I paint.
I started painting because it soothed the screaming pain in the months after Damon's death. Painting continues to be an outlet for me and, five years after first putting brush to canvas, I'm really beginning to love what I create. I love that almost all of my materials are sourced from resale shops, broken down furniture, and pallets. I love that my "canvases" come with their own stories and that they tell me what they will be in their second life. It feels right and my work is speaking to people. I believe, now more than ever, that art speaks on a very individual level to each person. It speaks to them in their own language and being able to pour myself into a piece that speaks to someone's soul is one of the most healing things I've ever done.
But, as it always is, my particular brand of healing is very messy. There are regularly paint tubes and drying canvases scattered over various surfaces in our home. No one ever complains but clutter makes me a little (a lot) crazy so when I saw a brand new easel for sale on one of my cruises through a local resale shop my desire to keep my house clean combined with my recent success in selling my pieces made me feel justified in snatching it up.
I got home and proudly showed my husband (I always like to show off my "trash to treasure" finds and make him guess how little I spent). I plopped down in the sunroom and went to work putting the thing together. I'm pretty sure the instructions were in hieroglyphics (I seriously wish I had kept them so you could see how unbelievably vague they were). After dismantling the thing twice because I had put pieces on backward I sat on the floor in front of my finished easel and cried. I called my husband into the room and did a Vana White style "look what I did!" He grinned and hugged me "Wow babe!! That's awesome! You didn't even need my help."
Um, Jodie, you are a grown woman. You have multiple degrees. You paint cool stuff. You manage the schedules of your entire family. You're kind of a badass (I know, right?!). Why are we reading about an easel?
Because three weeks ago I couldn't have done it.
Well, maybe I could have but I would have probably thrown something in the process. I would have stomped off halfway through, feeling like I was going to explode, and had to return to it the next day and try again. But what I probably would have done was call my eternally patient husband to finish it the first time I got stuck.
Because I have ADHD.
Two and a half weeks ago I sat in my Dr.'s office with trembling hands on the verge of a panic attack and told him I needed help. I've known about my ADHD since I was pretty young but somehow, while I developed relatively healthy relationships with my other mental health diagnoses, this is one that I wouldn't confront. I honestly think I deeply internalized the notion that ADHD and ADD are not "real." I had heard so much about "housewives" abusing Ritalin and Adderall because they are too stressed and overscheduled. I told myself that I've been pretty damn successful; I couldn't possibly have ADHD for real...
But I do.
And it's real.
I look back now at my life and wish with everything I have that I had done something about it sooner. So much makes sense in the light of this information.
ADAD is definitely not what I thought it was. It isn't how it's perceived or described in popular culture. The best way I can describe some of what it feels like is this:
It's like the inside of my head is a snow globe. Instead of little white flakes that float around if I'm "rattled" I have every single worry, fear, memory, piece of knowledge, random thing I notice, sound, song I just heard, etc. spinning around the inside of my head all of the time. Each individual thing has its own trajectory and they can randomly wink out of existence then reappear in a new location on a new trajectory. For me to interact with the world outside of my head I have to see and hear through this cacophony in my head. I can't possibly explain the extraordinary effort it takes to do this constantly. It's exhausting.
Two and a half weeks ago I took my first dose of ADHD medication and the cacophony stopped. For the first time in my whole life, I felt such indescribable relief.
I can sit and play cars with my Rainbow baby without feeling like I'm going to crawl out of my skin. I can focus on my husband's excited descriptions of his video game conquests and not space out 50 times in 5 minutes. I can be patient. I can sit at my desk and work on the same thing for an entire freaking DAY.
I can spend 45 minutes following hieroglyphic instructions to put an easel together.
I saw my doctor today and he asked me how the meds are working. I sat there gaping at him because I just couldn't possibly explain how completely life-changing those little pills are. Eventually, I managed something along the lines of "It's f***ing unbelievable." He laughed and said "Good, then we won't change anything."
