Sunday, November 17, 2013

The Many Facets...

As my Mom wrote before, everything in my family changed. One experience that I fully remember is when we went on a vacation to Disneyland almost a year after I got sick. Several of my siblings had gotten mono also, so there was major adjustments to the vacation. My parents rented a wheelchair for me, so that I could save my energy by not walking everywhere inside the park. We would go out in the morning, and then we would go back to our hotel for nap time (the non-sick siblings went back to the park with a parent) and then we would regroup again for the evening. I felt really strange riding in a wheelchair when I also had siblings who were sick, and the many strange looks other people gave me when I would get out of the wheelchair to get on rides-- I felt very exposed and felt like I was being blamed by others who couldn't see anything wrong with me.

My family belongs to a church, and this aspect of my life changed also. I did the best in the mornings, with a nap in the afternoon so that I could be functional for the evenings. Having a church meeting starting at 1pm in the afternoon threw all of the schedule off. As a result, my Dad would take me to the 9am meeting with another congregation who I didn't really know. I went to this congregation for almost a year, because it was the only way for me to make it to church and not have problems the rest of the week. I found a certain peace and hope from going to church- rather than seeing all of my problems or limitations and giving up, church gave me hope that doctors or medicine could not give me. I had a really hard time thinking about how PERMANENT chronic fatigue was, how it would almost always be with me. I wanted to be normal-- I wanted the "normal" teenager experiences-- rather than taking naps like a 2 year old. My church is a Christian denomination, and I believe that Jesus Christ not only took my sins, but I also believe with all my heart that he also took my weaknesses, my illnesses, my pain, and that because He also experienced them, I am not alone. This belief helped me so much when I felt so isolated and alone to not give up, to keep trying, to keep falling down when I tried so hard. I didn't feel so alone when no one else could understand how I was feeling, either physically or emotionally.

Another part of the chronic fatigue experience was the mental health issues that can come from being physically sick so long and also the lack of hope of getting better.When I was a teenager, I had to take the one-day-at-a-time view, and that helped. Still sometimes I didn't want to do anything, because to me, what good would it do? I found a few ways that helped me a lot-- including soccer (I loved it), doing activities that I felt that I could succeed at, and having a best friend who was there for me the whole way. This best friend and I have known each other our entire lives, and we have helped each other through a lot. She made me feel like I hadn't lost myself, and she told me many times how proud she was of me, which made me feel like I was doing something right. It is something that I still have to be very aware of. It is something that my doctor checks in regularly with me, because it is such a struggle to continue with life while feeling to a certain degree that this is not the life I am "supposed" to have. I have had certain times when I have looked back to before I got sick, and it is scary because now I have a hard time remembering what it was like. I try my best to not only understand and track what my physical body needs, but also paying attention to my emotions (happy, sad, depressed, angry, optimistic, hopeless, tired, etc.) and adjusting what I do accordingly. I don't know if I will need medication but I have it as an option to help me if I need it.

Friday, November 8, 2013

November 8, 2013

Family Adjustments

One of the things that stands out from Maddy's earliest days with chronic fatigue is that we made a leap backwards in time. Agewise, our family was well beyond the baby/toddler/nap stage. Since she was sleeping for hours every afternoon, all of a sudden I was shushing the other kids when they got home from school when they were just being normal, noisy teenagers. That made me feel sad, and also annoyed. Why couldn't they remember that Maddy was asleep? It just wasn't on their radar, despite living in the same house with her. And it didn't seem fair to have them constantly muzzled when they were just being normal kids.

