Big News

After months of hard work, I am excited to share the specific details on the inclusive playground coming to the Town of Milton.

The CMCD Foundation has partnered with the Town of Milton to make this playground a reality. The Town of Milton has contributed $175,000, with the company supplying the equipment offering a matching grant of $160,000. This money has been used to purchase of the two main play structures. The CMCD Foundation is aiming to raise at least an additional $50,000 to purchase and donate all of the additional equipment that you see in the renderings shown in the link below.

We are working on several fundraisers (stay tuned for details) to help us purchase this equipment. We are also reaching out to our local community as well as neighboring communities, to help us spread the word about this incredible project. Please consider making a tax-deductible donation to help make this playground a reality for our children.

Please click on the picture below to read more about this incredible project.

Thank You!

We did it! We did it! Giovanni is officially part of the May 2016 class at 4 Paws For Ability. He is getting his service dog!

In 15 short months, we will make the journey to Xenia, Ohio for our 2 week training and certification in order to bring his service dog home. We really want to thank everyone that has rallied together to help make this possible. A huge thank you to the Verizon Retirees Club and all of the CWA members for going above and beyond to help us not only reach, but exceed our goal. All excess monies will go to help other families working towards their service dog.

I also want to thank all of the local businesses, organizations, and especially all of the individual people, that contributed and raised awareness, to help my son get his service dog. I will be forever grateful. We thank you all from the bottoms of our hearts!

Finding Balance

One of the things about raising a child with complex issues is that you are constantly questioning everything. You question your judgment, your thoughts, your feelings. Everything.

It is never easy accepting that something could be wrong with your child as acceptance would only confirm these fears. But yet you don't want to ignore something either because doing so could have disastrous consequences. It is about finding a middle ground, somewhere between neurotic and dismissive. However, this is not as easy as it sounds.

I have talked many times about Giovanni's issues with sensory processing. Sounds, textures, lighting, all of these things have the ability to switch this internal switch, causing him to meltdown into this out of control tiny human. The only way I can think to describe it is as an invisible taser. Imagine constantly being hit by this taser when you least expect it. The most excruciating, unbearable sensation that you can imagine. The only thing that you can do is either to try to escape from it, or drop to the floor and scream, praying that it will stop. The one caveat is that no one else can see this taser. These awful things are happening to you, yet no one else can see them happening.

There have been many things that we have chalked up to this, including some bizarre behaviors that we can't otherwise explain. Giovanni has these moments where he all of a sudden loses touch with reality. He does not know who anyone is, cannot respond or interact, does not make eye contact, and rolls on the floor moaning and shrieking. We never considered it seizure activity because it doesn't fit the mold. There is no eye deviation, no unresponsiveness, no staring.

A few weeks ago our Speech Pathologist mentioned something to me that got me thinking, but not enough to freak out. Giovanni has started this new thing where he yells and runs away every time a therapist comes to our house. Considering he gets therapy 8 times a week, I can't say I blame him. Anyway, on this particular day he was grabbing onto me screaming, yet he would not let me hold him. There was nothing I could do to comfort him. It was like he didn’t know I was his mom. This went on for a good 5 minutes, when all of a sudden he looked at the therapist, calmed down, and ran over and gave her a hug. She said that it was like he didn't know it was her until that instant.

Fast forward to today.

During therapy with his special educator he did something very similar. He was just about to play his music for her when all of a sudden he started moaning and crying, rolling on the floor. He would not make any eye contact, wouldn't respond to verbal interruption, and would not let you touch him. The whole episode last 5 minutes or so, until he rolled into fetal position and laid quietly for a minute or so. Then he sat up like nothing ever happened, and continued on with his music. The therapist said that what we are seeing is definitely something neurological. Seizure? Abnormal brain activity? Not sure.

We have a message into the neurologist, as we don’t want to ignore something that needs attention. It is so hard knowing when to react and when to wait it out. God forbid you make the wrong decision. I could never live with that.

A Day I Would Rather Forget

Today was one of those days that I wish I could just erase from my memory. I am looking forward to closing my eyes, putting an end to this day once and for all.

Today was a bad day for Giovanni. Well, it didn't start that way, but it sure ended that way. He attended a birthday party for the son of a friend of mine. Giovanni was very excited to go play with his "friends", and I was excited to see some wonderful people that I haven't had the opportunity to see much of over the past couple of years. Within 20 minutes of arriving at the party, he lost his shit. Screaming, throwing himself on the floor, shaking. He was incredibly overwhelmed by the noise, the crowd, just everything. I did everything I could to calm him down, to anticipate loud noises and busy situations, but I failed. All I wanted was for him to be able to be normal and participate with the "normal" kids. That is all he wanted too!

