January 25, 2013

DARE TO MOVE


i had hoped to head into the start of the new year with renewed energy. umm, yeah. that didn't happen. the holidays came and went in a haze of pain and a flurry of doctor's visits which included an emergent one on christmas eve. that one prompted because parker developed a second rash (again, due to MRI contrast dye). this one was painful, raw and blistering and necessitated the need for a course of steroids. the following days were swallowed up in the agony of unrelieved suffering.

yeah, the holidays sucked the life out of me. ran me over and left me flat on my back and emotionally flatlined. i still haven't quite managed to scrape myself off of the floor yet.



for the most part,
parker's 13th birthday was a fail.
christmas was a fail. 
new years was a fail.
and
i have succumb to the misery.
it's temporary not terminal

my appearance on here today is an indication that i'm coming up for air.
that shows promise.

i feel like my life is one bad game of whack-a-mole
keep resolutely popping my head above ground 
only to have it repeatedly bashed back down

it's difficult to find the will or desire to keep getting up off the floor
and
facing each day
life is hard
a new year has dawned
yet the old has followed us in
2013 is earmarked as year 7 since this all began 
7 years that have been 
heavy on pain;
light on joy.
heavy on suffering;
light on freedom.
heavy on despair;
light on hope.
heavy on tears;
light on laughter.

i want a pause button
i need to catch my breath
to right myself
to steal myself
to face 2013
to pick myself up off the floor
and
dare to move

takes courage to face a new year
to renew hope
and 
embrace whatever lies ahead

i know life changes
things never stay the same
but
i'm still waiting for it to not hurt so bad

life changes
i see it in the lives of those around me
and
when i'm this deep down
all i see is the upside of another's life
totally defeatest attitude



funny how that happens
i see life in the lives around me
i see them heavy with celebration;
light on hardship.
heavy with happiness;
light on sadness.
heavy with thriving,
light on surviving.


i hate feeling this way
i'm embarassed to even admit it
this jealousy, this poor me, 
this invisible divisible way of being
this 'i'm cursed, you're blessed' way of thinking



it creeps up on me and seeps into my mind 
skewing my view and wreaking havoc with my soul
it burns my psychological skin
puts my gut in a iron clad grip
and
wrings my heart out like an old, decrepit wash rag
the lingering effects are such a struggle to shake off

i've tried to hold on to this fight in the most positive light
allow it to mold me into a better version of me
now
i lie here in turmoil
a twisted wreck of bitter thoughts
crumpled soul
fists clenched tight
tears blaze a hot trail 
dripping a steady stream into the puddle of unfairness and injustice... 

when will the scales tip in our favor?
when will our life have have less pain, more joy?
when will the milestones of life not just be another day to endure?

dare to move
stagger
claw
scrape 
out of this pit

one day this fight will be done, the war behind, and the day will break into a glorious new dawn. only by God's grace shall i stagger forth from the rubble and decay to greet that day as one who is better not bitter.





Welcome to the planet
Welcome to existence
Everyone's here
Everyone's here
Everybody's watching you now
Everybody waits for you now
What happens next
What happens next

I dare you to move
I dare you to move
I dare you to lift yourself up off the floor
I dare you to move
I dare you to move
Like today never happened
Today never happened before

Welcome to the fallout
Welcome to resistance
The tension is here
Tension is here
Between who you are and who you could be
Between how it is and how it should be

Maybe redemption has stories to tell
Maybe forgiveness is right where you fell
Where can you run to escape from yourself?
Where you gonna go?
Where you gonna go?
Salvation is here

I dare you to move
I dare you to move
I dare you to lift yourself up off the floor
I dare you to move
I dare you to move
Like today never happened
Today never happened
Today never happened
Today never happened before

December 12, 2012

THE ITCHY ANSWER

OK. let me lead off by saying that detailed accounts of our experience with the documentary film crew are in the works. i jotted down notes throughout so i wouldn't forget the events. which is a good thing because we actually ended up filming for 3 days. one day in california and two days in our home. it was a whirlwind and much of it passed in a blur of emotions...i needed some "down" time to process it all before i could even attempt to formulate my random thoughts into a cohesive and entertaining read. however, 'down' time is hard to come by - even on a 'good' week. and the week or so since our return things have hardly been "good".

