Sunday, March 9, 2014

Ethan Turns One and hits the 10,000 Mile Mark!


Opening presents with
Grandma and Grandpa
It is one year to the day that my life was completely flipped inside out, turned upside down and spun on around its axis.  It has truly been a whirlwind of a year and while there may be things I would change if I could – I would not change the road I took to get here and the place in which we as a little family unit are right now.

This day one year ago was the best and worst day of my entire life. This was the day I almost lost my son forever (see August's blog post - "What Happened During Delivery..."), the day I finally got to hold him in my arms – the day I embarked on a journey the particulars of which I would never have been able to prepare for.

My little wonder boy Ethan has really endured so much -  in just 12 short months on this beautiful planet he has had the following:

  • CPR
  • 2 MRIs (the second of which required sedation)
  • Cat Scan
  • Spinal Tap
  • Chest X-ray
  • Blood drawn
  • IVs in both of his hands and both of his feet 
  • Daily nebulizations and inhalers 
  • One 2am ER visit due to respiratory issues
  • DNA swabs
  • Ultra sounds on his kidney and liver 
  • 6 assessments and reassessments on his gross/fine motor skills, cognitive ability, ability to communicate, and behavioral aptitude
  • And a circumcision to boot! 


Happy Birthday to Me!
When you have a son with a neurological disorder it takes an army to ensure he’s as healthy as can be. Ethan has the following throng of specialists in his arsenal:

  • Two pediatricians (we go so often we bounce back and forth between two women that we love)
  • Neurologist
  • Ophthalmologist
  • Pulmonologist
  • Geneticist
  • Two physical therapists
  • Occupational Therapist
  • Site Therapist 

1 year photo shoot!
To say the least – we have been busy! But there have been so many wonderful things this year as well! Like the travel for instance. Ethan has traveled to so many places.  In one year - counting only vacations, not daily trips around town – Ethan has traveled 9,500 miles. And as I write this blog we are driving North for his one year birthday party – on our return trip he will have made it over the 10,000 mile mark.  Where on Earth has Ethan been traveling to, you may wonder?

  • Road trip home to NorCal for Bisnonna Nedda’s funeral
  • Road trip up the coast to meet our cousin Gavin, then up to NorCal again for Auntie Colleen’s college graduation
  • Drove all the way to the Trinity Mountains for our family vacation
  • Flew to Salt Lake City for Shuli’s wedding
  • Drove to Temecula for beer tasting trip
  • Flew to NorCal for annual Santa Cruz trip with the ladies to meet our buddy William 
  • Drove to San Luis Obispo for Great Grandparents 60th wedding anniversary
  • Flew to Denver for Great Grandmother Helen’s funeral 
  • Drove to NorCal twice for the Thanksgiving and Christmas
  • Driving to NorCal as we speak to celebrate one year of awesomeness!

Where shall we go
next?
What an adventure my son – and as Helen Keller said, “Life is a great adventure, or it is nothing.”  I look forward to the many adventures in the coming year – maybe a little less drama – but definitely an inspiring journey.

Thursday, March 6, 2014

Joubert Syndrome – Finding Silver Linings

After my last blog – this being my own form of achieving catharsis – it was brought to my attention that it made some people worry about me a little. It makes sense, as my mom tells me, it would appear that I am going the though the 5 stages of grieving:
  1. Denial: For me it was not denying that he had Joubert, but denying that it could be as bad as it may be; hoping that at any given moment a switch would flip and he would just catch up.
  2. Anger/Sadness: I have been here a lot
  3. Bargaining: All the “If Onlys”… We didn’t have too many of these. Given the knowledge we had at the time there was no way we could have prepared for or prevented this. 
  4. Depression: Oh yea – no stranger to this lately…
  5. And finally Acceptance: I would say I am dipping my toe into acceptance – but I’m not 100% sure I am there yet. 
However… !

In an attempt to move further into acceptance I spent some time focusing on some of the uniquely good parts that come as a result of Joubert. Here are few things that are tiny sliver linings to Joubert…
  • Cuddle time: Ethan does not have the capability as of yet to get up, crawl, run around – he is quite
    My little cuddle bunny
    at 4 months old!
    content to sit on my lap and play with my hair, my necklaces, sing songs, etc. He will lie next to me playing Peek-a-Boo. We can curl up and watch Baby Einstein or Disney movies together. If he could, he would sit happily in our laps for hours. It’s his favorite place to be. We are lucky that our baby cuddle time with Ethan will last quite a bit longer than normal. 
  • I can get things done: Due to Ethan’s condition his world is very (very) small right now. It exists only in those things that immediately surround him. Because of this, I can sit him safely on a blanket surrounded by toys within his reach and then I can complete some tasks. It’s not just that he can’t move around, but he is truly content to sit and play with his toys for an extremely long amount of time. (I’ve heard this to be quite common in kids with Ocular Motor Apraxia and Joubert).  And I don’t have to worry about him because he isn’t able to go anywhere just yet. If I hustle – I can get half a day’s chores done while he’s still stacking his little blocks.
  • Baby Proofing: I have done no baby proofing to date. No need…
  • Clean House: Because the baby plays in such small spaces – the only mess in the house is mine and Terry’s.  And let me tell you - we rise to the occasion… it looks like 5 small children live in this house, not one who can’t even make a mess yet!
  • When he does walk he’ll have common sense: It will take a year or two for Ethan to walk 100% on his own and maybe even longer before he can run… so the upside to that is by the time he does finally cruise around on his own he will have the common sense of an older toddler. He will still be clumsy I’m sure… but at least he’ll know more about staying out of trouble than a 10 month old.
Baby's first pumpkin patch -
6 months old!
There you have it. It’s not the world’s longest list – but those first two silver linings are enough in and of themselves! Of course I want him to walk, crawl, run, scoot, shimmy and shake! But I know when he does I will miss the time he was content to just in my lap sing with me, and I know I will be so grateful we had that time for as long as we did. 

