Don’t let go of me, momma!! Those were the words that
Mighty Z kept saying to me today during her CAT scan. How many times this
little girl has told me not to let go of her? 1,000? 10,000? More? Every time she has ever had to go through
something that frightened her she has echoed those words, over and over and
over “Don’t let go of me”. I think that her telling me not to let go of her
when she is frighten is because I am her anchor, her safe harbor. She knows
that no matter what happens I won’t let go. Yet those words haunt me and I try
my hardest to never let go of her no matter how slippery or how hard it gets. What is difficult is trying to wrap my head
around is what if? What if our hands get too slippery and I can’t grab back on?
What if I mess up and somehow lose my grip? That can never happen, I have to stay
steadfast and cement my hand to hers I can ever let go!!! I don’t know why
today these words scared me a bit, but they did. Sometimes the magnitude of
what we go through on this journey is realized and I have to face the facts,
and sometimes I walk through this journey like it is a walk in the park. I
think this is how I cope, but I know one thing for sure I will never let go
until she tells me too.
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Showing posts with label life support. Show all posts
Showing posts with label life support. Show all posts
Friday, May 6, 2016
Tuesday, April 19, 2016
There is no post in my trauma
When you have a child who is medically fragile and have gone
through stuff that no mother should ever have to see; you are often told that
your panic attacks are due to PTSD (post-traumatic stress disorder) from
doctors, therapists, family members, and friends.
Recently I started seeing a therapist and once again I was
told that I have PTSD. As I sat there listening to him tell me what he thought
I was going through; I stopped him and told him something that rocked my on
world “there is no post in my trauma.”
This is truer then I like to admit. Yes there horrors from
the past with Mighty Z that wake me up in the middle of the night in cold sweats
feeling shaky as my heart pounds in my chest, yes there are noises and smells
that bring me back to a traumatic time where I almost lost her.
However, what is
harder to deal with is not really the past trauma but the current any moment
trauma that has yet to happen, but surely will happen any given moment. It is
hard to stay in the present and to not give into the trauma that is lurking
around the next corner waiting to pop out at you any moment.
I will say that I have done a pretty good job in masking my
fears of not really what the future holds but more what is about to come. I
think we as mothers of medically fragile children actually have chronic-traumatic
stress disorder (CTSD) and not PTSD. Like our children who live with chronic
disorders and illnesses it is all the time, no break, no days off, follows you
around ready to pounce on you trauma.
So what do you do with CTSD? I am certainly not the one to
tell you the best way to handle it, however we can look at our children who
deal with being chronically ill and see how they deal with it. Mighty Z just
pushes on through although I am not as brave, tough, or as resilient I can take
my cues from her. Mighty Z looks at everything with laughter and humor so I need
to do the same. I need to make time for myself so that my whole world isn’t centered
on her disease and what is around the corner. I have spent 15 years trying to
keep her alive and trying to give her a life worth living when I should have
carved out a time for myself as well.
I bought into the lie that having a child who is medically
fragile is “a life for a life”, but I am starting to see it doesn’t have to be.
I think what we really need is caregiver fatigue management and I am trying to
figure out what that is and how I can carve that into my day. I am sure I will
always have CTSD, but I don’t think that CTSD will have me much longer.
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Sunday, August 31, 2014
I have issues
Walking this road of special needs and adjusting to this “New Normal” world is difficult no matter the diagnosis, simply because even though you are living in this New Normal world everyone else (so it seems) is living in “the regular normal world.”
Besides keeping your special needs child alive, going to doctor appointments, therapies, and trying to make sure that they have a childhood full of childhood things that don’t include anything medical, one of the biggest issues of this New Normal is explaining to your child why they are different. And yes, even though you want to tell the world when they make faces at your child to “Mind your own business and learn some manners!” you will at some juncture have to explain to the world why your child is different.
I have always been honest with Mighty Z and her sister Lala (without going into the scary details) of why Mighty Z was born with special needs. It seems that not just have both my girls accepted my reasoning's, the world also has accepted my explanations of why Mighty Z has special needs.
Honestly the explanations started with Lala. She is 29 months older then Mighty Z. I had to explain to a 3 year old why her sister was coming home at 6 months old on a ton of machines.
I started with “Everyone has issues. Some people can’t see very well and need glasses, some people can’t hear and need hearing aids so they can hear, some people can’t eat so they have a tube that feeds them, some people are sad inside and need help to feel happy, some people have a hard time reading , doing math, etc.. Everyone has issues. Some issues you can see and some issues you can’t, but the fact remains that everyone has issues. Mighty Z’s issue is that she doesn’t breathe on her own all the time. So just like a person who wears glasses, Z’s life support machines help her when she needs the help, and the monitors help mommy know when Mighty Z needs a little more help. Let’s think about what is hard for you that you need help with some times.”
It is interesting that this simple explanation was all that Lala needed to understand her sister’s needs. As Mighty Z has grown I have told her the exact same thing, and Mighty Z accepts that she, like everyone in this world, has some issues.
I have been asked by several teachers and parents throughout the years to help them to understand Mighty Z’s special needs, and yes, whether the asker is young or old, I always start with everyone has issues. And you know what? 99.9% of the time that is all people need to understand why Z needs what she needs.
Yes, some issues are bigger issues than others but in the end that’s all they are, just issues. It’s important to remember, though, that your issues doesn't define you and Mighty Z’s issues definitely don’t define her.
So if you ever see Mighty Z out and about and ask her what is different about her, she will just tell you that she’s got some issues.
edited by Emily Minich
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Saturday, March 15, 2014
Go to Bed Momma
What nights consist of at the house of Mighty Z :
What Momma lays and bed and thinks about:
Is Z breathing weird? I think she is defiantly breathing
weird, I should go check.. (I go and check on Z everything looks good)
I can’t hear Z breathing, I should go and check … (I go and
check everything looks good)

Ugh why is her heart rate sounds so high, I should go and
check... (I go and check everything looks good)
Oh my!! Her heart rate sounds so low; I should go and check…..
(I go and check everything looks good)
I just heard her oxygen level drop; I should go and check...
(Her oxygen is 99%)

I just heard her oxygen level drop again; I should go and check...
