Here is what I wrote 2 years ago. It is long and leaves me feeling very exposed, but it is part of our unique journey I want to share and remember:
It is hard to
know where to begin. I have wanted to
write about Emily’s story for a while but haven’t found the courage. Courage, you say, about writing about the
past? A funny thing to fear, the past,
but writing about the most significant and important event in my life means
reliving all the emotions that came with it.
And I fear that I do not have adequate words to articulate the significance,
the impact, the way it has changed my life. It has been a short journey so far; Emily is
only 26 months old. And yet it seems
like so many years ago and also just like yesterday. I guess the only way to begin is the
beginning. I need to do this. I want to document this for myself as well as
Casey. I worry one day I will forget
some of the details of these events.
They are as much a part of me as Casey’s story, and just as important,
but so unique. I want Casey to know one
day how much her sister has shaped my life, our family’s lives. And how truly faith in God does bring the
peace and hope one is looking for. I in
no way want to undermine how special and how loved Casey is and how she has
changed my life and the joy she brings to me.
Anyone who knows Casey knows she’s is as unique as Emily is J.
Emily was my
fourth pregnancy. After 3 years of
trying to get pregnant and 2 miscarriages, Casey came into our world with wide
open arms in November of 2004. Almost immediately we knew we
had been blessed with a very enthusiastic kid.
She was, and still is, a typical kid that has
energy just pouring out of her. Through
her endless imagination, her constant chatter and her ambition to learn new
things, Casey is an amazing child who holds endless potential within her little
5 (and a half) year old self. Parents
pray that all the hopes and dreams you have for your kid come true. Tom and I
constantly wonder what Casey will do when she grows up – an attorney, a fashion
designer, a circus performer, an athlete, an entrepreneur? The sky is the limit for Casey. When we found out we were expecting Emily all
those same hopes and dreams started to bubble up with enthusiasm for our next
child.
Expectations
You know you’ve
heard people say, they don’t care if they have a girl or a boy just as long as
it’s healthy? I mean, I know I said it,
except I knew I wanted another girl. A
healthy girl, of course. No one really thinks that their kid is going to have
something really wrong with it when it’s born.
We just assumed we were going to get another “Casey.” She would be perfect. The doctor would count the 10 fingers and 10
toes and we’d go home and start to dream about what she would be when she grew
up. Kind of the auto-pilot parenting we
all kind of fall into. She’ll start to
crawl around 7 months and walk around 11 months. Just like Casey. We’ll potty train her around 2-1/2 and she’ll
start dance or start soccer around age 4, go to school, college, have a career,
get married and have a family. Just like
Casey.
Welcome, Emily Violet Wise. March
19, 2008
My parents
brought Casey up to meet her new sister that same day and I had to eventually ask
them to leave. Nausea from the drugs was
setting in and I didn’t want to ruin Casey’s excitement about her new sister,
and the new princess set her sister got her, by seeing mommy throwing up
everywhere. And boy did I throw up
everywhere. In the delivery room. In the elevator going up to my room. And all evening. Emily and I didn’t get much bonding time
those first few hours. She got lots of
bonding time with Tom, who managed to sneak away from me vomiting to make a run
to Chipotle, bring it back and eat it in the room in front of me. Yep, I’ve got no problem remembering
that: him sitting there with his fajita
burrito smiling at Emily while I’m heaving my brains out just hours after a
C-Section.
A mother’s
instinct or nudge from above?
The next morning
I told Tom I thought something might be wrong with Emily. I had asked a nurse what babies with Down
Syndrome look like the night before. We
discussed that a little and she said she would pass on my concerns with the
pediatrician when she did rounds. Later
that day the pediatrician said Emily did have a couple of characteristics of a
baby with Down Syndrome, and would have a geneticist with Cincinnati
Children’s come in the next day to evaluate her. I went into freak out mode. I didn’t think something was THAT wrong with
Emily. Tom and I were so scared. Panicked might be a better word. I remember thinking, “Oh my God, what are we
going to do if she has Down Syndrome?!?”
We cried a lot that day. It’s
funny though, I remember those being quiet tears. It’s only in hindsight of the past 26 months
that I can label the type of tears.
