Lately we have had emergency labs, extra tests, phone call after phone call from both Children’s and Dr. Marks, tons of faxing and paperwork going from place to place, and to top it off, extremely spotty internet coverage. It has been a stressful and difficult time, and it’s not over yet. All of that to say, I simply have not had the time, energy, or access to blog. Even now I am thinking to keep this short so I can get it posted before we lose connection again.
We spent this morning at Children’s. Dave went with me after I whined a begged. Several things happened-the dietitian and the neuro were both pleased with Ben’s progress as far as seizures go…they have significantly reduced as far as the eye blinking ones go. He also gained weight since his last appointment. He’s hungry all the time, so we are raising his calories an entire 30 calories per day. Gee, that much, huh? This will cause his ketones to go down, but probably that is a good thing in Ben’s unique case. Since we are making that change, we will not….lower meds. Very irritating, but Dave and I figured that if Dr. Simon is happy right now, and willing to keep Ben on the diet, then we’re not going to rock the boat….yet. Dr. Simon knows we are anxious, she just thinks one change at a time is enough for Ben. She’s right.
There was a big “AHA” moment today. (OK, honestly, this makes me want to tear my hair out because I have been over this and over this, but the docs only hear what they think applies to Ben’s situation, and not all the other stuff that has been going on ever since he was born.) Dr. Simon called Ben in last Friday to check his low B6 and B2. We are still waiting for our results, but we discussed her reasons in the meeting today.
soooo…There is a genetic defect where people don’t extract vit B from their food. Usually this is found in babies, but since Ben still has no diagnosis, and obviously has issues extracting from food, Dr. Simon is running the test. She mentioned malabsorption, and we discussed how ill Ben was before the Specific Carbohydrate Diet, and that I believe he did have malabsorption, but by the time we got to GI he had healed enough for it not to show up in the biopsy. It was, after all, 2 years later. We also told Dr. Simon that Ben used to get B6 shots from Dr. Mark, but we stopped because this was around the same time the seizures made their presence known. Dr. Simon jumped all over that, and guess what? I’m transferring records today, again, from Dr. Mark to Dr. Simon. Dr. Simon seemed to think we should have told her this before…which I’m pretty sure I had. But whatever-I’m sure she mentally ruled it out because this is a condition diagnosed in infants, most kids don’t make it this far without a diagnosis…but since it’s Ben and we really don’t know, and because we have done so much with Dr. Mark and supplementing, it is possible it’s slipped under the radar all this time. Ben is now being tested.
Ben also has low iron, and we start new supplements for both iron and B6 this week.
I will talk to the dietitian in one week, and we will choose one further change to make to the diet to see if we can make it more successful for Ben. Dr. Simon is not convinced, and still says “if he fails the diet…” but for now, since he is improving, she is willing to let him go on. Especially since he sees the geneticist next month. She is confident Dr. Hahn will find something.
This was a much better meeting than the last one, I am greatly relieved. Thank you for all of your prayers!
Teena