(Her oxygen is 98%)
I just heard her oxygen level drop again; I should go and check...
(Her oxygen is 97%)
You know her alarms will go off at 94% oxygen 60% low heart
rate and 160% high heart rate, you don’t need to keep getting up, momma tells
herself.
I just heard her oxygen level drop again; I should go and check...
(Her oxygen is 96%) crap I need to sit
here and watch her oxygen level it might drop to 95% and then I need to start
figuring out what’s going on ……. 30 min later momma again tells herself “ you
know she has alarms that will go off when she needs you ? Right? Momma tells herself... “Sigh, yes I know and so
momma goes back to bed”
Seconds later Z’s alarms go off and up I go to check
on Z, breathing treatment, position change make sure all machines are on
correctly, okay looks like Z needs some
oxygen.
Oxygen is on Z, I stumble to bed exhausted.. Slowly
fading into slumber ….
Daddy starts to snore loudly … I am up again.
Yes, I know I don't need to get up every time,
however I lays there and can’t sleep because of it, I need to make
sure all is well with Z.
Maybe tonight I will tell myself not to get up unless
I hear alarms… (but momma won’t listen to herself)
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Saturday, January 18, 2014
That First Night
The first night of Mighty Z’s life was heartbreaking. There were no
well-wishers, no flowers, and no congratulations; people just didn’t
know what to say. My mom stayed with me that first night on the labor
and delivery floor. I was all right-- as all right as I could be
having my baby in the ICU. I was holding it together until the nurse
knocked on my door and told me that is was time for me to feed my
baby.
I quickly sat up thinking that maybe it all was just a bad dream and
maybe my baby was fine. Just as I thought that silly thought I heard
another nurse say, "No, that is the wrong room. This mother's baby is
dying."
How could my baby be dying when just hours before she had been
pronounced perfect??? Tears flowed down my cheeks as I felt a wave of
grief and anxiety wash over me. I felt helpless, weak, and hopeless.
Thankfully the nurses were wrong, but that night was one of the worst
nights of my life.
That was the night that I really knew my world had changed and that
St. John's Medical Center would be my home for the next six months. 01 02 12
well-wishers, no flowers, and no congratulations; people just didn’t
know what to say. My mom stayed with me that first night on the labor
and delivery floor. I was all right-- as all right as I could be
having my baby in the ICU. I was holding it together until the nurse
knocked on my door and told me that is was time for me to feed my
baby.
I quickly sat up thinking that maybe it all was just a bad dream and
maybe my baby was fine. Just as I thought that silly thought I heard
another nurse say, "No, that is the wrong room. This mother's baby is
dying."
How could my baby be dying when just hours before she had been
pronounced perfect??? Tears flowed down my cheeks as I felt a wave of
grief and anxiety wash over me. I felt helpless, weak, and hopeless.
Thankfully the nurses were wrong, but that night was one of the worst
nights of my life.
That was the night that I really knew my world had changed and that
St. John's Medical Center would be my home for the next six months. 01 02 12
Friday, January 10, 2014
The begining
The month of January is always a time of reflection for me.
Not just because it is the start of a new year, but also because it is Mighty
Z’s birthday month. I remember like it was yesterday how I was so ready for her
to be born, not a thought of ‘would she be alright?’ even entered my head. I
had done all the prenatal tests and they had all come back perfectly, so what
was there to fear? I remember getting up early on January 22 and heading to the
hospital excited to meet Miss Z.
Everything went beautifully; the only hiccup was that my
blood pressure was a bit high and they gave me some medication that made me
kind of loopy. When Z finally arrived, the nurses gave her to me and pronounced
her perfect.
You know hindsight is 20/20, and I remember Z kept wanting
to fall asleep when I was holding her. Her nurse kept saying ‘wake her up; she
needs to be awake.’ Yet that was easier
said than done-- Z kept nodding off no
matter what I did. The nurses, still unworried, took her to the nursery and
they sent me up to my room where I waited and waited and waited for someone,
anyone, to come to my room and tell me something.
My husband, my mom,
everyone had forgotten about me and I had no idea why. Finally my husband came
into my room and fell on top of me in a puddle of tears and said they have
taken our sweet Z to the intensive care unit because she wouldn’t breathe on
her own.
I have always been one to take charge and this time was no
different. I demanded that I go and see our Z. The nurses said I could only go
if I could walk around my room three times without throwing up. I remember I
started walking and immediately threw up. Yet I tried again I walked around
twice more and told my husband not to tell them I didn’t do the final third
walk. They placed me in a wheelchair and up to the NICU (Neonatal Intensive
Care Unit) we went.
The NICU is a dark and sad looking place, and there in the
corner was my sweet Z in an isolette with tubes in her mouth and nose, and
wires, wires everywhere. How could this be? The nurses not just a couple hours
ago said she was perfect; how did we get from perfection to this place?
I remember touching Z and trying to sing to her. She
flinched from my touch and started screaming. My heart broke into a tiny pieces
in that moment. Little did I know that I was about to embark on a journey that
no mother ever wants to travel.
Throughout this month I will walk you
down the beginning of this journey as much as I can remember. There are times
of great success and yet times of greater defeat and pain as the realization of
why my baby wouldn’t breathe on her own finally started to dawn on me.
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Friday, September 13, 2013
Surgeries,Seizure, and School Oh My!!!!
This summer has been a whirlwind of an adventure, and not an
adventure that any one of us wants to have again, especially Mighty Z. We
started the summer in regular fashion, full of ideas of seeing all of Dallas’s
little hidey holes, exploring the Arts District, the new museum that just
opened and hopefully, having a little summer excursion away from Texas. Unfortunately,
less then a month into summer, all our plans
came to a screeching halt.
The tumble down the rabbit hole started with Mighty Z’s loop
recorder that was placed in her chest in April.. Which, as many of you have
read in earlier blog post, led to Mighty Z having a cardiac pacemaker, going
into respiratory acidosis, almost dying from that, then going to another
cardiac pacemaker ‘redo’ because when
the ICU doctor was resuscitating our Mighty Z, one of the leads fell out of Z’s
left ventricle of her heart. Just when we thought all the drama was over,
Mighty Z had her first seizure.
