Tuesday, October 1, 2013

Anna's Prognosis



To say the words "Thank you" seem cheap and offensive. Because how could I ever begin to say "thank you" to each and every person who said a prayer, sent a gift, or sent positive thoughts to our sweet Anna over the last 2 weeks. I am still shocked at how far her story reached, and how many prayers were said for this sweet little baby, even people who have never met her. It's something that makes me cry everytime I think about it, because I truly believe you all are the ones who saved her life. The doctors performed the procedure, but your thoughts and prayers carried her through to the other side.

We've gotten a few questions on Anna's prognosis and so I wanted to write a brief summary on what we know.

* The official diagnosis for Anna's condition was a very rare form of benign macrocephaly. Rare in the sense that there have only been a handful of published studies about it. How did we get so lucky? Ugh.

* Essentially, other children with benign macrocephaly are fine. They have excess fluid on the outside of their brain, but eventually as their brain grows it catches up to their skull growth. These children can drain fluid on their own and it's not a problem.

* For sweet Anna, she was not born with this condition, but instead presented with accelerated head growth from 2 months onward. Her head circumference went up by 3.5 inches in two months! This is another reason why it's so rare, since most children with benign macrocephaly are born with large noggins where Anna was not.

* So to cure this rare condition, they had to perform a rare shunt procedure. 99.99% of the time, a shunt is placed inside the brain to drain excess fluid inside the brain. But in Anna's case, the shunt is between her skull and brain, so it's on the outside. Which is why, until she grows hair, you can actually see the valve that was placed on the side of her head. It's a crazy reminder of the miraculous procedure they performed to help save my daughter.

* Some people read "fluid on the brain" and asked if Anna had hydrocephaly, and thankfully this is NOT the cause, as hydrocephaly can be associated with a whole other slew of medical conditions. Though a shunt is also used to drain excess fluid with kids with hydrocephaly, these shunts are actually placed inside the brain, whereas Anna's is out.

Everyone follow? That was ALOT of medical jargon.

The amazing news??? Anna is going to be FINE. Despite having two strokes. Despite having a tube in her skull. Despite vomiting for 4 weeks and having a missed diagnosis, the Chief Neurosurgeon told us that Anna will grow up just like every other child. No long-term implications or negative side effects. This will not harm her development, mentally or physically. The worst part of recovery is the bandages on her head and belly, which come off tomorrow. Though she'll follow up with the neurosurgeon often for the next year, after a year it will be as if this nightmare never happened. She can play sports, go through metal detectors, and just be a regular girl with one hell of a story of survival.

So thank you. Thank you all from the bottom of our hearts.

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September 25, 2013


A comparison picture between last Wednesday and today.

Anna is doing wonderfully! The first 12 hours after surgery were rough because, well, she had just had brain surgery. She was just really uncomfortable and obviously in pain. But after some pain meds and a few hours of sleep, she's been much better!

We got moved from the PICU to a regular floor, which is a huge step for us. Though the ICU staff were wonderful, I sincerely hope we never see them again. Well, not there at least.

Anna is eating like her old self too! It was her favorite thing to do before all of this started, so it's nice to get parts of her back.

So now we just wait for the Neurosurgeons to give us the all-clear to go home, which could be as early as Friday! I have never wanted home more than I do now. I want our family of 4 back together again, in the home that we love, and for life to be back to normal.

Baby steps I guess.

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September 24, 2013



Today feels awkwardly like Christmas.

I could barely sleep just thinking about what's happening at 12:30 today. So much anticipation. I would give anything for her to not be here right now, to not be having this procedure done. But since it's happening, I'm choosing to focus on the positive.

At the end of today, my little girl will be better. Not completely healed, but better. All I want is to go home, and it's looking like that will happen this week! Carrying her into the house after all of this will probably be one of the best experiences of my life.

They've explained the surgery to us in detail, and having a Harvard-educated neurosurgeon performing the procedure only adds to my level of comfort.

I know there's always a risk with surgery, and I'm scared, but for some reason I have full faith that she is going to get through this and get back to being her happy baby self.

Still, any thoughts and prayers directed toward Anna around 12:00pm today would be greatly appreciated. I feel like I don't ask for much in my life, and I rarely ask for help, but this is one of those times when I'm asking for all of the help I can get.

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September 23, 2013

Anna is doing pretty good today. She made it all day yesterday without having to be "tapped" (the word for draining excess fluid from the area above her brain), but around 4:00am they came in and did the procedure, though it was only a small tap so that was encouraging.

The Chief Neurosurgeon came in this morning and said that Anna will be having surgery tomorrow morning. They will place a shunt in her head that will help her body drain this excess fluid from her skull on it's own, and at a rate that matches with her own growth and development.

They still can't say with 100% certainty what Anna's condition is. They are still running lots of tests, gathering information, and even reading medical journals and research studies to try and figure it out. One of the neurosurgeons was in her room yesterday for almost 2 hours just looking at her, asking us questions, and watching her vitals. He called her a medical mystery in the sense that she doesn't fit into a set category with a common diagnosis.

The theory they are working on now is that she has an extremely rare case of benign macrocephaly. In almost all cases, this condition means nothing for a child other than that they may have a larger head with excess spinal fluid that they just grow into as they age.

In Anna's case, this excess spinal fluid that is between her brain and her skull does not drain on it's own, and never will. This excess fluid causes pressure to build in her head and caused the strokes, her vomiting, tiny hemorrhages behind her eyes, and all of the other really bad and scary things that have been happening to her these last 4 weeks.

So even though they cannot 100% confirm this diagnosis (at least not today), her treatment would be the same regardless. The shunt is necessary, which means surgery is necessary. No surgery is without its risks, but in her case the benefits far outweigh the risks, which is why the surgery will happen sooner rather than later. Without it, it is likely Anna wouldn't be able to leave the hospital and would need to be continuously monitored, and right now all we want is to be able to go home with her.

We are waiting for the neurosurgery folks to come back in and explain the procedure in greater detail, but frankly, all I care about is that she is in the hands of experts, and these experts tell us that she is going to be fine.

Still, we are sitting here in sort of a daze, realizing that tomorrow our 4 month old daughter is having brain surgery. BRAIN SURGERY. And that thought is scary as hell.

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Updates

I'm sorry I haven't been updating the ole blog here, I've been posting all updates on Anna on our CaringBridge site,. But I'm copying the rest of our entries over here. Just know Anna is doing GREAT!


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