29 September 2004 – Letter to Erica- Why Us? Why NOT us?

Dear Erica,

You have been SO helpful to me the last couple of months. I do so thank you for that. I do feel very blessed to have found out what is going on with Virginia so early. If we can prevent her from long- term suffering by enduring some short-term suffering, I will be so grateful. It must be very bittersweet, not wanting to rush your daughter's childhood or wish it away, and yet waiting for her to hurry up and finish growing so you can help her physically with decompression surgery. It just isn't ever easy, being a parent, is it?

 

My heart just goes out to you about your saying you envy my faith though! Gosh, Erica. I do not know how anyone can bear dealing with this without faith. I am pretty confident that it's God who is bearing me up through it all or I would just disintegrate into uncontrollable misery- my poor baby! I am not sure what you mean about using my belief to blame someone for anything.

 

Anyway, my point is- I believe that it is God's desire that we should be in relationship with Him. I believe we are created with a yearning to be connected to God, a God-shaped void in us that nothing but He can fill. People try and fill it with things that never, at the end of the day, can satisfy that longing. So NO, I do not think it is a sin to envy someone’s faith and peace! I think we are created to be attracted to/drawn to the Lord, who provides the peace, which passes all understanding. I am sure that God would dearly love nothing better than to fill you with the peace that passes all understanding as well, because I am confident that God loves you and created you, just as He did Virginia- with just as much care and individual concern and deliberation. That is what I believe.

 

I can definitely say that I would have no peace at all if I felt I were alone in this situation with only my own resources to draw on to deal with it. I hope you do not feel like that, because that sounds heart-breakingly painful and difficult, near impossible to bear, to me. Your circumstances sound terribly, awfully hard to me- and yet, I know that you are not alone, and I hope that you don't FEEL like you are alone.

 

As far as my not using my faith to “blame someone” for what is happening to my child… well, if one would ask why would God "do this to me" or "allow this to happen to me", one must also ask for God to explain Himself on all the other things He has done- why have I been blessed with a husband who loves, respects, and provides for our family? You know all too well how hard it is to be a parent alone. Why have I been blessed with three children who each warm my heart with joy and love? I am sure my friend who has been battling infertility for six years and whose husband won't consider adoption, wonders why she hasn't been blessed with motherhood when here I am with three beautiful, precious children- wonderfully made, all of them, health issues or not. Even a homeless man on the street here in Dallas is better off than most Iraqi citizens- why were they born there in this time in history, when people are dying just going about their business and there is little to hope for other than staying alive another day?

 

I do not mean to belittle what I am facing or how daunting/overwhelming it is to me, because it is. I am no hero, you know? I just know I do not "deserve" so many of the blessings that I am showered with, nor do I  “deserve" health problems of my children. I do not ask God to account for why I experience certain challenges and not others, nor do I take for granted the many ways I am blessed beyond any possible "just desserts" I could have earned. Who can question why the Lord gives and takes away as He does, or begin to know what His purposes are?! His thoughts are not our thoughts. I do believe the ultimate ends are to our benefit, though, even when we can't see how it could ever be beneficial through our own human eyes/understanding.

 

I believe that the number one purpose for which I was created was to love and honor God- there are many other purposes to my life, but they are secondary to that one. As long as I am "succeeding" in fulfilling my primary purpose, I will have peace and strength- even in the midst of tears, pain, or fear- to face all the secondary purposes, like being a good wife and mother, my professional development, being a good friend, being a good community member/citizen, etc. I am not perfect at this- but when I can stay where I need to be, in right relationship with the Lord, the rest of it will all work out eventually.

 

Boy, am I ever glad I am not Abraham, you know? The knife I am being asked to place to my child's neck is to her benefit. But as we learn from Abraham, trust in God, obedience and faithfulness are the only way to live feeling God's peace. At least, that has been my experience. By the way- I named my son Isaac, and true to his name, he makes me laugh every day, even when I am sad.

 

I will keep you in my prayers, for your daughter’s pain to be manageable, and for you to find peace.

Delilah

 

30 September 2004- Letter to Ginger- Second Opinion Plan Change

Dear Ginger,

Isaac asked me this morning, "What is surgery?"

I replied, "Well, it's when a doctor cuts you open, does something, then sews you back up."

"If someone cuts you open, you will die!"

