Showing posts with label CDH. Show all posts
Showing posts with label CDH. Show all posts

Another Giveaway, Claire & Cowboy Caviar

Oh how I love give aways. Beauty in the Attempt is giving away not one but two gifts to one of you in honor of her birthday.Isn't that thoughtful of her? Head on over to her blog to find out what she's giving away.Do it now! You have until October 17 {this Sunday} So what are you waiting for head on over to beauty in the Attempt. You just might be  the lucky winner. Happy Birthday e!

In other exciting news  Warrior Princess Claire was discharged from the hospital earlier today. Welcome home sweet home {again} Claire! Every night before O goes to sleep he asks to see a picture of Claire. It's so cute. Maybe one day these two CDH warriors can meet in person but for now they are blog buddies.



This is what I have been living off of lately...
I  am  addicted.
I can't seem to get enough.
It's super easy to make and a great healthy snack,dinner or even breakfast. YES breakfast.
I told you I am  totally addicted to Cowboy Caviar,baby.
I have my friend Rachel to thank for introducing me to this fresh totally addicting dish.
Thanks Rachel!

this is how you make it
1 can shoepeg corn - drained
1 can black eyed peas - rinsed
2 large avocados - cubed
roma tomatoes - chopped
2/3 cup cilantro - chopped - I just use 1 bunch
2/3 cup green onion - chopped - I just use 1 bunch
Dressing: Mix together in bowl and pour over ingredients above
1/4 cup olive oil
1/4 cup red wine vinegar
2 teaspoon chopped garlic
3/4 teaspoon black pepper
1/8 teaspoon salt
1 teaspoon ground cumin

I found this on the Parker's Reese Foundations site
   written by Breathe of Hope

What it is like to have a baby with Congital Diaphragmatic Hernia?

Imagine that you and your partner are expecting a baby. The thrill of the whole thought – another little being. The whole thing is a bit overwhelming and exciting. About the time many are diagnosed, is the 20 week ultrasound. Most couples go to the doctor excited to perhaps find out the sex of the baby and/or just to get a glimpse of this little one before they are born. Whose mouth and nose does this little one have? No one expects to be told their child has something wrong.
You are in a darkened room in order to see the ultrasound monitor and the tech is actually measuring the size of the head, bones and checking to see the organs. Then they see that something isn’t right. It is hard to not disclose this to the couple who is excited to see their baby, the hands the feet the nose. In that darkened room or perhaps after you are led to an office after the ultrasound, a health professional will then inform you that your unborn child has a birth defect called congenital diaphragmatic hernia. The survival rates are approximately 50 to 60% and they must tell you that the treatments they endure to save their lives may cause lifetime issues. They also have to tell you that congenital diaphragmatic hernia itself because the child’s organs did not form correctly in development may have lifetime issues.
You are then told there are options. Fetal surgery may be an option but depending upon where you live and the availability of surgeons who specialize in this, it could not be a financially feasible one. It also depends upon the mother’s overall health and the severity of the diaphragmatic hernia, so you must qualify to have this option available to you too. Your insurance coverage may not cover such a procedure. It is highly experimental even today. One day it may not be. You are also told that you should have this infant, if you continue this pregnancy at a level 3 or higher NICU at a Medical Center that has had experience, even with the fetal surgery you would need this too. They may require ECMO, a heart lung bypass in order to save their lives. To imagine your unborn child hooked up to a heart lung bypass? It is overwhelming. This isn’t supposed to happen.
You will also be given an option to terminate the pregnancy. You just passed the 12 week point where many couples start to breathe easier because you are past the crucial point of miscarriage in the first trimester. You are not supposed to be making life and death decisions for your child. You are supposed to be planning the nursery, picking out clothing and the only worry will be if you truly think you are up to being a mother or a father. Those worries are enough in themselves.
Now you are given options if you were prediagnosed prior to birth. You must make these decisions that will not only affect your lives, but your whole family. You will wonder if your choice of hospitals is good and question if you should go to another. None of the choices are easy. You will also be asked to undergo an amniocentesis to rule out any other abnormality with this unborn child. Many times there are none. Sometimes there are other issues.
Only other parents who have faced this understand the unexplainable feelings, the emotions that go from fear, to devastation to determination. Only other parents who have been there and done that can relate to this. Many of us were asked, “How can you?” We just do. We have truly little choice in the matter.
If you choose to interrupt this pregnancy, all the experts have told you based upon countless tests that your unborn child’s chances are less than 50%, you must endure the stigma. You wanted this baby and you chose not to have them suffer. It is not a selfish act but a selfless one. Some will state if you didn’t go full-term this child doesn’t count – so not true. You will also change because of this experience. Your child will never know the pain and will always be in your hearts.
If you choose continue the pregnancy and hope and pray for the best you will also have doubts and wonder if you can endure seeing your small infant go through surgery, recover and endure. If you are the mother, you will have this constant reminder moving and kicking within you. If you are the father, each time you see your partner, you will have this reminder. The thoughts of what you both will have to endure for your child and what your child will endure will not be far from either of you.
Then there are those couples who were expecting a healthy baby and their child is born and goes into repertory distress. They whisk the baby away and start intubation and assessing the condition of the infant. You may not hear anything for hours. Not knowing what is happening to your child, to this baby you have a nursery prepared for, a life planned out for and now they are taken from you. The doctors will then come to you and tell you of this birth defect which has a 50% mortality rate. Your child may be treated in the hospital you delivered or many times may have to be transported to another for treatment. You are in shock. What in the heck is a congenital diaphragmatic hernia? How did that happen? Why didn’t they see it before? When can I see my child? When can I hold them? Those that had the diagnoses prior to birth at least know of the protocols and procedures that health care institutions do to attempt to save the lives of these babies.
Both will sit by the bedside and pray, hope and wonder what is next? You face the unknown, the lack of control, the overwhelming feeling of parents just to pick their child up who is suffering and ill cannot be acted upon. This isn’t supposed to happen this way! Why your child? No one can give answers to that question. You go from watching the monitors to not watching the monitors to asking if they have had a good day or a good blood gas for the past hour. Sometimes you cling to just a good minute.
If you are blessed enough to have your child endure surgery, possibly ECMO and recover from both then the next hurdles are feedings and weaning the painkilling drugs they have been on since birth. This is a slow process. It takes time and patience. Many of these children due to the organs affected may have gastrointestinal reflux and due to the tubes down their throats oral aversions. You wonder how you are going to take care of this once fragile infant at home. You are warned of their lung condition being fragile, that they may not have the immunities other children have and must be guarded against a society full of germs. Your best friend will be anti-bacterial soap and hand sanitizers. (Next to an abundant supply of burp cloths for the reflux.)
And if you are faced with letting them go, allowing them to earn their wings, either by their choice or after being told that everything that could be done has been and there is nothing left to do. That is the worst loss, but each and every parent who has had ever to let their child go in this way will tell you, “We just knew it was time”. The most unselfish act in the world is to tell your loved one, “It is okay to go.” They will be out of pain, not have to endure any more but that is when your pain will immeasurably increase.
It takes courage, faith, strength you never thought you could have to endure having a child with CDH. You will be the most devastated you ever have been, you will be more exhausted both physically and emotionally than you ever have been before. You will also know that no matter what life throws at you now, it is small compared to what you have endured.
© Breath of Hope, Inc 2010

