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I have been waiting to post on our page for information on Simons titers and other things that have been in waiting. We have gotton, for the most part, all of our titer labs back and he has shown antibodies to most of the immunizations he received. This is great and it shows his immune system is responding to them and making powerful cells to fight against that disease in the future. We will not be getting another dose of iv pentamadine for pneunomia prevention and will mostly be going into clinic to flush Simons venus port (which still requires a poke) once a month. He continues to ask me when and how the doctors can remove the port and the G-tube 1-2 times weekly. I am working with GI doc to slowly lower steroid doses and hoping to at least get him down to 2-3 mls with the hope he will still maintain low or no inflammation of the gut and we can just hope he outgrows the dose and stays stable.

It is hard to believe he has only 7 more days of pre-k 3 left. I feel like I just enrolled him into the program and he is already finishing up his first real year of school. Its amazing. He will turn 4 in August. It has been a long haul and its not over but we feel very good about where he is right now. He is Mr. social, likes everyone and loves to play with everyone and he is well liked by all his peers and even older kids who are the girls friends and their siblings. He attracts kids and just makes up games and they all play. Its amazing to watch. He speaks to us like the mind of a 15 year old and tells us how amazing we are. In all of his young years on earth he has seen and endured more than most do in a lifetime and it has made him wise beyond his little years. One of his favorite things to do is go to the girls t-balls games, he of course has to wear full uniform to be the team mascot, and he plays with all the older boys there with his animated skits and plays. We are blessed, we are happy and we will hope to make the most of the summer. We will be heading to Georgia after school is out for a much needed rest and some family time with Daves brothers family so hoping for safe journeys and to be posting just happy times and photos here. Keep praying for his complete healing and for his gut to continue to stay at a calm place now and forever. Thanks and God Bless.

We are rid of the red, welting, painful rash and now seeing some target lesions appear. He used to get them all the time. One frustation with the skin is noone can tell us what it is. At least he is not feeling pain all over anymore. We spent the day at Childrens getting what could possibly be our last pentamadine iv infusion. We drew titers today to see how solid the immunizations we gave him are holding up and how his immune system is responding to having an effective antibody to defend him. He is in good spirits and feeling preety good, always fiesty. He is playing soccer and really getting into playing ball with the girls and being at their t-ball games. He loves sports.

I have his IEP meeting tomorrow at school to make sure the choices for next year are solid and he is followed and well taken care of going forward where his education is concerned. He is being transferred out of our school to another school as they feel his academic level exceeds what the Early Childhood class is offering him right now. So its good but the class is smaller than the one he will go to and that mean more germs and things to worry about. He has been out 65 days of school this year. Thats alot. Some of it b/c other kids were sick and we stayed home just to be safe and other times b/c I was being cautious. Its hard not to know from day to day what to be able to plan. I need to make sure the school is working hard on being able to supply him with a cool enough environment when he returns for kindergarten as right now the school is very very hot in alot of the rooms and simons inability to sweat he would never be able to be in the rooms and learn without worrying about him overheating to a serious level. Its a very huge concern for us. I am working with the NFED to supply myself with the knowledge I need to make sure everything is done to help get him what he needs to be comfortable and be able to learn like everyone else.

Please pray we never see that skin erupt again and that he does show great numbers to the immunizations. We also ask for special prayers to our NEMO friend in Indiana who has suffered alot as well and is battling upper repiratiory infections and fevers. Please pray they find out why and its nothing serious. God Bless you all Love Tracy

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Its been a rough 24 hours.  Simons rash has flared up and is causing him much pain.  He is a blanket of red inflammed hot skin which is traveling down his body and currently in his legs where it hurts him to stand up or walk.  Once he gets going hes ok but he is in pain.  He also has lost his appetite and his gi issues seem to be returning with increased stooling and stomach pain.  After spending the entire night up with him doing tete (soft rubbing on his back) and giving him tylenol twice to get a fever down and the heat and inflammation of his skin to relax, he finally fell asleep at 5:30 this morning.  We then slept for a few hours.  Today has proved to be very emotional for me as I try to figure out what caused this, what went wrong and how long we will have to be in this state of worry and uncomfortableness.  My heart is breaking for our son again.  I had a few moments where I actually needed to just cry today and get it out and still don't feel ok about anything.  I have been in touch with his team of docs all weekend and we will most likely be heading down to childrens tomorrow for bloodwork and whatever else they feel the need to check.  Right now Simon is resting, the girls are down for the night, all I need to do is get brown bag lunches ready for the girls field trip tomorrow and I am hoping to collapse myself and get a few hours of sleep.  Please, pray hard for this rash to disappear without further incident, for Simons GI stuff to settle down and not explode further and for us to get some much needed rest so I can face tomorrow with less emotion and more straightforwardness to figure out how to help.  God Bless.  Love Tracy

