The Battlefield
9:57 AMMy family has a relatively strong military history, and one of the keystone lessons I inherited from this legacy is the fact that you never walk away from a battlefield until every brother an sister is also off of the field. If you are blessed enough to walk off of the field unharmed, you go back for those still fighting and for those who have been wounded. Leaving fighting and fallen brothers and sisters behind is incomprehensible. I believe that this deeply rooted belief is part of the reason that from such a young age I knew that I had to be a special education teacher and there was no other occupation on earth that would be right for me. Of course, this was on a subconscious level and I also delighted in working with children with special needs and the requirement to constantly think creatively and the opportunity to celebrate every tiny step. But I also saw, and still see, in each child what I could have and, according to medical science, should have been. I see my brothers and sisters who are still on the battlefield fighting for equality, for respect, for access, for appreciation of their incredible Abilities, for people to believe in them, for a world without labels, for a chance to just be children. I can not walk away from my fellow soldiers, I can not abandon those who are fighting the same fight and those who are being lost to an ignorant society.
I was born in August of 1981, and other than a bit of drama when my police officer father suddenly remembered his revolver in the delivery room and decided to pull it out to ask the doctor what to do with it (I never claimed he is calm under pressure) all went well. From all appearances I was a healthy, vocal, and very bald baby girl. When I was five months old my mother had rocked me to seep in the downstairs living room while watching a movie on TV. My nursery was upstairs, but she dd not want to miss the end of the movie so she laid me down on a blanket on the floor. As she watched the movie, at her feet I quietly and without struggle ceased to breathe. With movie credits rolling, she bent over to pick me up and discovered a blue-gray baby with no respirations and no detectable pulse. Thankfully we lived in a very small town and within a short period of time following what could only be a horrifying 911 call volunteer rescue workers were holding my life in their hands. Over the next 6 months these volunteers would come to know me very well, and whenever a call for my apnea came in they knew exactly who it was and what was necessary. One even very calmly and rationally told my mother that she could either leave the front door unlocked or he would remove it from its hinges should it ever be locked when he arrived on a call because "his baby girl" was on the other side of that door. He did not have the nickname "Moose" by accident.
After that first severe apnea event I underwent extensive testing, seeking any cause for me to suddenly stop breathing without warning. Finally the only diagnosis the doctors could offer was severe apnea, "Near Miss SIDS" (Near Miss SIDS because had my mom not found me in time I would have died and it would have been attributed to SIDS). I was discharged with the early 1980s apnea monitor which compared to modern technology is as high tech as pong compared to wii. I seemed to average 3 alarms thst required emergency support a week, and my poor brother learned to sleep through the chaos. However, the apnea machine was not portable in that it could not be used during travel. Someone had to use superhuman powers to watch and make sure that I did not fall asleep and stop breathing. The problem is we are all human.
My parents had been brave and taken my brother and I over to the house of their friends. With a fragile infant they rarely got to go out anywhere together, and forget a babysitter! They ended up accidentally staying out later than anticipated and I was sleepy. My amazing, incredible brother did all he could at the wise old age of 6 to keep me awake but he was exhausted too and was soon overcome with sleep. Every fer minutes my mom turned around in the death trap of a Jeep that my father insisted on owning (removable doors? all the better! Canvas roof? perfect!). somehow in one of those gaps I fell asleep and ceased breathing. By the time she noticed, I was a limp, purple-gray rag doll without a pulse. In 1982 there were no cell phones, so calling for help was impossible. She tried to do CPR in the front seat of the Jeep while my father set new land speed records driving to the nearest hospital. My brother slept, so used to chaos. When they came to a screeching halt in front of the ER my mom ran inside screaming "my baby's not breathing" and then literally threw myy lifeless body over the counter to a doctor who was standing there trying to figure out what the screaming was all about. He gets bonus points for a decent catch.
The doctors spent hours trying to stabilize me, and they were able to attain respirations and a pulse but I was still very precarious. Even though I was now alive again, the greatest fear was damage sustained by my brain. When the ambulance arrived to transport me to the Children's Hospital, the emergency room doctor came along with me in the ambulance because he believed that I would crash again before I reached Children's and it would require more than the skills of a paramedic to have any chance of bringing me back. At Children's Hospital they achieved physical stability and assessed my brain functioning. I should add that at the time this was the very best Children's medical facility in the state, and among the top in the region.