Another adjustment that was challenging was family vacations. As a family, we usually went the camping route because it was more affordable, and because our family enjoys the camping/hiking experience. We had a joke that it wasn't a vacation unless we got lost at least once while hiking. It was something the kids had grown up with and looked forward to. Now we were faced with Maddy's physical limitations. It came down to careful planning, and doing the divide and conquer technique that all parents of more than one child employs at some point. Sometimes she just wasn't able to participate, so one parent would stay at camp with her. Sometimes she was able, but not at the same pace or duration as the other family members. Then one parent would hike with her, keeping in mind that we had to turn back BEFORE she was tired out. We really had to rely on her to gauge her energy level, and we had to believe her when she said she'd had enough. As parents, it was an ongoing learning curve to deal with Maddy, and be continually reminded that we often didn't know what was best for her, and had to consistently seek feedback from her.

One year we were revisiting a camping spot that had a trail to some waterfalls. Maddy had hiked it before getting ill, and was really motivated to see them again. The trail was over two miles, sandy, and gently up and down. I wasn't sure that she could do that long of a hike. She hunkered down and saved her energy for a couple of days, and was able to do the hike, going at her own pace and resting when she needed to. It trashed her for the next two days, but she was pleased that she could achieve that goal. That was another thing that we had to let go of: deciding what to expend energy on. So much of her energy was invested in just getting through the days, and therefore her life was pretty boring most of the time. The opportunity to do something fun and different was often worth it to her, even if it took a lot of energy.

Sunday, November 3, 2013

One Day at a Time

November 3, 2013

As I look back to Maddy's high school days, they are mostly a blur. It was mostly the same routine day after day, with small variations determined by her health. In many ways, it felt good, because there was a system in place that allowed her to succeed, though sometimes with extraordinary effort. It was mostly predictable: get up, go to 1/2 day of school, I pick her up, go see Grandma in the nursing home, come home, eat lunch, Maddy naps for 3 or 4 hours, gets up, does homework, repeat, repeat, repeat. I had no real idea of what the long term view of chronic fatigue, and then fibro, meant for her. I didn't know what to expect for her after high school. All the people I knew that had chronic fatigue were adults, and most of them were quite limited in what they were able to do. The one teenager we knew of was the daughter of Mrs. I, the counselor in the middle school where Maddy attended. And her path included a full school schedule and medication to increase her energy so she could keep up the pace. We later found out this girl did not do well long term with this approach.

So I coped by not looking too far ahead. The 'one day at a time' approach helped me to just deal with reality. It was late in Maddy's senior year that I got a great 'birds eye view' of what was going on. It was when she got a full tuition scholarship to the local community college. They liked her grades and test scores, and just assumed that she was graduating! That really opened my eyes to possibilities for her! I was very excited for her! What a wonderful boost to her self esteem. It confirmed to her that all the hard work she had done in high school was worth it.

I was pleased that the scholarship was to a local college. At that point, I didn't know if Maddy would be able to have the physical energy to live away at college. This seemed to be a great way to test the water and let her get into the college rhythm, and see how she did. I am really grateful that she could do this transition in stages, both for her sake and for mine. Since so little is known about chronic fatigue, her doctor really couldn't give much practical advice. And I tended to be quite cautious in my approach to new situations. Maddy was a bit more adventurous, but still took things slowly.

That senior year was rough in several ways. When she started having fibromyalgia, the constant pain really wore her down. And it took away something that she had enjoyed: soccer. Amazingly, she had been able to play recreational soccer through most of her chronic fatigue. She had to adapt her playing style, as she had to do with most things. She became a defender and relied more on strategy than speed. She was able to block balls and really contribute. It also exhausted her for a couple of days afterward, but the mental high made it worth it to her. But when fibro struck, all of a sudden soccer was not fun. It was excruciating when a ball hit her. She reluctantly had to drop this sport and she really mourned the loss of it.

Friday, November 1, 2013

High School Continued!!

Ok, the last post I said that great teachers helped get me through high school with some sense of accomplishment. This post continues my high school years, because I had a BIG learning curve, not only in academics, but also in saying NO and NO THANK YOU.

