Monday, January 23, 2017



April 16, 2016 - Hell Week

Annalise's 3 Month Photos
One week ago, my life was pretty perfect. I don’t say that because my life was flipped upside down and hasn’t been righted. I say that because I often thought it. I would often thank God for the life that I had and I wondered sometimes how I had been so lucky. Last Saturday began like most other weekend days. My son, Elliot, has a semi-new interest in dinosaurs. He is two and a half years old. He has a baby sister, Annalise, who is just over three months old. Though Elliot adores his baby sister, we try to get out and do things he likes so that he doesn’t feel jealous of his sister and all of the attention we have to give a three month old. So on this Saturday, we were going on a family outing to a dinosaur exhibit. We got to see animatronic dinosaurs. We paid way too much for our tickets so that our kiddo could get up close and personal to a T-Rex. We even bought the souvenir photo with a T-Rex. I had no idea that the silly photo we took would be the last family photo taken B.D. (before diagnosis).

The Dinosaur Exhibit

I went to buy diapers after the event. I left the kids at home with their dad, Sean, so that I could come back quickly and relax. When I got home, Sean told me that our daughter had done something very strange. He said that she was moving her eyes, arms and legs up and down in unison. He was shaken up, but he didn’t think she needed to go to the emergency room. After some coaxing from my mom and under the direction of our pediatrician, we decided to take Annalise to the emergency room at Riley Children’s Hospital. We thought they would tell us that we were overreacting and to take our sweet girl home.
            
 We described our symptoms to two of the doctors on call that evening. Neither was convinced that she had had a seizure. They said that some parts of what my husband described sounded like a seizure, but other parts were not consistent with having had a seizure. They recommended we have a CT scan. We wanted to do it to rule out any problems. I knew the results would be normal and was assured by the technician that they almost always come back normal. I was not really concerned. Mostly, I wanted them to tell me she was fine so we could get home before my son’s bedtime. I put him to bed at night and I didn’t want to miss it. It’s my favorite part of the day with him because it’s just the two of us. 

We waited and watched the clock, waiting for them to tell us to go home. We wondered how much longer. Then, she had a seizure as I was holding her in my arms. Those were the scariest thirty seconds I had experienced in my life (I had no idea that far scarier things were coming). I called out to the nurse, whose name I somehow managed to remember. She came running in, followed by a doctor. They confirmed that my daughter was having a seizure and said they were going to admit us. After that, nurses came in and put an IV in my daughter. She looked so small and helpless as they held her down to insert it. Soon after, a neurologist came in to talk to us. I learned later that her name is Dr. Brinkley. I have gotten to know her much better than I wanted to, unfortunately. She came in and said my daughter’s brain was “abnormal.” I didn’t hear anything after that. Once she left, I asked Sean what she had talked about. I couldn’t understand the words he said, either. I was in disbelief. Abnormal? What the hell did that mean? It couldn’t be. She was so sweet and perfect. How could anything be abnormal about that perfect child? I couldn’t believe it. I made her repeat this all to me again later that night. It felt as if I had been punched in the stomach – repeatedly and hard. I was certain they were wrong or had gotten her scan mixed up with some other kid’s.
            
The rest of the night was a blur. Annalise was hooked up to an EEG machine and had wires coming from all parts of her body. They moved us upstairs to the “critical care unit.” I was so confused about why they were making such a fuss. I thought they must be taking precautions and were being very thorough. I found it so strange that they would put us on this unit when there wasn’t very much wrong with Annalise except a few seizures. I still assumed we would get some medication for her and take her home in the morning. I was very wrong.

The First EEG

The First EEG
The next morning, the head neurologist came in and asked if we wanted to see her CT scan. I didn’t want to, but my husband said yes and I just went along with it. If I didn’t see it, maybe it wouldn’t be true. He showed us a picture of a “normal” brain and then he pulled up a picture of her brain. I prayed for a miracle. I prayed that the picture he showed us would look like the normal brain. I prayed that it was all a mistake. And then I saw her scan. Sure it was smoother than the first picture he showed us, but it certainly had ridges and folds! It was not possibly as bad as he said it was. The only other thing I remember from that conversation is that he said that on a scale of mild, moderate, and severe, Annalise fell in the moderate category leaning towards severe. He also said she would likely never be independent, but that kids proved the doctors wrong all of the time. The rest is a haze of doctors, confusion and tears. Every one that came into our room gave us “sad eyes.” I grew to hate the expressions that they made. I would read a mother parent’s blog about how far their liss child have come and then I would get sad eyes and go back to that dark, hopeless place that I spent much of that first week in. One doctor, maybe just starting out after medical school or even an intern, cried during one visit to our room. She lowered her face so that we didn’t see, but my husband still saw her. The situation felt even more hopeless after that.

