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February 10, 2017

I rocked and sang a sweet lullaby as she nursed and drifted off to sleep. Rain sounds gently calming and the twinkling star lights fading red, blue, and green on the walls of her her nursery room, I let the busyness of our day slip away. I thought I heard a sound break through the pittering rain. Rocking more slowly, an ear turned towards the mostly closed door. Yes, there it is again. My 3-year-old's voice, piercing the calm as she pleads with her daddy about some issue with her own little bedtime routine. Waiting. Listening. Yes something is up. I gently laid little sis down on her bed and quickly slipped away. What could this be? So unusual. Their routine is counted upon every single night. I wonder, as I turn to follow the banister that lead to her bedroom, what could be wrong.

It was the first of what would become years of struggle. Our beautiful three-year-old daughter suddenly fighting her bedtime routine was not just unusual, it was unheard of. Every night since she was a baby had been a sweet ending of our day. My husband and I used to take turns putting her to bed and sometimes I'd negotiate to get two days in a row. It was that good. Consistent, sweet, calming, our special time. Read stories in the rocking chair then settle her in to bed. Sing her special lullaby twice, hum it a few more times, kiss her goodnight and watch her snuggle in. One more kiss from the door, "I love you", and all was right with the world.

My husband and I used to laugh when we'd hear her little footsteps quietly patter across the floor, we'd look up at the ceiling as if we could see what she was doing. She always settled down quickly though. Such a good little one. During my last check of the night I'd often call my husband in to see what the activity had been. One night she lay on a sliver of bed that was not covered with "friends", wearing a tutu over her jammies, a pink cowgirl hat by her head, her new stick-horse next to her. What I wouldn't give to have one of those nights back. She always loved her special goodnight time with mom or dad and felt safe in her crib or bed. It is hard now, to remember.

Suddenly, it changed. Night after night without warning. Happy, sleepy, cuddly, stories. Tucking in and lullabies. The light turned off and up she would sit, proclaiming that she was NOT ready to go to sleep. I tried my up-until-this-point-highly-effective style of rational parenting and boundary setting. "This is not what we do at bedtime. At bedtime, you are in your bed, Mommy and Daddy tuck you in, and you lie down to rest. This is what we do. This is not a choice."  It was as if my words simply bounced off of some invisible shield that was holding her hostage; I could not reach her.  Screaming and crying, sitting on her pillow or standing in the far corner of her bed she bellowed that she was not tired and was not ready to go to sleep yet. We had never experienced this level of defiance. We didn't understand it. Couldn't make any sense of it.

It was a few days in to this new bedtime refusal, during another one of my very reasonable expectation setting discussions, that I realized there was something more to this than a preschooler testing her boundaries. As she argued her point, solidly dug in and unmoving, I saw my words had no sound in her ears. If she were simply testing her boundaries my steadfastness would have weakened her resolve but she was not with us. There was something about her that wasn't right. I stopped talking, sat on her bed, opened my arms. In she crashed. I held her to my chest, rocking her gently. After a few minutes I softly asked what was wrong. In her little fragile voice, I heard the words that broke my mommy heart for the first time in my parenting life.

"Mommy, I don't want you to get old. You will die and leave me and I don't want to
be here without you. Mommy I will miss you and I don't want you to die!"

She sobbed and sobbed and I sat stunned for a half-second-hour. Oh my god. Scooping her up in my arms I lied to stop her hurt. "Honey, I'm not going to die. I'm right here and I'm always going to be here. What made you think of that?" She was not comforted.

"But when you are old you are going to die right? And I don't want to be here
without you. Mommy when you die I want to die with you."

Shattered.

I talked and talked and lied our way out of this conversation. I would not die until she was very old. Maybe by then there would be medicine so none of us had to die. Please don't think of it my love. I am your mommy and I will always be here with you. I held her tight and from that night on one of us has sat with her until she falls asleep. That was then. This is now. Three nights ago, as I sat with her for what ended up being 2 hours until she fell asleep, I felt her bed shake just a bit. "Are you okay, honey?"  In a split-second this almost 8-year-old was in my arms crying, "I'm having bad thoughts Mommy."  It took her several attempts to explain, because I couldn't understand through her sobs. "I don't want to lose you. I don't want you to die." How many times will she have to endure this pain? I so badly want to take her pain away but I can not. I am not able to fix this. All I can do is try to use this illness to make her stronger, but I can not fix this.

