Perinatologist appt and different results
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Joybelle - 18 Jun 2005 19:41 GMT Yesterday was our peri appointment. It went different than we expected. We went through the ultrasound, which was really difficult, and then we spoke to the perinatologist. It took us a little bit to digest what he was saying because it is definitely different than what we were told on Wednesday. We are looking at a live baby (most likely) with spina bifida. The fluid-filled sac is not at the neck but is actually at L4 (lumbar 4 lower back) position the best they can tell. The enlarged ventricles are a normal thing along with spina bifida. At this point, the ventricles are only at the high end of normal, but we will be monitoring the rest of the pregnancy for hydrocephalus.
I'm not angry at our doctor for giving the wrong diagnosis. There was obviously some big miscommunication between the radiologist and her.
Now, I feel like I'm dealing with a whole different struggle, and I'm not sure how much easier it is. I feel rather stunned, overwhelmed, and I have so many negative and horrible thoughts sometimes, and I know it's normal, but it sucks. My entire birth hopes have disappeared, the idea of the surgeries and things this child will have to go through seem so overwhelming and life-changing, and I wonder how I can do it. I know that when I'm there I just will, but the feelings about it right now are just staggering.
We decided to have an amniocentisis to determine if there were any chromosomal abnormalities. The genetic counselor felt the probability was very low (5-8%), but when she said that if any were present we'd be facing our initial situation, we decided it would be worth it to find out. We will be travelling 2 hours each way to this hospital, which is the closest hospital with doctors capable of dealing with spina bifida and its treatment.
I thank you all who have given me so much support with facing our initial diagnosis. I really, really appreciate you all. I will try to respond to that thread, but I won't have time today. I will be continuing to update on our present situation as we find out more.
Joy
Sue - 18 Jun 2005 17:44 GMT "Joybelle" <joybelle15@hotmail.com> wrote in message
> Now, I feel like I'm dealing with a whole different struggle, and I'm not > sure how much easier it is. I feel rather stunned, overwhelmed, and I have [quoted text clipped - 3 lines] > and life-changing, and I wonder how I can do it. I know that when I'm there > I just will, but the feelings about it right now are just staggering. Hi Joybelle,
I am sorry you are having to go through this. I just really wanted to tell you that if it comes to multiple surgeries with the child, I have been through many operations with my oldest daughter. If you need someone to talk about this or help support you, please feel free to email me. Sometimes life has a funny way of changing outcomes that we have planned for. Hang in there. My thoughts are with you and your family.
 Signature Sue (mom to three girls)
Joybelle - 20 Jun 2005 17:31 GMT > I am sorry you are having to go through this. I just really wanted to tell > you that if it comes to multiple surgeries with the child, I have been > through many operations with my oldest daughter. If you need someone to talk > about this or help support you, please feel free to email me. Sometimes life > has a funny way of changing outcomes that we have planned for. Hang in > there. My thoughts are with you and your family. Thank you, Sue. I appreciate that very much. Did your daughter undergo surgery right after birth? I believe this one will, and that is really bothering me as I probably won't get to hold it for several days.
Joy
Circe - 20 Jun 2005 16:19 GMT > Thank you, Sue. I appreciate that very much. Did your daughter undergo > surgery right after birth? I believe this one will, and that is really > bothering me as I probably won't get to hold it for several days. Is there any chance at all for surgery in utero to correct some of the problems, Joy? I know that this is something that is done in at least some cases of spina bifida, because closing up the spinal column prior to birth seems to reduce the level of disability the child experiences after birth. But I really don't know enough to know whether it's feasible in this case. Just wondering whether it had been discussed at all... -- Be well, barbara
Joybelle - 20 Jun 2005 20:51 GMT > > Thank you, Sue. I appreciate that very much. Did your daughter undergo > > surgery right after birth? I believe this one will, and that is really [quoted text clipped - 6 lines] > But I really don't know enough to know whether it's feasible in this case. > Just wondering whether it had been discussed at all... It actually was discussed with the genetic counselor. She said it is still a very experimental surgery with very high risks, and there wouldn't be any guarantees of outcome. She said we were also probably too far along to be considered because the surgery is usually done around 20 weeks (we are at 25+ weeks). I think there are only about three places that perform the surgery also. I dunno. After she described it to me it sounded so invasive, but then again, afterwards it will be, too.
Joy
Cheryl - 21 Jun 2005 02:18 GMT >> I am sorry you are having to go through this. I just really wanted to tell >> you that if it comes to multiple surgeries with the child, I have been [quoted text clipped - 8 lines] >surgery right after birth? I believe this one will, and that is really >bothering me as I probably won't get to hold it for several days. My son had heart surgery when he was 4.5 hours old and I wasn't allowed to hold him for another day and a bit, until he was extubated and allowed to wake from the anaethesia. It really does make you feel helpless watching your baby lying in an intensive care crib, wearing basically nothing, and you can't even touch them. I'm so sorry that you are facing this experience :(
 Signature Cheryl Mum to Shrimp (11 Mar 99), Thud (4 Oct 00) Mischief (30 Jul 02) and Chickie born 16 Feb 05
Joybelle - 23 Jun 2005 19:19 GMT > My son had heart surgery when he was 4.5 hours old and I wasn't > allowed to hold him for another day and a bit, until he was extubated > and allowed to wake from the anaethesia. It really does make you feel > helpless watching your baby lying in an intensive care crib, wearing > basically nothing, and you can't even touch them. I'm so sorry that > you are facing this experience :( Oh, Cheryl, that sounds so difficult. :( Thank you so much for your thoughts and sharing a bit of your experience. I think I'm going to have to make sure I have internet access at the hospital, so I can access this great group.