In my senior year of high school, I was doing pretty well and I decided to take a weight training class- the first weight training class that I had taken since 9th grade. I was doing well, mostly because the teacher was able to accept the flexibility that I required to take the class. Some days, I would change into my gym clothes and I wouldn't work out. A few times fellow classmates made comments which weren't the nicest, and the teacher promptly shut them down. He made it clear that I was in charge of myself, and that there would be consequences if they didn't accept that. However, partway through the class I started hurting- everywhere, no breaks, and it didn't go away. Soon walking was a problem, it was so painful to move. I went into the doctor where I was then diagnosed with Fibromyalgia--lucky me!! It was so hard for me to get around to do anything. I started learning how to live with pain. I dropped the weight training class as soon as I could, but in the meantime the teacher let me do whatever I wanted. He never criticized me, made me feel like my best wasn't enough, or made me feel unwanted in his class because of more health problems.

As a result of my Fibromyalgia, I was staying at home a lot, and missing school. The school had an attendance policy where if you had more than 2 absences from a class, excused or unexcused, you had to pay money and attend attendance periods. I was missing a lot more than 2 days, and when I did make it to school it was a miracle. My teachers were really good at working with me- by this time, the process of educating my teachers was a lot better and there was backup from my previous teachers. One day, I went into the attendance office and was informed that I had to make up my absences, even though my Mom had called and excused me. The vice principal kept insisting that if I wanted to graduate (which I knew that I wasn't), I had to make up my many absences. I finally had to get my Mom involved, and also the school counselor who knew me well by now to get the vice principal to back down and leave me alone.

I had to get good at getting adults to speak to other adults since I wasn't believed by myself. An example is when I had made it to my classes for the first time in weeks, and there was a school assembly that was going on after my classes. When I tried to drive out of the parking lot, the school cop was blocking the exit and refused to let me leave even when I told him that I had no more classes for the day. I told him to contact previous teachers or my school counselor on his walkie talkie, which he did. The cop passed on my name, and that I was trying to leave. My former teacher, Mr. H was on the other end and his response was "let her out, damn it!!" I was able to get out, and will forever remember the look on the cop's face when this happened.

The yearly testing came around, and I still wasn't doing very well. Walking hurt, and stairs were either impossible or really time and energy consuming. The school counselor told me that in order to get ANY credit for the math class that I was in, I had to take a test (it was for funding purposes). I hadn't been to class in a while, and it was communicated to me that the test was of greatest importance. My math teacher's room was upstairs, so I made arrangements to take the test on the ground level. Everyone I talked to was really confused why the stairs would be such a big deal. I literally shuffled into the office where I was going to take it, and my counselor almost winced as she watched me come in. A light almost flicked on, and I was given the test, which I started. However, I couldn't think very well since fatigue+pain= no brain. Soon I wasn't even looking at the questions, it was such a lost cause. Holding the pencil to fill in the circles was also really painful. By the time I shuffled out, my counselor was really sorry that I had to come into school JUST to take a test when I couldn't even make it to class.

Also during that time I was nominated for being such a good student in a certain class. I got called down to the principals' office to help encourage me to keep doing well, along with another dozen students. It was during the time that making it to school was a big victory for me. I made my way (slowly and painfully) to the principal's office, where he then went on how we were all great students, keep up the good work, all of you will be graduating, the improvements on his golf game, etc.. I interjected that no, I was not allowed to graduate and that I hadn't been in class for a while, and that he was wasting my time and if I could leave to go back to class. His jaw dropped, along with the other students in the room. I then shuffled my way out of his office, with no response except sheer shock. Before I got sick, I wouldn't have done this at all. I was really quiet, went with the group, and wasn't that blunt. This assertiveness was a part of me that came out when I was in trouble, and helped me deal with the unnecessary stuff that was thrown at me.