Quiet, panicked tears were those.
Two of my closest friends came to visit that day. They each brought me a dose of peace and
rationalization that got us through that day.
Jenn, ironically who has 3 siblings with Down Syndrome, was there to
steal kisses from Emily’s sweet little cheeks and tell me that she didn’t think
that would be her diagnosis. And Mandy,
reminded me I would love Emily just the same even if the doctor said she was
diagnosed. The following day we
literally held our breathes as Dr. Saal, the geneticist from Children’s, came
to evaluate Emily. He told us he did not
think she had DS and, in fact, told us he thought she was perfect. He would do blood work though to officially
disprove the DS diagnosis and would call us in a couple of days. 100 pounds was lifted off my shoulders. We were free to go home the next day and live
our lives with our 2 beautiful daughters.
It’s funny though, I think something was still nagging both Tom and I. I don’t think we wanted to talk about any
more what-ifs, so we went home not really discussing any possible bad news that
Dr. Saal’s phone call might bring. I
mean, she didn’t have DS, right? What else
is there? What else big could be wrong?
Welcome Home
Saturday, we were
told we could go home. Going home with a
newborn is always a little scary (I think).
What if Casey decides she doesn’t like all the attention Emily will get? Okay, we knew our princess would not like to
be de-throned. But just how would that
play out among all of the feedings, changings, and other maintenance newborns
require? We got home late that afternoon. I decided turning down the narcotic pain
medications at the hospital only 3 days post C-section was a bad idea, so Tom
went on a hunt of a 24 hour pharmacy to get me some drugs.
Meanwhile, Casey and I colored Easter Eegs while Emily lay nearby. Did I mention the next day was Easter Sunday?
Easter Sunday has
always been a day of conflicting emotions for me. As a Catholic, it is the most important day
of the liturgical year. The Lord has
risen and it is a time for celebration.
It was also the day my Grandma Florentine died when I was in junior high. I will always remember that moment, years
ago, when my parents called us from the nursing home with that news. My heart is always a little heavy on that day
of celebration and renewal.
Easter Sunday
2008
I really didn’t pay much attention to it. Tom got up to get the phone and took it
downstairs to his office for privacy because of all the talking of our
visitors. I think he may have been down
there 20 minutes or so, before I started to wonder what was taking him so
long. When I went down there, he was at
his computer. I don’t remember if he was
feverishly typing or scrolling, or just staring at the screen. He looked at me and said Dr. Saal called and
something was wrong with Emily. I sat
down.
He said she had Wolf Hirschhorn’s syndrome. He had been trying to look it up on the
Internet. It was rare and it was
bad. All he knew then was there was a 1
in 3 chance that she could die before the age of 2. If she did survive, she would be severely
mentally challenged and likely not speak or walk. I remember not believing him. Willing his words to go away. But he was on the verge of tears. Tom doesn’t cry.
What I remember of the next hours may vary from what Tom
and our families recall because it all got a little hazy to live through, much less
recall. I remember getting up and
running up the stairs (4 days post C-section!) into the family room. I needed to hold Emily. To protect her. I was madd.
Crazy. Screaming, “Give me my
baby!” to my sister who was holding her.
I was aware that my mom and Tom’s dad were in the room and that Tom’s
mom was outside with Casey. I am very
thankful Casey wasn’t there. I grabbed
Emily and ran up another flight of stairs to our bedroom. I held her and cried. No. Sobbed. And screamed.
Tom followed shortly and we held her and felt pain. Shearing, gut-wrenching pain. Those tears were agonizing. Like from your fingertips. The “why her,” “why us,” “how could you,
God?,” thoughts came in later days.
These moments were trembling and horrifying and crushing. I can think of no other words for those
minutes, or hours we were up there. I’m
not sure of what else I was thinking except, “NO!”
