Tuesday, two people from Jonah’s school drove him up to his glaucoma appointment, and I met them there. This was his first appointment at a glaucoma doc since they determined he had it. We knew he had a good chance of getting glaucoma. In February of 2010 they operated on his left eye, placing a Reticert implant inside (which constantly emits a controlled dosage of a steroid, locally) and they replaced the lens of his eye with a fake one. Too much pressure in his eye. Glaucoma was likely, eventually, they said.
In photos you can see his left and right eyes look different.
And so now glaucoma. At the appointment I was given a brochure called Understanding and Living With Glaucoma. Its clear, clinical language was interrupted in just one place: the first sentence (under the heading What is Glaucoma?), which somehow managed to sound both dismal and anthropomorphic:
Glaucoma is an eye disease that gradually steals your vision.
I closed the brochure. Not now.
During the whole time, Jonah was the bravest little boy ever. I’m so very proud of him. The doc was almost an hour late, so we had to entertain him, and the two people who drove him up from school turned out to be incredibly awesome, operating like a well oiled machine. I don’t mean to say they were in any way cold, either. E was a short giant of a woman. She knew her shit. She was friendly and efficient, and perceived exactly how to handle everyone, from me to the doc to the receptionist. E put everyone at ease, and kept everything at Def-Con 1. A compassionate magician of a woman.
She understands the system and works well within it, but she also demands respect and damn well gets it. I loved her.
With her was J, a muscular young-looking man with a strong-yet-softie look about him. He and Jonah were like brothers. (I kept thinking of Rainman: V-E-R-N. My main man Vern). J is definitely Jonah’s main man. He knew how to re-direct Jonah and did so with a deceptively casual brilliance. He’d look over at Jonah and say give me the punch and they’d bump fists, Jonah giggling. J too was friendly and comforting; when I sang with Jonah he said “you got pipes” – and we chatted easily. He told me he was an amateur boxer, and he was about 10 years older than I’d pegged him for – all the while engaging with Jonah as necessary and wise. I loved him.
I tell you these people were awesome. I was so grateful I was nearly in tears. When other people are in charge of your child, people who are not relatives or even friends, you want to kneel before them as you would royalty, for they have the most important job in the world, to parents like Andy and me. They care for our little boy. He will be ten on March 7th, sharing a birthday with, of all people, Tammy Fay Baker.
Wait! Wow. I just searched for “Who was born on March 7th” out of curiosity, and found out Elizabeth Moon shares his birthday! She wrote one of my favorite books, The Speed of Dark– set slightly in the future, about a man who has high-functioning autism and must decide whether or not to undergo a new procedure to make him normal. The book is where I got the title for this blog, Normal is a Dryer Setting. In The Speed of Dark, one character with autism says it during a conversation. I love that. Who else was born on March 7th? Ravel, the composer. Wanda Sykes, the comedienne. And even Pam Carter – Wonder Woman’s sister.
But I digress.
Doc was good. A little cool and clinical, but 99% of doctors are, after all. (Not you, Jacob. Or you, Neil. You’re the 1%. HA!) Here’s where it gets weird, though. With both E and J holding Jonah, the doc put numbing drops into Jonah’s eyes (Jonah’s used to eye drops so that wasn’t the big deal you’d think it might be) and then looked through his fancy machine and said “this suture is broken.” He turned to the nurse, asked her for an instrument, and proceeded to (I have no idea how) remove the broken suture from the back of my son’s eye. Um, okay. Wow.
Turns out it had been scratching his retina, the suture, and as a result the retina was red and irritated. “How long do you think it’s been broken?” I asked. “Months,” he replied coolly. “At least.” I looked at the suture he’d set on a tray. “Could he have been in pain all this time?” I asked. He paused. “Yes,” he answered.
But Jonah’s to the point where he can say if something hurts, I was thinking. After his eye operation, he cried in misery and very clearly stated “eye hurts!” I don’t understand and I don’t know what to think.
But in a few weeks they’re going to put him under anesthesia so two specialists can take a closer look at his retina.
