Tuesday, August 31, 2010

EDS

We took Marcus to Duke University Hospital last week in hopes that they might be able to offer some other treatment for his ever mounting medical issues. All they could do was say they agreed with the diagnosis of fibro and hypermobility syndrome. The recommendation was to find someone who does cognitive therapy and bio feedback in hopes he can literally retrain the way his brain processes pain along with techniques to better cope. Not that I don't agree with any of that it is just hard to explain that to a 12 year old. He only hears that he needs therapy aka 'shrink'.
Just a few weeks ago he started doing something new. His joints will pop loudly and feel as though something has popped out of place. While in North Carolina him and I were laying in the hotel bed, he was asleep and I was watching TV. I heard a loud pop, he woke up and yelled out in pain saying his shoulder had popped. The other times he had done this I thought maybe he had done something to cause it but this time I KNOW he didn't cause I was right there. The other day his elbow popped out. This has been the worst so far. He can't straighten it out without severe pain and has been in a sling trying to cope.
Over the weekend I stumbled upon a sight about "Invisible Diseases". I was looking for any new info about fibro when I seen a link for Ehlers-Danlos Syndrome. I clicked on it just because I had never heard of it before. It didn't take long to see that this described Marcus in so many ways.
EDS affects the ability for the body to produce and use collagen, literally the glue that holds the body together. There are a few different types, the EDS type 3 or hypermobility type has many of his symptoms.
For 2 days I read everything I could find on this including personal blogs written by mothers who children have this. I found myself thinking "oh my goodness" too many times to count cause I felt like I could have written much of it myself about Marcus.
Today we took him to see his Orthopedic in Cape. I wanted to take him for 2 different reasons...first to make sure that his elbow wasn't dislocated and second to run my idea or discovery by a doctor.

Good news his elbow isn't really popped out, it just feels like it. The ortho had never heard of EDS so he left the exam room to discuss this with a colleague. They had to look it up themselves cause it is so rare they had never heard of it before. When he returned he didn't dismiss the idea and said it was possible and we needed to see a doctor who's specialty is in genetics. Once back home I called Cardinal Glennon to get the ball rolling on that.
So what are all does Marcus have that makes me think I might be onto something, the list is long...
joint pain-knees, hips, elbows, back and shoulder pain diagnosed as fibromyalgia
shooting, burning pain up his neck into his head
headaches and migraines
constipation (has had his whole life, can be very severe) along with bleeding
joints popping which causes pain
problems with urination
teeth problems despite constant dental visits and now has 2 teeth that are crumbling
past eye pain and blurry vision
mouth sores
past chest pains
severe stomach aches and found to have acid reflex (upper GI scope)
week immune system
had ITP when he was 3 which means his platelets were low and his blood could not clot, it was very bad with him and I both covered in blood
What classic symptoms he does NOT have though are the skin issues. Thin, stretchy skin that bruises easily and does not heal. But not everyone has the skin concerns even though that is the main symptom you will see over and over when reading on the Internet.
Their is no cure for EDS only preventive care and to manage the symptoms. The hypermobility type is not life threatening but those with the vascular type usually don't live into their 50's because such issues as brain aneurysm or aortic dissection.
Tests for the hypermobility type are iffy. They can do a skin biopsy and genetic test on Marcus and us. It should show if he has the vascular type but usually type 3 is diagnosed from just a clinical standpoint.
I don't think he has the vascular type (if he has any of this at all) but we need to know. My only worry about that is he has facial features of it. I have looked at 2 different blogs of children with the vascular type and there are many similarities. Their mothers described them as beautiful children with chubby cheeks, big round eyes, button noses, and 'different' ears. All of you know what he looks like and what he looked like as a baby so you know that describes him. Every specialist we have ever seen comments on his ears. The one at Duke rubbed his dimpled ear and said...I quote "it's only one ear". I didn't have any idea that could mean anything.
Pretty much sums up all that is going on right now.

1 comments:

elise said...

Hi Stephanie,

I hate to say it but I do so warmly, welcome to the world of EDS. There are many of us out here who have EDS and every day we're greeted with resources that we could only dream of 10 years ago. The word is spreading to doctors and the general public slowly, but it is spreading.

I will point you to my favorite resource with only one caveat, the Ehlers-Danlos National Foundation is amazing but it's also undergoing massive changes at this moment. The leadership is changing and there is a huge investment in resources and personnel coming very soon that we've never had before as a tiny little non-profit. For a little fee, you can get access to the message boards which are amazing and full of incredible resources. You will probably be greeted by Liza (pronounced Lisa) Sauls, who is our welcome ambassador and guided me to the resources I really needed when I first thought I had EDS (diagnosed in 2006). Along with everything else at the EDNF, the website is undergoing changes, so please bear with us. Check out the store for some MRGs, Medical Resource Guides you can give to your doctors. Another thing I'd suggest is giving the website address to your docs and let them know that there are resources there specifically for doctors for a tiny $15 annual charge.

Please feel free to contact me at any time and check out facebook - type in Ehlers-Danlos- and a lot of us will pop up.

Joint Hypermobility Syndrome is now on the spectrum of Ehlers-Danlos as of late 2009. Also, print out this page and give it to your doctors:
http://www.ncbi.nlm.nih.gov/bookshelf/br.fcgi?book=gene&part=eds3

Be well, be good to yourself, and be an advocate for your son to find answers.