The next day was Monday. Tom took Casey to daycare, so she could have a normal, safe, sane day. While he was doing that, I called Dr. Saal’s office to get an appointment. I needed to hear it from the horse’s mouth – that day. From what Tom had read, most babies with Wolf Hirschhorn’s have heart, breathing and eating problems. So he dismantled Emily’s crib and reassembled it in our room. She was not going to go unattended at night. While Tom was able to attempt productive work, I was still incapacitated. While he was busy working on the crib, I sat on my mom’s bed, shirt unbuttoned, using the breast pump with my mom at my side trying to comfort me. I remember the sound of that machine whirring as I pleaded with my mom to teach me how to be a good mom to Casey because I didn’t think I could do it anymore. I felt like a shell of a person. Cliche sounding, I know, but I felt so empty. I couldn’t ever imagine having the energy or playfulness again to parent Casey and I certainly didn’t know what I could do for Emily. I could not feel even one ounce of happiness in my body. I can only imagine what I looked like sitting there through my mother’s eyes.
Diagnosis (#1)
Later that day, Tom and I took Emily to meet with Dr. Saal, the head genetiticist at Cincinnati Children's In the appointment, I assured him that I was
not crying out of self pity, but because I felt so bad that Emily was dealt
such a hand at life. Honestly, this was
only part true. I did feel sorry for
myself. What kind of life was I going to
lead now? He went on to tell us what
little he knew about Wolf Hirschhorn’s and nothing he said disputed what Tom
had found on the Internet. Wolf
Hirchhorn’s syndrome is when a part of
the 4th chromosome is missing and it affects 1 in every 50,000
children so it was pretty rare. Emily likely would be severely mentally
challenged and we would need to see a cardiologist right away. Most babies with this diagnosis have heart
and lung and eating problems. 30 % of
children die before the age of 2 due to major organ complications. She would likely not walk or be able to care
for herself. Her verbal communication
would be very limited. Emily would
likely go to some type of school eventually.
(These are the statistics I remember being told. I am not an expert on this syndrome and do not claim they are 100% accurate or every diagnosis has the same outlook as what I remember being told.)She didn’t look exactly like a baby with Wolf Hirchhorn’s, though. She was eating fine and showed no signs of trouble or requiring a feeding tube. Emily was certainly above baseline for a baby with this Wolf Hirschhorn’s. A pinhead-sized speck of hope for her future? A future that looked pretty bleak, though, I thought.
After the appointment in Dr. Saal’s office, we had to go to the lab to have blood drawn. The doctors wanted to check me and Tom’s DNA to see if either of us had passed on the genes of this syndrome. Genes that Casey would possibly have and therefore pass on to any children she might have one day. Genes that other members of our family might have. My sister, Lorie, had just found out she was pregnant. The weight of it all seems to gather in my chest as we walked the hall of Children’s Hospital that afternoon – 5 days post C-Section. I wished it would all go away. Everything. At a minimum I wished at least the floor would just open up and swallow me.
Tom
The rest of the week was a blur. I sat on the couch each day and cried. I still couldn’t believe that this was our
lives now. What would our lives look
like? How could we plan for anything
anymore. I don’t want to say that I saw
our lives as burdened, but I saw our lives as burdened. Casey went to daycare each day and we just
sat on the couch and talked – just me, mom and Tom.
We talked so much that week and we became closer and closer
as a couple. He sought out a co-worker
who had 2 children with disabilities to discuss “life.” A big question at that time was if Emily
would be able to go to the same daycare as Casey. I was planning on returning to work after
maternity leave and we started to wonder if I would need to quit my job to stay
home with Emily (and Casey). He needed
to financially plan for this possibility and I needed to come to terms with the
end, or at least a hiatus, of the career that I thought mostly defined who I
was. This co-worker gave us the first
piece of advice that would help us take a (baby) step forward in our journey:
“Go live your life.” After much talking
between Tom and me we took that to mean that we needed to gather all of the
information about Emily’s diagnosis and put it in our back pocket. Know it; reference it. But don’t let it be the road map for the rest
of our lives. We decided that day to get season passes to Kings Island for our family. That seemed like a monumental commitment to our future at the time, but it was our way of saying, "Our lives will not be put on hold by this."
