Ring14: Far More than a Diagnosis

I watch your chest rise and fall under the light of the monitors. You look peaceful in the moment, almost peaceful enough for me to fall asleep. Almost. My eyes burn and each time I blink, sleep tempts me. I can’t stop watching you. Even though I know the monitors will alert me if something happens, I’m so scared…

Baby Matias

Suddenly, your body tenses and your arms fly above your head. Your eyes roll back as every muscle in your body tenses. The monitor starts beeping as your oxygen levels drop. I jump up and hover over the metal crib where you lay as tears swell up in my eyes. I tell you, “It’s okay, Mommy’s here. It’ll be over in a minute.” I don’t feel like it’s okay though, I feel like running into the quiet hallway of the pediatric unit and screaming that something is wrong with my baby, just like I did 7 months prior during your first hospital admission, where I was first told these episodes were seizures. This time, though, I don’t expect any nurses to come running because by now, I’m expected to be able to handle this own my own unless it becomes an “emergency” situation, like if the seizure doesn’t stop.

As the seizure ends, I pick your limp body up and cradle you in my arms. I slowly lower myself into the chair, careful not to tug on any of the wires that are attached to you. Your breathing is shaky and you are unresponsive to my hand stroking your head. I’m so angry. I’m only 19 and you are my first child, and this is not how I envisioned your life would be. I never imagined you would spend your first year in and out of the hospital. I never thought I would watch my child suffer day after day, and be told that some kids just have seizures and no one knows why.

Only, now, everyone wants to know why you’re having seizures because you are having too many. As I gently rock you, my mind takes me back to the first one. You were three months old, it was the middle of the night. I felt you moving and thought you were waking for a bottle. Instead, your eyes rolled into the back of your head and you stopped breathing. I thought you were dying. During the 9-1-1 call, I remember the man on the other end saying to me, “It sounds like he is having a seizure.”

“No,” I said, “It doesn’t look like a seizure.” I didn’t know how many different types there are, yet. I later learned that first seizure was a myoclonic one. What I didn’t know was that it is the beginning of hundreds upon hundreds more of that type, and several others. You went on to have more episodes in the hospital, prompting the doctors to start you on an anti-convulsant medication called Phenobarbital. Unfortunately, even with the new medication, you were back at the hospital within days of being released due to more seizures.

I bring myself back into the present, where I’m sitting with you in the unnervingly still hospital room. We are a few hours from home, away from the people we love, and I feel so alone. Our local hospital decided it was time to transfer you to a bigger, better hospital to start looking for a diagnosis. When they first told me, I thought, “A diagnosis? I thought Epilepsy was the diagnosis?” Even after 7 months of uncontrollable seizures, no one had made it clear to me that Epilepsy could be a symptom of a much bigger diagnosis. Since we arrived, my sweet, tiny baby had been hooked up to monitors, had more than enough blood draws, and had been subject to a very painful spinal tap.

I slowly stand up so I won’t wake you, even though I know you will probably sleep for hours on end after all of the seizures you’ve had. I place you back into the crib and sit back down in the chair, where I will stay awake all night to watch you.

Fast forward….

You are barely over a year old now. You are only 18 pounds, and I have been told you are developmentally delayed. You have started physical therapy because you have low muscle tone. You are on three medications now, but the seizures still come regularly. It is not uncommon for you to have fifty or more in a day. I carefully peel open the envelope that came in the mail today. It’s from the university hospital. On the piece of paper, “chromosome anomaly” is circled. There is a note from the neurologist asking me to call him. My hands are shaking as I pick up the phone, and I feel like everything is in slow motion as I dial the number. I bite my lip hard as I listen to the recording and wait for the beep so I can leave a message. I don’t want to leave a message, I want to talk to the doctor. I need to talk to the doctor. I leave a message.

The next few hours drag by. I pace around the kitchen as you play happily in your play pen. I can’t seem to get my thoughts together. I don’t even know what a chromosome anomaly is. I’m scared. I’m frustrated. God, why? Didn’t I pray every day during my pregnancy for a healthy baby? I was told the seizures would probably stop by the time you turned two, and I realize for the first time that may not be true.

