Archive - Lana’s Journal RSS Feed

Post-hospital Doctor Visit

Carmen had a post-hospital doctor’s visit today and she is doing well! She still sounds like she is laboring hard to breathe but she is back to her “normal.” She has an ENT appointment in two weeks to try to figure out what is causing her crazy loud breathing. Until then, we will continue with Albuterol every 4 hours.

Big thanks to Lori for dinner last night (apples in tossed green salad is my new favorite!) and to Rachinee and Wendy for dinner tonight. Chicken Parmesan is Dave’s very favorite. Doug, Dave’s dad said it’s his favorite too! Thanks to Ritha for taking Lauren for the day yesterday. She had a wonderful time and I had a wonderful afternoon nap. Good thing too because Carmen’s night nurse did not show up so I stayed up last night with Carmen. Thanks to Rachinee for taking Lauren today while I took Carmen to the doctor. What would I do without you guys??????!!!!!!!!

Disney World!

Sunday after the Tay Sachs conference ended, we drove to Orlando. We got up bright and early on Monday and headed to Disney World. We did not tell Lauren ahead of time that we were going to Disney, just in case our plans fell thru. We decided it would be fun to keep it a secret until we drove thru the gates! As we drove down the road to Disney, Lauren asked, “Why do all the signs have Mickey ears on them!?” Lauren kept asking where we were and I asked, “Where do you think we are, Lauren?” Lauren yelled, “Boston!” When we stopped to pay the parking toll, Lauren said, “That sign says Magic Kingdom!” (She informed me that she sounded it out. I did not know she could do that!)

We had a wonderful day! Lauren was so ex cited to see Cinderella’s Castle. She and Dave road the carousal and we stood in line to meet Darby, Pooh and Tigger. After meeting Darby, we started to walk away and Darby ran after Dave. She pointed to his University of North Carolina t-shirt and gave two thumbs up! (Darby and Dave must both be in mourning today after UNC’s loss.)

While we were looking around one of the souvenir shops, Lauren was asked to be in a little parade around the shop. She was thrilled to dress up as a princess and march around the store. Lauren has been all about Cinderella and Sleeping Beauty in the past but is now mesmerized by Ariel. So, she picked out an Ariel pin for Carmen’s stroller sunshade, an Ariel Polly pocket type set and an Ariel wand.

We watched the Dreams Come True parade and had a great view because they put us in the handicapped section. Carmen’s Kid Kart stroller does look special needs so we were often directed to the handicapped section. We were very appreciative of this special treatment! A heads up to anyone with special needs kids visiting Disney, I changed Carmen’s diaper several times in the First Aid station. This was much easier than trying to put a 30 lb. baby on a tiny changing table! The First Aid station had private rooms with beds to put Carmen on.

For dinner, we had reservations at the Crystal Palace. Pooh, Tigger, Eeyore, and Piglet came to our table while we were eating. Eeyore gave Lauren a big hug and Pooh held Carmen’s hand. The food was good at the Crystal Palace. It was buffet style and had everything from salmon to chicken nuggets. I especially liked the corn spoon bread.

We ended our day by taking the ferry back to our van. We are so glad we went to Disney and made special memories. We took lots of pictures and video that we will always treasure.

Tuesday morning we got up and headed home. We left around 9:30am and got home at midnight. It was a long day but both girls are wonderful travelers. I am far grumpier on long trips than Lauren or Carmen!

One thing we took away from this trip is that we want to do as much as we can while Carmen is alive so we do have the memories. It’s not easy traveling with all the equipment and being on our own at night (without nurses) but we can try weekend trips.

Tay Sachs Conference 2008

Now that Carmen is home (and thank you again for all of your prayers!), I’ll write a novel about our fabulous Florida trip for the annual Tay Sachs family conference! I know you have all been anxiously waiting- ha, ha!

We packed our minivan full and left Maryland Wednesday at 2pm and made it all the way to Savannah, Georgia. We stayed the night in Savannah and the next morning took a quick tour around the town. I would really like to come back to Savannah. I love old southern towns. Beautiful houses, trees, flowers, southern restaurants, etc.

