Timeline from first symptom to diagnosis

Our son Connor was diagnosed with JDM in January of 2010 and here is a bit of a timeline to show you how this diagnosis was reached...

Towards the end of November 2009, Connor mentioned some pain in his right foot. We found a Plantar Wart and began treating it. We went on vacation in Germany were he mentioned a pain in his knee's, to feeling in his own words, pain 'inside his legs'. By the time we got home on December 9, he needed to be carried almost everywhere. By the end of December he was unable to feed himself, dress himself, sit up or down, lay down and of course walk. Here is a list of tests he went through between December 10 to December 28, 2009

X-ray of his Hips
MRI of his spine
X-ray of his chest
CAT Scan of his brain
CAT Scan of his chest
MRI of his chest
MRI of his hips
Numerous Blood Work
Spinal Tap
and we finished with a Muscle Biopsy

There were many speculations of what might be causing Connor so much pain and one of them was Gullian Barre Syndrom (GBS) due to his first symptoms showing up within a few days of his H1N1 Flu Shot.

The final Diagnosis came on January 11, 2010
-Juvenile Dermatomyositis (JDM)-

Hope

Hope

Thursday, January 30, 2014

HAPPY JDM NEWS!!!

In the week of Connor's 4th year anniversary of being admitted to Chicago's Memorial Children's Hospital we got some of the best JDM related news in regards to Connor's care.

NO MORE PREDNISOLONE/STEROIDS AS OF TODAY!

This is huge in so many ways! The Prednisolone and Solumedrol have been our biggest mental fight and for Connor a physical and emotional fight. We know the steroid is one of the biggest drug in the fight against this disease but watching your son put this drug into his body for 4 years, 1460 days plus, has been heartbreaking in its own way. The side effects are so wide reaching, 'minor ones' are weight gain and slowing of growth. A bigger concern had been his eye sight which were checked almost every 3 months. On an emotional battle Connor had to deal with the mood swings steroid causes. From sadness, depression to anger and frustrations. Emotions that can't be controlled and are all do to the impact steroids have on the brain.

So to get the e-mail that Connor's blood work from Monday came back looking great again and that we can stop the steroid for now was in our book one of the best news we had in relations to JDM in 4 years!
Is the battle over? No not yet. He is not in remission and will still need his weekly Methrotrexate/Chemo injections for now, but one step at a time!

Thank You to everyone of you that celebrated with us yesterday through FB. You all, or most of you, have been with us from the get go and so you realized what complete joy this brought to us.

On a little by note, when I received the e-mail I called everyone together and sad I had some great JDM news for Connor. Connor yelled out; "YAY THEY FOUND A CURE!'. 
This makes you realize how much that is in the front of Connors mind. No Cure yet but that day will come! I am counting on it.

I am off now to take Alexander soon for his Orthopedics Appointment. While one is celebrating progress our other dumpling is worried he might need surgery on his foot or feet soon. No rest yet in the medical world but one step at a time.

Much Love!


Wednesday, January 29, 2014

Another 'Group' - Home Schooling

How could I possibly have forgotten another group I belong to. Homeschooling as a Family!

I think I forgot it because while so many now home school you often don't consider yourself a part of a group since we all have our own unique approaches on how and why we homeschool :)

Our journey into deciding on homeschooling was at first a free choice that four years ago turned into anecessity. First it was our life style of traveling and my need to expose the boys to as many cultures and believes as possible. Teaching them about their heritage, Russia, and then in equal parts the US and Germany/Europe was a priority to us. By the time they were approaching First Grade we were talking about putting the boys into full time school, however our hands were forced by JDM. Connor and Alexander fell behind by 6 months in their school work due to the hospitalization and medical appointments and therapies. Once we sat down with the boys wonderful Cottage School Teacher we agreed it be best to have the boys redo First Grade. We all agreed how important those early years are in getting a good foundation put into place. Hence we then decided to continue with the Virtual School program of Lincoln Interactive. This program has been a heaven send for my family. We can bring our school with us to medical appointments and other travels. It keeps Connor safe since each time we tried to expose him to a classroom or a group of people in an enclosed space he would end up in the ER. When you have a child with a compromised immune system it is extremely dangerous to expose him to a confined room full of people. We learned the hard way that schools are a fertil breeding ground for colds and flu viruses. Each could be a fatal outcome for Connor. Another big plus for us is that this school program is aligned with the public school here at home where the boys still go once a week for Enrichment Classes as long as every child in the class room is healthy.  Plus all their required State Exams are done at the school. We found a beautiful balance that works for us right now. What the future brings is out in the open but what I want to point out is it took a couple of years to see what would work, and what works for us does not work for another family. Even within the JDM community we all follow a different path because each of our kids might have JDM but react different in form of exposures. Connors body never gives us a slow warning sign when his immune system reacts. In his case it is always straight to a shut down of his muscles. He might have the word Derma in his diagnosis but it is the Myositis part that puts the fear in us.

