The Impact of Hand Function on Cognitive Development and other things I wish I never knew

I wish I didn’t know:

  • How to apply for a disability parking permit for a child (hint: it’s not easy)
  • That there are no handicapped parking spots in the city of New York
  • What EI, CPSE, CSE, ACC, OWPDD, EEG, and EKG stand for
  • How to fill a syringe with medicine and administer it on your child
  • What a seizure looks like
  • That there was such a thing as a swallow study
  • What depecote, acth, keppra are
  • The difference between grand mal, petit mal and absence seizures
  • How important the MECP2 gene is on neurological function and development
  • That there is such a thing as a car seat for a disabled child and that it costs $1200
  • What orphan drug status is
  • That your heart can break into a million pieces every day but then one smile from one amazing little person can make it all better
  • How to pack for a 48 hour long hospital visit for two people (one of them being under the age of 5)
  • The importance of proprioceptive and vestibular function
  • Bruxism
  • Apraxia
  • Rett Syndrome.

But if knowing all of the above means to know this kid, then I am in 100%.

Lily at CHAM March 2015

 

 

 

 

 

 

 

 

 

 

 

Things I wish I knew

The Program Director at Rett Syndrome Research Trust reached out to me earlier this week to get my thoughts on ‘things I wish I knew the day my daughter was diagnosed’ and I’ve been mulling it over in my head ever since.

What do I wish I knew on that fateful day?

I wish I knew that Rett Syndrome is a spectrum disorder.  The way that it manifests in every girl is different.  Some girls walk, some girls talk, some have meaningful hand use.  Unfortunately, many do not.  BUT one things comes across as very clear for all girls with Rett Syndrome: they are magical, beautiful, funny, and quirky.  People – both young and old – are drawn to them. And most girls are highly intelligent so intellectually, the sky’s the limit.  Bottom line: Never underestimate the potential for your daughter.

I wish I knew that even though my spirit may be broken at this moment, my daughter’s most definitely is not.  My kid is a fighter, a warrior, a princess.  And she’s still the same sweet angel she was the day before.  Falling into a pit of despair is not an option.  And taking your cue from your kid about having a positive attitude is the way to go.  Bottom line: Though you will have your ups and downs, always go back to staying positive.  And if you need inspiration, just look at your beautiful child and feel the love they radiate.

I wish I knew that asking for help doesn’t make you weak. I’m a very independent person and I still struggle with this one.  But what I’ve learned is that you need to take people with you on this journey of yours.  Get yourself a strong network of friends, supporters, advocates.  If they’re not comfortable with your kids diagnosis, they’re not worth having around. It’s easy to insulate yourself from the rest of the world.  But that does you, and your kid no good.  I take Lily out to restaurants, grocery shopping, walks around the neighborhood.  And I’ve built up relationships with the managers, wait-staff of our regular haunts, neighbors to let them know that even though my sweet kid has a hard time with her hands and words, that she understands everything and wants to participate.  I raise awareness about Rett Syndrome and I also ask them to help me ensure that my kid is comfortable, and included. Bottom line: Ensure you and your daughter have a strong support network.

Even a year in, I still have so many questions.  The uncertainty of the future can be crippling if I focus on the potential negative outcomes.  So I do my best to stay focused on the present.  And ensure that I’m prepared for whatever may come (case in point, I’m working with a special needs estate planner to get my Will, etc… in order).

Life is what you make of it.

Inspiration

Inspiration

Rett Syndrome: One year in…

I wasn’t sure what I was going to write today.  Maybe about what I’ve learned in this past year, how I’ve grown, how Lily’s grown.  I didn’t know.  But thankfully, this morning I received a beautiful email from my cousin (who also happens to be the first person I shared Lily’s Rett diagnosis with, which was exactly one year ago today) so I will share what she wrote:

I think and pray for you and Lily just about every day and am thankful for your insightful and honest blog entries. I have been thinking of you this morning as I know it is the anniversary of Lily’s diagnosis and the day your life was turned upside down. Congratulations on making it through this insanely difficult year!! I can’t even believe what you have accomplished in just 12 months since that day…becoming an expert on this very complicated disease, mobilizing outstanding resources for Lily, moving in NYC, searching and enrolling in a new amazing preschool, custody battle victories, fundraising, advocacy for Rett and even a battle against rude and obnoxious honkers.. and the list goes on… Remember how stressed you were a year ago about all these things.. hallelulia! they are behind you.
When I received this email last week from Rettsyndrome.org, it gave me much hope and excitement that a cure is possible and close! I had heard about these results but for some reason it really hit me when I read this and heard about the energy and money going into further research on this drug.
I made a donation today to this research fund to honor Lily and her mother 🙂 and recognize the anniversary of her diagnosis as well as her 4th birthday! I donated $123.14 – a dollar amount that reflects the date of her diagnosis.
Although I am sure in many ways, this is a difficult day for you, I am writing to remind you to pause today and recognize your amazing accomplishments this year!! And thank the good Lord that this year is OVER!! Onto year 2… good things are to come!
My cousin is a private person so I won’t call her out publicly here.  But wow, thank you beautiful cousin of mine – for being a source of inspiration, knowledge, unwavering support, and  for writing the words I needed to hear today.  I hope you don’t mind me sharing this…
Love,
C and L

Lily, Warrior Princess

This post has been percolating in my brain for some time.  You see, I’ve been coming to some new realizations about Rett Syndrome lately and it has been difficult to put words to these thoughts.  And then actually getting the courage to write them down has been even more of a challenge.

So here’s my attempt…

We’re almost exactly a year into this journey called Rett Syndrome.  January 23, 2014.  The day that we got Lily’s diagnosis from the geneticist.  In this year, I’ve been researching, reaching out, fundraising and advocating for my sweetie pie; trying to get her the best care possible, the best therapists, the best school, the best doctors, the best caregivers.  I will stop at nothing for my kid.