Tom kept drilling those messages into my head over and over
again for weeks and months. He still
even has to now 2 years later. He sees
circumstances as either something you can change or you can’t. There is no in between so there is no point
wishing that there were. He is not
cold-hearted about it. He is really
sweet and tells me to feel what I feel, but to realize that there will be a
time that I will need to stop and accept reality. I am not trying to say that Tom didn’t feel
all of the emotions I did. He sat by my
side and cried with me. We laid in bed
and cried together. He seemed to take
all of the emotions and made himself stronger - for me, for Casey and for
Emily. On our first date years ago I wondered if I
could really like this guy who was so quiet and controlled. Now I have realized that is what I love most
about him. I feel that God put him in my
life to create balance for me. And to
give me the two most beautiful girls a mom could have.
Anger
Angry tears came mid-week the first week of Emily’s
life. Angry tears were the fierce,
pillow-punching, gagging tears that made the veins on my face bulge so much I
looked like I was wearing a Halloween mask.
My anger was directed at God. How
could He do this to Emily; to us? Why
did He do this to Emily; to us? What did I do wrong to give this fate to my
daughter, to my family? Why? Why?
Why, God, oh why? These tears
were furious. Life was not fair. Why? I
tried to pray the rosary looking for peace.
That only made me want to tear the rosary apart. Why did Casey have to be given a sister like
this? Why couldn’t Emily be given the
same chances in life as Casey? Why?Anger passed that week, but just as quick as it went away that week it came back as quickly the next and the next. There was no big revelation that made me see that God had a plan for me, for us. It just sort of happened over time. Sometime I still am not sure of this plan He has and I will not pretend that I have faith all figured out. I just came to know that God is going to throw you a ball and whatever that ball is, you better swing.
Self-pity
After a while I
stopped focusing on being so mad at God.
Soon anger and self-pity became one mixed up emotion. A lot more “why’s” and quite a lot of the
sobbing that makes you gag, but not as much pillow punching. I don’t think I can describe the emotion of
self pity without hating myself for those dark thought. But what I can describe is
when it happened it stopped me in my tracks.
I became useless to my girls – a figure that sat in front of the mirror
and just stared at myself. When I saw another
“normal” infant it hit the hardest. Kind
of like when I had my miscarriages and saw a pregnant woman. Only this was that times 100,000 times harder
to deal with. Tom was (and still is) the
only one who can talk this emotion and it’s tears away. He knows.
He’s in it with me. He told me
that God gave us such a beautiful little baby and we needed to focus on what
was right with her; all the perfect things.
He told me that Casey needed me to show her that life was going to be
okay for her, too. I was their
mother. That was a fact and I needed to
do my job. That was usually enough to
get me through to the next time.
Soon, Emily’s first week of life was over and we were into
the second week. ( You thought I was kidding about baby steps??) It was one day at a time for me. Wake up, breath, kiss my girls and take care
of my girls, getting lots of support from Tom and my mom along the way.
The Bright Side
I don’t want to seem like I don’t have any fond memories of
that first week. Casey was embracing her
new sister exactly as we had hoped: with awe and curiousness and unconditional
love. Like any new big sister, she
wanted to help pick out her clothes, help feed her bottles and play with all
the new toys that Emily received. We
bought Casey some princess dolls and gave them to her telling her that Emily
got them for her new big sister. I think
that really helped Casey accept the new attention-getter that was now residing
at our house. She did “test” us that
first week and I remember vividly the knock-down-drag-out fight over spaghetti
that Casey and I had at dinner. But it
was all typical new big sibling stuff. Casey
was interested in her new sister but really just wanted to do her typical
things like read books, play Play-Dough and watch cartoons. Just the way I wanted it to be for Casey –
normal.
Emily turned out to be a great sleeper. When we brought her home from the hospital
she started sleeping 4 to 5 hours at a time at night. Of course after her diagnosis, that
completely freaked us out because we wondered if she knew to wake up and
eat. So we would set our alarm for every
3 hours to wake her up and feed her. We
discussed this with the pediatrician and she was not concerned for
malnourishment. In fact, she encouraged
us to take advantage of our little sleeper and get some sleep. It turns out the doctor was right: Emily was just a good sleeper and she started
sleeping through the night when she was 2 weeks old and never looked back. Mommy caught a break! (Just to rub it in to all of you moms out
there – Casey started sleeping through the night at 5 weeks of age - I was blessed with good sleepers. J )
Emily was born with white blond hair and big blue eyes. I remember staring at those blue eyes and
wondering what it was that she was seeing and taking in. She had the longest fingers attached to
graceful hands, really. At one doctor
appointment that week an elderly lady came up to me and told me my daughter was
beautiful and had the hands of a piano player.
