Smith-Magenis Syndrome/Mitochondrial Myopathy  

Saturday, 25 April 2009

Many people are e-mailing and asking me about Aarons medical conditions. Especially my newer followers. I have tried to be informative here about the conditions themselves.

What is Smith-Magenis syndrome? (Aaron was born with this.)

Smith-Magenis syndrome is a developmental disorder that affects many parts of the body. The major features are mental retardation, distinctive facial features, sleep disturbances, and behavioural problems.

Disrupted sleep patterns are characteristic of Smith-Magenis syndrome, typically beginning early in life. Affected people have trouble falling asleep and awaken several times each night.

People with Smith-Magenis syndrome have endearing, engaging personalities, but also have behavioural problems. These include frequent temper tantrums and outbursts, aggression, anxiety, impulsiveness, and difficulty paying attention. Self-injury, including biting, hitting, head banging, and skin picking, is very common. Repetitive self-hugging is a behavioural trait that may be unique to Smith-Magenis syndrome.

Other signs and symptoms of Smith-Magenis syndrome include short stature, abnormal curvature of the spine (scoliosis), reduced sensitivity to pain and temperature, and a hoarse voice. Some people with this disorder have ear abnormalities that lead to hearing loss. Affected individuals may have eye abnormalities that cause nearsightedness (myopia) and other problems with vision. Heart and kidney defects also have been reported in people with Smith-Magenis syndrome, though they are less common.

To read more go to...
http://www.medic8.com/genetics/smith-magenis-syndrome.htm

What is Mitochondrial Myopathy? (Aaron was diagnosed with this when he was seven.)

Mitochondrial myopathies have many different faces. There are dozens of varieties of mitochondrial diseases, with a complex array of symptoms. Some symptoms are mild, while others are life-threatening. The mitochondrail cells are what give our muscles energy, when they don't work, the body over produces lactic acid, which along with the lack of energy, casues the muscles wither and die.

Aaron's strand of the disease caused muscle weakness, muscle cramping, fatigue, lack of endurance and poor balance, a wheel chair and then progressed so he couldn't swallow, chew and eventually breathing became hard and he was oxygen dependent. Each case is unique.

To read more go to....
http://www.mda.org/Publications/mitochondrial_myopathies.html

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Not having all the answers!  

Tuesday, 3 February 2009

Thank you everyone for your e-mails and messages of support for Deion and what’s been going on. A few people are asking me what is wrong with Deion with regards to the new tests.

The simple answer is, “we don’t know.”

Deion’s elder brother passed away from a muscle wasting condition three years ago. At that time Deion was tested for similar conditions as he was also a wheelchair user and ‘vulnerable’, but nothing was picked up.

Deion’s condition was always separate from Aaron’s because Deion was a preemie and had a brain haemorrhage resulting in cerebral palsy. Yes, there were physical disabilities, but we were not expecting anything new to show up…

Well, life just isn’t that simple is it?

About 18 months ago Deion developed a squint right out of the blue. At first the doctors thought he was having small absences, so ordered tests for epilepsy…all negative. The squint got worse, and then was in both eyes, so they had to correct it.

Then he started getting headaches, so the tested for brain swelling or tumours…still negative thank goodness.

Next Deion began to have trouble chewing and swallowing. Normally Deion could reduce a man size meal to a mere smudge on a dinner plate in seconds, but he was taking half an hour or more to eat small portions, and was having to swallow six or seven times for each mouthful to get the food down. More tests, which showed the doctors that chewing was becoming unsafe, then he had some weight loss, so food supplements were prescribed and now we have to closely monitor all his food and textures.

And now Deion seems to be losing some of the use of his trunk muscles. His head is a little floppier, his legs are weaker when doing his exercises, and sitting straight is harder. So his wheelchair has lots of added support and a head rest for him.

Deion has always been incontinent, but he used to have some sensations in his lower abdomen, now he doesn’t seem to have any.

But we still don’t know why.

The doctors are testing for ‘myasthenia gravis’ (literally meaning grave muscle weakness) ‘muscular dystrophy’ and ‘mitochondrial myopathy’ (which Aaron had).

Now, we don’t particularly want any of these illnesses, but if we had a choice (I know, I know, we don’t…) but we will take the myasthenia, as it can at least be controlled and isn’t necessarily life shortening.

Now it will seem outrageous to many of you to hope for an illness, but any parent in our position will understand. There has to be a reason for the change in Deion and his abilities, so we want the reason to be as non-life threatening as possible…simple…if only.

