Monday, September 26, 2011

God Made Appointments

Ok, so this is a post that may not have a ton of pictures (I love pictures) but it is a story that I really want to share and I hope you all take the time to read. 

Have you ever had that experience that you know could only have been created by God's plan? You may not know why but somehow you just know it is connected to what you are going through and somehow you were meant to be in that place at that time meeting that person, saying or hearing those words, etc.... 

Well I have wanted to write a post for awhile to tell you all how God touched us so often in unexplainable ways through the process of having a child with a cleft. We had so many experiences like this that I hardly know where to begin. I will begin at our 20 week ultrasound, which was not the day we discovered Paige's cleft but the day we learned our baby was a beautiful healthy girl. We really did leave that appointment  elated with a beautiful profile ultrasound picture in hand, but with the knowledge we would return to try a see her face straight on which she insisted on hiding in the placenta. To me this day was so necessary. God knew we needed to get to know our little girl first because her cleft was not who she was. We had two weeks to celebrate her healthy heart, brain, kidneys, hands and feet.

In the following week my next 'God set appointment' called me up out of a deep sleep. My sister said "Come play with us at Chuck E. Cheese. We are meeting a few friends there and the girls would love to see you." I rolled my pregnant self out of bed and showed up. A few minutes after I got there a woman came in with two adorable children. One just over a year in her arms had beautiful full lips, which I noticed first and then I saw two scarred lines under his nose. Somewhere in the back of my mind I knew we had the appointment to clear any craniofacial diagnosis coming up and I seemed to find this interesting. I asked my sister if he had had a cleft lip and she said "yes." I even told her the appointment we had to go to was to rule something like that out, but we had absolutely no reason to think we would find anything.  Hmmm...I can't remember the last time I saw someone with a cleft lip scar but here at this time I see this little boy. I think to myself of the time in my senior year of college when I watched a TV show that showed three reconstructive surgeries for children....one being a cleft repair and another being a little boy born with no ear. The doctor, who was an artist in his own time, sculpted an ear from cartilage. I told my dad that day that I wanted to be a plastic surgeon for children born with deformities. I even asked "if medical school would take a straight "A" Art major instead of a pre-med degree." This might have been the first point on this God-led journey that I could connect the dots to this day nine years later looking at this little boy in front of me. Soon after Paige's diagnosis my sister made it possible to sit down with that mother. She was so helpful and really gave me good advice and resources. One thing I learned...picking a good plastic surgeon is important and insurance coverage isn't a given. Things I had never had to think about before. 

The day we went in to check her face two weeks later and saw the deep shadow under her nose on the screen....we were stunned, punched in the stomach. I was scared and worried for so many reasons. Immediately we called our former and current priests and were met with another appointment by God. Each one had a child born into this world as wonderful, beautiful children with disabilities. One with Fragile X which is a form of mental retardation on the Autism spectrum and the other had Spina Bifida and had to undergo surgeries and a lot to overcome in life. Both these fathers had a real grasp on what the news, "your child has something wrong" could feel like. In another way it gave us a chance to put it into perspective. For all we knew Paige was healthy and a "normal" (What does that word mean anyway?) child that would undergo surgeries to fix her cleft. As many times as people say "they do amazing work these days" and "its hardly a big deal," "she'll never even remember"....or "you won't even be able to tell".....I have to say not one of these things ever made me feel better.....most of the time I didn't believe them......and it still was something we were going through and its not always easy and who wants to see their child in pain from surgery, discomfort from massage treatment or maybe even teased for looking or sounding different. BUT the two people who really could relate....saying they are sorry...that they understand and could clearly help us see that so many things could be worse, were the first two people we turned to that day. One of the Priests said "Celebrate."...."Celebrate this pregnancy, this child...don't wait for things to be 100% perfect to celebrate or you might never get to and miss so much." 

