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Re: I think my daughter has a mito disorder

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,

It isn't weird at all that you think everything is fine while you are

doing things that you know are not normal . After all they are your

normal everyday things and will continue to be as long as you do them.

I was in the same boat when Corbin was a baby. I already had 2 children

and have 9 bothers and sisters with 25 children all together. So,

I had been around alot of kids in my life time and I knew for sure that

a baby crying constantly and acting like he didn't know how to eat was

NOT normal. We went to the doctor some times 3 to 5

days a week and I had postpartum depression. I don't know who wouldn't.

I had a 4 yr old that had been traumatized when her baby brother stopped

breathing. She found him and for some reason thought it was her fault.

She was also going to speech therapy 1 day a week and preschool 2 days

a week. <SIGH> I also had an 18mth old baby boy who seemed

to get pneumonia every time he got a little cold. On top of that

anytime I left my home I had to get all of them out the door, plus the

apnea monitor (that for some reason always went off at the worst times!)

The monitor was like a fourth child. A very loud and annoying 4th

child. On top of that I had to remember his medication. You see I

looked at the medication as a life or death situation. I guess it

was. They told me the reflux caused him to stop breathing. I felt

if I forgot to give it to him he would die! So I can

relate to what you have gone through, although I don't have to deal with

the drip feeds.

Don't feel bad about blurting that all out. I think when we share

the intimate details of our lives it brings us all closer together.

It's liberating also to just let it all out. And look I just sort

of did the same thing.

Hang in there. When is 's b-day? It must be close

to Corbin's.

Barbara

mom to 5, Max almost 3, relfux and Corbin 17mths, possible

mito, reflux, asthma, oral motor and motor planning dyspraxia and now with

mucopolysaccharides in his urine?

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Guest guest

I hope you find the list helpful! It sounds like you need to get a new

doctor ;) The fact is that MOST mitochondrial disorders are not maternally

inherited but rather sporadic or autosomal recessive - in which case there

would be little or no family history. Additionally, elevated lactic acid is

most definitely not always present. My son didn't have elevated lactic acid

levels until recently and he is now 7 years old - so thankfully his docs

didn't wait until the lactic acid levels were elevated!

Terri

>From: bunnyr@...

>Reply-To: Mitoonelist

>To: Mitoonelist

>Subject: I think my daughter has a mito disorder

>Date: Fri, 03 Mar 2000 20:07:00 -0000

>

>My daughter, elizabeth is 16 months old. She has low muscle tone, is

>currently on an NG tube because for some unknown reason she will not

>take anything orally. her lactate levels were only slightly elevated

>and she is having siezures. She stares off a lot of times during the

>day. She can not walk yet. She has little braces on her feet to help

>with the muscle tone thing. She is scheduled to have an MRI done. The

>only thing that worries me is that the neurologist says that he only

>wants to do a muscle biopsy if the lactate levels are elevated and he

>says that since there is no history of anything on my side of the

>family he doesn't think it is a real possiblity. I think I may push

>for a biopsy anyway. also has significant developemental

>delays. she can not talk and she doesn't understand language although

>she can hear. she doesn't even know her name.

>What's worse is I am dealing with a nutritionist who seems to think

>that once gets hungry enough she will all of a sudden start

>eating. Even though she was starving herslef before shich is why she

>had to be put on the NG tube in the first place.

>also, for some reason was vomiting several times a day for

>no reason with 160cc bolus feedings on the tube. the only thing that

>has stopped her from doing it is that we put her on a continuous

>drip. Also she has seizures through out the day and little jerks and

> " shivers. " Her first EEG was normal and then her second one was just

>done yesterday. If the shivers and jerks are not seizures I don't

>know what they are. Except that they are with the staring off. There

>is a lot going on with this little girl and would be more than happy

>to talk to anyone going through the same thing.

>

______________________________________________________

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,

Yes, he was diagnosed by muscle biopsy. At the time none of his lab tests

were coming back abnormal and all of his MRIs had been normal. We used to

say he was the most normal abnormal kid around! ;) When he had the biopsy

he was 5.5 years old and it showed that he had complex I and IV

deficiencies. His muscle pathology was also very abnormal. If you'd like

to read more about him I have a website at http://www.flash.net/~tmason

which documents a lot of stuff - including medical records and the

evaluation from when he had the biopsy done by Dr. Shoffner. When we did

see Shoffner he also did another MRI which was no longer normal and showed

that he had Leigh's (a specific type of mito disorder) - which I guess is

also unusual in that the MRI usually shows Leigh's when they become

symptomatic. It just goes to show you that there are no absolutes when it

comes to mito disorders.

Terri

>

>Reply-To: Mitoonelist

>To: Mitoonelist

>Subject: Re: I think my daughter has a mito disorder

>Date: Fri, 03 Mar 2000 12:37:31 -0800

>

>So how was your son diagnosed? By a muscle biopsy? I can't tell you how

>thrilled I am that you wrote me.

>This has been very difficult for me. Everything about screams

>Mito! If it is not we need to rule

>it out with a biopsy.

>Thank you so much for your reply

>

>Terri Mason wrote:

>

> >

> >

> > I hope you find the list helpful! It sounds like you need to get a new

> > doctor ;) The fact is that MOST mitochondrial disorders are not

>maternally

> > inherited but rather sporadic or autosomal recessive - in which case

>there

> > would be little or no family history. Additionally, elevated lactic

>acid is

> > most definitely not always present. My son didn't have elevated lactic

>acid

> > levels until recently and he is now 7 years old - so thankfully his docs

> > didn't wait until the lactic acid levels were elevated!

> >

> > Terri

> >

> > >From: bunnyr@...

> > >Reply-To: Mitoonelist

> > >To: Mitoonelist

> > >Subject: I think my daughter has a mito disorder

> > >Date: Fri, 03 Mar 2000 20:07:00 -0000

> > >

> > >My daughter, elizabeth is 16 months old. She has low muscle tone, is

> > >currently on an NG tube because for some unknown reason she will not

> > >take anything orally. her lactate levels were only slightly elevated

> > >and she is having siezures. She stares off a lot of times during the

> > >day. She can not walk yet. She has little braces on her feet to help

> > >with the muscle tone thing. She is scheduled to have an MRI done. The

> > >only thing that worries me is that the neurologist says that he only

> > >wants to do a muscle biopsy if the lactate levels are elevated and he

> > >says that since there is no history of anything on my side of the

> > >family he doesn't think it is a real possiblity. I think I may push

> > >for a biopsy anyway. also has significant developemental

> > >delays. she can not talk and she doesn't understand language although

> > >she can hear. she doesn't even know her name.