As to the Socislization part of Home Schooling I actually want to laugh out loud when people bring this up as a worry. Here is where our boys are socialized: They have traveled extensively since age 1. They know better on how to be acceptable of different cultures and people then many Adults. Put them in any new setting and they shine and not shirk away. They have a confidence second to none. Now add the exposure to the medical world. Both of them have a comfort and ease in dealing with people in tne medical community that once again most Adults don't have. They speak for themselfs and asked pointed questions during each hospital stay, doctors visit or in Therapies. I only get great feedback from the Proffessional world of Travel and Medical on how composed, polite and well mannered the boys are. So do you blame me when the interaction to other kids is not my main priority? Oh they do interact with other kids in Cottage School, during they yearly 8 week Ski/Snow Boarding Lessons, during Track Running in the Spring and Fall and then the weekly Chess Club. I know for a fact that friendships I formed in my early years had and have no impact on my life now. They do have wonderful friends their own age but not many. Which is great in my world as quality always trumps quantity. Are there still parts in social settings we can improve? Absolutely. We all can ;) 

However here is the true reason why I want to laugh out loud about the concern in Socialization. NOT because I think our boys are perfect in that regard... No no not at all. They are boys who push their boundaries and they made acquaintances with the Principles Office on several occasions. Once for playing in the boys bathroom with the hand soap and coloring on the mirrors. Once for being openly disrespectful to our beloved Mrs. Struble by ignoring her lessons and not answering her questions and then stepping on a classmates legs on the way out of the classroom. Once for opening the container that holds the Fire Extinguisher. According to my youngest he bumped in it by accident and it opened up but I am a parent who had no issue when this incident turned into a missed recess and time in the Principles Office.  I know they can be scatter brained and they are curious to no end, talk nonstop and they test how far they can push. My question is who has boys that don't? Maybe that perfect child exists somewhere but I can tell that I have yet to meet it. Being a parent and volunteering in school before (not this year) I met many children and while I love and adore many I would call none of them perfect. None of us is. 

So I would never say Homeschooling is better then Public School or Private School. They all deliver in their own ways as long as it matches your need ❤️

Hugs,

R A C A

Monday, January 27, 2014

The need to belong and be understood?

So here I am thinking again and I am wondering if people in general crave to belong to a group and if that gives us as sense on comfort and belonging?

I have the tendency to criticize the Sheep mentality when I feel as humans we to easily follow someone or something instead of stopping to think for ourselves. I often challenge those around me to not take the easy route and follow the stream but to turn and swim against it sometimes ;)

However I am now wondering if there is a need to know that there are others like us and that we are indeed not swimming alone :)

I always believed I did everything my own way and in many ways I feel it fits me very well. I went against the stream each time I felt I was told I could not do something. Often it payed off and other times it backfired.

However back to needing this feeling to belong…. I look back and I realize I do have the tendencies to add myself to certain Groups but also leave them easily once I move on to another interest or subject.

The first beloved group was in the early years of 2000 and was called CAR Ladies. CAR stood for Center of Assisted Reproduction. We were a fun group of women who talked online and met for lunches and dinners and who all had one thing in common, We were dealing with infertility. So all of us went to the same clinic with the hope of becoming pregnant. We were an amazing support for each other as the Invitro Treatments are anything but fun. We could relate to each other on the numerous injections we had to take daily and how our whole life was consumed with trips to the clinic and daily blood draws. Truly I looked like a junkie as my arms were bruised up and down from the numerous blood draws. We cried a lot when the a procedure was unsuccessful. We laughed and were happy when one of us succeeded and carried to term. Those women made this time period bearable in many ways. We all sooner or later lost touch as in time there was either success, defeat or as in our case turning our focus towards Adoption. Of all the great women I met I have to admit I am only in touch with one all these years later……