It is worse when she is sicker, and better when she is more well. During the rough times she wakes multiple times a night. She isn't fighting sleep when she wakes in the middle of the night; it just won't come to her and she doesn't want to be alone. If we stay with her she lies quietly, content to just have us there while she rests. It's been like this since that first night when she was three years old. In those early months we thought sleeping with her would reinforce the behavior but we had no choice. We were beat. We needed sleep. We couldn't get up multiple times a night, sit with her for 45 minutes, and then be woken up again less than an hour later. I didn't know much back then but I knew something wasn't right. A child should not have this type of insomnia. So started our calls to the pediatrician, trials of melatonin, reward systems, and calming techniques. And so started our journey to PANS and Lyme.

Gone was our carefree child who loved to snuggle into her bed and tiptoe around in the dark when we weren't looking. Gone was our brave little girl who used to get up and use the bathroom in the middle of the night and tuck herself back in to bed without even asking for us. Gone was a part of her childhood that we would never get back. It was only the beginning. If only I had known then what I know now maybe I could have stopped the onslaught.  More fears would come. More anxiety. More physical symptoms; skin-on-fire-sensory, insomnia, urinary issues, lack of appetite. Suffering and more suffering.

I wracked my brain to connect all of this behavior to something. I googled, talked, chatted, posted, libraried, researched, and tried every tip I was given. Only later would I recognize this sudden change as the "sudden onset" of a horrid medical condition. If only I had known then what I know now. Damn it. I could have DONE something then.

If I could have one wish, it might be to go back to that first night, knowing what I know now. Or maybe it would be back to her first vaccination, her first ear infection, her first breath. Oh if I could give her breast milk to provide her immune system with healing from that first moment. If I could be more judicious with vaccinations and provide detoxification support after every one. I'd skip the flu shots, give her probiotics every day, and make sure she had quality vitamins. I'd go back to that night and hold her and let her sleep in my arms. The next morning I'd get her started on the herbal antibiotics and antivirals. I'd do all kinds of things to stop this illness form spiraling out of control and hijacking her childhood.

I don't live with regret but there is so much I would do differently.  The only useful thing about regret is to recognize it and make sure you don't repeat the thing that brought it to life. What would my five-years-from-now self, say to me? What advice would I give me? What would I tell myself to do now instead of waiting. I couldn't help her then but I can help her now. I have to be able to help her.

Strength. Love. Hope.






Up and down and round and round

February 8, 2017

We are in our third month of herbal lyme treatment and the ups and downs keep coming. A few weeks ago it started up again - those horrible symptoms. Armed with some new tools of attack I think we have been able to keep things at bay. Maybe.

She is up to multiple supplements in the morning and that in and of itself is taking it's toll. I hate to take my vitamins so I can imagine what it feels like to a seven-year-old little girl to take so many. I was hard on her this morning. I just wanted her to take her pills and it had been 20 minutes of fiddling with them and complaining. I tried empathy. It's time to brush teeth and hair. I tried encouragement. We only have 10 more minutes until the bus gets here. I tried the threat of consequence. It's TIME! I finally took them away and told her to go out to the bus. That is the greatest threat of all because she fears what will happen if she doesn't take them. Running around me she grabbed them from the counter and began. She fears the crushing sensory symptoms that may escalate. She is terrified of the scary thoughts that could come crashing in to her brain without invite, no way to push them out. She hates the insomnia that keeps her awake for hours and hours because it usually gets the better of her and then of me and the crying and yelling ensues.

How did this happen? Why? I don't often go there. I'm always looking forward, focused on what to do next. We're trying to get b vitamins balanced, adding minerals, and lots of anti-inflammatory and liver-detox support. I think it's helping but it's a lot to take - literally a lot of pills to take. After a morning like today's, I reassess to see if I can safely remove a couple of pills. Just to ease the burden on this little girl.

Then again, we are lucky right? It could be worse. At least she is "healthy" and not fighting something worse. So maybe she needs to suck it up and take eleven. Big deal, right? At least we can fight and there is hope. Some kids have so little hope. Some kids are fighting something that is ultimately going to win. She will win this battle so the focus needs to be on sustaining her as we go. At least she is home and comfortable and able to go to school and enjoy good friendships. She is learning and playing as she should be. It's just this other stuff she's got to handle. And there it is. Perspective. Never takes me too long.

So how can I better sustain her and hold her up? How can I strengthen her and her resolve? I tell her she is strong and brave and conquering it all. I think she believes me. Most of the time. When she's not just too damn tired of it all.

Me too. I'll do better.

Strength. Love. Hope.

Now We Know

Friday, December 9, 2016

How the hell did she get Lyme disease?! Lyme and at least three other co-infections that typically come with the territory including bartonella, babesia, and that one that starts with "echl".  After eleven months of not knowing what was triggering her flares perhaps we have found something. Lyme and PANS are not distant cousins - they tend to run together like closest siblings or the best of friends. These are the only infection we've ever found. Could this be the answer?