> > >What's worse is I am dealing with a nutritionist who seems to think

> > >that once gets hungry enough she will all of a sudden start

> > >eating. Even though she was starving herslef before shich is why she

> > >had to be put on the NG tube in the first place.

> > >also, for some reason was vomiting several times a day for

> > >no reason with 160cc bolus feedings on the tube. the only thing that

> > >has stopped her from doing it is that we put her on a continuous

> > >drip. Also she has seizures through out the day and little jerks and

> > > " shivers. " Her first EEG was normal and then her second one was just

> > >done yesterday. If the shivers and jerks are not seizures I don't

> > >know what they are. Except that they are with the staring off. There

> > >is a lot going on with this little girl and would be more than happy

> > >to talk to anyone going through the same thing.

> > >

> >

> > ______________________________________________________

> > Get Your Private, Free Email at http://www.hotmail.com

> >

> > ------------------------------------------------------------------------

> > GET A NEXTCARD VISA, in 30 seconds! Get rates as low as 2.9%

> > Intro or 9.9% Fixed APR and no hidden fees. Apply NOW!

> > http://click./1/936/1/_/368657/_/952115543/

> > ------------------------------------------------------------------------

> >

> > Brought to you by www.imdn.org - an on-line support group for those

>affected by mitochondrial disease.

>

______________________________________________________

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In a message dated 03/03/2000 12:34:28 PM Pacific Standard Time,

bunnyr@... writes:

> My daughter, elizabeth is 16 months old. She has low muscle tone, is

> currently on an NG tube because for some unknown reason she will not

> take anything orally. her lactate levels were only slightly elevated

> and she is having siezures. She stares off a lot of times during the

> day. She can not walk yet. She has little braces on her feet to help

> with the muscle tone thing. She is scheduled to have an MRI done. The

> only thing that worries me is that the neurologist says that he only

> wants to do a muscle biopsy if the lactate levels are elevated and he

> says that since there is no history of anything on my side of the

> family he doesn't think it is a real possiblity. I think I may push

> for a biopsy anyway. also has significant developemental

> delays. she can not talk and she doesn't understand language although

> she can hear. she doesn't even know her name.

> What's worse is I am dealing with a nutritionist who seems to think

> that once gets hungry enough she will all of a sudden start

> eating. Even though she was starving herslef before shich is why she

> had to be put on the NG tube in the first place.

> also, for some reason was vomiting several times a day for

> no reason with 160cc bolus feedings on the tube. the only thing that

> has stopped her from doing it is that we put her on a continuous

> drip. Also she has seizures through out the day and little jerks and

> " shivers. " Her first EEG was normal and then her second one was just

> done yesterday. If the shivers and jerks are not seizures I don't

> know what they are. Except that they are with the staring off. There

> is a lot going on with this little girl and would be more than happy

> to talk to anyone going through the same thing.

>

Hi -

I think that you are experiencing a pretty common scenario . . . about a year

and a half agot we faced some of the same things you are facing now.

First--children with mito will not ALWAYS have elevated lactic acid. My son

has a confirmed mitochondrial disorder. We actually have never had a time

when his lactic acid was measured that it came back elevated. We suspect

that it was probably elevated once when his electrolytes were off balance and

his CO2 was low. But during the period of time that we were searching for a

diagnosis I was told repeatedly that he could not have mito because his

lactic acid was not elevated (nor were there any other abnormalities in the

numerous metabolic screenings that were conducted).

was failure to thrive, and would have starved himself to death if we had

just let him eat at his own discretion. He just never got hungry. Even as a

newborn, he would sleep through the night without waking up hungry. He does

not have any structural problems, his swallow studies have been normal. He

did have reflux, but even if he hadn't, I don't think he would eat normally.

He just doesn't.

If your child has mito, the " let them go without food, and when they get

hungry enough, they will eat " strategy is really quite dangerous for her.

Patients with mito do not do well if they fast for long periods of time. In

fact, that is what triggers seizures for --long periods of fasting,

usually accompanied by illness. His body has trouble producing enough energy

for normal, day-to-day life. When you add the stress of an illness, and then

do not provide enough fuel, he suffers quickly!

Here are some information links that may help you:

<A HREF= " http://biochemgen.ucsd.edu/mmdc/ep-toc.htm " >Physician's Guide to

Mito</A>

<A HREF= " http://www.mdausa.org/publications/Quest/q64mito.html " >MDA / Quest

6-4 / Mitochondrial Myopathy -- An Energy Crisis in the Cells</A>

<A HREF= " http://www.umdf.org/Index.htm#NoFramesNavigation " >The United

Mitochondrial Disease Foundation</A>

<A HREF= " http://www.imdn.org/ " >International Mitochondrial Disease Network</A

>

The first on the list will take some time to download, but I highly recommend

it. I took copies to our doctors . . . it is what finally convinced our

pediatrician to refer for testing.

Good luck and feel free to ask more questions!!!

Kathy C.

mom to and (mitochondrial encephalomyopathy, complex I and III

defects)

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Bunny, have you seen a GI doc for the reflux? It sounds like she definitely

has some issues that they could help you with. It may be a physical thing

causing the reflux. and have you seen a geneticist regarding your daughter's

delays, etc... I would also recommend seeing a developmental pediatrician.

I haven't seen one myself yet but plan on it when and if I am aproved for the

deeming waiver. I have spoken with a couple of moms who saw a dev ped and

they were the first docs to diagnose their child. hope this helps. best

of luck to you.

cathy

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So how was your son diagnosed? By a muscle biopsy? I can't tell you how

thrilled I am that you wrote me.

This has been very difficult for me. Everything about screams Mito! If

it is not we need to rule

it out with a biopsy.

Thank you so much for your reply

Terri Mason wrote:

>

>

> I hope you find the list helpful! It sounds like you need to get a new

> doctor ;) The fact is that MOST mitochondrial disorders are not maternally

> inherited but rather sporadic or autosomal recessive - in which case there

> would be little or no family history. Additionally, elevated lactic acid is

> most definitely not always present. My son didn't have elevated lactic acid

> levels until recently and he is now 7 years old - so thankfully his docs

> didn't wait until the lactic acid levels were elevated!

