Showing posts with label JA. Show all posts
Showing posts with label JA. Show all posts

Wednesday, March 21, 2018

10 Years of HOPE

While reflecting on the last 10 years, our family has learned so many valuable lessons:   
Our worries, revealed faith…
Endless treatments, needle sticks, and procedures brought us solutions…
Ongoing pain, showed us even greater strength…
Unsolved mysteries, taught us patience…
Physical barriers and road blocks guided us to alternate paths… 
Funding brought us research and closer to a cure…
Loss filled us with a never ending drive to battle on…
But the greatest lesson of all is LOVE. 
We are grateful to each of you who have loved us along the way;
… and we are grateful that together we have never lost HOPE. 

Our strong, incredible, forever hopeful kiddo has endured way too much these past 10 years.  His journey began in elementary school.  Kids should just enjoy being kids.  We will do all we can to bring JOY to children and their families by helping to not only fund a future cure, but also camp, family fun days, and conference for kids who are living in the here and now.  This is why we still ask for support year after year after year.  Because until there is no need to ask, we will. 

Please take a moment to scroll through Parker’s 10 year medical journey.  By no means has his life only been filled with these hardships, it’s only a piece of him.  He is so much more than this horrible disease.  I just encourage you to take a moment and pause and let this list sink in.   He is not the only child enduring Juvenile Arthritis; he is one of 300,000 children.  What if this was your daughter, son, niece, nephew, or grand child?  Wouldn’t you do whatever you could?  I shamelessly ask for your continued support…walk with us, pray with us, and if you can…donate with us.  Details are at this link:  https://events.arthritis.org/participant/Parker-Lentini

Could you imagine enduring all this for 10 years?
·         First year of symptoms, doctors ruled out:  Lymphoma, Leukemia, fibromyalgia, MS
·         It took 1 year 7 months to get a diagnosis; another 6 months later to receive the correct diagnosis of systemic on-set juvenile arthritis
·         His many symptoms:  intense pain, high fevers, roaming rash, paleness, extreme fatigue, falling down, difficulty walking, peeling fingers and toes, bruising, rough skin on face; swelling; and the pink finger tips
·         All joints in entire body affected (Did you know there are joints even in the ribcage?)
·         First year, Doc told him no contact sports, skim boarding, jumping, or skate boarding
·         Multiple organs affected: 
o   heart
o   lungs/bronchioles
o   lymph nodes
o   brain
o   eyes
o   vascular system
o   adrenal system
o   skin
o   kidneys
o   GI tract
·         Multiple overlapping syndromes/medical issues: 
o   allergies
o   asthma
o   raynauds
o   myositis
o   vasculitis
o   osteoporosis
o   hypogammaglobulinemia (immune deficiency)
o   brain pseudo tumor
o   papilledema (pressure/swelling on optic nerve)
o   psoriasis
o   anklyosis spondylitis
o   interstitial lung disease (pulmonary obstruction and restriction)
o   adrenal insufficiency/crisis
o   kidney stones
o   autonomic dysfunction
o   possible crohns
o   alopecia
o   cushings
o   4 rounds of pericardial effusion
o   pluersy
o   on the verge of MAS twice (life threatening)
·         18 medical specialists all throughout the state (up to 4.5 hours away)
·         2.5 years into journey, another lymphoma scare
·         2011 began pain meds
·         Many Meds (anywhere from 18 to 32 meds at any one time)
o   Shots tried:  Enbrel, humira, ilaris, stelara, cosentyx
o   Countless infusion room visits for treatments of IVs: Remicaide, actemra, kineret, rilonacept, simponi, rituxan (wipes out all B-cells), Reclast
o   7 years of IVIG (blood plasma to boost immunoglobulins to help fight infections)
o   4.5 years weekly chemo shots with anti-nausea meds
o   Growth and hormone therapy
o   Anti-organ rejection med
o   5 years straight of prednisone (steroid) with major weight gain
o   9 years of compounded meds due to allergies, with a high cost
·         Took place in a clinical trial:  RAPPORT Study
·         Surgeries: 
o   4 reconstructive surgeries
o   sub-clavicle port (permanent IV access over heart)
o   cystoscopy (remove bladder blood clot)
o   kidney stone blasting and stent
o   5 spinal taps
o   about 15 nerve ablations
o   3 Endoscopies, 5 colonoscopies
o   6 teeth extractions
·         Many many ER visits
·         So very many hospital stays, some in PICU
·         Many talks of dying and going to heaven to escape the pain
·         Altered school schedule, charter school, shortened school hours, hospital homebound, virtual school, and now on track to get GED…there really wasn’t a “place” for a kiddo with intermittent attendance and severe/complex health issues.
·         Special equipment: 
o   mouth splint for jaw
o   shoe inserts
o   ankle/foot orthodics
o   knee scooter
o   wheelchair
o   walker
o   hand splints
o   shower chair
o   therapy ball for seating
o   built-up spoon/toothbrush/pencils
o   night leg splints
o   wrist splints
o   blood pressure cuff
o   bi-pap machine
o   nebulizer
o   home IV pump/poll
o   storage and mini frig for all the meds and supplies
·         Medical Treatments:
o   2 rounds of occupational therapy (OT)
o   Ongoing rounds of physical therapy (PT)
o   Aqua therapy
o   Biofeedback
o   Acupuncture
o   Counseling
·         Multiple tests/scans: 
o   Xrays
o   Blood labs…so many blood labs
o   CT scans
o   MRIs, MREs, MRAs
o   hidascan
o   dexascans
o   pulmonary function box tests
o   field of vision tests
o   6 sleep studies
o   ultra sounds
o   EKGs
o   EEGs
·         Bullying, non-educated adult humiliation
·         Insurance denials, appeals, overrides, case manager
·         Children/friends have died
·         Make-a-Wish recipient