I think we've all heard so very much about how these disorders are "made up" or arguments about how people "just want to medicate difficult kids." I am first in line to argue that our current school system is not healthy for kids and that they shouldn't have to (or be able to) sit in a desk for a whole damn day. I will also fervently argue that everyone gets restless and everyone has trouble focusing sometimes. I used all of these arguments on myself, for years. I have a fantastic relationship with my doctor. He's an exceptional physician who I trust and I was still terrified to talk to him about this.
Why?
Because I had bought into the lie that I can't be both smart and accomplished and have ADHD. Well, guess what? I'm smart and accomplished and have ADAD. Medication has changed my life.
Caution is important and warranted but as I've argued so many times; If you or child had insulin dependent diabetes would you hesitate for a second to make sure you or your child received this medication? No. What if you or your child has dopamine and/or norepinephrine deficiency (the primary neurotransmitters involved in ADAD)?
I grew up thinking I was stupid. I really really did. Now that I know so much more about ADHD what I've learned is that I'm not stupid; I was battling through a deficiency that most of the people around me didn't have. Things that seemed easy to them took monumental energy and a great deal more time for me because I was learning through the maelstrom in my own head.
Now, I feel like I can do anything. I've trained with a massive weight belt around my waist and now I get to run the race free of that anchor.
Easels are just the beginning.
Until next time.
Tuesday, December 26, 2017
Monday, November 13, 2017
From the couch
I've had to confront the reality that I'm a people pleaser. Not that this is exactly new information, I've really known for, well, ever. I want people to like me and I want people to get along and it causes intense inner turmoil for me if those things don't happen.
Being a pleaser, and a Ph.D. student, and a mom, and a bereaved parent, and a parent of a chronically ill child, and a chronically ill person, and a depressed person, and a person with anxiety and PTSD.... you get the picture. Being a pleaser plus a thousand things that need my attention and energy = exhaustion, exacerbation of depression and anxiety, and a general feeling that I'm always failing.
I'm working on confronting the fact that I'm just not capable like I used to be.
I think I'm not supposed to admit this and damn sure not supposed to accept it. I'm supposed to fight it like hell. I'm supposed to keep pushing and doing all the things and then when I crash and burn I'll be considered a failure.
Honestly, this path is tempting. There's some notion that if I go this direction I've done something I'm supposed to do and somehow proven something.
These thoughts, long stewing in the back of my mind, have been urged to a boil by what seems like nearly back to back illnesses and injuries. I'm supposed to be at work right now, plugging away at my Ph.D. dissertation. Instead, I'm laid up on my couch, unable to do much of anything because every time I move my right hip slides its self right out of the socket and slugs me with so much pain I see stars.
This isn't a random injury either. It hurts a lot more than it usually does this time (which scares me more than a little) but partially dislocating my hip has become par for the course as a person living with Ehlers Danlos Syndrome. So has chronic systemic pain, brain fog, and chronic fatigue.
I'm writing because I feel like crap about being stuck on the couch as if I could somehow just try a little harder and not have a long list of ailments. As if my constitution were stronger it would somehow hold my hip in place. I've been trained to view my physical ailments as failures of character.
What I'm grappling with is the fact that my reserves are very shallow. What I'm capable of giving is severely limited and, now, I have to decide what is worth my limited attention. I cannot be all things to all people. I cannot please everyone. I can't even please most everyone.
I need to somehow learn to be ok with this for my own physical and mental health and because if I insist on running myself ragged my husband and children will get nothing but scraps of the person that I can be.
I am writing this all here, putting it into words publically in hopes of cementing this reality in my mind and heart, in hopes of finding the beginning of giving myself permission to partition my resources, to love and like myself and my body, and in hopes of letting someone out there know that they aren't alone.
Me too.
From the couch... Until next time.
Being a pleaser, and a Ph.D. student, and a mom, and a bereaved parent, and a parent of a chronically ill child, and a chronically ill person, and a depressed person, and a person with anxiety and PTSD.... you get the picture. Being a pleaser plus a thousand things that need my attention and energy = exhaustion, exacerbation of depression and anxiety, and a general feeling that I'm always failing.
