Tuesday, August 17, 2021

Cheers, Jeers, and Years that end in Zero

It's only been 23 months since I've put my thoughts down on "paper." That beats the 2.5 years from the previous one. Last time I blogged, the girls had just turned 18. Now...they are knocking on 20's door. My oh my...how the world has changed since we were last here. 



We finished the Fenfluramine clinical trial at Mayo Clinic the summer of 2020 when the drug was FDA approved. (Celebration pictures above!) The girls continue to do very well with this new addition. It's really been a life-changer for them and we are thankful we were able to participate from beginning to end. Shortly after we finished that trial, we started a new one at the University of Iowa. In the beginning of this trial, the girls were given a seizure-alert watch that they wore for 6 months. We had to keep track of seizures and sleep and that information was compared to the information the watch electronically sent to the manufacturer. It was an interesting and somewhat frustrating experience. Let's just say we weren't sad when the six months were up. We continue to participate in this trial without the watch. The other portion of this study is to see if cognition changes with Dravet patients as they age. Every six months we travel to Iowa City and the girls are given cognitive testing and we complete questionnaires about how we feel they are faring in many different cognitive/emotional/physical areas. We will finish this study next summer. We did find out at our last visit there is a new medication for Dravet patients entering a phase 3 clinical trial later this year that we may participate in. We thought we had aged out when the girls turned 18, but this one is open to patients up to age 21. So...we shall see. We have a unique opportunity to help science (yay science!) given the girls are identical and also present identically in their seizure patterns. It is a commitment though. We've literally been in a clinical trial since 2015.

The girls are doing very well. Their small seizures have been greatly reduced (75%ish). Their large seizures have decreased by 25-50%, depending on the month. Their communication has increased by leaps and bounds. They are speaking like true teenagers. "You're pissing me off" is said regularly around here...and not by Matt or I! It is amazing to see how they can articulate how they are feeling. They still have some emotional outbursts, but for the most part are able to put into words how they are feeling and exactly what they want. Speaking of what they want...Lindsey wants a car. A blue car. And she wants to drive that blue car. She has it all figured out...she knows how to drive and all we need to do is buy her a car. This has been an emotional struggle for us when trying to explain to her why she cannot drive. We've tried to explain many different reasons with the last resort being she can't drive because she has seizures (because she just won't let it go!). That ends with both of us in tears when she says, "I won't have any more seizures, I promise..." Sigh... Lindsey is also very interested in being part of every conversation, whether she's invited to participate or not, and is busy, busy, busy. Her questions are never-ending and she wants to know everything. She's our social butterfly and always has a hug to give. 

Lauren has no interest in driving, or leaving her recliner in the living room. Yes, it's HER recliner, just ask her...no wait, she will tell you! And her TV, her remote to the TV, which she has mastered, and uses to watch all of her favorite shows. She enjoys playing on the computer, reading books and just chillin' by herself. She isn't a social butterfly like her sister, she's the chrysalis - in her own world, doin' her own thing. She gets hangry and has some pretty serious emotional outbursts on occasion. We're still trying to figure out the best way to handle these...it's hard and exhausting. Other times, she is the sweetest young lady you ever did meet and we treasure those times. 

They will be entering 14th grade this year at Southeast Polk. We are thankful they are still able to go to the place they love and will be really sad when the day comes that they age out at 21. That thought literally sends me into a panic... In order to participate in adult programming, they will need to transition to a different waiver program through the state, called the Intellectual Disability waiver. We've been on the waiting list for this waiver for nearly 3 years (October 2, 2018) because there is no funding available to open up the wait list. The next slot to open on the waiver is for someone who has been on the wait list since December of 2017... I can only imagine how many individuals are sitting on the waiting list...it's heartbreaking and infuriating. I just hope our girls have a slot by the time they turn 21. 

The "big kids" are doing well! They are both thriving in their adulthood and we love having them come to visit. Delaney's adopted a new kitty who literally rode to work in the engine of her boss' car one day. She'd adopt all of the kitties and puppies if she could...she has a heart of gold. She's still working at her alma mater, Coe College, and recently received a promotion! Mason has been helping out a lot this summer providing respite for the girls. He's such a kind and patient young man. How many 21 year old's would be willing to care for their disabled little sisters?  Not many... He has a very sweet girlfriend, Kennedy, and they are enjoying life together. We are truly blessed with these "kids".

