Summer has begun for everyone, at least in our hemisphere. On social media I have seen families sending their kids off to camps, going on family trips and also just swimming by the pool. It’s been a tough few months and finding camps for Maggie, has, again, been difficult. The horse therapy camp was cancelled due to lack of interest, most day camps don’t support kids like Maggie that well, and so summer options always feel limited for Maggie and frustrating for us. My mind swims with summer memories and all I want to do is create the same for our kids.
There is one activity that we discuss every year – Going to a baseball game! Every year for the past 8 years, it just hasn’t been possible. It’s a doozy for Mags. The heat, the crowds, and sensory overload.
Life changes so quickly for us. A month ago, I wasn’t getting any sleep, Magnolia wasn’t eating and our family was hustling to survive our days. I was meeting with several specialists every week. Talking to doctors and nurses on the phone, packing a hospital bag and making an ER criteria plan. We have a surgery scheduled for the G tube (feeding tube) in August, but we are still hoping we can manage Magnolia’s weight and hopefully improve her condition before then.
This last week, things changed again. She started eating more, not much more but enough to sustain her. Even better, she’s been in a relatively good mood. Since we never know how long we have, we tend to take a good day and relish in the moment. It’s summer and we need to have some fun.
I mentioned a baseball game to AJ. He is working all summer and most of our family plans together are in August. August is really too hot for a baseball game. BUT last weekend we had a small window of opportunity. AJ didn’t have to work, Mags was feeling good, there was a 4pm game and the weather was 70 degrees. WHAT?! The day before the game AJ bought tickets and we were both so excited. We couldn’t stop saying, “We’re going to a baseball game!” I think our excitement really encouraged the kids to be excited. We were all anxious with anticipation.
So we did it! We went to a Dodgers baseball game. It wasn’t easy, the game was even louder than we anticipated. Even though as adults AJ and I have been to baseball games, you don’t realize how loud it is until you have a child that doesn’t do well with lots of noise. SENSORY OVERLOAD for sure. I had packed earplugs and headphones. At first we tried earplugs, that barely helped, so we added the headphones and that seemed to help a lot. Her breathing was difficult during a lot of the game but she still had an awesome time. We made it to the 7th inning stretch and decided we were good. AJ, being the avid baseball fan that he is, was thrilled to sing with the kids, then leave.
Last year, we discussed AJ taking Gray by himself, but that made us both sad, since it was a reminder that Mags just hasn’t been able to go. I wanted this to be the year. But Mags has been so weak with so much going on, it didn’t look like it would happen.
Tears of joy as we left the stadium. Such a feeling of accomplishment. The stars aligned, we saw the opportunity and we took it.
A couple of weeks ago, we took a little weekend trip to the desert because nothing says relaxing like 109 degree temperatures. It started out auspiciously with Maggie unable to calm her body, communicate her wants or regulate her body temperature. The last one was a new discovery. She’s always run a little hot, but so have I. So, whenever I’m warm, I know she’s miserable. We learned the hard way that heat is a real problem watching her face get flushed, her grow lethargic, unwilling to eat much, even her favorite foods, and even, on occasion, vomit. Not fun. She’s also taken to biting and hitting in frustration. Mostly me. But that doesn’t make it better. I’m constantly terrified that she’s going to bite someone else, mostly because she doesn’t just bite, she locks her jaw and you have to pry open her mouth with your hand.
But while the first day was brutal, the next two days were a blast.
We spent two straight days jockeying between swimming and air conditioning which, from what I can tell, is really all there is to do in Palm Springs.
We went with our favorite travel companions, Leslie, Eric and their 2 year old son, Ollie. They’re just doing what friends do by dragging us along on these adventures, and it’s appreciated more than we can show while we’re with them. Ollie, just learning to speak himself, is great with Maggie and wants to play with her regardless of how many times she rebuffs his efforts. And Leslie and Eric have always been quick to get down to Maggie’s level, give her a good hard squeeze to give her some sensory input, and speak a little slower than normal so Maggie can follow along. It shows that they’ve read up on Rett and are doing everything they can for her. And it’s obvious how much Maggie appreciates it. No matter how overheated she may be.
For the longest time it has felt like we were losing the battle with hand function. Stopping any more loss of functions for Maggie has been yet another one of our primary goals, since the diagnosis. We spend most of everyday, watching what she can do, discussing what we saw that day and figuring out ways to help her keep functionality.
See, her constant arm flapping and hand wringing gets in the way of her using her hands as appropriately as she would want. We keep getting reminded that she’s cognitively intact, not just by doctors, but by her as well. We know she understands everything, just her body doesn’t always listen to her brain.
When we went to see the neurologist he had told us that eventually most things will stabilize and even start to improve if we work hard enough. While that’s been true of a lot of things, her hands haven’t quite made it there.
