Tag Archives: Katie Beckett

Connor’s version of March Madness includes an MRI and sedation

So much going on this Month but we made it.

We gave him a playroom, and he acted like he'd been sentenced to Riker's.
We gave him a playroom, and he acted like he’d been sentenced to Riker’s.

We still have a child named Connor, in case my lack of blogging made you think he had packed up and run off to Borneo as revenge for us regulating his iPad time.

Let’s back up to February when we heard a loud thump followed by crying from his room. We ran in to discover that we had a Defcon 1 situation and Connor had escaped the crib. He wasn’t so much hurt as I think he was surprised by the floor, so he transitioned to the toddler bed that week. I did not expect it to go well. We moved more toys into the room, added a gate to the door and removed all potentially dangerous and/or greasy objects from his drawers. The first night he cried and yelled for two hours and I had to rock him to sleep. Not because of the bed, but because baby gates have always inspired great rage in him.

IMG_3673But after that, piece of cake. He would actually get in bed and stay there. I was shocked. I had expected him to trash the room and pass out in various spots on the floor. Instead, he stays in bed until light begins to peek through in the morning, and then he’ll either go play or drag objects into bed with him. In the beginning I’d find him passed out in a sea of pants and diapers he’d dragged from the drawers (yeah, no idea) but he has since graduated to his puzzles and trucks. The transition has been incredibly easy as long as he has his Pillow Pet dog to shine on the ceiling.

Staring into is even better than watching the ceiling.
Staring into is even better than watching the ceiling.

March was probably the busiest month we’ve ever had.

Washington D.C.

Chris and I joined other TS Alliance volunteers from around the country again this year to meet with our congressional representatives and senators on behalf of our state. I’m excited to say that the Alliance got the most signatures ever in support of the Tuberous Sclerosis Complex Research Program. Georgia Senator Johnny Isakson was one of the authors of the senate Dear Colleague letter, and in the House of Representatives from Georgia, both Rep. Hank Johnson and Rep. David Scott signed on in support again this year. We were fortunate that the meetings were set for Wednesday March 4 since a snowstorm blew in and shut down the government on Thursday. Despite the cold, Chris and I got a lot of sightseeing done. And I only busted my butt on the ice once.

Boston

IMG_3995We flew home from D.C. on a Friday, picked up Connor from my parents and flew up to Boston on Sunday morning. I had booked an early flight since this was our last trip given Connor is aging out of the TSC study and I wanted to make the most of the day. I was not aware at the time of booking that we would be losing an hour of sleep thanks to Daylight Savings. We boarded our 7:30 flight, took off, and landed right back in Atlanta 10 minutes later due to an issue with the landing gear. I was tired and disinterested in dragging a sleeping toddler off the plane so my thought was, if we gotta land on it, let’s just do it in Boston. If it meant spending the day in the airport waiting  for a flight we weren’t going, but crazily enough Delta had a plane ready immediately so off we went. Boston was still covered in several feet of snow from the big storms the previous month. Roads and sidewalks were cleared, but space was tight with the mountains of dirty snow and abandoned cups on each side of the sidewalks (because apparently trash melts too when thrown in a snowbank).

While we were there we scheduled Connor’s annual scans. He had a brain MRI and an ultrasound (the recently updated IMG_4016protocol recommends an MRI of everything, but I just couldn’t seem to get someone on the phone that would make that happen this time). Since kidney involvement is common, we prepared ourselves for the possibility that Connor would have some sort of involvement by now, even though his previous scans at birth and six months were clear. When the tech came back to take additional photos after showing the initial pictures to the doctor we were pretty sure we were right. Connor does now have signs of TSC in his kidneys–innumerable minuscule angiomyolipomas. They are not problematic or affecting his kidney function, so we will just continue to monitor for growth. Hopefully they will not ever require intervention.

Weirdly, though I prepared myself for changes in the kidneys, I did not expect any change in the brain. There is no rational reason for that, I just didn’t. Turns out that one of his SENs in the ventricle has grown from 5mm to 7mm. It does not require intervention at this time, but the doctor recommended a followup in six months to be safe, rather than waiting the usual year.

So, not the best news, but certainly not the worst, or anything too crazy for TSC.