Thursday we drove to Tampa and settled into the Tampa Marriott Waterside Hotel and Marina. Well, more like we dumped out stuff into our room and took off for dinner! We were happy to see Dr. Tifft, Carmen’s geneticist, and Stephen and his family (an adorable little boy with GM1-Gangliosidosis, who lives 10 minutes from us). We had a wonderful dinner (ribs and chicken) and met a few families.

This year 19 children with Tay Sachs or a related disease attended the conference. Along with parents and siblings, some grandparents, aunts, uncles and friends also attended. I was pleased to also see that so many families come back to the conference each year, even after their children pass away.

Friday morning we met the other families in an emotional parents’ session. This session was made up of both families with living children and ones who have already passed away. Each family told their story and many tears were shed. I felt like I was in the presence of greatness. Great strength, compassion, perseverance, and love. These are parents who have become true Tay Sachs experts and medical care. Oh, and they could probably teach a class on fighting insurance companies too!

Friday afternoon we attended a round table discussion on the research being conducted to find treatment and ultimately a cure for Tay Sachs. I think the conclusion is that in 3-4 years a drug may be available to break down gangliosides, the fatty stuff that builds up and causes the extensive brain and spinal cord damage in Tay Sachs patients. This time-frame would be best case scenario. It may take much longer to find a cure but we can always hope!

During the day on Friday, Lauren went to Kiddie Corp, the camp for healthy siblings. Lauren had a blast! As soon as we would pick her up for lunch, she was ready to go back! The kids played games, made crafts, watched a movie, etc. Carmen stayed in the nursing care room. A group of fabulous nurses volunteered to care for the children. I picked up Carmen after the morning session, and she was lying on the bed with Rachel, a 9 year old with Canavan Disease. I wish I had taken a picture or videotaped the moment. Carmen and Rachel were facing each other and Carmen’s hand was touching Rachel’s face. It was a precious moment. One of the nurses, Franci from Alaska, spent a lot of time with Carmen and we hope to keep in touch.

Friday dinner was the only meal not provided by the conference so we ordered room service and put the kids to bed! Lauren usually goes to bed by 7pm and desperately needed a good night’s sleep! My usually calm, happy child was having massive meltdowns!

Saturday morning we kept Carmen with us and attended a discussion/presentation on symptom management. We watched a video, Cameron’s Arc: Creating a Full Life about a family who chose less intervention for their daughter. This video really spoke to me. I often question how much medical intervention is too much. After the video, Big Elise’s (a 5 year old with Tay Sachs) nurse spoke about the therapies and equipment used to keep Elise alive and comfortable. I was happy to learn more about the treatment options. It is very hard because part of me wants to use everything possible to keep Carmen with us. But, I think about Carmen’s future quality of life and the reality of Tay Sachs. As of now, our goal is to keep Carmen comfortable and we will use what therapies accomplish that goal.

During the symptom management class, Eric and Nicole, Rachaeli’s parents held Carmen. Rachaeli is a beautiful 5 year old with Tay Sachs. We enjoyed getting to know this lovely family. The conference truly would not be the same without Eric’s philosophical comments and wit and Nicole’s quite, steady calm. www.rachaeli.com.

Saturday afternoon, Dave took Lauren swimming and I went to another parents’ meeting. After the meeting, we went to a Celebration Dinner. I spent some time talking with Little Elise’s (a 3 year old with Tay Sachs) mom. A few weeks ago, I saw a picture of Elise on her website with a Critter Piller neck pillow. I ordered one for Carmen, a pink puppy, and it works fabulously in her Kid Kart.

Sunday brunch we said our goodbyes and took lots of pictures. It was sad to say goodbye. This conference was the one place where our lives are “normal.” We met many wonderful families and to each family, thank you for sharing your story and your children. If I try to name each of you, I am sure I will leave someone out so I will just say thank you.

Thank you also to the families who brought gifts. RJ’s mom gave Carmen a stuffed horse with an RJ pin, Rachaeli’s dad gave Carmen fuzzy socks, PJ’s dad brought pillows with a hole cute out for ears (PJ’s mom made the pillows), and Dakota’s dad gave us a short pole to attach her feeding bag and pump to a stroller (Ken made these himself!).