I'm working on confronting the fact that I'm just not capable like I used to be.
I think I'm not supposed to admit this and damn sure not supposed to accept it. I'm supposed to fight it like hell. I'm supposed to keep pushing and doing all the things and then when I crash and burn I'll be considered a failure.
Honestly, this path is tempting. There's some notion that if I go this direction I've done something I'm supposed to do and somehow proven something.
These thoughts, long stewing in the back of my mind, have been urged to a boil by what seems like nearly back to back illnesses and injuries. I'm supposed to be at work right now, plugging away at my Ph.D. dissertation. Instead, I'm laid up on my couch, unable to do much of anything because every time I move my right hip slides its self right out of the socket and slugs me with so much pain I see stars.
This isn't a random injury either. It hurts a lot more than it usually does this time (which scares me more than a little) but partially dislocating my hip has become par for the course as a person living with Ehlers Danlos Syndrome. So has chronic systemic pain, brain fog, and chronic fatigue.
I'm writing because I feel like crap about being stuck on the couch as if I could somehow just try a little harder and not have a long list of ailments. As if my constitution were stronger it would somehow hold my hip in place. I've been trained to view my physical ailments as failures of character.
What I'm grappling with is the fact that my reserves are very shallow. What I'm capable of giving is severely limited and, now, I have to decide what is worth my limited attention. I cannot be all things to all people. I cannot please everyone. I can't even please most everyone.
I need to somehow learn to be ok with this for my own physical and mental health and because if I insist on running myself ragged my husband and children will get nothing but scraps of the person that I can be.
I am writing this all here, putting it into words publically in hopes of cementing this reality in my mind and heart, in hopes of finding the beginning of giving myself permission to partition my resources, to love and like myself and my body, and in hopes of letting someone out there know that they aren't alone.
Me too.
From the couch... Until next time.
Sunday, September 17, 2017
It's possible
Yesterday was my husband’s birthday.
To me, birthdays mean a lot more than a celebration and cake
and presents. To me, birthdays mean that I got to spend another year with this
person I love. When you only get one, single solitary birthday, ever, with
someone you love things like birthdays change in your heart.
If you’ve read much of what I write here, you know that my
husband is the rock of this family. You know that he held us together through
the aftermath of Damon’s death, holds us together still as the waves swallow me
and regularly render me helpless. You know that he held us together when our
Rainbow was born premature and he had to leave his wife alone in a hospital bed
and follow an ambulance carrying his infant son. You know he woke with me every
three hours for months to help me as I struggled to feed our baby from my body,
desperate to provide whatever protection I could. You know I adore him and that
he deserves it.
What I want you to also know is that it’s real. The crazy,
obnoxious, over-the-top adoration I blubber on about here is real. It isn’t a “public
face” fabrication or my way of trying to convince myself we are ok.
The reason it matters to me that you know it is real is
this:
IT IS POSSIBLE.
It’s possible to be wildly, passionately, soothingly, simply
in love.
It’s possible to feel magic in someone’s touch.
It’s possible for that magic to get stronger the longer you’re
together.
It’s possible to be someone’s perfect match and for someone
to be yours.
It’s possible to fight for your relationship and to win.
It’s possible to forgive, really truly forgive, even really
big stuff.
It’s possible to want nothing more in all the world than to
be blessedly alone, and to still be wildly in love.
It’s possible to have great sex, often, and for it to feed
your soul, not just your body.
It’s possible for true love to start in a bar or a church or
a school… and it’s possible for it to start of rocky, really rocky and still be
real.
It’s possible to be impossibly irrevocably broken and still
in love, still worthy of love, still able to give love.
I really don’t think until my husband and I had been married
a good 4 – 5 years that I finally started to settle in and believe this lovely
madness wasn’t going anywhere. I finally started to trust that we were going to
make it, not just make it, but want to make it, together.