I looked at my sweet baby girl lying in the bed with all of those machines hooked up to her. The little girl that I had hoped and prayed for. The little girl that had met every milestone so far and looked so perfect. I wondered how it was possible that that sweet angel of a child could possibly be imperfect. It didn’t make sense and it was not fair. It wasn’t fair for her, who would have to live with this. It wasn’t fair to us, who would have to adjust our lives to care for her. It wasn’t fair to her brother, Elliot, who adored her. Nothing made sense.

The next two days were a blur seen through tears. I cried so much in those first few days that I thought I ran out of tears. My mind went to a dark, desperate place. I felt like I was living someone else’s life. I don’t remember much of what happened, but I do remember the hopelessness and the constant explaining to family members of what was going on. 

We went home on Monday. We were relieved to be out of the hospital and return to our normal lives. We did not realize that we were being very naïve until Tuesday. Annalise started having seizures that morning. I called the neurologist and I was told to give her more medicine. She then started doing a new type of seizure. Her eyes would roll back into her head and her hands and feet would clench. After many more seizures and more calls to neurology, they told us to return to the ER. We threw our things back in a suitcase and off we went. The same doctor that examined her our first night was on call. A neurologist, Dr. Jackman, came back to give us our options. They could admit us or send us home with the larger dosage of medicine and see if it worked. I asked him what he would do if it was his child lying on the bed. He said he would go home and see if the meds did their job. Off we went. By that evening, we were seeing more of the second type of seizure. We were told to skip the ER and go straight up to the critical care floor. We were put back into the same room we had just left. Anna was hooked back up to the EEG and I hoped and prayed for a seizure so that they would tell us what was going on. That evening and into the next morning, she had three. I felt some relief that they could tell us what it was, but felt an even bigger loss when we were told she was having infantile spasms, which are much harder to control. She was to be put on another type of medicine to try to control the spasms. 

I learned on that day that I would have to be her advocate and fight for what was best for her. I wanted her to start her meds that very day, but I wasn’t having any luck getting an order put in for it. I finally demanded that she get her medicine and they made it happen. She screamed and cried that night. We couldn’t calm her down. We were shattered and defeated. Our little girl was suffering and there was nothing we could do. Later that day, I requested a feeding study be done. So many doctors and nurses asked if she chocked or cough when she ate that we began to worry. She did, but we thought it was normal infant stuff. I honestly thought she would pass the study. I had requested it just to be safe. Then, I saw the techs whispering behind the glass and I knew that it was not good. They started by trying to explain what the body should do. I asked her to just tell me whether Annalise would need a feeding tube and explain the rest after. She told me that Annalise would likely need a feeding tube. It felt like another punch to my stomach. We would have to learn how to insert a tube into my child’s nose. This felt less and less real.


Back in our room, I told her developmental pediatrician team that the next time they came back, they better have some good news. I was tired of hearing one bad thing after another. I was breaking inside and they just kept giving us more bad news. When they came back, we were told that the flu restrictions had been lifted and 2.5 year old son, Elliot, could come to visit us. We missed him so much! We ordered a pizza and tried to act as normal as possible. He jumped up on her bed with the iPad and said “Sister, come watch the iPad with me.”


Elliot's Visit
He treated her just as he always did and had no idea that his world had also gotten turned upside down. While he was still there, the nurse came in to give us a lesson on how to do insert the feeding tube and they let us practice with a doll.  Grandpa took Elliot to play in the play room next to ours. My husband tried first. He was so scared his hands were shaking. The tube kept coming back out of her nose. After the third try, the nurse had to do it. They told us we could try again later because we couldn’t go home until we both could do it.
The next morning, Thursday, I woke up that determined to insert her feeding tube because it was what she needed and I wanted her out of the hospital. We had been there since the previous Saturday. I inserted the NG tube on my third try. It was heartbreaking to watch her cry, but I knew it had to be done. At the next feeding, my husband did it by himself on the first try. We had already figured out how to feed her in a way that allowed us the use of both of our hands. We were becoming pros at something that just the day before had horrified us.

Becoming pros with the ng tube feedings.
I thought I would be so happy to be home. I wanted out of the hospital full of bad news and shattered dreams. However, I walked into my house and immediately wanted to leave. This house belonged to the old us; us before the diagnosis when we had hopes and dreams of our perfect family growing up in that house. We had plans of renovations we wanted to do. We were different people then. The family that came home was not the family that we had been prior to the diagnosis and we had no idea how to put our lives back together and move forward. We still are not the same people that we were the morning of April 9, 2016. I do not think we will ever be those people again.