Two year old Gavin, was born with Leber’s Congenital Amaurosis (LCA). There is no cure, but we are helping to try to change that. This blog was started within 48 hours of receiving his diagnosis, at 4 months of age. It documents the triumphs, struggles and joys of raising a child, who happens to be blind.
Tuesday, June 30, 2009
Can we get an OK?
I'm hoping his Dr. can pull something off. I don't even care if the HMO picks it up, we have a PPO option that I'd be happy to even pay 20% of the costs. Which works out to be a lot, but it will put an end to this nightmare and put us on the road to finding the exact name of the disease robbing his sight, and we can begin the blood work and be put on the right path to what his future will look like, options if any, etc. And the list goes on.
Let's hope this week brings us some closure to this 4 month long battle with our insurance.
I will keep you posted.
Monday, June 29, 2009
Terminology definitions of various degrees of blindness
The term "low vision," also known as "partial sight," can be defined in several ways:
- Low vision is a condition caused by eye disease, in which visual acuity is 20/70 or poorer in the better-seeing eye and cannot be corrected or improved with regular eyeglasses. (Scheiman, Scheiman, and Whittaker)
- Low vision is uncorrectable vision loss that interferes with daily activities. It is better defined in terms of function, rather than [numerical] test results. (Massof and Lidoff)
- In other words, low vision is "not enough vision to do whatever it is you need to do," which can vary from person to person.
You may also want to know what the term "visual acuity" means, as well as the meaning of "legally blind."
Visual Acuity
Visual acuity is a number that indicates the sharpness or clarity of vision. In the United States, the Snellen Eye Chart is a test that is commonly used by ophthalmologists and optometrists to measure a person's distance visual acuity. It contains rows of letters, numbers, or symbols printed in standardized graded sizes. The eye doctor will ask you to read or identify each line or row at a fixed distance (usually 20 feet), although a 10-foot testing distance can also be used.
- If you can read line 8 (directly above the red bar) from 20 feet away while wearing your regular glasses or contact lenses, the doctor records your vision (or visual acuity) as 20/20 with best correction.
- If the smallest print you can read is line 3 (T, O, Z) from 20 feet away while wearing your regular glasses or contact lenses, the doctor records your vision (or visual acuity) as 20/70 with best correction.
- If you can only read the big "E" on line 1 of the chart from 20 feet away while wearing your regular glasses or contact lenses, the doctor records your vision (or visual acuity) as 20/200 with best correction.
Legal Blindness
In the United States, "legal blindness" is a definition developed by the federal government to determine eligibility for disability benefits and tax exemption programs. It's not a term that tells us very much about a person's ability to function, nor what an individual can and cannot see. In the United States, the criteria for legal blindness are:
- Visual acuity of 20/200 or less in the better-seeing eye with best conventional correction (meaning regular glasses or contact lenses); or
- A visual field (the total area an individual can see without moving the eyes from side to side) of 20 degrees or less (often known as "tunnel vision") in the better-seeing eye.
Light Perception
Light perception describes the ability to perceive the difference between light and dark, or daylight and nighttime. An individual can have severely reduced vision and still be able to determine the difference between light and dark.
Light Projection
Light projection describes the ability to determine the general source and direction of a light. Again, an individual can have severely reduced vision and still be able to determine the general source and direction of a light.
Total blindness
Total blindness is the complete lack of light perception, light projection, and form perception, and is recorded as "NLP," an abbreviation for "no light perception."
Few people today are totally without sight. In fact, 85% of all individuals with eye disorders have some remaining sight; approximately 15% are totally blind.
Saturday, June 27, 2009
Happy 8 months!
Kids are occupied, so I'm taking advantage.
Gavin is now eight months, almost nine. He's a big boy. He weighs in at a few ounces short of 20 pounds, so I'm calling it 20 now, since his dr. appt was a few weeks ago. He continues to thrive as his pediatrician says. His character has begun to show more and more, it's so cute. The crawling as we know, will be delayed, but he's getting there. He's up on all fours and pushes, and wants to, but the connection still isn't there. I'm sure in the next month he will be getting closer.
