Friday, May 31, 2013

Checkup



Katie and I had a checkup this morning.  Katie’s heartbeat was strong and she was rolling around so much the doctor had to chase her with the monitor.  He said she is VERY active.  Ellee got to come with me and hear the heartbeat.  When I told her the loud noise was Katie she was super excited.  It was really nice to have a ‘regular’ checkup.

We have discovered that it is awkward not knowing exactly who knows about the situation.  It is not a secret and we absolutely do not mind that people are hearing about Katie.  However, since we do not know who knows there is an awkward social dance.  They do not want to say anything until they are told by us.  At the same time, we don’t want to go around telling every person we know at work or at church, etc.  We don’t want to make a big deal out of it.  I am saying this in case anyone out there is reading this but is unsure if they can talk to us.  Please do!  We are fine talking about it.

Each day we are learning more and also continuing to calm down and manage the worry.  The hardest part at this point is thinking about possible problems that we have no control over.  We are concerned about heart or other physical problems and are trying not to worry until we hear if there is something wrong.  We also get stressed trying to plan how to raise Katie to be the best she can be in a world where many people will not see her potential.  It is a hard but necessary lesson to let go of the things you cannot control and remember that health problems and how people treat her are out of our control.  We can, however, have a safe, healthy, supportive home and family to give her a strong foundation to face the world.

At this point we are doing well.  We are not expecting any new information for two weeks.  At that point we will have a detailed ultrasound to check her organs for proper structure and function.  Prayers for healthy organs and peace for us in the waiting would be greatly appreciated.

Friday, May 17, 2013

Karyotype



We got a call today from the genetic counselor.  The final results of the karyotype (picture of the chromosomes) are in. 

The karyotype tells us that the Down syndrome is a sporadic form (happened by pure chance).  This means that it is not inherited.  None of our family, cousins, nieces, nephews, nor Ellee will have any higher chance of having a child with Down syndrome.  They will have the same risk as the rest of the population calculated on the mother’s age.

Most importantly, Katie is still a girl!!  Phew! 

The next step is still the ultrasound at 18 weeks and the heart exam at 20 weeks.  We are praying for healthy heart, kidneys, and intestines.

Wednesday, May 15, 2013

12 days



I have thought about starting a blog for a couple years, but I never felt like I would have anything to say.  I am a typical mom to a wonderful 2.5 year old daughter Ellee, married to an amazing man Mike; we live in a typical place, and do typical things.  I am not a journaler, nor do I love to write, so starting a blog never really made much sense.  Now things have changed, I want to remember and share my experiences.  

In March we were thrilled to discover that we were pregnant.  We told all our family and close friends.   I did all the things I was supposed to do, with prenatal vitamins, eating right, exercising.  We made plans for how our life would unfold with another precious child in the mix.  

At twelve weeks, I went in for the widely offered genetic screening, so we could check those ‘unlikely’ worries off the list of possibilities.  When the nurse practitioner came in to discuss the results it was evident very quickly that something was wrong.  Our precious child had a nuchal fold measurement well beyond ‘normal range’.  We were being transferred to a perinatal specialist for ‘further testing’.  I managed to ask if this was only a concern for Down syndrome or if there were other possible problems.  She responded simply with “there are other concerns as well”.  

We spent the next four days researching on the internet.  Looking for stories where this ‘screen’ resulted in a healthy baby.  Surely the test was wrong. Surely the ultrasound tech made a mistake. Surely everything is fine.  At the same time, trying to ignore the pit in our stomachs, ignore the deep fear, and ignore that there are some very horrible possibilities.  We talked to close friends and families, asked for prayers from them all, and tried to remain calm until we knew something for sure.

On the fourth day, I got a call scheduling the parinatal appointment.  I was told we would see a genetics counselor then have a possible CVS.  WHAT?!  I was convinced this was okay, that the test was wrong.  Why were we meeting a genetics counselor?!  Again, we tried to ignore the concerns and remain calm until we knew something for sure.

On the seventh day, with great dread, we made the 1 hour drive to the appointment.  We met a wonderful lady, our genetic counselor.  She was compassionate, informed, professional, intelligent, she listened to our concerns, was quick with facts delivered in a simple way, realized my husband and I were both biologists and understood genetics and quickly adjusted to talk on our level.  She told us our options and the possibilities.  50% chance of chromosomal disorder most likely (T13, T18, T21, or 45X); 25% chance of a genetic problem associated with a single gene which the 200 most common could be tested through a microarray. This would most-likely be a heart problem; 10% chance the nuchal fold measurement would continue to grow and the excess fluid would kill the baby sometime during gestation, 15% chance we would not find anything wrong genetically and we would have to wait until birth for a diagnosis or confirmation of a healthy child.  

We both knew that we needed to have a diagnosis, so we could prepare for what we were facing.  We agreed to the CVS despite the small risk of miscarriage.  For me the procedure was more emotionally draining than physically painful.  I didn’t feel much and it was over quickly.  I had a little cramping but it didn’t feel much different than the pit of fear that was already there.  

