Saturday, April 2, 2011

A New Normal

We all have hopes and dreams for the future, particularly for our kids. We long to see them happy, healthy, and ready to conquer the world. As a parent I have endeavored to guide my children and give them the tools they need to face life head on.
I have two remarkable daughters. My girls came to live with me at the ages of 11 and 8, and I was given the amazing privilege of adopting them. For their own privacy I have chosen to give them pseudonyms for my blog posts. My oldest is now 17 and she is Percy because she has an amazing spirit of perseverance. My youngest is 13 and she is Miss B because she is one of the bravest people I know.
Right now we are facing an unexpected battle. Just recently Miss B was diagnosed with Juvenile Primary Fibromyalgia Syndrome (JPFS). I, myself, have lived with both Lupus and Fibromyalgia for the last 12 years, however I didn't even know children could have fibromyalgia until a month ago. It is one thing to deal with chronic pain as an adult, its a whole different game when it's your child who is suffering.
In the last few weeks I have spent a lot of time scouring the internet and books looking for information about JPFS. There are plenty of sites about the symptoms and diagnosis, but very little about day to day living. I need to know how to help my child cope with unrelenting pain. I need advice from other parents on when to push and when to step back. I thought I knew what pain was living with chronic conditions myself, but I have quickly come to realize that what my daughter is facing is much more severe than anything I've dealt with.
There hasn't been a day since the beginning of January when Miss B hasn't lived in pain. It has become her ever constant companion. She loves basketball but had to quit the team. Sitting in class or crossing the school campus have become difficult chores. When school is over she frequently comes home and goes straight to bed. Along with pain that starts in her back and radiates out to her limbs, she also has an ever present migraine level headache. Too much light or sound stimulation can cause episodes of dizziness and vomiting. Mornings are difficult, some days she wakes up crying because the pain is so intense. She has not been able to go to school 5 days in a row since January. (A year ago she had perfect attendance and the year before that she missed only one day of school). Her senses of sight, sound, smell, and touch seem to be on a 24/7 overload. We have had to buy darkening curtains for both our living room and her bedroom. She spends lots of time alone in her bedroom because she needs a quiet dark place. It kills me as a mom because I'm unable to provide any comfort. The lightest pat on the back or rub on the arm evokes a sharp, painful reaction. I just have to say, when hugs hurt, something is just plain wrong.
In January we started the long procession of doctor's visits. We started with our primary care doctor who initially thought the pain was a result of Miss B not liking school. I was quite mad when I left the doctor's office that day. Although I'd be the first to tell you that Miss B doesn't exactly love school, I can also tell you I know my daughter. What we're dealing with is independent of Miss B's lack of enthusiasm for school. We then had a couple of visits with an orthopedist. He was the first to suggest the JPFS, and he referred us to a chronic pain specialist. Last week we finally had our appointment with the chronic pain doctor. He confirmed the diagnosis of JPFS and agreed that her case was severe. The bad news was that he is retiring, and he would be unable to treat her. Because of his impending retirement he wouldn't even prescribe medicine because he would be unable to monitor the effects. 
So now we have a diagnosis, but we still, after three months, have no treatment. I know from my own experience that once pain is allowed to get out of control it is very hard to reign it back in. I fear for Miss B that even once we find another doctor and start a treatment plan it will still be some time before the pain can be tamed.
That brings us to the real problem of the moment. Here we are three almost four months after I realized we had a serious problem and there is still no treatment for Miss B. Do you know how frustrating that is? I spent several hours on the phone this past week trying to locate a pediatric rheumatologist that would treat JPFS and take Miss B's insurance. (She also needs a neurologist for the migraines). After many, many phone calls I found one. You read that right, one. He's in a neighboring state and we will have to apply through a Shriner's Hospital to get an appointment maybe in June. That would be three more months with no treatment plan. In the middle of the phone calls I just stopped and cried for a few moments. I never knew getting my child the help she needed would be so hard.
I don't think I have felt more alone in my life than I have the last couple of weeks. I feel like the lone warrior standing on the battle field trying to project my child. Her protector, her advocate, her cheerleader. I love Miss B with all my heart. I tell her that she and her sister are the very breathes I breathe. These last few days I have felt so helpless, so inadequate. I can't relieve her pain and I can't get her the help she so desperately needs.
In January my pastor was talking to me about crisis. He said after a crisis comes a new normal. You take what's happened and you weave the experience into your life. Things won't be the same, but you will find a "New Normal." Lately I have felt like each day is a new normal for our family. We are trying to adjust. Priorities have changed. Routines have changed. Life has changed. 
One thing I don't want to lose sight of as we walk this journey is HOPE. I chose the title Hope Matters for this blog because, well, it does matter. My goal for myself and for our family is to remember to love, to laugh, and to hope. My mother has always quoted Jeremiah 29:11 to me. For I know the plans I have for you,” declares the LORD, “plans to prosper you and not to harm you, plans to give you hope and a future. Now I hold on to the same promise for my own daughter.

