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Totties Pretties on Etsy

Totties Pretties on Etsy
Tottie's Pretties are ribbon wrapped headbands adorned with flowers & gems or perfect boutique bows. Banding Girls Together to Find a Cure for Childhood Arthritis. Tottie's supports CARRA and the Arthritis Foundation.

Wednesday, July 20, 2011

You learn to take the good WITH the bad....

...when living with, or raising a child with, not one but two (or more for some folks) chronic illnesses. Jenna "Bean" went to Duke Children's today for her 3 month routine appointments. Since it's a 2 hour drive each way we do both rheumatology and ophthalmology, plus labs all on the same day. This makes for a LONG day but at least it's done for another 3 months.....typically. Today we started with rheumatology first. I really thought that everything was going to be okay. She still has a lot of pain but I had come to accept that it may be more from muscle weakness and tendon tightness than from the JIA. I even told Larry on the way there, "Maybe they will want to start weaning her meds." Something that I have been so hopeful to try. We saw one of our favorite docs there today. She is so kind, so thorough. I watched as she repeatedly, lightly passed her hands over Jenna's ankles, quietly, with her eyes closed.I don't think I took a breath. She opened her eyes and said, "There is heat AND swelling in this ankle." I told her that Jenna jumped into a too shallow part of the pool last night and hit her foot. Could that be it. Oh the look on her face. I could tell she felt bad. She explained that, no, this is a flare. While it is very possible that the pool incident aggravated it, the flare was already there. My heart deflated. Then, thinking on it.....I knew all along. Yes, the pool incident made it worse, but it was there. She has been "gimping" around up on her toes periodically for some time now with that foot. I just never suspected her ankle. THAT hasn't flared in THREE years!! But that "gimp" walk that she has been doing since last night, it's the very same one she has been doing for at least a month now. Along with her ankle flaring, we have possible jaw involvement now. Something I have wondered about for a while now. I realize that lots of kids don't LIKE to brush their teeth, but with Jenna it is a screaming fight every day and night to get this done. Well, at today's appointment the rheum was spending an awful lot of time feeling the jaw and looking at it, asking Jenna about it. Oh boy. She looks at me and says she wants an MRI done. Her jaw is out of alignment which could mean JIA in her jaw. Oh boy. To top that off, she sin't even sure how she would treat it as there is a lot of controversy over HOW to treat a child's jaw with JIA involvement. And to top that off, she needs to be sedated as this is a time consuming test done in a big, loud, scary machine. So, that is scheduled for August 31st, exactly one week after school starts. GREAT. On that same day we will also see the rheum again to see if anything has changed with the ankle. I didn't even think to ask what we will do if it is the same or worse. As far as I know she can't increase any meds she is currently on. Which leads me to our next appointment....
After her lab work and a trip to the cafeteria to feed the posse (we all went today :D) we were off to Duke Eye Center. I was terrified that since her joints are flaring that her eyes would be too. After being quiet and clear for a year and a half. I got really nervous as Dr. Wallace was making adjustments to the slit lamp. I thought for SURE he was seeing something. NOPE! Guess he was just being thorough! STILL CLEAR!!!!! In my brain I realize that the eyes and the joints can flare independent of one another. It's my heart that's the issue. SO, m fear is that if the current meds are no longer working on her body, but they are on her eyes, and we mess with the meds to control the body, what then happens to the eyes. BUT, One. Day. At. A. Time. Right now I will praise Jesus for my baby girl's crystal clear, healthy eyes. You really cannot beat that.
Also while at Duke today, I finally remembered to register Jenna in the CARRA registry!!! WHY the doctors don't mention this to the patients and families is beyond me. But, at any rate, we remembered. Jennifer Stout, the Clinical Research Coordinator came in to talk to us about it and to have us fill out paperwork. She asked how we heard about CARRA, when I said online she was surprised saying that of 300, only 2 have said they've heard about it online. Interesting. She encouraged me to please share her email,, on my blog. She said that ANYONE can email her for info. ANYONE, even if you are not a Duke patient or from this area she will get you to the right contact person.

So that's it for now. Follow up on August 31st for an MRI and recheck of flaring ankle.

 I realize that I have not yet blogged about the Juvenile Arthritis Conference. Honestly I have been dying to, but I am still completely speechless. Words cannot describe just how amazing this event was. How big an impact it had and is still having on me. Probably always will. I know that my girls took a lot away from it as well. Next year I am hopeful that all five of us can go. Instead of words, here is a video I made.


Tammy Z said...

Amy, Anna has MRIs of her jaw SEVERAL times, and injections done twice. She hasn't been sedated for the MRIs (but she's older than Jenna, and she's a very calm teenager), but she was sedated for the first injection. If Jenna has ANY questions for Anna, I can relay them to her, and I know Anna will be very glad to answer them. I'm so glad you received such good news on the eyes, and I'm also glad to hear that Jenna sees a very caring and thorough pediatric rheumatologist. Many hugs to you! Hope you have a chance to relax and regroup tomorrow after such a long day today.

Amy Cunningham said...

Thank you Tammy!! I was planning on coming to you for some wisdom. Jenna just may have some questions for Anna, I will let you know. :) Right now she just isn't happy about the MRI. I am so very thankful that her doctor understands her fear and is willing to , even suggested, sedating her. There is no way she would be able to do it otherwise.
Tomorrow is either a pool day or a library day. Either way, it will be restful. :)

Jessica said...

Sorry about the ankle and jaw. :( But I am happy her eyes are CLEAR! Yay!! :) Hope the MRI goes well - and shows good things! Thinking of you guys, hang in there. :) HUGS!


Deetipton said...

Ugh! Well, I'm very happy about the eyes, but I'm so sorry about the joints. I completely understand how you feel about changing the balance of meds. The MRI idea was very, very scary to Emily, too. I'm glad that she'll be sedated for it. I really wish they had done that for Emily, much as I don't like the idea of sedation. Were you in the jaw session with us? I can't remember. It was such an informative class, but I miss a good chunk of it so I couldn't tell you much. Heidi has had a LOT of jaw issues. You may want to talk to her. Rochelle has had some experience with jaw issues, too. Love ya, Amy! If you need anything, give a yell :)

Amy said...

Thinking of you too Jess! Sorry things are not going so well in your boat. :(
Danielle how long was Em's MRI that she wasn't sedated?? Poor girl. She handles so much.
YES! I was in that class! I think I came in late. I wish I had paid better attention. Jeannine tells me that the book "Kids Get Arthritis Too" has a whole jaw section. I plan on reading in there tomorrow. Or maybe tonight since I'm clearly not sleeping.
Love and hugs to y'all too. <3

Anonymous said...

Just wanted to say thanks for the great blog! It has helped to read about other children with arthritis. Just wondering if you have looked into diet to help your daughters arthritis? We have seen some definite changes. Here is a really good article about it.