>

> Terri

>

> >From: bunnyr@...

> >Reply-To: Mitoonelist

> >To: Mitoonelist

> >Subject: I think my daughter has a mito disorder

> >Date: Fri, 03 Mar 2000 20:07:00 -0000

> >

> >My daughter, elizabeth is 16 months old. She has low muscle tone, is

> >currently on an NG tube because for some unknown reason she will not

> >take anything orally. her lactate levels were only slightly elevated

> >and she is having siezures. She stares off a lot of times during the

> >day. She can not walk yet. She has little braces on her feet to help

> >with the muscle tone thing. She is scheduled to have an MRI done. The

> >only thing that worries me is that the neurologist says that he only

> >wants to do a muscle biopsy if the lactate levels are elevated and he

> >says that since there is no history of anything on my side of the

> >family he doesn't think it is a real possiblity. I think I may push

> >for a biopsy anyway. also has significant developemental

> >delays. she can not talk and she doesn't understand language although

> >she can hear. she doesn't even know her name.

> >What's worse is I am dealing with a nutritionist who seems to think

> >that once gets hungry enough she will all of a sudden start

> >eating. Even though she was starving herslef before shich is why she

> >had to be put on the NG tube in the first place.

> >also, for some reason was vomiting several times a day for

> >no reason with 160cc bolus feedings on the tube. the only thing that

> >has stopped her from doing it is that we put her on a continuous

> >drip. Also she has seizures through out the day and little jerks and

> > " shivers. " Her first EEG was normal and then her second one was just

> >done yesterday. If the shivers and jerks are not seizures I don't

> >know what they are. Except that they are with the staring off. There

> >is a lot going on with this little girl and would be more than happy

> >to talk to anyone going through the same thing.

> >

>

> ______________________________________________________

> Get Your Private, Free Email at http://www.hotmail.com

>

> ------------------------------------------------------------------------

> GET A NEXTCARD VISA, in 30 seconds! Get rates as low as 2.9%

> Intro or 9.9% Fixed APR and no hidden fees. Apply NOW!

> http://click./1/936/1/_/368657/_/952115543/

> ------------------------------------------------------------------------

>

> Brought to you by www.imdn.org - an on-line support group for those affected

by mitochondrial disease.

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Guest guest

WOW Kathy,

I can not thank you enough. I'm going to take these to the neurologist. Thank

you so much.

I have been just about gone nuts with these doctors. Especially the nutritionist

with her feeding

strategies.

elizabeth also has a nail that is yellowing all the way to the base. I don't

know if it will eventually

fall off or what. I showed it to the doctor and he didn't seem concerned. Anyone

else with this problem.

Also is the vomitting normal for mito?

KCorley309@... wrote:

> From: KCorley309@...

>

> In a message dated 03/03/2000 12:34:28 PM Pacific Standard Time,

> bunnyr@... writes:

>

> > My daughter, elizabeth is 16 months old. She has low muscle tone, is

> > currently on an NG tube because for some unknown reason she will not

> > take anything orally. her lactate levels were only slightly elevated

> > and she is having siezures. She stares off a lot of times during the

> > day. She can not walk yet. She has little braces on her feet to help

> > with the muscle tone thing. She is scheduled to have an MRI done. The

> > only thing that worries me is that the neurologist says that he only

> > wants to do a muscle biopsy if the lactate levels are elevated and he

> > says that since there is no history of anything on my side of the

> > family he doesn't think it is a real possiblity. I think I may push

> > for a biopsy anyway. also has significant developemental

> > delays. she can not talk and she doesn't understand language although

> > she can hear. she doesn't even know her name.

> > What's worse is I am dealing with a nutritionist who seems to think

> > that once gets hungry enough she will all of a sudden start

> > eating. Even though she was starving herslef before shich is why she

> > had to be put on the NG tube in the first place.

> > also, for some reason was vomiting several times a day for

> > no reason with 160cc bolus feedings on the tube. the only thing that

> > has stopped her from doing it is that we put her on a continuous

> > drip. Also she has seizures through out the day and little jerks and

> > " shivers. " Her first EEG was normal and then her second one was just

> > done yesterday. If the shivers and jerks are not seizures I don't

> > know what they are. Except that they are with the staring off. There

> > is a lot going on with this little girl and would be more than happy

> > to talk to anyone going through the same thing.

> >

>

> Hi -

>

> I think that you are experiencing a pretty common scenario . . . about a year

> and a half agot we faced some of the same things you are facing now.

>

> First--children with mito will not ALWAYS have elevated lactic acid. My son

> has a confirmed mitochondrial disorder. We actually have never had a time

> when his lactic acid was measured that it came back elevated. We suspect

> that it was probably elevated once when his electrolytes were off balance and

> his CO2 was low. But during the period of time that we were searching for a

> diagnosis I was told repeatedly that he could not have mito because his

> lactic acid was not elevated (nor were there any other abnormalities in the

> numerous metabolic screenings that were conducted).

>

> was failure to thrive, and would have starved himself to death if we had

> just let him eat at his own discretion. He just never got hungry. Even as a

> newborn, he would sleep through the night without waking up hungry. He does

> not have any structural problems, his swallow studies have been normal. He

> did have reflux, but even if he hadn't, I don't think he would eat normally.

> He just doesn't.

>

> If your child has mito, the " let them go without food, and when they get

> hungry enough, they will eat " strategy is really quite dangerous for her.

> Patients with mito do not do well if they fast for long periods of time. In

> fact, that is what triggers seizures for --long periods of fasting,

> usually accompanied by illness. His body has trouble producing enough energy

> for normal, day-to-day life. When you add the stress of an illness, and then

> do not provide enough fuel, he suffers quickly!

>

> Here are some information links that may help you:

>

> <A HREF= " http://biochemgen.ucsd.edu/mmdc/ep-toc.htm " >Physician's Guide to

> Mito</A>

> <A HREF= " http://www.mdausa.org/publications/Quest/q64mito.html " >MDA / Quest

> 6-4 / Mitochondrial Myopathy -- An Energy Crisis in the Cells</A>

> <A HREF= " http://www.umdf.org/Index.htm#NoFramesNavigation " >The United

> Mitochondrial Disease Foundation</A>

> <A HREF= " http://www.imdn.org/ " >International Mitochondrial Disease Network</A

> >

>

> The first on the list will take some time to download, but I highly recommend

> it. I took copies to our doctors . . . it is what finally convinced our

> pediatrician to refer for testing.