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Well I've gone from elated to deflated.  Simon had his appt. a week ago Monday and he received immunizations, pentamadine and alot of bloodwork to follow up on our immune studies.  Everything came back pretty good especially  his vntrs which were 99% Marrianas cells.  We were so happy.  He has been doing so well.  Regular stools 1-2 times a day, eating, happy, although a bit aggressive with the steroid use.  A few days ago he have a few bumps on him that I sorda blew off but wondered about.  Yesterday I sent him to school and received a call a little while later he had broken out into a full blown rash.  After picking him up, making calls to his dermatology team and his stem cell team, e mailing photos and talking with them we thought it might be viral.   This morning I know better.  He is covered in a blanket red rash, hot to the touch and hurts him to walk.  He used to get this alot early on in the transplant process and before.  We were always told it was his mutation and the bad NEMO.  Well its rearing its ugly head full powered.  My heart is saddened by all of this.  I honestly felt we were past it, moving on.  I hate seeing him like this.  He is puffy and red and in pain.  This is not something you can fix with a lotion or meds, it runs it course and its usually not a good run.  He will suffer, peel and we will be left to wonder why its back and what it all means.  I feel that we do not know anything more than we knew 3 1/2 years ago about this disease and how it all processes and how it turns out.  I can pray to God that he really is doing better and his immune system is fighting hard to get rid of this.  What we all worry about is that it will aggrevate the GI stuff and we will be in a tailspin of all that again.  Please pray for a healing and restful weekend for us.  I tossed and turned last night trying to figure out what was different in his diet, his day to day and all I could come up with are the immunizations.  I think too many at one time, or he is reacting to the MMR which he never received before.  I don't know but it scares me and when I can't figure things out I am in constant mode of research, which is not always good.  Please pray for fast healing.

Our Isabel was in her school spelling bee yesterday and we are so very proud of her.  She did awesome.  Was brave, lasted 6-7 rounds and was a trooper when she misspelled a word.  All the kids did wonderful.  Congrats to our spelling star. 

Thanks for checking in.  Keep us in prayer and lift Simon up and heal him.   God Bless.  Tracy

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I had hoped to post Simons St. Patricks photo today as he made a really cute hat in school today but I have had several issues with my new camera software so I'll keep working on it.  Yesterday I picked Simon up early from school as another child was coughing quite a bit and the school was concerned.  I always appreciate their level of concern and always opt to take Simon out of the environment which might hurt him in the long run.  I only wish the parents would keep the sick kids at home so the healthy ones can stay healthy.  Anyway, Simon and Dave and I have been having alot of rough nights, no sleep and alot of stooling.  Its really starting to get to me.  I see no end to this vicious circle and I feel pretty depleated today.  Its just not fair to have your child enjoy a meal and then run to the bathroom in pain saying I think I ate too much or I ate too fast and blame himself for his stomach problems.  I assure him it is not anything he did we just get stomach aches when we eat sometimes, everyone does.  Yes, but not 10+ times a day.  With him being on an increased steroid dose he is a bit high strung and easily set off.  With me getting little sleep I am doing my best to deal with his many mood swings.  I look at him and just think "wow I love this kid so much and it just sucks that he is going through all of this".  I don't understand it and apparently neither does anyone in the medical field.  I have felt very alone the last two weeks in this quest to find some answers.  The answer I think for our team is to try humaria, another tnf blocker that is injections in his legs and see if that works.  I really don't want to go there for many of the reasons I have stated in the past for all these drugs but I don't know what else to do.  We see the new gi doc next Tuesday at UofC and I actually will be taking Simon to a new homeopathic doctor in early April.  I have to continue to have hope that something will give this little boy some relief.  He is so energetic and happy most of the time and he deserves to feel good too.  Months and months of this cycle really take a toll on him.  He really isn't growing because when he does shoot up in weight he gets sick like this and its all I can do to keep calories in him to keep up with the output.  Its not an easy thing to continue to endure, for any of us.  Marriana was up last night with a sore throat and I layed in her bed to comfort her.  As I layed there I thought about how much I love my kids and just wish it was a bit more peaceful in the health area.  We have been pretty lucky as my kids have stayed pretty healthy this year so I'll go with that.  Please pray for peace within Simon's gi system.  That once and for all we can find a place within his needs that keeps him at a maintained level of feeling good.  That is all we ask for.  If he goes 4-5 times a day instead of 10-12 that would be a blessing at this point.  Oh and we are so proud of our Isabel who will be representing her class in the school wide spelling Beeeeee, Way to Go Isa.  She was beaming Friday when she ran out of school to tell me.  God Bless you all and enjoy your day.  Love Tracy

