Madelyn & Molly’s Story

Site created on January 21, 2023

Welcome to our Caring Bridge site for Madelyn and Molly. We are using this as a way to keep family and friends updated all in one place about their recent diagnosis, upcoming surgeries and will post updates during recovery as well!  We were hoping to get this information out sooner but have been busy with lots of appointments and needed time to get all of the information, process, and make the right decisions for our girls.  It is great to have this website in order to easily inform/update everyone all at once while allowing us to focus on taking care of our girls over the next few weeks. Thank you to everyone so far for all of the love, prayers, and many offers to help out and support our family!

Madelyn and Molly have both been recently diagnosed with Tethered Spinal Cord Syndrome (TSCS).  Tethered cord syndrome is a neurologic condition in which the spinal cord is not able to float freely within the spinal column because of an abnormal (unusual) attachment to tissue surrounding it. This causes stretching of the spinal cord as a child grows, leading to extra stress on nerves. There are a wide range of symptoms that can present but we started noticing our girls' symptoms around the age of 3.  They include minor challenges in gross motor abilities (balance, flexibility, etc.),bowel/bladder dysfunction, weakness, fatigue, distended abdomens, pain in their stomach, back and legs, and most recently numbness in Molly's legs when sitting in her car seat.  The neurosurgeons told us that the subtype both girls have was actually caused by the incorrect growth of the spinal cord while developing during the first trimester of pregnancy. There is no known cause.

It has been a long journey for the girls as we have prayed and sought out help and answers for their symptoms over the past 5 years that oddly seemed to fluctuate in severity and duration. It was very confusing as most people would probably not ever realize something was wrong just by looking at them.  One positive of our Covid time together was that I was with the girls pretty much all the time and able to truly observe the symptoms closely during these years. But it was incredibly heartbreaking to not have answers or ways to help when our sweet girls would ask why they are in pain or have these other issues impacting their lives. So we advocated and brought up our concerns consistently to their pediatricians and consulted with an extensive amount of specialists. Providers ran lots of tests, recommended different types of treatments that were unsuccessful at treating individual symptoms, and most of the time altogether ignored our concerns and treated me very rudely as an overbearing mom.  This is just another example of how important it is to have faith and always trust your intuition as a parent to guide you.  We finally found a specialist who truly listened, took the time to put all of the pieces together from her history and symptoms, and finally ordered an MRI for Molly suspecting TSCS in October 2022.

After Molly's initial MRI results December 30th supporting the TSCS diagnosis and another month of research, appts/consultations, and additional tests, multiple pediatric neurosurgeons confirmed the diagnosis for both Molly and Madelyn. And they are now in agreement that spine surgery is recommended and essential for both girls. The goal of surgery is to prevent further worsening of their current neurological symptoms and also development of new issues. It will also give them their best chance for their current symptoms to possibly improve.  They said generally there is a 60% chance of improvement in most symptoms, 20% of partial improvement, and 20% chance of no improvement. The chances of success may be less for our girls due to being a bit older at time of surgery.  Some symptoms take a few months to see possible improvement and others could take a year or two.

They will both be having surgery this Friday, February 10th.  It will be at Boystown National Hospital in Omaha with Molly going in first at 10:00 and then Madelyn at 2:00 pm.  The surgeries will be completed by an extremely talented, qualified, well-known and respected pediatric neurosurgeon Dr. Mark Puccioni of MD West One. We feel very fortunate to have a pediatric neurosurgery certified doctor in this area so close to us that many families travel far to seek his guidance. 

The girls will have to stay flat for the first 24-48 hours to decrease the risk of a cerebral spinal fluid (CSF) leak.  Then they will get them up and walking and as soon as they are able to do so with assistance they can go home. They are expected to be there 2-3 days if all goes well and then will complete the rest of their recovery at home. They will need to stay at home for 1-2 weeks with limited activity and most of their time lying flat on their backs. When they return to school and for an additional 6 weeks they will continue to have physical activity limitations to ensure healing and prevent CSF leaks. This means no recess or P.E at school. It also means no dance, swim team, or really any activity that involves running/jumping/physical exertion besides walking and sitting/standing.  We look forward to them being able to return to their wrestling/roughhousing and nightly "dance shows" they love to do for Ross & me. But most of all we are hopeful the surgery will provide some relief and improvement of the symptoms the girls have had to deal with for so long.  

