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My son just diagnosed with Moyamoya, I'm so scared (Read 11211 times)
momkaren
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My son just diagnosed with Moyamoya, I'm so scared
Apr 13th, 2011 at 11:16pm
 
Hi, I am new here, just found this site tonight. I have an 11 yr old son, Christopher who has down syndrome and is autistic. He  is also pretty much nonverbal. He has a vocabulary of about 60 words. He suffered a stroke this past Saturday, had a cat scan which revealed 3 to 4 silent strokes in the past which nobody was aware of and was diagnosed with Moyamoya. We live in Philadelphia, PA and all his drs are at Childrens Hospital, which is where we took him. He was released today with appointments for speech, ot, pt and appt. with neurosurgeon. I have been told an angiogram would determine if he is a candidate for surgery. I am terrified of something happening in the meantime. I am also trying to research more info about this disease in reference to down syndrome and if CHOP in Phila is the best place for him to be. I have read so much about Stanford, but we are in no position to be able to the travel and other non medical expenses. I just don't know to do or think!!!!! Cry
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mg12061
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Re: My son just diagnosed with Moyamoya, I'm so scared
Reply #1 - Apr 14th, 2011 at 9:01am
 
  I'm so glad you found this site. I'm sorry your son has this diagnosis I know it's very stressful for the whole family. You will find so much support and information here. Hopefully it will make this journey a little less stressful. I know you said that Stanford isn't really possible but Boston Children's Hospital has another MM specialist Dr. Scott. he did my daughter's surgeries 9 years ago and he and his whole staff are wonderful. My daughter also has Down syndrome. She was diagnosed at 5 yrs old, she just turned 14 and has had no strokes since the surgery. I would love to answer any questions you might have. Dr. Scott's information is on this site. It would be a great start to check it out and even send your sons records to him for a consult and possible surgery. Keep us posted and know that there's usually someone here who can help with any questions.
Mary Grace
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pamR
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Re: My son just diagnosed with Moyamoya, I'm so scared
Reply #2 - Apr 14th, 2011 at 12:07pm
 
Hi Karen. My name is Pam and my 15 yr old daughter was diagnosed at CHOP in 09. We did the research and were very lucky to have been able to go to Boston and see Dr. Smith. He was so easy to talk to, and explained everything in great detail for us. We do follow up at CHOP with Dr. Ichord, who is outstanding. But for the surgery, I would recommend making the trip up to Boston. If you have any questions please to not hesitate to ask. You have found a place where people really want to help each other through these trying and often frightening times.
Pam
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momkaren
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Re: My son just diagnosed with Moyamoya, I'm so scared
Reply #3 - Apr 14th, 2011 at 7:21pm
 
Thanks Pam and Mary Grace.

My husband and I were talking about it last night and we will travel wherever we have to to find the best surgeon. I love CHOP, and all of my sons other doctors are there, but I just didn't get the feeling they were "up to date" for lack of better words, on this disease. Especially since my research so far keeps mentioning Stand and Boston.

Pam, Did you consider having the surgery at CHOP? What made you go to Boston?

I see that you both went to Boston for your children's surgeries. You both also had 2 different surgeons and I assume you both felt each one was more than capable of doing this surgery.

Mary Grace, I am so happy to hear your daughter has not had any strokes since the surgery.

We have an appointment this Tuesday with Dr. Storm, neurosurgeon at CHOP. I really need them to go over everything again in terms I can understand. I will be doing more research into Boston hospital.
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pamR
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Re: My son just diagnosed with Moyamoya, I'm so scared
Reply #4 - Apr 14th, 2011 at 9:50pm
 
Hey Karen. We chose to go to Boston because they have WAY more experience. Peaple from all over the world come there. Dr. Scott pioneered the surgery there and Dr. Smith is his right hand man. They also could do it in one operation, something CHOP had said they would not do. I know I would not have gotten my daughter to go back for a second time. It is well worth the trip for the consult. We learned so much from the first visit with Dr. Smith. He put our minds at ease and helped us realise we were going to get through this. The nuerosurgeons at CHOP never came to talk to us and my daughter was there overnight. That bothered me very much. CHOP is a fantastic hospital. But not only are the docs in Boston more experienced in this, so is their staff, from the anistesiologists to the icu, to the floor nurses. They are all terrific. I called for Dr. Scott initially, and his message said he was on vacation. He called me back 1 hour later from wherever he was and said to call the office and speak with Dr. Smiths assistant and he would help in any way he could. I was floored. Chief nuerosurgeon at Boston Childrens called me back from vacation. Impressive!Sorry this is so long!
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momkaren
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Re: My son just diagnosed with Moyamoya, I'm so scared
Reply #5 - Apr 14th, 2011 at 10:57pm
 
