In the last few days I have gotten a few Facebook messages
from people asking basic information about Tyler, like how old he is. When I
started this blog, it was with the intention of just keeping our close friends
and family informed, and also writing it has become my outlet to process this
ordeal personally. But now that I’ve had nearly 9000(!) page views on the blog,
and I have added many new Facebook “friends,” I realize there are many of you
following Tyler’s story and praying for him who know nothing about him.

Tyler has been such a trooper through this entire illness.
He rarely complains, and he is more patient than any of the rest of us. He gets
frustrated and sometimes cries when the tics get out of control or when he’s
trying to say something to us and is unable to communicate. He wants to
understand everything the doctors say, and each time a doctor leaves the room
he moves his hands in a talking motion, his sign to let us know he wants us to
explain. While he is currently unable to talk, he understands everything that
happens around him, and he dislikes it when people talk about him in front of
him as if he’s not there.
This is day four of our second hospitalization. He’s spent
the last two days doing an IVIG infusion treatment. It’s a bit of a shot in the
dark, but if Tyler does have an auto-immune disorder called PANDAS rather than
severe Tourette Syndrome, then the IVIG could eliminate Tyler’s illness within
a few days. So far, the side effects of the IVIG have been fairly minimal,
except he’s dealing with quite a headache. We also have a spinal tap scheduled
for tomorrow morning that will test for other rare neurological illnesses that
would have been missed by his MRI last month.
Tyler is now on a pretty good regimen of sedative
medications that keep him calm enough that he’s at least not constantly
flailing around and putting himself in potential danger of injury. We’ve had a
couple bad episodes yesterday and today, but he’s spent most of the time pretty
tired, which is a very good thing for the time being. Yesterday he took a
four-hour nap, and except for the headache he dealt with all night, he slept well
through the night. As long as Tyler continues to do well, we should be
discharged tomorrow after he wakes up from the spinal tap and feels well enough
to make the trip home. We’ll go home with the prescriptions for the same
sedative medications, and over the next few weeks the SSRI we added will
accumulate enough in his system to help calm him, and we can then safely back
off the sedatives. As much as I don’t like doping him out with meds, we really
have no choice for now since the alternative means he could injure himself
badly.
Brian and I also experienced a real breakthrough of another
nature with Tyler today. Over the last ten days or so, he has lost the ability
to talk, and we have resorted to charades and occasional typing on the computer
(though typing frustrates him for some reason). Brian sat down with Tyler this
afternoon at a point when he was really frustrated, crying, and flailing around
wildly. They made a deal that they would both agree to be patient with each
other, no matter how hard it was. Then Brian embarked on asking Tyler a bunch
of questions about his condition. It was very difficult to communicate, but the
more Tyler started realizing that we were understanding him, the more he calmed
down and the more he started really working with us to help us understand. He
was able to communicate to us (through a bunch of yes-and-no questions) that
the shouting, blabbering noises, and head thrusts are all part of the tic. When
he flails his arms and legs around, that is because he is frustrated. It
doesn’t always mean that he’s frustrated or angry in his emotions; sometimes
his body just gets extremely agitated and it comes out in the flailing motions.
But he can tell that those movements are different from his tic. He can’t make
the tic stop, but if he tries very, very hard to be patient, he can control the
flailing around. However, if he becomes upset because the tics are out of
control or he’s trying to say something and isn’t being understood, it’s hard
to control the flailing because he’s so frustrated. He also didn’t know
something we knew: that his ability to speak would return. He was very scared
that he would never be able to talk again. When we explained to him that Dr.
Chrusciel and the others had assured us that his ability to speak would return,
he was very relieved. He was much, much calmer after that conversation. We were
able to understand his condition in a new way, and now we know how to help him
better. It was a blessing for all of us.
Thank you for all the prayers for Tyler and our whole family.
We really appreciate them.
May the peace of God overwhelm you. May you taste of his
goodness and mercies in ways you never imagined before. May you be aware of
God’s presence and activity in every moment of your life, and may you walk in
the destiny he has for you. Blessings on you all!
Thank you for the update. Tyler was on my heart this morning as I was praying. I prayed freedom and healing and release for him, Grace, strength and wisdom for you and Brian, and assurance for your other kids. After reading this I'll be praying for the new treatment to be effective and for hi/your communication.
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