Joy
Sue - 21 Jun 2005 12:40 GMT "Joybelle" <joybelle15@hotmail.com> wrote in message
> Thank you, Sue. I appreciate that very much. Did your daughter undergo > surgery right after birth? I believe this one will, and that is really > bothering me as I probably won't get to hold it for several days. She had her first operation at two months old, so not right away, but close enough. Then, she had her major surgery at 7 months old, and then we have had several operations and procedures with anesthesia on and off for the next 12 years. She is almost 13 years old now. As far as holding the baby, if it will not hurt the baby in any way, they should let you hold it. (((((hugs))))
 Signature Sue (mom to three girls)
Joybelle - 23 Jun 2005 19:40 GMT > She had her first operation at two months old, so not right away, but close > enough. Then, she had her major surgery at 7 months old, and then we have > had several operations and procedures with anesthesia on and off for the > next 12 years. She is almost 13 years old now. As far as holding the baby, > if it will not hurt the baby in any way, they should let you hold it. > (((((hugs)))) Thank you for sharing your story, Sue. I try not to look too far ahead, but it's hard not to. I know this baby will be having lots of surgeries, but I have to take it one at a time or I'm going to go batty. I hope I get to hold the baby right away. The idea of not being able to makes me feel kinda panicky. Thanks for the hugs. :)
Joy
Emily - 24 Jun 2005 18:00 GMT > Thank you for sharing your story, Sue. I try not to look too far ahead, but > it's hard not to. I know this baby will be having lots of surgeries, but I > have to take it one at a time or I'm going to go batty. I hope I get to > hold the baby right away. The idea of not being able to makes me feel kinda > panicky. Thanks for the hugs. :) I hope you can hold her right away too! When DS was born, I was able to hold him right away, but then got separated from him for a while, and a while that kept getting longer and longer. It was really hard to deal with, especially in the middle of the postpartum hormonal crash --- and he was basically healthy! Be kind to yourself whatever comes.
Emily
Stormlady - 18 Jun 2005 17:58 GMT I don't know how I missed the last post, I just went and read it after reading this one. I'm glad to hear that the outcome is going to be much better than originally thought, but I'm sorry you are having to go through this at all. I wish you all the best.
> Yesterday was our peri appointment. It went different than we expected. We > went through the ultrasound, which was really difficult, and then we spoke [quoted text clipped - 32 lines] > > Joy Joybelle - 20 Jun 2005 17:32 GMT > I don't know how I missed the last post, I just went and read it after > reading this one. I'm glad to hear that the outcome is going to be much > better than originally thought, but I'm sorry you are having to go through > this at all. I wish you all the best. Thank you so much.
Joy
V. - 18 Jun 2005 18:13 GMT > Yesterday was our peri appointment. It went different than we expected. > We [quoted text clipped - 11 lines] > pregnancy > for hydrocephalus. My goodness, that is a dramatically different result. What a roller coaster for you. I hope that you are able to get a lot of information about spina bifida, specifically L4. The placement of the defect and the amount of spinal material that protrudes can have a dramatic effect on the abilities of the child. Basically, the lower the defect the better the outcome, so lumbar is "better" than cervical, but of course that's just relativity. I can't imagine the pain of having a child with a serious disability and knowing that child will likely require multiple surgeries. My thoughts are with you and your family.
Amy
Joybelle - 20 Jun 2005 17:35 GMT > My goodness, that is a dramatically different result. What a roller coaster > for you. I hope that you are able to get a lot of information about spina [quoted text clipped - 5 lines] > knowing that child will likely require multiple surgeries. My thoughts are > with you and your family. Thank you, Amy. It has been a difficult and draining week. I have been doing some searches on spina bifida. We won't know until the baby is born for certain the severity of the spina bifida. They believe it is L4, but it could be better it could be worse. The unknown is tough to deal with.
Joy
L.A. - 18 Jun 2005 18:46 GMT Hi Joy...
When I read your original post, I was so sad for you. It's difficult enough to lose a baby before birth...but to carry it to term only to lose it, well, my heart just broke for you. I'm very, very glad to hear of the new diagnosis. Your baby will have to undergo treatments for the disability, but will still be able to lead a good, productive life. My brother has a severe form of spina bifida (not sure which vertebrae is the site of his malformation) and was not expected to live at birth. Now he's 32 years old, living and working on his own with friends, interests and a life. He has had to have many surgeries, including having a shunt inserted for hydrocephalus, but he's avoided others through exercise and physiotherapy. He's paraplegic, but walks using braces and crutches. He graduated high school with the rest of his class and was never segregated off into a separate group because of his disability. He's a charming, smart, compassionate person...and living with him during our formative years has helped my other brother and me become more aware of people with disabilities and their issues. I know every case is different, and as a parent it isn't easy to deal with a major disability like this (having discussed it at length with my mom, I'm sure of that part), but the good news is all the work and the worry can have a positive outcome in this case. I hope you are able to find all the information you need to have your most pressing questions answered, and the strength you'll need to carry on. My thoughts are with you, and I wish you all the best.
L.A.
Joybelle - 20 Jun 2005 17:38 GMT > Hi Joy... > [quoted text clipped - 4 lines] > to undergo treatments for the disability, but will still be able to > lead a good, productive life. Thank you for your thoughts, LA. I hope our baby will be able to lead a good, productive life.
> My brother has a severe form of spina bifida (not sure which vertebrae > is the site of his malformation) and was not expected to live at birth. [quoted text clipped - 14 lines] > answered, and the strength you'll need to carry on. My thoughts are > with you, and I wish you all the best. Your brother sounds wonderful and thank you for sharing his success with me!
