I keep wondering when the other shoe will fall with Danny. He is in many respects my easiest child, talkative, creative, curious, generally mellow, etc. He was my surprise baby, born one year and two days after Bashar. But since he was born, there have been some issues. I nearly went into labor with him 8 weeks early while we were overseas. Fortunately, he waited to be born at 38ish weeks. When I was in labor with him, at one point, his heart rate was slowing down because he was not receiving enough oxygen, so an oxygen mask was put on him. He was born normally without any complications. He was jaundiced for the first 2 weeks of his life and I had to take him to a bilirubin clinic for daily heel sticks until his bilirubin levels were normal again. At birth, he had a large spongy mark on one side of his neck. He was only a month old when we had to see a hematologist for an opinion--was this birthmark benign or malignant? We were told that it is benign, that it would go away on its own, and that if it did not when Danny was older, we could choose to have plastic surgery and have it removed. Or, Danny could get a tattoo to cover up that mark. Many people would ask us "what is that thing on his neck?". Adults were diplomatic, but children, not so much. Every time that I took him to the pediatrician and a new resident or medical student saw him, I would have to explain what that mark on his neck was.
When Danny was 4 years old, we decided to have the birthmark removed. It was the first day of kindergarten for Bashar, but it was only one hour long. I took my 3 childen with me to the elementary school for that one hour and then rushed to the Children's Hospital with all 3 children in tow. The surgeon who did the initial consult took a picture of it and suggested that we have it biopsied. Danny will tell you that the doctor "cut off the skin and threw it away". I was scared because he would have to be given a general anesthesia. He came out of the surgery just fine, thankfully, and was back to playing once we got home. It was a long two weeks as we waited to find out what that piece of skin was. The pathologist thought that it could be a fibrofolliculoma, possibly a sign of a rare genetic disorder called Birt Hogg Dube syndrome. With Birt Hogg Dube syndrome, a person is at an increased risk of kidney cancer, lung cancer, and skin cancer. We had a genetic test performed in November. If it showed that Danny has the gene for Birt Hogg Dube syndrome, Bashar and Lana and my husband and I would have to be tested to see if anyone else carried that gene. We learned that there is a gene which in some people manifests itself as Birt Hogg Dube syndrome, but in other people, it manifests itself as an autism spectrum disorder. Danny tested negative for BHD, but since there is a 12% chance of false positives, the geneticist recommended that we have CT scans done yearly or biannually, just to be on the safe side.
We had a CT scan with contrast done on June 25, one day before his 5th birthday. The radiologist saw a 3 mm abnormality on Danny's left kidney. He wanted for us to schedule an ultrasound so that he could see more clearly what, if anything is on Danny's kidney. It could be incidental, or it could be something serious. The ultrasound is in 2 days, ironically 1 day before my birthday. Then comes the waiting. The waiting is the hardest part. Really, I should be used to this by now. I have been dealing with doctors and specialists for both Bashar and Danny. Thus far, we have been fortunate. Danny is an active, strong, healthy looking little boy. However, whenever I have to take him to see a specialist, I worry. I watch as he sings Foo Fighter songs and I become tearry eyed, anxious that one day we will receive bad news from some specialist, that my little one could be taken from me because of complications from Birt Hogg Dube and I would not be able to hear his sweet voice singing "The Pretender" or "Everlong". I try to be strong, I have to be, and tell myself that even if the doctors find something wrong, that we have been proactive about getting checkups and that he can be treated early. If only I could convince my heart of that fact.
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