Monday, April 27, 2015

Pictures!

Chubby toes!


1st cord blood transfusion!

In her "big girl bed" in the special care nursery

1st cord blood transfusion!

1st cord blood transfusion!

Dr. Kurtzburg and Dr. Thacker after her 1st cord blood transfusion

Only a few hours old, right before surgery


She is amazing

I was able to give her a kiss before surgery!

Recovering from VP shunt surgery

She loves her daddy!


The day before Emily was born


Recovering from VP shunt surgery

Emily's Birth and First 5 Weeks!



Wow. What an amazing 5 weeks it has been!  Emily Quinn Griffin was born on March 24th, 2015 at 8:46am, weighing 8 lbs, 10 oz, 19.5 inches long, at exactly 37 weeks.  Her head circumference was 47 cm – very big for a newborn.  The C-section went well overall. It was a strange feeling but I actually enjoyed the whole experience, as weird as that sounds.  It was a little difficult to get Emily out because the umbilical cord was wrapped around her neck twice.  Due to that, she didn’t cry right away but as soon as they got the cord off and hyper-extended her neck, she was crying and breathing on her own! I didn’t get to see or hear her but Daddy got to follow her. Emily and Daddy got some good one-on-one bonding time.  They were able to collect enough cord blood to do 3, maybe 4 transfusions! 

She was stable and doing so well that they decided to do the VP shunt surgery sooner than planned – 7 hours after she was born!  She had an ECHO because they wanted to check on the fluid around her heart.  There was only a trivial amount and everything looked good so they cleared her from cardiology.   I didn’t think I would be able to meet my baby girl before her surgery but the amazing surgery team bent some rules and wheeled her up to my recovery room so I could meet her because in their words: “We can’t send a baby into surgery without meeting her mama first!”  It was only a couple minutes and went by so quickly, leaving the whole experience feeling like a dream.  The surgery was a success and Emily recovered really well from it.  She was off the breathing tube sooner than expected, already showing everyone that she is a rockstar! 

A couple days after her surgery, I was able to hold her, do kangaroo care and breastfeed her.  It was simply amazing. After about 4 days, Emily had jaundice and had to be under the bili lights, but that was expected being born early.  Her optic nerves looked good and she responded to light.  She will still have an in-depth neuro-opthamology appointment in June.  She passed her hearing test in her right ear but failed in her left ear twice.  We are getting that rechecked in May.  If that is her only issue, I’m one happy mama!  Other than that, she was just working on feeding, growing and recovering from surgery.  After only 4 days, she was discharged from the NICU to the general care nursery where we were able to room in with her and take care of her with the nurses’ help.   

When Emily was 1 week old, she had her first cord blood transfusion!!  We were so excited!  Dr. Kurtzburg and Dr. Thacker, who are performing the study, are awesome.  We are so hopeful that the stem cells can help repair any damage to her brain and give Emily the best chance possible.  It’s almost magical what they can do.  We asked how old the youngest patient to receive a cord blood transfusion is and it is 1 week so Emily fits in that record!  The procedure was easy and only lasted about 15 minutes.  She had to have Benadryl as a precaution that she could have an allergic reaction to the preservative that cord blood is treated with so she slept the whole time.  The only downfall was that it took 4 tries to get her IV in because her tiny veins kept blowing.  I was tough for her while it was happening but I cried after the nurse finally got it in.  I feel so lucky that we were able to do this for her.  How simple a procedure for something so big! 

