ALEX
Alex's story
Alex’s first six months were pretty normal except for some reflux and constipation. Our first sign of something being wrong was when we
introduced solids. Alex had allergic reaction to food after food. We struggled to find anything
that Alex could eat. By the time we got through his second year we had only found 4 foods that
Alex could safely eat. He also was sleeping more then most of his peers and would even lie
down when playing. At two, we travelled to Cincinnati Children’s Hospital to see a
Gastroenterologist who specializes in a disorder where the body sees food as an invader and
attacks the GI system. The specialist was not able to rule the disease in or out, but wanted us to
continue to trailing foods and return in a year if we were not successful. The testing while in
Cincinnati did reveal some immune deficiencies and hypoglycemia. Between Alex’s second and
third birthday he continued to decline. He became more lethargic, had multiple fevers over 105,
had several hypoglycemic episodes, was losing weight, and had his first seizure. Shortly after
Alex’s third birthday, we returned to Cincinnati and wound up there for almost three weeks as
they were adamant that we place a feeding tube. While inpatient Alex continued to have
extremely low blood sugars into the 20’s and 30’s. The Dr. asked us to go home and follow a
strict tube feeding regimen for 3 months, but if Alex did not show drastic improvement with
adequate nutrition they wanted us to look into Mitochondrial Disease. Three months later
nothing had really changed so we made our third and final trip to Cincinnati where they ran quite
a bit more bloodworm that all pointed to Mitochondrial Disease.
In February of 2008 we headed to Houston to meet one of the few Mitochondrial Disease
specialists in the country. It would be a week of appointments that would forever change our
lives. We met multiple specialists that week and had a muscle biopsy to diagnose mito. Dr.
Koenig felt based on Alex’s symptoms and labs that there was a high likelihood that Alex did
have mitochondrial disease. It was also decided that week that Alex would need to have a Porta-
Cath placed to allow easier IV access (he was stuck up to 15 times trying to start/keep an IV).
A port carries life threatening consequences of its own so it was not easy to hear. A month later
we back for the surgery for his port. In April of 2008, we got the devastating phone call that
Alex’s biopsy was positive for mitochondrial disease. Mitochondria are the parts of the cells that
convert food and oxygen to energy. All of the cells in your body (except red blood cells) contain
mitochondria. The severity of disease depends on which organs are effected and the degree to
which they are effected. In Alex’s case all of his organ systems are effected except for his
kidneys.
It was in August of 2008 that Alex had a huge setback. He contracted a minor infection, but it
had major effects on his already struggling GI system. His was unable to handle his tube
feedings and was placed on IV nutrition. It was also discovered that Alex’s debilitating stomach
pain (that he had been complaining about for years) was acute pancreatitis. We spent most of
the next 9 months in the hospital. Alex had two more surgery’s. One to remove his gallbladder
and try to make a larger opening between his stomach and intestines and when that failed to
improve his GI function they did a second surgery to place a second feeding tube directly into
his intestines. It was during this 9 months that Alex started requiring frequent blood transfusions
(as often as every two weeks) and increasing immune issues.
The next several years brought much of the same. Alex averaged over 100 days a year in the
hospital and we added intervention after intervention trying to stabilize him. In June of 2009,
Alex started having some new issues that led to a liver biopsy. We received devastating news
that Alex’s liver was severely effected and we would need to discuss possible liver transplant in
the future.
In September of 2010, Alex lost his best friend (and fellow mito warrior). It was a heart
wrenching realization for a six year old to lose a friend and realize he could die from his disease.
It was and is an event that he has never fully recovered from. Two months later Alex was in the
PICU fighting for his life in much the same battle Samuel had fought two months earlier. Alex
was placed on a ventilator, was in DIC (a disorder where your blood does not clot correctly and
causes you to bleed), liver and kidney failure, seizures and wound up with pancreatitis. While in
the hospital Alex also would up with a blood clot.
2012 brought the realization that Alex had a hole in his heart that needed to be repaired. He
also had multiple additional cases of pancreatitis and continuing scary bouts of hypoglycemia.
From the time of Alex’s diagnosis, we knew that his life expectancy could be shortened, but the
years from 2008-2013 were horrific. We went from one crisis to another. In 2013, we started two
new treatments that would turn our life around. One was/is an experimental treatment to
improve mitochondrial function. The other is an immune replacement that helps his body fight
infection.
In 2014, we received yet another life threatening diagnosis. Alex’s body is not making cortisol.
Any illness, stress, hard exercise, etc can throw his body into a potentially fatal crisis. We
experienced one of these crisis in October of 2015 that landed Alex in the PICU.
2016 was a pretty good year, but 2017 found Alex once again fighting for his life during multiple hospitalizations.
While Alex does not spend the same amount of time in the hospital that he once did, his care is
intense and constant. He takes 37 doses of medication everyday with more on hard/bad days.
He has his port a cath needle (in his chest) changed every week. He gets an infusion with two
more needle sticks every week. He can no longer eat any food by mouth. He is hooked to a
feeding tube for 20-24 hours a day and an IV 14 hours a day. He sleeps with Bipap.
The emotional toll this has taken on Alex and our whole family is immense. Alex is full of joy, but
he does experience anxiety and signs of PTSD. He wants so badly to be “normal”. His life is a
lonely life. He can’t go to school and doesn’t have anyone who truly understands what it is like
to be him. He finds joy in his dog, his sister, his church, his love of video games and giving back to our local hospital through public speaking and fundraising!