Sometimes I wish time would stand still

They weren't kidding when they say "motherhood zooms bye". Seriously I feel like just yesterday my little boy was a bald headed blue eye curious easy going never sleep through the night baby.Oh! how I miss late night early morning snuggles.I don't miss being sleep deprived though that is defiantly a plus side to my baby being a little boy.If I could I would freeze time. I get teary eyed just thinking of my baby little boy growing up and leaving for college. Sniff sniff.      
O 6 months old

Yes, I am well aware that my baby little boy hasn't even started pre-school yet and  I am already feeling the empty nest syndrome.Crazy, I know. I love being a mommy. It's been my dream. I was that girl that secretly played dolls until the age of fourteen (ssshhh don't tell any of my peers). I want to savory every moment of watching my little boy grow into a young responsible gentlemen. sniff sniff.

If only I could freeze time.
thanks to digital, I can.
savory and capture those moments in time I wish I could freeze.
Like this beautiful moment my almost three year old(sniff sniff) 
playing soccer with the greatest man I know.
His smile melts my heart and brings me so much joy.
Moments I will savory until the end of time.
Like this one....
 my little boy  lady bug doing his team cheer with his peers.

What is CDH?

Congenital Diaphragmatic Hernia (CDH) is a birth defect that occurs when the diaphragm does not fully form around week 9-10 of gestation. This can allow some of the abdominal organs to move into the chest, preventing normal lung growth and possibly also causing damage to the heart. This defect happens in about 1 in 2,000 births. Unfortunately, CDH is a rather unknown birth defect that most people don’t hear about unless their baby is diagnosed with it. CDH happens at about the same rate as cystic fibrosis and spina bifida.
Many hospitals aren’t equipped to treat CDH babies. They either don’t have surgeons who can perform the hernia repair surgery or they don’t have an Extracorporeal Membrane Oxygenation machine (ECMO) which is a heart lung bypass machine that is sometimes used in treatment of these critically ill babies. 
The survival rate for CDH babies is around 50%. At Legacy and other hospitals that use the gentle ventilation technique for treatment there is a 92% survival rate for babies that don’t need ECMO. Some babies with CDH also have other birth defects, affecting the heart, chest wall (pectus excavatum) or spine (scoliosis). There are also some chromosomal abnormalities that can occur with CDH. Some babies, however have only the CDH and no other structural or chromosomal abnormalities.
So many little ones that are born with CDH have lasting problems. Often the lungs don’t grow to normal size or function so babies may still need the help of oxygen or other lung medications. Other common problems are with feeding, from acid reflux to oral aversion and problems with weight gain. Some babies also experience different developmental delays from extended hospital stays or ECMO and the side effects of different medications.

O's fight to live!

This is a CDH success story.

I found this poem on another blog that  I found helpful it gave me strength when I felt weak.
“I will be a better mother for all that I have endured. I am a better wife, a better aunt, a better daughter, neighbor, friend and sister because I have known pain.
I know disillusionment as I have been betrayed by my own body. I have been tried by fire and hell many never face, yet given time, I stood tall.
I have prevailed.
I have succeeded.
I have won.
So now, when others hurt around me, I do not run from their pain in order to save myself discomfort. I see it, mourn it, and join them in theirs.
I listen.
And even though I cannot make it better, I can make it less lonely. I have learned the immense power of another hand holding tight to mine, of other eyes that moisten as they learn to accept the harsh truth and when life is beyond hard. I have learned a compassion that only comes with walking in those shoes.
I have learned to appreciate life.”
Aurthur Unknown
What? Were gonna be parents!

Hubs and I were pleasantly surprised when we discovered that we were pregnant with our first baby. Shocked would be an understatement. We weren't  trying at all. In fact I was on birth control. We talked about having a family and always new it was in the cards for us we just had no idea how soon our family of two would soon be a family of three. Once we got over the initial shock "WERE GONG TO BE PARENTS" we were on cloud nine. We had some concern right away. With me being on  birth control we new I immediately needed to stop taking it. Another concern was my seizure disorder. The medication I was taking at the time could possible be harmful to my unborn baby. I was terrified knowing that I was taking medication for the first six weeks of pregnancy unbeknown to me  that could cause severe birth defects like Spina bifida and Nerul tube defect.  I  immediately stopped all of my medications. Stopping all of my mediations could be potentially dangerous. The risk of me having a seizure go way up.The risk of continuing taking my medication  were greater. I didn't have a choice I needed to do what was best of our  baby. With out medication it would only be a matter of time before I stared having seizers which could be harmful to our  baby and myself. In order to keep my seizure disorder under control I began to see a natural path and started taking natural supplements. They were completely safe  for our  unborn baby and they were keeping my seizures under control. It was a win win.