No one ever told me this kind of love was possible, or even
real. I didn’t think it was. I didn’t know to look for it, to hold out for the one
person that could calm my ever-rolling internal chaos. The one person who is home.
It is possible.
It is possible.
Happy Birthday to the one, murmur.
Tuesday, July 25, 2017
The fallacy of bootstrap pulling (I'm pissed and it shows)
I grew up with the very southern mentality that everyone should just pull up their bootstraps and work harder. If you just work harder, try harder, if you're just good, it will come around. Things will work out, things will be good, if you just keep trying.
This mentality is bullshit and its harmful.
See, the thing is there are lots and lots and lots and lots of admirable marvelous people who are busting their asses, trying to keep food on their family's table, trying to keep their babies healthy, trying to get that raise, trying to beat that disease. And it just doesn't effing work that way.
Some people just plain start life a thousand miles behind the privileged, or a hundred miles behind, or ten... And when you start behind you tend to get kicked down a lot more. And when you get kicked down what resources you have managed to scrape together (if you've even managed to scrape any together) are decimated. Emotional resources, financial resources, social resources.
The people reading this who've had generally happy lives, whose (allbeit imperfect) parents raised them with love, who had money to have interesting experiences, who lived in a safe neighborhood, who weren't belittled for their skin color, religion, sex, or sexual orientation, who didn't graduate from college with hundreds of thousands of dollars in debt, who got to go to college, whose children are all alive and healthy, will probably find this offensive, because you don't see your privilege. You think we should all just try harder.
Well, I graduated from highschool with honors, graduated from college with honors, have 13 years of higher education in, what I am realizing is, one of the most demanding and rigorous disciplines. I have a list of honors I could bore you with but I wont. I did most of my master's as a single parent, still have that boring list of honors. A year into my PhD my child died. You have NO IDEA... you just don't. A year later my youngest was born. He was born beautiful and perfect and his body doesn't work right. His immune system can't fight infection. Still have the boring list and am less than a year away from the highest degree anyone can earn, anywhere.
What prompted this rant you many wonder?
Yesterday we received test results for my Rainbow's vaccine challenge. When you are vaccinated your body responds as if you were infected (this is why you often feel sick after a vaccine). As a result if you ever do encounter the pathogen against which you were vaccinated your body is ready. This is a really big deal. Vaccination takes advantage of the way your immune system naturally works. So, a vaccine challenge tests whether or not the immune system is recognizing and arming itself against pathogens.
His isn't, not even a little bit. His numbers were actually LOWER after the challenge than before. He had zero response. His body didn't react.
I. am. devastated.
I had let myself hope. I had let myself hope that maybe, just this freaking once, whatever asshole cosmic force that hates our guts would cut our baby a break.
I let myself hope. I let myself believe that all that work. All that "being good" would matter.
It doesn't matter.
I always tell my kids that their behavior and choices are about them, not about rules, or what other people think, but about the person they want to be. I believe this and I haven't done the work I've done, tried to be an attentive and loving parent and wife I've tried to be, the trustworthy student and friend, because I want accolades. I do it because this is the person I want to be.
But my above statement holds. You can't pull yourself up by your bootstraps guys. That is the illusion of those who are already up.
When the country loses its mind and thinks its ok to take healthcare away from your immune deficient four year old - you can't effing bootstrap that.
When the country loses its mind and defunds your area of expertise so most of the people you admire aren't finding jobs (meaning your wont either) - YOU CAN'T BOOTSTRAP THAT
When your 19 month old baby dies in your arms and you are never ever right again
When your Rainbow baby has to endure endless pain, and tests, and fear
There is no pulling yourself up by your bootstraps... I know, I've been trying for years.
I'm tired. I'm scared. I'm sad and I want to quit... only there's nothing to quit.
I don't need platitudes, so just don't. Don't tell me its going to be ok, for the millionth time it wont be. Don't tell me to keep my chin up or whatever other stupid, meaningless thing you're thinking about saying that would just make it hurt more.
