Friday, January 4, 2013

Getting Started

Bare with me as I enter the realm of blogging.  I always wondered why people blog, but in this case I'm hoping to inform and inspire as I share my daughter's latest journey and challenges. (Plus, I realized that if I blog, I don't have to repeat myself to all our friends and family!) ;-)

Just some background for those who don't already know her story... (those who do can skip this...some of you lived it with me and for others I know I've told it many, many times before but it is one of the true miracles of OUR lives).

This was posted to the Caringbridge site we put up when she was born.

Our Story

 

Our family was thrilled when we found out we were expecting our third child. At 16 weeks, we went in for an ultrasound, debating about whether to find out the sex of the baby, and suddenly the sonographer got very quiet. She said she didn't like how 'still' the baby was and that it appeared she had some abnormalities with her legs. She called in the perinatologist and that is when we first heard the term 'arthrogryposis'.

Arthrogryposis (as defined by Wikipedia), "also known as Arthrogryposis Multiplex Congenita, is a rare congenital disorder that is characterized by multiple joint contractures and can include muscle weakness and fibrosis. It is a non-progressive disease. Frequently, the contractures are accompanied by muscle weakness, which further limits movement".

Other issues that set off alarms were the clubfeet she clearly had and dislocated hips. They were also concerned about the position of her hands and wrists.

All these red flags threw us into hell. They talked about Trisomy 18, Trisomy 13, Spinal Muscular Atrophy and about 30 other possible diseases and syndromes that were all fatal. They were sure that whatever is causing the arthrogryposis was going to rear its ugly head in other more lethal ways. I had numerous ultrasounds, an amniocentesis, a fetal echo and a fetal MRI (yes, the do an MRI on the baby while she was still in the womb)!

With each test, we dodge more bad news. With the exception of her lack of limb movement, she was doing great. The good news was that they couldn't tell us what was causing the joint issues....the bad news was they couldn't tell us what was causing the joint issues...

However, some of the real scary possibilities were ruled OUT. We took that as a sign and decided to have 'Faith' that she would be ok. Yes, among all that medical tests and jargon, we found out we were having a little girl. Lauryn 'Faith' was definitely going to be part of our lives.

The rest of the pregnancy was normal, until we got to 36 weeks. We went for our normal routine ultrasound and had another quiet sonographer. This time they said she appeared ok, but stopped growing 3 weeks ago. She was only measuring 4 lbs and they wanted her out. Children's National Medical Center was put on stand by in case they had to medivac her and our family prepared for her arrival. They told me to prepare for the possibility of her spending a long time in the NICU.

Lauryn Faith was born on August 15, 2008 at 8:08 am. She weighed in at a 'hefty' 5lbs 1 oz - a full pound heavier than the anticipated. She did spend 2 days in the NICU because of fluid in her lungs and she clearly had problems with all four limbs. However, she was breathing on her own, healthy and had no other issues! She was holding her head up in the NICU and was clearly stronger than they anticipated - even fighting with the nurses about her tubes.  They told us then we had a ‘feisty one’.
Look at her father's thumb compared to her foot! So small...
 
 

We went from Shady Grove Adventist straight into DC to Children's National Medical Center where they did an ultrasound and x-ray and confirmed that her hips were both dislocated and she was given her first set of long leg casts (thigh to toes) to start serial casting for her club feet.

Over her first 5 months, she went through about 10 weeks of long leg casts, her first tenotomy (‘nicking’ or clipping the achilles heel tendon) at 6 1/2 weeks, braces and therapies.  She was also given wrist braces to straighten out her hands.  We were sent home to 'grow' her for her next set of surgeries and treatments.

We hold out hope that one day soon, Lauryn will be toddling around this house chasing her brothers. She is truly our miracle baby and we are blessed that she is part of us.

First set of casts 3 days after being born
Hip Surgery at 6 months old
Well since then, she has had bilateral open reduction hip surgery (@6 months), a spica cast for about 12 weeks (Chest to toes body cast), a trip to Iowa for a consult with the Ponseti Clinic, an Archilles tenotomy on both feet twice.   By the time she was two, I counted that she had spent just as much time IN casts as she did OUT of casts.  However, it paid off.  She has been walking indepently for over two years now and is very, very healthy. 
Still smiling with Spica Cast at Easter

We finally we transfered to Shriner's Hospital in Philadelphia where she has been treated for the last three years.  Each year her feet have regressed - rotating inward. We have had to go through another round of Ponseti serial casting.  Serial casting is manipulating and stretching the foot to the direction it SHOULD be, and away for the direction it WANTS to be.  Each week she is stretched and then a leg cast from her hip to toes is placed on each leg to maintain the stretch.

After hips were done, back to working on those darn feet...
 
Learning to bath with casts on...fun! 
 
She has been walking independently (and even powerwalking/running) for about two years now.  It is truly a miracle...considering they didn't think she'd even make it home from the hospital when I was pregnant with her.  For that reason I shout from the roof tops how incredible she is and what an inspiration she is to me and to many who meet her.   She is sassy and determined and entirely opinionated.  
Dancing at Disney World @ 2 1/2


Theraputic Horsebackriding at 4 years - favorite thing in the whole world!

Starting Monday, she will begin her next step in her journey.  I will post more later with pictures and description of what is to come... 
 


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