Emily had to have an NG tube placed because she got too tired to finish all of her feeds.  So we settled into a routine of trying breastfeeding or bottle feeding with breastmilk and finishing the rest through the tube.  Soon, we didn’t even need the nurses anymore because we learned how to run the feeding pump, do her head circumference, weight and keep track of the amount she took by mouth. We were focused on getting home but the neonatology team wanted Emily to return back to her birth weight first.  We thought that was ridiculous because she had lost so much fluid from her head so it didn’t make sense to expect her to have weight “gain” like a typical newborn.  We explained this to them and all her other doctors every morning during rounds.  The pediatric team, lactation consultant and all the nurses agreed with us and thought we were ready to go home.  They also wanted us to add formula to her breastmilk to add calories, which I was against because I’ve done research about other babies that started formula and started spitting up more, defeating the whole purpose of adding it in the first place.  Every day they recommended it and I told them I wanted to give it more time.  It was frustrating.  Finally they agreed to let us go as long as we both placed an NG tube in Emily twice, had training with the pump we were going to take home (even though we already knew how to run it) and promised to communicate her weight gain with them regularly.  We both felt like she would do better with eating once we were home because she could actually rest in between without nurses bothering her every few hours to get vitals.  That was another frustrating part – every time we got Emily all settled down and asleep, they would come in for vitals.  It got to the point that we had to shoo them away and tell them to come back later.  Despite this though, the entire team that took care of Emily was amazing and I am so thankful for all of them.  We had many doctors and nurses that we loved and who loved Emily!   

Finally, after 2 weeks and 2 days, we were discharged on April 9th!  When Emily reached her due date on April 14th, she took off with eating.  We needed the NG tube less and less.  She pulled out the tube one day and we haven’t looked back since!  Now she is an amazing eater and we still can’t get over how often and how much she eats!  Soon she might be our little chubster!   Every day with Emily has been a blessing and we fall more and more in love with her.  She has quite the personality and doesn’t hesitate to express her opinion!  She can obviously see and hear things, she tracks our faces, and is very alert and responsive, which is quite a relief.  I’ve spent too much time while I was pregnant hoping and praying that she would have a good quality of life and be able to see and hear the beauty in this world.  It’s something I’ll never take for granted again, even though I wish I could have the luxury of being naïve about it.  I know every milestone and small moment will be momentous for us.  I am so proud of how strong Emily is already.  She is a fighter.  

We had a checkup almost 2 weeks ago with Emily’s neurosurgeon because she had some swelling along her shunt tract near her incision.  He said everything looks good and the shunt is doing its job perfectly!  We also had a checkup with neonatology, who were happy about her weight gain and everything else.  She weighed 8 lbs, 5 oz, which is less than her birth weight, so we were surprised they weren’t concerned, as much grief they gave us in the hospital.  But we weren’t about to question them!  She’s been gaining ever since and currently weighs 9 lbs, 4 oz, as of today at almost 5 weeks.  Unfortunately Emily currently has a fever, has been spitting up more than usual and is fussier so we took her to the ER yesterday since she is in the window of high likelihood of shunt infection.  They did an ultrasound of her head to make sure the ventricles weren’t bigger and did a shunt series, which are X-rays of the shunt.  Everything looked good, thank goodness!  Her ventricles have decreased some, too!  They think she has a virus that just needs to run its course.  

Not knowing what the future holds is still hard, but we are enjoying each moment and feel blessed to be parents to our strong, amazing hydro baby!

Friday, March 20, 2015

So close to meeting our baby girl!

I can't believe we are so close to meeting our beautiful, baby girl! We are still setting up her room - hopefully her dresser and glider will be here soon so we can really figure out where we will put everything.  On Sunday, we have our baby shower and on Monday we are doing our maternity photoshoot! Last minute, I know :) Then on Tuesday we will wake up at about 2:30am, leave for the hospital at 3:30am to be there at 4am.  The C-section should be at about 8am!  I am in disbelief that we are so close, and I feel at peace :) 

We don't know what the future holds, but we are ready to begin this journey with you Emily Quinn!

Friday, March 13, 2015

Cord Blood Transfusion



In all the hours of research I have done since finding out about Emily’s diagnosis, the best thing I’ve found is a cord blood transfusion study currently being done at Duke by Dr. Kurtzburg.  I found out about the study through blogs of other families going through what we are going through.  There have been families that have traveled from all over to Duke to get this procedure done.  Basically, the procedure involves using the child’s own cord blood that was collected at birth to re-infuse back into their body.  The study determines whether this is beneficial in regenerating brain tissue growth and/or repairing the damage that the pressure of the fluid caused on the brain while in utero.  Since there are no studies like this published, there isn’t a way to say “yes this definitely helps make a difference.”  Also, since the prognosis isn’t directly correlated with how severe the hydrocephalus is, there’s no sure way to determine if the stem cells from the cord blood are the sole reason for a better outcome.  However, the results have been promising and parents have raved about it and  sworn that it made a huge difference for their child.  Stem cells are pretty amazing little things.  They can form into any type of cell, and replace damaged cells wherever they may be needed in the body. Bryan and I are firm believers that this could help our daughter. 