Just don't.
This mentality is bullshit and its harmful.
See, the thing is there are lots and lots and lots and lots of admirable marvelous people who are busting their asses, trying to keep food on their family's table, trying to keep their babies healthy, trying to get that raise, trying to beat that disease. And it just doesn't effing work that way.
Some people just plain start life a thousand miles behind the privileged, or a hundred miles behind, or ten... And when you start behind you tend to get kicked down a lot more. And when you get kicked down what resources you have managed to scrape together (if you've even managed to scrape any together) are decimated. Emotional resources, financial resources, social resources.
The people reading this who've had generally happy lives, whose (allbeit imperfect) parents raised them with love, who had money to have interesting experiences, who lived in a safe neighborhood, who weren't belittled for their skin color, religion, sex, or sexual orientation, who didn't graduate from college with hundreds of thousands of dollars in debt, who got to go to college, whose children are all alive and healthy, will probably find this offensive, because you don't see your privilege. You think we should all just try harder.
Well, I graduated from highschool with honors, graduated from college with honors, have 13 years of higher education in, what I am realizing is, one of the most demanding and rigorous disciplines. I have a list of honors I could bore you with but I wont. I did most of my master's as a single parent, still have that boring list of honors. A year into my PhD my child died. You have NO IDEA... you just don't. A year later my youngest was born. He was born beautiful and perfect and his body doesn't work right. His immune system can't fight infection. Still have the boring list and am less than a year away from the highest degree anyone can earn, anywhere.
What prompted this rant you many wonder?
Yesterday we received test results for my Rainbow's vaccine challenge. When you are vaccinated your body responds as if you were infected (this is why you often feel sick after a vaccine). As a result if you ever do encounter the pathogen against which you were vaccinated your body is ready. This is a really big deal. Vaccination takes advantage of the way your immune system naturally works. So, a vaccine challenge tests whether or not the immune system is recognizing and arming itself against pathogens.
His isn't, not even a little bit. His numbers were actually LOWER after the challenge than before. He had zero response. His body didn't react.
I. am. devastated.
I had let myself hope. I had let myself hope that maybe, just this freaking once, whatever asshole cosmic force that hates our guts would cut our baby a break.
I let myself hope. I let myself believe that all that work. All that "being good" would matter.
It doesn't matter.
I always tell my kids that their behavior and choices are about them, not about rules, or what other people think, but about the person they want to be. I believe this and I haven't done the work I've done, tried to be an attentive and loving parent and wife I've tried to be, the trustworthy student and friend, because I want accolades. I do it because this is the person I want to be.
But my above statement holds. You can't pull yourself up by your bootstraps guys. That is the illusion of those who are already up.
When the country loses its mind and thinks its ok to take healthcare away from your immune deficient four year old - you can't effing bootstrap that.
When the country loses its mind and defunds your area of expertise so most of the people you admire aren't finding jobs (meaning your wont either) - YOU CAN'T BOOTSTRAP THAT
When your 19 month old baby dies in your arms and you are never ever right again
When your Rainbow baby has to endure endless pain, and tests, and fear
There is no pulling yourself up by your bootstraps... I know, I've been trying for years.
I'm tired. I'm scared. I'm sad and I want to quit... only there's nothing to quit.
I don't need platitudes, so just don't. Don't tell me its going to be ok, for the millionth time it wont be. Don't tell me to keep my chin up or whatever other stupid, meaningless thing you're thinking about saying that would just make it hurt more.
Just don't.
Monday, July 3, 2017
Well, I'd be happy to
My Papa died very recently. He was one of those very rare people who always meant what he said. There is so very much about this man that I miss. Grief and I know each other well and while this type of grief is clearer I know that the ache will never leave.
