I will praise You in this storm....

I heard from our Case Nurse (Carrie) with our insurance company on Tuesday, August 4.  She gave me the status on where things were, and what the hold up was.  It had already been 2 weeks more than what it normally takes to get an approval from an insurance company.
Carrie told me that the insurance company forwarded Keith's paperwork to a doctor for review.  This doctor then lets the insurance company know if they should approve the transplant. Well, the insurance company sent it to the wrong doctor, they sent it to an allergist. When they received the review back from the allergist is when they noticed it was sent to the wrong doctor.  But Carrie said, they have sent it on again, to the right doctor this time.
Friday, August 7, we were packing and heading up for a week long vacation at a cottage in Howard City. The case nurse called at about 10 am and said, "we received the review back and it is not favorable. The doctor said the transplant is experimental, investigational, and not medically necessary."  Carrie said she already talked to Dr. Burt's office and they want to appeal.  Dr. Burt would like to talk directly to the doctor who did the review.  I felt totally defeated, but thank goodness Dr. Burt is willing to talk to that doctor to see if he can get the insurance to approve the transplant.
The news had taken all the fun out of our up-coming vacation plans. But then I remembered my devotions from that week.  To praise God in all things, big or small, good or bad. Praise Him! Concentrate on His goodness instead of your pain.
God help us to rest in You and wait patiently for Your timing is perfect.  Help us to let go of trying to do this on our own and trust You for Your plan is better than we can ask or imagine! -Amen

What's been going on...

THE STRAW IS DONE!  So thankful to have that behind us. We had such wonderful helpers this year! We cannot thank them enough!

From left to right, Vicky Plaggemars -friend, Keith VanKlompenberg -friend, Lucas Nienhuis -son, Delani Nienhuis -niece, Jacob Nienhuis -son, Kris VanKlompengerg - friend, Seth Brower -friend, and seated is Nate Spek -friend. Also helping, but not pictured, Bob Telman -friend, Dave DeZwaan -friend, Matt Nienhuis -brother, Jaden Nienhuis -son, and Josiah Nienhuis -son.  And I guess I helped by providing food!

Notice the difference in the stacking of the bales on these 2 wagons.  Jacob stacked the load in the bottom picture. He is definitely a grandson of my father!! My dads loads were always stacked perfectly!

Delani sitting on top of the wagon.  "Jacob keeps adjusting all the bales I stack, so I might as well give up!"

                                      
                                    They worked 2 afternoons til dark, baling almost 4,000 bales!

The sunset on the final night.  Great is Thy Faithfulness!!

Also this week has been busy with the boys in 4-H at the Ottawa County Fair.  All 4 boys raised hogs and had a great first night at the 4-H show.  Lucas received a 1st place medal, Jaden received a 3rd place medal, and Josiah received a 2nd place medal! (Josiah's first year!) They were so excited!  Thursday night is the auction.  Each morning and night the boys have to go to the fair to clean the pens and feed their pigs.  

Jacob -19

Jaden - 13

Josiah - 9

Lucas - 17

As for the steroids, he probably won't be doing that again.  He felt better for 1 maybe 2 days.  Then was totally exhausted the next day. Then it took him a few days to feel decent again.

No word yet on insurance approval.  But we figured it would take longer than the 2 weeks they suggested.

One more thing...his vision is getting worse, almost more like tunnel vision. So, if you see him somewhere but he doesn't see you, it's legit, he's not avoiding you! I was sitting in the bleachers at the fair and he came and sat down probably 10 feet from me.  I had to get up and go over to him and say, "we are sitting right over here." We got some strange looks!  

What do you want people to know about MS?

Read this great article on facebook this week.  

What do you want people to know about MS?

By Editorial Team—March 21, 2014  www.multiplesclerosis.net

Explaining what it’s like to live with multiple sclerosis can often be difficult…and frustrating.  We recently asked our Facebook community what they wanted others to know about MS.  With well over 300 comments, here are some of the most common responses:

MS is unpredictable

• No two people progress the same – it’s not one size fits all
• My symptoms can change on a daily or sometimes hourly basis
• It can literally & figuratively knock you off your feet at anytime
• MS is like a box of chocolates you never what’s in it until you get it
• It’s a roller coaster…you have ups and downs, twists and turns, except it is never fun
• MS tries to steal your self worth every day by stealing little things you could do the day before
• Just because yesterday was a bad day doesn’t mean today will be

MS is real – it’s not an excuse

• This is not something I chose
• It’s out of my control
• I’m not faking it
• I’m not being a hypochondriac or lazy, I just hurt & need to rest
• MS is exhausting and can cause extreme fatigue and horrific pain

MS is not a death sentence  (and it’s not contagious!) 

• This is my struggle and what makes me stronger
• MS is not fatal, and isn’t always debilitating
• It doesn’t change who you are, just what you can do
• It’s a terribly frightening diagnosis to receive. But, with time and education, it’s not the end of the world

MS can be invisible

• I may look fine on the outside but feel terrible on the inside
• MS makes you appear somewhat normal on the outside, but wreaks havoc on the inside
• Others can’t necessarily see our limits, as we see and feel them and they can’t push us past them.