The stories of knowing someone with a cleft, knowing someone who works for Children's Hospital of Orange County's Craniofacial team, or knowing a surgeon who does this kind of work flooded in. We were not alone. My dad's friend in his cycling club and his wife are really involved in Operations of Hope, an organization who does cleft repairs in foreign countries; another cycling buddy is a dental surgeon on the CHOC Craniofacial team; One of my long time church friend's brother is a CHOC charge nurse and another one I grew up with just completed her schooling to be a Speech Therapist and had a lot of encouragement; another high school friend knew the Speech Therapist that would be at our evaluation appointment and she knew we were coming; the Audiologist on our panel eval ended up being a parishioner at our church. Our ENT is a neighbor of another parishioner, our neighbor works in our pediatrician's office, our pediatrician was recommended to us at least three separate times including by the head of the Crainiofacial team. My mom's scrapbooking customer has a teenage son who has undergone cleft repair and treatment through CHOC and she is involved in parent support there. Another friend from our church has a brother who goes on cleft surgery missions in other countries. My mother knew women who were lactation consultants, with experience of babies with clefts, who were ready to help and they even knew the perinatalogist and the neonatalogist that would be at Paige's birth if necessary. Even Paige's 84 year old great-grandma has been giving to Smile Train for 15 years and was very understanding. We discovered that we were surrounded by support and encouragement at every angle.

Once Paige was born we went to our panel evaluation and met a geneticist, ENT, audiologist, speech therapist, orthodontist, plastic surgeon, and social worker...and left CHOC after dark exhausted, but encouraged and feeling well taken care of. We immediately went to take Phil's grandma to dinner at Claim Jumper because she is in the area. The booths have tall backs so you don't really see the other patrons around you. All of a sudden a little boy under two pops out and stands in front of our table. He looks Phil dead straight in the eyes and smiles. Phil points at him and then points at his own mouth and asks, "Is it?" And I nod...yes he has had a cleft repair. Phil leans around to the other table and boldly says "Hi...our daughter has a cleft lip too!" The family was thrilled and all zillion of them popped around to look at our one month old with the unrepaired cleft lip and palate. They cooed and awed over the newborn and told us all about their experience with CHOC, surgeons and going through both the lip/nose and palate surgeries already. They didn't have insurance and ended up getting a very inexperienced surgeon who didn't actually do the best job. He already needs to have another surgery to fix the first one. They had his second surgery donated by the Shriner's Children's Hospital. It made us grateful to have wonderful insurance and pleased that we could get coverage for the best children's craniofacial plastic surgeon in Orange County. Meeting this child and his family was such amazing timing. We literally had just left the hospital and very much had Paige's treatment on our minds. All I could think was that was a "God Thing." We were part of a community now of Cleft families. We could look each other in the eye and marvel at our wonderful children and share stories and experience.

I found this to be even more true on the Cleft Lip/Cleft Palate support board on Babycenter.com. I got so much support and advice. I quickly felt like I was an expert on a subject I never knew would consume my life, fill my dreams and enter my conversation on a daily basis. I entered the group new, concerned, feelings of guilt and shame at some points. These women I didn't even know opened up....let me feel sad, encouraged me and pointed me in the direction I needed to go. I saw pictures of amazing, beautiful wide smiles, and children with repairs who were loved and adored. When someone came into the group with a new diagnosis and similar feelings we all could rally around them and tell them it will get easier. It has been an incredible experience. I've gotten to know some of these other moms and love seeing pictures of their little ones as they grow and are there with them in thoughts and prayers as each one faces the different stages in this process... thoughts leading up to surgeries, new challenges post surgery and celebration of recovery and plans to get back to normal everyday lives.

