Wednesday, April 25, 2012

The Unknown Road



When our children are born, we spend time studying them, counting fingers and toes, looking for birth marks, discovering who this little baby is.  We compare their marks to our own looking for similarities between us. 

Our oldest daughter (now 14) was born with multiple café-au-lait spots.  They are coffee colored spots of varying size and shape.  I always thought they were kind of cute.  Apparently these spots can be an indicator of a genetic condition called Neurofibromatosis if they meet certain quantity and size requirements.  Our doctor had her evaluated for NF because of the spots at 4 months old.  She wasn't diagnosed with it and we thought we were in the clear.  Apparently we were not.

In January when we took the kids to their regular pediatric check up, our pediatrician recommended taking her to the local Neurofibromatosis Center for an evaluation.  She discovered a new symptom, freckling in the arm pits.  (The frantic mother in me starts wondering:  When did these freckles arrive, was it just in the last year, five years ago and we are just noticing???...when?)  We had the appointment at the NF Center this past Friday and our daughter was officially diagnosed with Neurofibromatosis, specifically NF1.  NF1 comes from a genetic mutation on chromosome 17.  Nothing we did could cause this, its just something that happens as the cells divide at conception.  There are other forms of NF, depending on which chromosome has the mutation.

No doubt, this is very unsettling to me, honestly, I am scared shitless.  There are so many aspects of this that I cannot wrap my head around.  But as my brain processes this and I begin to rationalize, it seems to get a little easier to grasp.

First, this is not a life threatening condition.  Thanks and Praises to GOD!

I find it rather difficult to understand how someone could receive a diagnosis for a condition with just looking at their body.  No blood work, no testing, just appearance.  I also find it difficult to get diagnosed with a condition without feeling the need to go to the doctor in the first place....no symptoms.  For that though, I am really grateful.  She has no symptoms!  My brain is churning in the background thinking up all these possibilities, wondering, running scenarios; such as, is it possible to have these café-au-lait spots and freckling in the arm pits and NOT have NF1? 

So at the appointment we learned a bunch of nothing.  We learned that the condition can range from very mild to severe, and there is no telling what you will individually experience until it manifests.  We learned that 50 percent of people inherit it from their parents and the other 50 percent are the first in their family to have it.  We learned that 1 in 3,000 are diagnosed each year and that 13 new cases are diagnosed in Baltimore alone annually (I have never met anyone with it).  We learned that there is no treatment and no cure.  And our instruction for the road ahead, come back to visit the "spot doctor" at the NF Center next year for a check up.  I think all this combined is why it so hard for me to wrap my head around.  It's like I am sitting here just waiting for a ton of bricks to fall on my head out of no where.

Does my daughter understand all this?  Does she feel the same way I feel?  Are we supposed to talk about it?  What are we supposed to say?  Do we tell anyone?  How do we prepare ourselves for the possibilities when they vary so greatly?  Where do we go from here?  Is there something I am supposed to be doing?  What type of questions am I supposed to ask her doctors? 

We've talked about it, but not in great detail.  Honestly, I don't know what or how to talk about this, I don't know anything about it other than what the doctors told us and we've been instructed to stay off the internet because of how scary the information out there can be.  I've told her to ask me any questions and I will get in touch with her doctor to get answers.  I guess we just end up living life as usual and as we travel the unknown road ahead of us. 

I will use this blog to air out my frustrations, scares, and worries because keeping this all locked inside has literally driven me crazy for the past several days.Oh, and if there happens to be someone out there reading this and you are interested in finding anything out about NF1, do not go to Dr. Google!  Check out these reliable sources of information that isn't as scary as the other stuff you will find.