He loves all food still, not really liking his bottle lately, and like I said is in a constant eye-pressing phase, which I wrote earlier about. That about sums up his 8 months! He is my little monkey, and I just adore him.
Happy Father's Day (late than never, that is)
Anyhow, this past Father's Day was a special one and emotional one for many reasons. Many of our family members weren't able to wish my grandpa and my uncle a Happy Father's Day. They were both dedicated fathers and both recently passed away a few months ago. This is our first year of anything without them. And for Troy, this past year with Gavin has been full of ups and downs, and he is and continues to be the rock in the family when my emotions get the best of me. This is his first Father's Day as a daddy of two. He adores his boys so much, and both of our goals as parents is to spend as much time with them each day as possible. These moments will soon be gone, and we both get it. We both understand, and that is what I love about our family dynamic. We would rather be with each other with the boys, as a unit, than out with friends, etc... ALTHOUGH, yes, I understand, we need to get out and we are working on it. I just would rather not be anywhere else in the world than with all three of my boys, everyday and every night. Period. Troy shares this value with me, and I get such a kick watching him as he parents and loves our children.
T, you are a wonderful father. The memories you are filling our children's lives with are the guiding forces that will help shape them into men one day. Thank you for your dedication to me and this household. We love you!
Father's Day was spent at the shooting range. It was a blast!! My childhood memories are filled with weekends with my dad and sister off-roading near Lytle Creek and shooting my dads shotgun and then going home to his home-made-i-think-it-was-safe sort of refill shotgun casing manchine thingy. Did you get that? Yeah, we took the bullets home and refilled them with gun powder, and the whole bit and we repackaged them and got them ready for the next weekend. It was so much fun. Assuming they were safe, and our necks are a little red? Possibly, my dad is the Irish in the bunch and gots a little hick in 'em. hehe JK
The first pic is Troy, my dad and Landon. The rival continues every year with the Angels vs. Dodgers feud in our family. You will see my dad trying to cover up the Dodgers on Landon's shirt. The rest speak for themselves. The picture of Gavin with Troy are on my other memory card, so I will upload those as soon as I can. This is my dad's side of the family.
Friday, June 26, 2009
Eye-pressing
"Hands down Gavin" or "Hands down monkey" is repeated in this household a couple hundred times a day. (I'm not exaggerating), followed by the little munchkin not listening, us pulling his hands down (he applies his fist with pressure to both eyes) and then the crying begins. The last couple of days, I don't think he has gone 60 seconds (literally) without fists to the eyes. It is CONSTANT.
It's weird, it kind of goes in phases, it's always there, he is ALWAYS pressing on his eyes but some periods of times it seems like it is much more difficult to keep them down. Picture a thumb sucker and having to rip the thumb out of the baby's mouth - it's kind of like that. He gets frustrated, angry and trying to at that moment redirect his attention and keep his hands occupied is difficult, because he begins crying. He is a stubborn little thing, and once he starts crying because you have pissed him off, you typically have a moment or two where trying to refocus him on something else is impossible.
I'm only addressing this issue, because there have been other moms who have found the blog from the LCA/blind babies group who struggle with this.
You are NOT ALONE.
It is the most difficult stage right now, and that brings on a much fussier baby and more exhausting parents! Yes, as with everything this time will pass. I want to make sure I make note about it in a post. I don't want this blog to be one filled with just the aggravating times, but these times are relevant to our lives right now and our struggles.
That being said, his glasses are on order and should be ready next week. This is our third attempt at glasses for him. I'm thinking these will more "baby-friendly" than the others. Although, much more expensive, in the long run, these will hopefully be the best.
Fingers crossed this will help aleviate a little of the eye pressing. I'm sure he will get around it, and continue to do so, but my hope is it will help a little.
I will post pictures of him in his new specks as soon as I can. Those mothers who share in our trials with the eye-pressing, please email me with tricks you have stumbled upon. I have a few up my sleeve, but I have to be smart when to use them, because he grows tired of it quickly :)
Wednesday, June 24, 2009
Race to a cure
With summer weather here, there are many people who involve themselves with races, triathalons, etc.. Why not fight blindness while you're at it?
Sounds like a win win to me!
www.RacetoCureBlindness.org
Monday, June 22, 2009
Square one
That happy moment lasted the weekend.
