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  2004
 
  January 6th  

Natasha went to see Haeley the physio today she said there is a slight improvement but not much. Natasha is having a short break from her exercises until school starts although she should still do some stretches. Haeley checked our next appointment as I have some concern about a rash that has beveloped on Natasha’s upper thighs and on one upper arm and below one knee. I would like to see Dr Rudge soon.
The next appointment was not until 25/3 so Haeley has arranged an early appointment on the 15/1 at 8.40am
 

  January 15th   DR Rudge has had a look at the rash and seems to think it is just part of Natasha’s normal reaction to the dIsease, no change in medication at present. Visited Haeley again today.
 
  February 10th   We saw haeley again she said Tasha is making slow but steady progress and she wants to see her once a month from now on.
 
  March 9th   Natasha saw Haeley again today, she still appears to be improving but it is a very slow progress this time. Her main Trunk muscles and her hips and shoulder are still weak. I feel that it’s taking longer this time for things to improve. Natasha was very tired and has a cold so she wasn’t very co-operative this time either. Hopefully next time there will be more progress. Haeley will call us about our next appointment, she will check when we next see Dr Rudge and try and fit it in on the same day
 
  April 23rd   Another visit with Haeley the physiotherapist Natasha is still improving slowly. Her right leg is much weaker than her left so she has to concentrate on building up the strength on that side. She has a few exercises to do and some stretches to see if she can improve the range of movement in her ankles as they don’t bend enough to let her walk down stairs properly. She tends to drop down the steps instead of stepping.
 
  April 29th   CK 134. We visited Dr Rudge again today. As Haeley said progress is slow and the JDMS remains active. Natasha still has a slight rash on her face and hands, I asked Dr Rudge about the long term prognoses as it is now been over 4 years since Tasha was diagnosed but she could not give me a definite answer. I have talked to a lady whose son had it from 8 till he was 21 he is now 33 and has had no further problems apart from the steroids stunting his growth; he is only 5ft tall. Hopefully Natasha won’t have it so long. I am concerned about Natasha’s growth as well and she is worried about her weight. She is eight and would like to be just like everybody else. Dr Rudge said once the steroids are down to 7miligrams or below they should no longer affect her growth. Over the next three months we will be trying to reduce her steroids down to this level. We are going very slowly this time as she has relapsed badly the last few times the steroids were lowered. Each month we will reduce them by 1mg, going down to 9mg this month then 8mg then 7mg
 
  May 25th   Natasha saw Haeley today. She is still coming along slowly. Haeley gave her a new exercise chart and some new exercises. This time she also gave her an incentive to do them, if she does her exercises five times a week for four weeks she will get two movies passes. The school holidays are coming up so there should be some kid’s movies out. We are off to Australia in a couple of weeks for a quick visit to my sister and her four kids and hopefully to see my brother-in-law in the Disney stage show of The Lion King he is playing the part of Mufasa so it will be fantastic for the kids to see. Haeley’s best friend Bella is also in it so we will have to get him to pass on a “Hi” from her. Natasha is really looking forward to seeing her cousins. She has missed them terribly since they went to Oz in October last year
 
  June   Australia and the Lion King were both fantastic, Natasha and her sister really enjoyed playing with their cousins.  Natasha Had very sore ears on the return flight so we will have to get something for that before we go to Disneyland in September
 
  July 15th   Steriods are now down to 7mg. Natasha had Physio with Haeley on the 6.7.2004 her father took her this time. Haeley said she didn’t nee to see her every month now and she wasn’t given anymore exercises, swimming and dancing should be enough. Natasha is on school holidays at the moment and has been doing quite a bit of activity, she has had some soreness in her legs she was limping all day on Wednesday and last night said her arm was sore. Hopefully this is just because she has been doing so much and not due to another flare. We will be seeing Dr Rudge on the 5th of August so will do a blood test prior to that to see what’s happening
 
  August 1st   I have spoken recently to a lady whose Granddaughter has just been diagnosed with JDMS.  Another father from Wanganui is hoping to get a support group up and running. I’m really keen for this to get going and would love all the kids and their families to get together at some time.
 
