I am writing this entry from the ER as we wait to speak with Malachi’s neurology team. His cluster seizures came back with a vengeance Saturday night and increased in frequency and severity yesterday. He easily had over 100 yesterday alone, each lasting 10-30 seconds. The “what if” mental game began and I thought it would be best to get him in for a CT to make sure his brain ventricles had not changed with his non-functioning shunt issue. The fastest way to get this done without prior authorization requirements from insurance is to go to the ER.
For all you medical nerds, here are some comparison images from August and today. As you can see there isn’t much change in the ventricles (the black spaces within the brain).


The radiologist also agrees that they are the same size as the last scan, so praise God for no brain surgery! But we still don’t have an answer for the cluster seizures and no way to slow them down without heavily sedating Malachi. Blood work looks great and no signs of sickness.
We are expecting to go home soon as there isn’t anything further the inpatient setting can do for Malachi. I hate that we have to enter a germ filled space to get him checked out, and I prayed fervently as we walked in that angels would surround Malachi as we entered those doors.
We will meet with his epileptologist later this week to talk through medication changes but until then there really isn’t anything we can do to slow them down. His seizures are a symptom of brain damage, and can be triggered by a number fo things…hormones, pain, weather change, moon cycles…so many possible triggers. We have a emergency seizure management protocol that we start if the seizure lasts longer than 5 minutes but with these clusters they only last 20-30 seconds with a small break in between.
Going backwards in time a bit…

We had a wonderful Thanksgiving and even went north for a few days to visit family in Ohio. Malachi worked SO hard on the ride to get his arm up and around Levi as he slept. Here was so proud of himself and so were we. I showed it to Levi later and he teared up.

Levi told me last week that he wants to have 12 kids when he is older and he wants one to be in a wheelchair just like Malachi.
The boys got to play with their cousins and create all sorts of memories. We rented a whimsical house on a farm for the whole crew and it was the house little kids dreams are made of, with secret staircases and hidden doors. Levi says his favorite thing was playing hide and seek, and to be honest I wanted to play too haha! Malachi was an excellent first floor “seeker” as well.



Malachi especially loved seeing his Grammy!


We stayed in Ohio a few days longer than the rest of the family and found an awesomely accessible rental house for two nights, ramps and all! And Levi loved getting to sleep on a trundle bed.

We came home with happy hearts and a bag full of hand me downs, which is always a real treat for Levi.


We don’t do a lot of traditions in our little family of four as our life is a bit to unpredictable and it sets us all up for disappointment when we can’t do things like we’ve always done. But one thing that we have tried to prioritize is picking out a Christmas tree. It is one of Malachi’s all time favorite things to do, and there is an amazing tree farm right down the road that is always so kind to our family.





Malachi wasn’t feeling 100% as we shopped for a tree this year but he still did his best to give us his opinions and help us choose a perfectly beautiful tree for the living room. Levi also enjoyed the process, even getting the chance to carry the saw back up the hill now that he is a big ol’ 8 year old.
We spent some quality time with the monkeys this week, which always leads to some fun photos.

And we all got the chance to attend the wedding of two sweet friends!



It has somehow become a very busy season for our family, but the variety has been a treat.
Trips to the ER always have great potential to trigger some PTSD memories for me…actually the triggers and emotions begin prior to even leaving the house as I prep our bags for a potential stay. Between both kids we have been in well over a dozen of those ER rooms; re-entering those spaces floods me with memories. Almost all of our ER experiences end with an admission, surgery, or ICU stay.
This morning I felt the emotions deep within my belly, almost as if my body was trying to convince me to change my plans. The mental battle that takes place is something I can’t really put into words. I am attacked with worries that I am over-reacting. And then come the fears that I am under-reacting and it could lead to horrible outcomes that I could have prevented.
I don’t talk about this often, but the battle of my mind is truly a daily struggle. Even as we shopped for a tree this year, and Malachi was not himself, I had the thoughts of “What if this is the last tree Malachi will ever get to pick out? Will I ever be able to come back to this place again? How will Levi handle life without his brother and the life alterations that a loss like that would inevitably create?”
If I am not cautious and careful I can allow the joy of the moment to be strangled by the fear of the unknown.
This morning as I spoke with doctors I felt such a wave of discouragement on Malachi’s behalf. He endures so much, and has no voice to speak his emotions and pain. I feel helpless as his mother, but that pales in comparison to the helplessness he must feel. This weekend as I have looking in his eyes, so weary from seizures, this verse has been playing over and over again in my head.
2 Corinthians 4:16 “Therefore we do not lose heart. Though outwardly we are wasting away, yet inwardly we are being renewed day by day. For our light and momentary troubles are achieving for us an eternal glory that far outweighs them all. So we fix our eyes not on what is seen, but on what is unseen, since what is seen is temporary, but what is unseen is eternal.”
This verse applies to every single one of us, regardless of diagnosis, disability, or stage of life. Each of us were made to be pilgrims in this world, traveling towards home.
Reading this verse helps me replace the sadness of the journey with the reminder of the hope of the final destination.
Fixing our eyes on the unseen is a decision we have to make. Our human nature will always fix our eyes on the seen. But faith asks us to divert that gaze and focus on the unseen.
Please be in prayer for Malachi, that he can overcome these seizure clusters and regulate. And please continue to pray for wisdom for Jake and I, that we will be sensitive to the directions from the Lord regarding his care.
Sincerely,
Leah





































































