With every birthday candle blown-out, cake cutting, shooting star, fallen eye lash, coin thrown into a well, 11:11, and dandelion blown….the wish is always full of HOPE:  We wish for no more JA pain and a cure for all children!  If you can, please join us for the Walk to Cure Arthritis on May 12.  

Again, details are at this link:  https://events.arthritis.org/participant/Parker-Lentini

We thank you for supporting us, crying with us, laughing with us, and loving us!
The Lentini Family

Thursday, October 19, 2017

Just a Bit of How Things Are…

I know we have been quite … Parker has not been feeling well at all.  As a mom, it is incredibly hard to watch your child struggle day after day.  I keep thinking, tomorrow will be better…we are going on two really rough weeks with loads of inflammation and some adrenal issues.  His adrenal insufficiency can be pretty scary and every time this starts up, I feel my heart squeeze so tight it hurts.  We came so close to losing him with one of his adrenal crisis episodes and I tell myself we are better equipped with both knowledge and meds now, but I still get scared. 

Parker is now taking a stress dose for his adrenal insufficiency because he might also be fighting a virus.  And he is also taking meds for his pain and inflammation.  During these last 2 weeks, he has barely been out of bed.  The balance of helping him move so he doesn’t hurt more from being stiff, and the balance of not moving too much that it makes things worse, is quite delicate.  And I admit, I am not sure if we will ever master that.

It’s been hard for me to write blogs lately…I have wanted to allow Parker to tell his own story.  But when Kristen was here for her extended stay, she and Parker told me that a mom’s perspective is also valuable and they encouraged me to blog more.  The thing is, it makes everything so “real”…and I keep thinking and praying that Parker will get better…in some ways he has but in other ways, well… It is just our reality. 

So I cry in private on the really hard days; and I try as hard as I can to be “normal”…going to work, helping others, being as social as I can, and sometimes just being quiet and to myself.  On the “good days”…I just want to do everything we can fit in because I want so badly for Parker to experience JOY.  Of course, there seems to always be a price to pay for joyful interludes. 