He is not normal. He has a disability. Yes, you can see his braces, you can see the rotation of his legs, his misshapen head. This disability is invisible. No one can see it, no one understands it. Sensory processing disorder is one of the most brutal, unfair, and downright horrible disabilities there are. Kids who have this are often referred to as brats and we as parents are often seen as being incompetent because we can't control our children. That is what people see when they look at us. It is the most horrible feeling in the world. I just want to scream at the top of my lungs that he can't control what is happening to him. It isn't his fault!

Today I let the judgement of others get the best of me. I let people's lack of understanding break me into pieces. It wasn't because they were judging me, it's because they saw my son as a monster.

Giovanni is the sweetest, most caring little boy you will ever meet. He will hug you if you cry; he will kiss your booboo when you get hurt; he will give you a kiss just to make you smile. I just wish everyone else could see it.

The Big Surprise

In a little more than 12 hours, we will be embarking on our first ever family vacation. We surprised Giovanni tonight with a call from Mickey Mouse, letting him know that he will joining him on a Disney cruise to the Bahamas. While I doubt he fully gets it, he is very excited about the fact that he gets to go on an airplane and a boat.

This is our (my husband and I) first real vacation since our honeymoon 8 years ago, with the exception of a few weekend trips to the Jersey Shore and Canada. We were so nervous about not being able to go, but his neurologist in Boston gave us her blessing when we saw her two weeks ago. His local neurologist was excited for us too as I spoke with him briefly today. I will post pictures as we go so stay tuned :)

After speaking with his local neurologist today, we decided that now is a good time to increase his Trileptal. We need to have blood work in two weeks to make sure that his sodium levels don't drop too low. We also ended up having to start a vitamin D supplement as his levels were pretty low. With the exception of his eating, everything seems stable at this point (knock on wood). We are still not getting many solids into him, and the majority of his nutrition is coming from protein shakes. If this still isn't better by the time we go back to the neurologist in a couple weeks, some decisions will have to be made.

For now we are going to focus on our exciting vacation, and just enjoy being together as a family. I can't wait to see Giovanni's face when he finally meets Mickey Mouse!

Boston Update

Overall, the appointment went well. Dr. Poduri was very impressed with his development since she saw him last year. Although he is still behind in several areas, he is continuing to make incredible strides and continues to defy the odds. She did confirm that the issues we are seeing with the inward rotation of the right leg and the issues with plantar flexion, are definitely neurologically based, not orthopedic. Right now all we can do is continue with PT and OT, and utilize the AFOs. She said that she isn’t going to address the toe walking unless he is doing it next year. He walks on his toes constantly now (when he isn’t wearing the AFOs). She also feels that there are more areas of heterotopia than what we saw on the first MRI.

The majority of our appointment was spent talking about the seizures. While my husband and I have struggled to wrap our heads around this whole seizure ordeal, she says there is no doubt that what we are seeing, all of the time, are seizures. She referred to them as being “cookie cutter” in nature. Due to the fact that his eyes always deviate to the right side, and he had an episode where his entire head turned to the right, she believes that the seizures are originating in the right temporal lobe. We always assumed (meaning me) that they were originating in the frontal lobe, so this was quite interesting.

We also talked a lot about seizure control. The biggest threat to Giovanni’s future is the progression of the seizures. The most important thing that we can do right now is to keep them controlled with the medication. Not controlling them completely increases the likelihood that the seizure activity will spread to other parts of his brain, changing the nature and severity of the seizures. Although we haven’t seen a seizure in a little while, she feels that we are teetering on the edge of the medication being at an optimal dose. She has asked us to watch him closely over the next two weeks for seizure activity. If we don’t see anything we are going to do one increase in his Trileptal. If we see any seizure activity at all, we will be a little more aggressive with the dose increase.

She feels that we should try to max out on the Trileptal, given the side effects are minimal. If we end up maxing out, the next step will be Keppra or Lamictal, followed by Depakote. I asked her why the Neurosurgeon was so quick to talk to us about surgery, given that we just started this journey a little over a year ago. Apparently with this type of brain lesion, meds tend to be less effective and resistant to medications…eventually. She told me not to worry about that now as we are a long way off from that. She also has decided to hold off on the MRI for now. She said the anesthesia is too risky, as the MRI isn’t going to change what we are doing. If he starts showing signs of hydrocephalus then we will do it, but she would like to hold off for a few more years.

So that is the appointment in a nutshell. Overall it was a good appointment with a lot of information. We also had the opportunity enroll in an epilepsy study so I will talk more about that in a later post.