The doctors called my parents into one of those little meeting rooms that just constantly weep grief from other "talks". In no uncertain terms the doctors informed my parents that based upon every test available I had suffered massive, irreversible brain damage. This damage was so severe that it was going to be terminal before my first birthday and that during my remaining time I would just continue to suffer longer and longer apnea episodes. Even if I somehow made it to my first birthday I would be so profoundly brain damaged that I would never attain any skills beyond those I had attained before this apnea episode. They then suggested that my parents sign my care over to the hospital for the remainder of my life because it would be such a tremendous burden, and that they allow the hospital to be responsible for my treatment for the remainder of my life. To reassure my parents, they were encouraged to have another child because they were still young. My mother firmly informed the doctors that I was not a car that you return to the dealership when it is damaged and then you just go get another one to replace it. I was her child and she did not give a flip about how "damaged" I was or how hard it would be to take care of me. I was coming home with them and until the time of my discharge they had better do everything to keep me alive.
I continued to have severe apnea episodes until right around my first birthday when it seems my brain finally was able to make the necessary connections to regulate breathing during sleep. After discharge from children's I continued to meet every developmental milestone right on time, except for some delays in motor skills. When I was talking in complete sentences before I turned 2 and began reading at 2 1/2 my parents were reassured that brain damage was not really anything to worry about. I entered Kindergarten reading chapter books, doing 2-3 grade mathematics, writing multiple page stories on a typewriter, writing poetry, and concerned about issues like poverty and discrimination. My motor skills were delayed growing up, but nothing that limited my access to play with my peers. When the public schools tested my IQ to determine what form of gifted services I would require, I definitely did not demonstrate brain damage as I tested very well.
According to all of the testing and some of the best doctors available I was given a diagnosis of profound and terminal brain damage. There is no medical explanation for why I survived with so few signs of these prolonged periods without oxygen to my brain, and why I lived when other infants did not. I was given a gift and I have a need in the depth of my soul to use it wisely and to make a difference. I can not walk away from the children who were not allowed to escape, who are still fighting, who are the most amazing, most brave, strongest, most individual and willful, wanting to claim their place in this world, that I know. You never leave your brothers and sisters behind.
House Call
7:52 PMUncharted Territory
2:52 PMSo as I grew up and was handed medical diagnosis upon medical diagnosis, it was familiar territory to me. I accepted it, learned about it, took control, added to my medicine cocktail as needed, added a new doctor as needed, and kept on living my life. No one could ever tell from looking at me that inside I was a war zone of chemicals and misguided immune cells and misspelled DNA and miswired parts. I never experienced any real grief or sense of loss because I had never known any other life. It was just another lemon to toss on the theoretical pile for that lemonade someone was going to make and my life was not interrupted. I coped so well because it was life as I knew it and it never changed any critical aspect of my life or my ability to live as I wanted.
So this illness is uncharted territory for me in so many ways even though I have been doing the Medical Mambo since infancy. This illness has radically, and suddenly changed almost every aspect of my life. I can not keep it hidden and it is immediately evident to someone seeing me that there is something "different" about me. I can not yet take control over this illness, and the medications are not treatments for it but treatments for its symptoms. I can not even truly educate myself because it is a rare diagnosis of symptoms, not cause. For the first time I have had to deal with the grief, the loss, the mourning, and the anger that comes with a serious illness that disrupts your life. However, since I am used to just going on as normal I become quickly frustrated when I become angry or sad or long for how things used to be. I expect myself to just "suck it up and deal". Nothing prepares you for something like this, not even 26 years of living in a medical world. There are days when my view is very positive, and there are days when I am more melancholy. There are times when I just want this to all go away, and times I feel as if I have adjusted really well to this entire new life. There are times when I can see all of the positive things I have gained from this experience, and times when the losses seem more overwhelming than the amazing blessings. Almost a year into this it is still uncharted territory and something I thought I would have been better prepared for, but find is a strange and foreign land that I travel through. It has its own unique beauty, moments that take your breath away, and it has its own rough terrain but it is unlike anything I could have ever imagined. After all, none of those baby dolls ever came with a wheelchair!
A Gray Day Indeed
11:27 AMI am frustrated at this point, because it seems like whatever this monster is refuses to give me any chance to enjoy even a shred or normalcy before it starts to attack again. I am angry that this just goes on and on, and that it continues to be such a defining feature of my life when I have a different life I want to be living. I am scared because we can not identify this monster and we can not predict what it will do or figure out a way to fight back. I am worn down from almost a year of this without any respite or end in sight. But most of all I am choosing to remain hopeful and to have faith that God is in control, and that all that I do not know is known to him and that all that seems random chaos to me is being made into perfect glory by him.
Wheelchair Etiquette
10:56 AMMs. Emily Hell On Wheels Guide to Interacting With People on Wheels'
1. My IQ did not become cut in half the moment I sat down in my wheelchair. Please do not speak to me as if I am completely unable to follow a basic conversation. And for the sake of everything sacred and holy enough with the baby talk - that high pitched voice and overly false excited tone that even toddlers hate is just rude. In other terms, "Excuse me, but does this wheelchair make my brain look small?"