Then I made the transition into the next Group setting in the form of Adoption Support Groups. In this one I admit I mostly observed as there was a lot of diversity in regards to Adoptions. Those who adopted within the US and those who went Internationally. I did get more involved once we had started the process and we found a support group for just the Agency we were using. Here once again we moved on after about 1 year after the Adoption was final with our Dumplings. I stayed in the group for another year to help those that were just starting the process but life gets very busy when you are a Parent of Twins so this also tempered off. In this Group as well I was friends with many but are now only in touch with one family.

So off I went and found a new group to replace the old. I became friends with other Twin Mommies. I was lucky to meet a fellow Twin Mom at a mall and together we joined a Multiples Club. While I left the Club when we moved from TX to CO, I can happily say you don't really outgrow having twins so we are still friends with many families we met. I joke many times that there is a certain language you speak when you are a parent of multiples and I felt so at home talking to fellow moms that I met. Actually two of my best friends came out of that group :)

Following this came the next group adventure a few years later. This one I did not seek out but were and are grateful for it. I think while I truly did not want to be a part of this group I will belong in it one form or another for the rest of Connor's and my life. That group would be CureJM and just as with the Twins Community, here as well you feel as if you speak a different language that only those in the loop understand.

I guess at this point I am pretty fluent in Infertility, Adoption, Twin Parenting and JDM…… Still learning of course as with everything else it becomes dangerous if we feel we know it all….

So there are certain labels that we receive through our life and some stick and some we leave behind. I embrace the lessons I learned in all of them. I believe all of them shaped my life and might have changed my characters to a small degree. However they do not define me as a person. Just because we have one thing in common with others does not make us clones. Of course I get thrilled when I meet someone in a group that has similar believes and approaches, so there might be a little bit of sheep in me after all, but please remember I do claim the color black - lol

Hugs,

R A C A


Sunday, January 26, 2014

Schedules ;)

For me it is always a tad of a challenge to stick to a schedule as I seem to have two powers inside of me collide and fight a battle. One is my German DNA that craves order and reliability, which is fought against with the wicked Gypsy DNA that I somehow got and no one knows from where. My need to be free and impulsive, my desire not to plan ahead or worry about tomorrow.

So I am telling you this because yesterday I sorted through papers for our upcoming Social Security Visit and found the handwritten note that was handed to us when we picked up the boys from the Baby Home on March 26, 2005. They were just 9 days away from their 1st Birthday and of course where still catching up developing wise as they were born premature at 3 lb each in the 33rd week.

I smile when looking at that note as it shows me that in Siberia, Russia they were just as serious about schedules as it was in most parts of Germany when I grew up:

7 - 7:30 Wake Up, sit on their pots if they were dry through the night.
8:00.       Breakfast 1. milk porridge and a small amount of cottage cheese or grated cheese omelette 
                                   Or half boiled egg. 
                               2. A piece of bread.
                               3. Milk
8:30 - 9:30 active time (playtime)
9:30 - 11:30/12:00 nap
12:00     Lunch 1. Soup and piece of bred.
                         2. A cutlet with mashed potatos, rice or buckwheat with sauce. Or steamed cabbage.
                         3. Juice/ light green apple
13:00 - 15:00 active time (playtime)
15:00     Snack Kefir or Jogurts, plus small roll of cookies and some fruit.
15:30 - 17:00 Sleep
17:00 - 19:00 play, walk etc
19:00.   Dinner, Milk Portidge or something like second serving of lunch.
19:30 - 20:00 play
20:00.    Sleep

It truly brings back memories of the Baby Home and while we had to adjust the food since the boys had no teeth at that time I was so grateful to that schedule as both our dumplings napped twice a day without complains for up to 2 years. They slept through the night from 8 to 8 without issues and best of all I had boys who had tummies that never seemed to get sick or bothered by food. No throwing up or diahria in those early years ever.
Now the potty part was super funny however as both were not potty trained at 12 months so just thinking of sitting them on a potty made us laugh.

