30 August 2004 Letter to Kurt- medical bills

K,

Just got the EOB for the brain MRI... ouch! It was $4000, but after provider discounts and insurance, we will only owe $335. It's $335 we didn't have, but it could be worse!!! Whew!

Love,

D

 

2 September 2004- Letter to Becky- medical bills

Dear Becky,

You crack me up. Nope, did not win the lottery, wasted $2! But I did pay the bills- what I could of them- and prayed for God to create in me a clean heart with regard to the balances, and to teach me what I needed to know with regard to the money we have available and managing it, and asked to be protected from the sins of covetousness and greed and ingratitude and to become like Paul- able to be content in no matter what my circumstances, with plenty or nothing. Now I am focused on trying to LET GO of the lie that if I am not financially stable, I am worthless and have nothing to offer. Something about not being "where I feel we should be" in the worldly/secular ways, to not appear "wise and responsible" in the eyes of the world, makes me feel like a worm with nothing to offer anyone. This is a lie I must let go of… and then be patient with God's timing on teaching me how to be and who to be. Boy, am I glad God's not finished with me yet, because I am a mess right now!

Love,

Delilah

 

3 September 2004 Letter to Bible Study group- a bad Chiari week

Dear friends,

I am just weeping a lot this morning. It's only 8:20 a.m. and I am crying for the fourth time today. Some days I am sanguine, and then there are days like today. I am not hopeless, and I am not alone, I know God is with me and that you folks love me. I just need to share my pain and not be alone in it today. Your willingness to be here with me in spirit and in prayer for us today is enough.

 

Virginia is so precious. She is so feisty, so cute, so smart, so spunky, and so beautiful. She is this miniature ball o' fire who makes me laugh and love her so hard my heart hurts just to look at her and watch her.

 

I love it when I give her a bite of food off my plate and she says "MmmmmMMMm!" and when I hear her distinctive distress call that means she is stuck, having climbed up on something that can't get back down off of.

 

I love her crazy haystack hair right down to her teeny tiny size 3 feet.

 

I love the way she gets determined to do something (like climb on her hands and knees up two flights of stairs while holding a lunchbox that is about 60% as big as she is) and doesn't quit until she has done it, and I love the way she gives up on being awake just as whole-heartedly, climbing up in my lap and flinging herself sideways while putting her thumb in her mouth and her other hand down my shirt and laying her head against my breast.

 

I love the way she says "Mama" and "Eye-Yick!" (Isaac- but really means "sibling" since she calls Ness that too!) and "Dada" and "ball" and "bubbles" and "cat" and “Vroom!” and "thank you" and "there she is!" when playing peek-a-boo- where's Virginia? "There she is!"

 

I love the way she cuddles stuffed animals and Barbies and real babies and every animal that will let her- lots of kisses and patting and hugging... "Pet sweetly, gentle like a kitty, Ginia!"

 

I love the way she can figure out how to turn any telephone ring sound on and how she figured out how to operate the "motion control" as Isaac says, to turn her sister and brother's TV show off to get a rise out of them, with the most mischievous, naughty grin you've ever seen out of someone so tiny.

 

I love to see my teeny little toddler diligently carrying her used diaper from the changing table, down the hall, into the kitchen and opening doors until she finds the kitchen trash door to throw it away all by herself.

 

I love to see her awe over bubbles and splashing water and I even love to see her fury and indignation as she knocks (pounds) on the closed door to her sister or brother's room when one of them attempts to exclude her from their play.

 

I love her so much!

 

She has been having bad nights for the last five nights in a row. She has so much pain. She whimpers and throws herself side to side in the bed. Sometimes a single scream, other times only moaning/whimpering, as she seems to try and escape her own skin without waking up. She isn't really awake- just hurting. If I get her off her back and place her on her tummy on my torso, it eases her for a few moments... but sometimes she just flails and arches her back and I'm afraid she is going to throw herself out of my arms onto the floor if I accidentally doze off, and she cries until I can find a position that doesn't hurt her. Sometimes being face to face with me on my pillow while I rub her back, or nursing her with us facing each other on our sides helps. Sometimes nothing much works for very long.

 

After she's been asleep about 4 hours, it's most of the night off and on, Kurt and I aren't sleeping much... we're not mad at her, it is just excruciating because you know she hurts. It's hard to hear. And we're tired. She isn't tired because she is asleep through all this, although obviously she isn't resting like she could be. This morning, when Kurt and I got up after 5-6 hours of this, I just cried and cried. Kurt never likes to cross a bridge (medically speaking) until he gets to it, and usually I am the opposite, liking to investigate all the possibilities so that no matter what the outcome is, I will not be broadsided without any idea of what was coming. But today, Kurt said "How much longer until her doctor's appointment?!" We don’t want to go on like this.