>

> Good luck and feel free to ask more questions!!!

>

> Kathy C.

> mom to and (mitochondrial encephalomyopathy, complex I and III

> defects)

>

> ------------------------------------------------------------------------

> GET A NEXTCARD VISA, in 30 seconds! Get rates

> as low as 0.0% Intro APR and no hidden fees.

> Apply NOW!

> http://click./1/975/1/_/368657/_/952118120/

> ------------------------------------------------------------------------

>

> Brought to you by www.imdn.org - an on-line support group for those affected

by mitochondrial disease.

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Guest guest

First and foremost: WELCOME! you are in the right place for sympathetic

ears and understanding hearts...also we seem to have a durn good collective

brain among all of us :) It sounds like your doctor is probably on to

something, with the elevated lactate levels. Surprisingly enough, even if

just one part of the energy metabolism cycle is off, it can certainly be

enough to cause the types of delays you are describing with your sweet

. A couple of other thoughts:

Cyclical vomiting is a very common symptom of mitochondrial issues (and by

cyclical i mean she will vomit repeatedly with no other symtpoms of being ill

for several days/weeks and then suddenly be fine for while....comes and

goes). I know there are lots of parents on this list whose kids go through

that. My daughter has cyclical constipation (same idea, other end of the

bowel).

Does your nutritionist know much about metabolic disorders? Because the

BIGGGGGGGGGG factor with most (probably close to ALL) of our kids is a very

decreased sensation of hunger. Many kids don't eat much at all, (lots use

g-tube, nj tube, or other means to supplement oral intake) and rarely

experience or even recognize the feeling of being hungry. So i guess my

point here is that IF does indeed have mito issues , then most

likely (not a doctor here, just offering my experience) she will not just

start to eat when she gets hungry enough. (anyone else feel free to chime in

here, and share differing experiences.....)

Anyway, i'm glad you posted and hope you will let us know how the biopsy

/additional bloodwork come out. You are in good company...believe me, we

understand!

ruth

mom to Mitch (almost 5) and Lexi (almost 2, suspected mitochondrial disorder,

complex II and III)

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Thanks Terri. I've read a lot about Leigh's disease and I think that is probably

what Elixabeth has.

Luckily she has an MRI scheduled for Wednesday. Maybe that will show something..

Thank you so much for your support.

Terri Mason wrote:

>

>

> ,

>

> Yes, he was diagnosed by muscle biopsy. At the time none of his lab tests

> were coming back abnormal and all of his MRIs had been normal. We used to

> say he was the most normal abnormal kid around! ;) When he had the biopsy

> he was 5.5 years old and it showed that he had complex I and IV

> deficiencies. His muscle pathology was also very abnormal. If you'd like

> to read more about him I have a website at http://www.flash.net/~tmason

> which documents a lot of stuff - including medical records and the

> evaluation from when he had the biopsy done by Dr. Shoffner. When we did

> see Shoffner he also did another MRI which was no longer normal and showed

> that he had Leigh's (a specific type of mito disorder) - which I guess is

> also unusual in that the MRI usually shows Leigh's when they become

> symptomatic. It just goes to show you that there are no absolutes when it

> comes to mito disorders.

>

> Terri

>

> >

> >Reply-To: Mitoonelist

> >To: Mitoonelist

> >Subject: Re: I think my daughter has a mito disorder

> >Date: Fri, 03 Mar 2000 12:37:31 -0800

> >

> >So how was your son diagnosed? By a muscle biopsy? I can't tell you how

> >thrilled I am that you wrote me.

> >This has been very difficult for me. Everything about screams

> >Mito! If it is not we need to rule

> >it out with a biopsy.

> >Thank you so much for your reply

> >

> >Terri Mason wrote:

> >

> > >

> > >

> > > I hope you find the list helpful! It sounds like you need to get a new

> > > doctor ;) The fact is that MOST mitochondrial disorders are not

> >maternally

> > > inherited but rather sporadic or autosomal recessive - in which case

> >there

> > > would be little or no family history. Additionally, elevated lactic

> >acid is

> > > most definitely not always present. My son didn't have elevated lactic

> >acid

> > > levels until recently and he is now 7 years old - so thankfully his docs

> > > didn't wait until the lactic acid levels were elevated!

> > >

> > > Terri

> > >

> > > >From: bunnyr@...

> > > >Reply-To: Mitoonelist

> > > >To: Mitoonelist

> > > >Subject: I think my daughter has a mito disorder

> > > >Date: Fri, 03 Mar 2000 20:07:00 -0000

> > > >

> > > >My daughter, elizabeth is 16 months old. She has low muscle tone, is

> > > >currently on an NG tube because for some unknown reason she will not

> > > >take anything orally. her lactate levels were only slightly elevated

> > > >and she is having siezures. She stares off a lot of times during the

> > > >day. She can not walk yet. She has little braces on her feet to help

> > > >with the muscle tone thing. She is scheduled to have an MRI done. The

> > > >only thing that worries me is that the neurologist says that he only

> > > >wants to do a muscle biopsy if the lactate levels are elevated and he

> > > >says that since there is no history of anything on my side of the

> > > >family he doesn't think it is a real possiblity. I think I may push

> > > >for a biopsy anyway. also has significant developemental

> > > >delays. she can not talk and she doesn't understand language although

> > > >she can hear. she doesn't even know her name.

> > > >What's worse is I am dealing with a nutritionist who seems to think

> > > >that once gets hungry enough she will all of a sudden start

> > > >eating. Even though she was starving herslef before shich is why she

> > > >had to be put on the NG tube in the first place.

> > > >also, for some reason was vomiting several times a day for

> > > >no reason with 160cc bolus feedings on the tube. the only thing that

> > > >has stopped her from doing it is that we put her on a continuous

> > > >drip. Also she has seizures through out the day and little jerks and

> > > > " shivers. " Her first EEG was normal and then her second one was just

> > > >done yesterday. If the shivers and jerks are not seizures I don't

> > > >know what they are. Except that they are with the staring off. There

> > > >is a lot going on with this little girl and would be more than happy

> > > >to talk to anyone going through the same thing.

