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Update on Jaden's ACM

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Written by Kevin Harper   
Wednesday, 20 September 2006

It's been a long time since I updated this site about Jaden's ACM (Arnold Chiari Malformation). I usually call it CM/SM (Chiari Malformation with Syringomyelia) because that's a little more descriptive.

He was diagnosed in early 2004 after having a severe case of "drop-foot" (meaning he limped because his ankle didn't have the strength to pick up one foot). He actually had to pick one leg up higher than the other while walking to compensate. We spent a few doctor appointments trying to figure out the cause of the condition, and thankfully, the Kaiser Permanente doctors in California were on the ball and suggested further investigation.

After see the MRIs showing the syrinxes along Jaden's spine, we were horrified. Of course, we spent countless hours on the Internet finding out everything we could about ACM. Most of it was not encouraging. Most adults we read about had horrible surgery experiences, and many children we read about had severe cases of it with botched up multiple surgeries. It was not comforting.

I thank God that our church family and friends pulled together behind us for the surgery. Their thoughts and prayers were evident in every aspect of our lives at the time. The surgery was performed by Dr. Leslie D. Cahan and went better than could have been expected.

Before we found about Jaden's problem, we had already scheduled a vacation with another family to Yosemite National Park, so suddenly our trip was less than likely. We went ahead and decided to leave plans in place with three weeks between the surgery and the vacation. I think if it had been an expensive vacation to a cheesy amusement park, we would have cancelled, but because it was to one of the most beautiful places God created, we decided to leave our options open.

I'm glad we did. Jaden did amazingly well on the trip, and the hiking was great exercise for his weakened ankle. In fact, he was the driving force keeping us going on the hike up to Vernal Falls (not an easy hike, I might add). His attitude was an inspiration to us, and still is.

Jaden is fortunate (OK, blessed) that his CM/SM didn't turn out to be life-altering (so far). I hope his story will give hope and encouragement to other parents just finding out that their kids have this problem. If you find yourself in this situation, may God bless you, and please don't hesitate to This e-mail address is being protected from spam bots, you need JavaScript enabled to view it .

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Help with Kaiser/Cahan?
written by Jen Blinn , September 17, 2007

HI! I came across your site while doing research about my daughter and Dr. Cahan. We are seeing him for a consult on Thursday. My 21 mo. old daughter was diagnosed with 2 syrinx - one quite large - but our Neurologist can not give us the cause. I am very leary of Kaiser as I have had to fight for every diagnosis and teatment my daughter has received from them so far. They have been less than helpful along the way. It wasn't until I called member services that they finally ordered an MRI and that is when we found the syrinx.
If possible - could you give me any insight as to what to expect and/or ask of Dr. Cahan.
Any help would be so appreciated.
Blessings!
Jen Blinn


Kaiser / Dr. Cahan
written by Kevin , September 17, 2007

Wow, what were your daughter's symptoms that caused you to suspect something at such a young age? That's great that you got a diagnosis so young. Others aren't so fortunate.

Kaiser did an awesome job for us overall, both with our son's Chiari and all of my wife's four deliveries there. We made a point of driving to Kaiser Anaheim for everything, and that seemed to make a difference in our experiences vs. the experiences of others we've heard from. Which facility were you having problems with?

Chiari Malformation/Syringomyelia is an extremely hard diagnosis to make because the symptoms can be so vague. Most general practitioners just aren't aware of it. We were convinced our son's foot-drop problem was due to a sprained ankle stepping off our back porch which was under construction. But for some reason, on a hunch, one doctor thought to send him to a neurologist just for a "quick test" to "rule out" something. That's where the nerve conduction test results led them to suspect Chiari as a diagnosis. An MRI then confirmed it.

As frustrating as it was when we didn't yet have answers, we feel blessed that we got them when he was eight rather than as an adult, when success rates for the surgery are not nearly as good.

Dr. Cahan was awesome where it counts...as a surgeon. You'll need to be patient with his bedside manner, which is not always as warm as we wanted it to be, given the trauma of what we were dealing with as parents. But he is a very talented surgeon with a great reputation and a lot of success stories under his belt, including my son. It was only about two weeks after the surgery that we went on a previously scheduled trip to Yellowstone, and Jaden hiked to the top of Vernal Falls with no problem. He amazed us all!

Our prayers will be with you as you go into this. Let me know how it goes on Thursday!

God bless,

Kevin and Diane Harper
This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
This e-mail address is being protected from spam bots, you need JavaScript enabled to view it


...
written by Jen Blinn , September 19, 2007

I emailed you - I hope you got it!


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