At twelve weeks we had our first ultra sound. It was amazing to see our little baby.To hear a strong heart beat. That's when it became rally real.  WERE GOING TO BE PARENTS! Holy batman this little life we are responsible for. From that moment on Hubs started calling our little growing babe a pot sticker.Kinda weird, I know.That's what our little babe resembled at the time. We both were beyond  excited to be parents.

We had another ultra sound a few weeks later to get a good look at our little pot sticker's spine. To rule out spinal bifida. I also had blood work done to rule out Nerul tube defect. While we waited for the results we prayed "please god let our little babe be healthy" It felt like an  eternity,waiting. A week or so went buy and finally  We heard the news we were hoping to hear our little babe tested free and clear of both birth defects. Our prayers were answered. Thank you GOD! thank you GOD Our growing little pot sticker is gonna be just fine. 

The next few weeks were a breeze. My belly was getting bigger and bigger by the day. I was filled with so much joy. I loved being pregnant. I felt so blessed to feel this little babe of ours move around. I really felt at peace that our little babe (aka Pot sticker) was going to be born healthy. Placed in my arms right after birth and nurse like a champ. The natural supplements I was taking were still working for the most part. I did have one grand-mal seizure. It only lasted a couple of seconds. I was told by the ER doctor that if I had another one that I would have to consider getting on a different type of anti-seizure medication that would be safe for our unborn baby. The seizure didn't faze our little babe. Strong heart beat check. My cervix closed check. Having a seizure while pregnant can block the oxygen to the unborn babe and it could also cause preterm labor. Neither one of these we wanted. So with all that being said I was monitored by the Doctors and my natural path. I wanted to go as long as I could before having to take  any anti-seizure drug. The longer I go the better for our babe but I was also in fear of having another seizure. They are horrifying. I wouldn't wish a seizure on my worst enemy. If I had enemies.

CDH, what?

The day the storm blew in was the day of my twenty week ultra sound. I didn't think anything of it except that we were going to find out the sex of our little babe. Boy or girl. It felt like Christmas morning we couldn't wait to find out if we were going to have a son or daughter. It never occurred to us that my pregnancy and our life's were about to take a Jurassic turn. We left  on top of the world "we were having a BOY!" We were so excited we immediately started calling everyone we new to share our  news. Hubs went off to work with one of the ultra sound pictures of our son and I went home.

We were having a BOY! a baby boy our baby boy. A son. Our son.Oh boy were we excited!

The storm didn't really hit until quarter after seven that night. I was happily online registering for all the baby stuff when my phone rang. I looked down at my caller ID. Unfamiliar number. I picked up the phone "hello" that was out of my character. If I don't know who's calling I usually let it go straight to voice mail. Something told me to pick up that darn phone. On the other end of the line I heard my O.B's deep Russian accent. My heart dropped. I new something was very wrong.I tried my hardest to remain calm.My heart began to beat rapidly. He began to explain  that the tech noticed that our baby had a  fatal birth defect known as Congital Diaphragmatic Hernia. I had know idea what the f***k he was talking about? Come to think of it the tech did leave the room several times during this morning's ultra sound. I didn't think anything of it, Until now. Wiping tears I asked him "could you please call my husband at work and explain all this to him?" I was a hot mess. I new I wouldn't be able to explain clearly all the medical information. My O.B replied " yes but I need to make this quick, I have been at work all day" are you f***ing kidding me! That was the last I spoke to that jerk of an O.B. When I hung up the phone I collapsed to floor sobbing yelling "why god?why our baby? why our son?" I felt as if my heart was being ripped out of my chest. All our hopes and dreams for our son being born healthy were gone.

Hubs came home from work early. He picked me up off the floor and we sobbed in each others arms. Well I sobbed he remained calm.Trying to be strong for me, for us.He shared with me what that jerk of an O.B told him "that their was no hope for our son. he highly recommend having  abortion" I was stunned. I had know idea that was even a possibility at twenty weeks gestation. How could we just abort this little life?I can feel moving inside of my womb. Our son, abort our son! That was not a possibility for us. We new we couldn't give up hope. Hope that our son would beat the odds and be CDH survivor.

The rest of my pregnancy was filled with many Doctors appointments, Ultra sounds, test after test. Instead of researching  for a pediatrician. We were researching for the best pediatric surgeons.Touring through a NICU. The Doctors kept reminding us that our baby is going to be born sick,very very sick.Baby's born with CDH need to be in the level three NICU. Where the sickest babies are cared for. Many tears were shed. We prayed and cling ed on to hope.Hope gave us strength. We found hope reading  CDH survivor story's and even having the pleasure of meeting a sweet vibrant baby boy who fought the fight to survive and won! Meeting with him and his parents gave us hope for our sweet son.

A Warrior is born


Four days before my scheduled induction day my water broke.  I was in a panic.  I wasn't ready. Not now. Please god just let me carry my sweet boy safely in my womb a little longer.Please, I begged. With me being the procrastinator that I am I didn't even have our bags packed. I was terrified of the road ahead.Afraid of the unknown. Afraid of the CDH roller coaster ride. This was one ride I wish I could avoid competely but this was the ride chosen for us.For our babe.No time to be weak I needed to be strong for our son.

