Tuesday, December 29, 2009
Jumping in to 2010
Monday, September 14, 2009
Time Marches On!
Not only did school start, but on August 27-28 Andy, Ty, and I headed to New York for another laser treatment. This trip also had a few extras. Ty's laser doctor suggested we meet up with a plastic surgeon/dentist for advice on Ty's increasing lip size and his teeth. The information we received was great. It was kind of overwhelming, but most information regarding Ty's condition is. So I will try to break it down for you the best I can. Ty's Sturge-Weber Syndrome and his facial port wine stain have caused excess bone and tissue growth in his cheek and jaw. His jaw is growing longer vertically on the right side, and thus it is pushing his teeth out. His lip is also growing because of the excess tissue and blood flow from the birthmark. The suggestion from the doctor on how to treat this. We wait! Surprise! we haven't heard that one before. No, really he wants to wait a few years for Ty's permanent teeth to totally develop, and then we go from there. In the meantime, sometime in the future Ty will see a world renown orthodontist in NYC in order to possibly fit his jaw with a plate to restrict the overgrowth. Then we will talk about tackling the overgrowth of his lip by doing a lip reduction surgery. This is all in the future, but for sure what will happen at some point in time. It was good information to learn.
The most exciting information was that the dentist/plastic surgeon was very concerned with the droopiness of Ty's left eye. He wanted to know why we had not had it lifted. I just flat out told him that I had never really thought of it. I have been so concerned with the functional part of the eyes and getting the prosthesis to fit right that I never gave one thought to the look of the overall eye. So right then he gets on the phone and sets us up with a pediatric ophthalmic plastic surgeon. We met with him and immediately loved him. He is a big Yankees fan, and showed Ty all of his Yankee memorabilia. He told us that he could basically do an eyelid tuck and make Ty's eye look normal like the other one. He proceeded to tell us about how he would do the surgery. Then he told us that he wanted to make sure the muscle was working correctly. He said that he could put a dilating drop in Ty's artificial eye, and if the muscle was in working order then the drop would cause it to contract. This would in turn cause the eye lid to raise as if the surgery had already been performed. So it basically would give us a little "sneak peak" as to what Ty would look like after surgery. WOW! it worked. The doctor was excited that the muscle is still good. He really wants to do the surgery for Ty. We are on board too, and hopefully will schedule it for this summer. It is day surgery, but then he would have to see him the next day, and then a week later. So summer is essential for him to have it done. To have two eyes that look normal and open is something that Andy and I really want for him. Well that is a quick little update on our little buddy. I will post more in a couple of weeks as Ty heads back to the glaucoma doctor to have the pressure checked in his right eye. We are praying for a good outcome for that. Until next time.....
Wednesday, August 12, 2009
Saturday, August 1, 2009
Priceless!
You can see all of the different colors she has. Ty was really set on having orange in his eye. That is his favorite color- GO VOLS! So she made a special orange dot at the top of the eye so that we would know which way to put the eye in. This satisfied him. The painting of the blood vessels was really neat. She took small red fibers that look like fuzz and distributed them across the eye. Then she smoothed it over with the acryllic. It smelled like a nail salon in there. After the painting was finished it was off to the oven to bake and then to polish the eye at the end. This process took about 1 hour. After that Sherry was able to put Ty's new scleral shell in. This is the finished product. His eye is usually swollen for a day from all of the poking and prodding. This was right after inserting the eye.
This is what he looks like now after wearing the eye for a couple of days.
Monday, July 6, 2009
Not me! Monday
Just a few things that myself or my family have NOT done over the past few weeks.
While we were camping Ty met a couple of boys his age to play with. He most certainly did NOT tell these boys when they asked what happened to his eye that a sting ray had poked him in the eye and pulled it right out. We had been to the aquarium that day and watched/touched the sting rays. Andy and I did NOT think this was rather funny and creative. Then we had a little talking to our funny and creative boy.
I do NOT let my boy's fingernails get longer than mine. It had NOT been quite some time since I last trimmed their nails.
I most certainly did NOT on a whim decide to buy school supplies early. For crying out loud it is July and we still have a bit to go. I am NOT ashamed to say that buying school supplies is NOT one of my most favorite things to do.