> > > >

> > >

> > > ______________________________________________________

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> >affected by mitochondrial disease.

> >

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In a message dated 03/03/2000 1:44:40 PM Pacific Standard Time,

bunnyr@... writes:

> Also is the vomitting normal for mito?

Absolutely! My son vomitted until he got his fundo. He had horrible formula

intolerance. He even had trouble with elemental formulas. I pressed for

neocate at one point, but I was told he didn't need to move beyond Alimentum

.. . . Neocate was for babies with metabolic disorders. Well, lo and behold,

my son DOES have a metabolic disorder. We just didn't have a diagnosis until

he was nearly three!

I don't know about the yellow nail . . . sounds like a fungal infection or

something maybe. I do know that 's hair and nails are not as healthy as

I would like . . . I believe due to the nutritional deficits.

I saw your questions for Terri . . . was also diagnosed by muscle biopsy

(fresh!) by the same doctor as Terri's son. Shoffner in Atlanta at ish

Rite, now Children's Healthcare of Atlanta. I think their web site is

www.choa.com (maybe .org). You can search the site for Molecular Genetics

or for Shoffner's name and you will find contact information on how to set up

a visit . . . .

Keep asking questions!

Kathy C.

mom to and

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KCorley309@... wrote:

>

> From: KCorley309@...

>

> In a message dated 03/03/2000 12:34:28 PM Pacific Standard Time,

> bunnyr@... writes:

>

> > My daughter, elizabeth is 16 months old. She has low muscle tone, is

> > currently on an NG tube because for some unknown reason she will not

> > take anything orally. her lactate levels were only slightly elevated

> > and she is having siezures. She stares off a lot of times during the

> > day. She can not walk yet. She has little braces on her feet to help

> > with the muscle tone thing. She is scheduled to have an MRI done. The

> > only thing that worries me is that the neurologist says that he only

> > wants to do a muscle biopsy if the lactate levels are elevated and he

> > says that since there is no history of anything on my side of the

> > family he doesn't think it is a real possiblity. I think I may push

> > for a biopsy anyway. also has significant developemental

> > delays. she can not talk and she doesn't understand language although

> > she can hear. she doesn't even know her name.

> > What's worse is I am dealing with a nutritionist who seems to think

> > that once gets hungry enough she will all of a sudden start

> > eating. Even though she was starving herslef before shich is why she

> > had to be put on the NG tube in the first place.

> > also, for some reason was vomiting several times a day for

> > no reason with 160cc bolus feedings on the tube. the only thing that

> > has stopped her from doing it is that we put her on a continuous

> > drip. Also she has seizures through out the day and little jerks and

> > " shivers. " Her first EEG was normal and then her second one was just

> > done yesterday. If the shivers and jerks are not seizures I don't

> > know what they are. Except that they are with the staring off. There

> > is a lot going on with this little girl and would be more than happy

> > to talk to anyone going through the same thing.

> >

>

> Hi -

>

> I think that you are experiencing a pretty common scenario . . . about a year

> and a half agot we faced some of the same things you are facing now.

>

> First--children with mito will not ALWAYS have elevated lactic acid. My son

> has a confirmed mitochondrial disorder. We actually have never had a time

> when his lactic acid was measured that it came back elevated. We suspect

> that it was probably elevated once when his electrolytes were off balance and

> his CO2 was low. But during the period of time that we were searching for a

> diagnosis I was told repeatedly that he could not have mito because his

> lactic acid was not elevated (nor were there any other abnormalities in the

> numerous metabolic screenings that were conducted).

>

> was failure to thrive, and would have starved himself to death if we had

> just let him eat at his own discretion. He just never got hungry. Even as a

> newborn, he would sleep through the night without waking up hungry. He does

> not have any structural problems, his swallow studies have been normal. He

> did have reflux, but even if he hadn't, I don't think he would eat normally.

> He just doesn't.

>

> If your child has mito, the " let them go without food, and when they get

> hungry enough, they will eat " strategy is really quite dangerous for her.

> Patients with mito do not do well if they fast for long periods of time. In

> fact, that is what triggers seizures for --long periods of fasting,

> usually accompanied by illness. His body has trouble producing enough energy

> for normal, day-to-day life. When you add the stress of an illness, and then

> do not provide enough fuel, he suffers quickly!

>

> Here are some information links that may help you:

>

> <A HREF= " http://biochemgen.ucsd.edu/mmdc/ep-toc.htm " >Physician's Guide to

> Mito</A>

> <A HREF= " http://www.mdausa.org/publications/Quest/q64mito.html " >MDA / Quest

> 6-4 / Mitochondrial Myopathy -- An Energy Crisis in the Cells</A>

> <A HREF= " http://www.umdf.org/Index.htm#NoFramesNavigation " >The United

> Mitochondrial Disease Foundation</A>

> <A HREF= " http://www.imdn.org/ " >International Mitochondrial Disease Network</A

> >

>

> The first on the list will take some time to download, but I highly recommend

> it. I took copies to our doctors . . . it is what finally convinced our

> pediatrician to refer for testing.

>

> Good luck and feel free to ask more questions!!!

>

> Kathy C.

> mom to and (mitochondrial encephalomyopathy, complex I and III

> defects)

>

> ------------------------------------------------------------------------

> GET A NEXTCARD VISA, in 30 seconds! Get rates

> as low as 0.0% Intro APR and no hidden fees.

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>

> Brought to you by www.imdn.org - an on-line support group for those affected

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Hi . thanks for your help. She saw a Ped GI at Children's in Seattle. But

there were no symptoms of

this vomitting thing then. I don't know if you can develope it or not. Probably

can.

is seeing a speech therapist and a PT for her iddferent needs and they

have done tests to see

where she is at mentally etc.

But, a Dev Ped does sound good. I have only read a little about them. That is

probably something I will do

in the next couple of weeks.

Thank you so much for your letter.

Good Luck to you!

gbrody96@... wrote:

> From: gbrody96@...

>

> Bunny, have you seen a GI doc for the reflux? It sounds like she definitely

> has some issues that they could help you with. It may be a physical thing

> causing the reflux. and have you seen a geneticist regarding your daughter's

> delays, etc... I would also recommend seeing a developmental pediatrician.

> I haven't seen one myself yet but plan on it when and if I am aproved for the

> deeming waiver. I have spoken with a couple of moms who saw a dev ped and

> they were the first docs to diagnose their child. hope this helps. best

> of luck to you.