Twenty -two hours of labor (three hours of hard core pushing) It was decided that I needed a C-section.I cried this was the last thing I wanted. Our little babe was sunny side up (face up) so with each push he would go down then back up. I was exhausted and at that point I just wanted the whole labor thing to be over. Cut me open and get him out already!

at 2:32 pm on the day of January 25,2008 our little warrior O was born

Before you were conceived I wanted you.
Before you were born I loved.
Before you were here an hour I would die for you.
This is the MIRACLE OF LIFE.

O had a first couple of really good days.We were so thankful. Then he started to really take the turn for the worse. The Doctors prepared us for the "unthinkable". We were on pins and needles. Praying for a miracle. We never gave up hope.I was terrified this wasn't how I imagined how the birth of our son would go he should be cradled in my arms. We should be home..Instead our only son was in the level three NICU on life support fighting for his life. Terrified is an understatement.


Finally at seventeen days old O had his repair surgery right at his bed side in the NICU. He was so sick and fragile his amazing surgeon didn't want to risk moving him to the operating room. That was the longest four and half hours of our life. O's surgery was anything but easy. His spleen bleed to death. He lost a lot of blood  he had to have several blood transfusions.(thankful for people who donate blood, thank you!) He was missing 90% of his diaphragm on the left side. His stomach and bowl were in his chest. Which pushed his heart over to the right. His lungs were underdeveloped.The amazing thing about lungs is they continue to grow until a child is eight years old and even though O's lungs were small their was hope.

He was still in critical condition. The next several days will be tough for O. The Doctors and Nurses reminded us " he will get sicker before he gets better " Which is really common for babies born with CDH.

The day after his BIG repair surgery hubs and I walked into the NICU feeling GREAT. Our son is truly amazing. Yes he was still very very sick. I new in my heart now that  O fought through this major hurdle he was only going to amaze us and continue to fight and kick CDH's ass.Before we were able to walk over to O's bed side one of his Doctors stopped us dead in our tracks. "Wow! I thought O died last night! his surgery didn't seem to go to well, you know he is doing okay now but he will get sicker before he gets better." My first instinct was to give her a bitch slab. I took a deep breathe before I said anything  I would re-great and walked over to my little warrior all bandaged up from war. Keep in mind at this point O was stable. Still critical but stable.This was the one Doctor who had the worst bed side manor. From day one she had very little hope that our son would beat the odds and survive. I new O would prove her wrong. He was only going to go up from here. And that he did five days later he came off of the ventilator breathing with the help of oxygen.That very same day we held him for the very first time. He was  twenty two days old.

Three weeks later we were bringing our little miracle home.It seemed so surreal. We waited for this day for so long. Their were days we weren't sure if this glorious day would ever come.We had so much to be thankful for. We new he wouldn't be at this point with out his awesome surgeon, Nurses and all of the NICU Doctors even the one with the horrible no good bed side manor.He was breathing room air, and only on two medications one for acid reflux (another common thing for babies born with CDH) and an antibiotic(for the loss of his spleen)  he will have to remain on until he is three to five years old.

Hip hip hooray were going HOME!


The next few months were pretty uneventful. We were happy being a little family of three at home. I was anxious and worried all the time that O's hernia repair might   re-herniate. My biggest fear. Since he only had 90% of his left diaphragm his surgeon had to get  creative and and tie the gore tex patch (his make shift diaphragm) to his rib cage. We were told he had a 15% chance of having a recurrence. With that being said O had to have a routine x-ray every three months. We lived each day to the fullest. With every sleepless night I was oh so thankful for our healthy little man. Our miracle. Our CDH warrior.



A CDH Mother's biggest fear


At nine months old with a routine x-ray we learned O had a recurrence.My heart dropped with this news. My fear was now becoming a reality. The day before his daddy's birthday O had his second repair surgery. Once again we were on pins and needles. This time his surgeons wanted to approach the situation with a less invasive approach, endoscopic . Surgery went well,so we thought.

The next day was a night mare. O was feeling miserable with a high fever and we learned after another x-ray and CT scan that  some of his bowl was still  poking through his diaphragm. He had to have a third surgery the following day.Two surgeries in three days.We weren't thrilled. I felt really uneasy having to hand my nine month old pride and joy over to the Nurse again. This wasn't part of the plan. Two surgeries! Not the plan, dammit.


O pulled threw like the warrior that he is. Two surgeries in three days ( a total of 7 hours in the OR), six days in the hospital we were bringing our sweet boy home once again.Thank you god! and thank you to all of his amazing Doctors and Nurses.  We love each and every one of YOU!




Not again!

We continued to live life to the fullest. O hit all of his milestones right on track. We are so proud of our little man. The biggest issue we had was getting him to gain weight and eat like a real boy. Considering every thing he has been through this issue was minor.

A week before his second birthday O had his last scheduled routine X-ray. When I was told this would be his last schedule X-ray. I felt uneasy. It was never fun taking our little man to have an X-ray but with each X-ray  gave me peace of mind that his gore tex patch was still intact. O never showed any sign of having a recurrence. Each time we found out was through an X-ray.Knowing that their would not be anymore scheduled X-rays concerned me. what if O had another recurrence? what if he showed no signs until he got so sick it would be to late?

His surgeon gave us a thumbs up after taking a look at O's last scheduled X-ray. A few days later we got a call from his awesome surgeon. He took another look at O's X-ray looks like he had another recurrence. My heart dropped with the thought of our little man having to go through yet another surgery, another hospital stay.I was thankful for his thorough surgeon taking a second look.Just another bump in the CDH roller coaster ride their is nothing we can't handle.Nothing O can't handle.

Since O wasn't showing any signs of being uncomfortable. His recurrence didn't seem to affect him at all. His surgeon didn't feel the need to rush him into surgery. He wanted to meet with a team of surgeons to come up with a better game plan for O. His surgeon never had a CDH patient have so many recurrences. Leave it to our little man to be his first.

