Monday, January 28, 2013

An Update as of 1/28/13

Thank you all for your prayers. Those prayers are being answered with an improvement in Bob's health. Although there did not seem to be much improvement for the first few days Bob was taking the steroids, he began doing better on Sunday and he better still today. His thinking has cleared up and he is not so confused, bewildered, and scared. His memory is still not quite as good as it was just before this recent setback, but it is enough better for him to do many of his regular activities.

We still don't know the source of these problems, but one possibility is that Bob has been having tiny seizures that are too small to see but that are nonetheless doing damage to his brain. The blood tests he had done on Friday showed that the level of his anti-seizure drugs was low, meaning his liver is processing them before they can do the good they are intended to do. So the doctor has increased the dose of one of Bob's medications to see if that will help.  Bob will also be on a tapering dose of the steroids over the next several days.

Bob's dad is here helping me and that has been a real blessing. This is a busy couple of weeks for me because we have the candidates for the dean search that I am co-chairing visiting campus during this time.  When we made these plans, I was glad that he was going to be here with Bob so I could have the flexibility to come and go as I needed to.  I didn't anticipate that it would be such a worrisome time and how good it would be to have him here to support me through this rough patch.

It seems that we are again back on the road to recovery after this little detour. Thank you all for your continued thoughts and prayers.

-Megan

Friday, January 25, 2013

An Update as of 1/25/13

We are once again in need of prayer. Bob has experienced a setback in the past week, with a significant decline in his memory function and to some extent his cognitive processing as well. Most things seem to slip out of his memory almost immediately, so that he asks the same questions and wants help rehearsing what have been the events and activities of his day again and again. He is pleasant and happy to help with things around the house, but unloading the dishwasher sets off a fresh scavenger hunt for where things belong every morning.  It has been disconcerting and worrisome for us both.

There are two possibilities for this downturn that the doctor is exploring. Even though we are not seeing much in the way of seizure activity, it is possible that he is having seizures that are too small to be seen but that are nonetheless hurting his brain.

The second possibility is that Bob's immune system is springing back into action, still confused and thus back at attacking his brain. Because Bob does not have a confirmed diagnosis and because the research into this class of diseases is quite young, one of the ongoing questions in charting a course of treatment has been to determine how much immune suppression is necessary and for how long. What we are trying at this point is a high dose of steroids that has to be taken intraveneously. A home health care nurse came to the house yesterday to administer the steroids while I was at work and Bob was home with his dad.  The nurse tried to teach Bob how to do it himself. Although at other times, that would have been a challenge Bob would have enjoyed taking on, with his current deficits it caused a lot of worry and upset. The nurse came back today to teach me how, so I will be Bob's nurse this weekend.

We may be in for a wild ride this weekend, depending upon how Bob reacts to the steroids. We'll hold onto our hats and get through, hoping and praying that this is the answer to turning things back around. One encouraging sign was that this afternoon Bob mentioned that he thought he was feeling a little better. He noted that his memory was not appreciably better but he felt somewhat less confused and befuddled. We'll hope that this improvement continues. 

Thank you for your continued help, support, and prayers. 

-Megan

Sunday, January 20, 2013

An Update as 1/20/13

The past couple of weeks have been very busy weeks as we have been putting the half of our house that was impacted by the mold remediation back together. It has been an opportunity to clean out closets, throw away things we no longer use or need, and get a fresh outlook on things. We were especially blessed in this project when our dear friend Jim Klagge came to visit. He spent hours vacuuming the mountain of books to go back into the bookshelves in Bob’s office. That was a tremendous help! Not only was everything covered in potentially moldy house dust, but the painters had had to do some wall repair, so that added a layer of plaster dust to everything besides. Bob would have been willing to help, but I really didn’t want him anywhere near that project because of my concern that there was mold spores in the dust, and that that mold was in some way a contributing factor to his illness. Without Jim’s help, I’m sure I would STILL be vacuuming and cleaning books! Instead, we’ve got things nearly settled. We’re about ready to hang the pictures back on the walls and call it done.

What has been keeping Bob busy, and pretty frustrated, is getting our all of our technological devices on speaking terms with one another. The computers won’t talk to the printers, and the phones won’t talk to the computers, and televisions won’t talk to the wireless network! Our formerly peaceful home is filled with devices giving one another the silent treatment!  It has been frustrating for Bob to try to fix all of these problems because he knows he used to know how to do it, but his attempts have only seemed to make things worse. After three days in technology purgatory, on Friday we finally called in professional help to get all that sorted out. But even this morning, Bob has been befuddled by technology challenges. It turned out that somewhere in the confusion, the mouse to Bob’s laptop got switched with another mouse so that he had a mismatched set of transmitter and mouse. We finally figured it out and he’s back in business again.