Matt and I will celebrate our 25th anniversary in October. That means we've been together more than 1/2 of our lifetime. Dang... We're still going strong, making each other laugh, and doing the best we can in this crazy life we've been given. We are blessed...

As I type, I am on the eve of starting a new decade. 50...how did this happen? I just turned 40! Oh well, I'm embracing it and thankful I'm here to celebrate another year. This past 18+ months have been hard on all of us. We're living through a pandemic that has lasted longer than anyone anticipated. The divisiveness we are facing these days is disturbing. I've said this before, much to my husband's dismay, opinions are like a$$holes, everyone has one. We keep our a$$holes to ourselves, and so should we keep our opinions. Imagine what this world would be like if we stopped worrying about everyone else, and just focused on ourselves. I can only imagine... Be kind, because kindness can change the world. And Lord knows...this world needs some changing. 

Thanks for following along on our journey. Be well and love one another.

Kim

Monday, October 21, 2019

What Not to Expect When You're Expecting

It's been a long 2.5 years since I've blogged. I've missed having the time to sit down and let my thoughts come to life in word. Life is busy and complicated. I need to be better about taking time to just sit and reflect. Maybe that should be my resolution for 2020. Who am I kidding? I just hope I get to sit down before 2.5 years have passed again...

Today was a monumental day for our family. As you may know, Lauren and Lindsey turned 18 on October 3. Matt and I can now say that we have successfully raised 4 children into adulthood. Woo hoo! Not sure how we did it; but, by the grace of God is the first thing that comes to mind. For most parents, this is the time that you start thinking about becoming "empty nesters" and finally being able to do all of the things that you put off while you were busy raising children. For us, and many we have had the blessing to know, the "nest" will never be empty. Let me start by saying this is not a "whoa is me" post and I am not looking for pity. This is the reality of those of us who have been blessed to be parents of "lifetime children." This is what the "What to Expect While You're Expecting" book never talks about. This is our life and we are blessed.

Today, we had our court hearing for guardianship for Lauren and Lindsey. It was a day that we have tried not to think about for a couple of years now as the days drew closer and the reality set in. When your "differently" abled child becomes 18, a whole new world begins. You are no longer considered parents, you become guardians. But, you don't just become guardians. You have to pay serious money to hire an attorney and go to court to prove that you are competent and able to serve as guardians for the child(ren) that you have spent the last 18 years raising. Your child is appointed an attorney by the state who comes to visit your home to ensure that you indeed have a safe, loving home. Who asks questions to make sure that you are equipped to continue to take care of your now adult child. You then go before a judge, testify under oath, answer questions about your child's health and intellictual abilities and your willingness to continue care for the one that you would give up your life for. The judge asks questions about support systems you have in place to help you get a break from the 24 hour/7 day a week care that comes with having a "differently" abled, now adult. You sit there, answer each question honestly, all the while thinking, "really, do I have to answer this question?" Do I have to relive the last 18 years of hardships, the milestones that were not met, strip my child of the ability to vote and marry? Vow that indeed, our home is the safest and best place for our child(ren) to remain. But you sit there, raise your right hand and promise under oath to tell the truth. You sit proudly as you talk about your child, now adult, and answer every question with nothing but love in your heart and a knot in your throat. When you come back from testifying, your precious children get up from their chair and give you a hug as if to say, "thank you" when in reality they have no idea what sacrifice you have just made for them. In the end, the judge deems that yes, you are capable to continue to care for your loved one, making sure that indeed, you have support systems in place to ensure you get the break that you need. He then asks your children how they will celebrate this great day. They answer with "Pizza Ranch" and "Taco Bell" and everyone laughs. You then take pictures of the special occasion and carry on with your day, like it was just another day. Tomorrow, you receive a piece of paperwork that gives you the right to speak and act on behalf of your adult child. You have to file that piece of paperwork with every entity that you deal with...school, doctors, banks etc. And then...life goes on just like it has for the last 18 years.

A special thank you to Tyler Phelan of Borseth Law Firm in Altoona who made this whole process as painless as possible and gave us a 2 for 1 discount on our attorney fee! Judge Craig Block who was gracious and made us feel at ease through this whole process. It's a great day and we thank God for every single day that we have with our now, 4 adult children.