Mind Over Gray Matter- Lyleâs Story
When Lyle was about 7 months old, the vomiting started.
Lyle was a completely normal boy up to that point. He was plump, full of life, smart, happy, and was just getting started with eating real foods. Â
The first time Lyle vomited, we had so many questions racing through out heads. Â Was he sick? Was it just a bad batch of food? Was it just some sort of fluke? Over the next 6 months or so, we would become all too familiar with the tense uncertainty we felt in those moments following his first vomit.
Lyle continued to vomit from time to time, and we could not figure out why. Some days were better than others. Some weeks were better than others. There didnât seem to be a pattern to it. We were so frustrated and confused.
We had many friends whose children had food allergies, so we decided to try some methods to determine if an allergy was what was causing Lyle to throw up. Â We painstakingly eliminated certain foods one at a time and took down extremely detailed logs of what he ate. Â A few times he did not vomit for several days after we had eliminated a certain food, and we thought perhaps we had discovered the solution. Â Each time we would get so happy and hopeful that perhaps this would be the end of his vomiting â problem solved.
And then he would vomit and we would be back to the drawing board.
We had been doing food allergy trials for a few months when our pediatrician became increasingly concerned with Lyleâs lack of weight gain. Up until the vomiting started, his weight gain was fantastically normal and healthy. Â Since the vomiting began, he had gained no weight at all.
Lyleâs pediatrician began accusing us of not feeding Lyle enough and believed that we were actually the cause of his weight loss. We were devastated. The pediatrician recommended Lyle to participate in an inpatient-feeding trail at a nearby hospital where his feeding habits, weight, and vomiting could be closely observed and studied by hospital staff. Â Our pediatrician was confident with the right experts on the case, Lyle would rapidly gain weight and stop vomiting in no time. Â It seemed to him that we just needed training on how to properly feed our child.
The trial was an unbelievably frustrating experience. Â The specialists tried formula after formula to try and find something Lyle would tolerate, and nothing seemed to help at all. Â The formulas were so repulsive he would not even allow the bottles near his mouth after tasting them. Â Lyleâs mother was not allowed to breastfeed him so the doctors could rule out any unknown food allergies being introduced through his motherâs diet. He actually lost weight the first several days in the hospital. Â It was so disappointing.
Eventually the doctors felt it was necessary for medical intervention to get Lyle the calories he needed to gain weight. Â They decided to insert an NG-tube into Lyleâs nose so they could pump food directly into his stomach. Over the next several days, Lyle started to gain a little weight. Â We were going to be discharged, but first the hospital policy required us, his parents, to remove the NG-tube and then put it back in place. Â If any parent has had the familiarity with an NG-tube, they understand it is a horrific experience to put their child through. Â
The NG-tube was horrible, but necessary. Â Lyle did start to gain some weight, but his vomiting was not getting any better. Â He began associating eating solids with vomiting, so he zealously refused any and all attempts to feed him anything besides water by mouth. Â The doctors ran more tests on his GI system to see if there were any physical anomalies that were causing him to vomit, but everything kept coming back normal. Â
In February of 2015, we had to bring Lyle to the hospital due to a particularly bad stretch of vomiting which had left him badly dehydrated, lethargic, and dangerously thin. Â He had gained barely any weight since getting the NG-tube nearly 3 months prior, but thankfully his length had continued to grow. Â This had the unfortunate effect of making Lyle look skinnier and skinnier. Â
During this hospital stay, the doctors informed us that they literally could not think of another test to run on Lyle that they hadnât run before, from a GI perspective. Â They were out of ideas.
As a last-ditch effort, the doctors decided to put Lyle through an MRI of his head to see if anything could be wrong inside his brain.
âWe donât expect to find anythingâ, they said. Â âYouâll probably go home this afternoon.â
A child Lyleâs size & age has to be under general anesthesia and have a breathing tube inserted in order to undergo an MRI. Â Itâs no small procedure, and thatâs why the doctors had not done it up to this point. Â However, Lyle was not gaining weight, was not getting better, and they were out of ideas. So we decided to go forward with it.
It took several hours for the doctors to get back to us with the results.
I will never forget the moment they entered the room to give us the news. Their faces were grim, and solemn. Â I will never forget the caring, compassionate manner in which Dr. Allan Pratt (Lyleâs GI doctor) communicated to us.
âWe got the results back, and they are not normal.â Â He paused. Â We were confused and said nothing.
