The Birth of our Pink Blessing
It only seems fitting, since I'm starting something new with writing this blog about my daughter, her battle with TSC, and my heart as her mama, that I should start at the very beginning when this crazy, unplanned journey began. My beautiful daughter, Riley Elizabeth, was born September 24, 2010 at 10:24am after a long, complicated labor ending in a cesarean. My very first thought when I saw my baby girl was "Wow. She is BEAUTIFUL!" Not just because she was mine but because she actually was a very pretty baby and I was expecting the "wrinkled old man" look my dad had warned me about! My second thought and question was "Is she ok?" Meaning is she breathing? Does she have all ten fingers and toes? Is she fully developed? With my husband's reassuring "Yes! She's perfect!!" response I allowed myself to relax and just bask in the pure joy of having my precious angel delivered safe and sound. Little did I know, as I laid there being stitched up while they whisked my baby away with my husband following, that she was far from ok. There, being hidden under vernix-covered baby skin,were three tumors on her heart and three tumors in her brain.
What Was That?!
One evening, as I was dressing Riley in her pajamas, she did this weird thing. As she was laying flat on our bed, she threw her arms out to her side, drew up her knees to her chest, tucked her chin and grunted as she stayed there for a few seconds. It happened again...and again. I took a video and sent it to my older sister asking her what she thought. She mentioned vertigo; which by definition means dizziness. It looked like she thought she was going to fall. We saw this strange behavior continued over the weeks. I remember being with my family in Connecticut over New Years, and watching her do this perplexing body movement while my mom was holding her. I remember my mom being concerned, saying she had never seen that before. Everyone I asked for an opinion told me not to worry; that she was still little and her nervous system was still developing.
Our Wasted Night in the ER
It finally came to a head at the end of January. She had just had her four month well child visit with her pediatrician. We mentioned it and even showed him a video. He showed no concern. The next day was Sunday, January 23rd. A day I will never forget. My poor Button cried the whole day and towards the end it was bloody screaming! Interspersed were these "convulsions" as I could only think to call them. Galen (my husband) and I were at our breaking point. We were snapping at each other and doing everything we could think of to calm her if only for a few minutes of reprieve. Finally I couldn't take it anymore and called her pediatrician even though we had just seen him the previous day. I spoke with the on-call nurse and she strongly suggested we go to an Emergency Room immediately. We didn't need any convincing and left for the ER. We waited maybe 45 minutes but for this poor mama ,who walked the corridor with her screaming infant, it seemed to be decade. Finally a nurse saw us...the check in nurse. Long, horrible, wasted evening short, our nurse told us she thought it was Colic and we should give her Colic Calm and close her in her room to cry. But the Dr's diagnosis was even more frustrating. After he watched the video we brought along, he thought it to be acid reflux and the screaming? Well that's simple. "You don't feed her enough", he stated. Since I was breastfeeding and not able to give him the exact ounces she consumed, he figured she was still hungry. So after trying my best to express my concern and my unwavering mama's intuition that SOMETHING was wrong with my baby, with no give or real concern on his part, we went home. We left the hospital 5 hours later the same way we came in; with a screaming baby girl.
Trust Your Mama Gut!!!
As we arrived home that night, I couldn't rest. I knew there was something wrong with Riley. I wanted to be wrong, but I couldn't shake this feeling in my gut. I sat at our computer and googled "infant spasms". I clicked on the YouTube link. As I watched the first video, I saw a little baby boy do the EXACT same thing Riley was. As i read the comments, I learned that it is called Infantile Spasms. I felt three things. #1 Relief to finally have a name for it and #2 Dread for the unknown ahead, feeling I had only uncovered the tip of the iceberg. And #3 Pride knowing that mama's do know best!
First Visit at Cleveland Clinic
The following day I made an appointment with one of the best pediatric neurologists in the world. We were able to see him the next day which still didn't feel soon enough, but at least help was around the corner.
Tuesday we met with Dr. Lacchwani and both my husband and I liked him immediately. He was soft spoken, attentive, gentle and very sweet to Riley. He asked us questions, gave his opinion, asked us ours and made us feel like we were not alone in this fear-filled journey anymore. What a relief!!! He watched our video, observed Riley and looked over her body with a Wood's Lamp which would show any lighter patches of skin which would indicate brain damage.She had one small patch on one leg and two on the other. At the end, he commended me saying "you were right on the money". He then told us Riley was definitely having Infantile Spasms but that lots more tests would need to be done to figure out why she was having them. She was immediately admitted into the Cleveland Clinic Hospital where we spent the next four days. They immediately put EEG leads on her head and monitored her through video surveillance 24 hours every day we were there. An MRI, EKG, Heart Echo, Kidney and Lung ultrasound were all done. After a misdiagnosis on Wednesday (from another Dr), we were given the hardest news of our lives on Thursday. We were informed she has TSC or Tuberous Sclerosis Complex. It is an incurable, genetic disease that causes tumors to grow on major organs like the brain, heart, lungs, kidneys, and skin. As I stated earlier they found three tumors on her brain. We were able to see the dark areas on her MRI scan indicating the tumors. Her Heart Echo revealed 3 tumors which they classify as Rhabdomyoma.. Which is a noncancerous tumor. Their normal MO is to shrink and disappear on their own. They said they were able to see signs that they have shrunk since birth. (Now it's pretty clear why our Punkin's heart rate kept dropping during labor! It couldn't take anymore strain!) So far all her other organs are clear. But that's what is so depressing about this disease. It likes to play peek-a-boo, so you're never really in the clear; there's no remission.
We went home in shock. I struggled with depression while trying to wrap my head around all the info that had just been dumped on us. Talk about information overload! They started Riley on two strong seizure meds and she was seizure free for 9 whole days.
Here and Now
It has been a little over two months since our first stay at Cleveland Clinic and we had one more in the beginning of March when they added a medication. But, unfortunately, our sweetie's body accepts the meds and makes the changes it's supposed to but only for a little while. Then her body becomes immune and we're back at square one. Which is where we are today. So that is why Riley will be having brain surgery in less than three weeks on April 21st. They will remove the biggest tumor where they have seen most of her seizure activity coming from. Then hopefully she will be seizure free. At least for awhile.
Wow! I guess that sums up most everything. Those are the facts anyways. If I had shared all my emotions through these trying months, well, lets just say you would be sitting reading this super long post a little longer and you might feel the need to sit in front of a shrink after! So there! If my faithful followers wanted a refresher or missed some of the history and if my new followers wanted to know what they were following, here you go! One of my friend's son also has TSC and I love this quote she shared the other day! This is how I feel, and the concept that has helped me get through this far!
If and when a horror turns up, you will be given grace to help you. I don't think one is usually given it in advance. "Give us our daily bread" (not an annuity for life) applies to spiritual gifts too; the daily support for the daily trial. Life has to be taken day by day, hour by hour.
-CS Lewis