While we waited for the team of surgeons we tried to keep our routine the same and have lots of quality fun family time. We also tried to prepare our two year old for another stay in the hospital. Every night for the two months before his fourth surgery we read him a book about going to the hospital.It became one of his favorite books. I was nervous for this hospital stay. O is much more aware of his surroundings.I new this would be a difficult  for him. On the bright side hubs and I were familiar with the hospital we new both of us could sleep in O's room unlike when he was in the NICU.

Fourth times a charm


March 31,2010 we drove our sweet boy to the hospital before dawn. I was anxious and just wanted to get this all over with. So we can move on. So O can move on. I felt confident in the team of surgeons. This was the longest surgery to date eight and half hours long. O once again handled it like a champ. Every thing went well. This time he had his liver and small bowel in his chest. Instead of putting in another gore tex patch like they did the last three surgeries. They removed his rib so they can do a latisum dorsi flap.  O has three gore tex patches and a latissimus dorsi flap working as his diaphragm.We feel very hopeful and confident that this will

The recovery process was painful. O had his arm in a sling, a chest tube and a JP drain. For the first four days we couldn't hold him.This was difficult. O didn't understand why ma-mom couldn't hold him. At one point he was kicking and screaming having one of the biggest temper tantrum ever. He had every right to throw a tantrum of this nature. I did the next best thing I crawled into his hospital crib leaned over in the most numbing uncomfortable position to comfort my boy.

Easter day, six days after surgery we were going home. We were  behind happy to be getting the heck out of the hospital but a little reluctant. O had to go home with the sling which was no big deal. He also had to go home with a JP drain. Eeeeck it totally grossed me out. I am not a Nurse.I don't do well with Nurse kinda jobs like a drain coming out of my toddler's side.Needless to say it totally grossed me out. Not as much as his chest tube which was removed on day four. Thank goodness the chest tube had to be removed before being discharged.  Thankfully hubs took on the role of taking care of the JP drain.Nurse Hubs to the rescue! Two days after being home we took O to one of his amazing surgeons to have it removed  and that was that no more JP drain, you won't be missed.
JP drain

 A week later O's no longer needed his sling or any pain medications. He was back to being a curious little boy full of energy. Each time O has another set back (surgery) he amazes us how remarkable his little body heals. We are so blessed to me his ma-mom and daddy. He wouldn't be here thriving without his team of surgeons,Nurses and Doctors. Thank you for all your hard work and devotion to making a HUGE difference in our son's life and others.



Thank you for taking the time to read O's story. O's is not alone. Every year 1600 babies are born with Congital Diaphragmatic Hernia. Out of those 1600 babies only 50% will survive. My heart aches every time I hear of another baby/child loosing their fight against this awful birth defect.

Amazing



Two weeks ago we  left the hospital  with a  our sweet little  boy.Six days after he endured his fourth  and longest (8hrs) surgery.On bed rest for the first three days post  op, a not so comfortable chest tube for three days an epidural,morphine, Tylenol round the clock.Bed rest. A Jack Pratt drain. Sleepless nights,watching animated show after another, ice cream,wagon rides,bubbles,coloring. We were saying good bye to the hospital. Again.Days before we anticipated.  We were stepping foot off hospital grounds with our sweet (stronger than most adults I know) warrior child wearing a lovely hospital gown courtesy of Dorenbecker Children's hospital. His left arm still in a sling. Holding his daddy's hand with his wright Owain not so gracefully jumped out of the elevator JP and all. Yes! He jumped!

 Blessed, we are.

 At home Owain continues to amaze us.After only being home for two days spending his day watching our own animated cartoon shows with Slinky and Nemo in the comfort of our living room.

We spoke with Dr.L (plastic surgeon). Great Doc. He was pleased with how little of an out put his new friend JP was putting out. He told us to come into the office that very day!It was time to say goodbye to good old JP. A week earlier than we anticipated .Owain wasn't to happy about the quick yet unpleasant process of saying goodbye to JP.He recovered quickly with some Mickey Mouse stickers.

Our boy continues to amaze us!
Blessed,We are!

Having JP out of the picture Owain continued to recover remarkably well. He spent less time in front of the t.v. Having the energy to play he helped daddy build a tent out of his old tapestry from his college days.They hid from mommy snacking on some tasty pepporin and cheese.

Blessed,We are!

By the sixth day of being home Owain no longer needed his stink'in sling.A week earlier than we anticipated.  He was back to feeling like his young energetic self.Running,jumping doing tricks (twirling while jumping) Flying like a bird. He no longer needed pain medication.He was feeling pretty darn good. Better than I did after my C-section. Truly amazing.

Amazing.That's our boy!

Ten days after leaving the hospital Owain was well enough to play at a neighborhood park. With Friends.

Our boy continues to amaze us!
Blessed, We are!

Thankfully for days like these.

Details behind Owain's surgery

So, here it is,  a little more info on Owain's latest and greatest surgery.  For any of you that are among the CDH community looking for some good solid info on the different methods used to repair a herniated diaphragm, Owain's story is full of options!  His first surgery, surgeons used a patch of goretex to fill the void of his diaphragm.  While we had hopes that he had some diaphragm to sew together, Owain had almost a non existing left diaphragm.  So much to the fact that on his posterior, there was not even a fringe of diaphragm growth to work with.  This set the stage for the following 3 surgeries.

Each time, Owian's own growth was a factor in each surgery.  Goretex is not a material that grows or stretches, so Owain's body growth is what was to blame for all his re-herniations(aside from his 3rd which ended up being near his trachea and was then plugged with goretex 2 days after his 2nd surgery).  During this most recent surgery, Owain was a trooper the whole 7-8 hours(?!).  Every 2 hours we received a call stating that "Owain is stable" and there was "Little blood loss".  This was exciting news especially since the surgery was scheduled to be only 4.5 hours long.