Saturday, September 21, 2013

Great teachers

During high school I was having to change the way I approached school- school wasn't for the grades, spending time with friends, or wasting my time. I realized that since I was not graduating, I should take classes where I would truly LEARN!!!! I know, a big step for humanity..... I took classes that I could learn in, and if I wasn't learning, I didn't stay. Like the biology class example, I spent a quarter in a biology class where I wasn't learning anything, so I transferred to a biology class where I could and would learn. I have siblings older than me, so I knew about some of the teachers reputations from them and their experiences. Overall, it served me well to ask questions like "did you learn anything in the class?", "would you take another class from the teacher?" and "was there a lot of busywork involved?" This helped me get the teachers who taught well, so that I could get the most out of my time in classes.

As a result of my learning attitude, I was taking AP (college credit) classes from good teachers. I took AP Biology from Mr. H and AP American History from Mr. W. I asked questions, made it to class every day that I could get out of bed, and started studying for the big tests months ahead. I have thought about what made these teachers so memorable to me, and why I was so successful in learning in their classes. I think that they are truly gifted teachers who love to teach, and it shows. I was also able to ask any question and they wouldn't get offended or defensive- they would welcome the questions I had. These teachers also knew that they had to teach things that weren't part of their curriculum (writing essays) to make sure that everyone could succeed. These teachers gave me a chance to prove myself, rather than seeing the disability guidelines that my Mom gave out and not trying.

Tuesday, September 10, 2013

Reaching for sanity

September 10, 2013

It was a wonderful feeling to have Maddy diagnosed, and now we could set things up so she could succeed at school. This was a team effort. Maddy and I talked at length, exploring when she usually felt the best, how many classes she thought she could handle, etc.  We also talked about brain fog, her current learning style and difficulties, and made a plan. We met with Dr F and he signed a paper that said she could take no more than 4 classes. We took that to the high school, and met with a counselor and explained her health difficulties and what we were trying to do.

Mrs M was a wonderful counselor. When she grasped that Maddy would not come close to getting the credits she needed for graduation, she just said, "What classes would you like to take?" and was very accommodating. We got Maddy scheduled for morning classes, and then set a meeting to discuss the 504 disability, which puts the teachers and staff on alert that this student has some special needs. I took the learning ideas that Maddy and I had brainstormed about, and made a handout for the teachers, also adding a brief explanation of chronic fatigue syndrome and the common difficulties with it. I kept it to a page, not wanting to scare anyone off. Yet I hoped that having some information would help teachers to be a bit more patient with her.

I didn't have Maddy come to the meeting, but there were her teachers, Mrs. M and the vice principal.  I gave my brief explanation and there weren't any questions. Perhaps most felt that they already had enough to deal with without someone that needed more time or attention. But it gave Maddy some protection in regards to her schooling, and I was glad I did what I did.

So we launched into 10th grade. Maddy did reasonably well on her morning schedule, and was able to come home and nap, then do homework. She made a point of doing ALL the work, plus any extra credit, in order to build up credit with each teacher. She was acutely aware that she could have a downturn at any time, which would mean missing school, and she wanted to prove that she was a serious student and have teachers cut her some slack if she did miss.  She kept up this method during high school and through college, and it served her well.

About the end of the first quarter, Maddy wanted to transfer out of her biology class. She wasn't being challenged, and felt she was wasting her time. So back we went to Mrs. M, and who commented that Maddy might like one of the other biology teachers. The new biology teacher, Mr. H, was supurb! A master teacher! Maddy was delighted, in spite of her having to catch up on a whole quarters work in order to have the background she needed in that class. She worked her tail off and enjoyed it very much. And to make things even better, Mr. H invited her to take his AP Biology classs the next year. That was a distinct honor, as there was limited space in his classes.

It was interesting that Mr. H quickly became very 'tuned in' to Maddy and her learning difficulties. He had not been in the 504 meeting at the beginning of the year, but when Maddy didn't understand something, she would ask him to explain it again, and he would do so, over and over. He didn't get impatient, and he was able to explain in varied ways, in an attempt to help her understand. He had the mindset that if one student said they didn't get it, then there were likely others who didn't either. He made his class and the learning process a safe and enjoyable experience. What a blessing for Maddy. It really gave her confidence that she could succeed in spite of the limitations she was dealing with.