With everything politically going on in Russia right now it is heartbreaking for us here to watch.  We watch the news as a family and we are sad how backwards things seem to be going. Now Puttin was President when we adopted our boys and what a different Russia it was then. No matter what, we will always be grateful to this Country for giving us the ultimate gift of our boys. The women we met in the Baby Home and in tne Courts, Judges and Lawyers, where people with hearts of gold and who had a deep love for the children of Russia.

So THANK YOU Baby Home #2 for giving us this list on how to take care of the treasure you handed us. We all left a piece of our hearts in Khabarovsk, Russia, thanks to you and hoping for calmer years in Rusdia so we can return to visit!



Hugs,

R A C A
             

Thursday, January 23, 2014

Family

When I read about life (and how I love to read!) then I realize more and more what a win in the lottery it seems to be if you have a truly amazing family all around. It really seems rare in the big picture, but I am not sure if it is…..

Out trip to Germany for my Mom's 80th Birthday Party was truly wonderful! The flights all went off without a hitch (not always an easy feat when traveling Standby) and the crews we met where truly some of the best at AA. Attentive, kind and FUNNY. The boys were adored and my heart was so proud once again.
In Germany my Sister Elke had pulled of an amazing and fun Party. There was food to feed about 100 people and the Party itself was about 60 people strong. My Nephew Lukas had prepared a bar that served yummy Non and Alcoholic Drinks all night long (until 4am).
The best part of it all however was being able to visit with Cousins, Aunts, Uncles, Neighbors and Friends. 60 People that mean and meant so much to me growing up and are still a force in my life now. It hit me at one point that this is truly the greatest legacy we are giving our boys. A network of people that show and teach them that kindness, compassion and acceptance are still common and should be something that exists everywhere.
A patchwork of people that come from all different backgrounds, political believes and religion.

Another observation I made for myself is that people tend to be kind and polite towards each other in life if they are face to face. So I am wondering if access to a keypad and touch screen really changes how we interact. There are the moments we feel the need to critique each others political opinions, religions that are present or absent, we brag about our kids and how we all have that perfect family, kids, spouses, life. People will call each other names so easily but I wonder if they had to stand in front of a crowd and call someone a hateful name would they still do it? I doubt it ;)

I remember how long ago, 1996 to be correct, I entered an elevator in a high-rise in Miami. A man was already in it and I said as usually 'Hello, how are you today?'. His responds was not what I expected as instead of smiling and saying 'Fine, Thank You, how are you?', he instead started crying and told me that the love of his life had just left him. Back then I was in my early twenties and was not truly equipped in giving him counsel in any form. I told him I was sorry.
If he had posted his heartbreak on FB nowadays I bet he would get countless replies from friends and acquaintances within minutes. 

Today I wondered about my integrity as I was upset to find a Van stuck in our driveway this morning. We had an appointment with a company who told us they be out today to replace both our car windshields this morning. Then they show up with a two wheel drive van that had pretty much bare tires as in hardly any thread left on them. I posted it on FB as I just don't understand why any business or person who lives up here and works up here does not own a reliable 4 wheel or front wheel drive vehicle that has good tires. It bothers me because I see it as a safety issue. It shouldn't as it does not impact my life but I do not want people hurt or stuck somewhere in the Mountains when it is cold and often no cell phone reception is available. In our case we had a clean driveway and Ron was able to pull them up.
 So when they were done I told them that I worry about them driving this van. Both of them were young men, much younger then me for sure, and I was actuality surprised to see them ask me for driving advice (yes they looked serious!) So here I was telling them about how important it is to downshift on a downhill pass or slope, and how they would have made it up the driveway if they had kept up the speed in their van. I know having a good car is an expense and investment, but I believe it is an important factor for us here in the Rocky Mountains.
I admit I did not expect for them to listen to my advice as I find men especially are sensitive when it comes to cars and driving. I love cars and I love to drive.