Pam, My son suffered a stroke last Saturday while he was with me. We just spent 3 hrs in chuck E cheese then went to eat at ihop. While in ihop, he didn't look right to me. By the time we got home (about 5 min), I thought to my self, he looks like he's having a stroke, I thought maybe I was crazy. Went to CHOP er and they took him right away, did a cat scan and had an mri on Monday. Since he had heart surgery as an infant, they wanted to have the cardiac anesthesia team there. He was released last night (Wednesday). During his stay, we did not see or speak to a neurosurgeon! We dealt with the Stroke team and Neurology doctors. Though we have an appt with a neurosurgeon this coming Tuesday, I had a funny feeling when we left CHOP that I would not be taking him there for surgery. I am pretty shocked that they are not as educated on this disease! We were told he has 3 blood vessels that are "blocked". And that he has other ones that are blocked and that there isn't anything that can be done to these. As I said before, I need to told everything again in terms I can actually understand. It was all a blur when they were telling us this at CHOP. I have looked at Children's in Boston website, printed all the info. and will be asking for CHOP to send his medical records to them asap. I am scared and want to do something as soon as possible. Thanks for your information and I'm sure I'll be talking to you and asking you more questions if you don't mind!
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pamR
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Re: My son just diagnosed with Moyamoya, I'm so scared
Reply #6 - Apr 15th, 2011 at 7:10am
 
Don't mind AT ALL!!! This site is the only source of comfort, knowledge, and compassion  when it comes to moyamoya. That is terrible that they did not speak to you when you were there. It makes no sence. Did you see Dr. Ichord? I believe she heads the stroke team and she is double board certified. That is why we see her for follow ups. How is your son feeling? Did they tell you to have him drink a lot of water? How about the baby aspirin?
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mg12061
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Re: My son just diagnosed with Moyamoya, I'm so scared
Reply #7 - Apr 15th, 2011 at 9:40am
 
  I think Pam said it all very well. The whole staff at Bston makes you feel very comfortable in regards to their knowledge of MM. Kathleen was first treated a very good teaching hospital locally. a hospital that patients travel quite a distance to get to. BUT when they actually never even considered doing her surgery since they knew Dr. Scott was a much safer choice.
What Pam said proves that Dr. Scott is not only an amazing surgeon but a very caring person. Please keep us posted and ask any questions that come to mind.
Mary Grace
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momkaren
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Re: My son just diagnosed with Moyamoya, I'm so scared
Reply #8 - Apr 15th, 2011 at 12:06pm
 
My son is now taking 1 baby aspirin a day. We have to crush it up and put in something he will drink. He is not good at all at taking meds. He never drank much, I could never understand how he could go for so long without a drink. And I am having a very hard time now trying to get him to drink enough through the day, and this is making me more scared!

How long were your stays in Boston, from start to finish? If my son already had the mri, mra and the angiogram, would they want to do them again in Boston? Where did you both stay while in Boston and how did you get there (car, flying)? I am trying to figure out about how much money we would need to make a trip to Boston.
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yunnanababy
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Re: My son just diagnosed with Moyamoya, I'm so scared
Reply #9 - Apr 15th, 2011 at 12:14pm
 
Hi Karen,

I don't have anything to add to what Pam & MaryGrace have already mentioned, but did want to share that my experience with Dr. Scott was very similar to Pam's.  When I first contacted Dr. Scott by email, I received the "out of office on vacation" notification back, so didn't expect to hear anything from him for at least a week, if not longer.  I was surprised then, that within 3 hours of sending that email message, I received an email back from Dr. Scott, offering his help immediately. After 2.5 years of my daughter's doctors acting as though I were a crazy mom who was inventing her symptoms, it was such a relief to finally deal with a physician who took my daughter's symptoms seriously and treated us with kindness & compassion.  Although Dr. Scott did not perform my daughter's surgeries (one of his proteges, Dr. Jodi Smith in Indianapolis did), I never hesitate to recommend that parents contact Dr. Scott to request a consultation - it was the single best thing I could have done, up to that point, on my daughter's behalf.

You & your son will be in my thoughts and prayers.

Best regards,

Jennifer
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Mom to an 9.5 y/o ballerina/guitar player with MMD & an 11.5 y/o gymnast/cross country runner/swimmer!
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momkaren
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Re: My son just diagnosed with Moyamoya, I'm so scared
Reply #10 - Apr 15th, 2011 at 1:13pm
 
Thanks Jen. The more good things I hear, the more I feel better about it (well, just a little better!). I am anxious for Tuesday to come so that we can speak to the neurosurgeon at CHOP just to find out what they have to say. Then I can get this ball rolling.

