Monday, 24 October 2011

Busy October news

October has been a pretty “crazy train” to say the least.  I apologize for not keeping the blog as current as I should be.
Beginning with the first day of October, we were fortunate enough to attend the Isaac Foundation’s Gala For a Cure.  This was truly an awesome event and we were fortunate to be accompanied by all our parents and Braden too.  It was very nice to have them go with us and support us as well as the Isaac Foundation charity.  Sitting in a ballroom filled with people who were all there for the same reason was truly inspiring.  We had a great meal, and then there were some nice words said.  Andrew honoured our family, by introducing Jasper and our family and telling everyone a little bit about our journey so far, and the struggle we had to obtain the funding for Jasper’s treatments.  He then turned the microphone over to Pam as she had written a few words as well.  Here I have included the wonderful speech she (with a little help) put together and did great job of telling:

It was only April of this year when we heard the three letters that would forever change our world – MPS.  These three letters were something we had never heard before our son Jasper’s diagnosis. We struggled to understand their meaning and to figure out how we were going to deal with all of the information and emotions that were suddenly and quite unexpectedly thrown our way.  All of a sudden, when we looked at the face of our beautiful little boy, we no longer saw what we had seen even the day before but now we found ourselves searching his precious face, body and movements for signs and clues, analyzing his every move and word to see if we could pinpoint which type we were dealing with and how severe and quickly the disease was progressing.  We were plagued with feelings of helplessness and confusion, guilt and despair. 

It was mid July after many blood tests, urine tests, a skin biopsy, DNA mapping and many emotion-filled weeks of waiting when we were told that Jasper in fact had MPS type VI.  Our team of Doctors sent us home that afternoon with stacks of information and so many thoughts and questions swirling around in our heads it was extremely overwhelming.  When I sat down to read some of the information, I discovered at the top of one page they had handwritten a website – www.theisaacfoundation.com  I immediately pulled up the website and as they say – the rest is history!  It took me 2 or 3 attempts before I could complete an email to contact The Isaac Foundation as with each attempt came a flood of tears and emotion.  When I finally forced myself to send that first email the response I received was filled with nothing but compassion, support and encouragement.  I began asking both Andrew and Ellen a multitude of questions and their every response was brimming with wonderful information, guidance and a positive outlook.   

We immediately began the process for applying for funding to cover the Enzyme Replacement Therapy that is available for MPS type VI.  On one hand our doctors were telling us there was treatment available but on the other hand it looked like obtaining the necessary funding was going to be very difficult.  We felt sick.  We knew in our hearts we wouldn`t stop fighting until we had the answer we wanted and funding for Jasper was approved but at the same time we didn`t know where to start.  This is when we turned again to The Isaac Foundation for advice.  There are 2 statements that come to my mind whenever I think back to July and early August and our initial conversations.  The first is an email from Andrew in which he told us `rest assured you WILL get treatment paid for here in Ontario.  Isaac has set a precedent and they cannot deny a patient treatment that is already being given to another child in the province given that they suffer from the same disease`.  The second statement came from Ellen when she responded to an email with `We will do everything we can to help and trust me, my husband is a very determined man!’

It was mid August when we began to realize the true magnitude of Andrew`s determination.  Our initial application to the Ontario Ministry of Health for funding had been denied and we were nothing short of devastated.  We knew we could appeal this decision but were concerned that alone wasn`t going to be enough.  We didn`t have to express our concerns to The Isaac Foundation, as they had already anticipated our thoughts and had begun working on a press release the day before to spread the word.  You see it isn`t only determination that Andrew seems to possess but to Ellen’s email I would add the traits of dedication, knowledge and compassion as well.  The positive manner in which he kept pushing and encouraging us throughout the entire funding application process was nothing shy of amazing.  Without the Isaac Foundation we would have lost. 