Saturday, March 1, 2014

My Son and Joubert Syndrome – Accepting What Is

Family Christmas in
San Francisco
I have been having a really hard time writing this blog lately – and I thought it was because I was busy. Busy with my beautiful son, busy getting Terry into college, busy with my extremely fast paced job, and busy with other things – birthday parties, travel, properties and trying to catch up with friends. But no – that’s not really it. I keep crazy hours and there is always time to write if I am motivated. No – the truth is I have never really come to terms with what is. I feel like I have pigged out on the smorgasbord of emotions, but up until just tonight I have not really accepted that “what is” cannot be changed. And I have to learn to not only accept it, but to continue to thrive in the wake of all we have been through and all we may have yet to face.

It’s interesting that this epiphany comes to me after a week of a deep depression, and the depression coming just weeks before Ethan’s first birthday. I have a colleague who had a baby just a month after Ethan was born. We were chatting it up at the water cooler and he told me what a trip his daughter is, how she walks into the bathroom with them in the morning and watches he and his wife get ready. She stares in the mirror alongside them and tries to mimic them. This was for all intents and purposes a super sweet and simple story. 

But it broke my heart. 

A big head makes
tummy time hard!
It broke my heart because Ethan isn’t even close to that. Ethan can’t walk, he can’t crawl, he won’t even roll over yet! He can’t focus his eyes enough to watch us, to look at what we’re doing. He can’t control his body enough yet to mimic our movements – more than clapping hands or banging on a table. He’s basically a 6 month old – but in a one year olds body.  I can’t get him to understand that he can roll over and crawl to whatever he wants. If something is out of reach for him he just cries. And I feel like every month the gap between where he should be and where he is gets wider and wider.  I solve problems – that’s what I do for a living. And I can’t solve this and its really, really hard on me. For Joubert – for Ethan, it’s just a little work every day, every day, every day. It’s patience. It’s persistence. It’s little rewards and a lot of labor.  I just wish I could pop into the future to when Ethan is 5 years old and see what his prognosis is - then I can just know and stop worrying about the unknown. But I cannot do this... I have to learn to be comfortable with uncertainty. 

The more I read about Joubert Syndrome the more awful I realize this condition is. For what we know now we lucked out with his condition being mild but I don’t consider us lucky. Joubert is one awful thing. In some cases Joubert is fatal due to kidney failure, liver failure, kids failing to eat, and/or respiratory issues. Some kids are fully mentally retarded. Some kids get fluid in the brain that has to be removed surgically. We will have to monitor Ethan constantly should one of any of those issues above rear its ugly head. And with Hypotonia he’s still mostly sedentary. And with Ocular Motor Apraxia his little head shakes when he’s trying to focus his eyes on something.  

And I look at my friends and family, who have so many kids between them and I can’t help but to feel so confused. I have spent years delighting in their children’s achievements and successes. Sharpening my mothering skills on their expertise. Waiting for the time that I could finally delight in a child of my own. And as I look back on this first year, I feel like I have been dragged across the coals. My joy hampered by fear. My excitement hampered by stress. My pride hampered by my embarrassment. Yes, embarrassment. It’s hard not to be a little embarrassed when you’re trying to explain to other mommies at nursery school why their younger child is already moving to the “Wobblers” section and yours won’t be there for a long time to come. It’s hard in a one minute exchange to say, “My son has this rare genetic disorder called Joubert Syndrome that affects the part of the brain that controls balance and coordination. He’ll get there eventually.”

My Christmas
Charmer
But – when I think about what has hampered my love… well, my love was hampered by nothing. I love my son so very much. And I don’t just love him because he’s mine. I love him for who he is. He’s charming. And he’s funny. He’s inquisitive. And he does mimic us as best he can and he loves it when we mimic him. He enjoys other people and other kids. He’s actually built relationships with some of the other babies at school – genuinely happy to see them when they’re there. He likes learning new things. I can't help but wonder sometimes what Ethan would be like without that one stupid mutated gene - but that is a fruitless thought and I am reminded to be in the now and focus on the what is. And overall - I think he’s going to be a pretty awesome little dude. 

So here I am alone on Friday night because Terry is working and I’m watching “Steel Magnolias”… don’t judge. And I know what’s going to happen – Julia Robert’s character is going to die. And I think about Sally Field’s character – having to say goodbye to her daughter and I’m a total wreck. And I think to myself how utterly shattered I would be if anything ever happened to Ethan – and suddenly my depression is gone and I realize I just have to accept what is. I have to learn to live with fear and turn it into an action plan, I have to manage the stress and I have to get over the embarrassment. I can’t wait to see who this little man grows into. Ethan doesn’t know anything is wrong with him and I owe it to him and to myself and my family to make sure that I work on not letting things hamper my joy, my excitement and my pride.  He requires more work than the average baby – but hard work has always been my modus operandi. 
I love my little
joyful character!

So there you have it. It won’t be easy – I know I will get stressed, embarrassed and fearful again. But I will just have to try and get back to this moment – here watching Steel Magnolias – remembering Dolly Parton’s line - “Laughter through tears is my favorite emotion.”

I aim to be able to listen to those water cooler stories and be genuinely happy for other parents and their children’s successes. Because when I am truly happy and feel blessed for having Ethan in my life, I am able to be truly happy for everyone. And that is a good place to be.