Showing posts with label Juvenile arthritis. Show all posts
Showing posts with label Juvenile arthritis. 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

Wednesday, March 14, 2018

1 Step Forward, 2 Steps Back...By Parker


Have you ever heard of the saying “1 step forward, 2 steps back?” 
Well, never before has that saying felt more true about my life than now. 

All the "steps" taken to correct my feet/ankles over the last 8 years.
Bottom row is before surgeries  Top row is after surgeries.
As most of you know, I had my 4th ankle surgery this past August. They put 2 screws in and did a subtalar fusion of my foot and ankle. Earlier this year I finished doing physical therapy (PT) on it and for the first time in 5 years I haven’t had to use my wheelchair. 
Top right foot with 2 screws.
Side right foot with 2 screws.


Since that surgery I have only used my wheel chair for Disney trips; and I have been walking an average of 3,000 steps a day. This might not seem like a lot, but compared to before the surgery where I was walking less than 1,000 steps a day, it’s a big improvement. But that is just the beginning, for the past month I have been walking much more than that. At physical therapy I have been training my endurance and stamina by walking on the treadmill for 6-8 minutes at 2mph (Ludacris speed). And I do that up to 3 times in the hour that I am at PT. The main reason that I have been doing this is so that I would be able to walk the full mile at the Walk to Cure Arthritis this year, in under 30 min. And it was really looking like I was going to be able to meet this goal. Until yesterday.

Yesterday I went to see my surgeon because for the past month or so I have been feeling a bit of a sharp pain in my ankle when I walk too much. Now normally this wouldn’t concern me because I would just assume that it is some kind of arthritis pain, but ever since I got the same surgery on my other ankle I haven’t felt any pain like this. So, we decided to go see the surgeon and get X-rays. And this is where we started taking steps backwards. The surgeon came in with the X-rays and showed me where the screw is and explained to me that my foot never fused all the way and because of that the screw has become loose. And because the screw has become loose, whenever I walk the top of the screw is being pinched. 
Notice back space around screw.
Where the tip could be pinching since loose.





















Then, I asked him what could have caused this to happen. And he said that there were a couple of reasons that this happened. The first being that since I have osteoporosis it takes much longer for my bones to heal, which is why I used a bone stimulator after the surgery. Another reason is because I haven’t been wearing a brace since the middle of November, and this isn’t because I don’t like the brace or anything like that. It’s because our insurance wouldn’t approve the script for the brace because I don’t have diabetes. Which is such a stupid reason. So, now because the dang insurance didn’t approve my brace, my ankle wasn’t held stable and never fully healed. So thanks for that.

But it was the third reason that could have caused this problem with my fusion that really got to me. The doctor told me that because I have been walking so much and training so hard at PT, I had inadvertently caused my screw to become loose. And that was just devastating. I had been working so hard, pushing myself so much, and to find out that because of that I had been making myself worse…it just killed my motivation, my spirit, my drive to keep working harder at physical therapy. I was heartbroken.

So then I asked the surgeon what I can do to prevent this from getting worse, and he told me a couple of things. First, he said that I need to get a new brace for my shoe so that my ankle is supported. And now that we have new insurance hopefully they will approve it. If not, then we will have to pay out of pocket for it because we really don’t have a choice this time. Secondly, he said that I need to start using the bone stimulator again, which is no problem. It was the last thing he said that felt the final blow. He told me that I need to stop walking as much for 2 months. That means no weight baring training for the walk at physical therapy. If he doesn’t clear me in 2 months to walk fully again, that could mean that I might not be allowed to walk the walk. And that’s when I took the second step backwards. All the training that I have done for the last month was for nothing. Because now I can’t train for at least 2 months; and by then it will be time for the walk.  I won’t be prepared to reach my goal of walking the full mile in under 30 minutes. So I asked the surgeon what I was allowed to do. I am allowed to walk without the brace in the house to the bathroom and to get a drink. I am allowed to walk around outside the house and in stores, as long as I wear the brace. But there is one caveat. The moment I feel that pain in my ankle, I am no longer allowed to walk until it completely goes away. It’s hard because if my foot doesn’t heal and fuse correctly, he might have to go back in for surgery to re-fuse it. It just sucks because I thought that I was finally done with my feet and ankles. I thought that I wasn’t going to have to worry about them anymore. I thought that after 11 pairs of braces/inserts and 4 surgeries, I was finally done. But I just keep taking steps backwards.
 