So what made a 4.5 hour surgery take so long? Well I am not sure if you have read any free medical journals on CDH, but there is an issue that is common called adhesion.  'What is adhesion?' you ask and how does it pertain to CDH?  Adhesion is adhesion in the root sense of the word, adhesion is a term used in reference to the large intestine mostly. After being shifted around and then settling, tiny cell structures start growing anchoring the intestines in place, adhering them to goretex, themselves, the abdominal cavity wall, and so on and so fourth.  This made it difficult for the surgeons to expose the area they worked with before.  So very painstakingly they got everything out of the way so they could start the MEAT of the surgery.

ENTER LATTISSIMUS DORSI

For this surgery, we were expecting on the surgeons using the same thing as last time(goretex) with the addition of a new material called Alloderm which is a human derived cellular lattice which allows excellent tissue integration.  We then read about Sofia Miller having a muscle flap used as a replacement for the diaphragm, which we inquired about.  Sure enough after asking our surgeon about it, he brought in a plastic surgeon to consult with us.

The goal of this operation, was to completely cover Owain's defect with is lattisimus dorsi muscle.  Sure he will be missing a muscle, but the benefit of not having a surgery for a really long time makes definitely advantageous for him.  They also were aiming to attach the main nerve supply that is usually connected to the thoracodorsal to the phrenic nerve that controls the diaphragm.  Unfortunately they were unable to make the connection since they could not find the phrenic nerve.   Instead they tunneld the nerve ending through the right diaphragm in hopes that electrical signals would eventually be received by the main lattissimus node.  This type of nervous integration might take up to a year.

They also used AlloDerm as a buttress to the muscle itself to keep it from tearing. They also left all the other repairs in place as well.  So Owain has a literal repair sandwich for a diaphragm.  Goretex on the bottom(Which tissue integrated extremely well we heard), AlloDerm in the middle, and lattissimus on the top.

We are all glad that Owain now has a diaphragm that will grow with him.  What a trooper.

six weeks

Six weeks ago today Owain had his routine x-ray.

Three days later Dr.Z (surgeon) called to inform us that his x-ray looks light he might have re herniated  again!

He put a referral  for an ultra sound.

Two weeks later he finally had an ultra-sound which ultimately led to a CT scan the next day.

The Friday afternoon of the CT scan Dr.Z called to inform us yes Owain has had another recurrence.Early next      week he was going to ask the senior surgeon his input and what other options are there?

We waited and waited and waited and waited until I finally called Dr.Z office last Thursday. He was still waiting to hear from the Senior surgeon.

At this point I am super annoyed and frustrated. It's been six weeks since that x-ray, a month since the CT scan and we are still waiting for a game plan and a surgery date! The longer we wait the more concerned I am that Owain's situation will only get worse.It could be life threatening.Thankfully Owain is still doing well considering.
Making lots of BM's (bowel movement) very important when some of your bowl is poking through your diaphragm. He has been whinier than usual. I don't know if it's just teeth,being two or if his uncomfortable because he has some of his bowel poking through! Do you understand where I am coming from? or am I just not being patient enough? I feel like for the last six weeks I have been pretty darn patient but it's time to get this ball rolling before it becomes a life threatening situation!

impatiently waiting....

A couple of  weeks ago I felt at peace with Owain needing to have yet another repair surgery.I felt at peace(still do) and thankful that his current situation is not life threatening. This way the Doctors have  more time to come up with a better solution to prevent this from ever happening again.Crossing my fingers.Praying.Hoping.

Today this week right now I am feeling impatient. I want to get this show on the road.The longer we wait for our little man to have his fourth and finally surgery (crossing my fingers.praying. hoping) the more anxious and impatient I am. We still don't have a game plan. We still don't have a surgery date. We are still waiting.....

Yesterday I called Dr.Z's office (Owain's surgeon) hoping to hear the game plan. He is still waiting to hear back from the Senior  surgeon. Two weeks ago after the CT scan and it was determined that Owain has had another recurrence he sent all of his medical info to him.We are still waiting and so is Dr.Z. We are all waiting for the Senior surgeon to get back to all of us .Senior surgeon is not his name.I haven't had the pleasure of meeting him yet.I am sure he is one of the best of the best since he works with Dr.Z and all. but I am getting impatient. Tired of the waiting game.I hate the waiting game.I don't want to play anymore! Ready to get this show on the road!

I am still at peace with Owain's current situation. He is still eating well (for Owain) making lots of BM and is a wildly  active little boy. Showing no signs of discomfort. Having no problems breathing. We are so thankful.
Impatiently waiting that's what we have been doing....
waiting to hear the game plan....
waiting to know when his surgery will be....
waiting and waiting and waiting....
but even with all this waiting and uncertainty we are still at peace and confident that the team of Doctors will be able to come up with a better solution.Crossing my fingers,Hoping ,praying we will have a game plan next week.Then we can finally get this show on the road!

While we wait we have been....
going to the Library for music and story time...
decorating sugar cookies   eating frosting....
On dry days playing at the park....
and having play dates...
Life is good.

peace

flash back
Febuary 4,2008
level 3  NICU Legacy Emmanual Hospital

Was a heart wrenching unforgettable blurry day. Owain was only ten days old and  very sick.I remember sitting in a cozy recliner (Lily's chair, a sweet baby who died in this very NICU who's parents donated the chair in honor of their sweet angel)right next to my baby's elevated bed.  My nose was red and raw from the non stop tears rolling down my cheeks.I was an emotional mess. Today was suppose to be the day Mr.Owain was going to be getting his repair surgery.It was canceled again! His third scheduled surgery He was too sick. My heart sank. I had so many emotions running through my head is this it...is the unthinkable about to happen? am I finally going to get to hold my baby for the first and last time? please god let him live he is so loved let him live.please. 

