Wednesday, January 30, 2008

Leila having her tonsils removed


Leila went in for surgery today to have her tonsils removed. She had her adenoids removed last year at this time, but she was too young to have her tonsils taken out. She's still younger than they would have liked (3 years old is usually the minimum), but they were enough of a problem that the doctor agreed they needed to come out now.

She'll probably be miserable for a week. After that, hopefully, she'll no longer have chronic sinus infections, she'll stop snoring, she'll eat much better, ... generally be much healthier. We're really looking forward to that.

Tuesday, January 29, 2008

Asher Update

Here is a long overdue Asher update:

Short story: Asher's feeling GREAT!

Long story: grab a cup of your favorite beverage and settle down for a long read...

Asher latest wild ride has FINALLY come to an end. Truthfully, he has been struggling since the last scope. Some days he felt good, followed by days where he could barely get out of bed. Then, the truly bad days set in: where Asher's arms and legs couldn't follow the instructions given to them by his head. The pediatrician described it as a muscular dystrophy type of thing, where Asher's muscles didn't work the way they should. I describe it as horrifying to see my sweet baby struggle to move his legs or keep his eyes open. It was truly frightening.

In addition to the muscle problem, Asher suffered from a severe lack of energy. Getting him out of bed in the morning was quite the ordeal. I'd try to wake him up, then after 20 minutes, I'd pick him up out of bed, like a sack of potatoes, and jiggle him. He'd cry. I'd put his little body on the floor and he'd lay nearly lifeless right where I put him. I pondered dunking him in the cold shower, and would start to tickle and tickle and tickle him. He'd cry some more. In short, it took A LOT of effort and a whole lot of crying on his part to get him out of bed, only to see him with ZERO energy for the entire day. He'd have a three hour nap at school. At the end of the day, Asher would ASK to go to bed early. The minute his head hit the pillow, he would be sound asleep. Then, 12 hours later, I'd struggle to wake up the exhausted boy yet again.

We're not quite sure what caused the exhaustion or the muscular dystrophy. I don't think they were caused by the same thing. I suspect the muscular dystrophy was caused by too much Flovent. The exhaustion, I suspect, is a food failure.

Once we adjusted the medication, Asher's arms and legs started to work again. His exhaustion, however, remained. This is why I think they're caused by two separate things. Question #2 is to try to identify the cause of the exhaustion. During this time, we tried to trial beef. We bought organic beef from Whole Foods. We made beef stew. We made hamburgers. Is the problem a reaction to the beef? Or...is it a reaction to bacon? Bacon was the one remaining food from the failed last round of food trials. And he's been tired since before the last scope. Is bacon the culprit? Are they both bad? Or is it something else entirely? After removing both things, Asher's energy perked up considerably. Now, Asher gets himself out of bed in the morning - before the alarm even goes off. He doesn't have that excess of energy that he did when he was on a purely elemental diet; he's more medium energy now. Heck, medium energy looks mighty wonderful after such a long bout of zero energy days. And if a purely elemental diet will give us a healthy, energetic Asher, then not eating food suddenly doesn't seem so bad.

Truthfully, Asher has only had the past three days of feeling great. We'll just make absolutely no plans to add any new foods or make any medication changes anytime soon. We just need to savor these good days.

Saturday, January 26, 2008

Grand Rounds Presentation on EE

Little is known of Asher's disease, Eosinophilic Esophagitis. One of the goals of this blog is to help other families whose children suffer from this disease. Another one of the goals is to help you, dear readers, understand it too.

Here is an amazing presentation given by Asher's doctor at Cincinnati Children's Hospital.

Four noteworthy items:
  1. The presentation is 54 minutes long, so budget your time accordingly,
  2. you get to see pictures of what it looks like inside the esophagus. You even get to see what it looks like under the microscope.
  3. The talk is geared towards a medical audience so for us non-medical folk, some of it may be difficult to understand, and
  4. you can see what Asher's doctor looks like. It's totally cool watching him speak.
This link was shared by one of the fellow mums of an EE child. I'm quite thankful to her for sharing the link.

Monday, January 21, 2008

She's Two!

Leila is now two years old. We celebrated by browsing her baby pictures and eating allergen free cupcakes. She got a pink balloon and some ribbons in her hair and she was super-happy.

At first she wanted to put on a pretty dress, but then she changed her mind and stayed in play clothes. That's my girl.

When Simi turned one, we had a BIG party for him - mainly because we were thrilled that he actually made it to his first birthday. We've had a big party for him every year since.

Asher's first birthday was low-key, but from his second birthday on, he's had a big party.

In true third child fashion, Leila's first and second birthdays were low-key. Maybe next year she'll get a big party for her birthday. Or maybe we'll wait a few years.

Tuesday, January 15, 2008

People Magazine News Story

Gosh, news stories on Eosinophilic Esophagitis are popping out all over the place now! The latest one is in this week's issue of People Magazine. It's a beautiful story of a seven year-old boy named Adam with Eosinophilic Esophagitis. He gets treatment at Children's Hospital of Philadelphia, one of the two national hospitals who specialize in Eosinophilic Diseases. (Asher gets treatment at the other one, Cincinnati Children's Hospital.) Like Asher, Adam is on elemental formula. Unlike Asher, Adam is tube fed, which means that instead of drinking the formula, it goes into a tube straight into his stomach. Adam can eat six foods; Asher currently has four. Interestingly, the foods Adam can eat are poison to Asher.

It's a beautiful article and well written. I was hoping to link to it on-line, but People Magazine doesn't seem to offer an online version.

Asher was thrilled to see a boy JUST LIKE HIM in the magazine. Adam even had a bed JUST LIKE HIM.

If you get a chance, go ahead and read the article. It truly is a beautiful piece.

Thursday, January 10, 2008

Check Out This News Story

I've just learned about a news story that Charles Gibson of ABC is doing on EE (Asher's condition). It will air on ABC on Thursday, January 10th at 6:30 PM ET.

I think the focus on the story is on the refusal of insurance companies to pay for treatment. Children with EE (Asher included) can't eat food - food is the enemy. So they have to drink this nasty tasting formula - or get a g-tube and be tube fed. That's bad enough. However, the formula costs about $1200/month and most insurance companies don't cover it. I can relate.

Did I mention that it's a medical necessity to drink/intake this formula? A kid's gotta get nutrition somehow and if food is the enemy, this formula is the only way they can survive (Asher included).

A link to the description on the ABC Web site can be found here.

If you get the chance, watch this program. It's certain to be enlightening.