The seizure episode started on a night like every other: uneventful. I had placed Mighty Z on her
breathing pacemakers and put on her pulse ox probe (to monitor Z’s oxygen
levels and heart rate) gave her all her medications and breathing treatments. As
usual, I went to clean the kitchen while Z watched a little T.V. before bed.
All the sudden I heard her alarms go off -- frankly, I thought Z was just
moving around and the monitor was just not picking up (which is common). In true perfect ‘mom style’ I said loudly to Z “put
your leg straight so the monitor can pick up the signal!”
Usually this is met with Z saying “okay, okay,” however,
this time I was met with silence. Thinking that Z had her headphones on, I went
in to check her and there I found Z’s legs and arms in odd angles and Z pale covered
in a sheet of cold sweat and staring out into space. In the beginning, although
she couldn’t look at me, she was answering me in a monotone voice. I calmly
placed some oxygen on Mighty Z and then rolled her to her side, called 911 and
that is when Z began to start twitching first in her face and later on her eyebrows,
torso and arms. Z was completely nonresponsive while this was happening.
As I held my sweet Z while waiting for the ambulance to
arrive, my thoughts turned to Lala, who was there running around grabbing my purse and
some items for me to take. Lala was perfectly calm but my thoughts were torn
because I could not leave her alone yet, and I could not leave Z alone either. As I wrestled within myself on how I was
going to care for both of my girls, my sweet, sweet friend T, had just driven past
my house from the gym and saw the ambulance and stopped. Relief flooded my
heart as the paramedics were placing Z on the stretcher and as soon as I saw T,
I knew that Lala would be cared for while her Daddy came home from work.
Long story short, Z had a focal seizure and her EEG report
came back with generalized spiking all over. We had two choices on how we could
move forward: one, we could wait and see if she would (and according to the EEG
she would at some point) have another seizure and then diagnose her with
epilepsy and then start her on antiseizure medication, or, two, be proactive
and call it what it was (epilepsy) and start her on the medications right away.
The reason I went ahead and started her on the medication is because I felt
during this first seizure we had been blessed that Z was on her machines and
monitors when it happened -- what if next time we weren’t so lucky? And my
philosophy has always been “try to be
proactive and not reactive.”
Whew! That was over and we all thought that our drama-filled
summer was at an end and we finally welcomed the thoughts of school and fall. Mighty
Z was to start at her new school, I was to meet with her new teachers and calm
down any fears or concerns, and all would be well! The new school was proactive
and actually looked up and researched her disease and quickly came to realize
how medically fragile our Mighty Z is and their concerns began to grow. I will
say that on paper Mighty Z’s syndrome looks horrific, but in actuality it isn’t
as dramatic as it sounds. Of course this is coming from a momma that has been
dealing with it for twelve years and so it is no ‘big deal’ to me. The new
school decided they couldn’t handle even the thought of having a child like Z
in their school, even though Z had never had an issue at any of her other
schools in regards to CCHS (congenital central hypoventilation syndrome).
After begging, pleading, and practically bartering. The new
school allowed Z in class with some stipulations. First, Z’s big doctor had to
call one of the Board of Trustees (who happened to be a doctor at Scottish Rite
Hospital) and tell him all about Z’s condition and write a letter as well. Second,
I had to send ALL of Z’s medical records to that same doctor and to the school.
And finally, I had to be at the school during P.E. (why just P.E., I have no
idea).
Why you ask didn’t I just find another school, or just home
school her? Well I truly feel it is important for Z to be at this school -- it
will provide many things that Z needs to push her to the next level
academically and socially.
I am hoping and praying that Fall is kinder to us than Summer was, and that we can go back to just being a normal family that happens to have a child on life support machines.
edited by Linda Kruger
Tuesday, August 6, 2013
Not Quite the Ritz
Making your hospital stay comfortable for everyone can
be quite a challenge, even for a scheduled stay, as emotions are high leading
up to the departure. But the overnight
stays that begin with a ride in the ambulance…that is a whole other problem
When Mighty Z was born and (finally) came home,
every time we had an emergency, I was lucky to remember to bring my purse. Now, twelve years later, I calmly pack our
bags in an emergency and packing for a scheduled
stay has become second nature.
So what do you pack for a hospital stay?
First, I think about hospital smells that trigger lots
of post-traumatic stress (PST) and I try to decrease the “smell of the hospital”
in our room. When Mighty Z goes into the PICU or just the Vent Floor (the floor
of the hospital dedicated to children who are on ventilators) we bring her own
hospital gowns -- they are prettier, softer, smell like home -- and as Mighty Z
sweetly appreciates that not everyone’s hinny(although Mighty Z does use another word that rhymes with grass, however this is a PG blog so we will use hinny) has been rubbing all over it . I
found some beautiful ‘Mighty Z approved’ hospital gowns from Annie&Isabel. She
loves them, as they button on the arms and tie securely, so no private business
is showing or hanging out. They are
beautiful soothing colors and they have pockets!
Another way we combat the ‘hospital smells’ is with
our own sheets that we bring. Mighty Z likes them to coordinate with her hospital
gowns. Think about this…when you are sick or in pain, don’t you just want to
cuddle in your bed or on the sofa with your blankets? Well, with that in mind,
we bring Mighty Z’s sheets and a blanket so we feel just a bit more
comfortable. Mighty Z calls her orange blanket ‘puzzle’ and her purple blanket ‘Mister
P.’
The second thing we bring when staying in the
hospital is Ipad, Kindle and computers. It is SO BORING in the hospital! You
sit, sit, sit, unless you are Z then you lay, lay, lay. Of course, you’re busy
when the doctors are doing rounds and shift change, but other than that, well,
it’s boring! Visitors are not just encouraged, but they are begged to come for
a visit and long stay! If you don’t have an Ipad, Kindle or computer, most hospital’s
will loan you one for FREE -- pretty nice, huh?
The third thing that we bring is snacks. Yes we all
know no food in the PICU, NICU, CVICU or NTICU.
But I smuggle stuff up all the time and I am very careful to hide my
chocolate eating, but hey, I am stressed and need a little help from my friend
Mr. Hershey.