actually, it would be more accurate to say that it has NOT been ALL bad. indeed, we had a wonderful but itchy answer to prayer in the week since our return.

i am happy to share that our (and your) prayers for an MRI for parker were answered. it took a major fight and much perseverance but i am happy to share that parker has HAD his MRI. praise God! 

sparky about to get his much prayed for MRI
let me break it down...
first we asked for prayer that he get an MRI quickly. not an easy thing to come by in canada. the waits are notoriously long. add to that the complication of getting one for a pediatric patient OUTSIDE of the children's hospital but WITHIN the public health care added an extra dimension of challenge to the mix. the request was made in middle of October. the first referral to hospital in our city was rejected. they did not do pediatric MRI. this delayed even a processing of our doctor's referral. this meant another round of calls to find a hospital that would do one.

finally, one was found. however, because of the aforementioned delays, the referral was not sent in until the beginning of November. it took another week and more phone calls for it to be processed and an MRI to be scheduled. the date of Jan 11 was a relatively short wait. but we still felt that that was not short enough. we continued to request prayer and pray for a shorter wait. two days later, we were re-scheduled for dec 11.

we were thankful... but we continued to pray that this new date would be rescinded and we'd get in even earlier. during all of this, parker's vision issues were getting progressively worse. knowing the possibilities of why this could be happening had us anxious to get an MRI done ASAP. so yes, even the dec 11 date for an MRI (which at that point was a mere 4 weeks away) felt way too long a wait.

then, of all things, the hospital had a flood and as a result, the MRI machine was destroyed. who could ever anticipate such a thing? i could but couldn't believe it!! that kind of stuff just happens to us - the most bizarre roadblocks just pop up in our life and keep the road challenging to navigate.


parker's MRI was cancelled and no alternate date was given. at all. this brings us all the way up to when we left for california (nov 27). we were even making calls in the airport, scrambling to find yet another hospital. just before we boarded our flight, graham was able to find a hospital. he called our doctor's office and asked them to fax the referral to this new hospital. i might add here, that it is not normally the patient's job to find a place for their doctor to send an MRI referral. however, parker has fallen thru the cracks so many times that we have found it is necessary take on many roles when it comes to negotiating and advocating within the system.

upon our return from california (dec 1) we learned the MRI had been scheduled for april 2013. this was terribly upsetting news. again, we made more phone calls. 

it was stressful. 
it was draining. 
it was uber frustrating.
it was physically and mentally exhausting to persist in holding those in the medical profession accountable to appropriate and timely follow through. 
however, 
in the back of my mind,
i somehow dared to consider something impossible...
what if, after all of this, he actually ended up getting his MRI earlier then the dec 11 date? hadn't we been praying that that date would be rescinded?  i certainly hadn't prayed for a flood but what if... (i assume no responsibility for it occuring)

i had a conversation with the Lord about it. albeit, a slightly perturbed one. 

"ok Lord, along with a multitude of folks, we've been praying that parker's MRI date would be moved up from dec 11. today, is dec 4 and we now have a scheduled date for april. what are you up to?"

on dec 5 the hosptial called and told us they had an opening for parker to get his MRI on december 7th!

this answer to prayer made me laugh and cry.... even as i write this, it still makes me well up with tears.

unfortunately it has made parker itch like mad.

the rash begins
5 hours after having the MRI, parker had a (pretty severe) allergic reaction to the contrast dye used in the MRI. at least this was not an unforeseen speed bump, we had anticipated this. two reasons; 

first, he had a reaction (but milder one) to xray dye 2 years ago. a past reaction tends to mean you'll react in the future - and those reactions can become progressively worse. 

second, he has a Mast cell disorder called Mast Cell Activation Disease (MCAD). This disorder puts him at a greater risk and predisposes him to allergic reactions and anaphylactic shock. (you can read about MCAD here and here - this post will be too long if i go into a detailed explanation of this disorder.) 

