Thursday, November 21, 2013

THE LONG COLD SUMMER - PART II

It had been a month since Alex was diagnosed with Cold Urticaria and we were starting to settle in to our new reality. My folks were in town for a visit and Jen and I had a much-needed first date-night in God knows how long. Things seemed “normal” for the first time in what felt like forever. But all that was shattered when I took Arden to her 8-year-old check up the next morning. In this case Jen had correctly diagnosed her with Type 1 Diabetes thanks to WebMD. However, we didn’t know exactly what that entailed and we were instantly thrown into a frenzied crash course on the disease when our pediatrician said she had to be checked into the E.R. immediately to get her blood sugar stabilized.

I didn’t know much about the disease other than once having a cat with diabetes that I had to shoot up with insulin twice a day. And I knew that sugar wasn’t a diabetic’s best friend so while we waited to get authorized to go to the E.R. I said to Arden, “Let’s go get the biggest sugar-coated donut we can find in the cafeteria,” thinking this would be the last bit of sugar she ever ate. And while I watched her eating that donut, blissfully unaware of her diagnosis, my heart sank further and further with each bite she took.

She was soon checked into the E.R. where they plugged her veins with catheters and drips and attached her to all kinds of machines. A never-ending flux of doctors and nurses would come in and out and talk to me like I knew what was going on. Once “stable” they moved her into the hospital for the next twenty-four hours where they would stick her with needles every few hours and prick her fingers more often than that. Jen and I spent eight straight hours talking to endocrinologists and dieticians and diabetes instructors. Gone were the days of the regimented two-needle day; now she would have to have one kind of insulin at night and be injected with another kind before every meal or snack. We’re talking 5-8 shots a day. The “good news” was that she could eat basically whatever she wanted, if we gave her the right amount insulin. But that meant counting carbs, weighing food and pricking her fingers before and after meals. It meant rotating injection sites and finger prick locations. It meant watching out for dangerous low blood sugars and checking her numbers at midnight and 3:00 AM. And what about school? It was starting in two weeks and there was only a nurse on premises one day a week. Who would shoot her up? Who would take care of her if she went low and passed out? The information came fast and furious and I prayed that just a tenth of it would stick. And then suddenly we were sent home. That was it. They needed the bed. It was like the day after Arden was born. Same hospital. Same feeling of loading her into the car and thinking, “Now what?” But in this case there was no joy and wonderment. There was only the fear that if we fuck up, she could die.

But I have to hand it to Arden; she was a real trooper at the hospital. She didn’t cry once. Not from the shots, not from the finger pricks and not from the knowledge that her junk food junkie days were over. If anything she was in her element having dozens of people dote all over her. They all thought she was a riot as she made wacky Vine videos from her hospital bed and taught the night nurse how to play Minecraft. But then reality set in when we got home.

On the outside Arden was doing great. She was taking her shots without incident and saying witty things like, “Shoot me up, Mama, I’m hungry.” But internally she wasn’t processing things as well. She was turning her fear of germs into full-blown OCD. Freaking out if someone wore shoes in the house and washing her hands until they bled. And then there was the hair. It continued to fall out. Now by the fistful with each bath or shower. The doctors all said it was unrelated to the diabetes. So what was it? Our dermatologist said it was probably nothing, but if we wanted to subject Arden to a painful scalp biopsy we could determine what it wasn’t. But we couldn’t put her through that. Not after all she’d already been through. So we just watched the hair continue to fall out.