Sunday, August 25, 2013

Starting High School

Ok, I had finally been diagnosed with Chronic Fatigue- took long enough!!! I know that it would have been nice to know that I was not crazy when I didn't get better. The time between getting diagnosed with mono and getting diagnosed with CF, I kept pushing myself harder and harder until it made me sicker and sicker because I realized that I was supposed to get better, and I was trying to put mind over matter and mentally make myself better. Well, it really didn't work and it was a roller coaster of me trying to get caught up in school, pushing myself to do more, and then I would literally crash and burn and be almost at square one all over again.

Once I was diagnosed with CF, I was able to get a doctor's note to cut down on the number of classes I took, so that hopefully the cycle where I would crash and burn would be stopped. I ended up going half days to school, in the mornings because I did better in the mornings. I would then go home and take a 3-4 hour nap in the afternoon. The doctor's note allowed me to do this; however, it was made clear to me before I even started high school that I wouldn't be allowed to graduate unless I got ALL of the credits required. That was not feasible for me, so I accepted (grudgingly) that I wouldn't be allowed to graduate with all of my friends and classmates.

I went with my mom to the counseling center to get my school schedule changed from the generic one I was given (full day, specific classes required) to my schedule which I got to pick whatever I wanted since graduation requirements didn't factor into the equation. They looked at my last name, and started to sign me up to speak to a counselor, and my mom said "we are going to see another counselor". In the end, my mom got her way, and I was able to get a counselor who listened to what I wanted and who had no problem making changes to my schedule. I wanted to take classes that I wanted, so I took subjects that interested me the most- history and science (biology). I found teachers who actually taught, rather than having endless amounts of busywork, which I did not appreciate since I was in school to LEARN......a new way of dealing with school that I didn't quite have before. I transferred out of classes if I truly wasn't learning anything, if they teacher couldn't (or wouldn't) teach in a way that I could learn. It did confuse some people when I would go to transfer and they would ask me why and I would say "I am not learning anything, it is wasting my time and energy".

Monday, August 12, 2013


Aug 12, 2013

It was in the spring of 2004, Maddy was close to finishing 9th grade. She had missed a lot of school, not surprisingly, and I was sitting in the counselor's office talking about that fact. I said that her mono had really made it hard that past 15 months. The counselor, Mrs. I, said "Mono doesn't last that long." Somehow, in just dealing with life and Maddy's illness, I hadn't stopped to process what was going on. It turned out that Mrs. I's daughter had chronic fatigue, and as my brain finally kicked in, I asked for what doctor she went to. I was actually given another doctor's name. Dr. F was a pediatrician who had several patients with CFS, and Mrs. I had good things to say about him. (When Mrs. I's pediatrician was out of town, Dr. F was the back up doctor.) I came home from the middle school, got on the Internet and started looking up CFS, symptoms, etc to learn more about this condition and if it perhaps applied to Maddy.

Boy, howdy!!!  It was an amazing relief to see how her symptoms matched the criteria. Of course, self diagnosis is not necessarily right. I called and made an appointment with Dr F. It was several weeks out (the whole new patient business). I had Maddy's medical records transferred to Dr. F's office so he could look at her medical history. When the appointment day came, we didn't know what to expect. Dr. F took her more recent history, asked a lot of questions, ordered every test he could to rule out any other condition, observed Maddy's mono shuffle and referred her to a neurologist for evaluation. It was obvious by the way he talked with us that he believed that CF was real. He just wanted to make sure that there was no other explanation for Maddy's symptoms. I understood and appreciated his thoroughness.

Going to the neurologist was the next step. He ordered an MRI, so a few days later we appeared bright and early at the MRI place. Maddy was the first patient of the day. When she was mostly prepped, I went into the waiting room, and settled in with a book. Not long after, the technician came out. Maddy, in reaction to the IV contrast dye, had vomited inside the MRI machine. They were done with Maddy for that day. So we left, and the poor technicians were busily scrubbing out the machine because they had more patients coming shortly. A few days later, the MRI was repeated without the dye.