Being Honest

It was brought to my attention that not everyone following Giovanni's story is on Facebook, so I was asked to keep this updated as well. Here is the update that I posted two days ago...

I am going to be completely honest for a moment. I started this page as a way to keep everyone informed about what was going on with Giovanni, as well as a way to raise awareness about the two rare neurological conditions that he has. I often struggle with how much to share, and what is best kept unmentioned. I have mentioned previously that I often teeter between acceptance and denial, but I realized today that if I keep quiet about certain things, there is no benefit to this page.

I had vaguely mentioned a couple of weeks ago that the neurologist confirmed that Giovanni was still having seizures and we were given a few options, with our final decision being a medication increase. What I haven't talked about is how, despite the medication increases (yes, two of them) he is continuing to have seizures.

On Sunday I posted a picture of his tractor and talked about how my husband and I were in the midst of modifying it. The reality is that Giovanni had a seizure shortly after I took that photo. I wrote that post as if nothing ever happened, and that my husband and I were happily going about our day. That is not the case. We are scared that this is the first step in Giovanni's seizures becoming intractable. We are scared that Giovanni is going to have a seizure in his sleep, and that something terrible is going to happen. We are scared that these seizures are going to start changing, becoming more traumatic. The honest truth is that my husband and I are scared shitless.

I have been going back and forth with his neurologist since Monday morning. I cannot say enough about this man. He is one of the most caring and compassionate doctors that I have ever known...and not to mention, he is able to put up with me! It was decided, upon my request, that we are going to give this second medication increase until next week. He said that if Giovanni continues to have episodes into next week, that something needs to be done. He briefly mentioned doing an ambulatory EEG at home, but I am not sure if we are going to pursue this yet.

I will keep everyone posted.

Update

This afternoon we had Giovanni's 6 month follow up with his local neurologist at the medical center. Since so much has changed developmentally with Giovanni over the past 6 months, much of our time was spent talking about his progress. While he has obviously made some great progress, the gaps that exist between what is expected at his age and what he can actually do are starting to widen. This has been a very hard thing for me to acknowledge because doing so would make me have to accept that this isn't something that he is going to outgrow. I obviously "know" the reality, but having to talk about it is quite painful.

One of the hardest things for me to swallow today was the fact that Giovanni is still in fact having seizures, despite the medication. I so badly wanted to believe that what we were seeing was just "Giovanni-isms" (as I refer to some of his quirky behavior) and not seizures. While I knew deep down that they were, there was just a part of me that was praying to God I was wrong. The neurologist gave us the choice of upping his current medication and giving that some time, or switching him to a completely different drug. We chose to keep him on the same med for a number of reasons. First of all we know how he reacts to it and it requires very infrequent blood work (which he had today). The other part of it is the fear of failing medications. When we last saw the neurosurgeon he said that generally they allow a child to fail two medications before considering a frontal lobe resection. Changing medications, to me, is accepting that the current one isn't working...which would be a failure. I would much rather go up as much as we can with his current drug before we throw in the towel. These seizures are one of my biggest fears.

The other interesting discussion we had today was around the severity of his speech delay. I am a very scientific person so I know that most speech comes from the left side of the brain. The heterotopia and the porencephalic cyst is on the right. While poor speech development is quite common with the heterotopia and Porencephaly, I wanted a clear cut answer as to why this is. His neurologist said that the most likely explanation is that there is heteretopia on the left side as well that wasn't picked up on the first MRI as the lesions may be very small. We could obviously do another MRI to try and confirm this, but we are not going to pursue that at this time. We will be going back to Children's Hospital in Boston for our annual appointment so I will see what they have to say as well.

Time to shut my brain off for the night...

In the Spotlight

Please check out this amazing news story on Giovanni that was featured today in the Times Union which is the leading newspaper in New York's Capital Region. Tomorrow he will be highlighted in our local paper so I will be sure to share that story as well.


Some Very Exciting News

I have some very exciting news to share with all of you this morning. Over the past several months, myself along with Giovanni’s therapists and physicians, have been trying to figure out the best way to meet many of his complex needs while helping him reach his fullest potential. We were introduced to an amazing organization out in Ohio called 4 Paws for Ability. They are a nonprofit whose mission is to place quality service dogs with children with disabilities. Each and every dog is specifically trained for the individual child, making sure that the dog is tailored to the child’s specific needs. We just found out that Giovanni has been accepted into the program and will be receiving what called a Multipurpose Service Dog. His dog will be trained to do various things including seizure alert and response, mobility assistance, tracking, tethering, and behavior disruption.

