Thursday, August 4, 2011

Recap & Gut Instincts

We started taking Z back to Physical Therapy June 29th he was experiencing “that pain” again. It seems to flare up more in the summer than during the school year. Z goes to physical therapy 3 times a week for pain management. His therapist, Emily, noticed his lack of mobility in his back and felt there was something more going on than just hamstring contractures and recommended we see Dr. Johnson who is a sports doctor. Dr. Johnson took x-rays and found something at the base of his spinal cord, he couldn't tell me what it was ... he could just tell me that there was something there. So he ordered an MRI, however, Z was sent for an adult MRI and the results were not good enough to read, so for pain Dr. Johnson, recommended we use Benadryl (this is used as a muscle relaxer for children, so if you know any children who have growing pains 1/2 a Benadryl will help alleviate that pain and it won’t harm the child) and get a TENS unit as well. He then sent us to Vanderbilt Children's Hospital to Dr. Lori Jordan, a neurologist who ordered blood work and another MRI/contrast. The order got messed up and we ended up in a CT scanning room, I questioned the order and told the nurse that Dr. Jordan ordered an MRI/ contrast and he had to go and verify it with the doctor. I was lead into a consultation room and four other doctors came in to tell me that there had been a mistake with our appointment and that we could come back in the evening and we could get it done then. Well, the evenings are the worst for Z and he couldn’t be still enough to get good images so they had to reschedule the MRI/contrast and the wait turned into a two week one, because he needed to be sedated so that they could get the images that they needed. They ended up doing a full scan of his spine from the base of his neck to his tail bone. The scan lasted 3 1/2 hours then he had to stay in recovery until he was able to eat and drink without feeling nauseous. We should have results to the MRI by this weekend, at least that’s what we are hoping for. 
My gut tells me this is all related to the accident he was in with my parents. It had to have been missed. I just know that my goal/job is to keep Z as pain free as I can. 
Update from Dr. Jordan:  We learned today that he has Superficial Siderosis due to Trauma. He bled at the base of his head and the blood layered down his spine collecting at the base of his cord. We're still a little unfamiliar with the full details of his diagnosis, but have been told that this Trauma was an old one which leads us to believe that it was caused during the 2006 accident he was in. As far as his prognosis? There is no known cure and what they can do to help Z is unknown. This isn't something that is commonly found in children. Z's neurologist is going to be consulting with some of her colleagues at the Mayo Clinic/John's Hopkins and will be contacting me either tomorrow or Monday.

Z had some pain around 4pm so, we put the Tens on for 60min

Wednesday, August 3, 2011

MRI/Contrast


Waiting area at Vanderbilt
Z after getting an IV put in, He doesn't like needles

2pm - TENS 40min
MRI/contrast was given morphine for pain (pain was a 4 on a scale of 1-10 with 10 being unbearable and then given pain meds again for pain during the MRI because of the length of time he was sedated and they didn’t want him to be in pain when he woke up.

A Record of Z's Medicine and Pain (times are all approximate)

A Record of Z’s Medicine and Pain (times are all apporximate)
July 24 
10am - 1 extra strength tylenol , 1/2 benadryl
5pm - 1 Aleve
6pm - 1/2 benadryl
8pm -1/2 benadryl
July 25
12pm - 1/2 benadryl
1pm - TENS 20min
3pm - TENS 20min
6pm - 1/2 benadryl
July 26
12pm - 1/2 benadryl
2pm - TENS 20min
July 27 - PAIN FREE!!!
July 28
1pm - 1/2 benadryl
2pm - 1/2 benadryl
4pm - TENS 40min
July 29
2pm - 1/2 benadryl
4pm - TENS 40min
July 30
3pm - 1/2 benadryl
5pm - TENS 40min
Aug 1
2pm - 1/2 benadryl
4pm - TENS 40min
7pm - 1/2 benadryl
Aug 2
1pm - 1/2 benadryl
TENS 40min

Thursday, July 28, 2011

Waiting for the Pain to Subside


We took a trip to Nauvoo, Ill and did a lot of walking, Zachary's legs started hurting so we stopped to give him a chance to rest, he found this spot on the tongue of a covered wagon to take a break. This position is typical for Zachary to be in when he is in a lot pain.

Monday, July 18, 2011

A Misunderstanding and Physical Therapy

Still no real diagnosis on Zachary, I was nervous and worried for nothing, cause the MRI that was done could not be read well by the Neurologist, she has ordered another MRI at Children's, we won't get any results today either ... :( don't get me wrong I love, love, love roller coasters, just not thrilled at all by this one. Well, off we go ... Oh, for the love! Coaster has come to a complete halt at the very top of an upcoming downfall. They scheduled us for a CT 
Scan when the Dr ordered MRI with contrast. Trip here would have been a waste if it weren't for the koi ... now off to physical therapy.



Zachary loves the Koi fish at Vanderbilt, he's always wanting to feed them.







 ... now off to physical therapy with Courtney, Zachary's physical therapist, and let's not forget Patrick.






Wednesday, July 13, 2011

There's More Going on Than Contractures

Zachary at Dr. Johnson's office - We started taking him back to Physical Therapy because the pain in his legs and his mobility has progressively gotten worse. His therapist felt there was more going on than what was previously diagnosed and referred him to an Orthopedist (Dr. Johnson) who took Xrays and ordered an MRI to rule out some things like a Tethered cord and such. He had his MRI done today and translated into english that we could understand. Right now, there is still no true diagnosis. We only know that there is an abnormality of "Z's" spinal cord, there's inflammation, pocket of fluid and thickening of the lower lumbar and sacral dura (I had to google some of this, so don't feel bad if you have to as well) Z has an appointment to see a pediatric neurologist on Friday morning. Things are moving very quickly which is very scary, but things are moving which means a diagnosis for 
"Z" and the relief of his pain are just around the corner.



Friday, June 24, 2011

He Just Wants to Swim


When Zachary is in pain he lays on the side of the pool, hoping he will feel good enough to play just a little bit longer. :(