It's been one heck of a month (or longer) so I haven't felt like blogging much. But, today I decided that even though I don't have all the answers yet, I do have enough info to update on Bee's current issues. Sorry if this post is all over the place. Between all of this, working late hours and 6 Drs appointments in 2 weeks, my brain is fried. I'm exhausted and I can barely think long enough to get out a post about all of this. So I apologize if I sound crazy and incoherent.
Most of you know Bee came down with some long lasting "mystery virus" about 2 months ago. A round of antibiotics, some tests and many visits to urgent care and the Pediatrician turned up nothing more than "most likely a virus". While the urgent care docs were ok with that diagnoses, her awesome new Pediatrician (Thanks
Tracy!) was not. So she kept digging. Sure, kids get viruses with no explanation all the time. But this one was going on almost 2 months, and nothing was helping it. My poor girl was still miserable with extremely swollen glands and tonsils and nothing would help.
So, to make a long story short (on this issue anyway) her Pediatrician AND her Endo suggested she see an Immunologist because of this and past long-lasting and constant illnesses. So we made the appointment. (This was after seeing an ENT who is hesitant to take out her tonsils because she has
HHT and she could have issues with excessive bleeding)
We saw the Immunologist last Monday and he listened to all of our concerns. Bee is now being tested to see if it could be an immune problem or an allergy related problem. But he agreed that it does sound like something is going on. (My poor girl missed 51 days of school last year due to being sick. FIFTY ONE! And she still managed to stay on the Honor Roll all year long. Yep. I'm bragging!) Anyway, we will find out the results of this testing at our next appointment in 3 weeks. Could be something. Could be nothing. But I just want to know.
In addition to this, about 2 months ago she started having issues with stiff and painful joints. It started in her knees and it was pretty bad when she would first wake up. She could barely bend her knees as she was walking. By mid day it seemed a bit better and it didn't bother her EVERY day. But it did bother her most days. Then it went to her ankles. Then to her shoulders (mainly her right one) So I mentioned this to her Ped at her next visit (about 6 weeks after it started) and she sent her to a Rheumatologist. Her main concern was Rheumatic Fever because her ASO Titers were very elevated (meaning Strep was in her system even though 6 different swabs for Strep in the past 2 months had been negative) She also put her on 30 days of Amoxicillin to make sure the Strep was taken care of and Vicodin for the pain she was having in her knees, ankles and shoulders. (It was getting to the point where she'd wake up in tears every morning because it hurt so bad to move)
So, a week later we had an appointment with the Rhuematologist. She ruled out Rheumatic Fever (after more testing) and we are now down to 2 possible issues. One being
JRA and the other being
Juvenile Fibromyalgia. She is showing all the signs of JRA except she doesn't seem to have any inflammation (by what the Rheumatologist can feel anyway) so she is still hesitant to say for sure. She said it could be in the very beginning stages of JRA. (For the record, I had JRA as a child but I hear it's not hereditary so I guess that means nothing.)
Another issue we have is the treatment. The Rheumatologist usually prescribes Naproxen. An anti-inflammatory. But she can't have it because of her HHT. Being on NSAID's or Anticoagulants with HHT can cause more bleeding. So, the Rheumatologist talked to the Hematologist to see what she'd say. Of course the Hematologist wanted to see Bee first for an appointment. So we went. To me it was a waste of time because I knew what the answer would be. And I was right. The Hematologist said Naproxen was not a possible treatment for her because of the complications. (I don't want to say I told you so, but...)
So, we went back to the Rheumatolgist on Thursday and she is putting her on a trial of Celebrex (which the Hematologist suggested) but Celebrex still has a bit of blood thinning agents in it so I was told to watch for more bleeding than usual and if it happens, then I need to stop it immediately. (That doesn't make me feel better) I was supposed to start it yesterday, but to be honest, I was scared to. So I still haven't yet. Today, I will. But I'll be watching like a hawk.
So, for now, we are to do Flexeril (a muscle relaxer), Celebrex, warm baths, massage, swimming helps and the Rheumatologist also put her in Physical therapy 2 times a week. She also had more lab work on Thursday (9 vials of blood) to see if we can get more answers. (Not sure what all she tested but I know she did a CBC, Sed Rate and ANA test for sure)
The Rheumatogist also called the Ped to see if Bee can be taken off the Amox. It's not helping anything and it's also bothering her tummy. She barely eats anything anymore and has lost a total of 3 pounds in the past month. Not a lot for an adult, but it is an issue for a child.
So that's where we are now. Most of the time my 11 year old walks around like a 90 year old and it breaks my heart. I just want to know exactly what this is so we can figure out how to help her. I don't want her on all these meds. One that makes her sleep until noon when she takes it the night before (Flexeril) and one that can potentially cause more issues with her other disease. This has been very hard for her and very stressful for me.
And to add to all of this...she gets her Pulse Ox checked at every appointment just to keep an eye on her
PAVM's. They did it routinely at all of these specialist appointments in the last couple of weeks. In the past year it's been hovering between 97-98 which is great. But at every one of these visits it was hovering between 94-95 which shows that it's going down. It's been 3 years since her last
Embolization and I know there are more small PAVM's in there that they couldn't get to last time. So now that she's growing, they may be too. So after all of this other stuff is taken care of (as best we can) I'll make an appointment with the Cardiologist to see what she says. (The Dr from the HHT Center in San Diego says to be concerned with anything below a 94. So I am now getting concerned but I'm going to wait and see a while) It's not an emergency right now. But it is something to keep an eye on (as always)
So, that's where we are now. Lots of appointments, tests, new meds and more worry. But, my girl is amazing and she can handle anything that comes her way.
I'll update more on this when I know what is going on. Hopefully soon! In the meantime, prayers are appreciated! Thanks for stopping by. :)