 

I hate thinking that surgery is the only treatment for this and I am terrified of losing her to death- I dream of it once every other night or more- I am desperate to protect my precious baby from pain and the idea that the surgery might or might not heal her, the idea of her going under general anesthesia and them cutting her open, my poor baby! I just want to scoop her up and cradle her close and make all of this not be true. When I look at her and she is behaving just as normally as can be, it is easy to think it is all a mistake and surely it can't really be happening to my darling Vi. I pray for her and I KNOW I have to release her to God and let His will for her be okay with me, whether that is complete healing (please, Lord!), or surgery, or pain management, or even a short life on earth. I know that God loves and cherishes Virginia. I just am still not fully surrendered to letting go of what *I* want and am consequently not having the peace that passes all understanding yet. I think I am being prepared that surgery will be required. I hope not.

 

She woke up her usual sweet self and is having fun throwing all of Vanessa's CD's on the floor while making "vroom vroom" noises and squealing at Isaac when he tries to prevent her doing so. I have to get on with my day. But I needed to share my heart today to be able to let it go and function, knowing that I had sisters in

Christ praying for us today. OK, one more crying spell and I am done for today.

Love,

Delilah

 

Later on 3 September 2004, letter to Erica- Sharing experiences as mothers of daughters with Chiari

Erica,

Thank you so much for your reply sharing your daughter’s experiences living with Chiari. It was a little overwhelming to me- but yet encouraging too. Virginia is having pain at night- not bad every night but since it's been bad five nights in a row now, it FEELS like every night... I have dreams all night after she wakes up in pain- dreams of dreadful medical problems with her, pain, etc. I want to snatch her up and whisk her away from these problems. She is so precious and perfect to me- how can any of this be true? I want to find out that there has been a mistake and she doesn't really have any of these problems and will just live a healthy and happy and productive life. But when I get to the bottom of your email and you tell me that basically, your Yael IS living a normal life, doing the normal kid stuff that kids do, that SHE doesn't perceive her pain as being that bad, that there has been improvement... her life just includes various medical tests, therapies, etc. in addition to her kid stuff... that IS normal life for her. So I think, okay then... I guess I can do that if I have to. But my heart still breaks for my baby to have to go through any of it.

 

And you have it too? Ugh! I really want to go get an MRI and see if I have it. I have had bad headaches for years. Now I have this annoying rushing/pounding/thrumming off and on, it drives me crazy... and I wonder if I have it. I wonder if I want to know that I have it, if I do- but I don’t know if I really do want to know. Is it hard to get insurance because of a preexisting condition? That's part of why I don't want to know. That, and just feeling like it would be too much to process right now. It would be great to relieve my mind that I DON’T have it, if I don’t- but if I were to find out that I do… egads!

 

I'm thinking of seeing if my acupuncturist could help Virginia with the pain. Have you tried it? I have had some success in controlling my headaches with it...

Overwhelmed today,

Delilah

 

4 September 2004 – Letter to Bible Study group- Recovering from yesterday’s breakdown

Thank you, friends, for all your prayers yesterday. I cried off and on for about eight hours and I think I just needed to do bathe my prayers in tears. I really haven't cried since getting any of Virginia's diagnoses- got a little choked up a couple of times but never just bawled my heart out. Anyway, I appreciated the love and support of you guys, and the comfort of knowing that I was well covered in prayer, while I just grieved that things are not the way I wish they were.

 

However, I began feeling better in the afternoon and evening. In the afternoon, I received a response from the main pediatric neurosurgeon specializing in Chiari, one who I have heard other parents whose children have Chiari recommend- a personal response from him in less than 24 hours from when I sent the email! (I like responsive doctors.) And, after a trip to Dr. Ham's office, we confirmed that Virginia GREW from the growth hormone stimulation test!!! She did not grow in height AT ALL for seven months, and it took her 5.5 months to gain 19 ounces- and then in the five weeks since the stimulation test, she grew 1.25" and 10 ounces and is now finally wearing mostly 6-9 month clothing without tripping on it or it falling down when she walks!!!

 

Now, she's still nowhere near the growth chart curves, and still over 2 lbs away from even being able to go forward facing in the car seat, but this is FABULOUS progress, and I hope it indicates that once she can get on the growth hormone, she should have no trouble catching up to her genetically determined growth potential! Dawn laughed at me when I suggested maybe it had jumpstarted her and she could just carry on like this now, and said the growth she has had is probably all the "bang for our buck" we'll get out of the growth hormone stimulation test, but it was a great bang and we'll take it gladly! Makes me much less concerned about the delay in getting started on the rGH, if she can grow that much in a month!

 

Then Julie came and watched our children so Kurt and I could go to the movies, and I cried and cried during the previews, and then was able to just relax and have fun with Kurt. The kids did great with Julie, and were all three asleep wen I got home. Then Virginia had MUCH better of a night- although she still woke up and whimpered several times, she never shrieked in sudden pain or stayed whimpering for long times- it was the best night we've had in a week, back to “normal”.