My feelings are of course all mixed up. Glad to know there is something to treat but worried because this thing is not easy to treat. The more I learn the more I respect and fear these bugs, parasites, stealthy invaders. It's pure science fiction, people.  They are shape-shifters these lymie things, evading detection by changing form. They are body snatchers, throwing their dna in to a cell to hide and wait, sometimes years, until the coast is clear and the environment friendly they come out to wreak havoc again. They are opportunists, taking advantage of damaged immune systems, weakened health, finding places to set up camp, signaling to each other , coordinating, and building communication and supply pathways. I kid you not. Sci-fi-gone-real.


I feel validated that we have finally found something. We've been shooting in the dark for 11 months and now have something at which to aim. Answers. Now we know. We started an herbal protocol three days ago because the antibiotics required to fight these infections would hurt her more. This treatment plan is slow and not-so-steady as it could take 6-9 months to work and the ups and downs will persist as we travel. We will hold steady and hope the relief she's received these last few weeks continues and expands. Driving with blinders on we don't know what is just around the corner so we're enjoying the view from here.

Hope. Strength. Love.

Grief

Thursday, November 17, 2016

(a post I wrote in one of my PANDAS/PANS support groups last night)

Grief. It has crept out of the recesses of my mind where memories of her childhood have been quietly packed away. It's been weeks of "relative" calm since we got her most horrid flare under control. But it just keeps taunting us, the OCD, the sensory, the indecision and agitation.

Days of remarkable recovery when she is just a typical 7yo child and my heart overflows. We have figured it out, it's okay now. It's going to be okay. I just watch her and am so filled with gratitude. Then, that moment of recognition when I see a glimpse of it return. A chair that isn't quite straight, couch pillows haunting the periphery of her vision that must be removed immediately, and the agonizingly painful process of trying to get her dressed in the morning because she can't decide which outfit to wear and because non of her clothes feel good on her body.

The photos of years past, when it was all beginning and I had no idea. This silent enemy was taking hold but I thought she was just going through something, just a sensitive child. That 3yo photo we just found...that dress was the only one she could wear, the crocks bc nothing felt good on her feet, and the braid in her hair....I remember that braid because I was anxiously making it as loose as possible so she wouldn't cry and rip it out. I just wanted her to be a happy, healthy little girl on her birthday.

Tonight she had symptoms again. Not severe, but enough to create some stress in both of us.  "I'm tired of being different Mommy. (Starts to cry and I pick her up.) There are 21 kids in my class and none of them have these problems. They can all get dressed. I don't want to be different. It's so hard." My heart shatters a million times over.

She is tired.  I am tired. I am sad. I am lonely. I am angry. I am frightened. I am thankful because I know it could be worse and I am terrified because I know it could get worse.  We've only been at this since January but now I see the years stretching out before us. I don't want this for her. I can't have this for her. This can't be.

But I picked her up and held her and told her she is special and strong, and has so much to offer the world.  I reminded her that we walk in the sunshine and practice gratitude even when it's hard.  I hugged her and told her I get tired too but that we are in this together and she will be okay. It will get better. She will get better and better...look how far you've come already my love.

Grief. There is no other word to describe it. Simple grief.  I saw a counselor for myself today because I've got to get myself support from somewhere. I will handle this and I will carry this and I will carry her every step of the way, but I need just a little support. Just a little corner to let the grief out.  Thank you for being here, for being in it with me.

New gains

Monday, November 7, 2016

We continue to be filled with hope as we see in our daughter things we have not seen in months, and maybe even years. We've started a biofilm protocol of enzymes and antimicrobials. Fighting the invisible invaders we are bringing her home. Cerebral folate deficiency is an issue and one of our latest battlefields so a little b12 in the last couple of days might be making even more of a difference. Cleaning up the gut, strengthening the immune system, balancing out the supplements. We are in a beautiful "tweaking" phase, carefully watching and holding everything as steady as we can while we make minor changes.

Precious moments of recovery are now drowning out the horrible snapshots of grief this illness has brought. Memories frozen in time, stand firmly in my mind with all the amazement and joy of the most important days of my life; marriage, birth, and the day Amelia found healing. So many days. The day we crimped her hair, the day she wore new sneakers, the day she ran off without clinging to me to play at a party, and now grandma's 75th birthday. Amelia looked healthier, smiled more, and even ordered her own food at the restaurant.  Music to my ears, her chitter-chatter as she laughed, and enjoyed Grandma's 75th birthday will ring in my memory for years to come.

All those little big moments to cherish will be right up there with her first steps, first words, first day of school. There is always strength, love, and hope.