At 4 Paws it costs $22,000 to train and place a service dog with a disabled child. However, the families engage in fundraising activities as volunteers for 4 Paws to qualify for a free service dog. Each family is asked to help raise at least $14,000. By doing this, the waiting list is only as long as it takes the person to complete their fundraising requirement. Most other agencies that work with children have a 2-5 year waiting list as their dogs are “free”. Once we have met our fundraising goal, Giovanni's dog will start the training process which takes approximately 12-15 months. Once the dog completes the training, our family will have to travel to Ohio for two weeks to go through intense training and certification for the dog to be recognized by the ADA as a service dog. The dog will also be required to retest every year.

We are so very excited to have this opportunity presented to us. To start our fundraising efforts we have setup a fundraising page with the help of 4 Paws for Ability. When you make a donation, the money goes directly to the organization in Giovanni’s name. On behalf of Bob, Giovanni, and myself, we thank you from the bottom of our hearts for your continued support.

Please share this page with your friends!

One Year Ago...

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One year ago today, our lives got turned upside down. There is nothing that could have prepared us for the news we would get after the MRI. Although this past year has been filled with challenges, we know that we will continue to forge ahead and make progress. Giovanni is the most strong-willed, self-driven little boy I have ever met. If anyone can conquer these challenges, it is him!

Denial

I have been trying to write this post for several days now, but every time I type a sentence I immediately delete it. It isn’t because I don’t like the structure of my sentences or that the wording doesn’t make any sense. It is because I don’t like what I am writing. Once something is put into words, it becomes real. It becomes something that you can’t take back. Written words become a formal declaration. This emotional repression is a protective response that I am far too familiar with. It is called denial, which is a state of grief.

One of the biggest challenges that I have faced as a mom of a child with special needs is working through the various stages of grief. You often think of grief as having distinct “states” but I can tell you that this type of grief is anything but predictable. There is this on-going sense of loss. Just as Giovanni’s development is ever-changing, so are my feelings. I feel like I am stuck on this broken record of emotions. I keep re-experiencing various feelings of grief that I thought I had already worked through.

When Giovanni had his initial consultation with the pediatric neurologist in June, nearly two months before having the MRI that gave us his diagnoses, we were told that he likely had hypoxia-induced cerebral palsy given his traumatic birth. While we had known since birth that Giovanni’s development wasn’t where it should be, hearing the confirmation that something was indeed wrong with my son was absolutely unbearable. After having some time to process everything, it was suggested to us that we contact our county’s Early Intervention program for an evaluation. I didn’t know much about it and had no idea what to expect. Since he had the diagnosis of CP, he automatically qualified for services and immediately started with physical therapy. Going into this, I planned on him only being in the program for a short time, mostly working on strength and use of his left side. I was already looking at various early childhood education programs, and was hoping to start him in one the following year. Why not, right? So I had it all planned out. Giovanni was only going to need the help for about a year and then everything would be fine. Easy as that. Then came the MRI.

While receiving his diagnoses was difficult, nothing could have prepared me for the whirlwind of emotions that followed. I was in complete denial, and in some ways, I still am. All of these words were being thrown at me; lesion, stroke, seizures, disabilities, malformation. How the hell could this be happening? I had information being thrown at me and all I wanted to do was throw up. There was no way that this was all happening, and there was no way that the doctors could possibly know what was going to happen. My son was going to be fine and no one was going to tell me any different.

Despite the increasing concern from others about Giovanni’s development, and the addition of speech therapy, occupational therapy, and special education services, I was still convinced that all of this was completely precautionary and I continued on as if everything was going to be fine. Then everything changed. We were at the pumpkin farm on a beautiful fall afternoon, when everything came crashing down. All of a sudden Giovanni slumped over the bar of his stroller. I thought it was odd that he fell asleep so I called his name. Nothing. I put my hand on him and lightly shook him. Nothing. I immediately kneeled down and started yelling his name. Still nothing. I suddenly noticed that his eyes were open but they were fixed in a side gaze. I kept screaming his name and shaking him but he wasn’t responding. Giovanni had a seizure. But how could this have happened? Everything was supposed to be fine.

Although tomorrow marks one year since receiving his diagnoses, I still feel I am dealing with denial. While it is different, it is still the same. I still find myself having these automatic visions of “normalcy,” where our lives are going to follow the typical pattern of change. It is hard for me to swallow, and accept at times, that we do not know what the future holds for Giovanni. I just want to know that everything is going to be ok, and unfortunately, no one can tell me that.