But unlike with Damon's death I can look back on my memories of this man with a mixture of the ache and the joy. His last name was Lovejoy and never in all of human history has someone so embodied their name. I wrote for his memorial service "to me, Papa was walking, talking, whistling, smiling unconditional love" and he was. To be the focus of his attention was to be in a place where you were protected, safe, and loved.
There are a million of his characteristics that I hope to embody. His incredible kindness. His unabashed generosity. His smile. His organizational skills! (seriously, his garage is a thing of beauty). And my mind overflows with memories of him, often accompanied by the smell of fresh cut grass (my sister-in-law calls his ability to keep a perfect lawn one of his "spiritual gifts").
Among all of this, something I heard him say every single time I saw him sticks in my mind.
"Well, I'd be happy to!"
I can hear his voice.
If you ever asked Papa to do anything this is how he would respond.
From my boys asking him to get out his stash of toys to me asking for much bigger favors that was always his answer; he would be happy to.
Every single time I heard him say it I made a conscious effort to answer my family this way. I wanted them to feel as loved as this man always made me feel and this phrase, to me, embodied so much of who he was. I failed... miserably.
In my defense it's really hard to say "Well, I'd be happy to!" to the 47th "Mooooooooooooooommmmmmm!!!" Nevertheless, I kept trying, and I kept failing.
In the past few weeks, however, I've found this answer creeping naturally, unconsciously, into my responses. I don't say it exactly the same. I say "I wouldn't have it any other way!" when my Rainbow wants to help make pancakes. I say "Sure thing, love!" and occasionally I manage a "I'd be happy to, baby."
The point isn't the words exactly. The point is that I had the rare good fortune to be loved by a man who meant what he said and always said "Well, I'd be happy to!" I knew he was happy to and I want my babies and my husband to always feel some of the golden warmth my Papa radiated filtering down through me.
I consider this the last of so very many gifts my Papa gave to me.
But unlike with Damon's death I can look back on my memories of this man with a mixture of the ache and the joy. His last name was Lovejoy and never in all of human history has someone so embodied their name. I wrote for his memorial service "to me, Papa was walking, talking, whistling, smiling unconditional love" and he was. To be the focus of his attention was to be in a place where you were protected, safe, and loved.
There are a million of his characteristics that I hope to embody. His incredible kindness. His unabashed generosity. His smile. His organizational skills! (seriously, his garage is a thing of beauty). And my mind overflows with memories of him, often accompanied by the smell of fresh cut grass (my sister-in-law calls his ability to keep a perfect lawn one of his "spiritual gifts").
Among all of this, something I heard him say every single time I saw him sticks in my mind.
"Well, I'd be happy to!"
I can hear his voice.
If you ever asked Papa to do anything this is how he would respond.
From my boys asking him to get out his stash of toys to me asking for much bigger favors that was always his answer; he would be happy to.
Every single time I heard him say it I made a conscious effort to answer my family this way. I wanted them to feel as loved as this man always made me feel and this phrase, to me, embodied so much of who he was. I failed... miserably.
In my defense it's really hard to say "Well, I'd be happy to!" to the 47th "Mooooooooooooooommmmmmm!!!" Nevertheless, I kept trying, and I kept failing.
In the past few weeks, however, I've found this answer creeping naturally, unconsciously, into my responses. I don't say it exactly the same. I say "I wouldn't have it any other way!" when my Rainbow wants to help make pancakes. I say "Sure thing, love!" and occasionally I manage a "I'd be happy to, baby."
The point isn't the words exactly. The point is that I had the rare good fortune to be loved by a man who meant what he said and always said "Well, I'd be happy to!" I knew he was happy to and I want my babies and my husband to always feel some of the golden warmth my Papa radiated filtering down through me.
I consider this the last of so very many gifts my Papa gave to me.
Papa with the eldest
Papa with Damon
Papa with my Rainbow
Sunday, January 22, 2017
fireworks and sunshine
We met with Rainbow's new(ish) immunologist a few weeks ago. I've been processing the news we got since then (it's not bad).