Six days after Paige was born my husband was ordained to the Priesthood in the Episcopal Church. I wanted to be there so much and was determined despite of recovering from a C-section and having a tiny newborn.  I made it through the hour car ride and two hour service. I was taking her into public, I kept her close and wore her in a wrap against my body and a blanket over her little face to protect her from germs. We were able to witness this special time and when people asked I said, "I was doing great." But immediately following I became exhausted and my muscles around the stitches hurt so much and I crashed hard. I feel like I had the perfect amount of energy to be there and I was meant to be. I didn't feel much pain at the time... And that is when God made me another very special appointment.  A necessary one for my healing and processing of having a cleft baby... On my way home my mom pulled over because Paige was crying inconsolably. We stopped at a Starbucks to take a break. I waddled in carrying my precious new baby. I was still at that stage where I was super conscious about what people thought of her cleft. All I was doing was hiding my face in her's and staring at her while my Mom ordered. All of a sudden I heard a man's voice say, "Does she have a cleft lip?" And I looked up a little taken back because I hadn't faced any public questions yet. The voice came from a young man behind the counter, who very clearly had a scar on his lip and a slightly pulled nose. I said, "yes she does." He then told me he had had 9 surgeries. Most he could not remember but he remembered the one from his bone graft at age 9 and he actually had one coming up soon to widen his jaw. He told me this happens sometimes to guys who's "manly" structure doesn't grow as it should to accommodate a nice square jaw. He seemed like a nice young man and very well adjusted with his scar and his story. 

It really touches me each time I meet someone who has experienced all of this. It is a special community. Now I see people all the time in public, children and adults with cleft scars. A dad at the pizza place with a left unilateral scar, a girl at the rodeo with a bilateral repair, a woman working at the dressing room of Target with a nose and lip repair from long ago. A small child with her still pink scar, swinging from the hands of her parents and even a one month old with an unrepaired isolated cleft lip who can actually breastfeed. This is our community, one that we would not notice much, never know, care for so directly and now be there for, if God hadn't reached out and marked Paige as his special child. A child that would know many challenges but also know an incredible amount of love. People say she shines....that she is amazing, beautiful, happy, funny, and bright. She is all these things and not just because I am her mother, and I am not saying it is because she has a cleft but because God made her, loves her and gave her to us to make a huge impact on this Earth. I believe she will continue to do that everyday of her life. She is a strong and determined little girl with a lot of joy in her heart already.  

 






Wednesday, August 31, 2011

It's been awhile....I guess I've been busy raising a beautiful baby


It was one year ago August 30th since we found out Paige would be a girl, healthy and bjavascript:void(0)orn with a right unilateral cleft lip.  This logo was one of the first images I associated with joining the Cleft Family.  September truly was my personal Craniofacial Acceptance month as I processed what this would mean for my baby.  I also needed the support of my faith, family, friends and the Cleft Lip/Cleft Palate board on Babycenter.com. This group has meant soooo much to me and really helped me through the different things we had to go through. Thank you all! I hope that our experience here can be helpful for others who have the first year to get through.  You can do it...it will all get better...and each part comes one thing at a time. You too will look back a year after finding out and wonder.

Here is this last year in review:

The minute we saw her she was perfect! So many worries melted away.  The fact that she had only an incomplete cleft was a surprise but so was her complete cleft palate.
Breastfeeding didn't work for us as hard as I tried and hoped.  I have been exclusively pumping for almost 8 months and hope to go to at least a year.  We tried the haberman, pigeon and finally just a regular nipple with a cross cut. After her lip surgery she didn't even need to have the nipple cut because she figured out her own way of bending the nipple against her bottom lip to get the nipple to squirt out into her mouth.






















At two month she had tubes put in because she hadn't passed her hearing tests due to fluid behind her eardrums they could not drain due to her palate.
These were the first and last days of enjoying her wide smile.  I miss it...


Surgery
At three months she had her lip/nose repaired.  The pics below was our first time seeing her new face and trying to feed her after she woke up from anesthesia.

A cupid's bow...something so many take for granted.
First smile post surgery...

Learning to tape nose stents and no-no's was a learning process...
At 4 months with out nose stents for a day for Easter.