One other moment along our funding application journey really sticks out in my head.  It was Wednesday evening of the week we had been denied by the government and I was chatting on the phone with Andrew and expressing some of my concerns and frustrations.  He was doing a great job of trying to keep me positive but I am not sure I was buying it at that point.  All of a sudden he said to me “hey, would you like to talk with Isaac?”  I most readily agreed and on to the phone came the happiest “Hi Pam!”  Isaac and I chatted for a couple of moments and then I asked him if he knew he had amazing parents?  He let out a bit of a sigh and said “I know, I’ve heard that before”!   I am not sure anyone realizes how much that short conversation did for me.  It picked up my spirits and gave me the encouragement and boost I truly needed at that point in time.  To hear Isaac so happy and full of life reminded me of exactly what we were fighting for. 

It is now October and when we look back on the roller coaster ride we have been on since that day in April we are amazed at how far we have come. We have had numerous ups and downs in the past few months but continue to be amazed by the support we are receiving from family, friends, co-workers, community, doctors, church and our new MPS family. As we anxiously await Jasper’s first Enzyme Replacement Therapy appointment we feel blessed for Jasper to have received the chance for treatment and what it will mean for his life. We no longer look at his every movement in search of answers and analysis but see our Jasper again. We see ways we can fundraise to find a cure, we see wonderful people that we never would have met if it wasn’t for this disease and we continually search for ways to make Jasper’s journey positive and life changing for everyone he touches.

Andrew and Ellen, you truly are amazing individuals and together with your 2 boys you make an amazing family.  As I said before, without your help we would have been lost.  Darren and I will forever be thankful for everything you have done to help Jasper and to help our family.  Jasper is scheduled to start his first treatment session next week and without you that may not have happened.  For this we are forever indebted.  Please accept our extreme thanks and the thanks of our families that are with us here this evening.  Please know that we look forward to connecting our families for as long as it takes for us to find a cure for Isaac and for Jasper and for all others affected by this disease and beyond.  We are ready and willing to step up and support the Isaac Foundation in whatever capacity we can.  We look forward to fundraising right along beside you in the search for a cure.  We are ready to hold out our hand in hopes you will reach out and take it as we walk this journey with our families.  We are so happy to be here tonight and know it is just the beginning of great things to come.  Look out Andrew some of that dedication and determination may be wearing off on us!  There is a cure out there and together we are going to find it.”

Then some of us (Clay not so much) enjoyed the sounds of Sarah Harmer playing her guitar as she sang some of her favourite hit songs.  Then it was Clay’s turn, the dance floor opened up and Clay got his groove on, and shook what his momma gave him…..just past midnight, until his parents made him go to bed.

The More kids and the McFadyen kids got along very well together and I could tell this was going to be the start of a great family bond between us. 
We began to look forward to the coming Wednesday, October 5th.  This was to be the first day of treatment for Jasper.  That is until Tuesday morning, he began to cough.  It was with great disappointment that we had to postpone that much anticipated treatment start till the next week.

And so it arrived.  We had an appointment with the neurosurgeon on the 4th so we went down and took advantage of the Ronald McDonald house on site at the hospital.  The neurosurgeon was happy with all that she had read about Jasper thus far, and everything she could see from him in person.  Her biggest concern was with the common spinal cord compression which often occurs in MPS patients.  She will order and MRI to be done and will likely want to repeat it every 6 months or so, to keep a close eye on it.
After a decent nights sleep in the Ronald house, we made our way across the driveway to the PMDU area of the hospital which will become our home away from home.

Jasper was very apprehensive on this first visit as you can well imagine.  Our first ‘struggle’ came when we were supposed to give him is oral pre-medication.  Tylenol and Benadryl given to help prevent or offset any minor side effects such has headache, fever, skin irritation etc, that the Naglazyme might cause.  Holding him down, and trying to keep his mouth open at the same time as he’s screaming, we force the medication in.  Not even bribing him with a popsicle helped.  By this time, the Emla cream we put on over his port to freeze the skin, had been applied more than an hour before, so it was time to access the port, or in Jasper’s words, “GET POKED”.  He did not like this part at all.  But after the initial shock, he calmed down fairly quickly.  We then began the four hour process of pumping his body with 130ml of the artificial enzyme.