Our team of doctors and the team responsible for the study are on board, so Emily’s cord blood will be collected during her delivery, stored at Duke and she will have her first cord blood transfusion while she is still in the NICU, after she recovers from the shunt surgery, probably about 4-5 days afterwards.  Then, depending on her particular situation, she might have more transfusions a few months later.  It will be determined after she is born, but we are guessing anywhere from 3-6 transfusions.  The only problem is the cost.  Our best case scenario, oddly enough, is that our insurance denies it (which will probably happen since it is considered experimental), then Duke offers a discount through the study which makes the entire procedure about $4,000 (it is normally $11,000).  Regardless of the cost, we want to give Emily the best chance at life that we can.  It feels good to finally have something we can do to help Emily, instead of the "wait-and-see."

Here are some links that have more information about cord blood and hydrocephalus in general:

http://fetalhydrocephalus.com/hydro/Default.aspx - This website has been by-far the most helpful in learning about hydrocephalus.  I highly recommend checking this out.


http://www.today.com/id/21134540/vp/23569985#23569985

http://www.foxnews.com/health/2014/01/13/did-cord-blood-banking-save-this-baby-from-brain-damage/

http://www.charlottemagazine.com/Charlotte-Magazine/July-2013/Beating-the-Odds/ - The 2nd story is about congenital hydrocephalus.

Neonatology Consult




On March 3rd (34 weeks), we had a consult with our family coordinator and a neonatologist.  We discussed more about what to expect with Emily’s birth, surgery and recovery.  Earlier that week, a team of doctors discussed our case and made a plan of action regarding what needed to be done specific to our baby.  It was decided that it would be best to deliver at 37 weeks, due to the size of Emily’s head.  This was balanced with the need to wait until full-term when her lungs would be mature enough and she would be strong enough to handle surgery.   

Our beautiful Emily Quinn will be born on March 24th!!   

We were in shock that it was only 3 weeks away and her birthday would be in March, and so excited and anxious to meet her!   As of right now, that is only 11 days away!  The neurosurgeon we met with is scheduled in the OR beginning that week so she will be the one doing our baby’s surgery either that same night or the next day (March 25th).  We were told ahead of time that a classical (or vertical) cut is probable since Emily is breech and her head is bigger than 40 weeks.  This is disappointing for me because that means I won’t ever be able to attempt a vaginal birth and subsequent pregnancies will have to be delivered at 37 weeks for risk of tearing the old incision.  They will try to do the lateral (or horizontal) cut if they can, so here’s to hoping that will be the case and I can attempt to avoid a C-section next time!

During the C-section, there will be a team of neonatologists, respiratory therapists and a team for collecting her cord blood, as well as doctors, nurses, assistants and Bryan, of course!  A lot of people there to meet our baby girl for the first time!

As Emily grows, neonatologists will assess her development and determine if she needs occupational therapy , speech/oral therapy or physical therapy.  We want to do everything we can to ensure that Emily reaches her full potential.  It’s humbling how we started this pregnancy with specific desires and wishes for our baby and now our perspective is changed forever.  I would give anything for my daughter to lead a life full of happiness, love, laughter and the ability to think for herself.  More than anything, I want her to be a part of the beauty of life and be able to enjoy it.  Our sweet girl will struggle more than we ever thought, which breaks my heart because I tried my best to create a life for her that was easier and healthier than mine.  I’ve dreamed about her for as long as I can remember, and while she will be different than what I’ve imagined, she will be a beautiful miracle.  I hope her pain never lasts long and her struggles never hold her back.

“And though she be but little, she is fierce.” – Shakespeare