The phone rings.

“Hello?”

“Hi, Heather, this is Dr. Weig.”

The rest of the conversation is a blur. Exact words are lost, but I’m told that something isn’t right with your 14th chromosome and we need to go to Chapel Hill to see a genetics counselor and the neurologist. We make an appointment.

Just days later, we go. There, we are told that you have a rare chromosome disorder called Ring14 and there are only 35 people in the whole world diagnosed with this. You are the only one in North Carolina. Your doctors will be learning more from you than we will from them. Ring14? I’ve never heard of this before, and you are diagnosed with it? I feel like collapsing on the floor, but I don’t even cry. I hold you tight and listen while the doctors tell me that they don’t know how severe your delays will be, or if you will have seizures only during childhood or for your whole life. Then we go home.

At home, I search the internet for more information, but I only find one paragraph on a few different websites. It isn’t encouraging. I read the paragraph over and over. I don’t feel informed, I just feel lost, scared, and so lonely. I blog on MySpace about what I’ve been told. I type, “It can’t be fixed or changed.”

Fast forward….

You turned 15 in February and now have an entire list of diagnosis and medications and procedures. You are not the little boy I imagined, or the physically healthy child I prayed for while pregnant. No, you are far more than I could have ever imagined and without a doubt, the happiest person I know. You don’t need to be fixed or changed. You are non-verbal, but you teach me every day. I’m still scared sometimes, but I’ve learned so much. There are over 200 people diagnosed with Ring14 now. We are even blessed enough to know several of them thanks to the Facebook group we found when you were five. We call them our “Ring14 family.” Some of the amazing mothers of children with Ring14 have started an organization here in the US. I serve on the board, and I will never stop advocating for you. We are not alone in our fight anymore. These days when someone is diagnosed with Ring14, it is much easier to find information and other families.

I used to fear your rareness, how hard it was to find others like you. Now I know, you are a beautiful, rare gem. Yes, your diagnosis of Ring14 changed our lives, but it did not change you. You are my son, my first born, a big brother to 4 siblings. You are happy, you are brilliant, you are amazing, you are funny, you are sweet, you are loved.

Matias, Ring14 Hero

You are so, so loved.

~Heather

https://www.mombieneedscoffee.com/

Marie’s 16th Birthday; the challenge and the joy of it.

April 22nd was Marie’s 16th birthday. Sweet-sixteens are one of those milestone-type birthdays that you want to celebrate and memorialize. I am writing about Marie’s birthday weekend to do both, but I am also sharing this blog to try to capture for you what is difficult and what is beautiful about this life with Marie and our journey with Ring14 Syndrome.

Marie

Planning

What should we get Marie for this big birthday? What will she value? What will make her feel loved and treasured? How do we mark this milestone as truly special? If you are not a parent of a child with severe intellectual disabilities, you might not understand how hard these questions really are. 

Normal gifts, following the progression from baby to toddler to child to teen to young adult, just do not work. Marie will not be getting her driver’s license this year, so there could  be no car-related gifts and no celebration of new-found independence with friends. We typically fall back on trying to find developmentally appropriate gifts, but it gets harder and harder each year to find something novel or something exciting when your daughter’s interests have not progressed beyond those of a toddler. 

We shifted our focus: instead of a thing, we decided to give Marie an experience that would be built around her. But, again, this is not quite as easy as it sounds. While we wanted to celebrate with everyone who values and loves Marie, we knew that an event best suited for Marie (and my husband!) should be restricted to those individuals with whom she is most comfortable, which is her family. So, we planned a long weekend together with everyone meeting up in San Antonio, found a comfortable house to stay in, and looked forward to an excursion to Morgan’s Wonderland, a special-needs amusement park which had thrilled Marie in the past. We knew from experience that everything about this plan would need to be flexible because the only thing that is predictable in our life with Marie is the unpredictability of it all. You see, Marie has a severe form of epilepsy which has never been very well controlled, and her seizures have no respect for plans, no matter how important.