Glad to hear you daughter finally found the help she needed. Hope she is doing well.
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pamR
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Re: My son just diagnosed with Moyamoya, I'm so scared
Reply #11 - Apr 15th, 2011 at 3:30pm
 
It takes about 6 hrs from bucks county pa. Not sure where you are. The ride is pretty easy. there is a very inexpensive house nearby that is run by the hospital. I believe its listed on their website. Also, I stayed with Courtney the entire time in the hospital. My husband and other daughter stayed in a hotel in Quincy. It was much cheaper than staying right there in town. We arrived on a thurs, she had an angiogran on fri, went back to the hospital mon evening and surgery was on tues. Left for home on saturday.
As far as the drinking, will he do gatorade or anything like that? I also get those water bottle packets of powder mix. Courtney loves them. I think as long as they are hydrated, it really could be any type of drink. Has he tried the chewable asprin? They are kind of like a sweet tart. My daughter won't swollow a pill so we are stricktly chewables or liquid meds.
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momkaren
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Re: My son just diagnosed with Moyamoya, I'm so scared
Reply #12 - Apr 15th, 2011 at 5:22pm
 
Christopher will not take any medication willingly! Fortunately he has rarely been sick where he needed any medication. We are giving him chewable aspirin, but have to crush it and put it in a drink since he will not chew or swallow it. He drinks water, juice, soda and milk. He was never a big drinkr to begin with so trying to get him to drink more now is very difficult. I also think his throat is bothring him a little. After the MRI/MRA, he has had a little cough and it seems like he is swallowing hard, as if he has a sore throat.

He is pretty much nonverbal and I am still not sure how much he understands. He is also very stubborn! lol

We live in Philadelphia and my husband said it would be about a 5 or 6 hr drive. I printed out all the info on the website, including housing. I was wondering if you cold stay with them in the hospital room which one of us or both of us (if allowed) would be doing. How far is Quincy from the hospital? Did your daughter have an angiogram before you went to Boston? Or, do they prefer to do it rather than have one here at CHOP?
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pamR
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Re: My son just diagnosed with Moyamoya, I'm so scared
Reply #13 - Apr 15th, 2011 at 6:11pm
 
Only one parent can stay in the room. Quincy is about 15 min from the hospital. Courtney had her angiogram in Boston.
Stubborn is definately difficult! Yikes!
Have you called Boston yet? The people in the office are great. I was so afraid to call, then again, I was afraid not to call too! It will make you feel better, especially when you go to your appt. on tues. I mean, when I started doing my research, CHOP did not have any info at all on MM on their website. The info is so helpful on the boston site, as I am sure you have seen.
The reason they do the angio there is that is how they plan the surgery. They work closely with the radiologists who do the tests.
This must be a lot for him to try to understand. There is a book available written for children. I know the link is on here somewhere. Might help?
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momkaren
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Re: My son just diagnosed with Moyamoya, I'm so scared
Reply #14 - Apr 15th, 2011 at 7:47pm
 
I have not called Boston yet. I wanted to wait till his appt on Tuesday. I need to have them review everything again with me since it was really a blur at CHOP. I will call right after my appt.

Did you mail or have CHOP mail the medical records? I know what you mean about not being able to read anything about this on the CHOP site. Do you think if CHOP wants to do the angiogram here, I shouldn't let them.? Or, I can call Boston right after the appt and check with them. Thinking about this, I should just call Boston on Monday and explain what is going on and hear what they have to say! Thank you so much for your help.
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pamR
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Re: My son just diagnosed with Moyamoya, I'm so scared
Reply #15 - Apr 16th, 2011 at 1:21pm
 
I would call monday for sure.I would not let CHOP do angio. They will explain all that to you when you call. There is a fantastic link to Childrens Boston doing the surgery. It is so informative, and you can fastforeward thru the actual surgical parts if thats something that may bother you. It is narrated by Dr. Smith who did my daughters surgery and you actually get to meet all the docs on the team and hear their thoughts on MM.I know its on this site somewhere. I found it full of info. I will look for it and let you know where it is.
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momkaren
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Re: My son just diagnosed with Moyamoya, I'm so scared
Reply #16 - Apr 16th, 2011 at 6:11pm
 
haha, I watched the video last night! I found it on orlive.com. I watched the whole thing, even the surgery. I was laughing to my self because I was eating while watching it and thinking I could never even have peeked at something like this when I was younger! It is a great video and very informative! I will be watching it again and taking notes!

I'll let you know how thing go this coming week.
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momkaren
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Re: My son just diagnosed with Moyamoya, I'm so scared
Reply #17 - Apr 17th, 2011 at 9:58pm
 
Pam and/or Mary Grace, did you have to go to Boston for a consultaion first?
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