Rainbow is immune deficient, specifically over the past roughly three years his immunogobulin (antibody) levels have steadily declined. Immunoglobulins are sort of like your soldiers. When you hear about your immune system having a memory these are a large part of that, they do A LOT of important things. You can find some info about immunoglobulins here or here in case you'd like to learn more.
A year ago the three immunogobulins we monitor IgG, IgM, and IgA all declined below normal ranges (A & M were really really low). As a result we switched from prophylactic antibiotics to manage his deficiency to IgG infusions. Thus, while we do monitor his IgG levels they aren't really telling us anything about his native immunity. His IgM and IgA might give us a little bit of insight, however.
Fast forward to two weeks ago.
For the first time in a year his IgM and IgA have both inched up above the lowest "normal" cut off (by about a millimeter). This could be pointing to something positive. The thing is these numbers fluctuate like crazy and if we just caught him on an upswing and they are normally low this doesn't help him. Continue to monitor...
Also, our immuno points out: Just because they are present doesn't mean they are functional.
Crap
We hadn't even thought to confront that possibility... ugh.
But, what I thought was a really scary indication that his immune system (including his supplemented IgGs) isn't functioning well turns out to be the opposite.
Lately every three weeks or so little bit has woken in the middle of the night with a fever (102ish). We fight it and have terror stomach aches all night. Each time (except for the most recent when he had very obvious symptoms) he wakes the next morning with absolutely no symptoms and no signs of what went on the night before.
My fear was that his body was only intermittently detecting some pathogen then sort of "losing" it because one of the primary functions of Igs is to mark pathogens for destruction. Turns out his immunologist thinks this is actually a sign that Rainbow is picking something up then his (+ his supplemented Igs) system is kicking its ass. Wait, what? Really? This is one of the big things I've been processing. I really like the new immuno and he knows his stuff (bonus points because he has a PhD ;)) but this is still something I'm working to accept.
So, the take home from our most recent visit is: Dr is cautiously optimistic and wants to allow Rainbow to "grow out of" his current IgG supplement. Typically the dose is titrated up as a child gains weight. By allowing him to grow without titrating up we will get a slow and cautious clue as to whether or not he is producing Igs on his own. Dr also wants to vaccinate Rainbow against the specific pathogen that killed his brother and see if his body mounts a specific defense (this will again be a vague hint because of his supplemented IgGs). Dr cautions that there are roughly 485028496 things that could go wrong with the immune system and anytime Rainbow gets a fever he has to be seen by a doctor, every time. I'm down with that and now I have a mandate. So, slow and steady, keep testing, keep watching, and keep hoping.
Ok, finally to the big news... the thing I'm constantly turning over and over and over in my head.
Rainbow's immunologist thinks him starting Tuesday/Thursday school next year is a good idea. He's not pushy about it and is completely on board with us never putting Rainbow in school if that's what determine is best for him but... a good idea.
I'm a part of a few support groups for parents of kids with immunedeficiencies and the most common comment/complaint I see is: my kid is always sick/my kid was in the hospital again. These are statements from parents whose zebras are in school.
We've really never even considered him being in a group childcare situation because daycare is a petridish for every single childhood illness (one of my twitter acquaintances refers to it as "daycare pestilence). I used to be all about the "it makes their immune systems stronger." Then my child died of an infection and my mind changed to oh hell no!
But here's the thing. Rainbow is one of the most social human beings I've ever met. He aches for friends. You'd think, because he's been so guarded his whole life, that he would be introverted but he's not. He is fireworks and sunshine. He loves people.
He has spent so much of his life with adults I feel like we are keeping something beautiful from him. Children are magic. He deserves that magic.
So, we have a choice to make. A choice that keeps me awake at night with longing and with fear. What is best for him?
Hubby isn't even in a place where he can talk about it yet. If he doesn't get there by pre-school sign up time it will be a moo point (friends reference). If we aren't both ready to consider it then it doesn't get considered. So we will have to see...
Until next time...
