I’m finding that blogging about our trials and tribulations is rather cathartic these days. Here’s our latest installment…
Miles has eosinophilic esophagitis. Just another chronic allergy issue that we deal with. EE, like all other allergic diseases, is on the rise. The numbers in children are dramatically increasing. Miles seems to have hit the jackpot in terms of how many allergies he has. Note to self: start playing the lotto.
Lucky for us, his EE hasn’t caused the multitude of problems that it has caused in other kids. He’s never had failure to thrive. He has never had a difficult time swallowing food. And, most importantly, he’s never complained of any pain. That’s not to say that he has never been in pain. Some kids are simply used to the pain because they’ve always been in pain, they know no different. I hope that this isn’t the case with Miles but I may never know. The biggest indicator we had that there was eosinophilic activity was the fact that he was allergic so many foods along with the fact that I suspected silent reflux. To the GI doc we went.
Miles had his first scope when he was 2.5. It was NO fun. I realize that it’s a pretty routine procedure. People, kids, have endoscopies all the time. But, for my baby, it was traumatic. He was diagnosed with moderate EE. I wasn’t too happy with the doc that had diagnosed us and because he was mainly asymptomatic, and along with the advice of my pediatrician and allergist, we didn’t do much to treat it. The treatments for EE range from medication (reflux meds and swallowed steroids) to more extreme treatments for severe kids, including feeding tubes and elemental formula liquid-only diets.
Earlier this year we went to a new GI doc, whom I really liked. I had been referred to him by several other moms of EE kids. Finding a doc, even a GI doc, who is really familiar with EE is a difficult feat. But we found him! Instead of blindly throwing a bunch of precriptions our way, he carefully reviewed Miles’ past endoscopy and recommended a new scope be performed. Ugh, I was afraid of that recommendation. Unfortunately, Miles overheard the docs recommendation and was instantly petrified. Because of various reasons, we were unable to schedule the scope for 6 months, and Miles talked about it alllll the time. Poor guy.
Today was the day. I didn’t tell him about it until we were on our way to the hospital at the crack of dawn. I didn’t want him to be fraught with worry the night before. Like his mommy who was unable to sleep! The big boys stayed at home and were watched by friends while we took Miles to TX Children’s Hospital. Once he realized where we were going, he got really upset. I tried to calm him down, distracting him, talking to him, holding his hand, putting his favorite movie on. To no avail. He was simply terrified. I told him it was ok to be scared but he still cried, almost the whole way there. Which was over an hour away.
Once we got there, we checked into the GI procedure suite. Miles got weighed and his temp was taken. He wasn’t talking to the nurse, who was asking him questions. This is unusual behavior for Mr. Outgoing. Understandably, he didn’t have anything to say to the nurse. We proceded into the area where they prep. He hadn’t had anything to eat or drink since the night before and thankfully, he didn’t even ask for anything. We went over paperwork with the nurse. I mentioned to her how nervous Miles was about the scope. At this time he was watching Scooby Doo on the portable DVD player that we brought with us. That was really helpful. The nurse mentioned that she wanted to give him Versed to help him relax so they could get the IV in. He took the meds like a champ, like he always does. Such a trooper. The nurse gave him some time to get loopy with the meds.
I’ve never seen any of my boys on sedation meds. I can tell you from this experience, I don’t like it one bit. Miles was indeed relaxed. But he was so drugged up that he couldn’t communicate with me. I know that feeling well.
The one and only time that happened to me I was in labor with Blake and given “a little something to take the edge off”. That was Demerol. And it didn’t take the edge off. I felt every pitocin induced, strapped to my labor bed with an internal fetal monitor contraction. But instead of being present to deal with my labor, I was high as a kite. Floating in the clouds. Feeling every ounce of pain but unable to communicate how much it hurt. It was the worst feeling in the world. I had my next two babies without any pain medication at all.
And here was my sweet son. His head was bobbing up in down, his eyes only half open. He kept trying to talk but the words came out jumbled. He was able to shake his head yes and no on occasion. It was really hard for me to see him so doped up. Not sure why, it just was. The nurses decided it was time to stick him. They needed to get an IV into him for the procedure. They searched his arms and hands, over and over, looking for a suitable vein. They kept putting the rubber band on his arms and smacking them, hoping a throbbing vein would surface. Miles kept pulling away. The nurses mentioned several times how surprised they were that he was resisting so much, with all the medication. I secretly knew why. He is a strong little boy, NOT to be underestimated. As much as I didn’t like to see him fight, I was also glad that his strong spirit made it’s presence known.
They finally gave up on the hands or arms. Once one of the nurses removed a sock, she announced that the ankle vein was speaking to her. She sprayed the numbing spray. They held him down. And they stuck him. One of the things that I love about being at TX Children’s is that they are incredibly accomodating. They didn’t make Miles change out of his comfy jammies. They also let me hold him whenever I wanted. So there I sat on the bed, holding my son as they attempted to place the IV. He cried, he cried, he cried. I held it together for him. I held him and squeezed him and comforted him as best I could. But he was squirming and the vein blew. So they had to try again, this time on the other ankle. So, I held him tight, reassured him and told him that he needed to stay still so they wouldn’t have to poke him again. He cried. I couldn’t hold back the tears at this point. My tears fell directly into his hair, at the top of his head. I apologized to him, that he had to go through this. I was flashing back to his visit to the ER for the seizure where he was poked repeatedly. I wasn’t about to let that happen to him again. Luckily, this one took and it was over.
