor on Thursday morning for a checkup with the genetic/metabolic specialist.  Although there really isn’t anything specific that makes this doctor think Allison has a genetic disorder (still taking stabs in the dark), she recommends a very pricey “experimental” test that would analyze every single strand of Allison’s DNA.  Because it is a new technology, insurance doesn’t cover it.  Currently, this test costs $9K.  I declined.  After more talking with this doctor, I was convinced to enroll Allison in a research study, which would cover the costs.  We have a lot of paperwork to get around in order for this to be legit, but at least it keeps the ball rolling.  If this test comes back negative, then we don’t have any reason to continue down the genetic path. If it is positive, then we are closer to putting a name to her disorder – and we owe it to her and our other kids to find out if this is a genetic issue.  In the meantime, I was reminded that Greg and I should not reproduce until we have answers.  NO PROBLEM.  Although, I do wish that surgeon could have made it official when he removed my gallbladder and appendix.

Allison continues to be as healthy as she ever has been.  She hasn’t had a vomiting cycle since February 4 – which means we are going on four months!  I am so thankful to have been introduced to her miracle drug: aloe water.  She is still overweight, but not off the charts overweight.  We will get to speak with her dietician this week, as well as the GI doc.  Hopefully we can ditch one or two of her meds!  That’s what I’m going to recommend anyway.  Her last round of Botox wasn’t as dramatic, but she did bruise up more than she ever has.  We go back to GR for a Botox follow up this week. 

Right now we are in a “big decisions” phase.  We are in need a new vehicle (in the next six months or so) but don’t know what to get.  We don’t know if we should be looking for something that we could put a wheelchair lift into or just something large enough for our family of six, plus room for a folded down wheelchair.  Do we get a van with a door that slides wide open for lots of wheelchair clearance, or do we get an SUV that would probably handle better on our wintery roads.  If anyone has any experience with handicap vehicles or transporting someone who is handicapped, please send me some tips.  I don’t want to make the wrong decision about a vehicle and then get stuck with something that doesn’t work for us.  But…WHO KNOWS what Allison has in store for us.  The kiddo might surprise us and walk one day!  She certainly has the will power!

The finale of the school year is upon us, and boy is it a grand one.  Between my own kiddos and the ones I teach, I think we have events every night next week.  But soon enough school will be out, and I’ll be sleeping in until 7am.  Hopefully, since Alli isn’t so sick, I can actually enjoy this summer vacation.  I’m looking forward to reading books and working out and spending more quality time with my family.  I’m also excited about moving forward with our building plans.  We are too big of a family for this house (especially the one bathroom).  Again, if any of my readers have experience with disabled folks, I’d love to accommodate any modifications that Alli (and the rest of us) may one day appreciate (ramps, hall/doorway widths, etc.). 

Happy spring!

Monday, April 23, 2012

New Videos

Some new videos:

Smarty pants! Watch Alli point out that monkey.
http://www.youtube.com/watch?v=kIiiRp52Ijo

Tasting water
http://www.youtube.com/watch?v=6WHkpz-atG8

Licking her own glasses
http://www.youtube.com/watch?v=CZ6aTRxfVyA

Deep belly giggles
http://www.youtube.com/watch?v=6QPeDJSUWDk

And many more at my YouTube channel: a5odell

Spring 2012

February was a busy month for Allison and the family.  We logged nearly 2,000 miles this month, from Ann Arbor to Grand Rapids to Kalamazoo and back again, as well as many trips to Battle Creek for therapy.  The highlights include another round of botox injections, a “dislocated” hip scare, a pre-op appointment with the ENT, and check-ups with neurology and GI.  But it wasn’t until March that the craziness really began…