We got better at taping them using the tabs cut in half from clear rite aid bandaids.

Wore nose stents until six and half months when she decided to swallow them and poop them out
.  

Now she is 7 months, almost 8 and enjoying NO nose stents, solid foods, crawling, pulling up and saying "ma ma ma"! Basically just being a happy baby who has food come out her right nostril from time to time. Her palate surgery will be in late Oct. or early Nov.  Not looking forward to it but looking forward to getting through it and returning to just regular baby things and maybe a little speach therapy. 
Some tears from time to time....

She is very proud of pulling up!


Sunday, April 10, 2011

Taping is One of the Biggest Learning Curves for Cleft Parents and Kiddos


Okay, so our doctor has prescribed that our baby should wear nose stents for 6 months post-surgery.  I have read that some people don't use them at all, while others try for at least 2 months. They are meant to keep the nostril open and even as scar tissue develops and tries to shrink, making the nose uneven again.  Its like a nose retainer. Many doctors believe the benefits are totally worth all the trouble of putting them up your child's nose while they are screaming their head off and then slapping irritating tape across their face only to have to rip it off later. The other option to aggressive adhesive tapes seem to be first aid paper tape, which is more gentle but doesn't stick worth beans.





Here is what we have learned during Week 1

The first night Paige was home, her nose stents began slipping out from beneath the steri-strip tape that the doctor had placed on her after surgery. We didn't expect this so soon. We panicked not knowing whether to really shove it back in....we didn't want to damage her freshly altered nose. We also didn't want to hurt her. After a 11:00pm emergency call to Dr. Sundine's office, we were intructed to shove it back up and retape it.

Well pushing it in slowly...only to have it slide right out...resulting in pushing harder over and over again was not making anything better. Paige was screaming bloody murder and it was making both Phil and I sick to try and get it to stay in. We managed to get it in and slap on some tape. The paper tape the doctor told us to use was not sticking.

"Oh no, what do we do?"

      

"More tape!"
(Krista: You actually taped over her ears and hair.
Phil: Whatever - it's on.)


"Let's try that again...Go Angels!"

      

When it fell out in the night completely, we finally got a peek at her nose without the stents


Ultimately the stents just fell out in her bed in the night and we could not get them back in. We made an appointment with the surgeon to have him tape them back in. And then in the night they came out again. So that is when we had to get creative. I researched online and consulted my Babycenter Cleft Board buddies and they gave some taping suggestions. I tried a few but the paper tape was just not cutting it. I decided to try something a little stronger. I tried satin tape, cloth tape, butterfly strips and ultimately band-aids.

Here are a few of our other attempts







A video of a very happy Paige with a very special taping job.  She is still cute no matter what....




We have invested in some surgi-strips which seem pretty strong but pricey. We are also looking into tapes that NICU's use for infant feeding and air tubes. We need the kind of tape that is strong but will be best for long term use on her delicate skin. Some nurse friends have made some suggestions and we will order and try out some more kinds this week. It seems like it is a learning process and I know that in a month or so we will be pros and hopefully Paige will be more used to it too.  

We are considering putting on masks while putting her tubes in so she won't assume every time we hover over her face she is going to get things forcefully shoved up her nose. Phil has suggested we dress up like clowns so as to instill her with a deep fear of clowns as early as possible. At any rate, so far she seems to forgive easily.  

Click Links Below



Some Play Therapy with our niece...she was interested in Paige's "bandage" on her "owie." I had the bag of tapes and band aids with me, so we cut some tape, punched a hole so her dolly could "breathe" and put it across her nose.  She even had the tape there 3 days later when we saw her again.  She really felt like she could relate to Paige and seemed to understand that the tape was going to help Paige get better.








Friday, April 8, 2011

Our big surgery experience through pictures.....

Saying goodbye for now...