Andy will NOT be out of town all week long. He is NOT gonna be out of town for my birthday on Thursday. I am NOT sad about that at all!
Thursday, July 2, 2009
A New Birthmark Buddy
So our new friends have started a blog http://twozeesinapod.blogspot.com/ I ask that you check it out, and add little Zoe to your prayer list. She actually has a hemangioma. It is a little different than a Port Wine Stain, but in the same family. Her hemangioma is growing around her trachea as well as what you see on the outside. So needless to say, they are seeking medical treatment in Arkansas. This is one of the leading hospitals out there in the treatment of hemangiomas. They live less than 10 minutes away from us and I hope that we are able to get to know one another a little better.
Monday, June 22, 2009
A Strong God!
Thursday, June 11, 2009
Summer Storms
Tuesday, June 9, 2009
Seriously Behind...
We took Ty to see his local glaucoma doctor for a checkup at the end of April. He checked the pressure in his right (good) eye and it was an astonishing 19. This is astonishing in a good way. You see normal is 21 or below, and anything above this starts to cause damage to the optic nerve. Damage to this nerve in turn causes vision loss. So the last time it was checked in December it was at 27. Needless to say we were kind of concerned about that. We did our fair share of praying about that pressure number. I am just not ready to tackle the "what ifs" regarding high pressure. I keep thinking to myself, "We just got one good eye here that we are dealing with". For now, God does not think I am ready either. So we all press on! Ty is amazing!
I am so thankful for my amazing family. What a joy that God has given to us exceedingly and abundantly more than we could ever need in each other. Thank you Lord for the gift of family! Until next time, and I promise it won't be two months later.....
Friday, April 10, 2009
Day 6: Mine was THIS big!!
Check out the size of this sucker.
Day 5: Animal Kingdom
After playtime it was time to ride the Safari. Evan got to enjoy this one. We saw tons of animals, and Evan really had fun. I wish I would have taken more pictures of the animals. They were pretty active. I was trying to hold onto Evan, myself, and the camera all at the same time. I finally handed Evan over to Andy, and I snapped this shot.
Meeko, from "Pocahontas"
Thursday, March 26, 2009
Day 4: Breakfast with a bear
I have read about people getting breakfast times before the park opens therefore, being able to enter the park before everyone else can because of these reservations. I decided that we should do this. I booked us at the Crystal Palace for breakfast. The Magic Kingdom opening time was 9:00am, and boy was there a crowd. Since we had breakfast reservations we were able to go into a seperate line and bypass these crowds. Once we entered man, it was great. Not a soul around. We were one of just a few families walking down Main Street. It was cool. I had really been looking forward to getting some pictures taken in front of the castle with no one else around. I hate it when I get random people in my pictures. Anyway, this would be the day except for one little tiny problem.
It was time for our breakfast so off we went. Crystal Palace is a buffet. Normally, I am not one to eat at many buffets. Disney's buffets are extremely good and clean so it makes me more comfortable. At the character breakfast you wait for the characters, in this case, Winnie and friends to make their rounds to you while you are eating. Here are some pictures of us with the characters from The Hundred Acre Wood
After breakfast we headed to Frontierland to ride none other than Splash Mountain and Big Thunder Mountain. Ty was tall enough for both of these, and he was so excited. On the way we saw "Davy Crockett Donald"
When we were getting off of Splash, there was Goofy in his Frontierland get up. Ty and I wanted a picture, while Tristan went with Andy and Evan to get the ever popular pressed penny.
As naptime was inching closer, we decided to head on out. I took Evan and went to get Fast Passes for Space Mountain that evening, while Andy headed toward the exit with the kids. When I called Andy to see where they were he informed me that they were at the Barber Shop on Main Street getting haircuts for the kids. I know it sounds funny, but the Magic Kingdom Barber shop does their haircuts up right complete with style and "pixie dust". It is really reasonably priced too, believe it or not. So Tristan decided to get 3" cut off of her hair. I was happy because her hair is thick, and it takes forever to dry. Ty got his normal haircut. This was the end result. Talk about some wild and crazy hair. Notice the orange and blue Mickey in the back of Ty's hair. It was lots of fun.
