Tag Archives: medically fragile child

Parenting a Medically Complex Child: Coping with Life Before and After November 2023

19 Jun

I had been on a journey as a special needs mom for 16 years when that journey took a left-hand turn and fell off the rails. Throughout Oli’s life I have learned so many things, but nothing I learned could have prepared me for what would happen to her in November 2023.

Being a mom to a child with extra needs, or at least the kind of extra needs that Oli had “before”, is nothing like being a mom to a child who is medically fragile or a child with a chronic illness. There is no comparison. Basically, I knew that Oli was different and needed extra help, but I would always describe her as having extra needs but being 100% healthy. I always included that last statement and felt true gratitude for that fact. I knew that she/we were lucky that she had no medical issues. But that was “before”.

   Now life is defined as “before” and “after”. Life with Oli has kind of always been defined as “before” or “after” ever since she was born. There was my life before Oli, and my life after Oli. Now there is life before November 2023 and life after November 2023. Although life before and after Oli was certainly difficult at first and we faced many, many challenges, I feel like almost all those challenges lead to beautiful growth and development for me personally. I changed so much after Oli and although not all of it was positive in the moment, it always turned into something positive. I find this experience to be similar.

Our first journey, after she was born but before Nov 2023, was a road paved with uncertainty and the unknown and a small measure of fear. I didn’t know anything at all about blindness and I didn’t know then that she would have developmental delays. I learned though and we grew together, me leading the way and stumbling but always remaining upright and able to carry Oli through difficult patches. The fear turned to confidence, and I became more and more secure in my abilities to help and care for her as the years passed.

“Before” I never worried about losing her.

 The small measure of fear that I felt before now has grown into a magnificent, all-consuming giant monster who is crushing my body and sucking the air from my lungs.  The terms chronic illness, medically complex, and medically fragile now pepper my language when describing my girl in her current state. She is no longer healthy. She is sick and she is in pain, and she is suffering.  That is my truth, no matter how much I don’t want it to be. However positive I try to be, however I try to spin what is happening to her, the truth is, she is suffering. There is no denying that anymore.

She is in and out of the hospital so frequently now that it feels like the hospital is her primary residence. It’s much rarer to have her at home. And every time she comes in, she leaves a little bit worse for wear. She comes in and gets examined, poked, prodded, x rayed, Cat scanned, turned, rolled, lifted, and leaves with new battle scars, a new diagnosis, a new symptom, a new medication, a new medical device… and new trauma. 

Now a touch on her forearm and the feel of a rubber band elicits an immediate increase in heart rate and a quick intake of breath as she has learned exactly what this means.

Pain.

The sound of the portable Xray machine rumbling down the hall causes her to visibly shake.

 Rubber gloves pushing on her abdomen immediately brings her knees to her chest. She tries her very best to protect herself in the only way she knows how because in some cruel twist of fate she was not given verbal words of protest to speak into existence.  However, in that cold, sterile room those unspoken words are heard by me in a way that only a mother can hear. I feel them in my soul, and it rips me to pieces as I grip the side rail of the bed lest I physically push away the offender.

Stop hurting her!

Another silent protest and unspoken words that never leave my lips because what I know, and I’m not certain that she does, is that they are trying to help her.

Unfortunately, we know in the medical field that most “help” comes with a measure of pain. For Oli most, if not all, of her help has included a lot of pain.

I thought this last hospital stay was going to be it for a while. She was so happy and comfortable when we got to leave here the last time. She was smiling. She was smiling a lot.  A week later those smiles gave way to tears. And those tears became more and more frequent. Eventually all she wanted to do was lay down almost completely flat in the bed. She would no longer even sit in her reclining chair.

I thought that when we came in here again they would try to find the source of her discomfort. One Xray and one Cat scan later and the mission was abandoned, and her pain was dismissed. A partial bowel obstruction that was found this time no longer elicited the same measure of urgency or attention. New lesions on her liver that were never there before, were first brushed off as “incidental findings” until I pointed out that they were not seen on the previous 7 CT scans. Not able to do an MRI because of her spinal fusion rods, the search for answers for that too was just abandoned. Now I guess we’re just supposed to accept that not only can Oli no longer eat or drink but now her new normal also consists of the inability to sit up without pain.  