The Doctors were preparing us for the worst."if his blood gases don't improve soon he will need ECMO" (ECMO lung heart bypass machine). I was in a complete fog  with tears in my eyes I  signed the yellow release form for ECMO. Please god not ECMO.Let him live.Let him be strong enough so he can have his repair surgery and heal.please. I begged to god. I am not even religious but on this day I prayed hard for a miracle. Let my Mr.Owain be a CDH survivor.

Shortly after signing the release form a warm kind spirit Penny ( the hospital chaplain) graced us with her presents.We (family)  gathered around Owain's bed.My husband and I gentled placed our hands on our sweet boy's head.More tears streaming down my cheeks. I was trying to keep it together.It wasn't working I was a hot mess. Owain was in the middle of the circle of love.As Penny blessed him....

Great God,Giver of this gift of life
that form in love between a man and a woman
you who knit together cells
into an intricate design,
unique in the universe,Owain
You,Breath of Life,Grace itself and Mercy,too.
Turn now Your parent-heart
Upon him healing.
Upon him,flow mercy.
Upon his parents,flow strength and courage.
Upon his family flow hope.
Upon his nurses, doctors flow loving excellence.
You,turn now Your face to us and bless us.

At that moment I didn't feel courageous. I was petrified that the unthinkable was about to happened. I felt hopeless. I just wanted my baby to heal.To be healthy, I wanted to be able to hold my baby and never put him down.  I wanted him to have a chance to live. I wanted to bring my baby home.This is not what I imagined motherhood would be like.Why is this happening to us?  why our baby?why?

Our prayers were answered. Owain's weak body began to get strong enough to have his repair surgery at seventeen days old.His body began to heal.He avoided ECMO.He wowed the Doctors.They couldn't be leave the 180.They stopped preparing us for the unthinkable. Now they were preparing us to bring our baby home!Owain is a CDH survivor.He beat the odds.thank you god! thank you god!

It's crazy to think of how far our little man as come and how far we have come as parents.I am so proud to be his momma. and I am at peace with this fourth unexpected surgery. Owain is no where close to being in critically condition. He is full of life.Running jumping,playing eating and making lots of bowel movements (very important when some of your bowl is poking through your diaphragm)He is doing remarkable considering.Because of that his surgery won't happen for another couple of weeks. I hate waiting but am at peace with it. This will give the Doctors more time to study Owain's case and find a better solutions.We have more time to prepare Owain for another stay in the hospital.(We have been reading him a book about a boy in the hospital.) So not looking forward to that.I would rather go to Disney Land but I am at peace with this situation.At least this time we feel more prepared than his last hospital stay at nine months old (2&3 recurrence)
He kicked CDH booty not once,not twice three times already.I have full confidence he will do it again. after all he is a warrior ready for battle.

Questions and Answers

When is Owain's repair surgery?
Dr.Z ( Owain's surgeon) will be meeting with several other surgeons Monday to discuss his unique yet challenging diaphragm. Hoping with a team of surgeons brain storming,researching the best solution for our little man. Three gore tex patches aren't working. Their are other options other than gore tex maybe they will choose to use one of the following latissimus dorsi flap ,alloderm patch or use abdominal muscle to create a diaphragm or maybe some thing else. It is reassuring to know that there are other options other than gore tex. I feel confident in the team of Doctors that they will be able to find a better stronger solutions to repair his hernia so this will be his last surgery and re herenate will be a thing of the past.Once the team of Doctors have a game plan, Dr.Z will give us a call Tuesday or Wednesday to inform us of the plan. As soon as we have a date for surgery you will be the second to know.


How was Owain's recurrence discovered?
A little over two weeks ago we had a follow up with Dr.Z. He ordered Owain's last scheduled chest x ray. We got the thumbs up everything looked as though it did on Owain's last x ray back in September.It wasn't until later when Dr.Z went over his x ray he noticed that it looked like he might have another recurrence. We are so thankful that Dr.Z is a good thorough Doctor.He wanted to triple check so we took Owain for an ultra sound. Because of the uniqueness of Owain not having a spleen and a high kidney it was difficult for the radiologist and technician to determine if in fact he has another recurrence.The next day (last Friday) Owain had his third CT scan. A few short hours Dr.Z called to inform us that yes he has had another (his third) recurrence.


Is Owain in any discomfort?
No. Looking at him you would never know that he has some of his bowl poking through one of the three gore tex patches. I think the bowl might be poking through where they tied the patch around his ribs but I am not 100% sure . We will learn more next week.


Our little man has been his energetic happy self. Wresting with daddy,jumping off the couch,running the cat over with his dump truck Just being a typical two year old boy.Boys are so much fun. We are enjoying every minute of him bouncing off the walls.That is a really good sign that this recurrence is no affecting him physically. Any one that knows us know's our daily struggle with him eating well since he recovered from his viral infections a few weeks ago he has been eating pretty darn good for Owain and having plenty of BM (bowel moments) another great sign that every thing is working even though it may nor be in the correct place.


How long will his hospital stay be?
You never know. Back when Owain was diagnosed in utero (20 weeks geatation) we were told the average stay for a CDH baby is three months.When we brought him home from the NICU he was six weeks old. At nine months he had two more surgery's and he only spent six days in the hospital.You just never know. Hoping and praying that his will be a short hospital stay. With no complications,no crazy twist and turns while we board the CDH roller coaster ride,again.If I have learned anything from CDH it is to expect the unexpected. You just never flip'in know.Take one day at a time.


Is their anything that you can do?
nope. We don't need anything. If you really want to do something you could keep our little man in your prayers or send positive energy into the universe. We have appreciated every one's kind words thank you.

If there is a question you have that I have not answered please don't hesitate to ask?