It seems like recently she had stopped holding things in her right hand and would drop whatever she could grab with it. She’s been wringing it incessantly for a number of months now, so maybe it just hurts. But this is a battle we really don’t want to lose. Things just get more difficult when you can’t use a hand. Other than weight bearing exercises and any fine motor activity that she will actually let us force her to do, there’s not much we can do to help, and there are only so many pushups you can make a 3 year old do. The answer is 64 if you were curious.
As Jenny mentioned in her post, I’ve been trying my hardest to invent something that could help her. Splints, velcro, weights. Anything I could think of. When we finally got a prescribed splint, I thought that was going to be the answer. But it limits her use so severely, I’ve been afraid to even use it. The whole fight has been frustrating to say the least. Right now she hits herself in the face constantly, and bracing her arm has its own limitations. It’s neurological – her brain is just stuck in this pattern and no doctors or therapists have been able to crack the code yet.
Then this weekend happened.
She has not been able to use two hands together like this since she was about a year and half old. And she was doing it consistently this weekend. It’s hard to express how awesome this is. A majority of the girls with Rett have limited, if any, functional hand use. It seemed Maggie was headed that way. And she still might be. But, at least for this weekend, she decided to head in the other direction.
Hopefully this means we’ve stabilized and will start to see some improvement now. But if not; if it’s going to continue to fall off, I’ll have this little nugget of wisdom from my dad to fall back on – “if that’s the worst of it, it’s not that bad.” For a man who can only use one of his hands and probably voted for Bob Dole, another man who could only use one hand, it’s more of his typically sage advice.
Every time I feel like we’re losing a battle, I’m reminded of George Washington, who, though, he lost more battles than he won, always lived to fight another battle. And, just like him, we’re going to win this war.
This trip to Houston was a little different than the last one. At the last one we were nervous and everything turned out as good as could be expected. This time we weren’t nervous and we didn’t feel like it turned out quite as well.
We didn’t get to see her GI doctor since she was stuck in other appointments and we ran out of time and Maggie ran out of patience. We met with the Phys Med doctors who thought she looked great and had no new recommendations for us. In some ways that’s quite an accomplishment. For a long time every doctor we would see would have alaundry list of things for us to do. Now, it’s surprising if they suggest something we’re not already doing.
We also met with her neurologist who is pleased with how she’s doing and while he thinks she’s maybe even a little better than she was, reminds us we are still at significant risk. He reminds us the trials are going well but he can’t really talk about them lest he spoil the research. He mentions a few other potential treatments that are coming down the line. He mentions he’s moving closer to us. All good stuff. But the idea that we’re not out of the woods yet is no fun.
I think a hard part for people to understand is the constant sense of impending tragedy. She’s doing great now – she’s running and jumping. She’s swimming like a champion. Not a champion of swimming, mind you – she doesn’t float and hasn’t quite figured out you’re not supposed to drink the water – but she’s making great strides. She’s gaining wait and muscle. She’s getting stronger. She’s even vocalizing more now. She knows her abcs and 123s. She can’t pronounce all the letters and numbers. But she knows them. It’s obvious.
But at any minute something could change. She could get pneumonia and forget how to walk while she’s laid up. She could get a seizure and forget how to hold things. That’s Rett’s dirty secret – we constantly have to be on the ready. That’s ok, Rett. I’m ready. En Garde.
After a really great and relaxing week spent with family, swimming every day and getting eaten alive by mosquitos, we’re going back to Texas Children’s Hospital in Houston today – the mecca for Rett research. We’re going to see Maggie’s neurologist and gi doctor as well as meet a new physical medical rehabilitation doctor. It’ll be good to check in with them. My parents are coming as well. It’ll be great to spend time with them.
My feelings on this trip are a world apart from where they were 6 months ago after just getting the diagnosis, though.
Then I was determined to go and get some answers. My parents came for much needed emotional support.
Today, I’m not so sure why we need to go. My parents are coming, really just to visit the children’s museum again – we all really liked it when we were here last. They also really liked the restaurant at the aquarium. We’re all excited to go back. But the doctors? I could go either way.
When we met with the doctors six months ago we were positive we would need to come back every 6 months. We would need to check in with the doctors. I think that was because in my lifetime doctors have always been the people who prescribe medicine to fix what ails me. My thoughts 6 months ago were, “maybe when we come back they’ll say, “oh, have you tried this drug? It makes everything better.”” Or maybe I was just scared and thought that checking in again would make sure everything stayed on track.
In some ways it probably has. We’ve worked hard to keep Maggie progressing, allow her to retain her skills, and help her to build on them. I think we both hope the doctors will be impressed. I don’t know why that’s a consideration, but I think if we go in and they think she’s gotten better, we’ll feel like our hard work is really paying off, beyond in the small victories we see every day.