Why is this ok? If Oli could speak or look them in the eye, do you think this would be the case?

I hate the thought, but I have this feeling in my heart that she may be thought of as less than a person because she cannot voice her complaints, cuss someone out or get up and leave.

I’ve had this feeling ever since she got sick. It’s like, yes, she’s sick, but she’s a special needs child so there’s a feeling of complacency and missing a sense of urgency and importance. Sometimes I get that feeling with other people too. Non-medical people. It’s almost like special needs=illness or medical complexity. I’m here to tell you that it doesn’t.

I was in no way prepared for Oli to become ill. I don’t think any parent could prepare themselves for something like this. My kids weren’t prepared either. Keely, who is 7, has continued to ask me if Oli is going to be okay or if she is going to die. I’ve always reassured her that Oli is going to be fine but as time passes and she continues to decline I’m no longer comfortable saying that. The new conversations may have to include the fact that I just don’t know. I don’t know if Oli is going to be okay. I can’t even type those words without tears streaming down my face. How am I ever going to look my children in the eye and say those words?

Urgency from the medical team or not, I will continue to fight for my girl. I will advocate and be loud and pushy and questioning. I will also be a team player and despite numerous medical errors, one of which she is dealing with right now, I will continue to try and have faith in a medical system that I am severely disillusioned with.  I understand that I must watch everything, I must question everything. I must double check and verify.  And when something goes wrong, I will take the blame for it because I should have been paying better attention. I should have known. I now take on this responsibility and I take it on willingly because despite my lack of faith in the overall healthcare system, I have the utmost faith in myself. I have that faith because I’ve seen how the last 6 months has changed me. I never knew how strong I could be until I stepped into these new shoes that were way too big 6 months ago but now are beginning to fit just fine.

“Something is wrong with Oli.” Part 1: The beginning

10 Feb

It’s been such a long time since I’ve taken the time to sit down and tried to get my thoughts down on a page. So much has changed in the last nine years since I’ve focused on this blog (which, my teenager tells me “Mom, nobody blogs anymore”). And it has certainly changed drastically in the last three months. Three months ago I was living in a world where, although it was chaotic, was very comfortable and predictable. For the most part, I knew where each day would begin and where it would end. On November 22, 2023 that comfortable, predictable life changed forever.

My kids were in Midland, TX visiting their dad for Thanksgiving break. This was a Wednesday, the day before Thanksgiving, and they had been gone since the previous Friday. At 8:30am that morning I got a phone call from Oli’s dad. “Something is wrong with Oli.” were the first words out of his mouth.

I had just sat down at my computer to start working. Back in 2020 I began working for an Organ Procurement Organization called Texas Organ Sharing Alliance. I was hired as an Organ Recovery Coordinator (ORC) and took care of people and family members of people, who made the incredibly selfless decision to become organ donors. I worked with the donors from the time they were declared brain dead and their organ donation registry went into effect or when families decided to withdraw care on their loved ones and made the decision to give the gift of donation, until we finished in the operating room and the procured organs were on their way to the transplant hospitals and the recipients. Working as an ORC changed my life. The world of organ donation is such a different world and completely different from the type of nursing that I was used to doing. Although we take great care of our donors and they are our main focus as our patients’, we also have other people to think about as we make some difficult decisions on how to manage their care. We also have to think about the potentially eight other people who may receive this person’s organs. It’s also a different side of healthcare. Even though I was working as a nurse in an ICU, I was not an employee of the hospital. I was a member of the hospital’s healthcare team for this person, I was also not, because I was a third party. I got to speak extensively with the families of these patients and really got to know about their experience during this extremely tragic time. I also spoke extensively with the hospital care team and heard a lot about their interpretations of the family dynamics. I say “interpretations” because that’s really all they are. They are viewing that situation through their doctor and nurse lenses, not as a friend or family or confidant, but strictly though the eyes of a professional. I did not know how cloudy those lenses can be. Working as an ORC I got to see the vast discrepancies in these family members experiences and how they are viewed by the healthcare team. What a doctor or nurse may view as controlling, bossy and unreasonable, can really just be a family member who is just trying to manage the situation and juggle all of the healthcare balls that are up in the air of a person lying in an ICU. Trust me, I learned that there are many, many balls to juggle. (I will explain more in detail later.) Although I had all of these past experiences from working as an ORC, on that day, November 22, 2023, I still was not fully prepared to juggle them with the grace and confidence that would be required.