I want to close my Tay Sachs Family Conference summary by thanking Mario and Marlin, Bryan’s parents from Guatemala. Mario and I have been emailing back and forth for several months. A while back, Mario offered to try to find Carmen’s birth mom to tell her about Carmen’s disease and that she is a carrier. If Carmen’s birth mom was to have another baby with Tay Sachs, AB Variant, she would know what was wrong. I prepared all the paperwork that might help Mario find her and Dr. Tifft wrote a letter explaining the disease. My friend Milagros translated everything into Spanish. I filled a photo album with pictures of Carmen and our family for Carmen’s birth mom. We gave everything to Mario and Marlin and as Marlin looked at the photo album, she cried. Thru a translator (Ruben, RJ’s dad), Marlin said that Carmen would not have had care in Guatemala and how happy she is that Carmen is with us. Marlin and Mario have been thru so much. Their older son passed away from Juvenile Tay Sachs and now their precious younger son fights the disease. Yet they have smiles on their faces and huge hearts. We told them we would like to give them some money to help with the expenses of conducting a search and Mario said no, we are family now. So, to our new family, thank you.

Home!

We are HOME! Carmen was discharged this afternoon. She sounds like she is in horrible distress but her heart rate is back to normal and oxygen levels are fine. She took an afternoon nap and was at 99% oxygen and 100 heart rate, which is fabulous! We are to keep her away from other children until she is cleared by Dr. Pedreira so I will take her back to the doctor on Monday or Tuesday.

Thanks to Michelle for dinner and to Claudia and Eric for the yummy cake! I can see why that is your favorite German dessert!

I can’t remember if I mentioned that my father-in-law is here to help with Lauren and whatever we need. He is always ready and willing to jump in the car and drive 6 ½ hours from New York to help us. He is a huge help and Lauren LOVES having her Grandpa here to play tea party and tent and Prince and Princess. Thanks Doug!

I will be typing up a summary of our Florida trip to the NTSAD conference (Tay Sachs conference) and to Disney World, so stay tuned!

Update from the Hospital

Carmen is doing much better today and might go home Saturday or Sunday. The doctors are weaning her off the oxygen and she is doing well. She has slept most of today which is good. Yesterday she was so restless she could not relax but today she is much calmer.

Last night Carmen had a 25 minute seizure. We (a nurse, doctor and me) watched her carefully. She did not seem uncomfortable and was not in distress, so we waited it out. We could have given her Valium to stop the seizure but we did not want to further compromise her respiratory status. Carmen has an appointment Friday with a white matter specialist neurologist so we hope to get her on a seizure meds cocktail to control these long seizures. Right now she is just taking Keppra for seizures.

Carmen will be seeing an ENT shortly after discharge. Looks like we will be able to get her in quickly (being in the hospital always speeds up appointments!). Her stridor (loud, high-pitched breathing noises) is getting worse. From what I have seen, Carmen seems to have more of a problem with this than other Tay Sachs children.

I am also hoping we can push forward with getting The Vest approved by our insurance. The Vest is basically a more effective way of doing manual chest physical therapy to loosen up junk in the lungs. Once the mucus is loosened up, it can be suctioned out. The Vest is a modest $16,000 (ouch!).

Pastor Joey came to visit Carmen this morning. We had a wonderful visit. I think I looked frightful in my pajamas and with my wild hair mess! Oh well, humility is good for the soul, right?!

Thank you to Kobe for dinner! We really enjoyed that taco meat! And, thanks to Indira for taking Lauren for a playdate today. Thank you to Karen for taking Lauren yesterday. She said you fixed her hair!

I want to also thank Dee, my friend who also adopted a little girl from Guatemala. Wednesday after Carmen was admitted, I rushed home to get some clothes for the hospital. Lauren was falling apart tired and in no mood to let me get anything done. A package had come from Dee so I opened it and Lauren had a blast playing with all the girl stuff from Dee! I was able to pack everything up and could hear Lauren happily organizing all of her new treasures and playing make-up! Thank you for the jacket for Carmen. We have had some wet, windy days lately and this fits her perfectly.

Thank you for all of your prayers for Carmen! They are working.