Birthday Weekend

rough day

When Marie started having seizures on Wednesday night, the day before her birthday, we knew that this was not at all going to go as planned. It is not necessary to go into all the details, so let me summarize by saying that the night — with 5 seizures — took a heavy toll. Instead of Marie’s birthday being the kickoff to our celebratory weekend, it became an all too familiar day of managing her care while trying to avoid the hospital. Marie slept through most of her birthday as monitors beeped and the oxygen concentrator hummed in the background – her bedroom has an assortment of devices that enable us to provide care at home. These types of days are so long and stressful; it was not the birthday we had envisioned.  All plans were put on hold… We decided to reevaluate in the morning in the hopes that we could still slip away. 

We finally left town Friday afternoon after Marie was evaluated by her home healthcare nurse, her lungs were declared clear, and her bowels had again started moving (everything slows down during a seizure cluster). Marie again spent the day sleeping, recovering in the arms of our second daughter while we traveled. Our oldest daughter met us in San Antonio with her boyfriend. No one could wait to share their enthusiasm for being together. We put on hats, sang happy birthday, blew out candles, and opened gifts. Marie was a good sport but could barely hold her head up. Even so, it felt right to be all together. We went to bed hoping for a better day tomorrow.

We took it easy Saturday morning and let the day unfold slowly with coffee, breakfast, and conversation. At 11am, we made our way to Morgan’s Wonderland. Although Marie was not yet up for active play, she did seem to enjoy being strolled about the park, swinging, and riding the train, railed cars, and Ferris wheel. By 2pm, she was wilting, so we went back to the house to relax. That evening, we had a lovely dinner on the veranda at La Cantera Resort and were treated to our first real smiles of the weekend as we pushed Marie over a bumpy path while taking in the view. Ah, she was returning to us again! Yes, we took a picture 😉

I am going to struggle to explain what a blessing Sunday morning was for all of us. It was the celebration we had been waiting for, but it looked nothing like what we had planned. Marie was all smiles, all cuddles, all sweetness, and we literally just soaked it up. We took turns sitting with Marie in the shade on the back porch while watching the others play basketball (I use those words loosely!) and other backyard games. We opted not to go anywhere; we were simply together with Marie in our center and that was more than enough. 

Happy birthday, my sweet-sixteen princess!!!

Reflections

You might ask yourself why we decided to travel on the heels of such a terrible two days, and it is a valid question. Why not postpone? But the truth is that any postponement might have found us in exactly the same situation — let that sink in. It would have been easy to stay (so much less packing!), easy to sink into the sadness, easy to write this off as another botched plan. 

When Marie falls apart, there is the temptation to withdraw; it feels too heavy to share. However, these days are made so much lighter when spent in community, whether that be family, friends, or an extended support group. Never underestimate the power of empathy — you just have to be brave enough and vulnerable enough to let them in.

It is worth noting that not only did we want a special event for Marie, but we also needed it for ourselves. We needed to mark our timeline with something of joy, not a crisis. Instead of defining this birthday as another derailed event, I will choose to remember our wonderful Sunday morning in San Antonio where we celebrated the beauty of this child turning 16 and the value of being together.

This life requires patience, resiliency, and an intentionality to look for the joy — it is there, but often it is found in the shadows, in the quiet, and in the unplanned simple moments. Take note of this joy and fill your bucket every chance you get.  I think this is true regardless of whether your life looks like mine, but it is especially true for those of us who have the privilege and challenge of caring for our special children.  


If this story resonated with you, please consider sharing and/or donating $16 to help children like Marie. Ok, you can donate more if you wish 🙂

Seizure Action Plan Week

The Seizure Action Plan Coalition will host the 1st annual Seizure Action Plan Awareness Week, February 8-14, 2020

 Help to Raise Awareness!

Seizure Action Plan Awareness Week offers the opportunity for patients, professionals, and advocacy organizations to learn more about and spread awareness of:

  • what a Seizure Action Plan (SAP) is
  • the importance of a SAP in the health management of those with epilepsy
  • resources to develop an individualized SAP

Learn more about SAPs from the Seizure Action Plan Coalition website. You can also follow the coalition’s Facebook and Twitter accounts to share posts and help raise awareness – be sure to include the official hashtag: #SAPAW2021 

shared from Dravet syndrome Foundation