Jen’s a tough woman. She’s got a mouth like a sailor and will whip your ass in drinking and darts. She doesn’t cry often. But with this tumultuous summer and now seeing Arden’s scalp poking through her thinning curls she was becoming undone. She was crying all the time. Even though I wanted to cry at times too, I couldn’t because one of us needed to be strong at all times. One of us needed to stay an optimist for the other, even if we didn’t believe what we were saying. But it wasn’t working. Jen was a constant mess and I started to understand why couples get divorced when they lose a child. It’s not because they don’t love each other anymore, it’s because they can’t stand the pain the other one carries. It’s a constant reminder of your struggles and suffering. But that was just a flickering understanding. I knew as couple we were stronger than that. I knew we would survive, and mercifully Arden’s hair loss started to lessen and we finally learned that sometimes when there’s a shock to the system your hair stops growing and when new follicles emerge they push the old ones out. So it meant Arden’s hair was actually coming back. This was a symbolic turning point for us. It meant hopefully things would be getting better soon.

It’s now been five months since Alex was diagnosed with her cold allergy and four months since Arden was diagnosed with diabetes and I have to say that while it’s been tough and there’s been plenty of bumps in the road, we’ve finally found a new new normal for our lives. We’re now used to counting carbs, and finger pricks and insulin shots are just part of our daily routine. Where we once had a diaper bag, now we have a knapsack filled with alcohol swabs, syringes, Epipens and warm clothes for Alex. And I’m happy to report that Arden’s OCD is getting better and she’s taught herself how to self-inject in order to avoid the “stupid nurses” at school. I prefer the term “uneducated in the ways of diabetes,” but stupid will suffice. I still have to get up at 3:00AM to check her blood every night and will probably have to do that until she heads off to college, but just like having a newborn, you just get used to being tired. As for Alex, we decided, much to the chagrin of our allergist, that we weren’t going to put her on any medications at all. None. We were going to wait until the weather got colder and see if we really needed it. Well it’s starting to get cold here in Los Angeles and thankfully there have been no real breakouts since the summer. Not from the bath. Not from the sweat on her brow. And she’s been fine in air-conditioned environments. We’re hoping that as we’ve gotten further away from those initial incidents that her system has had time to recuperate and maybe her allergy isn’t as bad as originally diagnosed, or maybe even that it was an acute occurrence. Perhaps one day soon she’ll even eat ice cream again. But even if she can, we’ll always keep that Epipen handy. As for Arden, you can’t outgrow Type 1 Diabetes. It’s there for life, but Arden has one of the best endocrinology teams in the country and she’s hoping to get on a pump soon, to free her up even more. She’s about to audition for the school play and her grades are still good. And instead of ignoring her disease she’s out there fighting for a cure. She did an hour interview for Radio Disney to spread awareness and she’s raised over $5000 for the JDRF (Juvenile Diabetes Research Foundation) with their Walk to Cure Diabetes last month. Alex is also thriving in her first year of elementary school. Amazing us with what comes out of her mouth each day. And Jen’s back to that tough chick I know and love, and believe it or not we’re about to celebrate twenty years together. And I couldn’t be happier about that. So things are all right. We’re finding our new normal. And we even had another date night last week. Our first once since Arden’s diagnosis. And it was a good one. Sandra Bullock was great in Gravity.


Arden doing her interview on Radio Disney. 

 First Day of School wearing their Medic Alert Bracelets.

 Alex and Arden at the Walk to Cure Diabetes

A note I got from Arden yesterday that not only tells me her blood sugar and what she wants for breakfast, but also that she's doing all right. Better than all right. 

Wednesday, November 20, 2013

THE LONG COLD SUMMER

At the beginning of the summer I had two seemingly healthy kids who didn’t have a care in the world. Well, actually Arden had developed an unhealthy fear of germs, thanks to her second grade health class, and Alex had developed a case of separation anxiety after getting lost in the mall. Other than that, they seemed perfectly happy and healthy. That was until we stopped off at Yogurtland one afternoon and Alex said her teeth hurt. When we got into the car it wasn’t it her teeth that were bothering her anymore, it was her tongue. It was getting bigger. And so were her lips. She thought it was funny. I thought I was going to shit my pants. Off we rushed to the emergency room.