 

Everything looks brighter today. Thank you all!

Love,

Delilah

 

6 September 2004 - Letter to Maria-Elena, another mother with a Chiari Kid

Dear Maria-Elena,

I too have a third grade daughter- Vanessa… (and also a 4 year old son- Isaac, along with my Virginia...) I feel an urgent desire to wrap Virginia in cotton wool and not allow anything at all like soccer... shoot, I don't want her to jump up and down! But I will just have to get used to it. I have terrible headaches myself and am toying with the idea of getting an MRI, if I can find a doctor to prescribe one for me- in a way, finding out that I had Chiari as well might give me a better sense for how much to allow Virginia to do. Maybe. I think you are very brave, although really I guess what you are is a mom- we just have to rise to whatever is required of us for our children, don't we...

 

I will be very interested to hear what Dr. Frim recommends in comparison to the other doctor’s recommendations. I wonder if "wait-and-see" is going to be okay in Virginia's case, since her herniation is only 9 mm. But she needs to start growth hormone shots and I am very worried about taking her from "stable, not that bad" to "not stable" with the Chiari in so doing. Oh, well, I may as well not put the cart before the horse. I have to wait for neurosurgeons’ opinions.

 

Thank you again for all your information.

Delilah

 

7 September 2004 - Letter to Michele- follow-up from my breakdown a few days earlier

Good morning, Michele!

I have (another) headache and my mouth is killing me because I bit a huge puncture wound in my tongue, but otherwise, I'm good today. At least Virginia has had three “good nights”, so the memory of last week and being at the end of my rope and sick with worry about her has eased, thank God.

 

Our neurosurgeon appointment is the 27th. We have our first visit with the school district evaluator people tomorrow, it is an hour visit, and then there will be a two-hour visit where they do the actual evaluation and let us know what we need to do, if anything. On days like today, when Virginia has been happy and hasn't fallen at all and hasn't hit or rested her head a million times and seems as normal as can be, I think "I must be a crazed hypochondriac mother, there is nothing wrong, what is my problem?!?" and it is hard to remember how vividly I was sick with worry about her last week. Sigh. It's so hard to know what's best to do for our kids, isn't it? (I read your post about Monica, but I didn't know what to suggest- I've had experiences like that with Vanessa and didn't know what to do then either! LOL)

 

Anyway, I haven't taught a CBE class since July, though I did attend a birth last month and I have another mom due anytime- sometime this month, more likely next week- who I am doula for. And, I am meeting with a doctor, the head L&D nurse, and the head nurse of the women's department, of a local hospital on Thursday along with two other doulas to see if they would like to work out some sort of arrangement for their clients who need/want to have a doula. Making connections is good, even if it brings in no money. I don't think the September birth class will make, but I have two signed up for the October class already (and they have both said if I need to teach them in November instead, that is okay). I have to commit it to God and let Him work it out- He knows what I do not, about what my schedule is going to be like. But yes- I still LOVE attending births and teaching CBE. LOVE it.

 

Big picture: our financial situation still sucks, but my husband is employed and I have a wonderful life in general, one that I cherish, so I am trying to not freak out about it or even think about it, if I can avoid it. Which since I need to enter all our expenses into Crown today, is going to be a feat! LOL

 

Hope your day is good!

D

 

7 September 2004- Letter to Cathy- Wait and See Approach, or Active Management?

Thank you so much for all your information, Cathy. I feel better having obtained Dr. Frim's agreement to do our second opinion.

 

What I am most concerned about is Virginia having permanent damage while we "wait and see" when what we should have done was be more aggressive... I fear it because that is what I would prefer and what tends to be my attitude, in general... I am very much a "wait and see" kind of mom. My children rarely go to a doctor, are almost never on antibiotics (I have bought five prescriptions of antibiotics in my entire parenting career, and I have three children ages 8,4, and 18 months!), etc... I tend to have a "their bodies will come right if we let them" approach to illness more than a "let's rush to the doctor" type. And, usually that has worked well for us, because my children are generally very healthy!

 

BUT... in one case, it nearly cost my son his life. Because he has always been very healthy, the first time he manifested symptoms of ketotic fasting hypoglycemia, I didn't "recognize" that something was terribly wrong with him until he literally lost consciousness. I kept trying to "wake him up" and let him "come out of it" without knowing that his blood sugar was 14 and his body temp was down to 93 something by the time I finally got a clue and rushed him to the ER.