>

> cathy

>

> ------------------------------------------------------------------------

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Hi,

I'm sure not the expert, my child is still undiagnosised but the more I

hearthe more I'm sure. We battled with the weight issue for years.

Convinced me on the G tube. But had lots of trouble with her tolerating

anything. Just a mom who has been there the battle field- " I think it's

time to find a new dietician! " You need to find one willing to learn

about MITO.

Gloria

Mom of an Angel

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Bunny,

Sorry to be so late on replying to this, I'm a little behind on my

mail. lol...

I can't help you too much, but I did want to comment on the " shivers "

thing.

My son, , is 14 months old and has been diagnosed with

Pearson's syndrome and Kearns-Sayre syndrome...for several months, we

went through the " shivers " , almost a tremor-like movement (similar to

that seen with, say, parkinson's disease). After much searching, we

finally found out that it was not seizure activity at all, but rather a

reaction to a metabolic imbalance. That's what they told me, anyway, and

they call it " tremors " . Also, Dr. Boles in L.A. (i think that everyone

would agree that the man is brilliant) prescribed periactin for Matty,

saying that it is not uncommon for mito people to have " migraines " in

the gut or legs...we think Matty was having both...and that has done

wonders to control the spasms in his legs.

Don't know if this was helpful at all or not, but I just had to

comment.

bunnyr@... wrote:

> From: bunnyr@...

>

> My daughter, elizabeth is 16 months old. She has low muscle tone, is

> currently on an NG tube because for some unknown reason she will not

> take anything orally. her lactate levels were only slightly elevated

> and she is having siezures. She stares off a lot of times during the

> day. She can not walk yet. She has little braces on her feet to help

> with the muscle tone thing. She is scheduled to have an MRI done. The

> only thing that worries me is that the neurologist says that he only

> wants to do a muscle biopsy if the lactate levels are elevated and he

> says that since there is no history of anything on my side of the

> family he doesn't think it is a real possiblity. I think I may push

> for a biopsy anyway. also has significant developemental

> delays. she can not talk and she doesn't understand language although

> she can hear. she doesn't even know her name.

> What's worse is I am dealing with a nutritionist who seems to think

> that once gets hungry enough she will all of a sudden start

> eating. Even though she was starving herslef before shich is why she

> had to be put on the NG tube in the first place.

> also, for some reason was vomiting several times a day for

> no reason with 160cc bolus feedings on the tube. the only thing that

> has stopped her from doing it is that we put her on a continuous

> drip. Also she has seizures through out the day and little jerks and

> " shivers. " Her first EEG was normal and then her second one was just

> done yesterday. If the shivers and jerks are not seizures I don't

> know what they are. Except that they are with the staring off. There

> is a lot going on with this little girl and would be more than happy

> to talk to anyone going through the same thing.

>

> -----------------------------------------------------------------------

> [Click Here for Move.com!]

> -----------------------------------------------------------------------

> Brought to you by www.imdn.org - an on-line support group for those

> affected by mitochondrial disease.

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In a message dated 3/3/00 1:44:54 PM Pacific Standard Time,

bunnyr@... writes:

<< Also is the vomitting normal for mito? >>

orion also had problems with vomiting... the drs didn't seem to really

believe me (the comment i got often was " babies spit up-- it's normal. " ), but

then again, they didn't live with him, to see what happened. they finally

believed me when he went it for his muscle biopsy, and they discovered he had

in fact lost a good amount of weight...

this is when he was put on continuous feeds... he was allowed 4 oz. of

formula 4 times a day, with 60 cc of continuous feeds from 8 pm to 8 am. this

seemed to help for a little while (the vomiting was not as often and not as

much-- at least he gained the weight back), but he did eventually go back to

the vomiting again, even when he was on the pump.

julia

orion's mommy

familial erythrophagocytic lymphohistiocytosis and mito

9-18-98 to 2-3-99

<a href= " http://www.angelfire.com/ri/orion1 " >Orion's Page</a>

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hi tiffany;

actually, orion passed away on february 3, 1999. he was 4 1/2 months

old.

i can relate to what you said about your being a single mom. orion's

father and i aren't married (although we have been together for 5 yrs, and

are living together). when orion was here, chris kind of detached himself

from our son; i was pretty much orion's sole caretaker... five weeks i spent

living at the hospital with orion, while chris pretty much rarely visited

us... chris did not attempt to learn about orion's disease, or learn about

treatments, meds, etc... he was trying to protect himself from what we knew

was going to happen soon... now, he regrets how he acted when orion was

here-- he wishes he would have spent every chance he could with him... and i

can't help but resent him for everything-- orion deserved a father as well as

a mother... anyway, enough about that; sorry for rambling...

i was also never really around babies until orion was born. he is my

firstborn. now i look back on things that i thought were " normal " for a baby

(before we knew he was sick) and think, " how did i not pick up on that? " i

know now that there were many " strange " things about his movements, behavior,

etc...

i also know what you mean about slipping into that " everything is fine "

way of thinking... when orion was here, i was able to not think about his

disease much-- even with the monitor, pump, etc, staring me in the face.

chris couldn't do that. i am fortunate to have been able to do this; i think

that if i was constantly thinking about everything, i would have just gone

crazy... that's not to say i didn't cry-- i did. a lot. but i still looked at

him as " my son orion " , not " my sick son orion " , as chris did (and still

does). even now, when i think of him, i think of HIM, not his disease-- chris

is the opposite. all he can think of is the disease. he can't remember orion

with happiness and love, like i can... just last night, he told me that all

orion did was " bring pain and misery to our lives " . i could have throttled

him. i really do feel sorry for him that he chose to act the way he did

towards orion; i know that my life has forever been changed by the gifts

orion has given me...

here i go rambling again... sorry...

julia

orion's mommy

familial erythrophagocytic lymphohistiocytosis and mito

9-18-98 to 2-3-99

<a href= " http://www.angelfire.com/ri/orion1 " >Orion's Page</a>

In a message dated 3/5/00 9:36:29 AM Pacific Standard Time,

bunnyr@... writes:

<< Thank you ,

I love all the support I am getting from this list. That has helped

me a lot. What are you doing for Orions vomitting now? elizabeth has

stopped and I'm not going to let the nutritionist put her back on

bolus feeds for now. She is only a week out of the vomitting and I

have a much happier energetic baby.