Being in the hospital is tough enough, especially if
it is compounded with all sorts of stress and emotion. Most mothers will tell
you that when you are at the hospital with one child, you feel guilty about the
other child(ren) you have left behind at home in the care of others. When you leave the hospital to spend time
with the other child(ren), then you feel guilty for being home and not at the
hospital. The only way Mighty Z’s daddy and I have been able to lift a bit of
the guilt is with what we call the ‘changing of the guards.’ Mighty Z loves the
‘changing of the guards’ and so does Lala.
I stay with Mighty Z all night until about 11am when Mighty Z’s daddy
brings Lala up to the hospital so she can see her sister and know that she is
alright and that Lala is part of the team. I take Lala home and Mighty Z’s
daddy stays with her at the hospital. Lauren and I go have lunch together come
home and watch a movie (during which I always fall asleep)! Around three in the
afternoon, Lala and I head back up and the changing of the guards happens
again.
Finding a rhythm that works for the entire family,
for those in the hospital and for those back at home, is import for everyone
and ensures family bonding time can take place even during the stress of a
hospital stay. Bringing the comforts of home to help drown out the hospital
environment can, as Mighty Z says, feel as good as knowing you aren’t wearing a
hospital gown that someone else’s (grass) hinny has been rubbing all over!
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Tuesday, July 30, 2013
I RUN 4 Z
The other day one of my beautiful friends suggested I look
into a group called I Run 4 Michael for our group Hope’s Seed. I looked at the
website and debated about it. Why? Well, I truly don’t know; however, I looked
at the site again after a great night’s sleep (finally! Mighty Z’s alarms went off only seven times),
and then I was amazed and excited about I run 4 Michael. This group pairs a
runner with a person or child with a disability, and the runner runs for that
person or child and their disability. This is a quote from their website:
“The mental and emotional encouragement for both runner and honorary
runner is proving to be a whole new level of motivation and awareness.
Runners are able to find a whole new sense of purpose in their running
while sharing who they are running for and bringing awareness to diseases and
disabilities of all types.”
I thought this is a great concept, but I needed to try it
out for Hope’s Seed to make sure this would be something amazing. My first
thought (I know, I know we have been down this road before): “I can’t use
Mighty Z, she isn’t special needs!” And then once again I had to slap myself
and say to myself, “Momma, wake up and smell the coffee! You hook up your kid to life support machines
every night, you recently almost lost her, and she has had to have 2 cardiac
pacemakers implanted within less than a week; what does it take for you to
realize Mighty Z has special needs?!?”
Honestly I have no idea why I wrestle with the fact that Mighty Z is
indeed a Special Needs child-- I just do. I think that it is hard for us all to
say those words.
Anyway, after I jumped off the bus o’ denial, I slowly made
my way back to the bus o’ reality and asked for a match for Mighty Z. It only
took a couple days for Mighty Z to get her Mighty match.
The very day Mighty Z was matched with Beautiful (Beautiful is the name Z and I came up with for our beautiful runner),
Beautiful ran for our Mighty Z and CCHS (Congenital Central HypoventilationSyndrome). Beautiful made a shirt, letting all who saw her know that she ran
for Z.
Mighty Z was super excited about this and had me send
Beautiful encouragements along the way as Beautiful ran in the Spartan Race and the Zombie race.
Beautiful sent Mighty Z pictures from the race letting Mighty Z know that she
was thinking of her as she ran.
The interesting thing is that Beautiful struggles to
breathe! She has COPD, so a common bond
was instantly built between our runner and Z.
(Although technically Z doesn’t struggle to breathe, she just doesn’t
breathe…. but the breathing thing is the common factor.)
I Run 4 is an amazing group, and Mighty Z and I feel a since
of pride that Beautiful runs for Z. Not only is Beautiful spreading awareness about our Mighty Z she is also spreading awareness about CCHS (Congenital Central Hypoventilation Syndrome ) which is what means the world to us.
Mighty Z always say's "there isn't and ounce of quit in her" and Beautiful shares that same tough girl motto
Thursday, July 11, 2013
Cardiac Crisis
After Mighty Z had her loop recorder
placed on her heart I felt relieved, relieved to know that if Mighty Z’s heart
was pausing, now we would catch it. The first month that we downloaded her loop
recorder through the telephone lines, I received a wonderful call from the EP (electrophysiology)
nurse saying Mighty Z’s heart showed no signs of pausing (whew). The same with
the next month when I downloaded Mighty Z’s loop recorderand I felt like we
were on a roll, until Mighty Z came and told me she had had another episode.
I know what you’re
thinking. Why wasn’t I there when this episode happened and what is an “episode?.”Sometimes, not all the time,
Mighty Z will faint -- it is very random and you have no idea when it is going
to happen or what triggers it. Since Mighty Z is twelve, she hates when I
follow her around like a lost puppy and, let’s face it, it gets annoying for
both Mighty Z and myself. So, I let her
walk around without me tagging along after each step. Mighty Z told me this
“episode” was not a bad one, it was just a little episode. However, being who I
am, I quickly downloaded Mighty Z’s loop recorder and waited once again for the
EP nurse to call. Waves of dread came over me because I knew Mighty Z’s heart
had paused, and I knew that it meant she would have to have a cardiac pacer
implanted. This was confirmed when the EP nurse called and said that Mighty Z’s
heart had paused for 4 seconds and then again for 5 seconds. Knowing what I
know, that was almost double the legal limit for a heart to pause, so I waited
to have confirmation from her cardiologist. Within minutes Mighty Z’s cardiologist
called and told me the heart-breaking news, that yes indeed, Mighty Z would
need a cardiac pacemaker implanted.
I always knew that it
wasn’t IF
Mighty Z would get the cardiac pacemaker, but that it was WHEN. When would
Mighty Z’s heart stop? And would I be able to catch it in time to save her
life? I will confess, I put on a brave face, called Mighty Z’s daddy, and both grandma’s
and calmly told them that Mighty Z’s heart was pausing and that she would need
to have a cardiac pacer implanted. My voice was strong with no waver to it as I
called each person to relay the news. It wasn’t until that night when the tears
started coming and the fear and anxiety started to wash over me. I first got
mad at myself, because you see, I knew Mighty Z’s heart was pausing and I kept
pushing the cardiologist to listen to me. As I lay in bed and cried, I felt
like I had gone on a witch hunt looking for Mighty Z’s heart to pause and I
finally found a witch. Yes, I know completely irrational, however Mighty Z was
going to have to endure so much more and I wanted to spare her this, even
though I knew this was so important.