"Well, if YOU cut someone open or if *I* cut someone open, they might die, but doctors learn how to do it so that they can help people get better instead of worse. So that's why when doctors cut you open and sew you up,

you don't die."

<long pause>

"I don't want any doctor to cut me open."

"Well, Isaac, I don't think you are having surgery any time soon, so that's all right."

<pause>

"I don't want Virginia to get cut open either."

"I know, honey. Me neither. But Virginia needs the doctor to help her with her headaches so she can feel better."

<pause>

"Mom, I was just praying to God that when the doctor cuts Virginia open and sews her back up, that God would heal her and she wouldn't have any more headaches."

"Me too, Isaac. I will pray that with you."

 

Isn't he the sweetest thing? Sigh.

 

I had a hard day.  I'm having an MRI tomorrow to rule out Chiari in myself (all the headaches, and lately the "whooshing" noise I hear and eye twitches.) I pray it's just chronic migraines as I have always thought, but the Chicago neurosurgeon's research assistant and I had a rather disturbing conversation today, when she mentioned people who do not have the genetic component seem to have better outcomes from the surgery, especially in regard to one surgery doing the trick, rather than needing additional surgeries... So I have to rule out that Virginia's Chiari is inherited (from ME).

 

I am claustrophobic, so I dread the MRI. The doc made me have a rectal exam (with as modest as I am, can you imagine? I thought I was going to hyperventilate, YUCK) to make sure my tailbone pain wasn't from some sort of growth (it wasn't), wanted me to take prescription meds for the spasms I'm having in my trapezius (um, stress, huh? you think?), wanted me to wean Virginia so I could take meds for the headaches... I was like “I just want you to write me a prescription for an MRI to make sure my baby isn't at higher risk for totally rotten complications with brain surgery, not all the rest of this!!! I can DEAL with the headaches, I have for years.” ARGH!

 

So pray for me to be calm and still and not panic-stricken tomorrow at 4:30 and please pray that I do not have this brain malformation myself. If I do, God is going to have to really step it up in the strength and peace department so I am not a basket case. Good thing He works on a supply/demand basis.

 

At least I'm done with the frigging rectal exam! OMG! (Good thing he did it on the spot, if he'd told me to come back for it, I would never have darkened his doorway again... um, and I think he knew that.)

 

I am going to contact the Boston neurosurgeon tomorrow if I can- wonder if I could get a second opinion from him instead of the Chicago guy. The research asst just really scared me, and made me want to slink back into my denial hole again. I have barely accepted that I have to think about my poor baby having surgery, I can’t yet fathom cases involving children needing 17 surgeries in 7 years, depending on the complications they experience when there is a genetic component. At least the guy in Dallas made me feel calm and hopeful about the outcome of surgery, when I was there. Maybe I should stick with him, out of network or no.

 

OK, sorry. I guess I needed to vent. I have been crazy on edge today. No wonder I have muscle spasms in my shoulders!!!

 

Delilah

 

1 October 2004 Letter to Laura- Hold On to Trust

Dear Laura,

We found out about the brain malformation the first week of August. I had noticed some "weird things" she did, but I don't rush to the doctor with every strange thing I notice because most things work themselves out... I mean, she was 15 months old before we started testing for the growth hormone deficiency, even though we suspected there might be an issue by the time she was ~10 months old... I always like to give the body a chance to heal without intervention if possible.

 

Anyway, when I learned about this brain malformation, it made a lot of the little "weird things" make sense... any of them by themselves were not terribly worrisome, but put together, we realized that they were connected to this problem. Virginia is very blessed that we have found all this so soon- many times there is permanent damage done before it is diagnosed, because it's such a rare condition, no one is looking for it... when the symptoms are still mild, people don't connect them (as we didn't) and dismiss them until they become more troublesome, (like when one starts losing feeling in extremities, etc., none of which Virginia can tell us yet, being only 18 months old but we don't think she has/hope she doesn't anyway...) Anyway, the upshot is that we found out the 9th of August.

 

Trusting in God's timing and direction is my definite goal, but in day to day living, I am like the Israelites of old... yes, you saved me from Pharaoh yesterday, but I'm thirsty today- what have you done for me lately?! My fears and daily struggle not to let Satan rob me of the peace that I know is mine for the accepting frustrates me with myself. But God will be sufficient and I pray that His glory will be strength in my weakness, of which I have plenty to go around!

 

I'm so glad you brought up the idea of us providing doula backup for each other. I think this will be great!

