AMC Awareness Month

June is AMC awareness month. On June 30, people all over the world who have been affected by AMC will wear blue to increase awareness of this rare condition. If you know Helena, I encourage you to wear blue for AMC!

Helena’s condition, Arthrogryposis Multiplex Congenita is a rare condition that causes three or more joint contractures in two parts of the body. We first discovered that there was something going on with her joints during my pregnancy at our routine mid-pregnancy ultrasound. Many babies are not detected before they are born – and many mothers are asked to terminate their pregnancies when this information is discovered. We are thankful to have had doctors who were not of this mindset! Learn more about this experience in this post: Perfection Redefined

Typically, it is said that AMC affects every 1 in 3,000 births. With some variants of the condition, it may even be closer to 1 in 10,000. AMC is not considered to be a disease or syndrome, but rather a condition caused by another health problem or environmental factor.

There are many reasons AMC might occur. There may not be enough room in the mothers womb, and limited movement may be the cause. There is research to suggest that certain nerve activities that occur in fetal development may have been delayed, causing contractures. The condition can be caused by a maternal illness or genetic factors. For this reason, AMC is different in every child who has it. No two kids are the same.

We found out in December of 2019 that Helena’s AMC was likely the result of a genetic condition. We are still learning what this means for Helena’s plan of care.

The Season of No

As a public school music teacher and the mother of kids who are learning remotely (while I work in-person), this school year (and all of 2020) has been one of blessings and of challenges.

I believe in being a part of community. I will be the first to say that I believe that it is a healthy practice for my kids to be in a school classroom with other kids. I believe in keeping kids active in school culture and the community in which they live. And as community members, I want my kids to flourish and grow.

But this school year for us has been a season of no.

No to in-person learning.

No to extracurricular activities.

No to eating out since March 2020.

No to casual shopping in a store.

No to large gatherings of any kind – including church.

No to family gatherings where more than 9 people or two households will be meeting.

No to Christmas dinner with extended family.

No to seeing smiles unless they are close contacts.

No to traveling anywhere but home.

One day, I was speaking with a friend who was frustrated by the lack of consistency in Covid rules. I agree that in many ways there are inconsistencies – but I explained to them that at our house we work to be very consistent.

We do ALL of the things:

We do not go out unless we have to. When we do, we immediately shower when we get home. We quarantine our clothes. We quarantine any goods we receive. We mask up around anyone we don’t have in our “living circle.” We, quite honestly, aren’t socializing outside of our family circle.

My classroom Covid-19 procedures are, for the most part consistent with what I do at home, as well. We try to consistently wash hands or sanitize at the beginning and end of every class. We sit nearly 6 feet apart. My passing periods are spent spraying chairs and washing my hands to do it all over. If we use instruments, they are all sanitized or quarantined for 2-4 days before reuse. As a school district, we all wear masks and have done well working together to maintain a safe environment.

Our motivation for having Helena and Rebecca in remote learning is neither a political statement or done out of fear. Our motivation is to ensure Helena stays well.

Helena is doing very well! However- her condition is incredibly rare, only occurring in 1 in 3,000 births. When a specific genetic condition is pinpointed, AMC tends to be even more rare. In addition, Helena’s doctors tell us that even among kids with similar genetic mutations, Helena’s condition is quite a bit different. We don’t know much about Helena’s genetic factors – we just learned of them in December of 2019. What we do know: Helena has AMC caused by a genetic factor that also causes other medical issues.

What does this mean?

Doctors really don’t know much about her condition. They have very few examples of kids like her who have been sick with COVID-19, and most, like Helena, do seem to be kept at home. This makes doctor recommendations a little more unreliable in that they don’t have the scores of data available on kids with genetic conditions. They have to make an educated guess.

I do believe the medical community is doing the best they can to rise up to an enormous challenge, and I love Helena’s doctors. But as far as recommendations on what is best right now, it is really hard to place complete trust in a physician. There simply isn’t enough data.