The cardiac pacemaker surgery was set for the next Monday and I
was ok until the Saturday and Sunday before. I had to breathe through those
waves of fear and anxiety as they attacked me over and over again.
When Monday morning came, I bravely packed Mighty Z and my bags
and headed up to Children’s Medical Center of Dallas Texas to be admitted. Once
through admitting, we were brought back for pre-op, and Mighty Z was given what
I always call a cocktail (a mixture of 2 vials of Versed and 4 vials of Lortab,
in what looks like a shot glass). With Mighty Z already on her breathing pacemakers,
I felt confident that she would be fine, however once she fell asleep, she
needed to be bagged (an
ambu bag is a hand-held device frequently used by trained professionals as an
essential part of resuscitation to provide positive pressure oxygen to a
patient whose breathing is insufficient, or has ceased completely. The act of
using the device is frequently referred to as bagging. The ambu bag has a long
tube that connects directly to an oxygen outlet or tank to force 100% oxygen
into a patient’s lungs). For a couple of breathes the EP Nurse and I worked on Mighty Z and
then Mighty Z was able to breathe with the breathing pacers , with just a bit
of oxygen to help her. Even though that
was a bit scary, I still felt comfortable with the cardiac surgery. The surgery
lasted for about three hours and the EP surgeon came out and told us that
Mighty Z did great and that we could see her in recovery. When her daddy and I
got to recovery, Mighty Z was responsive, yet groggy. Her oxygen levels were
great without the need to supply extra oxygen.
The only issue was that Mighty Z’s blood pressure was going crazy -- at
some points it was reaching 160/102 and then dropping to 74/50 (normal blood
pressure is below 120/80). Mighty Z’s heart rate was spiking to 180 and then
dropping to 50 and each time it dropped to 50 we could see on the monitor
Mighty Z’s shiny new cardiac pacemaker go off. The cardiac pacemaker went off a
total of nine times just in the first hour after her surgery.
Then things started unraveling quickly…Mighty Z started needing
oxygen -- not just a little bit -- we are talking 5 liters of oxygen and then
Mighty Z’s daddy noticed that her breathing pacers were not breathing for her
like they were designed. Quickly her daddy and I began to work on Mighty Z. We
changed the antennas to her breathing pacers, then we repositioned them, and
then we realized Mighty Z was not breathing at all. I called the PACU (post
anesthesia care unit) nurse and told her Mighty Z was not breathing. Quick as a flash, the PACU nurse started
bagging Mighty Z as I hyper extended Mighty Z’s neck and held the mask securely
to her face. The PACU nurse then called the attending in the PACU, saying that
Mighty Z was unresponsive and not breathing at all. The attending came over and
started bagging Mighty Z and had the PACU nurse call the CICU (Cardiac
Intensive Care Unit) doctor and have him come down STAT!! The CICU doctor came
down and bagged Mighty Z for 30 minutes and then magically her breathing pacers
started breathing once again for Mighty Z, however Mighty Z was still
unresponsive. The CICU doctor gave her six shots of Narcan (a narcotic
reversal) as the CICU nurses pinched and prodded Mighty Z’s little body to get
some sort of reaction out of her. It wasn’t until the 6th shot of
Narcan that Mighty Z finally opened one eye. We tried to keep her responsive without much
luck until several hours later. Finally at 9:30 pm, Mighty Z was able to wake
up and talk, although it took tons of stimulation from her daddy and I, and
unfortunately that lasted for only thirty minutes until she once again feel
into a deep sleep. She was still requiring five liters of oxygen for the rest
of the night until she woke up the next day, still very groggy and blessedly
with no idea of the trauma her little body endured (I praise God for that).
Three
days later, Mighty Z was back to her old self and the doctors felt comfortable
with Mighty Z coming home and of me taking over her care. Since the anesthesia
during surgery, Mighty Z has not had a drop of pain medication, simply because
we are all afraid that she would once again go in to a drug induced coma.
So to answer the obvious
question, “What happened to Mighty Z and why did her breathing pacers stop
working, then all of a sudden start working again?” The answer is simple, the anesthesiologist
gave Mighty Z Fentynal on top of the Versed and the Lortab -- it was too much for her little body with
all those drugs racing through her system. It made Mighty Z unresponsive and
her CO2 levels go through the roof and made her body go into respiratory acidosis, which basically
paralyzed her muscles since the breathing pacers make the diaphragm (and the
diaphragm is a muscle) expand and contract. The acidosis was not allowing her diaphragm to
move even though the breathing pacers were telling the diaphragm to move -- the
more the doctor bagged Mighty Z and lowered her CO2 levels, the more the
breathing pacers were able to make the diaphragm expand and contract. The
Narcan reversed the overdose of anesthesia and made Mighty Z responsive again.
Thursday, June 6, 2013
plans I have for you
For I know the plans I have for you,” declares the Lord, “plans to prosper you and not to harm you, plans to give you hope and a future.”
Jeremiah 29:11
Sometimes it is easier to quote this scripture than truly to let it resonate in your heart. I knew this scripture by heart as a little girl, but when I read it again after my baby was trached and placed on a ventilator, it was hard for me to believe.
I could not see how God had plans to prosper us, to give us hope, and to give us a future when the future looked so grim. Every doctor that came and saw my sweet Mighty Z shook his head and said there was no way Mighty Z had a future, and no one had even a glimmer of a plan.
Only one little man from India who also was a doctor said, “Don’t worry, momma, it will be a miracle.” That little seed of hope began to grow and I turned my bible back to Jeremiah 29:11 and reread what it said.
I looked up to heaven and I let HIS Spirit pour into me that HE had a plan, HE had a future for my sweet Mighty Z, and HE was sending people my way to water my little seed of hope that the little doctor from India planted inside my heart. I look back and I see the sweetness of God’s love during those dark years.