In pre-op loving on our little girl, she was so good the morning of her surgery.  We anticipated that it would be difficult considering she had not eaten anything since 3:30am and her surgery didn't start until 10:20am.  But she was perfect.  She woke up happy at the hospital and didn't seem too hungry.  She cooed and smiled, and when she got a little aggitated we held her in her favorite position, "leopard on a log" style, and paced or swayed and she accepted this as calming.  She even fell back asleep for a little while.  Really the only time she cried was at the point when we handed her over to the nurse who took her away to the operating room.  It truly was the hardest moment.  



      










Last Picture of her original smile.......


Waiting...

Family waited in the waiting room and talked, read Kindles, played on iPads, texted with friends and ate goodies to make the 2.5 hours pass.  We even met a great couple who's little one went in to have the same surgery just before Paige.  It is nice to be able to talk to people who understand what we are going through....My sister and I colored mandalas to stay relaxed and get by.


Seeing....

First moment seeing our little girl post op......an incredible feeling of relief, while wanting to see her new mouth and nose and seeing that it looked good but so different. It really was hard to take in at first.  The cords and tubes were a little off putting as well.  We wanted to scoop her up and see her eyes open, but it was difficult because she thrashed and cried when she finally did.  The nurse had to give her Demerol to calm her down and she fell back asleep peacefully.  




Rosebud Lips with a Cupid's Bow......
something so many take for granted.

Dr.  Sundine did an incredible job


Family...

The nurses allowed our whole family to come back and see her.  I'm interested in how each person felt when they first saw her and she looked so different....


Feeding...

This was the moment we tried to feed her but she kept kicking her legs and arching her back and thrashing...never even opened her eyes and didn't really drink.  We were so worried about damaging the doctor's work or hurting her.  The nurse told us to use our hand on her forehead to keep her from rubbing her face on anything.


   


First time her eyes opened a little after Demerol. They were little slits with dazed wide pupils inside.  At least we knew she wasn't hurting.  It was also the first moment when we thought she looked like her cousin, Lily.



Wearing her "No-No's" to keep her from touching her lip and nose stents she will have to wear for 6 months to help keep the shape of her nostrils even and open.

      


First moment eating calmly..... 



Moving...

Her surgery was done at the St.  Joseph's Outpatient Surgery center and then she was transported .2 miles in an ambulance to recover in a room at the regular CHOC.  She wasn't a fan but mama got a kick out of it.......






Getting through the night...

They brought in a cot that fit both of us. Paige slept a lot throughout the day and had eaten with increasing ease each time she tried. She was still on IV fluids so she wouldn't get dehydrated. It was tough to sleep and when she was awake she was very fussy and uncomfortable.  It was difficult to hold her with all the cords but she wanted to be held and cuddled.  We got better and better at holding and feeding her without worrying about hurting her.  

Actual updates in the middle of the night:

 "She is sleeping a lot. Has opened her eyes a little but is grumpy when she does. She mostly eats with eyes closed and half asleep. Got Tylenol with codeine around 6:30. I miss her alert happy times. Gunna take a few days."

"Slept a little...Phil took one extra upsetting shift around 2:30am. She settled again after meds. She is resting sweetly, giving first smiles but only in her sleep."

"We share a room with a rambunctious 3.5 year old with no boundary inhibitions who has been here since Saturday. He wanted to play doctor with Paige. Had a mask and gloves on. So his family is currently taking him for a wagon ride..."  

"Noisy roommate slept 10pm-7:30 so that was ok. He is a happy screamer and squealer. And really is interested in "the baby" and me."





Morning after.....



First smile...
in her sleep but still so sweet.





Hospital view of Angel's stadium.


Going home...

We stopped off at Paige's Great Grandma's so she could be reassured that our little girl was doing well.



Thank you all for the hundreds of thoughts and prayers from all over the U.S. and many parts of the World.  We are blown away by the loving support of so many.  I truly think we have made it as far as we have, because of those who uplift us and are going through this journey together.