Having a child with chronic illness can be quite lonely…because it is chronic, conversations are hard.  Parties are harder… I don’t know if other moms have these moments too…where you stand in the middle of a room full of people in a buzz, usually for a joyful gathering and you feel totally alone.  It is the weirdest thing ever.  I don’t know how to begin conversations anymore.  And I don’t think people know how to converse with me.  And sometimes, I avoid … because it is easier, less exhausting.  It’s like I am holding onto my reserves.  Just this week, someone asked about Parker and when I started explaining his surgery it turned into “oh, I have arthritis too”….and I got to hear all about how this older woman had it so hard.   Then, I felt horrible because I think she has no idea how her comments hurt …but that is just it, so many have no idea.

And let me tell you…all you moms with young ones with severe chronic JA…well, when 18 hits…watch out.  My world is a bit upside down.  18 makes you reassess, plan for the future that you were certainly not prepared for, and oh the paperwork…  I know not all kids are as severe as Parker, but whoa…this 18 years old stuff is something:  Do we do permanent disability?  Then there is Medicaid (or will there be…)?  Will he live on his own; or should we get a home with a separate apartment or mother-in-law suite? How long should I work?  Will he work?  Will I run out of sick leave?  Will we ever take non-arthritis related trips/vacations?  Do we remove his port and put a new one in or not?

And then I remind myself…I can only do what I can do in a day.  So, we do what is needed in the here and now:  Like buying two pairs of shoes, because one foot needs a nine and the other needs an 11 due to the ankle/foot orthotic…Or bringing the puppy up on the bed for some Parker cuddle time and a joyful moment…And making a yummy snack of yogurt, granola, and berries because Parker will eat that.  So I admit, these last 2 weeks have been really hard and we could really use some better days in the near future.

Monday, August 28, 2017

4th Foot/Ankle Surgery by Parker

As I am writing this, I am less than 24 hours away from my 4th foot/ankle surgery. I am actually excited for this surgery because last year I had the same surgery on my other ankle; and since then I have been walking more. So, I know this will help, but part of me can’t help but be a little nervous. However, I am not nervous about the surgery but what I am nervous about is the recovery.

The recovery for this will be anywhere from 2-4 months. I will probably have a cast on for about a month, then a boot for another month after that. Next, I will have a brace that goes up to just about my knee for a month, then one that just goes above my ankle for another month after that. Meanwhile, during this whole process, I will be doing physical therapy. The part that is the most annoying to me is having to shower with a cast. Luckily, I have done this before so I know what I’m getting into.

So I sit here thinking to myself, how am I going to do this?  The first thing that comes to my mind is one of my best friends in the whole world, Kristen (Kmac), and how she is the strongest person in the world. If you didn’t know, Kmac ended up paralyzed due to her arthritis. Now she lives her life in a wheelchair. But that wheelchair doesn’t hold her back. Kristen still lives her life to the fullest whilst being completely independent. But the reason that Kmac is the first person to come to mind is because of something that she said to me earlier this year at the Houston arthritis conference. What she told me was that before she was paralyzed, she was in constant pain but at least she was able to walk; and now that she can’t walk, she isn’t in constant pain. It was what she said next that truly inspired me. She said that she would go back to being in constant pain if that meant she could walk again. So for the rest of that trip, I refused to use my wheelchair when I was with her (which was all the time), because I felt that since I do have the ability to walk; I should use it no matter how much pain it caused me. On the last day of the trip, Kristen came up to me and told me that she was so impressed that I walked the whole trip even though it caused me to be in immense pain, which meant the world to me. She then said that she wanted me to use my wheelchair that day. So I did and that trip made me realize that I am capable of far more than I realize.


The next week I went to camp to be a counselor and I decided that I wouldn’t use my wheelchair for the whole week. And you know what I did? That week I may have had to take extra meds but I walked a total of 60,000 steps. That was even more than my dad had walked that week. So at the end of the day, I want to thank Kristen for giving me the strength to get through this upcoming surgery tomorrow. And to you, Kristen, if you are reading this, in my eyes you are the strongest person in the world; so keep fighting and I love you girl.