Then the doctor set me up with the name of a rheumatologist who sees children – something we were told a year ago did not exist in this area…which is why we traveled to Boston Children’s Hospital to get him diagnosed with juvenile arthritis, something all the doctors here suspected he had. Now, finally, he can be hooked up with a rheumatologist.
There is more but I am tired. It has been a very exciting day, and I’ll tell you all more about that later. I have to go watch Tora Tora Tora; my dad said it was the most historically accurate portrayal of the events leading to the attack on Pearl Harbor, and I’m interested in that.
Good night all. Good night, little Boo. Sweet dreams. If there’s any mistakes in this I’ll come back and fix ’em tomorrow. I don’t have it in me to edit.
This is a lovely post my friend! Your description of those working with your sweet Jonah brought tears to my eyes.
Thinking of you often!!
Hugs,
Leah
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Hi,
I think I touched on some of this quite a while ago, so a brief recap. I wondered if J. was in pain of some sort that he assumed could not be relieved and so he endured with frustration, some aspects of his acting out, and his tried and true temporary diversions – – baths, trains, etc. That broken suture might well have affected his behavior.
I have a few years now of steroid caused glaucoma from uveitis treatment. The pressure relieving drops do the trick, but there are various kinds, and the different side effects of each are not things J. could express – – shortness of breath, headache, weakness, allergic redness. I doubt they have done enough testing to know about reactions in kids. Some experimentation on J’s reactions and response might be in order.
I have wondered if some of J’s behavior is in part because he is in intermittent pain and/or just feels like crap some of the time. I have excellent eye docs, but they did not tell me the extent of the effects of steroid drops – – there seems to be an assumption that steroid via eye drops, as opposed to oral doses, are too minimal to cause systemic side effects. For those of us sensitive to all types of meds, that’s simply not true.
I was given prednisone – – which saved sight, but caused glaucoma, which is now controlled, etc. A reasonable tradeoff, but I would certainly wonder about the systemic physiological, neurological, etc. effects on a child of a constant dose of a steroid, plus pressure blockers. Certainly steroids cause significant rage, irrational behavior, hyper-activity and more in otherwise healthy adults being treated for temporary ailments. There is a side effect called steroid psychosis which is more common than docs seem to realize.
There is a highly regarded teaching clinic here is Boston:
http://www.mersi.us/service/contact.htm
Dr. Foster, the founding director, is excellent, of course, but very busy. I am now seen by Dr. Hinckle who has proved to be a splendid problem solver and question answerer. (Lots of info at website).
The Institute treats many children — even has a special playroom waiting area, and has an overall very friendly staff and vibe. Students and practicing physicians come from all over the world to study there (affiliated with Mass General), and there are always a number of cutting edge (sorry) experimental programs underway; many awards, etc.
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Yes, you did. And thank you. Dr. Hinckle actually travels to Albany once a month and has seen Jonah several times. I really appreciate your input and suggestions. I hope you are doing well and seeing clearly!
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Happy birthday to Jonah for the 7th (my brother-in-law’s birthday as it happens). 7 ‘runs’ in our family, a sister, two of my children and an aunt. what an exhausting, if rewarding day! I have meant to tell you a while ago that I bought Speed of the Dark – thank you for recommending it. I am scribbling about my nephew as we take over his welfare but those scribbles wont reach my blog because I don’t think the time is right. They may fit into a book later on though. I shall share one snippet with you – at a meeting with solicitors, James was asked if he was known by any other names. Large, loud and 29 years old, James grinned and said in an evil(ish) tone,
“Satan!” It did not get written down. 🙂
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So happy to hear how wonderful Jonah’s care givers are. As a mother, it is the most important thing to know your child is with people who are caring and nurturing but also who just outright enjoy your child! This is such a blessing for you and Jonah and it’s definitely a source of comfort for you to hold onto when you are missing your little boo! Happy Birthday to Jonah!
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You sound good, Amy. Knowing there are people with gifts you want more than anything to care for Jonah sure helps. Hey…I have juvenile Rheumatoid Arthritis. If you have questions, I may be able to help. Hope I know the Rheumatologist you were referred to. Keep the faith! Peace.
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I’m pleased to hear that you have connected w/Dr.H. I had no idea. I’ll be going in for a check-up in a couple of weeks, myself.
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