With each new step, I keep growing.
Come walk with me at the next Walk for Arthritis:  Parker's Purple Playas walk page
Once you get to the page, click on "Parker's Purple Playa" to join our team.  It's free.




Wednesday, March 18, 2015

Entering Back Into the Real World: A Quick Update on Parker


Since Parker’s surgery, on March 2, on his legs, ankles, and feet, it is officially confirmed that Parker is OUR HERO and absolutely stronger than he ever thought he could be.   Tomorrow will be his first outing out of the house and we will be going to the doc to get his casts on.  Once the casts are on, then he can go back to school.  So, he is going to try go back on Friday to take the state writing test; since the deadline is Friday.

He is progressing but definitely has a very long way to go.  Last night was the first night that he didn't call over the “walkie talkie” for help.  Michael had a meeting with his pain management doctor yesterday morning and conference called me in on the phone and we are adjusting Parker’s meds to hopefully help him out.  The struggle has been the shooting pain, some minor bleeding at the pin-sites, numbness, and muscle cramps.  And even though he had a fever yesterday, we think it was more JA related than surgical…so we are incredibly thankful that there hasn't been infection.

We will try to update more this weekend.  For now, we thank everyone for the out-pour of love and we ask that all of you please either sign-up to walk with us on May 2 (it’s free to register) and/or please consider making a donation in honor of Parker and Logan.  Click here to get to the walk page.  Time has slipped away from us and the walk is just over a month away; so we need to get our team together very soon so we can make our shirt order.  We are forever grateful!

Much love,

The Lentini Family

P.S.  There is one more picture below so if you are skirmish and don't want to see a bruised up foot and a pin poking out, don't scroll down .





.....................................................................................................................................................................................................................................................................................................................................................................................................................................................

Sunday, November 2, 2014

Logan's Lovin' the Good Life ~By Logan

Everybody wants a good life. This may sound obvious, but it still renders true. So what exactly constitutes what is, and is not considered a good life? Well, this is a very subjective topic, which will surely have many different answers; I think that it all comes down to happiness. In order to have a good life, in my opinion, one must be happy.
            
Of all things, I have found happiness in helping others. When I was in seventh grade, my younger brother was diagnosed with systemic onset juvenile rheumatoid arthritis, a form of arthritis that not only attacks one’s joints, but also their internal organs. When I first learned about the severity of his disease, I was at a loss for words, but from that moment on I knew what I wanted to do; I wanted to become a pediatric rheumatologist. I immediately put this plan into action, by starting to volunteer at the Arthritis Foundation. Though the work may not have seemed like a lot to most, I knew that I was helping the Foundation in a large way. Soon they assigned me a larger task; they saw the leader in me, and asked me to organize an event for families to come together and network. I gladly accepted this task, and when I saw the smiles of the people attending the event I was ecstatic. Knowing that I could help people, and bring them joy made me the happiest person on the planet.

If we fast-forward a few years to the present, I am still helping people, but now on a national level. The arthritis foundation has made me a committee member on the young adult committee for the National Juvenile Arthritis Conference in 2015. Now I am bringing people together from across the country to network and advocate for juvenile arthritis. I feel like I am truly making a difference now, and changing people’s lives, for the better, along the way.

My undergraduate experience, however, will not prepare me for ‘the good life’ because I am already living that. On the other hand, college will prepare me for a better life, by helping me reach my ultimate goal of going into pediatric rheumatology. Once I become a pediatric rheumatologist, I will have a chance to eliminate the pain that hundreds of children suffer from on a daily basis, and that will make me the happiest person on the planet.           

