This morning we took Cassidy to the Scottish Rite Hospital in Dallas. The diagnosis that we received was not the best but it was by no means the worst possible.

We did confirm that she has Juvenile Psoriatic Arthritis. It is tied into psoriasis. In adults psoriasis can lead to arthritis. In children it is the opposite. Cassie is now predisposed to psoriasis later in life.

The good news is that the doctors are confident that we can return her to her full range of motion and reverse any damage that has been done to her joints thus far. They fully expect her to have a normal life.

The bad news is that she has to take some heavy duty meds. Once a week we will have to administer a shot of methotrexate. In the next couple of weeks we will have to return her for an MRI and a cortisone shot into her knee.

Needless to say it was a long day but we feel better now that we know exactly what we are facing. Regardless of what the road ahead entails I have the most beautiful and special 4 year old.