this disorder is not curative but there is treatment that helps to control the disease. the treatment protocal includes daily doses of multiple anti-histamines and other medications that are "mast cell stabilizers". in addition to his standard doses, parker was pre-medicated for the MRI. meaning, his doses were doubled up in an effort to stem off a severe reaction. we continued to medicate him with these increased doses and added in another anti-histamine afterward

we are thankful he did not have an anaphylactic episode. we suspect that the medications stemmed that reaction however, he has been COVERED from head to toe in hives and an itchy, angry rash for nearly a week now. it is a horrible reaction and has flared all of his other MCAD symptoms plus his lyme; he is continuing to endure severe bone and joint pain, fatigue, bouts of diarrhea  nerve pain, flushing, mild shortness of breath, shaking chills.

sparky's back
about 18 hours after it started, it seemed to be going away however in short order, it returned with a vengeance. this was very disconcerting. with MCAD, there is always the fear of anaphylaxis. most folks are familiar with the more common or typical anaphylactic reaction that usually takes place within minutes of an exposure to an allergen. MCAD and/or systemic mastocytosis patients can have an anaphylactic reaction take place days after the initial exposure. based on that and the fact that parker was maxed out at highest doses of multiple medications and the rash was progressing and continuing to get worse, we finally made a visit to the ER on sunday afternoon.

Sparky at ER
going to the ER was not a decision we made lightly. going to ANY hospital is the last thing we want to do. we still live with the fear that what children's hospital did (threaten to call in Child Protection Services & MCFD in an effort to remove parker from our care) will happen. i cannot explain what it is like to live with the fear that taking your child to the hospital for medical help feels unsafe and dangerous.

graham told me afterward that he was on high alert and in "fight or flight mode" the entire time we were in the ER. i was blessedly not as stressed about it. MCAD is a "recognized disease" in canada (DR H, our USA doc originally diagnosed it but we are now seeing a canadian allergist/immunologist for treatment of it) that being said, it falls under the umbrella of Mastocytosis which is classified as an "orphan disease" meaning it is a rare condition. therefore the ER Doc did not know a whole lot about it. he was fairly dismissive of us because parker had no respiratory issues. the ER Doc did tell us that prednisone (a steroid) is some times used to curtail an allergic reaction but he felt that use of that was a decision that was best left up to parker's immunologist. fair enough, i suppose. 

Sparky's arm - 4 days after it started
i know that prednisone is often used as a last resort to treat MCAD patients. however it is contraindicted when one has lyme. in fact, steroids and lyme can be a lethal combo. it is not a treatment we would implement lightly and certainly didn't want to face a decision about using it unless we had spoken with DR H first. so, even thought we felt like the ER doc could have done more, we are glad that we felt the need to fly under the radar whilst in hospital. biting our tongue rather than pushing for immediate help probably kept us from having to make a decision about the use of steroids and that would be a precarious position to be in.

we left the ER with instructions to follow up with parker's immunologist. which we have tried to do. this has proven to be a very upsetting endeavor.  we are not exactly happy with this doc. furious is more accurate. we do not have an emergency contact number for him. but we have been leaving messages at his office since Sunday. it is now wednesday and we have not had a response. i am absolutely bowled over by this negligence. 

sometimes i really struggle with the feeling that my kid ALWAYS falls through the cracks or worse, has been kicked to the curb by many doctors. 
why don't they freaking care?
i don't know why i still seek or need that validation from the mainstream canadian medical community. when i get fixated on that, it is easy to overlook the fact that we do have doctors that are working on parker's behalf. furthermore, they often go above and beyond the call of duty.

even the soles of his feet and palms of his hands are covered

we contacted all 3 of parker's lyme literate docs. DR D and DR H responded within hours. DR C got back to us - even tho' his office was closed and it was his day off. yes, our sparky boy is in good hands. that's a good thing because he is a very sick kid.

Getting IV support at DR C's office
 we are implementing the treatment protocals that DR H and DR D prescribed. DR C is assisting us with this. these will be started today (wednesday) at DR C's office. if parker's rash has not improved by friday than he will have to start a short course of prednisone. it is DR H that made that treatment recommendation. he has (already) prescribed it. we are scared to put parker on predisone but trust DR H's expertise in navigating this type of tricky medical decision. we would not want it any other way. 

so, we have til friday for things to turn around.
for the rash to get better.
for the itch to stop

i pray that they do.

after all, friday also happens to be parker's birthday. 
and it's a big one.
thirteen.
i'd love for him to have an itch-free day.
becoming teenager is hard enough. 