2. I'm in a wheelchair, not hearing impaired. There is no need to yell when you talk to me, unless it somehow makes you feel better to look really ridiculous.
3. I'm down here. Talk to me, not to whomever I happen to be with. It is unquestionably rude to ask the person I am with questions about me when I am sitting right there as if I can not hear you because I am a foot or two below your eye level. Remember, I am at the perfect height to ram into your legs "accidentally".
4. Think before you open your mouth. A brief list of comments I am so tired of hearing is as follows:
* Oh, did somebody forget you? (Yes, just like you forget a purse someone forgot a 28 year old in a wheelchair on the sidewalk. Ugh! I hear this one when I am waiting for the bus "without adult supervision")
*Who is here with you? (Gasp! I can go places all by myself without adult supervision - they do let us out once in a while!)
* You sure drive that well. (Why thanks, you sure manage walking with those legs well too!)
* Oh you poor thing... (Save the pity unless you are making a cash donation)
*Why do your feet point the wrong way?/Why are you so knock kneed and pigeon toed? (I don't mind questions about my disability, but tact people! I usually answer that I am studying ballet.)
5. Ask before pushing my wheelchair, even if it looks like I am having a hard time. Having someone suddenly start pushing your chair is very much like having someone suddenly pick you up and start carrying you somewhere. I don't like being pushed around.
6. Please ask questions, and ask instead of staring. Allow kids to ask questions. Education is always better than fear or ignorance or stereotypes. I promise I don't bite...much. :)
7. If you see me struggling with a door that is not wheelchair accessible, would it kill you to open the door? Karma people, Karma!
8. Remember that while I may use a wheelchair, I am still a 28 year old woman with dreams and wishes, thoughts and opinions, wisdom and insight, worth and value, and desires and hopes. I just happen to access the world by using wheels. Most of all, remember that in a heartbeat you could be me and how would you want to be treated.
Go Away Big Green Monster!
10:11 PMSo how come when I yell at this big green monster that is constantly lurking just behind me, he only laughs? I tell him to go away with his spasticity, with his pain, with his sensory loss, with his contractures of my feet, with his dysphagia, with his fear and intimidation but he just laughs. This Big Green Monster has the power of the word progressive, and I can't seem to use the skills of talking away my fears or rationalizing them away to make him go away. In September of 2008 the monster was nibbling at my toes and feet, by October he was also contorting my stomach with dysphagia and nausea, by December he was grabbing at my ankles with abnormal tone and my pulling at my legs with weakness. By January he claimed my feet and was steadily working his way up my legs. By May the EMG testing demonstrated abnormalities throughout the nerves of my legs. Now the monster is impacting my bladder and trunk muscles. Go AWAY Big Green Monster! GO AWAY! Can we call a truce, you stop where you are and just go away? No more loss of sensation, no more loss of movement, no more increased pain and fatigue, no more loss? No more Big Green Monster?!?
More Questions Than Answers
10:42 AMAnyway, my team of three all star neurologists have finally achieved the holy grail. I have a medical diagnosis. Wait. We have a diagnosis but it is a diagnosis of symptoms and not cause. Drat it all, that is not the holy grail. That is a bronze medal perhaps. Well, anyway at least they have achieved something no one else has been able to achieve since I first started showing symptoms way back last September (they were very mild then, and then rapidly progressed). The official name given to this monster is Progressive Spastic Paraparesis/Paralysis. Actually, to get more official it would be Idiopathic Progressive Spastic Paraparesis/Paralysis. Idiopathic meaning cause unknown, although we are still methodically working on trying to find the cause. However, since I am missing half of my family's genetic and hereditary history we face a daunting task of trying to piece together genetic possibilities. On my father's side of the family the only information we have is about my father, his mother, and his half sister. Not a lot to go on there when working with mystery diseases. We are also looking to see if the issues that have been present since birth with my immune system are to blame. The diagnosis itself can be broken down further to make it easier to understand. Progressive: it began way back last September with my feet suddenly starting to rotate outward, as noted by the physical therapists I taught with, then progressed to include dysphagia from the dysautonomia, and major foot deformities, and sensory loss now up to my knees and oddly while I have my standard poorly developed fine motor skills the sensory loss is mirrored in my hands and arms, and I also now have sensory loss in banding along my back and trunk. Spastic: my muscles have too much tone in them, causing them to become tight and to contort into abnormal positions, leading to the deformities of my feet, the inappropriate rotations at my knees, and the inward rotation of my hips, also leading to painful spasms of the muscles. Paraparesis: weakness of the lower extremities, also is impacting my trunk muscles up to about rib level. Paralysis: loss of proper functional movement and sensation of my lower limbs. What we do know is that it is a spinal cord and nerve issue as the EMG demonstrated no deterioration or dying off of muscle cells but clearly demonstrated that my nerves could not properly conduct the signals to the muscles of my legs - instead of a steady smooth signal to move it came through in broken up little bursts. Now the questions remain - what caused this? How far exactly will a progressive disease progress? Should someone have caught this sooner and prevented the major deformities of my feet through bracing them? Does this connect to the dysautonomia I was born with, and if so how? If not, how was I so lucky as to end up with both of them? Can I hope for improvement or should I just hope now that things remain stable? How do you explain a rare disorder to someone when not much is known about it and the cause remains a mystery?