MS can sometimes be stressful and depressing

• Slowly and quietly takes away our mobility, our cognitive thinking, and our dignity
• It’s unbelievably hard to live with -mentally physically and emotionally

MS is a constant battle – for everyone

• It’s on my mind even when I feel well
• MS is something you think about every day; there is never a break
• It’s devastating  – it is not just to the victim but the whole family has the disease
• MS requires those who love us to be open minded with great big hearts

MS still has no cure

• MS can’t be fixed with the miracle potion you are selling
• We need research for treatment and a cure

Steroids

This week Keith has been receiving steroid injections at Holland Hospital.  The steroid injections are supposed to give him a boost of energy, nothing more than that.  Not sure how long they will last or how often he will need them or if they will even help.  But you don't know til you try! Thursday was his first dose. He said he felt a little stronger, and could stand for longer periods of time, but didn't sleep more than 2 hours that night.  Friday was the 2nd dose, and he left feeling like he could move mountains, compared to what he felt like before. :)  I also called to make sure he could take sleeping pills. Yes!   His 3rd dose is today.  Praying he gets the boost he needs to bale around 4,000 straw bales next week. Or maybe that is why we have 4 boys?  We are seeing a lot more of the the "big picture" lately.  God definitely knew what he was doing when he designed our family. The boys have taken over a lot of the work around here, mostly without complaining. They don't ask a lot of questions but they struggle with knowing what is happening to their dad.

You've been accepted!!!!

Dr. Burt's nurse, Kate, told us after the evaluation that we could possibly hear an answer tomorrow  (Thursday), or for sure by Monday.  She would call or send an email.

On Monday, July 13, around noon, Keith got the call from Kate.  It was great news, "you have been accepted off trial. The next step is to get your insurance to approve. It will take me about 2 weeks. I will call and let you know what I hear from them." 

Praise the Lord!  To God be the Glory! We knew it wasn't impossible cause we serve an awesome God, but WOW!  We are humbled to say the least.

Chicago...here we come!

On Monday, July 6, Keith and I headed to Chicago for Keith's evaluation. We had reserved a hotel room which was about 200 yards from Northwestern Memorial Hospital where Keith would have most of his appointments. We made it to Chicago with no problem.  Keith navigated while I drove.
Keith's MRI was Tuesday morning at 7 am. It was cold and rainy.  Keith was called in just after 7 and we were told it would be about 2 hours.  So I sat in the waiting room and read a book.  At 9am, Keith was not out.  At 9:30, I thought, "oh great, he got sick all over himself in the machine".  HA!  (He was really nervous about being claustrophobic in there for 2 hours!)  At 9:45, it wasn't funny anymore.  I thought, "should I go find a nurse and ask if he is OK?" At 10, I started pacing.  I went to get a drink, I went to the bathroom, etc. Then finally at 10:30 he emerges. 3 1/2 hours!! Later I read this on the results from his MRI:  "Please note that several sequences were repeated secondary to motion. The technologist noted the patient fell asleep during the exam."  Wow, I was freaking out and he was catching a nap!!
After the MRI Keith had to have some blood work done at the same hospital.
At 1pm we had to meet with neurologist Roumen Balabanov.  He also evaluates Keith and together with Dr. Burt will make a decision if Keith qualifies.  Dr. Burt gets the final word, it is his study.
Dr. Balabanov's office is at Rush Medical Center.  We took a 15 minute cab ride - Keith's first time in a taxi.  Traffic was busy and neither of us wanted to drive in that.  It was only $15 each way, whew!  Dr. Balabanov's evaluation of Keith is very thorough.  He is pleasant but not compassionate.  At the end he said, "I'm not sure why you are here, you do not qualify for Dr. Burt's study."  I said, 'we knew we didn't qualify, but you still wanted to see us for an evaluation."  He said, "we don't really know your condition until we evaluate you."  Let's just say we left there feeling very defeated.
At night we ate at Giordano's, Chicago's famous deep dish pizza.  It was excellent!
Wednesday was our meeting with Dr. Burt at noon. Keith was not feeling good at all.  Dr. Burt came in and said, "so, you were referred by Dr. Prentice? He is a good man."  Whew!  Off to a good start!  It was a whirlwind of questions, and a quick physical evaluation, small chit chat about being Keith a farmer and Dr. Burt growing up on a ranch, and again we hear, "you don't qualify".  But this time we also hear, "but I do treat people off study who still could benefit from HSCT. I will talk with Dr. Balabanov and we will make our decision and let you know."  He also went on to say, he has only treated around 200 people with HSCT, no one has died, but there are a lot of risks. They also were still unsure what type of MS Keith had.  Dr. Burt only treats those with Relapsing-Remitting MS (RRMS).
After Dr. Burt left the room his nurse, Kate, went over a timeline if Keith was to be accepted.  I thought that was very strange. Why would she take about 10 minutes, holding a calendar and pointing out dates and times to us?  I didn't want to get my hopes up, so I told myself it was protocol.
After leaving Dr. Burt's office we headed for home.

We stayed at the Hampton Inn on the 33rd floor. This was our view!

What is HSCT?

What is HSCT you may ask? First, your immune system is tamped down using low-dose chemotherapy.  Then, doctors use HSCT therapy, involving an infusion of your own stem cells, previously harvested from your blood, to reboot your immune system.  After a short stay in the hospital, you go about your normal life, needing no "maintenance" drugs.
Currently HSCT is only a medical trial, not FDA approved.  There are many qualifications you have to meet to be part of the trial.  We knew Keith did not qualify, but were excited to hear that they still wanted to evaluate him.  After your evaluation, Dr. Burt will tell you if you qualify for the trial.  If you do not qualify, but he knows that you could still benefit from HSCT, he may treat you off study or also called compassionate basis.
We prayed for God's will to be done.