A New Special Day: PANDAS/PANS Awareness Day

Sunday, October 9, 2016

Today has been one of those days; jeans, long-sleeved shirt she hasn't worn in six months, hair in a pony tail, and no agitation or emotional lability to speak of. This hasn't happened in months. Fitting, as today is PANDAS/PANS Awareness Day 2016. We've certainly come a long way in just one week. No more huge nighttime fears, insomnia resolved, and only subtle/mild symptoms that I've been able to support her through. It's been one week of calmer, gentler nighttime routines. Grateful is all I can be. Well, grateful and worried but the "worried" comes with the territory. My little one is no longer in the severe phase of this 2.5-month flare but we are not back to 100% yet.

Each day I see some improvement but there are also setbacks. They call it a "saw tooth pattern" of recovery; up, down, up, down. I can do nothing but watch and hope that the ups are higher and the downs are fewer in between. As we bump along with sensory challenges, new symptoms appear. Familiar to me as they come in to focus I recognize the heartbreaking descriptions of each new symptom from the endless posts of mother's who got here before me. Like being surprised by a long-lost friend I never wanted to see again, I suddenly see in my daughter another facet of this illness take form. Out of the fog we check off another symptom and the reality is secured as another nail is pounded in.

Over the last two days my daughter has been tormented by the decision of what to wear, weighing the options of two pieces of clothing she cried saying she didn't know which was the right. No matter the reassurance she was tortured by this simple decision. It sounds trivial but it is paralyzing. With patience and love I stopped my efforts to reassure her and offered to bring the alternative choice clothing with us as backup. Relief. Once we get past the moment it doesn't return and the extra clothes were completely forgotten. The degree of upset caused by such a simple decision unnerves me. What will be next? My mind scans the files I've tucked away describing all the symptoms we haven't yet seen. Which one will be next. There are those I shudder to think could be ours one day.

But THIS morning, we had normal. Although clothing remains mostly torturous, this morning was the exception; a glimpse of what normal and healthy could be for my daughter and our family. I wrack my mind to find some explanation. As I've done for 10 months I review every detail. Why was this morning different? Was there a change in meds? Did she eat something different? Exposure to a germ? More time outside or less? More dairy or sugar? Accidental ingestion of Red 40? Maybe playing in a friend's basement exposed her system to even the slightest amount of dampness or mold? If it is a full moon parasites could be at play. Did I change the timing of a supplement? Is she getting sick? After 10 months of this I am starting to be able to rule things out but it still haunts me, this need to figure it out. A strength overplayed, a weakness leveraged. It occurs to me today that my tenacious attention to detail, this long-standing compulsive need to look in every crevice and consider every perspective and option, is finally coming in quite handy. I am putting the pieces together.

The other symptoms that come and go during the day are agitation and emotional lability. Frustrated by her little sister's taunts, a toy that won't cooperate, or when I can't drop what I'm doing to help her with something, my daughter quickly descends in to an epic meltdown, screaming things that she would never dream of saying when her brain is not under siege. It all sounds like it could be the behavior of a typical kid but I assure you it is not. There is an intensity to her emotions that do not come close to matching the circumstance; it's as if she's suffering an actual trauma, with shock and fear and panic. My adrenaline spikes and I go in to emergency mode, trying to catch her and hold her so she doesn't sink deeper or spiral away from my grasp. Deep breaths. She is coming out of it.

PANS has taught me, tested me, moved me to be better. I have grown stronger and wiser and more patient. I wait, console, and reassure her with each passing episode. Blood work results should be in within days but I don't know what, if anything, they will reveal. I'm experimenting with the timing of the three antimicrobial medicines to see if one of them is causing an increase in agitation. The remaining symptoms could be persisting because I suspect she's been fighting a virus over the few days. She's been coughing a bit and has been very tired. The medications are probably keeping something at bay but that something is in there pushing her just over the limit of her typical healthy behavior. I saw a decrease in appetite again and I am crossing my fingers that it is because of a sneaky virus and not a new symptom to battle.

The days leading up to this day of awareness I've not felt so alone. I've shared posts on my wall and in my old SPD support groups, spreading awareness of this awful illness. I've listened to some pod casts and watched videos from other pandas/pans moms. There are moments I want to shout from the rooftops but for my daughter's privacy I stop myself. This illness is still mostly hidden from those around us who see a shy, slightly awkward, but kind and bright little girl. What goes on behind closed doors and within the walls of her mind would startle most who know her. So I sit with this quiet little blog and I type.  I have hope today, as I grow in my knowledge and my own awareness of how to help my daughter.

Strength, love and hope.