Thunder, Lightning, and Rainbows
2:45 PMThe spinal tap was just as delightful as I had anticipated, but the doctor was skillful and truly did his best to try and make it less painful. However, I must say that I heard thunder when he told me I had to roll over onto my side WITH THE NEEDLE IN MY SPINE. When I mentioned that I was not so sure about this idea, he promised not to touch the needle - while this assured me I would not experience the shooting pain that came every time he touched the needle, it did not assure me that the needle would not move as it hung out in my spine as I turned over! The brand new resident whose other jobs were limited to cleaning my back with betadine, helping move my legs, and standing in the corner asked if there was anything he could do to help me. "Yes, you could remove this needle that seems to be stuck in my back" I replied. He was not sure how to respond, so he answered "I am not sure that would help you". "From this perspective it sure seems like a good idea!" He needs to work on a sense of dark humor. Once I was on my side, the radiologist doing the spinal tap announced that, joy of all joys, he needed to put the needle in further. I'm sorry, are we doing a spinal tap or piercing my belly button? After shouting "ouch", he promised the needle was in and that he would not touch it again until he removed it. Unfortunately, they apparently needed enough fluid to fill a child's swimming pool as it took 15 minutes to collect all of the vials. God bless the nurse, she told me they had ordered a large number of vials because of the many tests they wanted done but that she was going to collect a little extra and request that all unused fluid be stored and saved so that if the doctors decide they want to run more tests they will have spinal fluid without torturing me, um having me undergo another spinal tap. Oh, and to get the fluid to drain out I was elevated on this table that looked like a modern day electronic version of the ancient tilting rack. Their assurances that I would not fall off because there was a block at my feet would have been more reassuring if I were able to feel said block at my feet!! Ugh!!
So after spending 4 hours hanging out in the recovery room flat on my back, with a bandaid on my back and a bandaid on my butt from the shot of zofran I needed to tame the tantrum my dysautonomia threw at the invasion of the spinal needle, I was allowed to lie in the back of the truck to go home and lie flat for the remainder of the day. My bag was still missing, even after my dad had walked along the road near where we found my wheelchair and could find no signs of it. I was fine with it, and just thankful that my iPod and phone were in my backpack along with most of my critical medications. Again, so God and so not me. When I got home and was changing into pajamas to serve out my flat on my back sentence, my cell phone rang. It was Target pharmacy calling to tell me that someone had found my duffel bag and because I had a bottle of medicine with my name and their pharmacy number on it they used that as a way to locate me. They took my bag to the local police department where my father picked it up with all contents intact. Every pill, every syringe of lovenox, every item of clothing, every everything was there. It turns out a nurse on her way to work saw my bag right after it fell and stopped to pick it up before anyone else could steal it. She had to take her child to daycare and then go to work, but when she went through the bag looking for identification she saw my medication and knew I would need it as soon as possible. She never left her name, and I have no idea who she is other than the rainbow at the end of a day full of thunder and lightning. And reassurance that there are still amazingly good people in this world who do kind things without seeking reward or accolades, but just because it is the right thing or a good thing to do.
Victoria's Not So Secret
8:43 PMIts Alive!!
12:16 PMPrice Check
12:43 PMCausing Trouble
11:03 AMCellulitis from bug bite last summer in Pittsburgh one very hostile insect
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7lb French Kissing Bandit
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HOT!
7:46 AMMama Said There'd Be Days Like This
2:36 PMMy birthday cake
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Short Birthday Note
10:18 AMA good stab in the back
8:52 AMA Battle of wills and plastic
10:42 AMI hate mysteries
10:11 AMBaked apple stuffed with raisins and cranberries in a cider sauce
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Never dare a Redheaded German Man That He Would Never Do Something
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He french kissed me and his breath smelled like his rear end - not my type!
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Thursdays Fresh Vegetables in sauce over rice
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French Kissing Poodle
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Pan seared turkey breast in fresh cinnamon orange sauce w/ steamed squash side
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