The low point for me was January 2011. At every other point in our journey, there was always a light at the end of the tunnel that kept me going. Something to look forward to. Something to hope for. In January 2011, the light disappeared and I was surrounded by nothing but pitch black.
We’d been working for months to figure out what was causing Beautiful Boy Blue’s extreme headaches, severe mood swings, violence and intermittent slides in his speech and motor skills. In December 2010, much to our relief, an MRI ruled out another build up of CSF fluid in his brain. But, if wasn’t that, what was it? No one knew.
Our pediatrician recommended several neurologists in different specialties. Except for the epilepsy specialist, the wait was several months. We met with him and he quickly ruled out epilepsy which was confirmed with with an EEG. He also told us that he knew what the problem was, it was intermittent CSF flow issues and the way to solve it was a long-term regimen of prednisone which would decrease inflammation and increase CSF flow. It was not an option we liked. Prednisone, especially long-term, would cause as many problems as it solved. We needed a second opinion. The earliest we could get one was in May. Then, grasping for straws, my husband contacted the Naval hospital in San Diego and we learned they had several pediatric neurologists. They could get us in in a few weeks. We made the appointment and headed to San Diego.
It was a nightmare. At first, we were happy when the neurologist told us he absolutely did not believe there was any evidence of a CSF flow issue and putting our son on prednisone was not something he would recommend. Then, he very calmly and carefully told us that Chiari Malformation diagnoses are now a dime a dozen thanks to the widespread use of MRIs. And, simply having a Chiari Malformation means nothing. Every one of CB’s symptoms could have been easily explained by something else. What else, he didn’t say. He saw no evidence the Chiari Decompression was even necessary and he was surprised Dr. Krieger performed the surgery. But, here we were and there was obviously a brain injury if not brain damage. He was very sorry, there was nothing he could do for us. But, he knew a behavioralist, Dr. Jerry White, who might be able to help us.
That was absolutely the last thing two parents who were already beating themselves up over our original decision needed to hear.
We met with Dr. White and his assessment was slightly less pessimistic but nonetheless nebulous.
We went back to our hotel in virtual silence. Later that afternoon, while my husband was doing some work, I took the boys to the park. It was filled with kids a year or two older than CB. Initially, he ran around and played by himself. But, then he wanted to join the other kids. He ran up to one of them and smiled his gorgeous smile.
“Hi! Can I play with you? Can I play with you? Can I play with you?” His echolalia , another recent and progressively worsening problem for him, was in full swing.
The boys and girls ignored him, not sure what to do with a kid who was repeating the same question over and over. He tried again. This time, the queen bee was annoyed with him. Clearly aware of this but with no idea why she was angry, he began repeating, “I’m sorry. I’m sorry. I’m sorry.”
This only infuriated the queen bee more.
“Shut up!”
Every time, he repeated “I’m sorry” she yelled “shut up!”.
Finally, completely disgusted, she yelled as loud as she could, “You’re a freak! Go away freak!”
I grabbed my sons and left. The next two days, my son constantly asked, “Mommy, what’s a freak?”
It never occurred to me until that incident that children so young wouldn’t welcome my smiley, happy, loving, outgoing son. I had no concept he could be so completely, totally, ostracized by his peers. I was devastated. And angry…no, livid.
At home, I told his physical therapist, occupational therapist and speech pathologist what happened. Although they all assured me it was a temporary setback and an extraordinarily rude girl, it was easy to see the incident bothered them. They all assured me that skills for peer acceptance was something we’d work toward.
I felt like I had no where to go. No one could tell me what was wrong with my son. No one could tell me how to make it better. No one would tell me why he suddenly got worse again or if, once we got him better, it would happen again. And, though we had started to finally make some progress with his therapy, what did it matter if he was going to be treated so cruelly and rejected by his peers? I had been treading water for so long and I suddenly had no energy left to continue and there was no life boat in sight. I had no idea how I was going to slog through years and years of this. It was overwhelming just to think about it let alone to try to come up with a plan.
So, I just continued doing what I’d been doing and time passed. Little by little optimism returned. CB started preschool and was accepted by his peers. He built friendships. His repeating started to become more intermittent instead of constant. His balance problems got better. His headaches became less frequent and less severe and eventually went away. His violence went away. He finally got in to see some other neurologists who had seen similar brain injury but with different causes. They were able to give us some answers.
Flash forward six months to July 2011. We were back in San Diego for a follow-up meeting with Dr. White, the behavioralist, and a little vacation. The meeting with Dr. White could not have been better. He was thrilled with Beautiful Boy Blue’s progress. He said everything he saw indicated there was no brain damage, only injury. And, the brain appeared to be healing just fine. He even recommended reducing most of CB’s therapy and letting him spend more time just being a boy instead of “being therapized.” He assured us that CB is headed for a wonderful, normal life. We were over-the-moon thrilled.
Then, Dr. White paused and looked each of us in the eyes. He said he knew what would have happened to our son without the surgery. Without the Chiari Decompression surgery. He’d seen kids who didn’t have the surgery. He’d seen the damage. Permanent damage. He wanted to assure us that we’d made the right decision. All along the way, we’d made the right decisions. We’d been good advocates for Beautiful Boy Blue. We’d given him the opportunity for a great life. He just wanted us to know.
I’d never heard anything like that from a doctor before. And, probably never will again. I don’t know if he knew what the other doctor said to us or if he just wanted us to know. Either way, it was nice to hear. It lifted a weight off my shoulder I didn’t even realize was there.
Later that afternoon, my husband and I sat on the beach feeling pretty good about life as we watched our boys run around and the baby slept on my shoulder. The previous day, CB met some older kids and briefly played with them. As we were watching CB invent a game with his football, a herd of children approached. I realized it was many of the same kids from the day before but in a much larger group. As they approached, one of the girls yelled,”it’s CB!” and the horde enveloped my son and ran off down the beach. He played with them for 2 hours before I had to break him away for dinner. Much of that time, he was the leader, and main instigator of the group.
As my husband and I watched, my husband looked at me and said, “We’ve got nothing to worry about.” It was then that I knew, the boy was going to be alright. Better than alright. He was going to be great. And, at some point in the future, I’ll look back at this time and wonder how I did it. How we all made it though the rough spots and days with the bleak future. And, I’ll be so very, very glad I did. Because, it will all be worth it.