The girls are aware of the basics of the diagnosis, the need for surgery and what to expect throughout the next 6 weeks.  They have always amazed us and continue to do so with their strength and easy going attitude towards medical situations and this has been no different.   A little girl at swim practice asked them yesterday if they were scared of the surgery and they both said "nope!". However, during late night snuggles they are understandably starting to express some big feelings about the surgery as it gets closer.  We review what to expect and answer lots of questions which seems to help . But for now they are most concerned about missing school, their teachers, their friends, and the restrictions afterwards. I think knowing they will both be going through it together at the same time helps.  And also hearing that they will get to watch lots of movies at the hospital, grandparents will be helping take care of them,  friends/family will visit and the promises of lots of popsicles and smoothies after surgery seem to be helping too :) 

Many of you have so graciously offered to help and asked how to do so as we get the girls through the next few weeks.  

Honestly,  first and foremost our family believes in the power of prayer and we graciously ask for lots of them. If you belong to a religious or spiritual group that has a list of names to reach even more people to add in more prayers we'd be so grateful to have our girls added.  And any other type of well wishes, positive energy, vibes or good juju sent their way in general is sincerely appreciated. 

We would love some help on keeping our girls stay busy and occupied in lots of safe, fun ways to allow the time for their incisions to heal, prevent a CSF leak, and distract from the things they are missing out on.  We are also focused on their mental, social, and emotional health throughout the next few weeks of surgery recovery as well as the full 6 weeks of restricted activity.  This is also admittingly for Ross and my mental health as well :) So here are a few ideas we think would lift their spirits, make them smile and keep them busy: (even the smallest gestures mean a lot to them!)

- Send a card or picture, etc. really anything in the mail- they LOVE getting it. 
- Post an uplifting message on the caring bridge website and we'll share it with the girls.
- Send Ross or me a video of you and/or your family wishing them good luck with surgery or just anything that will make them smile or laugh. (Molly has requested people's own takes on Shake it off and Madelyn has requested the same of Old Town Road lol). 
- Come and visit the girls! We will update this website when they are ready for visitors. Even if it's just for a quick hello, the girls would love it! If you have rowdy kiddos you could always bring their favorite board game or a favorite toy to play with together.  Don't hesitate, just reach out to me and I'll let you know if it would work.
- Any crafts (someone recommended to us KiwiCo and Crunchlabs), sticker books, activity books, word finds, etc. 
- Loan us a puzzle (they like ones that are 300 pieces at least) or board game we could use for a month or so and then give back. I promise to keep track and return it!


We are very blessed to have the support, love, and prayers from so many people in our lives. It's one of those things you know but comes especially to light in situations like these. So a special thank you to God and all of our friends, families (extra shout out to Grammy and Grandma), coaches, the girls' school and teachers for everything. We are so grateful and appreciate it more than you know!

Final Note- I have found the personal support and extensive information/resources online from other parents/children sharing their own journeys regarding  TCS  to be extremely  helpful so I hope to provide the same.  If you ever come across someone that has a child with TSCS diagnosis and they want someone to reach out to for support and information please do not hesitate to give them my information as I would love to help as others have helped us.

Newest Update

Journal entry by Jenny Holsing

Hello everyone!

I apologize for the delay in this update! I thought I had sent the draft I was working on back at the end of February but when I went to write another one today I noticed it was never sent!  So I'll include it below with the addition of the most recent update this week. 

February 25th-

Hello family and friends! We had the girls' follow up visit at the neurosurgeons office yesterday and it went great overall.  

We had been worrying quite a bit over the past few weeks about Molly since she started to have swelling and pain at her incision site once she returned back to school.  However we spoke over the phone a few times with the neuro-surgeon prior to the appt and he talked us through it.  He told us to closely monitor it and notify if it got much worse before the follow up.  Fortunately it didn't get any worse and we were able to wait until the appt.  He said that it is definitely NOT a cerebral spinal fluid leak and the swelling and pain was musculature in nature  and should hopefully go away in 1-2 months.  We were so very relieved! If it doesn't go away in that time frame we will follow up sooner than the 3 months we have setup now.

He shared how impressed he was with how well the girls did while in the hospital and during the recovery stages with their pain management and overall coping with the process.  The girls were pretty pleased to hear him say this :)  Their incisions both look excellent and are healing well with the exception of the swelling around Molly's.  At the follow-up in 3 more months he will then evaluate their progress/symptoms and determine if physical therapy for gross motor or strengthening is needed.  He also informed us that we need to wait 6 months for the spinal cord to regenerate but then will have both girls begin extensive pelvic floor therapy to try to improve their pelvic floor muscles for bladder/bowel issues.  There is a specialist PT in Omaha they recommend specifically for pediatric pelvic floor therapy and we had some of our friend/PT's confirm she's the best and worth the drive.  