Saturday, July 1, 2017

Happy JA Awareness Month


 

Juvenile Arthritis Awareness month has officially begun…The years seem to loop back around quickly and I feel a little bit like a broken record; but we desperately need a cure.  We have been a little quiet lately, not knowing what the future holds, trying to make big decisions, and wishing there was really big progress around the corner.  Parker has been in, what feels like, a holding pattern.  Every month, when we refill his cosentyx (now on for nearly 6 months), they ask if symptoms are improving, getting worse, or staying the same…I say staying the same.  They say great.  And then I say but same is not great…it doesn’t seem to have helped him yet.  He is also on Rasuvo (auto inject methotrexate)…but that darn med makes his leg go numb, so we don’t know how much longer he is going to use it.  Docs, nurses, and pharmacists all say that is not one of the side effects…I beg to differ because, at least for Parker, it is. (And by the way, he tried the other auto inject of otrexup and the numbness was even worse).

I am a little more worried these days, wondering what the internal organs are doing.  He has had many issues since my last blog post.  Gastrointestinal issues (possible crohns, but meds might be masking it), Kidney stone that had to be blasted out, many flares with fevers and rashes, the never ending battle of pain, adrenal crisis twice, possible dysautonomia flares, and the need for a re-do on this right foot/ankle/tibia.  He now has surgery scheduled for August 28.  The surgeon will be fusing that foot like his left, with 3 bolts.

Through it all, Parker fights with his driven spirit and is balancing these not-so-fun medical issues with real fun.  He is part of a large campaign that will launch later this month (yes, that’s a little teaser); he was selected to be a “Leader in Training” (LIT) at Camp Boggy Creek for cancer week; and he is gearing up for his first year at the JA Conference as a “young adult”…Yes folks, he is turning 18 on August 5.  I still can’t believe my kids are now both adults.

Saturday, September 17, 2016

Do You Know What I Want? What I Really Really Want?


I rarely say what I want…I am more about helping and doing for others.  So, yesterday I was debating on if I should dare to really ask all my friends and family what I really “want”.  As I was thinking about if I should, Michael changed the station on the radio and the music blared out “I’ll tell you what I want, what I really really want…”  I am taking that as a sign.


What I really really want is for the world to know that kids can get arthritis (not like Grandma’s osteoarthritis…you know, the really bad auto inflammatory kind) and I wish there was a public service announcement, so everyone was really aware.  But since there is no PSA…maybe Parker’s PhRma Research and Hope Award video could act as a PSA if everyone got on board and helped it go viral.  He said what many families who are enduring juvenile arthritis want the world to know.  So…what I really really want is for all of you to share with everyone you know this short YouTube video in hopes that it will go viral and JA will finally have a voice. 




With a grateful heart,

Rochelle (Parker’s mom)

Tuesday, May 17, 2016

Taking a Leap of Faith, One Step at a Time

Parker is working on a blog post to share with everyone about how he “walked the entire walk” and how thankful we are to all of you…but in the meantime, we wanted to share that he is going through some pretty big stuff right now.  Recently his rheumy shared that she believes that he has an additional overlap disease of ankylosing spondylitis.  As we shared previously, his SI joints are complete inflamed and huge on his MRI.  For the last couple of months, his doc has been trying to get a new biologic shot approved (stelara).  Unfortunately, even with an override request it still wasn’t approved.  So, the next step was to get approval for another biologic (simponi).  The bummer is that this med is an infusion which means we will be traveling back again to the infusion room for treatment. 

Parker is really in some considerable pain from the SI joints, and although we tried the nerve stimulator, it didn’t work and had to be removed.  We are going to stay hopeful that the new biologic will be helpful for his SI joints, along with helping his jaw, shoulders, back, hip, neck, knees, ankles and feet.  But we are seriously taking a huge leap of faith with this new step forward.

The biologic that Parker is currently taking targets his systemic JA issues and this included his rashes, fevers, and internal organs.  This switch is pretty scary for us.  His doc has checked his heart and it is good right now, of course that is our biggest concern.  So concerning that Michael spoke up and asked the doc about it.  And instead of saying “what about his pericardia effusion” he asked “what about his periodic confusion”…I wish you all could have seen her face, the hesitation as she tried to comprehend what he said was hilarious (oh what stress can do to one’s communication)…and she replied, “I don’t know what to do about your periodic confusion, but we can check for pericardia effusion and keep a close eye on him.”  I tell you, there are so many moments that Michael makes me laugh, but boy the moment was priceless…we all started laughing.  And oh how we needed to laugh.


