
Okay, well so far summer has started off for Katia withOUT a "Bang"! She is bored to say the least. She is having to do schoolwork throughout the summer but not a lot. Mainly working on reading and writing to move ahead. She is progressing very slowly in those areas, as well as math but right now, we are concentrating in reading and writing, forming sentence structure and spelling. She is basically still at a first grade level. So, she needs to continuously work on this throughout the summer. Again though, she is doing just a little each day, but the SIGH that goes along with it is teenage level! I have to jump in for her though. Once she gets started, she does put her full effort into her work. Her handwriting is very nice. Things just really do not seem to be retained well. Letter recognition, writing letters correctly, spelling and phonics, etc. Her reading is ahead of her spelling. Katia is frustrated with this.
We think a good part of this has to do with her eyes being so effected by the Graft vs. Host Disease but also some of this has to do with her treatments and the fact her attention span is small and she still has many days of not feeling well so she isn't on a schedule of every day having a portion spent on education like most children would typically be. So, this means her progression is much slower and therefore, she does school work at odd times and during the summer. Her school work consist of some 1st and 2nd grade work. Her school level isn't looked at like most children's.
So, how is Katia feeling these days? Well, as mentioned her eyes are causing her a great deal of pain and discomfort right now. Two different types of issues bother Katia's eyes. One is discomfort in the way of irritation like the eyelids and the actual eyeball are messed up from Graft vs. Host. Eye drops used to offer some relief here and still do offer some. She has been on so many different types, both prescription like different steroid drops, restasis drops, over-the-counter drops, many times a day, lesser times a day, etc. She has done cloth compresses and creams and ointments. She has had cornea surgery which worked giving some relief as it scraped off the damage but the damage came right back within a couple of weeks since the Graft vs. Host Disease is still active. So, that part of the eye problem is still ongoing and something Katia is used to dealing with, sad I know.
The other eye problem is light. Light causes a great deal of problems and pain for Katia. She wears sunglasses all the time. Unless she is sleeping, she is wearing sunglasses. She will often fall asleep with them on. She will have them on to take a bath until it is time for me to wash her hair. This issue has gotten worse and worse. She is very light sensitive. We blocked off one of the windows in our house last summer, the one in our living room so it would be more comfortable. This keeps out some of the natural light and that does offer some help to Katia. She is home most all the time due to her immune system. We have always tried to work around her while also trying to keep things as "normal" as possible.
Katia has seen eye specialist, cornea specialist, gone to specialized eye centers and really what everything boils down to is the Graft vs. Host Disease. It keeps coming back to that. Her body needs to accept the marrow. When this will fully happen is unknown. Until that happens, her medicines continue, her immune system will be compromised, she will have to be restricted in what she is able to do and places she can go, etc.
Her other issue that has been caused by the Graft vs. Host it seems is her mouth. Her mouth has had numerous lesions throughout the past few years on her cheeks and tongue and now has an ongoing burning issue and pain which is effecting her eating ability causing her to lose weight. In the past 2 months she has lost about 5 pounds. Katia typically loves to eat and right before this really got to be a problem, her esophagus was an issue. That seemed to be resolved with surgery and this has become a problem, her mouth.
Katia was 2 when she was diagnosed and really didn't know what was going on. She knew her parents loved her and just wanted her family with her and as long as we were there and we seemed okay, the world was good and everything would be okay.
She was 3 1/2 when she relapsed, she was scared and she knew she would lose her hair (she was okay with that), she knew she would get more medicines that would make her sick (she was not okay with all of that!), she knew she was going back into the hospital (didn't like that) and she knew her doctors would do everything to make her better (she loved her doctors and nurses!).
During her time of treatments when she was 3 1/2 and while we were looking for a bone marrow match, Katia turned 4. Not only did she turn 4, she was learning a LOT about what was going on and what the world of cancer meant and just so much more than a 4 year old should have to know. Her world still revolved around her family but she was growing much more compassionate for others and their pain.
She has remained that way and she struggles right now with the fact she too wants to feel better. She just wants to simply feel good especially her eyes, now her mouth. She doesn't so much complain as you can see it simply wears on her. She wants to be a kid, feel good, go places, do things.
Katia has been able to do very fun things along the way like meet the Disney Princesses at Disney, a day at Seaworld, meet Ronald McDonald!, meet some other great fighters of cancer, Disney on Ice, have her Playhouse Wish fulfilled and along the way we have all met some of the most incredible people doing some amazing research that have dedicated their lives to finding better treatments and cures to cancer and other blood related diseases.
Katia does understand, as do we, that it could be worse, much worse. She has remained in remission since transplant. She is 5 years out of transplant. She has remained on medications for a long time that could be extremely hard on her body's organs and yet she is still able to take them. Katia has osteoporosis and yet has not had any fractures. She has a great team of doctors and a great hospital! On days when she seems really down or just doesn't feel good, it isn't as easy to distract her or give her the speech "it could be worse". I don't really think that speech is so much mine to give really. But, I can see that she must kind of give it to herself or something close to it. All in all, she is still that innocent child that has the mind to focus on the more positive things at hand and not the focusing on every negative thing going wrong at one time. It isn't so much a lesson learned but a lesson often forgot with age as we leave childhood behind it seems. They depend on the fact they will feel better and just leave it at that. As a parent, I find it hard to just leave it at that but I do put my faith in God and I leave it to Him.
The other night I was making dinner (something I should do more often I suppose) and Katia was sitting at the counter and we were actually talking about attitudes because she had just snapped at me after being called down about snapping at the dog for not wanting to be attached at the hip with her. I told her being rude was no way to talk to anyone, not a person, a family member, the dog, anyone. Don't make it a habit. She hadn't been feeling good and had been having a generally bad day anyway so I had said all I was going to say on the matter and she just put her head down on the counter. I thought either the light from the kitchen was bothering her eyes, she was pouting, or crying. So I asked, "What are you doing?" No answer.... So I asked her again, "What are you doing?" She looks up with the calmest look and answers, "Praying."
Katia has always found peace in praying and turning to God and she has always felt comfort in God answering her prayers. She doesn't go to Him for only big things but for anything, no matter how "small" it may seem to someone else.
She later said she was praying about "everything" so that pretty well summed it up for me.
Faith like a child:)
Love, Tracy