  August 8th   CK122. Natasha saw Dr Rudge today her legs do appear to be a little weaker and her rash is up again on her face and hands. Natasha has been complaining about her legs being sore so Dr Rudge has suggested we up the steroids back to 2ml (10mg) even though her blood test is normal as she does seem to have a pattern of flaring up about this time of year. We were hoping to see Haeley as well today, but she was away sick so we have made an appointment to see her Thursday the 19th. Natasha isn’t very keen to have her steroids go up again and asked if she will ever get over it (JDMS). I doubt that she can even remember being completely well. She so wants to be better so she can play on the monkey bars a school with all her friends and join in with sports
 
  August 23rd   We have had another blood test done on the 14th CK 142 which is still within the normal range but Natasha is definitely weaker. On the 19th we went to see Haeley at Auckland Children's Starship Hospital and she agrees that Natasha has got weaker and has given her exercises to do again. The last two Saturdays, Natasha has had to get out of the pool before her swimming lessons finished because she is too sore to carry on. We will be seeing Dr Rudge again on the 9th of September so will have one more blood test and check up before we leave for Disneyland
 
  September 9th   CK result 162. We went to see Dr Rudge again today. Natasha is still a little weak so her medication will remain the same until we return from our trip. Haeley was away sick so Fiona and another physiotherapist checked Natasha over. We also meet another little girl who has recently been diagnosed with JDMS she reminds me of Natasha at the beginning she is just about to turn five and will be starting school at the end of the holidays. My heart goes out to her and her family as I remember how hard Natasha found it being different from the other kids when so was so little, and as a parent it’s so hard to watch your baby go through this.
 
  October 10th   We are back from our fantastic holiday in Disneyland. We all had a wonderful time and even got to spend a very special weekend with Natasha’s pen pal Sara who is also eight and has had JDMS for two years. Sara lives in San Francisco. Sara and her grandmother flew down to LA with so that the two girls could meet. See our photos and more about our trip under the link “Disneyland September 2004
 
  November 5th   Natasha had an appointment with Dr Yan (Jackie) yesterday. Over all the years we have being going to Auckland Children's Starship Hospital we have never actually met her before. She is really lovely.  Natasha’s CK has shot up to 314 so she is definitely not heading in the right direction. Dr Rudge and Dr Yan have suggested that we try Intravenous Immunoglobulin as there has been some success with long term cases using this treatment in other countries. At this stage we are ready to try just about anything, I have had a quick read about it on the internet, there are risks but weighing it up against the possible benefits we really have to give it a try. Natasha has had another full Physical assessment done. This is so any improvements can be measured after treatment, which will commence next week. We are keeping our fingers crossed and hoping this will be the break through that we have been waiting so long for.
 
  November 11th   Natasha went in for her Intravenous Immunoglobulin on the 11th November we were told to come in early as the sooner we were in the sooner it would be finished etc… so we arrived at 8am, she wasn’t put on the drip until 12.50pm so we ended up having to stay until 7pm that night (11 hours). Luckily we took along some craft things, she coloured in, read books and painted in the play room. Natasha was fantastic she’s a really good kid. I told her she makes me feel very proud, she is incredibly patient and doesn’t complain.  Although she did say the next day that she never wants to do that again. The following day’s she had a bit of a dizzy head and some soreness under her arms and I thought her eyes looked a bit off white and she was very tired but by Saturday afternoon she felt fine. As yet I haven’t noticed any difference in her strength but Dr Yan said it can take a few tries if anything happens at all
 
  December 8th   Natasha had another IVIG yesterday at the Day Stay Unit in Auckland Children's Starship Hospital. They were a bit more organised this time but still she wasn’t attached to the IV until after 11am and again we had been told to come in at 8am. So it was another very long day for Tasha. She is finding it very tiring and has said she doesn’t want to go back, but if there is a chance that it may help we have to give it a go. The play specialist spent a lot of the day with her playing games etc so that kept her amused for some of the time. The drip was in her hand this time so doing any of the craft things we took along was out of the question but I read to her and she also watched some TV. We have our next appointment with Dr Yan next Thursday so will hopefully find out the results of her latest blood tests.
Today a new cousin for Natasha was born and tommorrow the 9th is her Birthday
 
  December 9th   Today is Natasha's Birthday and she has woken up very very ill. Its suspected food poisoning as she is vomiting all day. We dont think its a result of the medication. So unfortunately, instead of celebrating her birthday, she's wrapped up in blankets with a splitting headache and very upset tummy.
 
  December 10th   Everything is back to normal. Just an intense 24 hour bout of food poisoning and Tasha wants to go to school.
 
  December 20th   CK 115.  Natasha’s last visit with Dr Yan (Jackie) went well she is hoping to drop the prednisone in the new year as her blood test results have been good since starting the IVIG treatments. Natasha has an appointment at Greenlane to check her bone density on the 7th of January and her next IVIG treatment will be on the 14th January, so we will see Jackie that day along with Haeley and hopefully have the lung function test done at the same time. That will get everything out of the way all at once. I Have had a call today saying that we should lower the Prednisone to 7.5mg (1 1/2ml) after Christmas. That should please Natasha.
 
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The above graphic is from MAORI FLAVA'D.
Unfortunately I cant remember where I got the one on the side from