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My daughter's story (Read 93162 times)
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Re: My daughter's story
Reply #45 - 01/23/11 at 14:57:12
 
Reply from sandi

Kim, some ideas for Miss Breezy, start going to the library if your aren't that way she's always getting a pile of books to go through. You can even request them online if she's looking for something specific. Don't keep her locked in the "childrens" section. There are tons of interesting books (age appropriate of course for content) out there in the real part! Decorating, crafts, astronomy, pet care, animals, designing, gardening, biographies, geography, architecture, cooking,etc! In the children's section of the public library they actually carry a very popular homeschool science author that are is a blast, Janice Van Cleave is the author, she has a ton of science books loaded with experiments that can be done with literally supplies you have in the kitchen. She has a lot of science project books too, the ones I am speaking of are different. Here's a link to her website which is pretty cool in itself, click on books then see how many books are under each subject!
http://scienceprojectideasforkids.com/ Just go to your libraries website and request some for her! Another idea is stories on CD. It may be fun for her to listen to audio stories. The Library will have those also, or look into some online. Adventures in Oddsey is one that comes to mind, but there are tons out there. Also watching movies! Some of the classics, there are quality movies out there! I loved what Lisa had to say about reading! Go Hardy Boys and Nancy Drew! There is a place called rainbow resource online, http://www.rainbowresource.com/index.php They have a catalog that is about 4 inches thick. I love it!  I homeschooled my children from 3rd grade and up.  Even though my kids have graduated and moved on to their colleges.  One does not need to homeschool in order to supplement their childs life with learning! I get a lot of children gifts from this catalog! So many great thinking toys etc! Nothing you will find at a Toys R Us! So from what Lisa wrote and myself here's to some encouragement to nurture your daughter when she is ill and at home! Also if she is struggling anywhere you can get something to supplement that area so she can excel! Please take what Lisa said to heart, she will not get so far behind she will not catch up. The teachers will keep sending her work home, she'll want to do it just to make the teacher happy! If there are any school only books, possibly her teacher would let her keep a copy (loaned) out at home for when she is ill, or possibly when she is bored and feels like reading ahead, that way when she has a bad day she's just reviewing. Kids really learn at their own pace, quickly moving in some areas and struggling in others and just when you think you have it figured out, they do excel in completely the opposite thing you thought they would!
Sandi
Ok, quick disclaimer about the size of the catalog, I am a geek, a lot of us are excited at the absolute amazing amount of products to look at and others are mortified at all of the products to choose from. Look at it as opening your horizon to more tools, if you even want them! If the catalog is not for you there's bound to be a dork like me in your midst to give it to!


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Re: My daughter's story
Reply #46 - 01/23/11 at 14:57:54
 
Reply from kgruba

Sandi;
   You are too funny Smiley  You are NOT a dork!!!!  And I greatly appreciate your post and the helpful links.  I am so greatful for all of you on this site!  I can't even put into words how much all of the love and support and encouragement and resources that I have found here have meant to me... and how much they have helped Breezy.  Although I have not had any luck yet getting a Mast Cell Specialist Dr. to look at her case I know it is only a matter of time... as thanks to all of you I have the resources and courage to continue to knock on those doors!  I never felt like I had that before and it means so much to me.  You are all dealing with your own mountains to climb and yet you are here day in and and day out helping others. YOU ARE ALL AWESOME and I feel like it is one BIG family on this forum.  THANK YOU!

                                                                                                               Kim


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Re: My daughter's story
Reply #47 - 01/23/11 at 14:58:33
 
Reply from kgruba

Can anyone tell me what helps with the "brain fog".  Brie has always had "raving reviews" when it comes to school.  "She gets along well with everyone."  "Everyone just loves her." "She is never a behavior problem. "  "She is a very hard worker and tries her VERY BEST" (although she still struggles in many areas - especially reading).  I work with her DAILY.  I have had her tutored. I had her in the Reading Recovery Program.  And we are now getting her on a "general education plan.".... As they can't put her on a medical IEP until we have an actual diagnosis that fits their criteria.  And yet she does not "retain what she learns (or already knew)."  And now for the very first time ever school is reporting that she "sits in a fog" and is not able to get her work done, focus or concentrate.  I was just looking for any suggestions all of you knowledgable and wonderful people may have Smiley

                                                                                                               Kim


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Re: My daughter's story
Reply #48 - 01/23/11 at 14:59:42
 
Reply from sarah4

Hi Kim - I'm not sure whether your daughter has been diagnosed with POTS or autonomic dysfunction as well as mast cell problems, but many people (including me) seem to have an overlap.  On the www.dinet.org site, there are studies in the Research section that describe the memory and concentration deficits in people with POTS.  They seem to describe some components of the brain fog I experience, but not really the "thinking through mud" feeling.  Hope this helps-

Sarah


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Re: My daughter's story
Reply #49 - 01/23/11 at 15:00:34
 
Reply from riverwn2

Kim, I just started on a med this week to help with my brain fog and i think it is working VERY well. I found this article from NIH: http://www.ncbi.nlm.nih.gov/pubmed/10884588   and started on Vistaril 25 mg twice a day now--and its making a big difference to me.