I am a single mom, although their father visits them often. He also

helps by watching my three year old.

On the weekend, if there are no emergency room visits, I am pretty

okay. I cry a lot but not like during the week. During the week

is at a doctors appointment almost everyday never fewer

than 3 times aweek. I am a wreck. I don't get much sleep and I get

very emotional. I don't know why I started writing about that but it

came out so I guess I'll leave it.

My 3 year old daughters name is . I love her dearly, and I love

that name. Luckily she doesn't have any delays or concerns except for

speech. But she is seeing a therapist for that.

elizabeth doesn't understand speech but I she can hear. I don't know

what that means. Sometimes she can mimick a behavior (like waving or

clapping) She points sometimes if she sees her sister point. I've

been in a sort of denial/realization faze for a while. I realize that

has a lot of problems and I am constantly on the phone with

doctors etc. I report every little thing inhopes it will " click for

them and they can say " OH has such and such disorder. " But,

there is this little part of me inside that says " Oh it's no big

deal. she's normal. There's nothing wrong with her. that's just the

way is. " Isn't that wierd? All the while I keep trying to

prove to myself that something IS wrong and that I have to deal with

it. Even at the emergency room for whatever I still have a part of me

that says oh this is nothing. There is nothing wrong. Luckily, my

intellectual part is the part that is dealing with this. The part

that calls the doctors and knows that things are just NOT right.

I moved here in October from California where was refusing

to eat not meeting milestones and generally lethargic. They told me

to force feed her and that I just wasn't disaplining her enough. I

was frightened out of my mind. I called them almost daily saying the

baby is crying I'm crying . This isn't right. I shouldn't have to

force feed my baby./ Something is wrong!!! Finally I barged into the

office and demanded they do something. They told me they could set up

a GI appt in two months! Two months! The baby was not gaining weight!

Luckily I moved to WA state and they set me up with early

intervention teams and has been doing better off and on

since. This is all fairly new to me. There is a huge range of

emotions I feel on a daily basis as I'm sure everyone here can relate

to. I just didn't know what to do with a sick baby. I was never

around babies before my three year old was born. The first baby

I ever held was . I read every Baby book imaginable. I made

myself an expert in babies. Luckily I do like to read and study

things. Luckily for the kids that is. I'm constantly challenging the

doctors with latest studies etc. The weekends really allow me to go

into my everything is fine ways. Unless something happens that

requires to go to the hospital. It's funny how I slip into

that mode while still doing things like continous drip feedings or

slipping on her orthodics for the day.

I can't believe I just blurted everything out like that. I'm not even

going to re-read it. I'll just hope it makes sense.

thanks for listening.

Mother of 3 and 16 months (suspected Mito) >>

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Thank you ,

I love all the support I am getting from this list. That has helped

me a lot. What are you doing for Orions vomitting now? elizabeth has

stopped and I'm not going to let the nutritionist put her back on

bolus feeds for now. She is only a week out of the vomitting and I

have a much happier energetic baby.

I am a single mom, although their father visits them often. He also

helps by watching my three year old.

On the weekend, if there are no emergency room visits, I am pretty

okay. I cry a lot but not like during the week. During the week

is at a doctors appointment almost everyday never fewer

than 3 times aweek. I am a wreck. I don't get much sleep and I get

very emotional. I don't know why I started writing about that but it

came out so I guess I'll leave it.

My 3 year old daughters name is . I love her dearly, and I love

that name. Luckily she doesn't have any delays or concerns except for

speech. But she is seeing a therapist for that.

elizabeth doesn't understand speech but I she can hear. I don't know

what that means. Sometimes she can mimick a behavior (like waving or

clapping) She points sometimes if she sees her sister point. I've

been in a sort of denial/realization faze for a while. I realize that

has a lot of problems and I am constantly on the phone with

doctors etc. I report every little thing inhopes it will " click for

them and they can say " OH has such and such disorder. " But,

there is this little part of me inside that says " Oh it's no big

deal. she's normal. There's nothing wrong with her. that's just the

way is. " Isn't that wierd? All the while I keep trying to

prove to myself that something IS wrong and that I have to deal with

it. Even at the emergency room for whatever I still have a part of me

that says oh this is nothing. There is nothing wrong. Luckily, my

intellectual part is the part that is dealing with this. The part

that calls the doctors and knows that things are just NOT right.

I moved here in October from California where was refusing

to eat not meeting milestones and generally lethargic. They told me

to force feed her and that I just wasn't disaplining her enough. I

was frightened out of my mind. I called them almost daily saying the

baby is crying I'm crying . This isn't right. I shouldn't have to

force feed my baby./ Something is wrong!!! Finally I barged into the

office and demanded they do something. They told me they could set up

a GI appt in two months! Two months! The baby was not gaining weight!

Luckily I moved to WA state and they set me up with early

intervention teams and has been doing better off and on

since. This is all fairly new to me. There is a huge range of

emotions I feel on a daily basis as I'm sure everyone here can relate

to. I just didn't know what to do with a sick baby. I was never

around babies before my three year old was born. The first baby

I ever held was . I read every Baby book imaginable. I made

myself an expert in babies. Luckily I do like to read and study

things. Luckily for the kids that is. I'm constantly challenging the

doctors with latest studies etc. The weekends really allow me to go

into my everything is fine ways. Unless something happens that

requires to go to the hospital. It's funny how I slip into

that mode while still doing things like continous drip feedings or

slipping on her orthodics for the day.

I can't believe I just blurted everything out like that. I'm not even

going to re-read it. I'll just hope it makes sense.

thanks for listening.

Mother of 3 and 16 months (suspected Mito)

> In a message dated 3/3/00 1:44:54 PM Pacific Standard Time,

> bunnyr@... writes:

>

> << Also is the vomitting normal for mito? >>

> orion also had problems with vomiting... the drs didn't seem to

really

> believe me (the comment i got often was " babies spit up-- it's

normal. " ), but

> then again, they didn't live with him, to see what happened. they

finally

> believed me when he went it for his muscle biopsy, and they

discovered he had

> in fact lost a good amount of weight...

> this is when he was put on continuous feeds... he was allowed

4 oz. of

> formula 4 times a day, with 60 cc of continuous feeds from 8 pm to

8 am. this

> seemed to help for a little while (the vomiting was not as often

and not as

> much-- at least he gained the weight back), but he did eventually

go back to

> the vomiting again, even when he was on the pump.