âThereâs a tumor there. Â A brain tumor.â
My world turned upside down. Â I was dizzy. Â I was in shock. Â I asked if he was sure. Â He said he was sure and had spent the last several hours consulting with the experts at Lurie Childrenâs to be absolutely certain of the findings.
We held Lyle and cried. Â We couldnât believe it. Â This is the kind of thing you see on Facebook or read about. Â This always happens to some poor unknown child. Â It doesnât happen to your child.
The next few hours were kind of a blur. Â We saw the MRI images. Â We listened as the doctors explained that the tumor was pressing against the exact part of the brain responsible for nausea and vomiting. Â The tumor was essentially causing his brain to trigger vomiting unnecessarily.
The tumor was discovered at a satellite branch of Lurie Childrenâs within Central DuPage Hospital in Winfield. Â Lyle was transported via ambulance to Chicago, where preparations were made for him to undergo surgery to try and remove the tumor.
At Lurie Childrenâs, we encountered incredible amounts of compassion, support, and love from all the nurses, doctors, and family members of other patients. Â All the hospital staff assured us that the pediatric neurosurgeon who would operate on Lyle was unparalleled â Dr. Tomita. Â
After Lyleâs surgery was finished, Dr. Tomita came to visit us and shared some good news â they were able to successfully remove 75-80% of the tumor, and preliminary results appeared to indicate the tumor was benign (non-aggressive). It appeared to be a low-grade glioma.
It was during this time that we learned how resilient children are. After the surgery, Lyle rapidly improved and was practically back to normal within a few days of his surgery. Â He even began to eat solid food. Not only did he just eat the food before him, he devoured it! It was as if he finally understood why everyone else kept putting these weird substances into their mouths. We were amazed at his tenacity.
We were discharged from the hospital a week after surgery. However, the vomiting didnât decrease. Â Neither did the nausea. Â Many days were so bad that he could do nothing but lie on the couch. His sudden love of food was very short lived. It became abundantly clear that Lyleâs feeding issues were going to be long term, so we eventually agreed to remove Lyleâs NG-tube and have surgery to have a G-tube placed instead.
Over the next 11 months, Dr. Rishi Lulla of Lurie Childrenâs monitored Lyleâs tumor every 3 months and it was classified as stable; however, the nausea and vomiting did not subside. During this time, Lyle was in and out of the hospital several times due to severe dehydration caused by excessive vomiting.
Lyle was so underweight at the end of 2015 that his doctors feared he might suffer permanent developmental damage if drastic measures were not taken to increase his weight. Â He was skin and bones. Â His spine showed through his back and his rib cage was clearly visible from the front. He just couldnât keep enough nutrition down to gain weight.
As a team we decided to put him on IV nutrition to help him gain weight. Every night a large bag of fluids, vitamins, and lipids (fats) was dispensed directly into his blood stream. Thankfully, within 4 months, Lyle had gained enough weight to decrease and eventually eliminate the IV nutrition.
In December 2015, after consulting other pediatric oncologists from across the country, we made the decision to begin chemotherapy. Â Lyle would endure 13 monthly rounds of chemotherapy, ending his chemotherapy journey in February 2017. Â
He has already braved 5 rounds, with little to show except a weakened immune system, allowing the occasional cold to emerge. Thankfully, Lyle even still has his full head of thick, crazy blonde hair.
Over these past few months, the chemotherapy seems to have had a positive impact, as Lyleâs vomiting has markedly decreased. Â In addition, Â the results of his first MRI since chemotherapy began have been very encouraging, as they showed that the tumor is shrinking! God is so good.
Lyleâs year of chemo brings a lot of uncertainty and questions. Will the chemotherapy continue to shrink the tumor? Will it completely destroy the tumor? Will the nausea and vomiting ever truly go away? Will Lyle stay healthy as he goes through over a year of chemotherapy? Will there be long-term side effects? Will he ever eat food by mouth?
We believe God has surrounded Lyle with incredible care, incredible people, and incredible love. Â Today Lyle is walking all over the house, playing with his little sister, and besides occasionally vomiting, is a very happy and intelligent little boy. Â He still wonât eat food by mouth for fear he will vomit, but we are hopeful and working with therapists to overcome his difficulty.
Our experience at Lurie Childrenâs Hospital in Chicago has been a total Godsend. Â All the staff has been incredible and Lyle doesnât seem to mind going there at all. Last time he even got to meet Anthony Rizzo, the 1st baseman for the Chicago Cubs! Â We are extremely grateful for the love and support of so many awesome people who have held us, prayed for us, cried with us, and sometimes carried us through this journey. Â We could not do it alone.
Thanks for reading, and God bless you all!