Bob’s memory continues to be a challenge. There are times when it seems to be getting better and other times it seems to be worse. The past few days it is worse. Yesterday, Bob and I spent much of the morning putting together a new bed in the guest room, and then after being out for the afternoon we finished it up in the evening. When it was all finished and the room put back together, Bob was beaming about how good the room looked. This morning when I got up I happened back into the room and called out to Bob, “This room really does look great. Thanks for your hard work on it.” Bob came to join me, and looking around said, “This really does look gorgeous, but I have no memory of working on it.” Even while working on it, Bob’s memory problems were evident. At one point Bob asked me to help him move the mattress out of the way, which we did. Then he left the room for just a minute to go get something. When he returned, he exclaimed “Oh, good, you moved the mattress. I was JUST thinking that we ought to do that!”

There is better news to report on the seizure front. We had a rough patch earlier in the month that turned out to be medication related. It was scary to be back to that place. Once we got him back on his regular routine with meds, the seizure activity quieted down. Now he has occasional small episodes when there is too much stimulation, but mostly he is getting back to his regular activities. He was pleased to have a friend pick him up and take him to his Kiwanis meeting on Wednesday.

Last weekend, we had a big adventure as Bob made a surprise appearance at a WellCoaches retreat that was being held on Captiva Island in Florida. The WellCoaches community is such an important part of his life and he was so delighted to be with all of his colleagues again. It was especially wonderful to be with our dear “daughter” Erika. And while Bob was enjoying being part of the intellectual work at the retreat, I was enjoying having my toes in the sand walking on the beach and reading a novel by the pool! It was a one day respite that really helped recharge my batteries. I am now getting back into work full swing at the university as my semester gets underway. I have a particularly busy spell coming up as we bring in candidates for the Dean’s search for which I am serving as co-chair. Bob’s dad is coming from Cleveland to help out during that time, and I am so glad for his help.

I continue to be grateful for all of you who are continuing to keep Bob in your prayers. It is wonderful to have as much of our former lives back as we have, and we are still hopeful of a full recovery. But it is clear we still have a ways to go. We’ve been told that brains take a long time to heal and to expect uneven progress. We’re having the opportunity to learn new depths of patience, bolstered by gratitude and the awareness that things could have turned out so much worse. If you’ve got a spare prayer here and there, we’d also ask for prayers for our friend Amy who is once again experiencing some mysterious health challenges.

Be well. Megan

Friday, January 4, 2013

An Update as of 1/4/13

Some 25 years ago I was in the midst of a rough patch in my life. I remember sitting in the audience of a musical program put on by the Good News Community Church Choir as they sang a song on the theme of “Leaning on the Everlasting Arms.” That message resonated deeply with me and I closed my eyes and prayed “Yes, Lord, I need to lean into your arms. I am not strong enough to get through this on my own.” No sooner had I lifted that silent prayer than I felt real, physical arms surround me and pull me over into a loving embrace. I let myself relax into that embrace, marveling at how quickly and powerfully my prayer had been answered. I did not open my eyes to see whose arms God had used to answer my prayer until the song was over. I looked up to find that it was Fannie Campbell, one of the loving matriarchs of our little church community, a woman who had a known her share of sorrow and heartache and had been strengthened by it rather than having become bitter. Many times have I revisited the memory of that prayer so beautifully and lovingly answered.

Bob and I are making the final leg of our holiday travels today, returning home after two weeks in which we have spent time with many of the people whose real, physical arms have embraced us and served as powerful expressions of God’s care for us during these past four months. Our souls have been nourished with love, laughter, and play while our bodies have been nourished with good food and rest. Revisiting places that have been important to us in Cleveland, Columbus, and Washington, DC have helped Bob to re-collect precious memories. While Bob still has quite a ways to go to having his memory fully restored, visiting the homes, churches, and restaurants that have provided the context for events that have shaped who we are was a powerful and healing experience for both Bob and me.

We now return to a home that has been undergoing a transformation while we’ve been away. A crew of painters has been busy scrubbing away the mold and mildew that had been growing unnoticed on the woodwork throughout the lower level of our house, and putting a fresh coat of paint on the part of the house where Bob’s spends much of his days. We look forward to an environment that will support continued healing and the work that both Bob and I find so meaningful. We covet your continued prayers and blessings. These have sustained us through this frightening and miraculous journey.

May we all take notice of the blessings all around us in this new year!

-Megan