Monday, June 3, 2013
Disease Snob?
A couple times a week I goggle Mighty Z’s disease. 'Why?' you might ask. Because I want to know if there is any research going on, any stories about other kids with CCHS (Congenital Central Hypoventilation Syndrome), or if there is anyone just talking about the disease.
Every time I look, I find someone who obviously knows nothing about this disease saying things like, "those who have been cursed have it" (granted, CCHS's older name is Ondine’s Curse), or "those unfortunate souls who have CCHS", or "this horrific disease that kills babies and small children". I am typically offended by these statements. Why? Aren’t those accurate descriptions of what an outsider would think of this disease? Yes, I guess they are, but I don’t see it that way. I see the amazing strength and fortitude these children have, and how funny and silly they are. To me, CCHS is just bumps along the way.
I met a mother of twins with Muscular Dystrophy, and after she told me what life was like with MD, I told her what life was like with CCHS. I was surprised that she wrinkled her nose and said how thankful she was that her twins didn’t have CCHS. I will tell you I was shocked and offended. I knew for a fact my kid's disease was much better than her kids' disease.
She and I share the same pulmonologist, and so on my next visit to see him I told him what the mother of twins with MD said, expecting him to side with me on the fact that her kids' disease was worse than my kid's disease. When he sided with the mother of the twins and said that Muscular Dystrophy was indeed easier than Congenital Central Hypoventilation Syndrome, I was once again offended.

Why? Why do I care who has the better disease and why am I defending my kid's disease as the best disease to have? Sounds quite loony, huh? I guess because my new normal way of life is just my normal life, and all others' lives seem harder and less glamorous. I see these children with CCHS as normal everyday kids; some have trachs, some wear BIPAP masks, some have the breathing pacers implanted, some are 24-hour dependent, and some are 12-hour dependent, but all are just normal kids that play, go to school, have friends, and do their chores.
I guess I have become a disease snob, as crazy as that sounds! However, I have found that others with different types of diseases think the same way-- that their disease is better than someone else’s. Whatever becomes your normal is what you think is the best. It's funny how human nature makes what is an abnormal life to outsiders seem so normal to you.
One of my friends who also has a child with the same super cool disease as Mighty Z always tells others, “I hope your disease is as fun as ours." In a way, that is laughable, because CCHS is not fun per se, and yet in many ways it is since these children are fun in every way. Anyone that has hung out with Mighty Z for five minutes knows how much fun and how funny she is.
CCHS has changed my world for the better, and all who come into contact with it are changed as well, because those who have CCHS have shown us all what the true meaning of life is.
edited by Emily Joy Minich
01 02 12
Every time I look, I find someone who obviously knows nothing about this disease saying things like, "those who have been cursed have it" (granted, CCHS's older name is Ondine’s Curse), or "those unfortunate souls who have CCHS", or "this horrific disease that kills babies and small children". I am typically offended by these statements. Why? Aren’t those accurate descriptions of what an outsider would think of this disease? Yes, I guess they are, but I don’t see it that way. I see the amazing strength and fortitude these children have, and how funny and silly they are. To me, CCHS is just bumps along the way.
I met a mother of twins with Muscular Dystrophy, and after she told me what life was like with MD, I told her what life was like with CCHS. I was surprised that she wrinkled her nose and said how thankful she was that her twins didn’t have CCHS. I will tell you I was shocked and offended. I knew for a fact my kid's disease was much better than her kids' disease.
She and I share the same pulmonologist, and so on my next visit to see him I told him what the mother of twins with MD said, expecting him to side with me on the fact that her kids' disease was worse than my kid's disease. When he sided with the mother of the twins and said that Muscular Dystrophy was indeed easier than Congenital Central Hypoventilation Syndrome, I was once again offended.

Why? Why do I care who has the better disease and why am I defending my kid's disease as the best disease to have? Sounds quite loony, huh? I guess because my new normal way of life is just my normal life, and all others' lives seem harder and less glamorous. I see these children with CCHS as normal everyday kids; some have trachs, some wear BIPAP masks, some have the breathing pacers implanted, some are 24-hour dependent, and some are 12-hour dependent, but all are just normal kids that play, go to school, have friends, and do their chores.
I guess I have become a disease snob, as crazy as that sounds! However, I have found that others with different types of diseases think the same way-- that their disease is better than someone else’s. Whatever becomes your normal is what you think is the best. It's funny how human nature makes what is an abnormal life to outsiders seem so normal to you.
One of my friends who also has a child with the same super cool disease as Mighty Z always tells others, “I hope your disease is as fun as ours." In a way, that is laughable, because CCHS is not fun per se, and yet in many ways it is since these children are fun in every way. Anyone that has hung out with Mighty Z for five minutes knows how much fun and how funny she is.
CCHS has changed my world for the better, and all who come into contact with it are changed as well, because those who have CCHS have shown us all what the true meaning of life is.
edited by Emily Joy Minich
01 02 12
Thursday, May 30, 2013
to the brokenhearted
“The Lord is near to the brokenhearted and saves those who are crushed in spirit.”
Psalm 34:18 (NASB)
When the doctors first took Mighty Z to the NICU and I was forced to face that there was something seriously wrong with my baby, this scripture spoke volumes to me.
I was both brokenhearted and crushed in spirit in many ways. I felt God’s presence during those dark first months of my journey into the world of special needs. The world of Special Needs is ‘special’; it’s just special in a different way. It is a slower paced world, a world where faith is something you cling to daily. It makes you stop and smell the roses; it makes you thankful for inch stones and you don’t worry about those mile stones.
It’s a world that shakes your normal world to the core, but it brings a new normal to your life. Some days you feel HIS presence and some days you feel lost and brokenhearted. That is where Psalms 34:18 has given me comfort. I go back to that scripture more than anyone knows.
As I looked at my baby during the times that don’t just try the soul but also try the doctors, I knew that even when I feel shattered, brokenhearted, and crushed in spirit, the Lord is near and He has come to save me. Although I did not want to walk down this path, I know that I am not walking this alone. My Savior is walking right next to me, holding on, not just to me, but to my baby as well.edited by Emily Minich
Wednesday, March 27, 2013
Educate and Advocate
My partner and I started a organization. called Hope's Seed. Hope's Seed was founded in February 2013, to meet the needs of parents of special needs kids by focusing on local, face to face support and care.