One of the first things I learned about Rett Syndrome is that there are four stages.  Here they are listed below, courtesy of the Mayo Clinic:

  • Stage I. Early Onset Phase: Starts between 6 and 18 months of age, after what would be considered typical development.  Babies in this stage may show less eye contact and start to lose interest in toys. They may also have delays in sitting or crawling.
  • Stage II. Rapid Destructive Phase: Starting between 1 and 4 years of age, children with Rett syndrome gradually lose the ability to speak and to use their hands purposefully. Repetitive, purposeless hand movements begin during this stage. Some children with Rett syndrome hold their breath or hyperventilate and may scream or cry for no apparent reason. It’s often difficult for them to move on their own.
  • Stage III. Plateau: The third stage is a plateau that usually begins between the ages of 2 and 10 years and can last for years. Although problems with movement continue, behavior may improve. Children in this stage often cry less and become less irritable. Increased eye contact and using the eyes and hands to communicate generally improve during this stage.
  • Stage IV. Late Motor Deterioation Stage: The last stage is marked by reduced mobility, muscle weakness and scoliosis. Understanding, communication and hand skills generally don’t decline further during this stage. In fact, repetitive hand movements may decrease. Although sudden death can occur, the average life span of people with Rett syndrome is more than 50 years. They usually need care and assistance throughout their lives

I’m going to call bullshit on stage 3, which is a supposed ‘plateau’.  I’ve recently seen it called the ‘pseudo stationary stage’.  This is much more accurate from my point of view.  Lily’s doctor says she is likely in stage 3, the ‘plateau’.  It sounds so much better than stage 2, the ‘rapid destructive phase’.  I mean, can we get any more dramatic?

But what I’m learning – both from experience and from parents who are a few years ahead of me on this journey is that this ‘plateau’ is anything but.  I’m not going to scare you (or myself) rehashing the details of what I’ve seen with my own eyes or what I’ve heard from these parents.  But it’s not good.  And it’s a constant battle.  EVERY SINGLE DAY.

Lily is a warrior.  EVERY SINGLE DAY.  She fights and struggles and thankfully she wins most days.  But there are those days, those scary days, when the Rett monster sticks its ugly head out a bit farther than usual.  And it scares the bejesus out of me.

But I refuse to let it get the better of me.  And I most definitely refuse to let it get the better of Lily.  Us warriors, we are going to win this war, and we will fight the battle one day, and many giggles, at a time.

Om tat sat.

warrior princesses

warrior princesses

 

Knowledge is power

I remember struggling through the book ‘Orientalism’ by Edward Said when I was in grad school. I think it was one of the very few books I didn’t finish as it was too dense and, truthfully, boring. But what I did get from this tedious, yet paradigm-shifting and acclaimed read is the underlying thesis of his book – knowledge is power.

I agree. Knowledge IS power. But sometimes knowledge sucks.

For example, Rett Syndrome.

Here is some knowledge about Rett Syndrome:

Rett syndrome is a neurodevelopmenal disorder that affects girls almost exclusively. It is characterized by normal early growth and development followed by a slowing of development, loss of purposeful use of the hands, distinctive hand movements, slowed brain and head growth, problems with walking, seizures, and intellectual disability.

Devastating.

AND…. And yet, there is still hope. Plenty of hope.

Lily’s therapists are amazing and are teaching the both of us how to maximize her potential (which, from an intellectual capacity is limitless) and mitigate her regressions (which is, unfortunately, ongoing – swallowing and hand function continue to be an issue).

From a physical perspective, Lily is growing normally. No slowed head or height growth (her current height puts her 6 months ahead of her actual age). I equate her ‘typical’ physical growth to knowledge. The knowledge to research like hell and talk to cutting-edge nutritionists to learn how to support this kids body which is constantly working against her. Lily takes supplements and vitamins galore – I look like a mixologist when putting together her morning and evening bottles. She eats clean and healthy foods. I stay on top of her constipation (which is a constant battle) to keep her comfortable. She gets PT and OT to ensure that she gets physically stronger every day.

So not all knowledge sucks.

But for Rett Syndrome in general? So much of it is unknown. How it manifests in each girl is different. And how it unfolds over the course of a girl/woman’s lifetime is a complete shot in the dark. There is NO body of knowledge to point to how this will fully impact MY child.

A fellow Rett momma blogger aptly put it this way:

Rett Syndrome is a relentless bully. …It is the type of bully who, just when you think you have fought hard enough to keep it at bay for awhile, sneaks around a corner and kicks you in the face.

I constantly need to be on my toes. On watch. On guard. Researching and reading and watching my kid like a hawk and meeting other parents who are years in to this experience (regardless of the pain their knowledge causes me). It’s a nonstop process.

Lately Lily has been having some pretty major zoning out episodes. They’re not seizures (as per the Rett specialist). They’re just Rett zone-outs, for lack of a better term. And it’s scary to watch. And there’s nothing I can do but hold her hand and talk to her soothingly until she snaps out of it.

Regardless of all the scariness, there is this hope.

I believe that my kid is going to rewrite the Rett books; that she is going to help pave the way for a new way to look at Rett Syndrome. That she will be cured of this horrific disorder and will be able to live a fully independent and symptom-free life.

And in the meantime, I’m just going to keep loving my kid. And reveling in her strength and beauty and joy.

This holiday season, please take a moment to put your life, and the lives of your children, in perspective. Give thanks for ALL the gifts you’ve been given – especially those gifts that you take for granted on a daily basis.

We ALL have so much to be thankful for.

Love,

C and L

All dressed up for her preschool's holiday soiree!

All dressed up for her preschool’s holiday soiree!