So I guess when I reaxamine what I say to people and what I post online then I am truly feel I am honest. I look at what I post, may it how I feel about things, how I stand politically or in my believe and I know for a fact I say the same words to people just the way I type them. No guessing for anyone where I stand :)

I think that is a good thing. So back to having a great Family. I think it is possible for most if one agrees to disagree. So does the PERFECT Family exist? NO, do great Families show respect towards each other? YES

Hugs,

R A C A



Sunday, January 12, 2014

Super Powers over the ages :)

Since I have boys the conversation about wanting to be Super Hero's comes up often, as in daily, in our home. So after asking me over and over which Super Power I would like to have I had to sit down and tell the boys that they actually change with age.
I know in my teens my wish was to ace every test and make teachers I hated disappear. No worries, as far as I know my super powers did not work and they are all still alive and breathing, plus I did not ace every test ;)  However there was the one teacher that kept telling me if looks could kill he would have dropped dead.
On to my 20's, that was my naive kind of years when I followed my dream and got a job I loved and believed with all my heart that my magic power was kindness. Kill them all with kindness and if I am sweet and nice they will all like and love me. Well, I left that behind in my 30's when my super power dream was to know every language spoken in this world and to understand very code ever developed. I figured if I had this then I would be set in life. Can you imagine the job possibilities? ;)
Truly looking back all my so wished for powers were truly always focused on how to make my 
Iive easier and no it did not change much in my 40's.
So moving on to motherhood and coming face to face with JM. Now I always figured there were limitations to Super Powers as in not being able to ask to find cures and save life's. After all that game was left for the highest power. To give and take life.
So what other gift could I give to people? By now you realized my mind can be, and most of the time is, the most unexpected. So for my 40's I would like to be a kind of Angel of Death. NO not the one that delivers death but the kind that could look at others and see in there eyes the day they will die and how.
I think this would be a tremendous gift, even thought life insurance companies would hate me!
If I could tell those that would like to know, when and how they will die that would give in my eyes pure freedom. If you know you have 50 more years to go you would know to invest carefully for old age and start taking better care of your body now so you could be an active 90 year old (in my case ;)
Or I could tell you that in two years you will have an deadly accident. Well can you imagine all that you could do to prepare things for your family and then go and do all the things on your to do list but wanted to safe for later? Like travel to Nepal for example.
I would give so much for the peace of mind in knowing if Connor and Alexander had full life's ahead of them or will something like JM cut for example Connors life short. Would I then not parent differently and show them things that we would usually safe for later?....

I admit this thought process came when hearing a story of a family who lost a parent suddenly through an car accident. I heard this and my first thought was if I had to die now I would wish for a slow death as in Cancer. When I was young I would have wished for a fast and painless death but as a parent I feel I need a heads up to prepare things and be able to say my goodbyes.

So my power I want is to take the mystery of death away. We all know it will come at some point and what I woud give to know the when and how. 

Some might find this very weird and strange. I would find comfort in it and think there might be some others as well. Should I ever come to it fear not. I would not volunteer my information unless asked for it - lol

So please tell me what would be your Super Power? And why?

Hugs,

R A C A

Sunday, January 5, 2014

Question... Is having an Illness or Disease a 'Get our of Jail' Card?

My mind has been going over this question now for a little while and I can not seem to find a concrete answer as I guess this truly and sadly not black and white, but then what is ;)

I think I talked on my blog before how Ron and I had to make a decision in how to parent Connor after he got sick. There is a certain mentality that comes with being sick that can cross over to entitlement when so much attention goes towards someone you feel bad for. For us the call was easy. Connor would be treated the same way, everyday, in regards to rewards and discipline for his behavior as we were treating his twin brother.
Yes, there are some things as in helping around the house that we had to adjust but Connor's strength is in doing things stationary so he could write or help in the kitchen while Alexander is the more active one who then helps with setting the table or getting our drinks set up for dinner.
As to behavior, we realized that Connor picked up an attitude when he first came home from the hospital that the world should be focusing on him. However I feel almost every 5 year old feels that way to some degree. We sat him down and made it clear that he is an equal part of the family and NOT on a higher pedestal then his brother. 
Was it harder for him to learn to control his emotions? Oh yes. We are talking about a disease that needs medicines that are very mood altering. He had less patience and was more moody, but we told him if in any form his behavior is hurtful to anyone he will have to face the consequence. Punishments in our house are usually a writing assignment about what the offense was and then a letter of apology to the person that was hurt and having to read it out loud to them.
Four years later we still deal with some issues but then what is part of life and what is due to a disease? Let's face it as I keep saying none of us is perfect. 
I for example get very passionate about politics and religion and there are times I wish I would not react so fast but sleep on it. Easier said then done. I need to realize if what I say works towards making a situation better or is it just igniting a bigger fire? I find out often it is not for the better ;)
Alexander, my baby boy, is challenged in the slowing down part. He reacts and acts even faster then I do. Everything has to happen fast. He never learned to walk but started running. He eats fast, he talks fast etc etc.
We all have our issues and many times how can you say what is related to a disease and what is just part of growing up?