My crowning achievement of the trip was while Connor was having his MRI. I fell asleep in the waiting room, and awoke to the nurse telling us we could come back and see him. I jumped up in a half-asleep state of confusion not realizing my leg was completely asleep. I mean absolutely 100 percent numb and unfunctional. I crashed to the floor drawing a gasp of horror from an onlooker. I tried to get up, but couldn’t. My leg could not support any weight whatsoever. I looked really cool, but seemed unhurt…until we flew home that night. Then began the first of several days of my ankle looking like this:

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But I must reiterate — I looked really cool.

Katie Beckett and IEP

Upon return I dealt with the immediate turnaround of Connor’s Katie Beckett renewal paperwork. They give you like a whopping two weeks to get it done, plus it came while we were out of town and was due when we would be gone again. Thankfully, we had an easy renewal this year (assuming we get re-approved), requiring only some basic forms and not the common 10,000 pages of therapy notes.

Then we had Connor’s first IEP meeting since he’s aging out of Babies Can’t Wait. He will begin at the special needs preschool in April, attending Monday through Friday from 8 until 12. It went pretty well. Their goals were well in line with what we were looking for. He will receive 45 minutes of OT, 45 of PT and 60 of speech a week. Plus he will continue with private speech, OT, music and aquatic.

Connor’s 3rd Birthday Party

We celebrated Connor’s construction-themed birthday a week early since we needed to be out of town for a wedding on his actual birthday. He was very accommodating in that he doesn’t know what date it is anyway and never has objections to being given trucks on any given day. Rosie the dog donned her construction gear and I even tried my hand at amateur cake making:

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A few days later Connor went to my parents and we went to Antigua, Guatemala to round out a whirlwind month…but that’s my next post. Stay tuned so I can get all Rick Steves on you.

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I agree to jump through your hoops. Can’t you just agree to just hold them steady?

I had the most ridiculous morning Friday thanks to the Georgia Department of Human Services. I am unconvinced they know the definition of either “human” or “service.”

It started Thursday evening. I received an automated phone call from them informing me that they had tried to mail me something on behalf of Connor, but it had been returned to them due to an incorrect address. Since it must relate to one of the programs Connor has qualified for, either Katie Beckett or HIPP, this concerns me. We’ve changed our address with them, but whatever, right? I was given two numbers to call the next day — as it was after seven (thanks for making me worry when it’s too late to do anything) — a local and a toll free.

Friday morning around 8:30 I attempt to call the local number. Call fails, so I call the toll free number. I spend seven minutes, according to my phone log, trying to navigate the automated system to get a person. I end up trapped in a dead end when I make a selection for which I don’t have the information to input that they want. So I hang up and call again. I try hitting anything to get a person. After I slam my phone down still connected, Chris takes it and successfully gets a person on the line who informs him that she can see us in the system, but she doesn’t know what was mailed. She gives us another number to call.

I call it. Then I spend almost 45 MINUTES on hold. In the time I wait, I give Connor breakfast, get dressed and carry my phone and Connor’s KB Medicaid card around the house with me in case they need his Medicaid number. When she finally picks up, I realize I’ve left the card somewhere and I have no idea where. She’s asking for his social or some other number. I am already about to lose it, so I’m shrieking, “Shit! I had it the whole 45 minutes I was on hold and now it’s gone!”

She keeps telling me to give her some other identification number I don’t have, so I run up to Chris to get Connor’s social security number that I so desperately need to memorize, but agencies like this have left no room in my brain to keep it, and I give it to her. She keeps asking me for some other number and I tell her I don’t know what she’s talking about. At this point Chris takes the phone and goes off. He basically has to tell her to shut up and listen and use the social security number. A total of 49 minutes was spent only to be told, again, that she can’t see what was mailed to us either. Call your local agency.

By now, I’m late taking Connor to music therapy and about to have an angry, ugly cry meltdown because my morning has been ruined, my happy baby trying to get my attention to no avail, all so I can return a phone call to an inept agency when I don’t even know if it actually matters or is important.

Well, we’ve been getting our monthly HIPP checks with no issue. And I sent in all the paperwork for Connor’s Katie Beckett renewal last week. KB is the only thing up in the air, so in order to save my sanity, Chris makes the call to our local agency and to Connor’s caseworker leaving a voicemail to find out if she has received the paperwork and if she knows what was returned to them to trigger this auto call. Well over an hour spent returning a phone call and I still don’t know what the problem is.

