Monday, April 15, 2013

McD Update, Part 1

I am not sure if I will ever have time to go back in and fill in everything that has happened since July 2011. Oldest son made it through First Grade and is now almost finished with Second Grade. He is becoming such an amazing young person. He still has his moments, he is an adolescent boy after all, but 99.9% of the time he is a joy to be around and to parent. Update, Part II will be all about him!

This update is going to be about our youngest son, Lovebug. My last post was on his 3rd birthday. He has since turned 4, and will turn 5 in July. He is THE sweetest little guy. He wakes up with a smile on his face and with hundreds of kisses and hugs for me every morning. He has outgrown the "terrible three's" phase and moved on to one of my favorite little boy phases - the "I want to marry my Mommy" phase. Melts my heart.

A week after my last blog post in July 2011 our Lovebug got sick. Very sick. So sick we ended up in the ER, then admitted to our children's hospital. Not only was he violently throwing up, but he was just limp. He wasn't talking. At all. It was weird, but we thought it must be a nasty virus.

First episode of CVS, July 2011

Even at that first visit, the doctors weren't so sure it was just a bug, but they said he would probably start the "other end" of it if that was the case. Well, that never happened. After a day in the hospital on IV fluids and meds, he bounced back to his normal, energetic, happy self, and we decided it had to be a bug or something he ate.

Flash forward to now. Our Lovebug has been to the ER and admitted to the hospital SEVEN times in 21 months. He has had many tests run on him - Upper GI, ultrasounds, multiple blood panels - and through the process of elimination, has been diagnosed with Cyclic Vomiting Syndrome (read more about it here - CVS Info). Simply put, once he starts to vomit, he has an extremely difficult time stopping and has an "episode" of unrelenting nausea which is possibly caused by abdominal migraines. We are still learning more about this. To date, he has only stopped once with zofran at home. Every other time he has needed an IV for fluids and medicine for at least 12 hours once started to stop the cycle. His blood pressure and heart rate do crazy things (from both dehydration and from the "episode" doctors have told us).

Since we had never heard of CVS the first time it was mentioned to us a little over a year ago (except for the pharmacy), I immediately started researching. When I found a description that fit Liam's episodes to a T, my heart sank a little. There is no known cure because there seem to be many different triggers for those who suffer from CVS. We are still trying to find Liam's trigger(s). Sometimes we know what causes it, like when he had Strep Throat. That was easy to figure out. But most of the time, he wakes up pale, lethargic and then just starts throwing up. No infection is present, no fever, no other indicators.

Will he outgrow it? We get this question a lot, and the answer is "We hope so." There is evidence that some children do outgrow it, or that at least episodes begin to happen less frequently over time, especially near puberty. But, there are also quite a few adults living with CVS, and some who outgrow the vomiting episodes only to have them replaced with regular migraines. It is something we pray about, and hope that you will, too.

As you can imagine, the hospital has become a place that we are thankful for, but that Lovebug is not eager to visit again anytime soon. I can't say that I blame him. The last couple of stays have been especially scary and traumatic for him, with difficulty getting IVs started, IV's blowing during the night, etc. Our brave boy asked us the last time we were there if it was o.k. to cry at the hospital. Of course, we said yes.

What CVS looks like to us:
Hospital Admission #2

#4

#5

#7 and most recent - April 2, 2013

We are heading back to the Pediatric GI this week to discuss his most recent episodes and talk about this new medication he has started. More to come...

3 comments:

Jill said...

I hope that this new medicine is a miracle for your little Liam and that it helps him deal with these awful episodes. As always, your family is in our hearts and prayers.
Love-Jill

Anonymous said...

This has been a true educational process for me. I had no idea how quickly a child could dehydrate and how quickly all of the chemicals in his body would get extremely out of control. "Terrifying" might almost describe it. We know now this is rare but that Liam is not alone. He has been amazingly brave for his age...even using the words..."please stop"..,when the nurse was attempting to start an IV at the 3rd sight. Praying his yellow medicine helps and that Dr. Z or one of the research doctors find something new that will make a difference for Liam and all CVS patients. We know this is hard on all four of you...we love you and are hoping for some good results with the meds....XOXO MOM/GHEE

KMcD said...

Jill - thank you and love you, too!

Mom - thanks, and you are right, it has been terrifying at times. We are so blessed to have you and Dad supporting us, as well as the rest of our family and friends. Couldn't do it without you! XO