On pins and needles we waited, watched, and hoped that things would go well, and he would notice little or nothing to do with this foreign matter entering his bloodstream.  Once again, our prayers were answered.  Four hours later, after a lot of games, a movie, and a brief nap, the $4775 bag of fluid was empty.  After another hour of straight saline solution, and a few more vital checks, we were cut loose.  We had to stop on the way home to get another fish of course, cause the first three were gone already. J
The coming weekend was to be another long awaited one.  One we’ve been looking forward to and working for, almost since we heard the letters MPS (together).  The Scotiabank Toronto waterfront marathon 5k event.  At this time, I want to thank you all again, who generously sponsored our team in our effort to raise funds for the MPS Society of Canada.  Together we raised over $12,000.  What an amazing feat.  I also want to thank our friends and family who took time out of their busy schedules to help with the fundraising and then joined us in Toronto either the day before, or the day of the big event.

And what an event it was.  To be one person in 6500 in the 5k event, one person among 22,000 in all three events, and one person, there raising money and walking for my own cause.  This was very humbling.  Seeing all the other people there, walking for their own reason(s), some on crutches, some using walkers or wheel chairs……  The kids in our group all did a fantastic job, there was very little complaining and lots of laughter and cheering and having fun.  Which we couldn’t have asked for anything more.  I cannot wait for next year.  I’ll be watching the Scotiabank Marathon web site for info on next years event, and waiting for the time when I can sign up.
That pretty much brings us to the second Wednesday of treatment.  This time we leave home about 7:30am to begin our day.  Things go really well at PMDU this time around.  Jasper even stepped on the scale to be weighed all by himself for the first time.  Mom and dad put the EMLA  cream on before we get into the waiting room this time, so it will be all ready to go on time.  Jasper is a big boy this week, and takes his pre-meds without a fuss, and only a little bit of crying when it’s time to get poked this time.  No crying at all when taking the band-aids off, or when taking the needle out of his port.  Mom and dad are SUPER proud of the little man.  Once again on the way home, we have to stop and pick up a new fish because yes, this one didn’t last the week either…..  good thing they’re not expensive and good thing we haven’t had time to get too attached to them either.

So, with all this going on, throw in the fact that Daphnie has started Jazz dancing on Monday evenings, and Hip-Hop dancing on Saturdays, Clay has started hockey Monday, Wednesday and Saturdays, mommy has started bridge, and daddy has started curling.  As you can see, October has been….full.  I’ll be glad when it’s over, but first…….HALLOWEEN!!!!  Pictures will follow!

Tuesday, 4 October 2011

Supreme Bummer

Jasper has developed a 'barky' cough last night and this morning so they have postponed his first infusion until next Wednesday now.  :-(

Thursday, 29 September 2011

Port Insertion Surgery

As a father, yesterday (Sept 29/2011) will go down in history as one of THE TOUGHEST days of my life……..so far.
It was with very mixed feelings since the day the surgery was first booked, through the early part of this week when we found out surgery had been expedited till the time we were able to hold Jasper again when it was all over.
Mixed feelings because the whole while we knew that this surgery was 100% necessary to make life easier with the many infusions he’s going to have to endure now, while on the other hand………… what in the heck are we putting this poor defenceless boy through?