So, as we take this new leap of faith, we will be travelling back to the infusion room starting this week.  Please keep our kiddo in your prayers and thoughts.  Much thanks.

Tuesday, February 9, 2016

The Boggy Creek Boys Spread JOY

It's time to spread a little JOY!  And because of Camp Boggy Creek (one of Paul Newman's Serious Fun Camp, http://www.boggycreek.org/), we said YES to JOY this past weekend.  It was our final Family Retreat Weekend because Parker is 16 and will be aging out.  There is not enough good I can say about the miracle of camp

Of course Parker went out with a bang.  Thanks to these Dads for making his final performance extra special (see video link below). Enjoy the first and final appearance of the Camp Boggy Creek Boys: The Godfather (Michael, Dad), The Enforcer (Brian), The Facilitator (Tony), The Mayor (Parker) and The Heart Throb (Pal Jamar). I laughed so hard my sides hurt. That's one special kind of "YES to JOY". Thank you Camp Boggy staff and volunteers for bringing 20 years of joy to our children.  Watch the video and experience the joy for yourself.

Link to video

Also, here are a few pictures of our fun weekend.

Family Style Meals
Fun in the Gym




Singing
Dancing
Boggy Creek Boys

Friday, October 9, 2015

Here We Go Again...by Parker

So these last couples of weeks haven’t exactly been the greatest. My arthritis has been at war with my body. I have started getting flares again and that’s pretty weird considering how I was feeling before this flare. Things were really good, I was making it to school almost every day and I wasn’t even using my wheelchair.

But then, all of the sudden, it was like a bomb got set off in my body and that bomb hurt. First it was my lower back, shoulders, and neck that started hurting; so I switched to a rolling backpack. The next thing I knew was my ankles and feet were being attacked. If you look at the picture to the left and look at the red circle, you would probably guess that bump is my ankle. Guess what, it’s not.  That is actually the bone in the arch of my foot trying to push out. This became a problem because I’ve been wearing braces since the surgery.  When I walk, that bone hits the hard plastic and very badly hurts.

In addition to all this, I started having daily fevers again. Now I know that fevers are a symptom of systemic JA but I take a drug called Rilonacept and that drug is supposed to do 2 major things for me. Those 2 things are to keep my pain and swelling at bay and to suppress fevers. So when all this stuff started happening, we were pretty concerned.   

Then, another pretty weird thing happened. There are 2 joints on my body that don’t swell too bad, and those are my elbows and knees. And guess what, my knee got huge this week. Just look at the picture to the right. I mean really, if I didn’t know any better I’d think that was a thigh. The next day I woke up and my knee was still pretty huge.  We called my doctor and she said to go to my orthopedic surgeon to see if he would drain it. So we went to go see my surgeon and he wanted to take some x-rays of the knee before the appointment.  Since  we were there, he wanted to also get some x-rays of my feet and ankles. Well by the time we got up to his office and ready to see him, my knee had gone back down quite a bit. But he still wanted to look at my surgical site x-rays, especially my feet x-rays. And this is where everything went down hill.

If you look at the x-ray to the left, in the red circle you can see what my foot looks like with the cadaver bone fusing with my bone. And it looks pretty good. But if you look at the x-ray to the right, in the red circle you can see where the cadaver bone was located. And well, it’s not there, it’s gone. It was basically rejected by my body and was completely absorbed.
Now my bone has a gap where the surgeon had severed it during the surgery.  And all this time it has felt like the bone is trying to escape my body by pushing out the side of my foot because it is actually pushing out and my arch is completely collapsed again.  As you can imagine, we decided that it’s time to switch to a new drug called Ilaris, as soon as insurance approves it.

So you may be asking, what does this mean? Well, it basically means that the surgery didn’t work in my left foot. And on November 18th 2015, I go back into surgery but this time to permanently fuse my foot. This was a lot for me to take in and I’m doing the best I can to stay positive. So, I want all of you to remember that you’re never fully dressed without a smile.