> julia

> orion's mommy

> familial erythrophagocytic lymphohistiocytosis and mito

> 9-18-98 to 2-3-99

> <a href= " http://www.angelfire.com/ri/orion1 " >Orion's Page</a>

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Hi ,

I'm sorry to hear about your son. I didn't know.

I can relate to what your saying. I hear so often from family

memebers and from ( and 's father) things like

you should have had an abortion (the pregnancy had some

complications) or we should have never had her. etc. It makes me want

to pick up the nearest object and hurl it at the person saying it. I

can't believe people can say that about my happy little precious

angel. It makes my stomach hurt to think about it.

It's nice to know that I'm not going crazy though. And that this is

probably a coping mechanism that I just happen to have and your right

we are fortunate to have it.

Thank you for your support. I really appreciate it.

Mother of and

> hi tiffany;

> actually, orion passed away on february 3, 1999. he was 4 1/2

months

> old.

> i can relate to what you said about your being a single mom.

orion's

> father and i aren't married (although we have been together for 5

yrs, and

> are living together). when orion was here, chris kind of detached

himself

> from our son; i was pretty much orion's sole caretaker... five

weeks i spent

> living at the hospital with orion, while chris pretty much rarely

visited

> us... chris did not attempt to learn about orion's disease, or

learn about

> treatments, meds, etc... he was trying to protect himself from what

we knew

> was going to happen soon... now, he regrets how he acted when orion

was

> here-- he wishes he would have spent every chance he could with

him... and i

> can't help but resent him for everything-- orion deserved a father

as well as

> a mother... anyway, enough about that; sorry for rambling...

> i was also never really around babies until orion was born.

he is my

> firstborn. now i look back on things that i thought were " normal "

for a baby

> (before we knew he was sick) and think, " how did i not pick up on

that? " i

> know now that there were many " strange " things about his movements,

behavior,

> etc...

> i also know what you mean about slipping into that

" everything is fine "

> way of thinking... when orion was here, i was able to not think

about his

> disease much-- even with the monitor, pump, etc, staring me in the

face.

> chris couldn't do that. i am fortunate to have been able to do

this; i think

> that if i was constantly thinking about everything, i would have

just gone

> crazy... that's not to say i didn't cry-- i did. a lot. but i still

looked at

> him as " my son orion " , not " my sick son orion " , as chris did (and

still

> does). even now, when i think of him, i think of HIM, not his

disease-- chris

> is the opposite. all he can think of is the disease. he can't

remember orion

> with happiness and love, like i can... just last night, he told me

that all

> orion did was " bring pain and misery to our lives " . i could have

throttled

> him. i really do feel sorry for him that he chose to act the way he

did

> towards orion; i know that my life has forever been changed by the

gifts

> orion has given me...

> here i go rambling again... sorry...

> julia

> orion's mommy

> familial erythrophagocytic lymphohistiocytosis and mito

> 9-18-98 to 2-3-99

> <a href= " http://www.angelfire.com/ri/orion1 " >Orion's Page</a>

>

> In a message dated 3/5/00 9:36:29 AM Pacific Standard Time,

> bunnyr@... writes:

>

> << Thank you ,

> I love all the support I am getting from this list. That has helped

> me a lot. What are you doing for Orions vomitting now? elizabeth

has

> stopped and I'm not going to let the nutritionist put her back on

> bolus feeds for now. She is only a week out of the vomitting and I

> have a much happier energetic baby.

> I am a single mom, although their father visits them often. He also

> helps by watching my three year old.

> On the weekend, if there are no emergency room visits, I am pretty

> okay. I cry a lot but not like during the week. During the week

> is at a doctors appointment almost everyday never fewer

> than 3 times aweek. I am a wreck. I don't get much sleep and I get

> very emotional. I don't know why I started writing about that but

it

> came out so I guess I'll leave it.

> My 3 year old daughters name is . I love her dearly, and I

love

> that name. Luckily she doesn't have any delays or concerns except

for

> speech. But she is seeing a therapist for that.

> elizabeth doesn't understand speech but I she can hear. I don't

know

> what that means. Sometimes she can mimick a behavior (like waving

or

> clapping) She points sometimes if she sees her sister point. I've

> been in a sort of denial/realization faze for a while. I realize

that

> has a lot of problems and I am constantly on the phone

with

> doctors etc. I report every little thing inhopes it will " click for

> them and they can say " OH has such and such disorder. "

But,

> there is this little part of me inside that says " Oh it's no big

> deal. she's normal. There's nothing wrong with her. that's just the

> way is. " Isn't that wierd? All the while I keep trying to

> prove to myself that something IS wrong and that I have to deal

with

> it. Even at the emergency room for whatever I still have a part of

me

> that says oh this is nothing. There is nothing wrong. Luckily, my

> intellectual part is the part that is dealing with this. The part

> that calls the doctors and knows that things are just NOT right.

> I moved here in October from California where was

refusing

> to eat not meeting milestones and generally lethargic. They told me

> to force feed her and that I just wasn't disaplining her enough. I

> was frightened out of my mind. I called them almost daily saying

the

> baby is crying I'm crying . This isn't right. I shouldn't have to

> force feed my baby./ Something is wrong!!! Finally I barged into

the

> office and demanded they do something. They told me they could set

up

> a GI appt in two months! Two months! The baby was not gaining

weight!

> Luckily I moved to WA state and they set me up with early

> intervention teams and has been doing better off and on

> since. This is all fairly new to me. There is a huge range of

> emotions I feel on a daily basis as I'm sure everyone here can

relate

> to. I just didn't know what to do with a sick baby. I was never

> around babies before my three year old was born. The first

baby

> I ever held was . I read every Baby book imaginable. I made

> myself an expert in babies. Luckily I do like to read and study

> things. Luckily for the kids that is. I'm constantly challenging

the

> doctors with latest studies etc. The weekends really allow me to go

> into my everything is fine ways. Unless something happens that

> requires to go to the hospital. It's funny how I slip

into

> that mode while still doing things like continous drip feedings or

> slipping on her orthodics for the day.

> I can't believe I just blurted everything out like that. I'm not

even

> going to re-read it. I'll just hope it makes sense.

> thanks for listening.

>

> Mother of 3 and 16 months (suspected Mito) >>

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