For that reason, we feel it is best to go with what we feel God is telling us to do. For us, this means that for now, we need to continue in the “Season of No” until the right next step appears.

When will that be? I wish I knew.

There are many times when I find myself lamenting and sad over this time. I hate how limited we are at times. I (more than) sometimes hate being “different” from the status quo.

And yet…

I know as a Christian that a “Season of No” can be an opportunity to grow in Christ. And this has been true for our family.

We have had to learn to be more reliant upon God, and as we have done so, we have been given the opportunity to take stock of what is important.

We have learned that God’s best for us is not always the same as what His best is for others. We knew this before – but now, we are truly living it.

We have learned that some things in our lives we felt were right but didn’t make sense were put into motion for a reason. (And we have marveled at this.)

We have learned that when we do what God feels is best for us, people sometimes get upset. To us, our response to the pandemic is not political. However – inclusive of all political persuasions on the pandemic, we have had people of all types of beliefs upset with us. If we are trusting God, however, we are still on the right path. We must continue to trust Him first.

I have personally been reminded that my greatest fear is disappointing (losing) people with my choices. The times when I feel the most stress is when I feel I have disappointed others; but to do the right thing, I must attempt to trust God and let this fear go.

In addition to these lessons, there are other blessings we have encountered:

Our family has been able to simplify and enjoy one another more. We eat dinner together every night. At a certain time each evening, chores and all housework comes to a close and we spend some time together.

We are able to sit and enjoy church together as a family online. A couple of weeks ago, we sat on our front porch as the snow fell and listened to our worship service. Helena discusses how much she loves the pastor, and calls the music minister by his first name.

Helena has never met the pastor or the music minister in our church- nor has she been in an adult service – she has always been in Sunday School while worship is going on. She is paying attention – and despite our circumstances, Helena will be ready to attend worship when we are able to return.

We have been able to save money and eat more healthily by not eating out or going places as much. This is something we hope to continue. While it seems convenient to eat out, the time it takes is often a trade-off for much needed rest at home.

We are reading a lot more. I have already completed 5 books for 2021. My goal for the year was originally 25 based on previous years. I think I may need to up it! Helena has read well over 100 books since December 15.

In the evenings instead of watching television, we spend our time listening to audiobooks. We are on our second and third ones of the year and will finish them both this week.

Our “Season of No” has been a time for reflecting and making adjustments to many things in our lives. From our finances and the possessions we hold on to, to our faith and beliefs, we are delving deeper and making more meaningful decisions. And slowly – we can breathe easier.

We know that when the time is right, our lives will get busier. Our high school freshman has sacrificed much this year in the way of social activities with friends and extracurricular activities. It makes me sad that she has not been able to have some of these things. And yet- we know that these things will come back into her life soon- and we hope that she is able to enjoy them more fully when they do.

As we push ahead in the year 2021, I hope to see that our “Season of No” will prepare us and develop us as we make way for a better time in life. But as we journey along – we strive to enjoy the blessings of being together.

Faith Informed Action

In December, Stuart, Helena and I went to Dallas to see Helena’s neurologist. A few months earlier, we did whole genome sequencing to look for possible causes of her condition. After a long wait, the results were finally back.

Scottish Rite Hospital, December 2020

Almost every person has some genetic mutations in their makeup. What is more rare is when those mutations work together to cause a medical condition like Helena’s.

Helena has a genetic mutation from both of us that contributes to her condition. This genetic condition can cause muscle weakness, contractures, and cardiomyopathy.

Based on this information, we visited a cardiologist in January. We had an EKG, and after the results were in, we were relieved to find out that Helena’s heart is fine for the moment. We will go back for a follow up in 2 years unless something new comes up.

No one can determine when cardiomyopathy will show up – just that it is a likely possibility to eventually occur based on this testing. Along with genes, external factors like illness can play a role in when this happens.