Joy
Ilse Witch - 18 Jun 2005 19:13 GMT Although you are still facing an extremely difficult situation, it seems to me that at least there is a spark of hope now, where before there was none. I hope and pray that that spark keeps brightening, and that in spite of the birth defect, your child will be as healthy and happy as can be.
I cannot imagine the emotional rollercoaster you guys must be going through, and to me it sounds like the negative and horrible thoughts you are having are perfectly normal in all this. Try not to think ahead to far and take things one step at a time.
Take care (((((Joy)))))!
 Signature --I mommy to DS (July '02) mommy to four tiny angels (Oct '03 - Oct '04) guardian of DH (age classified) expecting twins (boy/girl) in August
Joybelle - 20 Jun 2005 17:43 GMT > Although you are still facing an extremely difficult situation, it seems > to me that at least there is a spark of hope now, where before there was > none. I hope and pray that that spark keeps brightening, and that in spite > of the birth defect, your child will be as healthy and happy as can be. Thank you, Ilse. That spark of hope is almost harder to deal with in some respects, because I'm afraid it will get snuffed out again. Sigh...
I am reading some stories online of people who've been through spina bifida and its treatment, and that is helping.
> I cannot imagine the emotional rollercoaster you guys must be going > through, and to me it sounds like the negative and horrible thoughts you > are having are perfectly normal in all this. Try not to think ahead to far > and take things one step at a time. The rollercoaster has been unimaginable. It's so hard to not think ahead!! I'm trying to focus on one day at a time and to continue to take care of myself and this baby, but wow, one of those easier said than done things, I guess. My three older children do keep me busy, so I think that helps, but then I start to stress about how they are going to deal with all of this. I think once my brain addresses all my fears and concerns, realizes nothing can be done yet, works through that, then I'll be a little more settled. I hope.
Joy
Leslie - 18 Jun 2005 20:07 GMT Joy,
I can't imagine what you are feeling right now. I think all those mixed emotions are very normal and you will probably feel better when the baby arrives and you have more information on exactly what treatment is going to be necessary and what baby's level of disability will be. This is such a life-changing event for you but I know that you will be able to handle it. I wish I were there so that I could do more than just listen and pray. (((Joy)))
Leslie
Joybelle - 20 Jun 2005 17:45 GMT > Joy, > [quoted text clipped - 5 lines] > you will be able to handle it. I wish I were there so that I could do > more than just listen and pray. (((Joy))) Thank you, Leslie. I think you are so right. Once the baby is here I know I will do what I have to do. It's all those unknowns, worries, concerns, fears, and all that good stuff that are throwing me for a loop right now. I wish you could be here, too, but I really do thank you for listening and praying. It really, really helps.
Joy
sharalyns - 18 Jun 2005 20:31 GMT Oh goodness, Joy--what a roller coaster for you. ((hugs)) and we'll keep your whole family in our prayers.
Sharalyn mom to Alexander James (9/21/01)
Andrea S - 18 Jun 2005 23:34 GMT We are thinking of you and your family here...
Andrea (UK).
Joybelle - 20 Jun 2005 17:47 GMT > We are thinking of you and your family here... Thank you very much, Andrea.
Joy
Joybelle - 20 Jun 2005 17:46 GMT > Oh goodness, Joy--what a roller coaster for you. ((hugs)) and we'll > keep your whole family in our prayers. Thank you, Sharalyn! It has been quite the week, and I really appreciate the hugs and prayers.
Joy
Welches - 18 Jun 2005 20:50 GMT > Yesterday was our peri appointment. It went different than we expected. > We [quoted text clipped - 40 lines] > on > our present situation as we find out more. I'm really sorry to hear your latest news. It's a mixture of good and bad news. At the moment the bad must seem to be overwhelming. Don't feel guilty of having negative feelings. You're grieving for the healthy child you hoped for. You will still love them. When I was told about #2's arm I thought at times that maybe it would be better if she died (no I didn't consider an abortion) and felt guilty about that. Once she was out, it didn't matter what was wrong, I loved her. You will be amazed at how strong you are for them. It does get better. (((hugs))) Debbie
Jenrose - 20 Jun 2005 07:59 GMT > for. You will still love them. When I was told about #2's arm I thought at > times that maybe it would be better if she died (no I didn't consider an > abortion) and felt guilty about that. Once she was out, it didn't matter > what was wrong, I loved her. You will be amazed at how strong you are for > them. I confess to some moments of, "I went through a pregnancy THAT hard and now she might die?"
It was so upsetting to have already gone through so much and then find out that there were more problems and when no one could give a good answer... The roller coaster was incredible. One minute we'd see "70% mortality rate" and the next, "Maybe no big deal" and how can you get your mind around that? Even now, I'm constantly wondering, "Is the next milestone going to be the start of her missing her milestones?" And I sometimes dream that I go to the doc and she's back at under 9 pounds.... hate those.
Jenrose
Joybelle - 20 Jun 2005 21:04 GMT > > for. You will still love them. When I was told about #2's arm I thought at > > times that maybe it would be better if she died (no I didn't consider an [quoted text clipped - 4 lines] > I confess to some moments of, "I went through a pregnancy THAT hard and now > she might die?" Yep. I'm terrified of going through the c-section to end up with a baby who doesn't live.