Sunday, August 31, 2014

Mamma Bear

Mama Bear had to take some big deep breaths this entire week to stay the calm bear in the bunch.  Whoa!  What a wild week we had.  Between finding out Parker was bullied at school his whole first week, to him having trouble breathing and going to the ER, to Parker being admitted and then trying to go to a few classes to show he is truly trying his hardest (because we desperately don’t want him kicked out of traditional school)…and finally, then ending the week with Logan going to the ER with a “false alarm” due to something he ate…I was so very very ready for a three day Labor Day weekend, even though I barely got to “work” this last week and have to make up hours.

People tell us all the time:  “things will get better” or “hang in there…” or “I can’t believe all you guys go through”…  I am here to tell you that when you go through has many challenges as we often do, you get really good at problem solving…but sometimes I wish we didn't have to do so much of it.  This week we had to face so many of our fears!

If you have been keeping up on the blog, you know that Parker had a great time at Camp Boggy Creek and an amazing first week of school.  We truly were a family full of joy and felt so blessed to have such a smooth transition back to school after 3 years of him being out.  When I picked Parker up at school on Friday, Parker informed me, with all the bravery he could muster, that he has been bullied all week.  He would not tell me by whom, because he didn’t want to be a tattle-teller.  He is trying so hard to just fit in and not stand out, but this bully found him anyway and he was so cruel.  He used nasty vulgar language, insulted his intelligence because he was “back in 9th grade again”, and insulted “his mother” in such a mean way that Parker could only tell me through tears because he was so very embarrassed.  Yes, the Mama Bear in me wanted to cuddle him and also stand on my hind legs and attack. 

I called the school and addressed it with the principal.  I assured her that this student had to be new, as children at this school never spoke this way…and especially not in the classrooms on a daily basis.  I gave her as much detail as I could, given what Parker told me, and that this kid was in multiple classes with Parker.  I also said that I felt like this child needed support, because for him to behave this way, he clearly needed help.  She assured me she would be talking to her teachers and dealing with this.  I also assured her that I would be “coaching” Parker on how to deal with this too.  The good news is, this kid did need help and because I alerted her he is now getting the support he needs to be successful.

On Sunday evening Parker was having trouble breathing.  He said it hurt to take breaths.  So, when bedtime rolled around, he slept with me, with his bi-pap machine on, and I pretty much was awake most of the night to make sure he was breathing.  When he woke, breathing hurt more.  So, we called the pulmonologist and took him to the ER of the hospital where the pulmonologist works.  Besides taking an x-ray of his lungs and almost giving him Tylenol (he is allergic), they pretty much did nothing else for him in the ER except cause us complete misery.  They didn’t even hook him up to monitors; even though I told them why I brought him in; and that he has a history of pleurisy and pericardial effusions.  They did run some routine labs and it did show elevated CRP (an inflammation marker).  As evening approached, the resident doc came in to tell us that they felt that he was in a flare and that we should consult rheumatology.  So, I suggested we leave and take him to the hospital where his pediatric rheumatologist is…He said he felt that would be ok and he left and I went outside to call his doc to see how to proceed.  

Unfortunately, I could not get through on the phone, so I went back in to the ER to all hell breaking loose.  There were about seven staff outside Parker’s ER room and they stopped me to tell me that they wanted to admit him.  The attending doc then went on to tell me that my husband and Parker were quite upset but she felt that this was best.  She went on to say that if we left we would be going against medical advice and they would report us.

For a moment, I could feel the room spin…surely this ER doc wasn't insisting that we get treatment from the very pediatric rheumatologist we had left many years prior?  And why were all these people in front of Parker’s room.  As I look around I could see stern straight faces on all of them, several with their arms crossed, all standing firm, and all looking at me.  I felt a panic beat in my heart, I started to sweat, and I knew I had to stay calm and help them see this from our perspective and surely all would be ok. 