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Hello everyone.  First I want to say thanks for the messages.  It is so nice to see them and know you are still cheering for us here.  I know its been a long road and while I don't talk to alot of people as much as I used to you all are dear to my heart.

Simon is doing ok.  He has had some skin issues reoccur starting last sunday with a fever. It lasted one day but the rash is still hanging around and he is itching like crazy.  We saw our wonderful derm on Tuesday and he seems to think it was brought on by a virus but that it is his NEMO mutation that is playing a role in the target lesions he is having again.  This makes me nervous as well as our doctors.  It is put out there some worry about his immune system.  I am wondering, but yet hoping otherwise, that the TNF blockers that he was on for his GI system were helping his skin stay healthy.  The TNF proteins are those that help the immune system to work in good ways but when you have too many it creates things like constant diarrhea or autoimmune like response in your body which triggers things like the skin.  So since we took simon off the the weekly shots, due to them not really helping his gi issues, his skin has reacted.  I wonder if there will be a time when there is no worry about if the immune system is up and functioning to the capacity that it should be.  The "wait and see" is always the hardest.  His gi system is acting up a bit as well.  He is complaining of tummy aches after eating meals, not snaks, and his stool output has increased.  Its so hard to plan for the future for him when the day to day is so complex sometimes.   So I will try to get more smaller meals in him.  His weight bouced back and he is doing ok with that for now.  He still is a skinny boy. 

On the good side, Simons parent conf. went well but they feel he has outgrown the Early Childhood program and are recommending he be placed in a setting that is up to speed with his constant changing mind.  I was told he is "kindergarten ready" now and they feel he needs more peer interaction so we will be visiting another program on Friday to meet the teacher and see the classroom.  This is exciting but also I worry as there are 20 kids in the class, which means more germs.  So I pray by next fall we can be in a better place with that as well. 

We all were able to celebrate Marrianas Star as she was student of the week in her class and Isabel and Simon and myself shared facts about her and read the class one of Mars favorite books.  It was nice.  She was glowing and I just wish Isabels class did the same.  Its hard to have the same age girls and one experiences this and the other does not.  So we made a star poster of Isabel to hang at home.  We try and hope its enough.

Well enjoy the weekend.  Stay warm as it seems winter has reared its ugly head again here.  God Bless.  Tracy

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Well despite the weekend starting out with being told I will no longer have a job, we managed to put it all into perspective and have a really great weekend.  Simons health has improved and he is back to his spirited, crazy self again.  We took him off the etanercept and started him on two gi meds and so far he is doing well at maintaining a level of soft but not liquid poop.  Sorry for all this talk of poop all the time.  It is my life and really puts us into a tailspin when it goes down hill.  He started back to school today eager to get there because while he was out last week a  new boy started and Simon was very excited to have a new playmate and he missed his other buddies too.  I am filling out alot of paperwork to get him into the new gi doc at UofC for another opinion and hope to get the appointment moved up as its in late March right now.  So much changes with him day to day so I'd like to see if there is anything to help keep him in check and on an even keel for a very long time to come.  That is all for now.  Keep praying Simon can heal and someday not have his GI issues hanging over all our heads.  God Bless and thanks for keeping us in your prayers.  Love Tracy