3 comments:

  1. Sharon, I am so sorry to hear of the struggles and pain that you and your daughter are battling. I hope that someone hears of your great need for support from the medical professionals and that they are able to help you soon. Your love for your girls sounds so strong, you are a great mom!

    Erin (Bartholomew) Lohmeier

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  2. I tried to post this earlier, but there was some error... I'll try to re-capture what I was trying to say...

    I like this version of this verse...
    Jeremiah 29:11 KJV "For I know the thoughts that I think toward you, saith the LORD, thoughts of peace, and not of evil, to give you an EXPECTED end."

    So, I'm expecting healing for your girl--and you--and me, since we are seated with Jesus in heavenly realms (Ephesians 2:6) and given an inheritance that we're supposed to use according to His will (Ephesians 1:11) to glorify Him (v.12).

    I'm expecting:
    17That the God of our Lord Jesus Christ, the Father of glory, may give unto you the spirit of wisdom and revelation in the knowledge of him: 18The eyes of your understanding being enlightened; that ye may know what is the hope of his calling, and what the riches of the glory of his inheritance in the saints, 19And what is the exceeding greatness of his power to us-ward who believe, according to the working of his mighty power, 20Which he wrought in Christ, when he raised him from the dead, and set him at his own right hand in the heavenly places, 21Far above all principality, and power, and might, and dominion, and every name [JPFS] that is named, not only in this world, but also in that which is to come: 22And hath put all things under his feet, and gave him to be the head over all things to the church, 23Which is his body, the fulness of him that filleth all in all." Ephesians 1 KJV

    I'm expecting the worldly king over pain (Babylon) to be bound to all those in collusion with him, beheaded, and caused to fall (which sends the minions scattering!) at the very mention of the name of Jesus over us, "12For we wrestle not against flesh and blood, but against principalities, against powers, against the rulers of the darkness of this world, against spiritual wickedness in high places." Ephesians 6 KJV

    For:
    As it is written: “See, I lay in Zion a stone that causes people to stumble and a rock that makes them fall, and the one who believes in him will never be put to shame.” Romans 9:33 NIV

    Jesus said, "12 Very truly I tell you, whoever believes in me will do the works I have been doing, and they will do even greater things than these, because I am going to the Father. 13 And I will do whatever you ask in my name, so that the Father may be glorified in the Son. 14 You may ask me for anything in my name, and I will do it." John 14 NIV

    And to make sure we heard, Jesus said again, "whatever you ask in my name the Father will give you" (John 15:16 NIV).

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  3. Thank you for sharing. I don't want you to think that I have any great advice to share because I know nothing about what Miss B and your family have been through...You are a smart woman who has a mother's love for her family and knows about pain. You obviously have been dealing with tons of paperwork regarding doctors and insurance...so forgive me for perhaps stating the obvious. We have to be the voice for our children when they don't have their own regarding their medical needs. This has got to be such a horrible thing to be going through for everyone. If you have not asked yet the retiring doctor if he would pull strings and contact the doctors office you want to be seen at, sometimes this can get you seen sooner. One doctor to another is seen as a professional courtesy. If you continue to call the new doctor's office on a weekly basis to see if an earlier appointment has opened up, your persistence might just get your daughter worked in. Sadly it often is who you know when it comes to getting put into the schedule. If you are nice to the nurses- they are the gateway to the doctor. These doctors work new patients in all the time in emergencies. At least you have a diagnosis now and you can move forward. It is frustrating, sad, and incomprehensible that we have to sit idly by watching our kids be in pain like this for days, weeks and months and not be able to get them the help you know that they need.
    It took us almost 4 years to get our son to be diagnosed with Crohn's disease. It was baffling and his symptoms would be gone by the time we would get into see a specialist. His particular diagnosis is chronic, acute, and limited- essentially a small area is severely affected causing his ileum to be swollen shut and he would throw up, non stop for 24 hours until there was nothing left in his system. The ileum would on its own return to normal and he would feel ok in a few days. Our son was away at college, had an acute episode, knew he needed iv fluids and went to the emergency room where a gastro specialist knew what tests to do, immediately admitted him and he "saw" what was happening while it was occurring. Fortunately there is drug treatment for him and his life has been given back to him.
    I wish this for your daughter too. Good luck and keep us updated.

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