I was proud of her beautiful hands, but would Emily be able to learn to play?
Vitals
She was also eating just fine and
showed no signs of requiring additional feeding assistance much less a feeding
tube. She did have low muscle tone, but
she was moving her arms and legs actively and was able to squirm about in her
bed. Maybe at this time, the end of the
first week and the beginning of the second, is the time that I became a less
angry at God. After all, He had just
given us so much GOOD information about Emily.
Her vitals were above the baseline for any kid Dr. Saal had seen with
this syndrome. I know for a fact that
this time was when I first learned about perspective. Emily’s condition could have been a lot
worse. I suddenly had much to be
thankful for about Emily.
On the Monday Emily was 13 days old, we were beginning to
adjust to life without the help and live-in support of mom as she went home the
day before. I don’t remember what I was
doing when the phone rang. It was in the
afternoon sometime. Tom answered to
discuss the results of our blood tests with Dr. Saal. After he hung up he told me that neither he
nor I had any evidence in our genes that Emily’s condition was hereditary. I was instantly relieved for Casey’s future
children and for my sister. He then
started to speak so flatly that I don’t think I even actually heard what he
said. I just heard the sound of his
voice and started thinking, “Good God, what else?!” Then I asked him to repeat what he just told
me. He said Dr. Saal told him Emily does
not have Wolf Hirschhorn’s syndrome.
Further analysis of her genes did show a deletion to part of her 4th
chromosome, but it was not the part that they originally thought. My head started spinning. What does this mean?! I did not think I could take anymore. These past days had left me emotionally
destroyed. I was not prepared for what
Tom said next.
He went on to explain that Emily’s outcome was now projected
to be better. Much better. Dr. Saal said he anticipated Emily was going
to be only “minorly to moderately mentally retarded.” She should be able to one day take care of
her daily self care. She would go to
school. For our reference, her outcome
might be similar to someone’s with Down Syndrome. There was no name for her syndrome,
though. Only conditions that occur more
frequently get named.
Dr. Saal could
only find one other person in the world with the exact same chromosome deletion
as Emily.
There was a part
of me that, although I was on cloud 9 of relief, I did not want to fully
believe what Tom had told me. I needed
to hear it from Dr. Saal himself. I
wouldn’t let myself get this hopeful and then be crushed by another
mis-diagnosis. Tom told me to call the
doctor and hear for myself. I was still
very emotional and did not think I could get through a phone call without
crying, so I e-mailed him. I asked him
to re-explain Emily’s new diagnosis. And
I had 4 questions that I needed answers to:
Would Emily one day be able to walk, talk, learn and play? He replied: probably. That was enough. God had given us a miracle.
I'll stop here. I told you it was going to be long! I'll post a blog entry on Ages and Stages-Catching Up with Emily and it will start from here. This time was our 'New Beginning'; when she was only a week or so old. I read some of this again and I now feel selfish for many of my feelings - so many other families have to endure far worse than what we did and do. Families do have children with Wolf Hirshornn's syndrome and other more severe diagnosis'. So I hope my recount of those weeks are not insensitive and cruel to those families- I am only documenting what I felt at that time in my life. There are many families in the world that have been blessed with a child with special needs. Each of their stories is undoubtably unique. Ours is special because it is US.
Wow, Jen, thanks for sharing this. I am sure it took a lot of courage to put this out there like this, but it is a beautiful story to share and one I know you will one day be so thankful you have documented for Casey, for Emily and for anyone needing some inspiration. I'm not going to lie - it was difficult for me to read (emotionally) and took a couple of sittings but I am so glad I did. You guys are wonderful parents and Emily is a wonderful blessing! So glad we have gotten to know you all!
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