In February, Covid-19 started spreading in the US.

My husband had been watching information about this virus since December out of personal interest because of an early news story he heard. He has some experience working in the chemistry lab of a pharmaceutical company. He understands pretty well the potential harm a new virus can cause, and was a little concerned about this report.

I was more in a state of concerned denial. In February, I went to my work conference in San Antonio, mostly unconcerned about any sickness other than the flu. I had a rough bout of the flu or an illness similar to it in December. I didn’t want to feel like that again, so I avoided being in large crowds like the food court as much as possible. All of my sessions were packed with participants, as always. After I returned from my conference, I heard of a woman with this virus going through a San Antonio mall.

In March, we had planned to go to a car show that benefitted Scottish Rite Hospital. As the virus progressed, we thought it might not be a good idea to go. There were too many unknown factors about the virus, and seemed to be too many people traveling when they could avoid it. It still bothered me to hear that people were stocking up on groceries and supplies. By the end of our Spring Break, most schools and universities had closed and Stay at Home orders were being issued.

Our effort to follow the Stay at Home Order was mostly out of a proactive concern for our parents, and just a mild concern for Helena. After about a month of being home, however, I read a newsletter from an advocacy group for Helena’s condition discussing hydroxychloroquine, which was a hot topic at the time.

In this letter, two cardiologists were weighing in on the dangers of hydroxychloroquine. Both agreed that for high risk populations, (such as this genetic condition), this drug should not be used due to potential heart problems that outweigh the drug’s benefits.

So my curiosity was piqued. Was Helena actually considered high-risk because of this new diagnosis? We decided to check with her neurologist to make sure. We were not all that concerned, but didn’t want to be caught unaware.

The next day, I contacted her neurologist’s office and inquired about her status. The nurse responding to me didn’t seem too concerned, either. However – I when I got a message back, this was what the doctor said:

“The doctor has stated she is recommending all of her patients stay home from school until August.”

At that point, the Stay at Home order became more significant for our family. The more we researched her genetic results and considered all of the information we currently have about Helena’s condition, we knew that we would really need to continue social distancing for longer than others. Helena is doing very well right now, and we don’t want this to change because of poor choices.

Helena with her walking stick.

I have been seeing a lot of people recently posting things about the Pandemic in social media like “Faith Over Fear.” I know that this sentiment is partially being shared because of the frustration with media coverage of the virus. However, it bothers me a lot when I read these posts.

I tend to weigh most decisions on my faith, and many people might even say I rely too heavily on my faith. My decisions regarding Helena’s condition are always made with a mixture of prayer and good information- which I believe God is providing to us through excellent doctors. One thing we do know – doctors do not always have all of the answers when it comes to rare conditions, and are many times dead wrong. Faith is required.

That being said, I believe this is not the best message that Christians could be sending out to the world right now. This virus is real – and at this point has killed over 477K people and infected over 9 million. We should be concerned and looking for ways to support those affected and at highest risk. We should be thinking about our own family members, and it is NOT fear to base decisions on the information we have.

At this time, I believe Christians should instead be promoting “Faith-Informed Action.”

In Proverbs 16:3, it says “Commit your works to the LORD, And your thoughts will be established.”

Christians should be seeking God’s Will through scripture and prayer for their own personal circumstances and for opportunities to serve those around them. Every person’s situation is unique and requires close examination.

Now that it is mid-June and Stay at Home Orders have been gradually lifted, people seem to be in this odd place – one where many are out and about, but others still need to remain cautious and stay home. There are valid concerns for those who need to be cautious. Where I am, the number of infections is starting to rise sharply again. Along with this, I see no consistency in the way social distancing is being handled.