Some people with SM will say that Doxepin helps their brain fog. I tried it, it didnt help me and I think the reason is my Seratonin levels are greatly affected by it and causes my levels to drop, which makes me depressed, so I stopped it. But it may help some people. Im keeping to the Vistaril for now. Hope this helps.
Hugs,
Ramona


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Re: My daughter's story
Reply #50 - 01/23/11 at 15:01:14
 
Reply from kgruba


Sarah;
    Thank you for the link to that site.  It is tremendously informative.  Brie has not been diagnosed with POTS... but reading the info on that site makes me curious as she does have many of the symtpoms on the list.  We may have to investigate that road once we get to the end of the path we have taken to try to get the MCAD ruled in or out.

                                                                                                              Kim


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Re: My daughter's story
Reply #51 - 01/23/11 at 15:02:03
 
Reply from kgruba

Ramona;
    Thank you for the information on Vistaril.  I printed that article / study and I am taking it to her doctors appointment on Monday.  We need to try some different meds like this for the brain fog and maybe mast cell stabilizers as all of the H1 & H2 blockers, the proton pump inhibitor and the steroid she is on are helping but not taking anything away yet.  I know it is just that we haven't found the right medication combinations or dosages that will work for her.  I have high hopes that this new Dr. will be our answer to this... hopefully he won't let us down.  One question I have... is this med sedating for you?  She already has a huge problem with sever fatigue and sleeps WAAAYYY more than any 8 year old should.
                                                                                             Kim


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Re: My daughter's story
Reply #52 - 01/23/11 at 15:02:50
 
Reply from sandi

Kim, I have an idea from a different standpoint, I know she has a lot of gastro issues so I'm guessing her diet is already limited. But she probably really needs additional snacktime. 3 of us in my family are hypoglycemic and we become total vegetables when our blood sugar gets low. My daughter when she was in second grade came down with scarlet fever, then not long after that whooping cough! After re-cooperating she was having horrible fatigue and weakness, she'd get to trembling and was almost passing out, I tested her blood sugar it it was insanely low, did some testing and doc said probably some pancreatic damage due to all her illnesses, and just give her more protein/carb throughout the day and we'd keep an eye on her. She was still in school at the time, so Ihe actually had to write a note to back me up for her to have "snacktimes"  Her teacher called me a few days later and couldn't believe the difference. It was a little awkward for her because she'd go and eat by the teachers desk in the back while all the kids still did there work. Well the teacher talked to me about two weeks later and she was instituting snacktime for the entire class. She said she could tell when Ash was starting to space out it was time, she'd let her go eat for 10 minutes she'd come back and be totally back mentally. The whole class made the change and she said she'd never had kids pay attention so well and was going to keep the policy in her room! Your daughter is very ill so the brain fog/exhaustion goes along with so many of our diseases Masto/ MCAD and gazillions of others, not to mention side affects of antihistimines and drugs but the antihistimes are necessary. Ponder her current diet and see if you can add an additional snacktime  with a good protein/carb mix in the am and early afternoon and see if it helps!
At her age I can't suggest an antihistimine with a caffine chaser Smiley to balance out the exhaustion.
Sandi
Oh also some deep breathing exercises to just re oxygenate herself, I think a lot of us who don't feel that great are very shallow breathers just out of sheer exhaustion. Thats one thing I constantly swear I'm going to concentrate on and never do.