For the first time Allison was holding down the fort as the healthiest O’Dell.  It was momma who found herself in the ER with abdominal pain.  After watching my diet very closely for months, we had no choice one weekend, when at Mason’s basketball tournament, to eat at McDonald’s for lunch.  Later on that evening, after my cheeseburgers, I kiddingly joked to Greg that my appendix was going to burst.  I complained casually about it for a couple of days before the burning under my ribs started to affect my appetite.  By Monday afternoon I drove myself to the ER, had a CT scan, and found out that I had gallstones.  The ER doc said it wasn’t an emergency, but I would need my gallbladder removed at some point in the next “two days, two weeks, or two years.”  I thought if I could stretch it two months, then I was surely going to stretch it until summer vacation when I would be off work.  Well, it turned out that I fell into the “two day” category because I was back in the ER on Wednesday morning with the chills – and I had not had anything to eat (and now drink) for almost two days.  Sometimes you have to draw the line on sucking it up.  The doctors all agreed that I made a good choice in going to the hospital that day, since my blood pressure was 80/40 and my resting heart rate was in the forties.  I was admitted, after trying some very effective narcotics (I swore I was falling off the bed even though I could not move my limbs at all), and I was put to the top of the surgery list for Thursday morning.  It has now been about six weeks, and I’m feeling much better.  I wish I felt well enough to exercise, but one of my five incisions is giving me some trouble.  I think I’ll live.  This experience was minor compared to the many surgeries that Allison has gone through.  It puts things in perspective when it is you lying there on the hospital bed.  Greg did a good job managing the family those first couple of weeks.  Boy was it a challenge to not pick up Allison.  Of course, I did break my weight limit hundreds of times by lifting her, but a mom’s got to do what a mom’s got to do…

After much controversy, Allison does not have a dislocated hip.  This is huge news for Allison and our entire family.  Had her hip been “out” she would have had major surgery to repair it – and up to three months in a body cast.  Of course this would have been a terrible ordeal for her to have to endure, but it would have eliminated many fun activities for the other children this summer too (like going to the beach, for example).  We found out that her hip is “in” during an arthrogram conducted concurrently with her adenoid removal at the end of March.  The orthopedic surgeon injected a dye into her hip area and contorted her while under general anesthesia.  The doctor later showed us pictures of the procedure – clear evidence that the hip is “in”.  After a follow up with that doctor today, she said Allison is at risk for this major surgery at some point in her childhood if the increased muscle tone continues to be a problem.  Her muscles are so tight that they are working against her hip, trying to pull it out slowly.  The best we can do for this is to continue the botox injections (next round on May 4) to keep the muscles loose and rehab.  We will see this doctor every three months to have x-rays and an exam.  If the doctor notices any changes, we can make adjustments as necessary – or have surgery.  It was explained to me today that kids like Allison often have tendon lengthening surgeries to help with the increased muscle tone.  Lengthening her tendons would help her left leg to straighten out and be as long as her right (currently the right is about an inch longer than the left). 

Besides the hip issues and the ridiculously easy adenoid removal, there hasn’t been much going on.  I hate to mention this – fearing the karma that comes when one “jinx” herself – but Allison has not vomited in months.  Ok…so she has once or twice a week, but it used to be a guaranteed half a dozen times a day (on a good day).  She hasn’t “cycled” since February 4th, knock on wood, which means we are looking at ten, eleven weeks of no cycle.  I can’t explain how happy this make me feel.  I believe her little esophagus and tummy is healing – and I have my good HERBALIFE buddies to thank!  I was introduced to aloe water concentrate through a good family friend, and I held off on giving it to Allison because it freaked me out.  Never had I gone against a doctor, and I knew this would be.  But after her last cycle I was desperate to do something, anything to help her heal.  I believe in this product so much.  I, myself, have been drinking HERBALIFE shakes and other products, which has helped me lose 30 pounds.  I am so confident in this herbal healing (from the inside out) that I have become a distributor of the product.  Let me know if you are interested…

The other kids are doing well.  Avery will be starting kindergarten in the fall.  Mason and Morgan continue to become better readers and writers with help from their motivating teachers.  Allison remains the patriarch of the tadpole room, since she is nearly twice as old as the other babies.  Greg continues to work hard, putting in long days and Saturdays.  He is promising me a new house soon.  I’ll believe it when I see it.  But soon this place isn’t going to work for us.  We will probably need a handicap assessable house soon, with many accommodations – and a handicap assessable car.  We look forward to these new challenges, because honestly, a year ago, a year from this very week, Allison and I were at Bronson for nine straight days.  I didn’t leave that hospital room for nine days.  Allison vomited and had surgery, and vomited, and had upper gi’s, and vomited, and was put on new meds, and vomited – for nine days.  I was sure that she would not celebrate her second birthday…so I will welcome the challenges of a handicapped life…