“Thanks” to Alex’s anaphylactic reaction we were hurried in to see a doctor immediately where Alex was given a big ole cocktail of adrenaline, Benadryl and steroids. That did the trick, but she was kept under observation for the next five hours. During that time I was trying to figure out what she had eaten. She had several toppings on her frozen yogurt so maybe there was some cross-contamination with something she was allergic to. But what? The only thing we knew she was allergic to was penicillin and I was pretty sure there weren’t any penicillin-flavored gummy bears on her yogurt. At the end of the night we were told to avoid the typical allergy inducing foods such as chocolate and nuts and strawberries. They also gave us an Epipen because if Alex got another reaction before her system reset, “It could be bad.” Not the most reassuring words I’ve ever heard.

The next day went without incident until after dinner when I gave Alex a Popsicle and her lips started to swell. Back we went to the E.R.  Jen and I both scoured the ingredients of the Popsicle to see if there was a match with anything from Yogurtland. The only thing we found in common was guar gum, which is in basically everything – dairy, meat, baked goods, condiments. We thought it would suck if she were allergic to something like that. Little did we know it was worse. Meanwhile, while I sat in Children’s Hospital with Alex asleep in my arms and my iPhone battery dying by the second, I saw someone on Facebook suggest maybe she was allergic to the cold. The cold? There’s no way. But I looked it up. It was a real thing so I asked the doctor. He said WebMD was the worst thing to happen to hypochondriacs and parents alike. Unfortunately I’m both. He said she wasn’t allergic to the cold. But something inside me couldn’t help but wonder.

Two days later we went up to Lake Arrowhead for a quick family vacation. It was 115 degrees when we arrived so as soon as we checked into the resort we headed down to the lake for a quick dip. The water was chilly so the kids took their time wading into the lake. I watched Alex carefully and noticed she was starting to turn red where the water touched her legs. I pointed it out to Jen who took a closer look. Alex had red welts all over her legs. We told Alex to get out of the water but before she could she turned ghostly white and started to convulse and throw up. She was going into anaphylactic shock. Her organs were shutting down. But because we thought she had a food allergy the Epipen was miles away in the hotel room. So Jen rushed ahead with Arden while I carried Alex’s limp body up the side of the mountain. We eventually met in the parking lot where the valet gave us directions to the local hospital, ten miles away. Alex started to wretch again. Jen commanded me to use the Epipen. I’ll tell you, if you haven’t used one before, it’s not easy. It’s not the physical act of stabbing your child in the leg that’s difficult. It’s mental hurdle of the action. And I was told later that many parents can’t bring themselves to do it, even in a crisis. But I did it. And I instantly knew Alex’s lungs were working because I had never heard her scream so loud. We then tore off for the tiny mountain hospital where the doctor on call said it was a good thing I had that Epipen because, “It could’ve been bad.”

24 hours later we were at an allergist’s office back in Los Angeles where it was determined that Alex had a rare condition known as Cold Urticaria and Angioedema. She was allergic to the cold, which meant no more cold beverages, no more air conditioning. She could never swim in the ocean again or get caught in the rain. Our research showed that most people with this condition couldn’t walk past the cold aisle at the grocery store without breaking out. Our hearts were breaking by the second. The doctor wanted to put her on three different kinds of allergy medications for life and even then it wouldn’t totally prevent an outbreak or another case of anaphylaxis. Our world had been rocked. We would have to change the way we lived. And for the next few weeks the smallest things would cause her to break out. Her own wet hair after a bath would cause her to get welts on her forehead. Her own sweat cooling on her brow after running around at the park would cause her to break out. An orange from the refrigerator would make her face look like Heath Ledger’s Joker. And hearing Alex say things like, “When I can eat ice cream again…” would break our hearts even more because “when” would likely mean “never.” Our whole life was about to change, but still not even the way we expected. Because, Arden, not Alex, suddenly started to lose weight. It didn’t matter how much she ate, she was getting thinner. And her thirst was unquenchable. And then her hair started falling out. So we took her to the doctor only to find out she had developed Type 1 Diabetes.

Tomorrow: Part II