So after all the test results came back, there was nothing abnormal. So as the default, Dr F diagnosed her with CFS and suddenly we had the doctor and the diagnosis in order to help Maddy. Together, Maddy and I discussed what would be most helpful to her, schedules, how teachers could best assist her in class, etc. It felt good to be able to DO something proactive instead of just going with the flow.

Where was Maddy's regular pediatrician in all of this? Well, he was not helpful at all. I really like the man, he had served our family well since my first child was born, but he had a blind spot when it came to things like mono, chronic fatigue, and a couple of other conditions that he really slipped up on. He had diagnosed and treated some bizarre conditions in my kids, so he was not a slacker. I have since had to accept that physicians are people, too, and can make mistakes. It would have been much better if he had been able to diagnose CFS and be the support that Maddy needed. It was not to be.

Wednesday, July 31, 2013

From the Sickly Side.....

Hi, everyone, it is Maddy here. From my point of view, it was a little different.

I remember before I got sick, I loved playing soccer, going to school (and doing well), and I liked being very active on a regular basis. I remember when I started feeling sick, I felt like I didn't want to do anything. When the stomach aches started, eating made them worse so eating was its own battle. I was really disappointed when I went to Thanksgiving at a relatives' house with my family and I could barely eat and keep down some mashed potatoes. As time went on and I kept getting sicker and sicker, things get fuzzier or they don't exist that much. I remember how hard it was to get out of bed to go to school, something I hadn't had many problems with before. I remember going to school and hearing sound come out of teacher's mouths but not understanding a word they said. School assignments that used to be a breeze become too hard to do. I would try so hard to follow along, and it was beyond my ability to pay attention and learn.

To help with picturing me, I went to sleep in 1st period one day because I literally could not stay awake- and then the teacher managed to wake me up 3-4 hours later-- I had not stirred to one single bell that rang, didn't lift my head when peers were coming and going, it just went completely black for that period of time. The teacher had watched me go from being an A student to acting like a zombie in short order, so he wasn't freaking out when I fell asleep in his class. Granted, I don't think that this nap kept me in school for the whole day- I think I still ended up calling my Mom to come pick me up.

I remember going to the doctor many times- for the stomach aches he told me to take antacids but they didn't help at all. I remember the pure relief when right before Christmas vacation we got the test results back and the word that I had mono-- because then he wouldn't be telling me that I was making everything up.
July 31, 2013

Educating Coach B

In the spring of Maddy's 9th grade year, she was feeling a bit better and wanted to take gym. I was skeptical because that seemed a big step considering how fatigued she'd been. But we changed her schedule to include a gym class.

Before letting her attend, I talked to Coach B so he wouldn't expect her to perform as a normal 14 year girl could. (I still was under the impression that Maddy had mono at this point.) So I talked to him, gave him some parameters and let things unfold. A few days later Maddy reported that he had been pushing her to run and she couldn't do what he wanted. So I made another appointment with Coach B. I got him on his lunch break, and we sat in the faculty room while I tried again to explain her limitations.  What I asked him to do was to let her do things her own way. If he wanted the class to run, and she walked, good. If she could only walk for 5 minutes, good. If she just needed to sit that day, good. It was obvious this approach was very different than what he was used to, and he was struggling on how this would all work out. I told him that Maddy wanted to be in the class, and she would do what she was able. So I left and crossed my fingers.

A couple of weeks passed, and Maddy's comments clued me in on what was happening. Coach B had obviously been watching her, and was starting to pick up on her body language, and gauging what she might be capable of that day. One of the quirks that had developed over the previous year was what we called Maddy's mono walk, or mono shuffle. The more fatigued she was, the more pronounced it became. It was a strange 'walk from the hips with straight legs' movement. (It's hard to describe but very distinctive, I assure you.) Coach B was keying on that walk and would invite her to sit that day if he perceived that she was struggling. I was so pleased! It really gave me hope that people cared. This also took pressure off of Maddy. She knew whatever she could do in gym was acceptable, and having the supportive attitude of the coach was wonderful.

