Tag: chronic-illness

  • Journey to GSD9A – Pt 3

    We finally had a confirmed diagnosis and eventually discovered that I was the carrier of GSD9A as well. Since I have XX chromosomes, my other “X” takes over and tells my body what to do.

    It is truly amazing how God created our bodies and the differences between boys and girls. And how we are knitted in our mothers wombs. (Ps. 139:13-14)

    As we began to navigate a life of living with a rare genetic disease, a flood of relief and uncertainty all hit at once. What would it look like for Gideon? Would his childhood/life be “normal”? Would we experience life differently or would things be relativity normal? (Whatever normal is anyway) One thing we were constantly reassured about was that out of all the GSD types, this one was on the better side to have. Easily managed with a high protein, complex carb diet along with a cornstarch therapy.

    My biggest concern going home was that feeding tube. This wasn’t in my plans for a child and it didn’t look like it was coming out anytime soon in the hospital. I had to take classes to know what to do and how to change it or reinsert it if it was accidentally pulled out. Before we were discharged, I had to assist in changing his tube. Let me tell ya that was one of the worst moments for me. But our nursing crew on the 6th floor was phenomenal and so encouraging. My biggest prayer became, God help Gideon eat and we don’t need that feeding tube and I don’t have to change it at home.

    Near the end of our stay, my parents came out as they had the trip planned prior to our admission and thankfully we were able to get a room at the Ronald McDonald House. Acelynn loved it with all the animals there. Joel and I were able to take Acee out to the aquarium one afternoon while they got quality time with Gideon.

    As Gideon gained weight and strength, we started talking about his blood sugar issues and what was causing it. To this day we still don’t really know why. His endocrinology team decided that it would best to start Diazoxide. The one major side effect they warned us was – hair growth and we got lots of hair and dark hair. And we had watch the fluid around the heart as that was a potential side effect as well. We decided with our doctors that this was the best route to take and so we began that route. Gideon’s sugars began to get into right order and where they need to be. He also began to wear a continuous glucose monitor (CGM) – it wasn’t my favorite thing as Gideon’s issue was drops not highs which is what CGMs monitor the best. But it was better than the constant pokes for his poor little toes.

    Gideons last “test” before leaving was passing a 12 hour (if i remember correctly) safety fast. He had to prove that he could maintain sugars. And thankfully he passed with flying colors and even ate from a bottle at the end for a bit. Which gave us hope that maybe the feeding tube would come to an end sooner than later. We just had a very stubborn boy.

    After all the hoops, at home things set up, and a safety fast, we were finally discharged and able to come home. Relief was there but so was the unknown of the future. How would life go without the team on the 6th floor. The nurses we loved so much that had become family.

    All we knew to do was to breathe and watch what God would do. We left with a feeding tube but prayed Gideon would start drinking from a bottle. Guess what – within a week he was eating from his bottle. We started seeing more and more wins on the medical front and watching God move.

  • Journey to GSD9A Pt 2

    Gideon had his first airplane and ambulance rides. We finally arrived back at Children’s Hospital Aurora and all the testing began again. And this time I knew it was gonna be for a longer stay. During our time in the emergency department, the doctor told me that they were starting over. Essentially they were throwing out a huge net and seeing what they could find in all the tests. From MRIs to bloodwork and everything in between which meant he was not allowed to eat. Once again IB (Infantile Botulism) was on the table of possibilities. He was a mystery and for a few hours we spent time in the ED until a room was available in the PICU.

    So many times I heard the phrase “Well he is showing a lot of symptoms for IB but its not really adding up”. Due to his hypotonia, the team decided to treat for IB which is a one time dose of less than 10mls and cost around $50,000. Yup. You read that right. Our few days in the PICU went by fairly quickly and more test were run. This is were we first met the metabolic team asking about doing more test and running a genetic tests to give some more clues. Yes, still we didn’t have any ideas of what was causing everything. The phrase “it just doesn’t match all the main symptoms that are typically” with all the working diagnosis that we were given.

    As time went on we decided on doing a genetic test to see if this would bring about any answers that would fully make sense for a diagnosis. They also asked if I would at least do a genetic test to see if whatever came up would be something that was passed down or if its something brand new. In the midst of waiting on these test to come back, Gideon began to have some really low blood sugars and we ended up needing a NG feeding tube. As long as he stayed on the continuous feeds he did okay. When a bolus feed (normal feeding with breaks) was attempted, blood sugars would not hold steady. We tried multiple things all the while waiting on test results.

    Two of the working diagnosis were: Infantile Botulism and Hyperinsulinism. We finally ended up with the results of GSD9a and that it was actually passed down from me. The version that Gideon has lives on the X-Chromosome which is why I never knew and had no symptoms. My other X-Chromosome takes over and tells my body what to do and to produce the enzyme needed to break down the stored Glycogen. Since Gideon only has a single X-Chromosome he has no other source to tell his body what to do. Finally we had answers – sort of. He was still have blood sugar issues and those answers were still a mystery. But at least we had a starting point and knew what direction to head and discharge would be happening sooner rather than later.

    We still had a “long” journey to discharge but at least we were on the road to it.