We then talked to the person we spoke to on Friday's, supervisor. We were not approved. Medically, yes we were. Financially, no we were not. Now we are back to square one. The square we started back about 4 months ago. This has to be the most frustrating-not-making-sense-time in my life.
Insurance.
I'm glad I have this blog to vent, so I don't unload it all on my poor husband.
Square one. And even more confused and frustrated than ever.
Insurance.
UGH!
Saturday, June 20, 2009
....and the poll continues
PLEASE continue to send your answers. I am noting down all the "things" you would miss most if you lost your sight tomorrow. My little fundraiser idea to make money for the Foundation is coming more and more together - and YOUR answers are going to play a part in that. You can be anonymous.
If you haven't participated, please do so. You can do it here as a comment, or email me, or on my Facebook page under "Gavin's Groupies".
Thanks a bunch! And thank you to everyone who has participated, it's been enjoyable to read.
Original post here.
PLEASE ALSO INCLUDE YOUR CHILDS ANSWERS. REGARDLESS OF HOW YOUNG THEY ARE.
Thursday, June 18, 2009
Families connecting...
My whole family will be there, and we booked a hotel for the entire weekend (Fri - Sun). If you're attending please email me, and let me know. I would love to meet up with you over the weekend!
We are very excited to go. I can't wait for the wealth of information, and establishing new relationships with families who understand what we are going through.
Sunday, June 14, 2009
Question
I also posted this question on Facebook, on Gavin's Groupies group page. So if you've taken part there, no need to do it again. I will post my answer below, as well as my husbands and my 5 year old son. If you'd like to post your children's answers too that WOULD BE WONDERFUL!
I have things running through my head to try to raise money for the Foundation, and so these answers have to do with that. Your name will not be used.
Question:
Besides the obvious answer of your children, spouse, people in general... What are your top 3 things you think you will miss the MOST if your sight was taken from you tomorrow?
Our answers:
Me -
1. My son's preschool artwork
2. A rainy day w/ big scattered billowy clouds - but the sun peeking over the top and the sun rays shining down.
3. A running creek in the mountains with tons of foresty trees. (Yes, foresty). ;) With a gorgeous sunset in the background.
Hubby -
1. Watching sports
2. Driving and observing everything along the way
3. Looking at pictures
Landon (5 years old) -
1. "Seeing everything at Disneyland"
2. "Watching sports" (he is his daddy's son)
3. "Seeing my RAZOR scooter in the garage, because it's my favorite thing to do. Go outside and ride my scooter."
It's difficult, because after I answered, there were other things that came to mind. I appreciate your participation. No need to even use your name, and once again you can also just email me if you'd like. (jstevens04ATgmailDOTcom)
Thanks!
Saturday, June 13, 2009
VisionWalk 2009 update w/ pictures
We jumped in head first.
This has been near and dear to my heart. It has offset the sadness for a little bit, and we were able to focus on something positive, full of hope.
Gavin's Groupies is our team name. We raised $8,775.00 in a few months (plus a few more checks of donations that need to be added in). We wore bright orange (I've told a few people we look like Home Depot employees. We had over 120 people on our team. We had a fun time, and I think a majority of us were inspired that day. We were in the top 5 teams to raise the most money, and we won for largest group.
It was nice to meet people I have been communicating with, but never met. I am finding more and more, positive people who come together for a common goal, is very inspiring. I'm glad I had my sunglasses on, my eyes were pretty misty throughout the day. It's impactful to see how many people who say they will join you, actually get up that morning, and make the drive to Fullerton to support a cause. It takes effort and planning, and on a weekend when it's much easier to stay home and relax, it's touching.
Thank you to everyone who came to support. We hope to see you next year.
Now... onto the pictures! Thank you Pam for some of these (if anyone else has pics they took, please email them to me. I didn't get much on my camera)
Monday, June 8, 2009
A worthy purpose
Saturday, June 6, 2009
Gavin's Groupies wristbands
Wednesday, June 3, 2009
T-shirts are in!
