Nick's Fight: November 2010

Wednesday, November 3, 2010

Lilttle Yellow Bus

When I was growing up, I was oblivious to "Special needs Kids", I never knew that there were kids that even had to be in wheelchairs! My days consisted of Riding one of our many horses, taking care of the pigs, playing sports and swimming at the river. I could do all of these things by myself at the age of 8 with no help!

When my son First came home all the "bad" memories of my childhood flashed front of me, and I knew I could end the bad cycle and he would never have to experience those things...If I had anything to do with it, he was going to have the best time of his life!
So when my son was diagnosed with Duchenne, the "good memories" I had as a child flashed in my brain like a movie.....I couldn't control these experiences, INDEPENDENCE! Would he never have that?!

The school district offered us a bus to and from school, that terrified me! How could my 3 1/2 year old son get on a bus with a total stranger, drive around town and then get off at school by himself!? I kept telling myself, what if he falls, he's too young, he will be scared, and my "I cant's" went on and on and on.... I finally met the driver, who was an absolute ANGEL, she assured me that he would enjoy it and that I shouldn't do anything I wasn't comfortable with...BUT give him a chance to have his freedom and to experience riding the bus..

This morning was our first day of Bus service, so Nicholas and I talked about getting on the bus and Mommy waiting here for him to come home from school. I thought he was going to cry. Well I was wrong!!! He waited patiently at the driveway, when he saw the bus he started yelling"yeah the little yellow bus", "can I ride it please mommy, please"! I knew right then and there, he needs his own memories not MINE!

He got on the little yellow bus with no problems, then Isabella our 19 month old daughter starts crying. She starts saying"no brother, don't go"! I started crying just as bad as her! We waited and waved at him as the bus was driving away and he was looking at us with a smile. I waved and then Isabella waved and said"bye bye brother"

I cant wait for him to come home and tell me all about his day and his experience....because it will be a good memory of the little yellow bus!

What Is Duchenne Muscular Dystrophy?

Duchenne muscular dystrophy (DMD) is a severe recessive X-linked form of muscular dystrophy characterized by rapid progression of muscle degeneration, eventually leading to loss of ambulation and death. This affliction affects one in 3500 males, making it the most prevalent of muscular dystrophies. In general, only males are afflicted, though females can be carriers. Females may be afflicted if the father is afflicted and the mother is also a carrier/ affected. The disorder is caused by a mutation in the dystrophin gene, located in humans on the X chromosome (Xp21). The dystrophin gene codes for the protein dystrophin, an important structural component within muscle tissue. Dystrophin provides structural stability to the dystroglycan complex (DGC), located on the cell membrane.
Symptoms usually appear in male children before age 5 and may be visible in early infancy. Progressive proximal muscle weakness of the legs and pelvis associated with a loss of muscle mass is observed first. Eventually this weakness spreads to the arms, neck, and other areas. Early signs may include pseudohypertrophy (enlargement of calf and deltoid muscles), low endurance, and difficulties in standing unaided or inability to ascend staircases. As the condition progresses, muscle tissue experiences wasting and is eventually replaced by fat and fibrotic tissue (fibrosis). By age 10, braces may be required to aid in walking but most patients are wheelchair dependent by age 12. Later symptoms may include abnormal bone development that lead to skeletal deformities, including curvature of the spine. Due to progressive deterioration of muscle, loss of movement occurs eventually leading to paralysis. Intellectual impairment may or may not be present but if present, does not progressively worsen as the child ages. The average life expectancy for patients afflicted with DMD varies from late teens to early to mid 20s. There have been reports of a few DMD patients surviving to the age of 40, but this is extremely rare

What test are done to know if my son has DMD?

DNA test
The muscle-specific isoform of the dystrophin gene is composed of 79 exons, and DNA testing and analysis can usually identify the specific type of mutation of the exon or exons that are affected. DNA testing confirms the diagnosis in most cases.
Muscle biopsy
If DNA testing fails to find the mutation, a muscle biopsy test may be performed. A small sample of muscle tissue is extracted (usually with a scalpel instead of a needle) and a dye is applied that reveals the presence of dystrophin. Complete absence of the protein indicates the condition.
Over the past several years DNA tests have been developed that detect more of the many mutations that cause the condition, and muscle biopsy is not required as often to confirm the presence of Duchenne's.
Prenatal tests
If one or both parents are 'carriers' of a particular condition there is a risk that their unborn child will be affected by that condition. 'Prenatal tests' are carried out during pregnancy, to try to find out if the fetus (unborn child) is affected. The tests are only available for some neuromuscular disorders. Different types of prenatal tests can be carried out after about 11 weeks of pregnancy. Chorion villus sampling (CVS) can be done at 11–14 weeks, and amniocentesis after 15 weeks, while fetal blood sampling can be done at about 18 weeks. Women and/or couples need to consider carefully which test to have and to discuss this with their genetic counselor. Earlier testing would allow early termination, but it carries a slightly higher risk of miscarriage than later testing (about 2%, as opposed to 0.5%).

Nick's Fight

Newborn

Run for Our Son's Donation

Wednesday, November 3, 2010

Lilttle Yellow Bus

Disneyland 1/2 2011

Bake Sale

SOS Book is many stories from parents sharing thier personal Journey with Duchenne

Clay Matthews