 

So I don't want to make a mistake like that with Virginia... thinking "well, it's not really so bad, let's not do surgery" until there is terrible pain or permanent damage done by the time I give in and admit we need help. It doesn't help matters that she is only 18 months old and can't really TELL us when she has a headache, etc... Plus, if she has one every day and only cries when it is worse than usual, which seems possible to me... my poor baby! Maybe better to do surgery NOW when she wouldn't remember the ordeal later...?! I don't know.

 

My daughter is seeing the neurosurgeon here in Dallas (Dr. Sacco) on the 27th, and I have already contacted (email) Dr. Frim about doing a second opinion once we have seen the guy here. I would really just like to get whatever news from two different neurosurgeons, and hopefully it will match up. Talking to other parents of kids with Chiari and people who have it, makes me nervous- because so many of them start out with "the doctor said I was asymptomatic until..." or "the first surgery done by our local neurosurgeon was bad..." etc. YIKES! I want the right answer from the get-go, not to wait until we screw things up for Virginia the first time!

 

Anyway, I need to be able to trust the doctors I am seeing for her, to help me ascertain what is going on with her, so I can advocate for her, since she can't communicate verbally with me yet. I feel reassured by the things I have heard about Dr. Frim, and how very many people have responded. Thank you.

Delilah

 

7 September 2004 - Letter to Tracy- Commiserating

Dear Tracy,

If you picked up on me being a little weird on the phone, it was just because Friday was such a hard day- it was the day I had been crying off and on all day about Virginia and I was in a weird place because I did want to talk to you and was glad you called and yet, didn't feel like talking to anyone and wanted to isolate myself and just lick my wounds, all at once, if that makes sense. But I'm still glad we talked...

 

As you do the archive diving, if you happen to run across any posts from around 3 years ago, when Isaac was 1.5, and I mention him talking or words he says or anything, could you possibly flag those posts for me? I wanted to share that kind of information with Virginia's evaluators but I can't find it.

 

I hope the AS diagnosis is just what Elizabeth needed to get the help she needs. And I know what you mean about going to the appointments alone- I go to ALL the appointments alone. I told Kurt he HAS to come to the appointment when they teach us to give the rGH injections, even if he has to take a sick day, too bad. I wish he would go to the neurosurgeon appointment with me, but there's no point wishing it. Anyway, I have gotten to where I usually try and find SOMEONE to go with me, a friend, a friend of my mother's, SOMEONE, if it's going to be a long appointment, and/or if I think I might get bad news, just so there will be two pairs of ears/hands there in case I miss something or the baby is fussy or whatever. Sigh. Which reminds me, I need to line someone up for the 27th.

 

Anyway, I should not complain, at least Virginia's situation is generally not life-threatening, other than the risks of surgery... I am still reeling that your sweet little Rebecca's chances are only just even. She's lovely, and I will keep you all in my prayers.

Delilah

 

7 September 2004 Note to Kurt- Vi having bad Chiari day

K,

Virginia just threw up. Poor baby. No idea what's wrong. I have a headache, not to mention my dadgum tongue. The kids are safely at school and having a good day last I saw them- guess Vi and I will just mope around the house and feel like crap. Hope your day is going well.

Love,

Delilah the big fat whiner

 

8 September 2004 Isaac's musings on the way to  preK this morning...

 

By the way, do NOT call Isaac's class preschool or he will correct you- preschool is where he went when he was LITTLE, now he is in PRE-K! (and don't you forget  it!)

 

Isaac: Look, Mom, they have sprinklers on...

 

Mom: Yep, they do.

 

Isaac: I think their babies are all still in their tummies except for their very big girl who is at school.

 

Mom: Huh?

 

Isaac: That family, they don't have any kids, just a big girl at school and a baby in the mommy's tummy. Or maybe they just have a brand new baby.

 

Mom: (bewildered) How do you know what kids they have or don't have at that house? Have you met them?

 

Isaac: No, because there was no one playing in the sprinkler, so the big kid must have turned it on, but then she had to go to school, and the baby isn't big enough to play yet.

 

Mom: Oh. That may be. Do you think maybe their grass could be thirsty and that's why they turned the sprinkler on?

 

Isaac: Hmmm. I don't know, Mom, but great idea. Maybe so!

 

Delilah <- who rarely waters the grass without an "ulterior motive" involving her children getting wet

 

P.S. OMG! Virginia just puked on me AGAIN- nothing since this time yesterday morning, and just now, she did the exact same thing as yesterday!!!  ACKKKKKKKKKKKKK! Off to clean up and do laundry again before the Early Childhood Intervention woman gets here!

 

Later that day

K,

The ECI lady (early childhood intervention) just left- we are scheduled for our evaluation next Tuesday. They will come 11-1 and hopefully we will be all set. Gin just puked again, but is now wandering around acting happy and fine... she obligingly puked out of the blue, laid her head down, flipped her head upside down, etc. for the evaluator from the school district so I guess that's kind of a good thing...!? Gack! Anyway, back to more laundry.

Love,

D

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