Hope's Seed plants a seed of hope in parents by telling them "You're not alone!" We all know what it is like to experience difficulty on the journey of raising our children with special needs, and so we created this organization to support and encourage each other, and to offer hope.
Each month Emily and I come up with a topic to talk about this month (March) we are talking about advocacy. Here was one of my post.
Please like us on Facebook and help show other parents of special needs that they are not alone.
Sometimes, advocating for your child can be difficult. Standing up to a doctor and telling him or her how to care for your treasure can feel intimidating.

Many times I still feel intimidated when I speak my mind. Lots of things go through my head, like maybe I am wrong- after all they are the doctors they should know what they’re doing. I have come to the understanding that many times doctors have no idea how to handle our children and so they are just winging it.
Hope's Seed plants a seed of hope in parents by telling them "You're not alone!" We all know what it is like to experience difficulty on the journey of raising our children with special needs, and so we created this organization to support and encourage each other, and to offer hope.
Each month Emily and I come up with a topic to talk about this month (March) we are talking about advocacy. Here was one of my post.
Please like us on Facebook and help show other parents of special needs that they are not alone.
Sometimes, advocating for your child can be difficult. Standing up to a doctor and telling him or her how to care for your treasure can feel intimidating.

Many times I still feel intimidated when I speak my mind. Lots of things go through my head, like maybe I am wrong- after all they are the doctors they should know what they’re doing. I have come to the understanding that many times doctors have no idea how to handle our children and so they are just winging it.
In the last post we talked about how gut instinct mixed with knowledge is your biggest weapon. One of our parents who has a child on a ventilator felt that he was on the wrong ventilator. Her gut was telling her so; however, she read up and asked other parents with children with the same diagnosis as her child. She took a deep breath and went and told the doctors she wanted her child on another ventilator. You know what? She was right!! Her child improved quickly and drastically.
Standing up to the white coats (aka doctors) is hard, especially if you are questioning yourself. However, remember that the doctors are working for you (you are giving them a paycheck every time they walk into your room), and there is a reason they say they are practicing medicine and they do not say they have mastered medicine.
Think of it like this: your child is your business and you are the CEO of the business, and the doctors are paid contractors. They cannot do anything to your child without your consent. In fact, you can choose to move your child to another hospital if you do not feel that your child is being properly cared for.
Here are some key points:
Your Doctor does not know everything.
You are the leader of the team that is taking care of you child.
What you say carries more weight than what the doctors say.
Gut instinct and knowledge are the keys to caring for your child successfully.
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Saturday, March 9, 2013
I Love Liam Lyon
I started following I love Liam Lyon right after he got his trach ( I have a passion for trachies since Mighty Z had one) I was amazed by this little cubs fight to survive and the family that surrounded this Miracle. I hope it touches your heart like it touches mine.
February 18, 2011 – It was a day
like any other – and then the world turned upside down. In my mind I have likened the news like
watching the events of September 11 unfold.
Whitney was supposed to have a baby shower that weekend. Liam wasn’t due for another 5 weeks but he
wasn’t waiting another minute. I
sometimes wonder about that because it just happened a special doctor was on
duty that quickly recognized Liam was in trouble. He was immediately supported and transferred
to Tulsa from Ft Smith – the first of many flights in his short life. And Whitney left the hospital with Grandma
Nanci and they drove – just hours after giving birth.
I remember the call to me in
Houston – the first time in my life I had ever heard of a condition called
Hypoplastic Left Heart Syndrome or HLHS.
I could hear the fear in Nanci’s voice.
I could feel the fear in me as I read about this condition trying to
understand what they meant by palliative surgeries and comfort care and heart
transplants. I didn’t want it to be true. Your head swims and your heart breaks and
then you have to try and regain control because the fight has just begun – and
you will need all your strength. So you
decide that hope is your only course and a positive outlook is the only one you
will permit. And you believe.
Liam went from Tulsa to Arkansas
Children’s in Little Rock where he spent most of the first year of his
life. Nanci works in adult cardiac cath
labs so she had a good feel for what was happening. Liam had repeated open heart surgeries –
sometimes his chest was left open – he was hooked up to what seemed like a
million lines and wires and banks of syringe pumps. We became fluent in a language no parent
should ever have to learn. We slept in
waiting rooms and in hospital chairs – we met other parents – we celebrated
with some and we grieved with others.
When he was just 5 months old, it was apparent his palliative surgeries
were not working. He had the Norwood and
the Glen – but he was only improved for a few days and started to decline. Nanci had to head back to work and when she
left, she wasn’t sure she would see Liam again.
Almost as soon as she got home, Whitney called and said she “got the
call” – which in transplant families means it’s your turn. Nanci had a friend with a small plane fly her
back that night and Liam got a new heart.
The waiting room was filled with friends, family, and prayers – again it
was a time to grieve for another family – and there was a soul engulfing fear as
you realize the enormity of the situation - that you were having your baby’s
heart removed and replaced with another.
But when they said he had some through with flying colors we were so
filled with hope – we knew it would not be easy – but he had a chance!
He looked better within
days. He was pink! But sometime after this, they began to realize
he had some other issues like bronchial and tracheomalacia. He was also very drug dependent from the
constant sedation and chemical restraint.
After a few weeks he came off the ventilator for the first time in his
life. Up until then he had always been
taped up and sometimes even in restraints.
He was such a fighter. He had
this incredible smile – to be sure some days he made you work for it! And he had the most enormous soulful and
penetrating eyes – and he talked with those eyes. And he loved to hold hands – especially with
his grandma Nanci who never let go. He
started having fluid retention problems and abdominal swelling. And we found out that the drugs and the
bypass and a number of things had severely compromised his kidney
function. And the repeated heart caths
had cause an occlusion of many, many veins and most importantly his inferior
vena cava – the main venous drainage for all parts below the liver. They speculated this was the cause of the
fluid in his belly that would ultimately back up and make him swollen all over.