I guess it’ll be nice to get some confirmation that we’re doing the right things, that she’s progressing nicely and that we just have to stay the course. It’d be nicer, though, if there was something they could do to help her.
It’s been a regular struggle to get her to play with other kids. When she was younger, before the regression, she would play near them, but not necessarily with them. And when she started tossing sand out of the sand table, they’d typically find something else to do, lest they be sandblasted. Don’t get me wrong, she loves other kids. She loves watching them play. The apraxia just gets in the way of her actually being able to do what they’re doing.
I mean we can make it look like she’s doing what they’re doing:
Then I watched her participate in a full on screaming competition. One girl screams, the other screams louder and so on and so forth. In public it’s probably not that appropriate, but regardless, I couldn’t be prouder – for so many reasons – she’s vocalizing, appropriately, she’s communicating, she’s listening and responding. All of it, simply great.
And then, visiting Texas, her cousins and her cousin’s cousins, who are so good to her, wouldn’t let her get away with playing alone. She swung on that tire swing for hours. Even when we’d take her off, she’d hit the tire again, telling us in her way “I’m not done with this one just yet”.
Even as some cousins would get up and go do other things, she would swing, smiling and waiting, as other cousins came to replace the ones that left. The constant flow of kids made her so happy. And her happiness is our happiness.
Rett Syndrome has changed my life in so many ways. Before the diagnosis, I was working at Jash, the digital studio that Sarah Silverman, Michael Cera, Reggie Watts, Tim and Eric started along with a bunch of other people I’ve always respected and at various times believed it to be my dream job. I was working with people I liked and respected, running a digital studio, making comedy videos. It had everything. After the diagnosis, I couldn’t imagine anything less important. (No offense to anyone from Jash who might be reading this)
I had called my friend who started a company called Omaze, which runs sweepstakes for once in a lifetime experiences to raise money for charity, thinking I could get something going for one of the Rett charities. A week later he called to see if I wanted to work for him. It fell into my lap and it’s been a great reprieve, in addition to being a perfect fit considering my experience and my hope for what my next steps would be.
He’s also been very generous with the access to the company resources. And after 5 weeks of being there this is the product of that generosity: youtube.com/epiclloyd
Lloyd is a funny comedian who is well known for his Youtube channel Epic Lloyd and better known for his part in Epic Rap Battles (youtube.com/erb). He was among those that were asked to come to the White House to talk/meet with the President about Social Media. He is helping us bring awareness to Rett Syndrome in a very creative and fun way. Since his audience is young and most likely doesn’t know much about Rett, this is going to be very helpful.
It should be noted that this is not suitable for work. But in one fell swoop 1 million more people now know about Rett. And if many of them take part in this auction, we’ll be able to raise a good sum of money for the charity. Lloyd Ahlquist, you are an impressive human and while I said this in every email, it can’t be said enough how grateful I am for your efforts on this. Thank you Lloyd, for you time, your talent and your willingness to bring awareness to our cause. Thank you so very much.
When Maggie was first born, our friends Dan and Rachel visited regularly, and made it a point to be a part of Maggie’s life; and Maggie (and the two of us) loves them for it. Her OT still talks about the time that Rachel picked Maggie up and how excited Maggie was to see Rachel. They just do a lot to make her laugh and keep us positive.
They have a son, Abe, who just turned 1 and in lieu of presents they asked everyone to donate to Rett. I mean, maybe it’s because their house is collapsing under the weight of all of Maggie’s hand-me-downs, but either way, we’re very grateful to have the friends we do have. It makes this much easier. And to everyone who’s following along and reading up and being a part of this, you deserve special thanks as well. I just started with the Levy’s because I happened to have this awesome picture where everyone looks great and Abe is the exact appropriate level of confused.
Maggie has days where everything seems to be connecting. She climbs better, she uses her hands more and she communicates more. Then there are other days that nothing seems to connect. This is the Apraxia part of Rett. We never know what each day will bring but we are learning to enjoy each day just as they are.
Today she did some amazing things. For her, at least. And that makes it amazing for us.
1) She opened her playroom by herself – pulling the handle until the door popped open and pushing the door herself. The amount of strength and dexterity required for this makes it that much more impressive for a little girl fighting all the things she’s fighting to accomplish.
2)She scooted out of her car seat, climbed up on the car’s factory installed seat, turned herself around and pushed herself out of the car. We’ve been working on this for what seems like ever and she finally did it. It was only once so far, but man, does it feel good to have months of work finally pay off
3)She stepped up onto the step stool and sat down on the potty herself. Maybe this is something she’s been able to do for awhile, but we never thought to ask and she never thought to try. Or, maybe today was the day she figured it out. Either way, we’ll take it.
Amazing stuff, Maggie. When you learn to read, and you read this, know that not a single little thing goes unnoticed.