November 28, 2012

ROAD LESS TRAVELLED



well, our travel day got off to an eventful start.

do we ever do anything drama free? simple? easy? uncomplicated?
umm. no.
trouble seems to follow us.
today, was no exception.

our flight to SF was delayed by 3 hours. i nearly had my nexus pass revoked and was almost fined $300 at customs because i forgot to declare my rice cakes.

is it any wonder that the primary issue i work on in therapy is de-bunking the myth that "NOTHING is every easy" and "WHY is EVERYTHING ALWAYS complicated?" and "EVERYTHING ALWAYS goes wrong." sure it feels like that a lot of the time but those are totally self-defeating mantras and they are not true. but, honestly, how do i overcome those lies when i keep running in to roadblocks that reinforce them?!

i started writing this post in the airport but decided to wait to publish it until we had actually arrived safe and sound in our hotel room. aside from the fear that something else would happen, i had serious doubts that i would be still be of sound mind by the time we landed at our hotel...even if no other unforeseen incident occurred.

but sure enough, we encountered 2 more slight hiccups before we safely landed in SF.

at the boarding gate, just as the flight attendant was checking our tickets avery turned around and shrieked, 

"oh no, mom, did you remember to bring the GUN?"
i kid you not.
time stood still.
the word "gun" hung heavy in the air; 
it shrilly reverberated in my ears like an announcement on a cheap PA system
i froze. mouth gaping. heart pounding in my ears.

"avery! i don't think i heard you... but don't repeat yourself!" i squawked... a deer caught in headlights.

"i meant GUM! GUM! Did you remember to get GUM?" she whispered, sparkling eyes wide with surprise

this flight has aged me exponentially.

we boarded the plane.
i had just sunk into my seat and was in the process of heaving a sigh of relief...when avery suddenly shrieked,

"MOM, MOM, i'm getting a nose bleed."

sure enough.
nice gusher.

the rest of the flight was without incident. 
or at least, i think so.
if there was - i didn't see it.
i closed my eyes and didn't open them again until we landed.
ignorance is bliss.


even with all of the hiccups, i am grateful for this flight. somehow amidst all the delays, complications and stress of it, it is a blessed flight. blessed? yes. the cost of this flight was covered by air miles donated by a good friend. he also has lyme, must travel out of country for treatment but still donated his air miles to us. and a young family, used air miles to secure and pay for a car rental for us. i won't lie, we held our breath until we had secured the keys to the vehicle... and, most important of all, it was a massive car boat. car boat rentals are as legendary and as big a part of our SF trips as DR H and In-n-Out Burger are. we were thrilled it was a true to form car boat. the kids fit perfectly in the trunk. graham and i enjoyed a nice, quiet ride to the hotel. kidding. 

we are forever being amazed at how folks allow God to use them to bless us. it is humbling. this road is hard, painful, challenging and yes, a lot of the time, it feels like EVERYTHING is going wrong and this nightmare will NEVER end...yet, blessings are undeniably intertwined through out this road we travel. they serve as the shimmering beacons of light...and when i focus on the hope, faith and love they represent, their sheen outshines the darkest parts of this journey. yes, the blessings are many. THAT is truth. my heart believes that. it is the journey from heart to mind that can get a little tricky - the roadblocks along the way can sidetrack me from the standing in the truth.

speaking of roadblocks...one last thing. 
this has nothing to do with air travel
but it has everything to do with delays and complications. 

the day before we left for SF, we received a phone call from the hospital where parker's MRI is scheduled for dec 11. the hospital was calling to CANCEL the appointment because they had a flood.

i kid you not.

no back up plan was offered. the situation is complicated as this is the only hospital that does MRI's on children - aside from children's hospital - which we do not feel is a safe option. 

this means we may now need to incur the cost of paying for a private MRI.

it is ridiculous. parker's MRI is marked as URGENT. suspected encephalitis is on the requisition. 

please be in prayer for this.
even as we sat in the airport awaiting our flight, we were making phone calls to try and get this sorted out.
it shouldn't be so hard.
really.

we had such trouble securing this MRI appointment to begin with
and then a flood happens?
what are the chances?
for some reason, God continues to allow us to walk the road less travelled. 
at the moment, my mind is semi-panicked over the details
but i choose to believe God will work this one out too.
after all,
he ALWAYS does