As you see in the photo, pre-op, he was playing the morning away with his friend Terry (Child Life) and all the toys in the pre-op waiting room.  Mom, dad and Terry are every once in a while trying to remind him about what’s about to happen using ways and words that aren’t going to upset him.
Then it’s time to go, rather than lay him in a steel caged crib to be whisked away, Jasper says he’s fine to walk in with Terry.  Mom and dad breathe a sigh of relief because we expected a fuss at that point.  I wonder…….knowing what happened to him now, if we were in that position today….would he be so cooperative as to go with Terry?  Will he ever again?
Mom or dad wasn’t allowed to go into the O.R. with him because we didn’t have time to register in the hospital’s NAP program.  Looking back, maybe it was a good thing.  Terry told us that Jasper did very well going to sleep.  He was apprehensive at first with the other strangers in the room, but they all took their time, and when he was asked, Jasper sat up on the table and then laid back, and then put the mask on without any fuss.  Hearing this makes mom and dad very proud and somewhat relieved because we could have expected a big outcry and un-cooperation.  It also made me very sad to picture that happening in my mind.  That poor dear sole, who never hurt anyone, has to go through that scary process by himself.  Both mom and dad are fighting back tears.  He’s brave and strong, why can’t we be?
It’s now just shy of 11:30am.  We go to the waiting room and watch as various surgeons come down and speak to other waiting friends and family and tell them that their loved one is ‘done’ their surgery and will soon be in recovery.  We wait a few minutes in case the anaesthesiologist has any questions, then we decide to go and grab a quick bite, since none of us had eaten anything yet.  Grabbing a drink and a muffin we go back and eat it in the waiting room because we want to be there as soon as the volunteer comes to get us to tell us Jasper is in recovery.
First, the surgeon comes by and calls us over.  “Everything went well, and it’s all done.  At first, the tube kept wanting to travel down Jasper’s arm rather than down in to the aorta, but after a few attempts, it got to where it needed to be.  We tested it and it works fine, so they shouldn’t have any trouble using it for his replacement therapy very soon.”
We feel another big sigh of relief as we sit down again and wait for them to tell us we can meet J in recovery.
A few minutes later, we get the call, a volunteer takes us over to recovery.  Jasper is lying in the crib crying and crying, not really opening his eyes, just crying inconsolably.  “owy owy owy, my tummy hurts.   Can you kiss it mommy?”  After a few short minutes of this, daddy has to sit down.  My stomach is weak at the best of times, but now, seeing and hearing these painful cries.  As if I didn’t feel guilty enough already.  I don’t think daddy can take much of this…….  They give Jasper a shot of morphine on top of the Tylenol he had going in to surgery.  That seemed to calm him down and it made him sleepy again so he had another nap.  While he was asleep, mom and dad talked to the nurses a bit, and listen as other children in the room who have had other various types of surgeries are waking up and crying in pain, and yearning for their parents to come in as well.  One little girl (Pearl) whom Jasper played with a little bit in the waiting room pre surgery, is continually crying for her mom, dad and baby sister.  We hear the nurses say to each other, “we can’t find her parents, they must have gone for a walk, or to get a coffee or something.”  My heart went out to that little girl, and I couldn’t help but think, ‘parents, if you could only hear your little girl crying out for you……’  It was tearing my heart apart, and it wasn’t even my child.
As we watched J sleep, I prayed that when he woke up, we’d get our Jasper back.  I prayed that the anesthetic would be completely worn off, that the morphine continued to help with the pain, and that he could be awake without too much discomfort.  I knew that if he woke up crying again, and still in a lot of pain that I would not be able to take that.  I recall thinking, ‘why God?  No child should EVER have to endure the pain and suffering of surgery, of any kind.  They’ve done nothing wrong, and yet, they have to suffer.’  Mommy remains strong, as daddy loses the battle against the tears.  The nurse says it’s time for him to wake up now……the moment of truth.  Does daddy have to face his little boys’ pain and anguish again?
As he wakes this time, he doesn’t frown, and doesn’t cry.  He’s thirsty.  Those familiar words, “Can I have juice?”  Daddy cries again, tears of tremendous joy and relief this time.
We stay in recovery for a another 15 mins or so, and then he’s ready to be moved to post-opp.  Daddy gets to carry him from one room to the next, and then we sit and cuddle the next hour and a bit away in the post opp room.  Quieter all around, a lot less crying.  More juice a couple halves of popsicles, a shot of Advil before the long ride home, and by 3:30pm, we’re sprung.