Delilah

 

1 October 2004 –Letter to Kurt- Second Opinion Plan Falls into Place

K,

I just spoke with Dr. Scott's assistant Diane in Boston- she said that if we get all the records (meaning, after the spinal MRI) and send it all to Dr. Scott including her charts and the films, Dr. Scott will review it all and call me to do a phone appointment and give us a second opinion for $250 without us going to Boston at all! And, if we decide to go to Boston for the surgery, then they just won't cash the consultation fee check. $250 would be a LOT cheaper than schelpping to Boston or Chicago... it would hardly cost more than seeing Dr. Sacco here did. She was very nice. She also said that for Dr. Scott, ACM1 surgery was like the appendectomy of brain surgery- a huge deal to us, but far less complicated than many of the types of operation he does regularly... etc. And since Dr. Frim and Dr. Sacco both trained under him, his opinion would be definitely worth $250, I think. What do you think?

D

 

2 October 2004 –Letter to Ginger- Her Chiari is random, not genetic- whew!

Ginger,

I had the MRI yesterday, it was very uncomfortable because of the position I had to stay in, I had muscle spasms and they had to retake a couple of the films- icky! But it was okay compared to how bad it could have been, and it's over. And the best part is that while I don't know enough to look at my films and give myself a clean bill of health LOL, I do know that I don't have ANYTHING like the crowding at my brain stem that Virginia has- wow, she has a LOT of crowding, now that I have seen mine. Sigh. No wonder the doctor said surgery.

 

I am not sure but my best guess is that indeed I just have migraines. Bummer to have migraines, but YEA, no Chiari!!! I will not totally breathe a sigh of relief until I get the radiology report on Monday or Tuesday. Makes it all so much more real, seeing mine and hers side by side... my poor baby's brain crowding! No wonder she has headaches. :-( Also when the neurosurgeon here showed me another person's film (no names or anything, just an example) who had developed a syrinx in her spinal cord from insufficient CSF flow, I was like "wow, her Chiari is smaller than Virginia's..." and he was like, "yeah." Sigh.

 

Thanks for helping me with the flyer.

Delilah

 

4 October 2004 – Letter to my brother- A Bad Chiari Day

Dear Daniel,

The most recent news, about which I have not sent an update, includes the fact that I went and got an MRI and do NOT have Chiari, which is WONDERFUL news and not only is it great news for me, it also improves Virginia's prognosis, because apparently there are some surgery complications that tend to occur more in people whose Chiari has the genetic component (hereditary) than those for whom it is more like a lightning strike. These complications are ugly. She could still have them, of course, but they do seem to see them more often in folks with the genetic component, so hopefully we will avoid them.

 

The next thing is that she has a new thing she did a couple times over the weekend that we found disturbing, which is she sat motionless and silent for ~25 minutes and ~15 minutes. If you spoke to her, she would move her eyes and barely incline her head toward, but not make any response at all- not shake head, nod, speak, scream, nothing. "Do you want a cookie?" (No response) "Come here, I'll pick you up <holding out arms>", (nothing)... etc. There was no TV in the room, nothing exciting or interesting holding her attention- she wasn't squirming, or anything. Just sitting. This is not normal behavior for Virginia- or for ANY 19 month old. She wasn't screaming in pain... but it was weird.

 

And yesterday, we had a pretty awful day, overall. She kept falling down, screaming, putting her head upside down (assuming the somersault position if you will), laying down on the floor and kicking her feet in the air, throwing up, and sitting in my lap sucking her thumb, off and on all day. Only brief moments of being "her normal self"- laughing, happy, fun-loving, naughty- never longer than 20 minutes at a time today. Days like today make me think that surgery can't come fast enough. Days like last Wednesday, Thursday, Friday make me think "why would I let anyone cut my baby anywhere, she's fine!" It's crazy the way sometimes she is seemingly so fine and then, some days are like today. Sigh.

 

She LOVES shoes- she is a shoe horse. If I am barefoot around the house, she brings my shoes to me for me to put on. If I take them off, she brings them to me again, insisting "SHOES!" When she wakes up in the morning, and is still in her PJ's, she finds her shoes and brings them to me, lays down on the floor, and puts her feet up in the air for me to put them on her. She LOVES shoes. But in the last couple of weeks, she will sometimes bring me her shoes, I will put them on her, and she will start screaming and kicking and ripping at them to get them off. So if we take them off, then she is sad and wants them back on.