For a regular kid in middle school, having a helicopter parent is not a good thing. But with a kid with a chronic illness, having an ADVOCATE is crucial. Kids have no power to negotiate anything in middle school and much of high school. It takes a parent and hopefully medical backup to put parameters in place to allow that kid to survive and maybe to thrive. And over time, as that kid matures, they learn to be their own advocate.
Hello to anyone who reads this blog. My purpose in creating it is to share my family's experiences with chronic fatigue. 10 1/2 years ago my daughter Maddy (then age 13) got mono, which then morphed into chronic fatigue. We would like to share with you this ongoing experience. Hopefully, you will learn from our mistakes and successes and be able to help your loved one. It felt to me like we were having to invent the wheel, and it would have been nice to get someone else's experiences to build on.

(Eilene)  December 2002- After several weeks of Maddy just not feeling well, I got her into our pediatrician and found she had a sinus infection. She was put on medication, and she perked up a bit, but continued to not be herself. As the month went on, she developed an ongoing stomach ache. She would go to school and call me 3rd or 4th period to come get her, as she wasn't feeling well. We visited the doctor a couple more times, and he implied that she was faking it, that she was trying to get out of school. That really bugged me! Maddy did well in school, and I had no reason to suspect she was faking it. She really didn't feel good. Finally, in a doctor visit right before Christmas break, I took the doctor out in the hall so we could have a private conversation. I told him that she was NOT faking it, there WAS something wrong with her physically, and I wanted her to be tested for mono. (I had mono when I was a young adult and remembered well the fatigue that I had experienced. It was truly a shot in the dark because I had no other ideas to suggest.) He did test her for mono and it came back positive. This was my first experience in advocating for my daughter in this situation. It felt awkward to me because I usually tended to go with the flow. However, I was finally realizing that I knew Maddy better than the doctor and I needed to be assertive for her sake.

So now with a diagnosis, I knew what I was dealing with. She was out of school and just resting until the end of January, then the school started sending a teacher once a week for Home & Hospital. That did NOT turn out well. Having a teacher there for two hours going over a weeks worth of school work was overwhelming. And it was my introduction to brain fog. She had a very difficult time concentrating and learning, and the pressure to all that work put her into an emotional tailspin. She couldn't remember his instructions on how to do the math, she was still really tired. It was too much.

February comes, and I have two more daughters down with mono. It was ridiculous! My home was a hospital ward for sickies. The two newbies were out of school for a couple of weeks and were able to go back and limp through the end of the school year. Maddy also went back part time with the goal of working her back up to full time, but the most she was able to do reliably was get to 4th or sometimes 5th period. Maddy also was having ongoing sinus infections, which dragged her down physically.  In an effort to help the recovery/healing process, I took two of the girls to a Chinese doctor who prescribed medicinal teas. They did help to a point, but recovery for Maddy was elusive. The stomach ache was a constant. The fatigue was always there.

By the end of summer, the two other girls were 90% over the mono. Maddy was still in bad shape.  She started 9th grade, and worked hard and did her best, but she missed a bunch of school. She still had brain fog (and still does to this day) and had to learn how to work with and around that. That fall, our family planned a trip to Disneyland. My husband and I were concerned on how Maddy would do, walking all over that huge park. He came up with a great solution. We rented a wheelchair at the park, and we could push her all over. When we got to the head of the line for a ride, she'd pop up and do the ride, then back into the chair to get to the next event. She was initially reluctant to use the wheelchair. I guess she felt embarrassed or conspicuous, but it worked like a charm. And every afternoon, the three mono daughters took a long nap while dad and brother went off and did their own thing. That is the kind of thing that we started focusing on; that is, how could we as a family do the things we loved, and have Maddy with us and able to experience the joy too, in spite of her illness.