How does someone go from staying at home – to safely social distancing? And what if someone works or needs to interact in the community with a high-risk family member at home? How are at-risk family members kept safe? Here are my thoughts:

1. Set your family goals based on the needs of its members.
Credit: Sarah Foye

Our family’s plan is to stay at home as much as possible until we have to go back to work on site. When out, we will continue to social distance. For us, there is no reason not to continue social distancing right now – and Helena deserves our protection. It is our job as parents to set in practice the best way to keep family members healthy. Others may not have these risks and that is fine. We do- and we should be taking them seriously.

2. Showing kindness and empathy to everyone.

I am sure there are many who are having to return to work or have been working as essential employees who are vulnerable to sickness or have to work in high risk areas. There are many who have lost jobs or have had other difficulties during this time.

Every one of us have been dealt a situation that is unprecedented in history during our lifetimes. We should be slow to speak, slow to get angry, and quick to listen. And if we can meet a need – we should try to be supportive and help in ways we are able.

What we should not do: dismiss others’ concerns as wrong because they are not our own concerns.

3. Be open to being vulnerable, yet remain strong.

Anyone who truly knows Helena knows this – she is fiercely independent. Our main arguments with Helena tend to be over her desire for independence and how that desire collides with our understanding of her vulnerabilities. We don’t limit her much physically – but often we have to set boundaries when it comes to behavior and safety.

To state that we are staying home “out of fear” is absolutely wrong. Helena needs to continue to stay home because that is what is best for her at this time. We need to support her by doing this while we are able to do so.

The past few weeks have been difficult for me personally in terms of seeing the differences in philosophy on the handling of Covid-19. I have been especially guarded about discussing our family’s situation because of prevailing opinions in my area over the seriousness of the Pandemic. It has made me sad to disappoint a number of people I care about by having a differing viewpoint. There is a lot of unkindness in this world right now. There also seems to be little tolerance for differing beliefs – or even just being different.

The Covid-19 Pandemic is very real for us and could be life-changing for Helena if handled carelessly. Seeking God’s will is very important when so many people and bureaucrats are weighing in with their opinions. The care Helena receives or does not receive at this time rests solely with the decisions we make as her parents.

Even though many seem to be going back to business as usual, it is our belief that our family needs to continue social distancing practices. We have to stand strong on this decision. I am praying that the virus will weaken or that something else will happen soon to allow children with health risks to attend school without concerns over health. Our job is to protect Helena.

Staying at home has created difficulty for many who need to work. There are many families with at risk members who need to stay home, and we are living this situation at the moment. There are people who need to work and have to even though they should be staying home due to health risks. I just hope that as people return to normalcy, everyone can remember empathy toward those who need our protection or support. Christians should take most seriously the responsibility to love others.

You may not agree with everyone – but you can always be kind.

Planting Seeds

“The seeds of resilience are planted in the way we process the negative events in our lives.” — Sheryl Sandberg

Today, Helena and I headed into the garden to plant some flowers. It has been a challenging few days. Helena has the capacity to inspire through her determination – and she also has the capacity to drive me to extreme frustration. She can at times be very naughty.

Helena, not wanting to eat her dinner.

The past few days have been naughty days, with screaming, tantrum throwing, mocking, and defiance. There is usually something behind those behaviors – which often leads other people to say to me “who can blame her?” But we know that not holding her accountable for bad behavior won’t help her be independent and just leads to more naughty behavior. Helena was born in the image of God. She should be raised to stand on her own and be accountable for her actions. I believe her uniqueness is creative perfection to God.

As I approached the garden Helena sat on a step and waited for me. She had been thinking about some things and was ready to vent a little.

By the creek

“Mama, I don’t like having a disability. I am the only one with a disability at my school. There is no one like me. I just want to be like everyone else.”

We have had this conversation a few times – and each time, I am speechless. How do you comfort a child living with a life long disability that you have never faced yourself?

I answered the best I could. “I am so sorry you are feeling sad about that and I know that sometimes it must be so hard. One thing you need to know is that you are so, so special. You are my sweet Helena, and there is no one else like you. God made you special, and you are the only one who can fill your special place on this earth.”