If you have NOT registered as a walker yet, please do so. There is no fee for joining our team, it's all donation. Click on the VisionWalk button to the right, and join as a member of "Gavin's Groupies". Registration will take a few minutes. It will make things smoother on Sunday, so we don't have to worry about registering you, but rather just checking our team in.
The shirts are bright orange (like Home Depot orange). I'm sure it will be easy to spot us. Please bring strollers, wagons are fine, as well as leashed dogs.
Details:
Date: Sunday, June 7, 2009
Location: Cal State Fullerton East & West Practice Fields
Gym Drive Fullerton, CA 92931
Registration: 9:00 a.m.
Walk Start: 10:00 a.m.
Once on Gym Dr. you will turn right into the parking structure
Once again, this is an easy 5k walk. Not a race. Bring comfy shoes!
We have raised $7,175.00
Let me know if you have any questions, we look forward to seeing you Sunday!
Monday, June 1, 2009
Waiting for the break in the road
Enough of my pity party rant.
That little rant was my prelude to being behind with the updates with the insurance. As you may recall, we have been battling our insurance company for the past 3 months. They denied us of the surgery (ERG) the day before it was to be done.
We spent the entire day in Los Angeles on Friday. We had a few appointments, and for times sake, decided to knock them all out on one day. We met with Dr. Lee at CHLA. We discussed Gavin, and the insurance issues, and walked out feeling a little bit more positive about the situation. Dr. Lee is totally on board, and with his help we hope we can accomplish what we need to get Gavin the services he deserves.
Upon examination, there are no changes with Gavin (thank God). The thought of his condition getting better on it's own is non-existent in my mind, to be quite honest. I know what he has is very serious. That being said, I'm not trying to not be hopeful, but just realistic. I don't want a false sense of hope. The good thing is, the lesions on his retina remain unchanged. This is great! Great because it can be degenerative, and the few months that have lapsed since our last visit, nothing has changed.
There are a few options in regards to our insurance, Dr. Lee has up his sleeve. Please keep your fingers crossed, at least one of these is the answer. Everything is at a halt. We cannot get our genetic testing done until we have the ERG done. We cannot get the ERG done, until our insurance clears it. UGH. Talk about frustration. The other side of this is, I want an official diagnosis. If it is LCA, as we suspect (and know what we are hoping for as oddly as that sounds), and it is with the RPE65 gene, clinical trials are happening that I have talked about previously. The diagnosis needs to be confirmed, and the gene tested, as well as our blood work, so we can put the pieces of the puzzle together and begin looking forward to what the future may hold.
It is kind of like being stuck in single lane traffic, knowing the freeway will open up 3 miles ahead, but being in that "stuck" mode for the past months. We are waiting for our road to open to allow us to move forward.
The not knowing is killing me. Having the official diagnosis will not change anything with how I am handling the business aspect of what we do day to day to broaden our horizon with research. But what it can do is allow us to zero in on specifics that relate to the disease. LCA has possible instances of seizures, etc.. No known instances yet with Gavin, but is things like this that bother me, without having the name of what he has.
I feel like it will certainly help me understand him further. It's hard to explain what I feel. I know what the result of what he has is. That is visual impairment. Not knowing what is causing that, where the gene is, what gene it is, etc... is excruciating at times.
Ok, I'm done.
We also had an appointment with the child psychologist. This time it was for Landon. He has told me, on a few occasions he is very sad about Gavin. This was said completely out of the blue. I decided it would be best to have Landon speak to her. She did some play therapy with him, observed some of his drawings, etc. It was informative.
She says he is ok, but does get a sense he is a little sad. Possibly of the unknown. He also told her he gets very sad when he sees mommy cry. Yes, heartbreaking. Poor little guy, I felt very sad for him at that point. Knowing on his shoulders, he is sad for his little brother, and also worried about his mommy when he sees her cry. I haven't seen any change in his behavior, he is such a happy 5 year old who loves and teases his little brother just like any other sibling. I know it's an ebb and flow of emotions he is experiencing. I go through that daily, and I can relate. WE walked away with a little bit of homework, and some big insight for me.
We also had Gavin's Braille visit happen, as well as his teachers who assessed him from SB schools. I need to run, and can't elaborate, but will save for another post. Gavin is officially a student!