Neil’s Batten Disease Journey

Update: May 5, 2023

It’s been some time since I shared where Neil is at in his medical journey. Batten disease is a relentless beast, yet somehow our boy continues to amaze us.

Our brave, brave boy teaches us how to be in the moment, because that is the only certainty any of us have. With everything he has to endure, he somehow perseveres through it all and remains himself.. his beautiful, funny, charismatic self.

He is not letting batten disease define him. I am working on not letting batten disease define me.. define my reason for being. I try really hard to be his mom first, and his caregiver second.

 As I mentioned in prior posts, his treatment is not a cure, but it does slow the progression of the disease. So, yes, he is slowly regressing, but we are too close to him to see it.
I often ask family and friends to tell me when they see changes in him. I ask them to tell me, but it’s so damn hard to hear.

Mike and I tend to follow a bit of a pattern when coming to terms with his regressions.. It really is a process. We grieve every decline. It’s really hard to accept that pieces of him are fading away.

 So, our beautiful boy is now 17! and he recently past his 150 infusion milestone. It feels a long way away from the boy who started treatment when he was 11.
Because of the disease, he has the gangly body of a 6ft, 17 year-old, but he maintains that innocence of the very young.
He still believes in Santa and the tooth fairy.
He loves his Marvel superheroes.
He’s still a giddy Montreal Canadiens and Blue Jays fan.
He wants to spend time with us and he still asks for hugs every day.
I know most 17 year-old boys aren’t asking their mom for a hug, so I cherish what we have.

When he was diagnosed, we were told he wouldn’t make it to his 16th birthday. It was so inspiring to beat that milestone.

 We know there is no way to predict his future, so we really do try to live one day at a time and make the most of every moment with him.

 The friends he played with when he was young, (before his diagnosis) are all about to graduate high school. They’re getting accepted into university and college. They’re getting ready for prom. I remember being that age. It was a time that felt kind of magical. It’s a time of best friends and first loves…first jobs, drivers licenses, midnight curfews, independence, nostalgia.. growth. It’s a right of passage for all of them, and for their proud parents.
Neil’s never going to get to experience any of this.
I knew this time was coming.
I thought I was prepared for it, but I’m struggling and it hurts.

Neil’s never going to leave this nest. Every facet of his life requires hands on support and help.
It’s more than just transfers and a wheelchair. It’s dressing, bathing, toileting, teeth brushing, putting on deodorant and shaving.
It’s gtube feeding, thickened liquids so he won’t choke and aspirate.
It’s a communication device because most people can’t understand what he’s saying.

When I mention declines, they happen in all of these areas, and more.

They happen in his speech - he will eventually lose his ability to speak altogether.

They happen in his fine/gross motor skills- he shakes and can’t hold his hands or his head still - eventually he will lose the ability to grip most things.

They happen with his vision - eventually, he will go blind.

They happen internally - we’ve been told that it’s a miracle he hasn’t had aspiration pneumonia yet, because every time he swallows liquid or saliva, a tiny bit drips into his lungs - eventually, he will most likely get it.

They happen mentally- this one’s tricky because most often, he seems engaging and aware - but he is getting more prone to magical thinking and believes he IS the characters of his imagination.
There are days he swears to me that he IS Thor’s son (from Marvel), and that he IS a Montreal Canadien player that just got a hat trick, and that he DOES own 3 mansions - eventually, he will slip further into dementia.  

Not knowing ‘when’ declines will happen, and how severe they will be is challenging. Mike and I have had long discussions with medical team about what to expect for his future.. and what further degeneration will look like.

Eventually, his symptoms will become so pronounced that he will no longer qualify for treatment (he gets tested every 6 months.. if his ‘score’ slips, the Ontario government will no longer fund his infusions, which cost approx. $30K per/infusion).
If that happens, his disease will likely speed up and progress until it takes his life.
Some batten kids (even the ones on treatment) have contracted aspiration pneumonia, and that weakens their bodies and spirals them into a quick decline and untimely death.
Some batten kids, even the ‘healthy ones’, die in their sleep far earlier than was anticipated.

So amongst all the uncertainty that batten disease presents to us, we are literally forced to live. And we can only mentally survive it by taking it one day at a time. By loving him right now. By letting him know how precious he is to all of us.
Every single night, as I hug him and hold him extra long, I can’t stop that thought from running through my head, that this could be the last hug.

No one knows when their time is up, it’s difficult to live each day with that constant reminder that Neil has a life ending illness.

They say that batten disease is “the long goodbye.” Since he was 11 yrs old, we have not had a day where it wasn’t at the forefront of our minds. So if there is anything I have taken from this experience, it’s that it is SO important to do what you want with your life - and do it right now.
Take nothing for granted. Live each day as if it were your last and love your people with no limits… and tell them that you love them!

 Right from the beginning, we have had so many people who have given us support, and we are deeply grateful.

Providing financially for Neil is expensive. Trying to do so while living on one income can be scary. The financial support literally keeps us afloat month to month.

The emotional support friends and family give us is monumental to our mental health.

This journey has taken us deep into the depths of sorrow, but it has also gifted us with the highest peaks of love and even joy.. joy that we had never fathomed existed before Neil’s diagnosis.

We have seen the absolute best of humanity, and we have been the recipient of so much love. THANK YOU… All of you, for supporting us and for continuing to follow along in Neil’s journey with CLN2 batten disease.