The other struggle that I have is knowing to what degree I can feel sadness. What is the acceptable amount of pain that I can feel related to the challenges my son faces? Sometimes I feel as though I don’t have a right to feel the loss that I do, questioning if others are looking at me wondering why I am struggling with everything, as they see this as no big deal. I know part of this is my own insecurities, but I also know that it is my own uncomfortableness with my feelings. I am not usually the one looking for support or asking for help. All my life I have been the one reaching out to others, and supporting them through hard situations. Now it is me who is doing the reaching out. I am just not used to that.

At the end of the day I know that this road is going to have its share of bumps and detours. Although I still struggle with my feelings, I know that it is normal. I think we moms, especially those of us who are dealing with challenging situations, need to give ourselves more credit. Sometimes we are too quick to judge ourselves. And to answer my own question about what’s considered the acceptable amount of sadness, I know that the only person that can answer that is me.  


I Am a Mom of a Child with Special Needs

While trying to decide where to start with this series, I found myself going back to my thoughts and feelings when I first received Giovanni’s diagnoses. I was thinking that since this was presumably when everything started, that it would be an appropriate place to begin. As I started thinking more about this, I realized that it didn’t start at this point. It started much sooner. It began the day he was born.

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From the first day of his life, my husband and I knew something wasn’t right. We watched our newborn son struggle to eat, struggle to gain weight, turn blue from aspirating, have tremors so violent that he couldn’t sleep. It was awful.

During his first year of life we lived in constant turmoil. We felt that our concerns were either downplayed or simply dismissed. I often think back to this time wanting to be angry, but I know that things were handled the way they were because no one knew any better. What we were experiencing with Giovanni was a group of complex issues where it was difficult to tie one to another. It is difficult to find the common denominator when you don’t even know that you have one to look for.

All throughout this period we are struggling with feelings of helplessness, anger, frustration, and fear. I spent most of my awake time crying as I felt so isolated. I was supposed to be enjoying this time, savoring each moment with my infant, as this time goes by so fast. Instead I spent this time worrying about why he couldn’t eat; why he was having violent tremors; why he had limited use of his left side; why he choked every time I fed him. I lived each day fearing that something horrible was happening to my precious son. I feared losing him.

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Two weeks before his 1st birthday is when we finally found the common denominator. The MRI revealed that he had two rare neurological conditions, Periventricular Heterotopia and Porencephaly. We finally had some answers yet I didn’t feel relieved in anyway. We were now entering into uncharted waters. Before his diagnoses we were lingering close to shore, while there were no other boats in the immediate vicinity, we could see some off in the distance. While we were isolated, we knew that we weren’t alone. We were now in the middle of the ocean with giant waves crashing down on our boat. There was no one else in sight, no one to come to our rescue. No one could help us. It was completely up to us to navigate the waters and keep our boat afloat.

It wasn’t just the fact that we just received two rare diagnoses or the fact that there wasn’t much information out there on them. It was the fact that our worst fears were confirmed. Our son had something very real, something that was going to affect him for the rest of his life. We had transitioned from living in fear of the unknown, to fearing the known. There were so many unanswered questions; Was he going to ever walk? Would he be able to talk? Would he suffer? Would we lose him?

It is so hard for me to put into words all of the feelings I experienced over the first several months after receiving his diagnoses. I felt betrayed. This wasn’t the way it was supposed to be. I always imagined watching my child go off to school, getting a college education, getting married, having children of his own. I would daydream of my life 30 or so years from now and what it would be like. I imagined myself visiting my son and his wife, playing out in the backyard with my grandchildren. I imagined all of the Holidays together where we would sit around the dinner table talking about everyday life, enjoying the company of one another. In a matter of a 15 minute phone call with the neurologist I learned that I had to revise all of the hopes and dreams I had for Giovanni. How would things look now? Would he even be able to go to school? Would he ever become a productive member of society? Would he even still be here?

It is at this particular point that these feelings of betrayal started becoming masked by denial. Denial has been a huge part of this and is worthy of its own post so I am going to stop here.

What I want to leave everyone thinking about here is the concept of empathy. Learning about any difficulty or problem in your child’s development comes as a tremendous blow. I can tell you that the days, weeks, and even months following his MRI were a complete blur. I was going through life oblivious to my surroundings. While I may have seemed like I was handling thing well, I was not. My entire world, in a matter of a short time, came crashing down. I am sure during this time, without even realizing it, I offended someone or even outright hurt someone. None of this was intentional. My only thoughts during this time were around making sure my son was ok, and trying to understand how this could be happening. Next time a stranger bumps into you, never realizing they did so, or someone looks at you with a blank stare when you go out of your way to acknowledge their presence, just try to imagine what just happened in that person’s life. Are they truly a rude human being, or did their world just come crashing down on them.