We went home to wait.  Again, we tried to ignore the concerns and remain calm until we knew something for sure.  I must admit, that at this point I lost the battle and fear definitely took over.  I made the mistake of Googling T13 and T18 just before bed.  I couldn’t sleep and when I did I had terrible nightmares. I have always been a firm believer in God, and at this point I had my first ever crisis of faith.  I know God does not make mistakes but maybe he did this time.  I had to consider if I would terminate the pregnancy if the diagnosis was a condition not conducive to life.  Would it be best if a miscarriage happened? What can I handle?  What can Mike and I handle together? How will this affect Ellee?  I’m only 30, Mike and I are healthy, how can this be happening?

On day 9, Mother’s Day, Mike and I really discussed our feelings.  We both didn’t know what to do or think.  We both agreed we were ready for the news, we could accept it if the pregnancy ended naturally, we hoped it would be nothing, and agreed that we could handle Down syndrome.  

On day 10, I waited at home all day because I didn’t want to miss the call or have to discuss the results in the grocery store.  It was the longest day of my life.  Mike was at work and Ellee and I waited.  At nap time my mom called and we talked and she tried to keep me distracted until the call came.  Mike felt the need to come home and arrived seconds before the call completed.  We had a diagnosis, T21 Down syndrome.  It is a girl, our second daughter and a sister for Ellee!  

Mike and I both felt an overwhelming sense of relief.  We knew we could do this, we knew what we were facing, we had a plan.  We were still scared but we could mentally rearrange our life plan and realize it wouldn’t be all that different.  I know there will be many emotional ups and downs throughout the pregnancy and learning to manage our daughter’s needs but for that moment and ever since I have been mostly relieved.

Over the last few days we have been taking time to relax and calmly educate ourselves about the special needs of our baby.   We are not out of the woods yet.  There is a chance of miscarriage throughout the pregnancy.  She may have heart, kidney, or intestinal problems.  But no matter what, she is ours, we love her, we want her, and she will be a blessing to our family and friends.  We have told our family (directly or through our parents) and close friends the diagnosis, all of their reactions have fully justified our love for each and every one of them.  They are supportive, see the blessing as it will be, see that Mike, Ellee and I have the strengths between us to meet this challenge, with love, patience, empathy, and strength, and most importantly with God’s ever present support.  

The best moment so far was when we named our newest member.  I made a list of ten names, Mike liked one the most, and Ellee approved.  Our special, precious, baby girl is Katherine, Katie for short.   I never understood the saying that names have power, but now I see.  Katie is not a baby with Down syndrome, with her naming she has become an individual, she is mine.  She will be mine if she lives to 100 or if she doesn’t even survive to birth.  She is mine and my families and she is God’s.  He knew who she was and her name before I did.  He is in control and he knows what he is doing.  

It is now day 12 since we first had an indication of a problem and it has been a whirlwind of emotion.  In looking back I can see God’s hand in every step.  He knows me, Mike, Ellee, Katie and our family and friends. 

1.       He knows we needed to know.  Mike and I are planners and we can do anything if we know what we are facing.  We were very close to not getting an ultrasound picture of the nuchal fold, he prompted the ultrasound tech to try one more time, and now we know.
2.       He knows our family and friends would be understanding, strong, and supportive. 
3.       He sent us to the correct genetic counselor who could reach us on our level and help us make informed decisions.
4.       He stood by my side during my crisis of faith and now I can see I was wrong, he didn’t make a mistake.
5.       He allowed us to have nightmares so that the diagnosis would bring relief.  
6.       He had the diagnosis come through during nap time so we could process without Ellee looking on. 
7.       He sent Mike home to me so he arrived before the call was over.
8.       He led us to pick a name so we could bond with our precious Katie.
9.       He has given us Ellee who will be an amazing big sister.  She is the most empathetic child I have ever met.  She is gentle, happy, and caring.  She can do this too.
10.   At my age, 30, it is only a 1 in 952 chance of having a baby with Down syndrome.  He gave us this child at an age when the odds do not make me feel I tempted fate by waiting too long.
11.   He has blessed us with a church family that has become an extended family.  They are prayer warriors and servants.  They have watched Ellee for our appointments and have already offered to continue as well as do anything else we need.
12.   He has blessed us with family and friends that will do everything they can for us including crying with us, praying for us, calling and checking on us, doing research to educate themselves and help us.
13.   Mike has a flexible job, with an understanding boss and coworkers.
14.   I am a stay at home mom and I can dedicate my life to raising our daughters.
15.   There are amazing resources online both factual and personal.  There is an overwhelming sense of families being blessed in ways they never imagined.  Mothers that are ahead of me on this journey have written thoughts about what they wished they had known at the time of diagnosis.  All of them wished that they had been joyful, because the future is bright and happy.
16.   We already have several offers from friends of friends with children with Down syndrome who have offered to meet with us and share their experiences.
17.   He knows we can handle this challenge and he has given us everything we need and will be with us every step.  Katie is worth it.  Although it will be hard, we will be blessed every step of the way.