April 2022

I write this letter with a prayer in my heart that Neil would come through his upcoming surgery with good health and healing.

My name is Angela Wolfram. I’ve been Leah’s best friend since our sweet sixteen birthdays. She doesn’t know I’m writing this letter. Asking for help does not come easily or naturally to Leah or Mike.

 

Two important events are taking place right now with the Brochu’s:

1. Neil needs to have an emergency brain surgery first thing, Monday August 30th 

2. Neil’s most recent decline has greatly altered his abilities. The Brochu’s urgently need their van to be fully converted to a wheelchair accessible vehicle 

(at a cost between $15 - $30 thousand dollars.)

 

With Neil’s decline he is unable to independently transfer from his wheelchair to the van seat. Leah has been supporting Neil’s weight, lifting him to his seat despite needing regular back epidurals herself. This is an accident waiting to happen.

 

Like you, I’ve watched in awe as the Brochu family navigates obstacles with Neil’s declining health with grace and courage. Despite the stress this brings, Mike and Leah are forever nurturing parents with unconditional love and unlimited patience. 

They don’t ask for much although their need is great.

I know we can work together to help the Brochus’ get a Van lift for Neil.

Thank you so much

Angela Wolfram

It’s been an action packed few months for this kid!

In October he got his new port placed in his chest (this is the port that accesses his cerebral spinal fluid via a tube from his brain.. it’s accessed on infusion day)... then last Wednesday, almost 3 months to the day, he got his feeding tube (G-tube) placed!

Recovery from the port placement was a little tough on him, but his recovery from the G-tube has been phenomenal! He’s been tolerating the feedings perfectly, with very little pain from the surgery.

Neil can still take food by mouth - it’s just that he has been having more and more choking incidents (another symptom of Batten Disease, is the slow deterioration of muscle tone in the mouth, jaw and throat). 

He has been struggling and having choking incidents with food for awhile, but just within the last couple of months, he started choking on liquids. That was scary - he had an x-Ray video swallow study done, that showed that every time he took a drink, drops of liquid we’re getting into his lungs. We were told by the specialist at the hospital that he “should have pneumonia” with the amount of liquid getting into his lungs - but his angels were with him, and thank God, he didn’t. 

We are now using a thickener to help him avoid that when drinking, going forward.

So, as a result of his swallowing issues, he was losing weight. Every time he put anything in his mouth, he feared choking on it. 

He had been on the priority g-tube surgery list at SickKids for many months (the backlog was due to Covid), so his turn couldn’t have come at a better time! 

He never ceases to amaze me - no matter what this disease puts him through, his sunny personality continues to shine. 

Through it all, his humour has remained at top form, and even in the hospital, just after his surgery, he had his nurses and doctors all laughing regularly.

It was a bit of a juggle at SickKids due to Covid. They’ve tightened safety measures even more than before .. currently, they allow only one parent in the building at a time (even for kids who are admitted into a single room) .. it was pretty funny seeing all the parents (us included) handing off kid-duty in the freezing cold outside the building, with big burly security guards on the look out, like bouncers!

The learning curve on the g-tube is pretty steep 

for Mike and I, but so far, so good!

We opted to have me attend the g-tube parent class (again, only one parent permitted)..

I was completely overwhelmed that day - feeling WAY out of my comfort zone, but as long as none of the horrible things they had to show/tell me about happen, I’ll be fine (knock on wood!!).

And even if they do happen, they gave me all kinds of resources to reach out to.

Outside of his medical excitement, Neil’s been enjoying attending school from his big comfy chair at home over the last many weeks. And I have been close by just in case he needs help while on his computer.. I’ve been so close that I have heard everything that goes on in a day at school - and I must say, the next time Neil complains about going to school, I will have quite a laugh, because holy cow, school was NEVER this fun when I was his age.

His phenomenal teachers and EA’s make SUCH a fuss over him - that kid is SHOWERED in love from them. They do so much to acknowledge him, and make him feel valued and loved. They do the same for all the kids in his class. We are so grateful to them. 

We are also forever grateful for his bi-weekly enzyme replacement therapy treatments that provide us with precious time with our boy.

2020 was hard on him, and it was heartbreaking to witness, because he did experienced some significant declines. We do truly believe however, that the g-tube will help get him to a place where his body is healthier and stronger - and hopefully, will help him maintain his current health and lifestyle.

We know that Neil leads an untraditional life - and that his future is unknown. 

We do also know that he is a rare and precious gift and that we have been honoured with the privilege of safeguarding and nurturing him for as long as God sees fit to let us have him.

I have to believe it like that.

Because otherwise, I will go crazy trying to change the unchangeable.

Keeping that at the forefront of our minds allows us to keep the mindset of ‘one day at a time’.... Besides, anyone can handle whatever their “it” is, when they break it down to just one day at a time.

Thank you so much for your continued love and support of Neil, Mike and I. 

I don’t know if updating through this gofundme page is the best way of sharing with everyone.. I just know that so many people who donated to us over the past 3 years have asked to be kept up to date on how he is doing - and I know I don’t have everyone here in my Facebook friends list .. I should probably do this via blog or website - ugh, I’m just not that organized yet!

Regardless- I know it’s been a while, and I thought this would be a great time to share now that we’re home from the hospital ❤️

Thanks again to you all. 

Stay safe and healthy!

Leah, Mike and Neil