This is after the recent ordeal of renewing Connor’s Katie Beckett Medicaid. KB is a fantastic program. It provides a secondary insurance to kids who have private primary insurance and major medical issues, but it is not based on income. It helps cover costs that are not covered by our primary insurance. We first applied last year with the help of Connor’s early intervention caseworker. The application is a lot of work and a lot of information to gather, but worth the end result. Then the letter came that it was time to renew. We were directed to fill out an online application. We were naive and new to the game so we did it. Several weeks later, we received a denial stating we hadn’t submitted all the requested information. I quickly garnered in FB support groups that 1. it’s better to have them send you the full paperwork packet all together — the online form consistently spells trouble as it’s not really intended for KB recipients, and 2. even if I do fill out the online form, I should then receive a packet asking for additional information, doctor forms, and — naturally — a lot of the same information already asked online. We never received the packet. Just a rejection. I started trying to call for help. You know what you get? A lot of voicemail boxes. Boxes that are full. The denial letter offered me the opportunity for a hearing — you know, in a court. With judges and lawyers. I don’t pay anything out of pocket, except as a taxpayer. Like you. All to get a benefit for which my son no doubt qualifies. I learned in the support groups that this is very common and that you pretty much always get it on appeal at that pesky additional cost to the taxpayers. Then I speak with someone else who advises getting in touch with Connor’s caseworker and seeing if she’ll just give me an extension. Once I finally get the VM when it’s not full, I finally can leave a message which results in the needed extension. We currently await the results of our completed renewal application.

This renewal will happen every year even though Connor has an incurable condition. That’s how it is for everyone.

I’ve been hesitant to be critical of programs that I am so grateful for. We’ve been very lucky in Georgia. I read terrible stories in my support groups of people in other states trying to get their children into the early intervention programs and being wait-listed (which defeats the entire purpose of EARLY intervention), some states  have Katie Beckett wait lists so long the kids age out before receiving benefits and HIPP — which is a huge financial support for Connor — isn’t available everywhere. He receives KB and HIPP because our family has too much income for him to qualify for social security disability.

I agree to jump through your hoops. Can’t you just agree to hold them steady?

I have filled out your paperwork and gathered your very specific requirements of what kind of specialists must provide evaluations of my son (ironically, this leads to you considering an evaluation from someone who saw him once to a much higher value than anything submitted by his regular doctors and therapists that see him all the time). I have made the drives back and forth to the office when my carefully organized packet still turned out to be lacking something.

If we screw up, the penalty for our kids is huge. That’s why we parents jump these hoops. That’s why we give each other tips in support groups. That’s why countless parents lose sleep every year when KB and HIPP renewal rolls around.

Yet the hoops keep moving and changing. Full voice mails, directions to call numbers where no one can help, paperwork not being sent, paperwork being sent minus essential forms, required forms not being available online, people having to go to hearings when if the process was clear and streamlined, it wouldn’t be necessary. You have made it impossible to return a simple phone call.

How much taxpayer money is wasted on these inadequacies? I’ve heard more people are losing benefits as the belts tighten. Maybe if this system worked, more money could be spent helping people. I’m more than happy to submit the proof you need, but perhaps we can agree that an annual renewal for kids who have incurable conditions is excessive? How much time and paper and manpower could be saved on that alone?

Truly, Georgia, I appreciate these programs. I don’t feel entitled. I feel grateful. But special needs parents have to reserve our energy and sanity for more important things.

I need my energy to stay positive on the days when Connor has a setback with his seizure control and wakes up with a violent tonic clonic.

I need my energy for being patient while waiting for my 2-year-old to say his first word.

I need my energy for carrying my 2-year-old who WILL walk…but isn’t YET.

I need my energy for mixing meds twice a day.

I need my energy to fight a government that thinks my child’s access to medical cannabis should be based on his zip code.

I need my energy to keep track of 4- 7 therapy appointments a week.

I need my energy to coordinate an MRI and doctor’s appointment in a very narrow window of when we will be in Boston for a TSC study and when his doctor is actually available.

I need my energy to make multiple follow up calls to hospitals and doctors to remind them they should have billed secondary or that they never sent a form I asked for three times already.

I need my energy to trouble shoot my son’s medical diet for seizures and figure out why it isn’t working as well now as it was in the beginning, and also to force him to eat when he doesn’t want to, because not eating = more seizures.

 

You see, I simply don’t have anything left for you. I will fill out your forms and collect your documents. I will meet your deadlines. I will provide you whatever evidence you need to believe that my son has an incurable genetic condition that causes seizures and developmental delay. But that’s all I have to give. The energy supply is gone. I can’t sit slumped in the waiting room of music therapy, drained from trying to return a phone call.

Please, please stop moving the hoop.