> It was so upsetting to have already gone through so much and then find out > that there were more problems and when no one could give a good answer... [quoted text clipped - 3 lines] > start of her missing her milestones?" And I sometimes dream that I go to the > doc and she's back at under 9 pounds.... hate those. Definitely. We just have no idea what we're up against it seems, and it is incredibly difficult. I'm sorry you are going what you are going through, Jenrose.
Joy
Jenrose - 21 Jun 2005 06:16 GMT >> Even now, I'm constantly wondering, "Is the next milestone going to be >> the [quoted text clipped - 6 lines] > incredibly difficult. I'm sorry you are going what you are going through, > Jenrose. Actually, I'm sort of acclimated to it now. I don't think about the chromosome thing "every day"... although today we happened to get an email from "the" researcher who does stuff with 4q syndrome. Since there's nothing we can actively do at this point other than make sure she gets enough to eat and doesn't aspirate, it's not first on my mind. I'm more likely to wonder about the developmental thing than to think about "4q syndrome"...but I did that with dd1, too, and she's brilliant. :)
It's actually weird how normal things feel right now. Is that at least a little reassuring?
Oh, and about the birth thing... I *did* get my homebirth and it didn't mean an easy recovery, etc. etc. it just meant that I didn't have to face my particular hospital bugaboos. If you do have a c-section, there are ways of making it more positive, expecially if you're planning ahead. I think the goal is to make the absolute best you can of whatever hand you're given. My best friend recovered faster from her emergency C-section than I did from my "super low intervention" homebirth. THAT said... take some time to grieve the loss of your ideal birth and ideal baby. It *is* a loss, even if it feels weird to grieve that you will likely have a liveborn baby. Grief isn't rational and it doesn't follow rules and it doesn't have to make sense. The "make the best of the c-section" is what you're going to get to eventually. Doesn't mean you can't pound some pillows in anger and frustration in the meantime that it's not going to be what you hoped for. Jenrose
emilymr - 21 Jun 2005 21:03 GMT "If you do have a c-section, there are ways of making it more positive, expecially if you're planning ahead. I think the goal is to make the absolute best you can of whatever hand you're given. My best friend recovered faster from her emergency C-section than I did from my "super low intervention" homebirth."
I want to echo this -- my whole pregnancy I was gearing up for an all-natural homebirth, and was not at all prepared to go to the hospital or get a section. In the end, I recovered remarkably well and fast, and it wasn't *nearly* as awful as I had been expecting (no doubt mostly due to the fact that I knew I hadn't been managed into it).
It's sad that you won't have the birth you hoped for, and like everyone else, I think it's totally fine to mourn that -- not at all something you should feel guilty about! But I just want to give you some encouragement about the procedure itself; it might not turn out to be as bad as you fear, and you'll be able to focus all your energy on your baby.
I'm so sorry you and your family are going through this emotional turmoil. I'm praying for the baby, and am pulling for progressively better prognoses! How are your kids coping with all this?
Em mama to Micah, 11/14/04
Joybelle - 23 Jun 2005 19:56 GMT > "If you do have a c-section, there are ways of making it more positive, > expecially if you're planning ahead. I think the goal is to make the [quoted text clipped - 7 lines] > it wasn't *nearly* as awful as I had been expecting (no doubt mostly due > to the fact that I knew I hadn't been managed into it). I'm not so worried about the recovery, I guess, I just feel rather dismal about the idea of knowing when the baby will come. Isn't that sad?? I've loved, each time, the idea of the baby choosing its birthday, all the anticipation of when, etc. I know with vaginal birth there was certainly a recovery time, and from what I understand, a scheduled c-section has the potential to being a little easier recovery than emergency. I hope so. I do feel better about the c-section in that it is giving this baby the best chance of not suffering anymore damage to the spinal cord.
> It's sad that you won't have the birth you hoped for, and like everyone > else, I think it's totally fine to mourn that -- not at all something you > should feel guilty about! But I just want to give you some encouragement > about the procedure itself; it might not turn out to be as bad as you > fear, and you'll be able to focus all your energy on your baby. Thank you for the encouragement!
> I'm so sorry you and your family are going through this emotional turmoil. > I'm praying for the baby, and am pulling for progressively better > prognoses! How are your kids coping with all this? Thank you, Em. So far, the kids haven't been told too much other than mom will be at the hospital and the baby will have some problems when it's born, so we'll be there for awhile. I've talked a little more with the 6yo, and she asked if the baby would die. She didn't seem concerned, but she is like that. I'm sure we'll be talking lots more in the coming months. I did tell her the baby would have clubfeet, and she said, "Cool!!". I thought that was cute. The 2yo and 4yo don't seem to be saying much, but as we learn more I think I'll be comfortable sharing more with them in terms of some things to expect.
Joy
Tori M. - 22 Jun 2005 04:03 GMT I know someone who just adopted a baby with the full del. of the 4rth chrom. and he is the cutest little thing! he is a year old but looks about 3 months.. just adorable.. Anyway he was not expected to make a year but he is still doing great!
Tori
 Signature Xavier 10/04 "Hey mommy I can reach the middle of the coffee table if I stand right here" Bonnie 3/02 "No Xayur thats my blankie" 349.5/321/135
> >>> Even now, I'm constantly wondering, "Is the next milestone going to be [quoted text clipped - 35 lines] > what you hoped for. > Jenrose Jenrose - 22 Jun 2005 08:01 GMT I'd love to contact them, if they're comfortable with it... jenrose at jenrose dot com.