So Deion is still undergoing tests, he is due to go back into hospital on the 17th Feb for tests on his central nervous system, and we will see what they tell us.

One thing is for sure, Deion is Deion, he’s strong and determined and whatever we have to deal with, we will…because lets face it, we have no choice. And although it feels a little de-ja-vu, we are staying positive that we are not going down the same road we did with Aaron. We have to believe Deion is here to stay, no matter what any test or doctor tells us, because to live any other way is not living, it’s waiting for something to happen…and that’s not what we do!

So thank you for your support, I know there are many, many families in our position, so I am wishing everyone of them well. I know how hard it is to stay strong, but look in your child’s eyes, see the love in them and tell me that is something that you will ever stop feeling!

Fight, fight, fight!!!

Take care

Sal xxxxx

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Reflections of a Peacemaker.  

Tuesday, 27 January 2009

I wanted to tell you about a truly inspirational book that I read a couple of years ago. And have read several times since.
My sister-in-law bought me this book the same year Aaron passed away. Mainly because Mattie had the same condition as Aaron.
It is an incredible and inspiring book, the wisdom this little boy shows is heartwarming. You actually sense him growing up in the book as you get further in and it is an incredible journey.

The strength of spirit that both he and his family show is nothing short of courageous.

I really loved this book, so did my children; and we recommend it to anyone, I can’t imagine anyone reading this book and not being moved or humbled by this amazing little boy….but I warn you, have a box of tissues handy.

Reflections of a Peacemaker: A Portrait Through Heartsongs

by Mattie J.T. Stepanek With Reflections by Oprah Winfrey, Larry King, Maya Angelou, and Jimmy Carter

Mattie J.T. Stepanek lived and died a child, but he had the spirit of a giant. Affected by a rare and fatal neuromuscular disease, Mattie died in June 2004; however, during his almost 14 years of life, Mattie spread a message of peace, love, and optimism in the face of disability through his Heartsongs poetry series—spanning five New York Times best-selling volumes and selling more than one million copies worldwide.
Reflection of a Peacemaker is Mattie's final collection of Heartsongs, which he was working on prior to his death. It includes the last poem Mattie wrote, titled "Final Thoughts," and a special collection of 250 new poems, along with unpublished photographs and artwork spanning the decade from when he began writing Heartsongs at age three. Edited by Jennifer Smith Stepanek, Mattie's mother, with a Foreword by Oprah Winfrey, Reflections of a Peacemaker is arranged in themes such as Festive, Stormy, Sacred and Final Heartsongs, with each section beginning with a personal tribute to Mattie written by the likes of Larry King, Maya Angelou, former President Jimmy Carter, Jerry Lewis, Jann Carl, and other notable public figures.
The book's publication is slated to coincide with the Muscular Dystrophy Association's national telethon over Labor Day weekend. A portion of proceeds from Reflections of a Peacemaker: A Portrait Through Heartsongs will be donated to the Muscular Dystrophy Association Mattie Fund for medical research to help find treatments and cures for childhood neuromuscular diseases.

As Mattie's mother explains, "Before he died, Mattie asked me if I would continue spreading and nurturing his message of hope and peace for him, including the publication of his final two manuscripts. Through this book we are given more than a new collection of poetry—we are offered a window into Mattie's life and spirit. I believe this to be Mattie's most important work yet."

A second book by Mattie titled Just Peace: A Message of Hope was published in February 2006 and contains essays and e-mail communications between Mattie and Jimmy Carter on the subject of Peace. Mattie prided himself on being "a poet, a peacemaker, and a philosopher who played." In speeches, he reflected, "I write about anything that touches the essence of my existence. What I witness, what I feel, what I think, what I fear, what I treasure. I write about life, which is our greatest gift."

About Mattie J.T. Stepanek

Mattie J.T. Stepanek was a poet, peace activist, and a prominent voice for the Muscular Dystrophy Association. He authored five volumes of New York Times best-selling poetry, and he appeared on The Oprah Winfrey Show, Good Morning America, Larry King Live, and many other national media programs. He died in June 2004 at age 13 of dysautonomic mitochondrial myopathy, the same disease that his three older siblings died from and his mother lives with as an adult.
.
.
Eternal Echoes
.
Our life is an echo
Of our spirit today.
Of our essence
As it is.
Caught between
Our yesterday
And our tomorrow.
It is the resounding
Reality of who we are,
As a result of
Where we have been,
And where we will be
For eternity.
.
By Mattie Stepanek 2000
.

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