 

One of the symptoms some people experience with Chiari is tingling/pins/needles kind of feelings in their feet (and hands). She can't tell me what's going on, but I think that may be it. It's like she loves the shoes and wants them on, but then her feet don't feel right in them, but they don't feel right out of them, so she wants them back on, but then they don't feel right either way and she gets SO upset. Yesterday, she was having such a hard time, we went shoe shopping to find her some shoes she can wear with socks because the weather is beginning to change here, and I thought it would cheer her up. And indeed, she was so excited to go to the shoe store. And was picking shoe after shoe that she wanted to try on, with so much excitement. But every one that we put on, she screamed and kicked- even the ones she herself chose and wanted. <sigh> And that just sucked, when the things you love make you feel worse, what do you do to feel better, you know?

 

No word on the spinal MRI date yet- it's been a week, hopefully just a couple weeks more to wait. No decision on Boston or Chicago for a second opinion, though I guess I am leaning towards Boston because he will do a second opinion consult over the phone (no travel expenses- just $250 for the appointment)... and we still have no idea if we will stay here or go away for the surgery. I am counting on God to clearly reveal and illuminate the path we are to follow. All the available paths look dark and muddy and overgrown to me at the moment- not inviting!

 

So that is the update, along with the tremendously long email I just forwarded you. I don't know why you didn't get it the first time... hmmm.

Love,

Delilah

 

7 October 2004 – Letter to Lori- Choosing a Neurosurgeon for Brain Surgery

Dear Lori,

Yes, we are in a holding pattern here too... we can't do anything until we get the spinal MRI appointment. I called Nasia (Dr. Sacco’s assistant) yesterday and it still hadn't been assigned yet- she said "I see it here in the computer, but there is no date or time by it..." Everyone wants to see the spinal MRI before giving their opinion...

 

And, I am still waiting for the notes from our appointment. I asked about that as well, but they said that some work was due from the transcriber yesterday, so it would probably get sent out today... maybe I'll get it tomorrow.

 

What will go into your decision about which neurosurgeon to choose for Joseph? For us, there are pros and cons for Boston, Chicago, and staying here.

 

Dallas- I like Dr. Sacco and feel like we could work together well. Virginia and I would be close to home so I could still see my other children and husband, which would be MUCH easier on them and me- I would only be away from them for hopefully 5 days of hospitalization, during which time they could visit, and then we would recover at home. Our support system is here- all our friends and family. No travel expenses. If we had a complication later, we would only be a 20-minute drive away instead of many states away, plus no travel for follow-up visits. Those are all good things. HOWEVER... Dr. Sacco is out of network and our out of pocket is thousands of dollars and I mean it is MORE than DOUBLE our out of pocket for in network- we could fly somewhere a lot of times for $4000, you know? And, Dr. Sacco has only done around 30-50 of these surgeries. Apparently, according to Dr. Scott's assistant- for brain surgery, they are pretty straightforward. But that's less reassuring when it is MY kid's brain, you know? My impression is that Dr. Sacco is a good surgeon- but experience DOES count for something... so I don’t know.

 

Boston- I have never met Dr. Scott yet, and do not know about rapport. The assistant I spoke to was very kind. If I want to, he will do a second opinion over the phone once he has all my records, if I pay the office visit fee ($250), even without me going up there to the office. Then if I use him for the surgery, they apply that fee towards it. Otherwise, it was just the consulting fee. That sounds fair, although I kind of wonder if I shouldn't go look the man in the face regardless before I consider whether to let him cut open my child's head. Anyway, he is the one who has trained both the Dallas and Chicago options- TONS of experience, and is in-network. BUT, he's in Boston, where I know not a soul. I could be gone for 2.5- 3 weeks... I have a 4 year old and an 8 year old. That's all a very hard prospect. If we had complications, we could be there for almost a month... or we could come home, and have complications and need to go back... or even if we didn't have complications, we would still need to go back for follow-up visits, I think... more time away and travel costs...

