Friday, July 26, 2013

Email #16

Buckle up friends, because apparently we have hit yet another bump in our road...
About a week and a half ago we were given some news about Evie.  It was not good, and to be honest, just thinking about it causes a pit in my stomach, and tears in my eyes.  We have taken a bit of time, largely keeping things to ourselves until we felt better prepared to publicize.  I am not saying we are ready now, I certainly don't feel that way, but I also feel like I just need people to know what's going on. 
Evie's tumour, an optic pathway tumour, has now compromised her vision.  Her eye doctor has told us that the vision in her right eye is so bad, it is essentially non-existent.  This means she is unable to see from her right eye.  Her vision in her left eye is better, but is not perfect, and the nerve shows damage as well.  Evie will need to start wearing glasses, not because they will help her vision, but because we need to have a physical shield to protect her left eye (think any potential external eye injury, bumping, something being thrown, an elbow...).  We will need to monitor her closely, and do what we can to protect her left eye from further damage (ie. hats and sunglasses).  Aside from that, there is little that can be done to restore vision in this type of situation. 
This has meant that we have also become connected with many more people.  For the past two months Evie has been connected with Toronto Preschool Speech and Language, Low Vision Program.  They have been assessing her, and accompanied me to her appointment, and most recently followed up with me at home to discuss what steps we need to take now.  It is very overwhelming right now because there is just so much to process, to learn, to do, not to mention more assessments and meetings to take place.  Evie starts kindergarten in a year, and it is important to get "everything sorted out" before she starts....believe it or not, this makes it a
Please know that Evie can see.  At three, it's hard to get a straight answer out of her about anything, but we know she can see.  I have already caught myself being a little bit more careful with her on stairs, and following a little closer behind when she's playing...and we would of course appreciate the same cautions be taken...but at the same time, please treat her the same.  She's the same little girl and it absolutely breaks my heart to think of people treating her any differently - ever.  She's sweet, and kind, and totally adorable and she really doesn't deserve another thing to be stacked against her favour.  She is strong, but even the strongest of people rely on the love, strength and support of others from time to time.  I am confident that the community we have built around her will be exactly what she needs when the time comes.
What's frustrating, is that less than a week after hearing such upsetting news, Evie had her 12th MRI, and we found out immediately afterwards that her tumour had shrunk again.  It's difficult to express my enthusiasm here, but this is great.  It was a happy surprise.  Just reflects my sentiments in my last email, you never really know with this stuff.  I guess we just take the good with the bad - they seem to come hand in hand anyway. 
Each of Evie's other follow ups have gone well, they have been uneventful and we are on cycle 7 of her chemo protocol.  I am sure Evie's Neuro Oncology team will have something to say about the Ophthalmology results, but I also expect them to take their time reviewing her test results in combination with her scan results.  For now, we just keep doing what we're doing....and go buy the cutest toddler glasses we can find. 

Paul & Kristine
"...and though she be but little, she is fierce."