On the way out of town, we stop at the pet store and pick out three fish to bring home with us.  We wanted to get home soon, as J would be able to have more Tylenol by 5:30pm if he needed it.  Lo and behold by the time we were home, if he wasn’t routinely talking more and happy to see his brother and sister and show them the fish he picked out for them.  “Here’s some medicine J.”  “I don’t want it.  I don’t need it.”  That’s awesome.  We were hoping to skip the next dosage of Advil, but if he doesn’t need Tylenol either, that’s great.  We’ll wait and give it to him at bed time.  So the fish have names now.  Jasper has named his “Terry”, Daphnie has named hers “Pearl”, and Clayton has name his “Yellow”.  Note all three fish are your general run of the mill ($0.19) GOLD fish.

 And so, the kids are in bed, mom and dad breathe the last big sigh of relief on a long day.  Thank you Jasper for being as strong and as brave as you are.  As I tuck him in, I tell him, “I hope this is the hardest thing you ever have to do” but a knife in my stomach tells that it’s probably not about to be.

Life is hard.  Parenting is hard.  Watching your kids have to go through something like this is excruciating.  God give me strength.  I almost let you and Jasper and mommy down this day.  I’m going to need a lot more if we ever have to do something like this again.  Amen.
Thank you to all of you who prayed, thought of and cared about Jasper and our family through the surgery and the entire ordeal as we continue.
Stayed tuned for the next story:  “First treatment”  Gosh I hope that day goes easier than this one…………!!

Tuesday, 27 September 2011

Moving ahead!!

Port insertion Surgery has been expedited to Wednesday Sept 28 @ 11am.  Treatments will be able to begin the following week, October 5th.
Hopefully Jasper will take the process of surgery okay and recovery period will be minimal.  The child life specialist has agreed to meet us pre-op and play with Jasper for a while as well as go into the OR with him until he is asleep.  I hope that's enough....  I'm nervous and worried that he'll be upset but hopeful that he'll surprise me and be a "super dude".  We practised on 'George' (his doll that the child life specialist gave him) last night, put the gas mask on him till he was asleep and gave him the IV, and then inserted his own special port, then stitched him up.

I think Jasper will be okay with it, because he is okay with having a port like Isaac :-)  Please keep Jasper in your thoughts and prayers while he undergoes surgery tomorrow and treatments to follow.  I'm looking very forward to seeing the positive changes in Jasper, that I'm this therapy will give him.
God bless.

Wednesday, 21 September 2011

Nothing major.  Were in London yesterday.  Met with 'Terry' the Child Life specialists.  His job is to play with the kids.  Give them something positive at the hospital as opposed to just doctors and nurses doing all the poking and proding.  Not saying doctors and nurses aren't positive.
He went through the process of surgery and showed Jasper a port that had been inserted in his puppet's chest already.  He sent us home with some props and tools used in the surgery so Jasper can play with them and become more familiar with them before it's his turn.

We also had a baseline check in with a dentist there in the hospital.  He was very nice and friendly as he only deals with children.  He says Jasper mouth, teeth, gums, jaws etc are perfectly normal.
Still no word on having surgery moved up, but we're still trying.
Take care everyone.

Thursday, 8 September 2011

Status update on Jasper


Our most recent trip to London was yesterday (Sept 7) in which we had a follup appt in the Metabolic clinic just to make sure all Jasper's baseline checks (height, weight, GAG level etc) were done and up to date before we start treatment.  We we also fortunate enough to have our pre-opp with the anesthesioligist done as well.
Port-a-cath insertion surgery is scheduled for Oct 19th, but we're hoping our team is able to get that pushed up as they won't start ERT on Jasper until the port surgery is done.
At this point, it looks like Wednesdays will be our weekly trip to London for treatments.

All the best to all.
The Mores