Jenrose
>I know someone who just adopted a baby with the full del. of the 4rth >chrom. and he is the cutest little thing! he is a year old but looks about [quoted text clipped - 42 lines] >> it's not going to be what you hoped for. >> Jenrose Tori M. - 22 Jun 2005 12:35 GMT I will pass on the info:)
Tori
 Signature Xavier 10/04 "Hey mommy I can reach the middle of the coffee table if I stand right here" Bonnie 3/02 "No Xayur thats my blankie" 349.5/321/135
> I'd love to contact them, if they're comfortable with it... jenrose at > jenrose dot com. [quoted text clipped - 47 lines] >>> it's not going to be what you hoped for. >>> Jenrose Joybelle - 23 Jun 2005 19:37 GMT > Actually, I'm sort of acclimated to it now. I don't think about the > chromosome thing "every day"... although today we happened to get an email [quoted text clipped - 3 lines] > about the developmental thing than to think about "4q syndrome"...but I did > that with dd1, too, and she's brilliant. :)
> It's actually weird how normal things feel right now. Is that at least a > little reassuring? That is. With my first being born with clubfoot, I did go through some of the worries, and now it just seems (and during treatment) just part of life. All those unknowns are what's bugging me right now. How severe? What about this? What about that? I know I have to stop doing that so much, and I think I'm reaching a point now where it's not so important to know at this very moment, but it still is hard to not wonder. It boggles my mind that tomorrow it is only a week ago we found out this was spina bifida. It seems like an eternity ago.
> Oh, and about the birth thing... I *did* get my homebirth and it didn't mean > an easy recovery, etc. etc. it just meant that I didn't have to face my [quoted text clipped - 9 lines] > Doesn't mean you can't pound some pillows in anger and frustration in the > meantime that it's not going to be what you hoped for. Yeah, I had a hospital birth (hated it and it wasn't even that bad!) and two homebirths. The homebirths weren't easy or all that blissful, but I still would choose it over hospital. I know now I don't have that choice and it's just dealing with that. I also feel I have some unresolved issues with my last homebirth, and I just feel sad I'll never experience birth again. This is to be our last baby, and I don't get to experience birth this time. I keep moving forward and trying to look at the positive aspect of the c-section (it optimizes my baby's chances).
Joy
Jenrose - 25 Jun 2005 04:26 GMT >> It's actually weird how normal things feel right now. Is that at least a >> little reassuring? [quoted text clipped - 10 lines] > seems > like an eternity ago. Life's like that. You go along clueless about something, then the knowledge changes everything and you can't imagine how it used to be, even though you lived it.
>> Oh, and about the birth thing... I *did* get my homebirth and it didn't > mean [quoted text clipped - 21 lines] > homebirths. The homebirths weren't easy or all that blissful, but I still > would choose it over hospital. I understand that.
>I know now I don't have that choice and it's > just dealing with that. I also feel I have some unresolved issues with my > last homebirth, and I just feel sad I'll never experience birth again. > This There was an element for me with Shiny of "Wanting to do better" with her birth than i had with dd1's birth. Huge element of that. And in every externally observable way, I did, but it still was not what I expected. Part of me does say,"Oh, if I had another, I'd do thus and such differently" but there's no way I'm having another kid just to get the birth right...
> is to be our last baby, and I don't get to experience birth this time. I > keep moving forward and trying to look at the positive aspect of the > c-section (it optimizes my baby's chances). Very frustrating, but I think looking for the positive (and ways of making it more positive than "the default") is really important.
Jenrose
Joybelle - 20 Jun 2005 21:29 GMT > I'm really sorry to hear your latest news. It's a mixture of good and bad > news. At the moment the bad must seem to be overwhelming. Don't feel guilty [quoted text clipped - 4 lines] > what was wrong, I loved her. You will be amazed at how strong you are for > them. Thank you so much, Debbie. I really appreciate your perspective. It's hard to not feel guilty about some of the negative feelings, but it's harder yet to not let them surface.
With how you felt with #2 I have experienced that, too. In some respects this diagnosis almost felt more difficult because now I don't know what the outcome will be, and I hate feeling that way. I do know once this little one is here, I'll do whatever it takes and love it and love it, but at this point it seems so insurmountable and overwhelming.
> It does get better. (((hugs))) Thank you.
Joy
camandshane - 18 Jun 2005 22:12 GMT Gosh what a roller coaster for you and your family. I hope the amniocentisis turns out fine. Hang in there.
Hugs from Cam
Joybelle - 20 Jun 2005 21:24 GMT > Gosh what a roller coaster for you and your family. I hope the > amniocentisis turns out fine. Hang in there. Thank you, Cam. The genetic counselor and perinatologist seemed quite optimistic the amnio would be fine, so now it's just a matter of having that confirmed.
Joy
Mum of Two - 18 Jun 2005 23:08 GMT (((((Joy)))))
I am so glad that there is so much hope now when the outlook was so bleak before. Please be gentle with yourselves. When we embark on pregnancy, few people prepare themselves for anything other than a perfect outcome. There are many things that will be different for this child, things that he/she may not be able to do. You're grieving all those things that you'd looked forward to, which is a normal reaction, so please try not to feel too guilty. It doesn't mean that you love this child any less, you're just facing a different future than the one you had planned for. I know this has been posted several times before, and I hope you don't mind me posting it again. Bear in mind, I have not had the experience of raising a child with a disability, so I can't claim to know what you're feeling right now. I have a brother with Aspergers, a vastly different condition to spina bifida, but with its own set of hurdles. While living with him was been downright difficult and frustrating for us all at times, we wouldn't swap my brother nor our family life for the world. It just was, and is part of who we all are. This piece has always struck a chord with me. Thinking of you all during this difficult and challenging time.