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Re: My daughter's story
Reply #53 - 01/23/11 at 15:03:46
 
Reply from riverwn2

Hi Kim,
I was greatly concerned that the Vistaril would sedate me on top of everything else I took. The truth is, I feel much less sedated taking it.. which is weird but true for me. All I can say is, talk to her doctor about it and maybe try a small dose to see how she feels on it. Maybe play some kind of game where she has to think more and see if she thinks she is thinking better?? Good luck, give her a hug from me Smiley
Hugs,
Ramona


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Re: My daughter's story
Reply #54 - 01/23/11 at 15:04:32
 
Reply from kgruba

I talked on the phone for about 20 minutes with Dr. Carter from NIH regarding Brieann. What a beautiful soul that lady has!  So caring and so easy to talk to.  Although Brie does not fit the protocols for her study since we do not have an actual diagnosis of Mastocytosis (Dr. Carter is the Pediatric Mastocytosis Dr.) she was very concerned about Brieann's history and symptoms and directed me to the right people for the Undiagnosed Disease Program and said that if we can get her into NIH that way then there is a chance she can maybe still get involved in Brie's care if the Undiagnosed Disease Program gets a red flag that would require her to consult.  We knew before our call together that Brie does not fit her protocol and yet she took the time and had the concern to still talk with me about Brieann and to give me some guidance.  I wish all of our Dr.'s (yours and Brie's) were this dedicated to patients! For those of you who have not found "that" Dr. please don't give up.... keep searching and knocking on those doors... as they are out there just waiting for each of you to find them Smiley
                                                                               Kim


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Re: My daughter's story
Reply #55 - 01/23/11 at 15:05:12
 
Reply from tlcsmom

Oh, Kim, God is smiling on both of our girls.  I am so glad that you finally got a response from NIH and that Dr. Carter was so caring and concerned.  It is such a relief, as we found out this week with TLC's Dysautonomia, to have a doctor showing concern and to be so knowledgeable.  Please let us know what you find out, it may be helpful for TLC and her mast cell condition.

Many blessings to you both and Merry Christmas!
Robin


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Re: My daughter's story
Reply #56 - 01/23/11 at 15:06:03
 
Reply from kgruba

Great news for Brieann!  I finally found a local Dr. who is an Allergist / Immunologist and also has been trained in Internal Medicine who is willing to take on Brieann's complicated case.  He is so wonderful it about makes me cry.  He is so caring and concerned and is taking EVERYTHING she has been through seriously.  And it turns out he was trained at NIH and he actually trained under Dr. Akins and Dr. Metcalfe!!!  He has not had a lot to do with MCAD and usually refers suspected cases to Mayo.  But he is somewhat familiar with it and is very happy to educate himself in order to help Brie.  He understands that we are already aligned with Mayo Dr.'s and that we need someone "at home" to see her frequentlty and adjust meds, etc. And he is willing to do this.  We met with him for the 1st time yesterday and he spent 1 hour and 50 minutes talking to me about her history - and this was after he spent an entire weekend sifting through all of her medical records on his off time.  I can't beleive we found such an angel Smiley  He is going to review her records a few more times over the next couple weeks and do some research on his own time and then we will meet with him again and see if any of the medication changes he made last night make a difference.  If they haven't he is already thinking of plan #2 in that he will make more med changes and possibly start her on a mast cell stabilizer.  Brie has certainly sparked his interest!  He is quite concerned about the level of fatigue that she has (he saw it in the office when she slept almost all of the visit and was quite difficult to arouse).  The fatigue along with the periods of hypoxia, tachycardia, probable sleep apnea, ect has him very concerned about something neurological going on.  Although he recognizes these can all be symptoms of MCAD he "doesn't want to miss something."  He is going to try to get a Neurologist to consult and is hoping for an MRI since she has never had this area ruled out.  He wants to make sure we are not missing a brain lesion or MS or something on that line.  We both believe that these are probably unlikely but since MCAD is a diagnosis made by exclusion - well this should help with that as Brie has had disease in almost every other body system  ruled out.  I don't think he will leave a stone unturned and this makes me very happy.  We may not get a diagnosis but we now have someone looking at "the whole picture" and willing to treat it as such and not just one body system at a time.  He was even able to see some of the red "spotches" that she breaks out in as she slept.  He was quite impressed - especially since she is already on so many medications.  But again he is more concerned with all of her Neurological symptoms at this point vs. the Urticaria.  He is also going to contact the pathologist personally to discuss if they can do any further tests/ staining on her slides from the GI and hand biopsies.  The medication changes he made are as follows (any input here???):

He stopped her Xyzal just in case there is a small chance this may be increasing her sedation and she already is on other H1 blockers

He put her Prilosec on hold and felt I was totally in line with starting her on Zantac a few weeks ago and he doubled the dose of this to 75mg twice a day (vs. once a day)

He doubled her Allegra dose so it is now 60mg twice a dat (vs. 30mg twice a day)

He is going to do further research as to whether or not we should continue the Pentasa

He started her on Singulair 5mg at Bedtime

He will work towards getting her off of the daily steroid that she has been on for several months

                                                                                                        Kim


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Re: My daughter's story
Reply #57 - 01/23/11 at 15:07:12
 
Reply by starflower

That's fantastic news, Kim!!!   Exactly the kind of local doctor you want to have for Brie.