So on that morning I was sitting at my computer on a Teams meeting. I had transitioned out of being an organ recovery coordinator and began working remotely in the quality department about 2 years ago when my mom fell and broke her hip. The fact that I was not working onsite, in the hospital as a nurse full time, was such a blessing. Two years ago when I had to leave the ORC role, I was so disappointed and sad. I loved working as a coordinator. It was fun and so rewarding and I worked with such a great group of people. Little did I know then, this role change would save me. I believe that God puts us in the exact spot that we need to be in and when we need to be there. If I had not had a remote job, if I had not had that job for the length of time that I did, if I did not have the experience that I did, I would not have been able to do what needed to be done for the following months after that Thanksgiving morning.

This was my last picture of Oli before Thanksgiving. Pictured from left to right: Ginger (Oli’s little, not so little anymore, sister), Oli, and Me.

“Something is wrong with Oli”. Although looking back at it now with the luxury of 20/20 hindsight, I want to tell you that my stomach immediately dropped and I just instinctively knew that it was something very, very wrong. That’s not what happened.

“Does she have a sore throat? Ginger and Keely just got over a virus where their throats were really sore.” was my initial response.

He said he didn’t know but he thought it might be serious. Her dad told me that she had not been eating the last two days and had been making strange movements with her mouth. She also had not slept at all the night before and had lain awake, periodically yelling in her bed. He also felt like she was breathing really fast and her heart rate and blood pressure were high. He wanted to know if I thought he should take her to the ER. The ER? I was still confused and didn’t grasp the seriousness of the situation. I still just thought we were dealing with some kind of virus and sore throat. Why would her blood pressure and heart rate be high? Was their machine broken? Alarm bells still were not going off. I think it’s probably a reaction that a lot of people would have with a 16 year old child who never had any serious health problems. However, I still feel shame when I think of that moment.

I should have known.

Oli and I have such an incredible connection. I wake up in the middle of the night sometimes, even when I can’t audibly hear her on the baby monitor, and go downstairs to find her lying awake. It’s like I just know when she needs something. This connection would serve us well in the following months, but I did not seem to be able to tap into this super power on that particular morning.

She’s breathing fast?

“Facetime me so I can look at her breathing” I told him.

We started the video and finally the alarm bells began to ring. She looked horrible. Her color was off and she looked like she was barely conscious.

“Lift up her shirt. I want to see her breathing” I demanded.

When he lifted up her shirt those alarm bells turned into blaring, deafening sirens. Her stomach was absolutely huge. It was way bigger than I’ve ever seen it. Oli does suffer from constipation so I thought maybe she was just having a bad case of constipation. Although it shouldn’t cause the color change. And why did she look so bad, like she couldn’t stay awake? Maybe she was just finally drifting off after being awake for 24hrs. The questions were spinning through my mind followed up swiftly by logical explanations. This couldn’t be serious. Oli’s so healthy. I’m sure there is an easy, non emergency explanation for what is happening here. Serious stuff doesn’t happen to my girl. She’s invincible. I was not panicking. She was going to be fine.

“Yes. I think you should go to the ER. Just to be safe.” 

He hurriedly ended the call, telling me that he would call me as soon as he had any news. He had a way more clear and serious grasp of the situation in that moment.

This is the next picture I would see of my indestructible girl.

To be continued….