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Paige (right), and Ellie with her hero - Aunt Rachel |
Our daughter was born on April 28, 2011, with an extremely rare neuromuscular disease called Congenital Myasthenic Syndrome (CMS). When she was hospitalized as a newborn for failure to thrive, low muscle tone, and difficulty clearing secretions, the doctors had no idea what was wrong. After a couple of weeks and many, many tests we were sent home with an NG tube and told to just “hope”. We spent the following weeks frantically going from specialist to specialist desperate for answers, but no one seemed to have any feeling of urgency for our daughter. She seemed to make a little bit of progress, though. She tended to eat better in the mornings than in the evenings. In fact, one morning she even took a full 2 ounce bottle on her own.
While all of this was going on we continued to see our speech therapist who worked with her on her feeding. The therapist was especially concerned that she seemed to eat better in the mornings and eat less and less as the day went on. She felt that was definitely a sign that there was something medical going on that had not been identified. I was driving home from getting take-out dinner one night and talking to my sister, Rachel, on the phone. She is a former NICU nurse and at the time she was in school to become a CRNA, so she had been trying to solve this mystery too. I mentioned the speech therapist's concerns to her - the part about eating better in the mornings. According to Rachel, a light bulb went off in her head when I said that. She called me back about 30 seconds later and said "Paige, do you ever notice one of Ellie's eyes drooping?" My heart skipped a beat. I HAD noticed this before. In fact, one of the nurses at the hospital had even noticed it. No one ever acted like it was a big deal, so I just thought she may have a clogged tear duct or something. I screamed "YES" and she said "Oh my God, I think I know what it is.” I don’t remember much else from that conversation; I couldn’t even remember the name of the disease. The only word I could remember was: TREATABLE. This disease was TREATABLE. There is a medication that helps the neurotransmitters get the message from the nerve cells to the muscle cells and improves the muscle tone. In fact, the “gold standard” test for this disease, since it is so hard to diagnose, is to give a trial dose of the medicine and see if the patient’s muscle tone improves.
So that was our turning point. From then on it wasn't "what?" but "what now?". We knew we had to get her somewhere highly specialized in neurology because we knew no one around here would have experience with this (it is literally 1 in 1,000,000). After reading up we learned that the world's leading researcher on CMS, Dr. Andrew Engel, was at the Mayo Clinic in Minnesota. I called up there, sent them her records, and we got an appointment for August 2. But that was still weeks away and we did not want to wait that long to get her on the medication (by this point we had ended up back in the hospital a couple times for respiratory issues). So Rachel went with me to “interview” neurologists until we found one who was willing to listen to us and collaborate with the Mayo Clinic doctors for her care. He scheduled a test in the hospital to give her a trial of the medication to see how she responded. That was on July 12, 2011. We call it her second-birth day because that was the day our baby finally came to life before our eyes. Rachel was in the room with us and we were all sobbing. We would later learn that none of the doctors, residents, or ARNP’s who came in to watch the trial believed it would work. The rest of the day others came in wanting to watch the video and see for themselves. Since then our daughter has made unbelievable progress. When she was first discharged (and still undiagnosed) we thought she would probably never walk. Now at 14 months old she is learning how to walk with the assistance of a walker. Needless to say if it weren't for Rachel, who knows where we would be. The doctors were all content to leave her undiagnosed, and therefore untreated. The other children who have this condition often go years before they are diagnosed. To have a diagnosis this early on when there is no prior family history is unheard of. Every doctor we encounter always asks us “how in the world did you figure this out”. You should see the looks on their faces when we tell them “a nurse”! It was Rachel’s passion, critical thinking, and unwavering devotion (along with a little guidance from God) that got us the answers we so desperately needed. We are so proud to call my sister, Rachel, Ellie’s Hero.
Paige James is a super MOM of three children, Ellie being her youngest who has Congenital Myasthenic Syndrome. She is the Program Coordinator of Education and Outreach for Mommies of Miracles and founder of Pumpkin Packs - an entrepreneurial endeavour to provide children with mechanical feeding pumps fun and functional backpacks regardless of ability to pay.