I signed up Miles to participate in a research study. Since he was going to have an open vein anyway, it would be non-invasive. All that was needed was a blood sample. The hope is that in the future, they will have a standard blood test that will be able to give the same info that an endoscopy would provide, but with a simple blood test. I was asked to participate by my allergist. All I could envision is all the kids that we could possibly help to avoid going through this torture of an endoscopy. I was happy to help! It was wonderful seeing my allergist during the prep for the scope. I really respect her as a physician, she is the medical advisor for my food allergy support group, SAFER Houston, and she has 4 kids of her own. She is warm, caring, and dedicated to helping kids with food allergies. She came to say hi to us and leave the vials for the blood to be collected. Seeing her familiar, smiling face was very comforting. She told me that Miles was the very first patient to participate. How exciting! Whether or not our sample will be instrumental to the development of a blood test, I’m so happy that we were able to participate and contribute. After all, helping others is what I love to do!
It was time for the procedure. I was still holding Miles on my lap and we were wheeled into the procedure room. The doc came to give more sedation meds. He took the time to take some pictures of Miles with the camera that they do the scope with. He saved them and later printed them out, so that Miles could see himself. I thought that was really thoughtful and I appreciated that. Soon it was time for me to give him a kiss and wait in the waiting room. Right before I left, I got off the bed and laid him down. He asked me if I was leaving. I told him that I wasn’t, that I was just getting up to stand next to his bed. And that’s what I did, for a while. He asked me if I was going to stay while they took pictures of his tummy. I didn’t answer him, I didn’t have the heart to tell him the truth and I didn’t want to lie to him. I waited until he was totally out. They escorted me out, to the waiting room, and I couldn’t stop the tears from rolling down my cheeks.
In the waiting room I saw an awful sight. The room was filled with 2 families that were waiting to have GI procedures done. One was an 8 year old boy. The other was a 1 year old boy. The mom of the 1 year old obviously didn’t want to be there. Well, neither did I, quite frankly! But she kept scolding her little boy, who had an oxygen tube taped to his face. She wanted him to sit still in his stroller. Obviously he wanted to climb out. As she scolded him repeatedly I started to feel nauseated. I was so worried about Miles and the fact that the minutes felt like days passing, and this mom was scolding and threatening her baby who obviously had health issues and was about to undergo a procedure that I’m sure was similar to Miles’. It made me sick. I’m by NO means a perfect parent. But I really can’t stand the way some people talk to their kids. And, apparently, I wasn’t in a compassionate mood towards this mom whose baby was happily smiling and babbling and simply trying to get out of the contraption he had been placed in. I couldn’t even look at her. Is that terrible, or what? She was called back to the prep area and I could hear her through the doors scolding her baby. THROUGH THE DOORS!!! Steve had stepped out to call the boys and check on them and when he returned I had to tell him all about this other mom and how could she do that to her baby and how awful it was to witness etc. He begged me to calm down LOL!
After what seemed like an eternity, but was only 20 minutes, the doctor invited us into an office to let us know that the procedure went wonderfully and Miles did great. I really wanted to talk to him, I like to ask a million questions, but I was so super anxious how Miles was doing. I really wanted to be there when he “woke up”. Last time he came out of anesthesia without me there and he freaked out. I could hear him screaming for me through 2 sets of doors, all the way into the waiting room. Granted, he was younger and was under general anesthesia, but I didn’t want a repeat of that experience! Basically, the doc said that there was still furrowing
I don’t know why but I was really hoping for a miracle. I didn’t even realize it until that point as I’d been so focused on the procedure itself. But, essentially, there is still damage in Miles’ esophagus. He still has EE. We won’t know the extent or be able to develop a treatment plan until the biopsies come back from pathology, sometime next week. He had several tissue samples taken to see the eosinophil count. The wonderful thing about this doctor is that he’s very personable, and smart. Caring AND clinical. We discussed some options and he said that we would cover them when he gets the results. He also printed out the pics from the scope and the pics that he took of Miles right before the scope. He gave me lots of copies of everything, including his procedure report. Can I just say? Night and DAY between the other doctor that we saw. I really really like the doc we are seeing.
I was FINALLY able to see Miles, after what seemed like an eternity. And here I go crying again after seeing him curled up in a little ball, sleeping while induced by versed and ketamine. The nurse we had in recovery was awesome!!! I really need to write a letter to the hospital. I’m pretty sure it was the same nurse we had the last time, who was so incredibly supportive of my breastfeeding my 2.5 yr old. He was great, took lots of time and answered all of our questions. Did I mention that I ask a LOT of questions? He was kind and compassionate, funny and thorough. Once Miles started to wake up, I was standing on the side of the bed, leaning over him. Miles kept pulling me towards him. I knew exactly what he wanted, he wanted me to hold him. The nurse said absolutely!!!!! He lifted Miles over to me, put pillows up to protect the floppy head and was just amazing. When Miles finally was coming to and refused to drink water, the nurse respected that and totally understood. It’s the small things like that which matter to me. He was amazing.
Miles came too and was pretty loopy for a while. We left the hospital as the snow started falling for the earliest time in Houston history, and the first time we’ve experienced snow in Houston. Miles really loved watching it come down. He’s been doing great all day. I’m so glad that it’s over, for the time being. I can’t wait to snuggle him to sleep!
I know that many kids would choose something as simple as a scope anyday over the chemo or surgeries that they have to go through. I’m not really sure why I feel the need to get this out there. Therapy? A record of the past that I can look back upon? I like to think that while it really sucks what Miles has had to go through in these past 5 years, and the effect that it’s had on me as a mother. I like to think that it’s just the price we have to pay to keep him safe and healthy. And I’m willing to pay whatever price I have to, just to know him. He IS a special kid. Crazy and fun. Sweet and fierce. I love my Miles. I wouldn’t trade him for anything.













































