For all you CDH parent's who have answered the questions on my last post. Thank you it is so great to have a nice support group of parents who know exactly what we are gong through. I personally have followed each one of your story's and your little ones have a special place in my heart.

it's happened again!

After Owain's CDH repair surgery at seventeen days old. Learning that his surgeon had to use a gore tex patch because he was missing 90% of his diaphragm on the left side. We hoped he wouldn't need a patch. We new if he needed a patch his chances of having a reherniatoin were higher. Leaving the NICU with our sweet little warrior (44 days old) that has been my biggest fear.We just got off the phone with his surgeon and it has happened again. Owain has had a recurrence for the third time! This will be his fourth surgery. I was hoping that the results of his CT scan wouldn't be this. I hate that our little man is going to have to endure another surgery. another hospital stay. With any surgery their are always complications. We learned that with his first repair surgery when his spleen bleed to death and he nearly died. The difference now is he is a happy go lucky little boy. Looking at him you wouldn't even know he had a recurrence. He is full of energy,eating pretty good for Owain and is having no trouble breathing. Those are all really good signs.He is no where  close to being in critical condition. We are thankful.

The game plan for now is Dr.Z (surgeon) is going to have a meeting with other surgeons.Hoping to come up with a better plan. The gore tex is not working for our little man. He has three gore tex patches and still managed to have a reherniatoin  three times! He is not happy that this is happening again. Neither are we. Owain is his first CDH patient that has had a recurrence. Leave it to my little man to be a challenge.So mow we wait until Tuesday or Wednesday to hear what the next game plan will be.In the mean time we will be laying low.No more story time,play dates,trips to the indoor play ground. We need to keep Owain from getting sick. Our plan for tonight we will be having some quality family time with a movie and pop corn.

Thank you to every one who has left a comment here or on Face book. It really has been up lifting to read them.

If you are a parent of child with CDH and they needed a patch.
What type of patch was used?
Did your child have any recurrence?

thirty something with a heavy heart


While we were out Saturday night celebrating my thirty something birthday with good friends,amazing authentic Asian food,a non stop laughter comedy show. I had an amazing time but my heart was heavy. (and still is)

While we were celebrating another family is grieving over the lost of their sweet baby boy.Yes,CDH (Congital Diaphragmatic Hernia) is guilty for yet another innocent baby's life. I could only imagine the heart ache and pain his family is going through.

I feel very fortunate that our baby boy is now a healthy toddler. He beat the odds and is a CDH survivor.It just seems so unfair. Why can't this family bring home their baby boy too? 

Morning,noon and night I pray for every family that has,is or about to ride the turbulent CDH roller coaster.

Did you wear turquoise today in honor of all of our CDH warriors?

We broke out the turquoise for CDH day which happens to be today.
I thought I was a little more prepared for today. I swear Owain owned a turquoise shirt.
This is all I could find....

Why is CDH Awareness important?

Have you ever heard of Cystic Fibrosis? How about Spina Bifida? What about CDH? Most people have heard of CF and Spina Bifida, but have never heard of CDH until their own child or the child of a friend or family member is diagnosed. Yet, CDH occurs just as often, and often times is fatal.

The median age of survival with CF has doubled in the last 25 years. Just in the last 20 years, individuals with Spina Bifida are living fuller, longer and more productives lives than ever thought possible and now have a near normal life expectancy. Why is this? Research, education, and medical advances make this kind of progress possible.

CDH first appeared in medical literature in the early 18th century. The first successful surgical treatment was in 1902. Now, more than 100 years later, the survival rate remains a dismal 50-60%.

CDH awareness leads to education about this horrible defect. Education leads to more research. More research leads to better treatments and ultimately to prevention. Help prevent CDH by spreading awareness!
Some statistics from Sofie's CDH InfoSpot...
  • CDH occurs in approximately 1 in every 2,500 live births.
  • This means about 1,600 babies are born each year with CDH.
  • Approximately 50% of all babies diagnosed with CDH do not survive.
  • After having a baby with isolated CDH the chance of having another child with CDH is 1-2%.
Our little Picaso did make a new work of art with some help from mommy. As soon can see there is a lot of turquoise in honor of all of our CDH warriors.

Help spread awareness!
Wear Turquoise!
Educated someone about CDH!

Please say a prayer for baby Olivia

Tomorrow is a big day for baby Olivia. She is scheduled to have her repair surgery tomorrow. Please keep her and her family in your thoughts and prayers. If you would like to read more about Olivia and her twin brother Mason click here.

Update #2 : After the CT scan

After 4 hours at OHSU, we got our Ultrasound and CT scan. The CT scan is pretty amazing. I would encourage anyone that ever gets a CT scan to ask for the images to be put on a disc. Since the images require a special viewer, they bundle it on a CD for you. Then you can create videos/pictures of the 3d image and apply transparent colors to specific data types(ie Muscle tissue, bone structures, air bubbles and more if your computer can handle it or may require XP pro) So while playing around with Owain's CT scan data, I compiled a few video clips of his internals. I am not a Doctor, Surgeon, Radiologist, or trained in the medical field what so ever, but from my exploration in Owain's body I found a couple things that made me *gulp. I am not saying that Owain will definitely need surgery, but from what I pulled from the data, it looks much more likely(to someone untrained in the medical field). Again we are waiting official word from our Surgeon, Dr.Zigman. We should know by tomorrow.

here are the vids(don't be too concerned since I do not have the credentials to make a diagnosis):

#1(shows a slice the questionable area of his left lung)
#2(same section as #1 w/ different transparency preset)
#3(same section as #1/2 w/ different transparency preset I belive the little streak is the patch)

The little box in the lower left is a position reference
L=Left
R=Right
A=Anterior(front)
P=Posterior(back)
S= Superior(top)