Medical History

Medical History

Background

We are always looking for other children like Dominic. Dominic currently has no unifying diagnosis, which means that we can’t ever really answer the question, ‘what’s wrong with him?’, unless you’ve got long enough to listen to the extensive list below. It can, of course, be very awkward when trying to fill in forms that give you one small box to write your child’s condition in, and trust me, I come across a lot of those, but really the hardest part of having no diagnosis when you have a medically fragile and complex child is the unknown. I have no idea what to expect, what the significance of each illness or issue might be and what the future might hold. It can be frustrating, maddening, terrifying and devastating, and you really are stumbling in the dark for a lot of the time, but because the question mark continues to hang over you, there can’t be any closure, or moving on. I’m not sure what cards I’ve been handed yet, but that doesn’t mean that I haven’t found a certain peace in not knowing, instead of staring into the void, I instead search for other parents asking the same questions that I am, in the same situation I find myself in, and that is why, if you look down this page, you’ll see a comprehensive list of the general things that are issues for Dominic. If you find this list because you are searching for answers for your own child, think about contacting me, I’d love to say hello and I might be able to point you in the direction of other families too. There are people who know how you’re feeling.

I have great plans to change what having an undiagnosed child means to families, and when I am not hanging about on Just Bring the Chocolate I can be found over at SWAN UK working on promoting better understanding of the impact of having no diagnosis has on families. These are families who are often forgotten, unable to access local resources and services offered to disabled children, no charities to support them, no parents to say ‘I know exactly what you mean’ and no bookshelf to turn to to find out what the future might hold. Support should not have to start with a diagnosis, and families shouldn’t get lost in the system when the system runs out of technology to diagnose them. There is no government funding to help, but doesn’t stop us making as many steps as we can towards educating doctors, teachers, local authorities and even the government to recognised that just because a child doesn’t have a label, it doesn’t make them invisible.

I have thrown open the door on our family life to invite you in, including sharing Dominic’s medical history, which is below. I hope that you will find yourself laughing and crying with us as we do our best version of winging it… after all when there is no handbook, what else can you do? I hope you will take away with you a sense of just how human we are, stupid, silly, amazing, quirky, chaotic, hopeful optimistic. After all this time, we are still very optimistic. We can change the world. So help me change the one that my beautiful boy is growing up. Please share this website, help me find people, and then perhaps things can start to change. We can’t change the child’s medical condition, but we can change the information and care that families receive.

 

Diagnoses to date

Muscles

Generalised muscle hypotonia, hypermobility and weakness Particularly axially
Delayed motor development Wheelchair dependent as a result of the above.
Significant fatiguability
Truncal hypotonia and thoracic kyphosis Spinal brace/lycra jacket is worn.
Abnormal stimulation single-fibre EMG Performed under general anaesthetic
No diagnostic features on two previous muscle biopsies; no evidence of mitochondropathy
(?) Congenital myasthenic syndrome (RAPSN and DoK7 genetics negative)

 

Bones

Bilateral coxa valga

 

Long bones are equal in length, knees in alignment
Acetabuli are shallow On the right there is uncovering of the lateral 3rd of the femoral capital epiphysis, on the left there is an uncovering of the lateral half of the femoral capital epiphysis
Bones appear osteopenic

 

Gastro-oesophageal

Severe gastro-oesophageal reflux disease. 2 x Nissen’s fundoplication
Neuropathic intestinal dysmotility with large gastric losses. Continuous jejunal tube feeds, stomach on free drainage
Bulbar dysfunction with silent aspiration of fluids. ARDs survivor
Unspecific inflammation of the colon Thought to be related to food intolerance. Prescribed sulphasalazine
Chronic abdominal pain Associated with roux en-y jejunostomy surgery in 2010. Two further operations in 2010 and 2011 for suspected bowel twisting around the limb. Pain returned adhesions removed, pain remains, suspected intussusception.

 

Endocrine

Anterior pituitary hypoplasia.
Anterior pituitary dysfunction
Biochemical hypothyroidism.
Growth hormone insufficiency Growth Hormone peak on glucagon 8.2, low peaks on growth hormone profile
Hypoglycaemic episodes
Temperature regulation difficulties (thought to be a central issue)

 

Miscellaneous

Impaired cardiac function, now improved ?caused by severe ARDs
Pica Not caused by vitamin deficiency

 

5 Responses

  1. Raising awareness of children’s conditions so rare, they’re undiagnosed. | Special Needs Jungle

    [...] Tests to try and diagnose Dominic are few and far between now quite simply because we’ve done them all. The conclusion, if you look at the results printed in his notes, is that Dominic is normal. Ahh, I love that word as it holds so much importance and yet is so often meaningless. Dominic’s version of normal, the ‘there is nothing wrong’ test results, are in conflict with the five volumes of Great Ormond Street Hospital notes and the child that is tube fed, having growth, blood sugar and thyroid problems (linked to a small pituitary), unable to stand or walk, hypermobile and tires incredibly quickly (for a full list have a look here). [...]

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