"Welcome To Holland" by Emily Pearl Kingsley
" I am often asked to describe the experience of raising a child with a disability--to try to help people who have not shared that unique experience to understand it, to imagine how it would feel. It's like this: "When you're going to have a baby, it's like planning a fabulous vacation trip--to Italy. you buy a bunch of guidebooks and make your wonderful plans. The Coliseum, The Michelangelo David. The gondolas in Venice. You may learn some handy phrases in Italian. It's all very exciting. "After months of eager anticipation, the day finally arrives. You pack your bags and off you go. Several hours later, the plane lands. The flight attendant comes and says, 'Welcome to Holland.' "'Holland?' you say. 'What do you mean, Holland? I signed up for Italy! I'm supposed to be in Italy. All my life I've dreamed of going to Italy.' "But there's been a change in the flight plan. They've landed in Holland and there you must stay. "The important thing is that they haven't taken you to a horrible, disgusting, filthy place, full of pestilence, famine and disease. It's just a different place. "So you must go out and buy new guidebooks. And you must learn a whole new language. And you will meet a whole new group of people you would never have met. "It's just a different place. It's slower-paced than Italy, less flashy than Italy. But after you've been there for awhile and you catch your breath, you look around, and you begin to notice that Holland has windmills, Holland has tulips, Holland even has Rembrandts. "But everyone you know is busy coming and going from Italy, and they're all bragging about what a wonderful time they had there. And for the rest of your life, you will say, 'Yes, that's where I was supposed to go. That's what I had planned.' "And the pain of that will never, ever, ever go away, because the loss of that dream is a very significant loss. "But if you spend your life mourning the fact that you didn't get to Italy, you may never be free to enjoy the very special, the very lovely things about Holland."
 Signature Amy Mum to Carlos born sleeping 20/11/02, & Ana born screaming 30/06/04 barton . souto @ clear . net . nz http://www.freewebs.com/carlos2002/ http://www.babiesonline.com/babies/a/ana%5Fj%5F2004/
> Yesterday was our peri appointment. It went different than we expected. > We [quoted text clipped - 42 lines] > > Joy Joybelle - 20 Jun 2005 21:22 GMT > (((((Joy))))) > [quoted text clipped - 6 lines] > guilty. It doesn't mean that you love this child any less, you're just > facing a different future than the one you had planned for. Thank you for this, Amy.
> I know this has been posted several times before, and I hope you don't mind > me posting it again. Bear in mind, I have not had the experience of raising [quoted text clipped - 5 lines] > of who we all are. This piece has always struck a chord with me. > Thinking of you all during this difficult and challenging time. In some ways I think having the baby here will be easier in that I'll be in the midst of its care. At this point, I feel helpless, though I'm starting to research my options and that's helping.
Thank you for sending on the "Holland" piece. After we were told we would be dealing with something lifelong, I remembered seeing it on here before and thinking, "Well, I'm off to Holland, I guess. Good thing I love flowers."
Joy
Jenrose - 21 Jun 2005 06:17 GMT > Thank you for sending on the "Holland" piece. After we were told we would > be dealing with something lifelong, I remembered seeing it on here before > and thinking, "Well, I'm off to Holland, I guess. Good thing I love > flowers." I had the same thought with Shiny, right before someone posted that piece for me...
Jenrose
Todd Gastaldo - 19 Jun 2005 02:49 GMT Joy wrote:
> ...then we spoke > to the perinatologist... [quoted text clipped - 3 lines] > I'm not angry at our doctor for giving the wrong diagnosis. There was > obviously some big miscommunication between the radiologist and her. Joy,
My gosh! What an emotional wringer you and your family are going through!
Regarding "some big miscommunication" between the radiologist and your doctor.
Maybe one of the medical doctors on MKP has commented (I haven't read the whole thread) - but it seems to me that if a radiologist report was generated and your doctor communicated the contents of that report to you accurately - then the error was entirely the radiologist's (assuming it was indeed an error) - except to the extent that general obstetricians are expected to read ultrasounds themselves to verify what's in the report.
I join everyone in expressing sadness and wishing for the best.
Sincerely,
Todd
Todd Gastaldo - 19 Jun 2005 03:49 GMT Joy,
Arrrrgggh. What a terrible thing for me to say: "assuming it was indeed an error"...
I am sorry.
If it wasn't an error, the perinatologist wouldn't have reported as he did.
Doh.
I am so sorry.
Sincerely,
Todd
> Joy wrote: > [quoted text clipped - 26 lines] > > Todd Emily - 19 Jun 2005 06:18 GMT Dear Joy,
What an amazing turn of events. I can't even imagine what it's like to have been working to prepare yourself for one difficult future event and then all of the sudden be looking down another difficult road. I'm sure you'll do an excellent job navigating the medical treatment required, and I wish you and yours all the best. Please continue to keep us posted!
Emily
Joybelle - 20 Jun 2005 21:16 GMT > Dear Joy, > [quoted text clipped - 5 lines] > required, and I wish you and yours all the best. Please > continue to keep us posted! Thank you, Emily. It is definitely still a difficult road we're looking down. I'm feeling a little less like I'm twisting in the wind, though.
Joy
Chookie - 19 Jun 2005 11:45 GMT > Yesterday was our peri appointment. It went different than we expected. We > went through the ultrasound, which was really difficult, and then we spoke > to the perinatologist. It took us a little bit to digest what he was saying > because it is definitely different than what we were told on Wednesday. We > are looking at a live baby (most likely) with spina bifida. Goodness, this would be hard. I don't suppose you are up to writing letters of complaint atm, but the miscommunication you have suffered from is not something that should ever be repeated.
You're in my prayers.