Heather


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Re: My daughter's story
Reply #58 - 01/23/11 at 15:08:48
 
Reply by riverwn2


Kim Im so happy for you and Brie!! See the squeaky wheel got the oil and you won!! I am so happy she will finally have the best health care Smiley Give that angel a hug from me!
Hugs to you both,
Ramona


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Re: My daughter's story
Reply #59 - 01/23/11 at 15:10:40
 
[u]Reply by gruba [/u]

Can anyone tell me of hypersomnolence could be related to MCAD?  Brie has had trouble with this off and on for 2 1/2 years but it is becoming quite severe.  If her activity is stopped she can fall asleep instantly!  She can sleep for 8-12 hours a night, take a 2-4 hour nap and be up for only an hour or two and fall asleep at bedtime with absolutely no difficulties. School takes 300% out of her!   I used to blame this on the fatigue... but it now seems to be more than just fatigue.  Even with all of this sleep she still sometimes falls asleep in school - sometimes 2 - 3 times a day.  This symptom waxes and wanes just like all of her other symptoms - but lately when she has it it is much more severe than it used to be. She has already been through the sleep studies for apnea and if she has apnea it is only mild - but even this is still in question.  The hypoxia and tachycardia (especially with sleep) are medically proven though.  She is VERY difficult to wake up during these times (took me 10 minutes the other day to awaken her).  Also her dizzyness is now almost daily and was so severe upon awakening the other morning that she couldn't sit up for about 30 minutes.  She couldn't even dress herself and I had to dress her while she was laying down. Her difficulties with learning and retaining information learned is "nill" at this point.

The latest Dr. (local Allergist / Immunologist) we are seeing has seen this 1st hand twice now and he is deeply concerned.  He is referring her to a Neurologist in hopes he will order an MRI.  Our 1st visit with him was 2 hours long and he tried to awaken her 3 times and at the end of the visit he saw how long it took me to get her awake to leave the office.  The 2nd visit was an hour long and the same thing occured.  While she slept she repeatedly broke out with her red "splotches" and some small hives - they would come and go... come and go.  I was excited to actually have a Dr. see this all first hand for once! - but yet deeply concerned for Brie.  

Brie has been really struggling these last few weeks.  We have again tried to get her off of the Entocort as she has been on it for daily for 8 months now.  This is the 3rd time we have tried this and she once again showed us that she can not go without it,  Although 60% of it is supposed to be absorbed in the colon "and it has little if any affect systemically" she has proven over and over that it greatly helps ALL of her systemic symptoms.  Two of her Dr.'s are in agreement that it is time to trial Gastrocrom - but I don't think either of them are very hopeful as they both have had "very limited" benefits in the patients they have put on Gastrocrom.  Can anyone who is on Gastrocrom tell me how long it takes to see improvement in symptoms, what the cost is for this, and what benefits they have received?

I think her latest  Allergist/Immunologist feels that he is "in way over his head" with her complicated situation - and Bless his heart... he is hanging in there and deeply concerned for her and trying everything he can to help us find some answers.  He agrees MCAD may be in the definite picture but "doesn't want to have her labeled with this until everything else has been ruled out as he doesn't want to miss something else that may be there."  I agree with this approach 100% as she has never had many things ruled out yet (the brain - due to all of her neurological symptoms and the heart - due to her cardiac symptoms).  He has tested her for Porphyria and is looking into "some other rare diseases."  He is asking for help from her local Pediatrician and now a Neurologist.  I had to laugh at him the other day as every few minutes he would say "this isn't normal !!!" and was quite distressed over what he was observing.  I told him that she has done all of this for 2 1/2 years now and unless it is really bad I don't even get worked up over it anymore and it just seemed almost comical to see someone else react the way I used to. (Not a funny situation - but one of those "you had to be there").

Our referrral to the NIH Undiagnosed Disease Program never got off the ground as the referring Dr. (who wanted us to return to them versus NIH) did not follow the required format for the referral.  Although this was a setback for us... it led me to her current Allergist/Immunologist that I have been talking about and believe me he isn't going to leave ANY STONE UNTURNED and if we still don't receive any answers / diagnosis I think he is then willing to make the referral.  Funny how when one door closes another door opens.  I firmly believe there is a reason for this (even though we sometimes don't like it or agree with it at the time) and I have to have faith that this will lead us to where we need to be in regards to finding the answers to help Bireann.

                                                                                                  Kim


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