I am mentioning all this because I have been observing a behavior online that makes me worried.
Can you as an adult go and enter political discussion, get very vocal, accuse people and even call them names but when the accused fight back then stop and pull out the 'Get out of Jail Card' as in 'Everyone is mean to me when I am fighting a Disease'. Now the phenoman is that for many of us our first reaction is 'Oh no, I am so sorry you are dealing with this. We had no idea and how horrid people will argue with you.'
Now jump forward and you see this happen over and over again and each time the aggressor is the same 'sick person'. Does at one point the 'Get out of Jail Card' be removed?

Does a diagnosis automatically give you the right to act and behave in which ever way you want?
Let's say you know a person that was always rude, a bully and aggressor. Now that person gets Cancer. Will that automatically turn them into a saint that has all the answers and wisdom? I think some belief it is, I personally don't.
What was before unacceptable behavior is now excused by 'Oh but they are so sick'?

How then about people in Prison? I am sure we can find all kind of sick people there, too. So if they have Cancer for example does that excuse the crime they committed?  Or should we let people out of prison if they do get sick with a disease that has no cure? 

I guess I am truly just brainstorming how I feel but do want feedback. Is being sick an excuse to behave badly?
Should we give leeway to those we know that are facing a battle?

Hugs and already thank you of your thoughts.

R A C A


Thursday, January 2, 2014

The need to read......




The fear of running out of 'good' reading material. I read all the time. Well almost all the time as I do sleep, eat and drive places. But here is the sad part, when I am not inhaling a good book that keeps me locked in then I start reading whatever poppes up in front of me, including bad and sad things in the news or on people's walls. Those are the times I feel I need to react and respond. So if you want to hear less of my opinions then for goodness sake keep good book ideas and reading materials coming my way - lol

Truly I think I finally figured out why at times I am very politically embattled on FB and I am more active in writing in my blog and in return why there can be weeks and months I do not write into my blog at all or are more quiet on FB. Looking back it is during all those times that I was either inhaling a book or book series or I was on a dry spell searching and searching for good reading materials. So if books were not filling the void then news clippings, other blogs, peoples postings would suck me in. We all know I like to respond to just about anything ;)

Hugs,

R A C A

Wednesday, January 1, 2014

Happy New Year 2014

So last night I had the joy to party at home with two 9 year olds and one beautiful 80 year old until 1 am.

Next I know I wake up at 8 am, truly at 7 the first time thanks to Bella, but I did manage to get out of bed by 8 am. I feel as if I have a hangover even thought no alcohol was served last night ;) is this the side effect of getting older??? At 42 I now have the joy of feeling slugish without even getting the joy of having a drink? 
So that makes me wonder if I have a drink or glass of wine but go to bed on time (have I mentioned my body needs 10 hours of sleep?) would I feel the same? I am getting out of practice here as my new comfort drink is just Sparkling Water. Which brings me to another point... Why can my beloved Sparkling Water be almost as expensive as liquor???
As a child growing up in Germany we always laughed at the fact that Beer and some Wine was much cheaper to order in a a Restaurant then Coke or Soda. Which explains why many of us prefer Beer or Wine - lol

Anyway, looking around me right now I see a wide awake and spunky 80 year old (my Mom) and of course very awake 9 year old dumplings moving about. I am the only one that wants to just curl up and not move. Strange setup as I am usually the one that seems to be the one motivating the others...

So after my pitty party yesterday afternoon about saying happily goodby to 2013 I am now ready to give 2014 a chance to deliver the year I dream of. A Cure for JM, and other then that no highs or lows. I want a a Vanilla kind of year that in retrospect will go down in the books as uneventful.

I did pick a word to guide me this year (thanks for the idea to my friend Kim) and my word that I want to focus on is ACT. I want to try and act more before I have to react. To be a step ahead and not always feel like trying to catch up would be huge for me. 

Hugs to all of you my beloved Family and a Friends. May 2014 be the year for you!

R A C A