“I know my special place. I am going to learn about people’s bodies and how to help them get better,” she said.

“Oh – so you want to be a doctor?”

“No, Mom- I’m going to be a scientist. And I am going to study viruses so I can help them get better when there is an illness like we have here right now.”

Helena has for a while now been saying that she is a scientist. One time, I said something about her wanting to be a scientist. Her reply was “Mom, I don’t want to be one. I am one.”

On another occasion, Helena told her daddy that she didn’t need him to teach her something because she was a scientist and already knew everything. Stuart said, “Helena – scientists don’t become scientists because they know everything. They are scientists because they know they DON’T know everything.”

As Helena and I continued talking about her feelings in the garden, she revealed a whole plethora of concerns. She has been anxious.

“Why did God make the virus?”

“Did bad people make the virus?”

“Why would God make bad viruses or bad people?”

“What if you get sick with the virus? I don’t want anything to happen to you mama!”

We talked about these things – and we talked about God, His gift to all of us through Jesus, and what Heaven might look like. Helena had a hard time believing Heaven could be more beautiful than the farm we were sitting in. Then – we prayed for all of our concerns.

After that, we planted seeds. We watered them. And we both felt a little better. There is just something about a garden.

I am blessed beyond measure to get to watch it all grow.

God is Enough

When it seems as if you have done as much as you can, but it isn’t enough

God is enough.

When it feels like the world is crashing down on you

God will carry it’s weight.

When it seems as though everyone is against you

God is for you.

When you think you are alone

God is there.

When you consider yourself a failure

God will direct you toward His success.

When you feel your loved ones have abandoned you

God loves you.

When you know your health is failing

God has plans for your complete healing.

When you messed up and can’t make it right

God will make something beautiful from it.

God is more than enough. For you – and for me. I often forget this. We often deny it – because we live in a society that highly prizes self-sufficiency and independence.

As I raise Helena, we have taught her to prize these things, too. In order for her to fulfill her purpose, it is important for her to be self-sufficient and do all of the things she can for herself.

But if we were able to carry the weight of this world entirely on our own, there never would have been the need of a Savior. There would not have been a reason to send a sovereign God down to earth as a tiny, vulnerable baby to grow up and die on a barren wooden cross.

The world lies to us. It tells us we should be able to handle it all – but that is false.

Our current situation is evidence of this. All of us (the whole world) are supposed to stay close to home, unless we are working in a job that is considered ‘essential.’ All of us are having to live a little differently from what we have ever experienced or remember. This situation is unlike any other we have ever experienced. We are not in control, no matter how hard we all try. We are not calling the shots this time. We can all try to fix things, but the truth in this situation is that our individual efforts are not enough.

But God is enough. He is stronger than COVID-19.

For the first time in thirty years, the Himilayas are visible in Northern India. The reason: Covid-19 closures have caused a decline in pollution to the point where they can be seen more than 100 miles away. God is trying to get our attention.

How could God allow us to be put in this situation – and why would God permit a sickness to so completely halt life for millions?

Maybe it is because we aren’t listening to him. Because we are distracted and think we have every right to do whatever we want to do – regardless of how many lives we affect.

Maybe it is because we are so busy that we barely notice the “smog” around us and we ignore our families to the point that when we are forced to be together we wonder why we chose to live such busy lives or we wonder what we ever saw in the stranger who lives with us.

Maybe God has just politely stepped aside for a bit, in order to show us our inability to handle everything, and to remind us to remember Him.

This is my prayer. That families find each other and grow closer. That businesses will start prioritizing quality of product over quantity of dollars. That lives – both those starting and those at their end will be prioritized, because ALL lives matter, and this has been a genuine tragedy for those who have lost loved ones. Finally – that society will fundamentally change for the better as a result of this trial and our response to its effects.

God is enough. He is greater than all of us. We need to listen for His voice and watch for His work around us.