Tonight as the silence of the house surrounds me, my thoughts have drifted to Ry and the daily struggle he must feel. It's been a long time since I've updated. I didn't realize how long until I logged on to my own blog and realized that the last posts were of our London trip almost a year ago.
We've had a fairly uneventful year. Ryan's lung function has been stable. In July we took him to the Lucille Packhard Hospital at Stanford University in Palo Alto, CA. We met a new pulmonologist there. I loved her. She was very encouraging that the day would come when Ryan would be 'healed'. I use that term lightly though as I know that 'healed' does not mean better. 'Healed' means the disease will not progress. Although, at any time in his life, another virus can trigger the progression again and with this disease, progression is the enemy as it is irreversible.
Last December Ry had a scan done at the University of Utah. They injected a radioactive dye into his veins and then scanned his lungs to see the oxygen flow as well as the blood flow that goes in and out of his lungs. I was first to receive the results. I read them and of course did not understand all of the lingo, but I was somewhat surprised at some of what was said. It noted that his lungs were 50% effective.
In January I spoke with the doctor in Salt Lake over the phone and mentioned to him that I had the results of the scan and I'd love to chat with him about them. It was news to him that we even had the scan as he didn't think we had done it yet. He called me roughly a week later and told me that he wasn't surprised by the results of the VQ scan, but he was surprised at the CT scan that was done after the radioactive scan was finished. Ryan has developed a cyst in the upper right lobe of his lungs. It is the size of a ping pong ball. He sent pics to the California doctor and she said that she had never seen this before. We were once again in unchartered territory. It seems that is a common occurrence with Ry. I sent the CD to one of our doctors in CA and he had another radiologist look at it. He's convinced that the cyst was there a year ago. The doc in Salt Lake is not. So, there is some disagreement and thus Ryan has a few restrictions now until we can get doctors to agree on what to do. No contact sports. No shotgun shooting. No flying in an airplane. I have seen the images. If there truly was a cyst a year ago, it has grown exponentially. If there was not a cyst a year ago, there is one now, and what do we do about it?
We have a few options of removing the cyst. We can have him opened up again. There are risks doing that. We can have them stick a needle in it and extract it. There are risks that his lungs would collapse by doing that, and that would cause us to have to put a chest tube in. There is a risk that the cyst will rupture on its own, causing his lung to collapse. He is most concerned about that possibility.
In January I also learned that I had read his lung function results wrong for the past year and a half. There are two numbers that they look at and really care about. The first number I thought was his lung function, which has been 67% steadily. The second number is 49-50%. I never looked at the 2nd number as I believed that the 67% number was the most important and that was his lung function. I learned that I was wrong. So, his lung CAPACITY is 67%, and his lung FUNCTION is 50%. Worse than I thought for sure.
The good news though is that it hasn't gotten worse in the almost 2 years that we have been at this gig.
Ry has struggled a lot the past few months with a bout of anxiety since we found out about the cyst . On the outside he looks perfectly fine. To the world he is happy and intelligent. He starts to break down around 7pm or so. His mind cannot shut off. He is in our bed most nights late into the night because he can't shut his mind off. He is nervous, but he can't explain why. He feels most safe between the two of us in bed. I have actually let him fall asleep between us and I've gotten up and slipped into his bed or in to the guest bed so that he can feel safe and actually get some sleep. We are finding that we have to be more creative about one on one time with each other as he needs us so much at night. He doesn't freak out like one might think you would with an anxiety attack, but he goes crazy inside and it is evident.
Ryan's situation is hard to explain to people. Because he looks so healthy (which is a huge blessing), they don't understand that he is really unwell. People ask us how he is doing and it is hard to say. I don't want to say good because he is not good, but he is not bad either. He's stable. His future is unknown, and sometimes terrifying, yet he has goals and aspirations that surpass anything I could ever imagine. We have been so blessed with his life. It is just so hard when what is seen on the outside is not reality.