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Just a quick note to say Simon is getting back to his old self again and regaining energy.  He was not walking and in pain when he tried to and with the fluid ivs we have been doing that has seemed to go away.  He is still weak.  He is eating some and getting energy back.  I'm sorda amazed that hes recovering sooner than in the past.  I found out that one of his teachers aides at school has ended up with a stomach virus so I'm sure now that is what Simon caught, not from her, but somewhere in the classroom or school.  It seems to be going around.  It seems as though he may have weathered through that part as the vomitting has stopped and his appetitie is slowly coming back.  We are keeping him hydrated better.  I will not let him go for 3 days of diarrhea and vomitting again without getting him in for at least fluids.  I think that is where our problems came in this time.  He goes in tomorrow for labs and a weigh in.  I'm hoping we can deaccess his port and we can try to get him back to where he was 2 weeks ago.  We did decide to get him in to see a doctor at UofC for his GI issues.  We feel if we don't go and get another opinion and maybe have them pursue allergies and absorption issues as well as other things we will not feel okay with any decisions we have to make in regards to medicines to add or not add.  Our GI doc is doing what she can to get us in sooner than the 2 month waiting period so that is helpful.  I released all slides and biopsies today and hope they will be couriered over in a day or two for the new doctor to study before we can get in to see her.  So thats it, please continue to pray for his gut to heal completely without the intervention of any more serious medicines.  As of now he is holding his own on the steroid, anti inflammatory and anti bacteria drug.  I hope it continues.  God Bless  Tracy

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I was anxious to get to clinic today but not happy with what was "discovered" after labs.  Simons kidney and liver functions and sugars are totally out of wack most likely due to not taking in anything and being dehydrated.  We are back to giving ivs at home.  I had a few tearful moments sitting there listening to the doctors as all I could think about was how often can this happen, how long will it last and how will we get it under control once and for good.  Its been a rough day for me emotionally.  It is my moms b-day so that always brings a sadness to me since she is no longer here and I pray to her all the time to help Simon.  The doctors said "we are concerned".  As are we.  He actually dropped over 2 pounds over the weekend and this always happens where he has no reserve and it affects him greatly.  He is very weak and is not standing on his own.  We are starting two antibiotics which he has been on in the past and they haven't done a whole lot but we are praying to God that this time it makes some sort of difference.  One if for inflammation of the colon and another for bacteria.  With all that you have in the next few days please lift Simon up in prayer so that he may feel a constant relief and we can avoid having to choose between suffering or another very serious side affect drug.  We drew a bunch of labs today to see where his immune system is at due to all the immune suppressants he has continually been taking.  Pray that those come back strong in our favor.  Its a double edged sword where you want it to work but that is what is causing his gi system to fail.  Its complicated but I totally understand it now and it sucks.  Ironically enough Isabel came home today with a chinese dragon puppet she made in class and said "mom this is the chinese dragon I made and it wards off bad luck".  I had to smile and told her the timing was perfect and she should fly it over her brothers head and ward away bad luck of bad health there. Thanks for checking in.  Please pray hard.  Love Tracy

Prayer For Health

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Today has not shown much improvement.  Simon is completely lethargic and will not eat anything.  He has only vomitted a few times today but hasn't taken much in to throw up.  He is still having liquid stools and we are doing out best to hydrate him.  It seems to come to this rather quickly whenever he gets any kind of bug and it escalates to his gi system and knocks him down immediately.  I have spent the last 4 weeks building his body back up and I can already see in the past 24 hours how this has taken a toll on him.  He is sleeping constantly and wakes to scream out in pain.  When we try to figure out where its coming from he says his stomach.  Not sure what is happening but we are keeping a close eye on him.  I wish I could relax and think oh its just a bug, a virus and he will kick it but unlike "normal" kids he cannot do that.  One reason is becuase he cannot sweat.  Since he has a fever right now we are doing all we can to cool him down starting with tylenol with really is counter productive to his body since that is your bodys response to tell it to step it up a notch and fight off the germs.  A fever, in people who sweat, is actually a good thing and unless it gets really high you shouldn't treat it with tylenol unless there is pain.  WIth simon the heat has nowhere to go.  So that is another concern.  Since Dave sorda took last night, I did have to wake him a few times to tend to simon which defeats the purpose but I did manage to get more sleep than I otherwise would have, so I am on tonight.  Please say a special prayer for Simon that he can find a way for his body to beat this and we can find a way to once and for all help his gi system to stay healthy and not come to this every time there is a virus.  Not sure we will continue the etanercept or what the plan will be.  We go to clinic on monday, I'm not expecting any great answers.  Thanks for the prayers.  Tracy

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