They “tapped” his abdomen and it gave
him some much needed relief but it did not fix the problem. I remember a week Nanci and I spent with him
in Little Rock in the step down unit.
Whitney and Brody and Cheyanne got some much needed family time and we
got some very needed quality Liam time.
We took turns holding him and rocking him. It was a great week – it was the best
week. He was transferred back to Tulsa –
which was closer to home and Grandma Nanci.
He had a window of time around Thanksgiving where he was well enough to
go home and a very careful and nervous Nanci drove Whitney and Liam home. There was a welcoming community with signs
and balloons and fire trucks. It was so
touching. There were so many tears. The local paper even covered the little
Lyon’s homecoming.
He was not able to stay home long
before he had to go back to Tulsa and from there to ACH again. The word from ACH was his venous blockage was
so serious; he would not be able to survive.
Whitney and Brody made the decision to get another opinion. We would find out, his is not as easy as it
would seem, or as it should be.
Eventually he was transported to Boston Children’s Hospital. They tried to open the vein but were only
partially successful. He was sent back
to ACH, and then again back to Tulsa.
Back in Tulsa they told us we
needed to let them place a trach. It
took a while to get our heads wrapped around that – but eventually we did. We hoped he would only need it a few years at
most. It was a hard decision to have
this done, very hard. But he was able to
have all the stuff off his face again – finally.
In April 2012 Liam had become so
swollen in his belly and then all the other tissues that he was rigid. The doctors there would not consent to
tapping his abdomen to relieve the pressure.
We begged and pleaded – we cried – we consulted with one and all of them
and they would not. They told us to call
the family in – so we did – and we called upon the prayer warriors. He was baptized and we brought all his little
and big cousins in to meet him in person.
We were devastated. And we were
broken. And then – Liam started to turn
around – very slowly his tummy started to decrease.
He improved a while – and in July
we celebrated his first ‘heart birthday’ with an amazing outpouring of support
– it was themed “Liam’s Day at the Zoo”.
But Liam was not doing well – he was swollen and he had some terrible
skin issues going on. We tried everything
to help his skin but were told it was related to the excessive swelling and
then the drying effects of the diuretic.
No one really focused on the little black spots he had started to
develop. No one knew those spots would
ultimately consume him and end the much too short life.
Since before Liam went to Boston,
we tried to find doctors and hospitals that would consider taking him as a
patient. We talked directly to Lucille
Packard in California, we talked directly to Boston Children’s, and we searched
for 1 doctor to accept Liam as a patient in Houston so he could be around
family. We found a doctor in Houston,
Dr. Benjamin Ho, but still Texas Children’s wouldn’t accept him as a
patient. But we finally found what we
believed was the miracle we had prayed for - the miracle was Dr. Morales in
Cincinnati. When we were down to our
last hope, the doctor’s at Cincinnati said they would try. They flew him there and tested him and we
were so hopeful - so very, very hopeful.
But the black spots were bigger
and erosive and the belly was bigger than ever – and the tests we thought
showed us a glimmer of hope – well, we misunderstood. The tests showed that the venous occlusion he
should be able to compensate for – the black spots on his skin had worsened –
and he lost the tip of a finger and we knew.
He had a systemic fungal infection – bad in most patients, but often
deadly in transplant patients. Once you
lose the overall integrity of the body’s greatest barrier to infection in an immune-suppressed
patient, you have greatly decreased your odds of survival. The skin couldn’t support the peritoneal
dialysis tubes; all of his life support was maxed out. God called him home and we shattered in a
million pieces. It was devastating and
unbelievable – and something no one should have to go through. Somehow we got him home and all of us home
from Cincinnati to Oklahoma. And
somehow, we planned a baby’s funeral.
With a tiny casket, and songs and pictures for videos, a hundred
decisions – I don’t know how we got through it.
We then celebrated Liam’s life and courageous battle with 400 of our
closest friends and family and thousands more online for the “miraculous soul”
that he was – and we laid the cub to rest in quiet country cemetery in Cameron
– the balloons and butterflies we released have been symbolic for us ever
since. The entire community was so
respectful and loving – we will never forget.
You go through a range of
emotions with a child this ill. Most
days you are terrified. Some days you
want to walk away and never come back.
Some days you are so angry this happened to your child and your
family. Some days you are incredibly
thankful for the caregivers and some days you hate them beyond measure. Some days you are perfectly reasonable and
the next day you are clinically insane.
The crazy part is its all normal but there is no “help” at many
hospitals for families – only for the patients.
If you are staying there at the hospital you don’t really ever sleep and
if you are away, you live in fear of that one phone call. I started every day like a lot of people,
checking on the cubby. Many days you
wonder how you can possibly ask your child to undergo even one more
procedure. But when it comes down to it,
if there is hope, you have to try. And
when it was over – it was a mix of profound sorrow, sadness and an unimaginable
grief – and a sense of relief. I am sure
many people will take issue with that comment but it is a relief to know he is
not suffering and not bedridden – that he is finally out of the hospital and
out of that bed. The old adage hindsight
is 20/20 has never been more true – if we knew how it would end for him, would
we have done any more than comfort care?
Maybe, but your heart and soul join together in a strength you cannot
imagine and you believe with everything you have that together you can overcome
all of it. We believed and nearly 95,000
people believed with us.

I once remember my mom telling me
that she would give up everything they owned if she needed to, just to save one
of her children. Well it is true – you
will. Whitney and Brody lived the way
many families have to – one hanging on to a job, and the other living at the
hospital. Cheyanne saw her mommy as much
as possible but spent nearly 18 months in hospitals and cities all over the
US. Grandma Nanci ended up quitting her
job, selling her home, cashing in her retirement, and terminating an eight year
relationship – you see, she had a grandson and a daughter to try and save. We, as a family, all incurred enormous debt
that will take us years to recover from.
But we will recover. We would
give it all for one more smile and one more little grasp by that tiny fist.
In Liam’s memory, we have started
a foundation to help other families faced with critically or chronically ill
children. We hope to educate about heart
disease and organ donation. We hope the
foundation will keep his memory alive and inspire others to fight like Liam –
and Pierce and Glory, and so many others.
Thank you for reading about Liam
–I love you Liam Lyon, Aunt Susan
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