 

Chicago- I haven't met Dr. Frim yet either. He's very well recommended by the WACMA kids list parents...lots of folks love him. Dr. Frim did email me back promptly and so did his nurse, which was nice- I LOVE having email address for the doctor, so we don't waste either of our time. I believe Dr. Frim will look at all the stuff for free, but that we have to actually go for an appointment in person to become his patients- appointment days on Thursday... so that's either a separate trip, or an extra week away from my other kids and husband... plus travel expenses... I am not 100% positive about this information, but it is the impression I received from the person in his office that I spoke to. Dr. Frim is in network, and has done over 350 surgeries, I believe- that is a lot of experience... Oh, and I know two people in Chicago. They are both mothers of three children so it isn't like they could come to the hospital and sit with us, but just knowing some folks nearby would help me not to feel so isolated. One offered to take us from the airport to the hospital; the other might be able to take us back to the airport... stuff like that.

 

Anyway, first we get the spinal MRI. Then we get opinions from Dr. Scott or Dr. Frim or both. Then we pray for guidance and hope that one of our choices appears clear. (I think that Dr. Sacco would be more likely to feel comfortable "following behind" Dr. Scott, his mentor, if we didn't choose him, than his peer, Dr. Frim. As far as emergencies go.) Waiting for answers about our kids is hard, huh?

Delilah

 

8 October 2004 – Letter to my mother-in-law- Unacceptable MRI appointment date

Dear Barbara,

The phone call came last afternoon while I was away scheduling it for the 30 November! That is still 7 weeks away, 9 weeks after being ordered, and I am not thrilled at all about it. I am going to be contacting them today to see if I have any other options.

Delilah

 

11 October 2004 Letter to Kurt- A Visit From The Puke Fairy

Dear Kurt,

Wow, the puke fairy was busy working overtime at our house this morning- she visited Virginia AND Vanessa in the same hour! I am almost afraid to go check Isaac's room, to see if she paid him a visit too!

 

I can't get Vanessa's curtains down off the wall to wash them- yes, she puked on her curtains... very creative aim, she had... of course, she was asleep, so I can't blame her, poor thing... ("I was dreaming that someone was showing me some really gross disgusting stuff, and then I just threw up... but when I woke up, the gross stuff was only a dream but I really had thrown up...!") Anyway, if you can help me get the curtains down when you get home, that would be great. I tried and was afraid I was going to break it because it wasn't working unless I maybe used brute force.

 

Can't believe after all I've gone through to get it going, Vanessa is going to miss the first meeting of Aspiring Writer's club. ARGH! Oh, well, it's almost funny, really. I guess. Kind of.

 

Hope you're having a great day so far!

Love,

Delilah

 

13 October 2004 – Letter to Bible Study Group- A Stupid (Costly) Mistake

I am such an idiot, Kurt is furious with me... I left my purse in my car when I took Isaac to preschool at Kessler Park UMC this morning. I was just going in for a few minutes, it's a church, I know everyone, blah blah blah. When I came back out, someone had stolen my purse!!!!!!!!!

 

I've called the bank, the 3 credit bureaus, and the credit card company of the card that was in there. My checkbook was in there- I lost all my records for the YEAR! I don't know what I've given to charity/the church, what I spent on business, what I've earned... I noted it all in my check register, and then at the end of the year I use the register to do all my tax stuff.

 

Anyway, I need prayers that I haven't ruined us financially; that no one will perpetrate identity theft on us because of my foolishness; that somehow everything will work out for our taxes; that my husband will forgive me...

 

All my photos that were in my wallet... <sniffle> I don't even REMEMBER what all was in my purse. WAHHH! And we still have no acceptable spinal MRI appointment. Wait, the insurance cards! Dang. I have to call and get new insurance cards sent. Got to go.

Delilah

 

15 October 2004 Update- Letter to Bible Study group- A new MRI date and other answers to prayer

Kurt forgave me before he ever even got home from work... he had to poke at me about it for the rest of the day, but he's over it... (I'm the grudge-bearing member of our marriage, not Kurt, sigh...) I didn't lose much cash- I don’t have much cash to get. Well, I have even less now, ha ha. It was only about $25 in cash, they had only used my credit cards twice by the time I called them in, the kids' Social Security numbers weren't in there... and PRAISE GOD, when I got home, I found that my checkbook had fallen out into the Kenya bag I had carried in to the 50th anniversary party on Sunday, so it wasn't in my purse!!!!! I still have my check register! Praise the Lord. Even in my stupidity, He protects me.

 

Virginia's spinal MRI is scheduled for next Thursday, Nasia called with a new (acceptable) appointment yesterday. Right after the MRI, we will go straight from Medical City to Children's for an appointment with the neurosurgeon to discuss the findings (which will hopefully be zippo!!).

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