We had a great day, but it was time to head back and rest. We did come back that evening for little bit. It had gotten rather crowded though so we just really rode Space Mountain, and ate our supper. Then it was back to the room for bedtime. Join us tomorrow at Animal Kingdom.
Ty's birthmark
Tyler's Birthmark
PWS are present at birth and usually clearly visible. PWS grow with the person and never regress. The problems of PWS can now be treated by laser.
With different wavelengths a laser beam can be made to react upon materials of only certain colors and densities. The laser is tuned to only affect the darker more dense blood vessels deep in the skin that cause the birthmark, leaving the lighter less dense outer skin with minimal damage.Unfortunately, at this time, most people do not see complete removal of their birthmark by laser treatments. 10%-15% of those treated see 75%-100% fading, 70%-80% see 25%-75% fading, and 10%-15% see 0%-25% fading.
Treatments have a better chance of being effective when a person is still young. The skin is thinner and the mark is smaller. The skin has also not been exposed to the sun as much on a young infant or child. The sun thickens the skin and makes it darker, which in turn keeps the laser from penetrating the skin and hitting the vessels. Ty has had 15 treatments so far, beginning when he was 2 ½ months old. He will be 5 years old in Sept. 2008. He has had 80%-90% lightening in most areas, and almost complete clearing of the pws on his neck. The hardest areas to treat are the mask area around the eyes, and his lip area. Ty’s laser doctor is Dr. Roy Geronemus. He is the director of the Laser and Skin Surgery Center in New York, Ny. Ty goes to New York’s Eye and Ear Infirmiry for his laser treatments and eye surgeries/appointments for treatment under anesthesia. The healing time varies for Ty’s laser treatments. It is usually between 10-15 days, but we may see fading for up to a few months. There's no definitive number of treatments that Ty will need. So far we have always seen some improvement so we continue to get them. He will always need to maintain treatment in order to keep the PWS from getting darker again.
A PWS may also be a marker for associated syndromes such as Sturge Weber. Sturge-Weber Syndrome (encephelotrigeminal angiomatosis) is a congenital, non-familial disorder of unknown incidence and cause. It is characterized by a congenital facial birthmark and neurological abnormalities. Other symptoms associated with Sturge-Weber can include eye and internal organ irregularities. Each case of Sturge-Weber Syndrome is unique and exhibits the characterizing findings to varying degrees.
Ty has had three MRIs to check if the vessels were involved in his brain. Brain involvement is one of the symptoms of SWS, and it can cause seizures. All MRIs were clean for vessels in the brain. Ty does have a malformation behind his eye in the area called the chrodial area, which is another marker for SWS. Since his birthmark covers his eyes, the blood vessels are causing the intraocular pressure in his eyes to elevate. Therefore, he has been diagnosed with glaucoma in both eyes. This malformation, along with his glaucoma, attribute to Ty’s diagnosis of SWS. One reason why his eyes stay so squinty and red all of the time is due to his glaucoma. Glaucoma can cause light sensitivity and watering of the eyes. It can also cause loss of vision and enlarged corneas. Ty has had 9 surgeries to control his glaucoma. Unfortunately, it can not be cured only controlled. He takes three different types of drops two times every day. He will most likely have frequent surgeries on his eyes for the rest of his life, or until a cure for glaucoma is found. In May of 2007, Ty developed a severe bacterial infection in his left eye. He was in the hospital for a week getting his eye injected with antibiotics. The result of this infection coupled with his severe glaucoma has left him blind in his left eye. This is also the reason for the droopiness and the physical appearance of his eye. He has since been able to see an ocularist. She formed a new partial prosthetic eye for him. You can not even tell that it isn't real. It is so cool. We are still learning day by day about PWS/SWS/Glaucoma. The hardest part about Ty's condition is not knowing what the future holds for him. We just take it day by day and rely on our faith in the Lord Jesus Christ to help us through.
Thank you for taking the time to learn a little about Ty and his condition. For more information, please visit the sources of the above information at http://www.sturge-weber.com/, http://www.birthmarks.com/, and http://www.laserskinsurgery.com/