The girls tried to talk him into letting them go to dance and recess earlier than their 6 week restrictions which he thought was quite cute but again reiterated the importance of following their restrictions for the full time until March 24th.  This time cannot come soon enough! Ross and I will be so glad to not worry so much and we we aren't constantly saying "Don't run!" "Don't jump!" "Don't _(basically any movement except for walking/standing/sitting)__". It can be tricky when we have wonderful and energetic friends that come to visit but the many crafts and activities everyone sent has been so helpful in keeping the kiddos busy and safe! For those of you who visited thank you so much for breaking up the monotony of less physical activity and brightening those days for our family!

Once we meet the March 24th deadline the girls will be able to go back to recess, PE, and all normal activities with monitoring and adapting activities obviously for pain if it occurs. They told us to expect some at that point due to the lack of physical activity initially but that it should be manageable. 

From then on the neuro-surgeon emphasized yet again that one of the most challenging aspects for parents and the girls will be the waiting to see if any of the symptoms are going to improve.  He stressed the importance of being patient over the next few years and managing expectations. But we are all hopeful and would love continued prayers for improvement for our girls symptoms and patience for our whole family during this time.  We are focused on managing the symptoms throughout this time and are grateful for great health professionals to guide us along the way. 

I know I said this would be our last update on the website but I will post one more after the girls restrictions are lifted and they return to activity for those who are wanting to stay informed.  Thank you to everyone who follows the girls' progress, love, prayers and support. It's challenging times like these when we are able to reflect on how blessed we are for our amazing family and friends that have supported all of us in so many different ways. We are so very grateful for all of you!

March 30th

Hello everyone! Hope everyone is enjoying the beginning of Spring!

So here is our little families final official website update, can't believe we are at this point. We are now at almost a week after their restrictions were lifted. At the beginning of the year this point in time seemed so very, very far away! 

Our girls continue to amaze us with their strength and resiliency through this process. Both of their incisions have healed and we are thankful to get back to baths and not washing hair in the sink lol. Molly unfortunately has had the biggest issue with back pain basically each evening and sometimes throughout the date at school since a week or so after the surgery.  Her incision fluctuates in swelling but is pretty consistent for the most part. We are keeping a close eye on it as it should really be gone in the next few weeks according to the doctor. Ice packs and now heating pads are a consistent part of this sweet girls routine. But she is happy to have been getting to know the school nurse and they have become good friends!

During the final weeks of restrictions the girls were great and focused on the positive aspects of limited restrictions like allowing for more sister and family play time in the evenings due to less activities we were traveling to, special one-on-one time with friends at school that would stay in with them during recess,  and getting to pick daily helpers to assist them with carrying heavy backpacks etc.  Their teachers, friends, and school have been great at providing accommodations as needed.  There has been a little bit of a transition at school this week with not having that bit of special attention ;) That's not to say there has not been tears, stress and frustrations on all of our parts that is for sure, but overall we got through it and no additional complications or appts have been needed so we consider that a win.

The first day of no restrictions the girls were SO excited (they had a countdown going for a LONG time). They woke up and the first thing they did was cartwheels and riding their bikes. We had some wonderful friends come from Omaha and a great get together at my parent's for Easter which was really fun. We tried to remind them to slow down and not overdue it but they have had a hard time stopping to rest which has resulted in some sore nights. They also had their first night of dance and tumbling Monday which was a lot as well (I have never cringed so much with each movement as I did at tumbling!) and the next day they both agreed they maybe should have listened to Mom and slowed down a bit.  Unfortunately they have had some level of pain each night since their restrictions have been lifted but this was anticipated and we are doing our best at helping them manage it at night as best as we can.  Luckily the pain is managed well for the most part during the day so school is going well. We are very honestly REALLY looking forward to when our little girls don't have the ongoing struggle with pain; it is so very heartbreaking as parents when you can't fix things or take away the pain right away. The girls both get a bit frustrated with the pain stating things like "I thought the surgery was going to fix this!" and expecting their symptoms to go away right away so we continue to be honest and upfront about the timeline and managing expectations.  It's definitely challenging to explain the medical complexities of spinal cord regeneration to  a 6 and 8 year old and for them to really understand it!

Although this journey has been challenging to say the least and is still ongoing as we wait for improvement we are so grateful for where our girls are at. And we are all full of hope and trust in God that they will make improvements that will dramatically impact their health, quality of life and future. I know I sound like a broken record but Ross and I are so genuinely grateful for all of you, your continued love, messages, prayers and support for our sweet girls (and both of us). And our girls have been shown in so many ways the overwhelming love they have from our amazing family and friends- you can tell they truly feel it in so many ways and it's really had an wonderful impact on them.  Even though we will not continue to update on this website (we will keep it up for a bit just in case) please don't hesitate to ask them how they are doing if you see them or if you want to know more about their progress in the future feel free to ask Ross or I anytime! 

Love to you all, Jenny, Ross, Madelyn and Molly

 

 

 

 

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