Rainbow is immune deficient, specifically over the past roughly three years his immunogobulin (antibody) levels have steadily declined. Immunoglobulins are sort of like your soldiers. When you hear about your immune system having a memory these are a large part of that, they do A LOT of important things. You can find some info about immunoglobulins here or here in case you'd like to learn more.
A year ago the three immunogobulins we monitor IgG, IgM, and IgA all declined below normal ranges (A & M were really really low). As a result we switched from prophylactic antibiotics to manage his deficiency to IgG infusions. Thus, while we do monitor his IgG levels they aren't really telling us anything about his native immunity. His IgM and IgA might give us a little bit of insight, however.
Fast forward to two weeks ago.
For the first time in a year his IgM and IgA have both inched up above the lowest "normal" cut off (by about a millimeter). This could be pointing to something positive. The thing is these numbers fluctuate like crazy and if we just caught him on an upswing and they are normally low this doesn't help him. Continue to monitor...
Also, our immuno points out: Just because they are present doesn't mean they are functional.
Crap
We hadn't even thought to confront that possibility... ugh.
But, what I thought was a really scary indication that his immune system (including his supplemented IgGs) isn't functioning well turns out to be the opposite.
Lately every three weeks or so little bit has woken in the middle of the night with a fever (102ish). We fight it and have terror stomach aches all night. Each time (except for the most recent when he had very obvious symptoms) he wakes the next morning with absolutely no symptoms and no signs of what went on the night before.
My fear was that his body was only intermittently detecting some pathogen then sort of "losing" it because one of the primary functions of Igs is to mark pathogens for destruction. Turns out his immunologist thinks this is actually a sign that Rainbow is picking something up then his (+ his supplemented Igs) system is kicking its ass. Wait, what? Really? This is one of the big things I've been processing. I really like the new immuno and he knows his stuff (bonus points because he has a PhD ;)) but this is still something I'm working to accept.
So, the take home from our most recent visit is: Dr is cautiously optimistic and wants to allow Rainbow to "grow out of" his current IgG supplement. Typically the dose is titrated up as a child gains weight. By allowing him to grow without titrating up we will get a slow and cautious clue as to whether or not he is producing Igs on his own. Dr also wants to vaccinate Rainbow against the specific pathogen that killed his brother and see if his body mounts a specific defense (this will again be a vague hint because of his supplemented IgGs). Dr cautions that there are roughly 485028496 things that could go wrong with the immune system and anytime Rainbow gets a fever he has to be seen by a doctor, every time. I'm down with that and now I have a mandate. So, slow and steady, keep testing, keep watching, and keep hoping.
Ok, finally to the big news... the thing I'm constantly turning over and over and over in my head.
Rainbow's immunologist thinks him starting Tuesday/Thursday school next year is a good idea. He's not pushy about it and is completely on board with us never putting Rainbow in school if that's what determine is best for him but... a good idea.
I'm a part of a few support groups for parents of kids with immunedeficiencies and the most common comment/complaint I see is: my kid is always sick/my kid was in the hospital again. These are statements from parents whose zebras are in school.
We've really never even considered him being in a group childcare situation because daycare is a petridish for every single childhood illness (one of my twitter acquaintances refers to it as "daycare pestilence). I used to be all about the "it makes their immune systems stronger." Then my child died of an infection and my mind changed to oh hell no!
But here's the thing. Rainbow is one of the most social human beings I've ever met. He aches for friends. You'd think, because he's been so guarded his whole life, that he would be introverted but he's not. He is fireworks and sunshine. He loves people.
He has spent so much of his life with adults I feel like we are keeping something beautiful from him. Children are magic. He deserves that magic.
So, we have a choice to make. A choice that keeps me awake at night with longing and with fear. What is best for him?
Hubby isn't even in a place where he can talk about it yet. If he doesn't get there by pre-school sign up time it will be a moo point (friends reference). If we aren't both ready to consider it then it doesn't get considered. So we will have to see...
Until next time...
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