 Signature Chookie -- Sydney, Australia (Replace "foulspambegone" with "optushome" to reply)
"In Melbourne there is plenty of vigour and eagerness, but there is nothing worth being eager or vigorous about." Francis Adams, The Australians, 1893.
Joybelle - 20 Jun 2005 21:13 GMT > Goodness, this would be hard. I don't suppose you are up to writing letters > of complaint atm, but the miscommunication you have suffered from is not > something that should ever be repeated. I talked to the doctor this morning, and it wasn't so much a miscommunication as it was that a screening u/s just isn't as accurate. They gave us the information they had with their ability and sent us on to more specialized care. As it turns out, they were wrong, but I don't think they did anything wrong if that makes any sense. I believe the perinatologist, from looking at the u/s pics he was sent from the clinic, also believed the same diagnosis, so it wasn't given to us lightly. I believe we had a 3D u/s at the peri appt, and the clarity was quite amazing compared to the initial u/s.
> You're in my prayers. Thank you. I appreciate them very much.
Joy
Irrational Number - 20 Jun 2005 22:09 GMT >>[...] the miscommunication you have suffered from is not >>something that should ever be repeated. [quoted text clipped - 8 lines] > believe we had a 3D u/s at the peri appt, and the clarity was quite amazing > compared to the initial u/s. This kind of stuff happens. Our perinatalogist spent a LONG time looking through the scans and came up with Agenesis of the Corpus Callosum. The diagnosis was not given lightly and we were actually counseled about termination at 29 weeks.
Then we went and got the fetal MRI and determined that the corpus callosum was there, but there may be hydrocephalus and some other stuff... So, the initial diagnosis was wrong, but it was not a miscommunication, nor was it incompetence.
Unfortunately, it puts you on this roller coaster from hell and you just have to cry and do research and keep chugging ahead and repeat...
-- Anita --
Jenrose - 21 Jun 2005 06:21 GMT > This kind of stuff happens. Our perinatalogist > spent a LONG time looking through the scans and > came up with Agenesis of the Corpus Callosum. > The diagnosis was not given lightly and we were > actually counseled about termination at 29 weeks. Yeah, our doc just said, "partial deletion of the long arm of chromosome 4" and didn't elaborate (even though it was right in front of her) because she didn't know or notice (don't know which) that the results *were* more detailed. So I spent the weekend not knowing if it was a terminal deletion (severe delays in many cases, likely heart problems) or an interstitial deletion (more variation in outcome) or if it covered many bands or just a few. Turned out it was a fraction of one band. But I didn't learn that until Monday AFTER reading all the horrors....
Jenrose
Joybelle - 23 Jun 2005 19:05 GMT > This kind of stuff happens. Our perinatalogist > spent a LONG time looking through the scans and > came up with Agenesis of the Corpus Callosum. > The diagnosis was not given lightly and we were > actually counseled about termination at 29 weeks. That had to be so difficult!
> Then we went and got the fetal MRI and determined > that the corpus callosum was there, but there > may be hydrocephalus and some other stuff... So, > the initial diagnosis was wrong, but it was not > a miscommunication, nor was it incompetence. How is the fetal MRI done? I don't feel now there was any miscommunication either. At first, I did, but I've since spoken to the doctor, and it was more a case of severity being determined. It was just so weird to have the peri tell us are baby would very likely live, but...
> Unfortunately, it puts you on this roller coaster > from hell and you just have to cry and do research > and keep chugging ahead and repeat... Thanks, Anita! That is exactly how it is I'm finding out.
Joy
Irrational Number - 23 Jun 2005 18:07 GMT >>Then we went and got the fetal MRI and determined >>that the corpus callosum was there, but there [quoted text clipped - 6 lines] > more a case of severity being determined. It was just so weird to have the > peri tell us are baby would very likely live, but... They tell you not to eat for 4 hours so the baby will be calm (ha, fat chance!). I was starved, but Pillbug was kicking and punching away inside. They put you in the tube with your legs going in first. They put me on my back and I almost passed out. I asked if it would work with me on my side and that was okay.
The MRI itself took about an hour. With all the clanging and the fact that I hadn't slept from the stress, I basically slept through the MRI.
>>Unfortunately, it puts you on this roller coaster >>from hell and you just have to cry and do research >>and keep chugging ahead and repeat... > > Thanks, Anita! That is exactly how it is I'm finding out. The "end" of our story is that Pillbug was born with a clean bill of health. The CT scan at birth showed normal brain ventricles. BUT... he is quite late in his development, i.e., at 2 years old, he is barely walking and he can't stack blocks and basically he's about a year behind his peers. So, in our case, we're still dealing with _something_...
Joy, you will find your own way. Be strong!
-- Anita --
Joybelle - 23 Jun 2005 21:34 GMT > They tell you not to eat for 4 hours so the > baby will be calm (ha, fat chance!). I was [quoted text clipped - 3 lines] > I almost passed out. I asked if it would work > with me on my side and that was okay. Oh, if I don't eat it seems like the kids kicks and punches me to remind me to nourish us. :) Did they suggest the MRI or did you request it? It hasn't been mentioned to us at all, but I wonder if that's because all of it is on course with spina bifida.
> The MRI itself took about an hour. With all > the clanging and the fact that I hadn't slept > from the stress, I basically slept through the > MRI. How long did it take?
> The "end" of our story is that Pillbug was born > with a clean bill of health. The CT scan at birth [quoted text clipped - 3 lines] > basically he's about a year behind his peers. So, > in our case, we're still dealing with _something_... I'm so happy to hear he was born with a clean bill of health. I'm sorry to hear you're still dealing with something, though. I imagine that must be frustrating.