So I took a huge deep breath, and looked right into the attending doc’s eyes and then over to the charge nurse and began my story.  I explained that when Parker was 8, it was very hard to get help for him.  For over a year and a half we took him to specialists before we finally got a diagnosis of JA for him.  Then we started seeking treatment and medical care at this very hospital with the pediatric rheumatologist.  Months and months went by and Parker continued to worsen.  Clearly what was being done was not working.  Parker began running daily fevers that came and went and his rashes were increasing and he was so very swollen it was completely visible.  But back then, as it still is now, seeing him in pain was the very worst thing.  Parker was bad but back then, we didn't have a follow-up with that doc for 4 months.  I called and called and called…I kept getting excuses from the nurse practitioner as to why the doc hadn't called back and she kept telling me her hands were tied, she couldn't bring him in unless the doc said.  This went on for 8 weeks as Parker continued to get more severe.  This doctor would not call us back or allow us to bring him in…he wouldn't even give our primary doctor a call back.  Finally, our primary doctor said we could not wait any longer; we must get him to a doctor who could help him.  So, she mailed over 100 pages of records to the doctor he now sees.  We were seen the very next day.  We then were on a fast track for treatment and soon Parker was hospitalized.  These were very difficult times and I explained to this attending ER doc that I was sorry that my husband was so angry and that Parker was crying, but that I felt that they had every right to be upset.  Because see, we have been told…on multiple occasions…that if Parker would have gotten better and quicker treatment in the beginning, then he would likely not be as severe as he is now.  The nurse said to me, “please don’t apologize”.  The attending doc, with her straight face, said she still wanted him admitted here and under rheumatology.  I asked why he couldn't be admitted under the pulmonologist and she said he doesn't admit.  I then asked why I couldn't take him up to his regular doc, who knows him best and works with all his docs.  She said because he needs observation.  I said, “Then we could transport him.”  She said, no, because they have docs here who could treat him.  I asked that he not be seen by the doc we left.  She said she didn't know if that was possible.  I then continued with that the resident doc said it would be ok if we left, but she persisted that if we did leave then we would be reported for going against medical advice…that is when I glanced over, because I saw her eyes drift to the people who looked like administration in suits and then I saw that the “red light” was on outside our room…indicating the alarm would alert them if we were to leave.  And much like a caged animal, I felt trapped.

I asked who was on-call.  As I silently prayed that it wouldn't be the doc that would totally stress out Parker to come face-to-face with… It was the other new rheumatologist.  Finally, I agreed we would stay if they would only allow the new doc to see and treat Parker and I didn't want the other doc even seeing his records.  They agreed.

So, finally, after a very long day in the ER, I went into the room to explain to Michael and Parker what happened in the hall and what was going to occur.  I could see the anger on Papa Bear’s face.  I could see the fright on my Baby Bear’s face…  I had Michael leave to get dinner for all of us, since we had been in the ER all day, but also to just get out and chill down.
Echocardiogram

Soon after we all ate, we finally went up to the room.  We had been assigned a floor doc as a case manager and it was obvious nothing more was going to happen that night.  So, Michael went home.  Tests/scans/labs were all done the next day.  What it came down to is Parker was in a flare, likely brought on by an unidentified virus and his rib cage and surrounding muscles were the most inflamed.  He was given morphine on the floor; his lungs and heart were ok; and by that evening we were home.  All of the tests that were done on the floor could have easily been done in the ER the day prior. 
My niece and nephew on a hall
picture as we left the hospital

Wednesday, Parker slept the entire day.  Thursday we went to the Pain Management doc and came up with a plan with his pediatric rheumy.  I took him to school for one class and he cried and didn’t want to be there, due to the pain…I left him crying (along with the admin and nurse)…one class, just one class… and then I just went to my car and cried my eyes out.  I cried for my son who must continue to live with pain, who I must push to keep moving, even though it hurts, because it always hurts…and he has to live with that pain…and then I said my prayer for him…took some deep breaths…and drove to work.  Because life goes on…