> Joy, you will find your own way. Be strong! Thanks, Anita.
Joy
Bryna - 19 Jun 2005 23:56 GMT Oh, Joy, what a lot to handle. I can imagine that the emotions must be very mixed, to say the least. My understanding is that spina bifida can be along a wide spectrum of severity -- I hope that the baby has the mildest form possible, please G-d. You and your family continue to be very much in my and DH's thoughts and prayers. I'm so sorry you're having to go through this ordeal.
Bryna
Amy - 20 Jun 2005 02:56 GMT > Oh, Joy, what a lot to handle. I can imagine that the emotions must be > very mixed, to say the least. My understanding is that spina bifida > can be along a wide spectrum of severity -- I hope that the baby has > the mildest form possible, please G-d. You and your family continue to > be very much in my and DH's thoughts and prayers. I'm so sorry you're > having to go through this ordeal. I know one woman with spina bifida who has a bachelors and a masters in education, has two children, taught for several years and now owns her own business as an educational advocate for kids with disabilities.
How's that for an outcome you wouldn't expect?
Hang in there! Amy
Joybelle - 20 Jun 2005 20:53 GMT > > Oh, Joy, what a lot to handle. I can imagine that the emotions must be > > very mixed, to say the least. My understanding is that spina bifida [quoted text clipped - 8 lines] > > How's that for an outcome you wouldn't expect? I hope for that outcome. It would be wonderful.
Joy
Amy - 21 Jun 2005 03:48 GMT > > > Oh, Joy, what a lot to handle. I can imagine that the emotions must be > > > very mixed, to say the least. My understanding is that spina bifida [quoted text clipped - 10 lines] > > I hope for that outcome. It would be wonderful. I forgot to mention that she's also an athlete (she lettered in swimming in high school) and looks alarmingly like Angelina Jolie.
Now you've got something to shoot for. :)
Hang in there, Amy
Joybelle - 23 Jun 2005 19:24 GMT > I forgot to mention that she's also an athlete (she lettered in > swimming in high school) and looks alarmingly like Angelina Jolie. > > Now you've got something to shoot for. :) I keep hoping for the best. That outcome sounds terrific. It will all be dependent on the severity, etc, but the picture doesn't seem so bleak as it did. Well, I still go through days where I cry and worry, but for the most part, I'm starting to see a more positive picture. I've joined a spina bifida support group, and I hope to glean so insight off there. And from what I could see from the higher definition u/s this one is a real cutie. :)
Joy
Joybelle - 20 Jun 2005 21:07 GMT > Oh, Joy, what a lot to handle. I can imagine that the emotions must be > very mixed, to say the least. My understanding is that spina bifida > can be along a wide spectrum of severity -- I hope that the baby has > the mildest form possible, please G-d. You and your family continue to > be very much in my and DH's thoughts and prayers. I'm so sorry you're > having to go through this ordeal. Thank you, Bryna. You are correct that there is a wide spectrum of severity, and I also hope this baby has the mildest form possible. I really appreciate the prayers and thoughts.
Joy
Pologirl - 21 Jun 2005 02:47 GMT > Yesterday was our peri appointment. It went different than we expected. [...]
> The > fluid-filled sac is not at the neck but is actually at L4 (lumbar 4 lower > back) position the best they can tell. The enlarged ventricles are a normal > thing along with spina bifida. At this point, the ventricles are only at > the high end of normal, but we will be monitoring the rest of the pregnancy > for hydrocephalus. So there is a chance your baby could be normal? Rollercoaster indeed.
The first person I met with spina bifida was a teenager at the time, struggling to continue with braces and crutches. He was effectively paraplegic. Since then, he has transitioned to a wheelchair and, when necessary, dragging himself. And he has earned a BA and MS from two of the world's best universities, and enjoys a very active social life. He is very handsome. One time he asked me to sit on his lap, in his wheelchair, but I was too shy to take him up on it: both his parents were present, and one of them was my own academic advisor. I have always regretted that missed opportunity.
Joybelle - 23 Jun 2005 19:21 GMT > > Yesterday was our peri appointment. It went different than we expected. > [...] [quoted text clipped - 6 lines] > > So there is a chance your baby could be normal? Rollercoaster indeed. There is a chance the baby could be normal, though it will have some walking and bowel issues. There's still a chance, though, that it might not be.
> The first person I met with spina bifida was a teenager at the time, > struggling to continue with braces and crutches. He was effectively [quoted text clipped - 5 lines] > parents were present, and one of them was my own academic advisor. I > have always regretted that missed opportunity. That was a really sweet story. It made me smile. :)
Joy
CJRA - 21 Jun 2005 15:33 GMT I can't offer much except my deepest sympathies and wish for strength. I understand the roller coaster this is, and the conflicting emotions are completely reasonable.
We'll be thinking of you through this time and hoping for the best possible outcome.
Joybelle - 23 Jun 2005 19:44 GMT > I can't offer much except my deepest sympathies and wish for strength. > I understand the roller coaster this is, and the conflicting emotions > are completely reasonable. > > We'll be thinking of you through this time and hoping for the best > possible outcome. Thank you so much. It has been quite the rollercoaster to say the least.
Joy
Jamie Clark - 28 Jun 2005 22:07 GMT Hugs to you as you deal with this new information. It's a lot to process. Sending peace and strength.
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Joybelle - 29 Jun 2005 17:54 GMT > Hugs to you as you deal with this new information. It's a lot to process. > Sending peace and strength. Thank you, Jamie. I appreciate the hugs a lot!
Joy
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