On the mend and BIG REVEAL.

Makily coughed all night but her temp is 99.6 THAT'S RIGHT 99.6! I am so thrilled. She is acting like herself and smiling. Right now she is watching scooby Doo in the highchair playing with her toys happily. She actually giggled several times today!

Dr. Pierre called to check on her and she was pleased that her temps are finally stabilizing. Her urine culture came back and it was fine other than some "colonies of normal urine contaminant" so I am convinced this was just a HORRENDOUS viral bug that we all caught. Poor Doodles has a hard time recovering from stuff like this though. She still looks pretty puny but she is maintaining good temps (we are still giving meds though) and that is what is most important. She is coughing a bit and still has a pretty snotty nose though. I am feeling a little better too.

So I couldn't wait until Monday I am going to post Makily's new "montage" I did. I love it! Hope you enjoy it as much as I did making it.

Make photo slide shows at www.OneTrueMedia.com

Change

I have been thinking so much about all the changes that have happened in my life since Makily was born. I had no idea the ways in which my life would change that Thursday night when I laid in bed laboring and trying to give birth to this kid.

My baby girl is starting Developmental Pre-K on Wednesday.

There have been many times in the past three years of my life that I NEVER thought we would make it here. I recall the awful four weeks Makily and I spent in Shands when she was six months old. That was one of the worst times of my life and I hated every moment of living in that nightmare day in and day out. It seemed like each day was worse than the last and I thought we would never leave that place. I could tell story after story of all the terrible things that went on in that hospital for us during that time. I will spare you with just this one. Basically to add some humor to this particular entry.

So during our long four weeks stay (and while I realize that four weeks to some ISN'T that long, IT IS considering all she went in for was a leaking G-tube) we were moved around from room to room to room. Sometimes in the middle of the night. One of our moves was particularly strange. Makily was kind of in the "step down" phase...not PICU worthy but also not stable enough to just be in "no man's land"....errrr uhmmmmm I mean the regular Peds floor. So we were put in "special care step down". It's a large room with TINY cubbies for each patient. When I say tiny I MEAN TINY. There literally was enough room for Makily's crib and my sleep chair butted RIGHT UP next to it. I called it our "hole". For some strange unknown reason they had a 23 year old woman in the bed next to us. She was a psych patient. I told you we had great luck. She talked CONSTANTLY. Most of what she said I could not understand, it was alot of gibberish most times. The nurse in there apologized to me almost hourly, which was a change because usually when there were mistakes made or inconveniences you were looked at as though you were a bother....ya know "how dare you complain that your six month old is in with a 23 year old crazy lady". We couldn't sleep, I couldn't think straight. I decided one night to get a audio tape of this woman. I couldn't resist and I knew no one would ever believe me that we were SERIOUSLY put in with a 23 year old psych patient. I mean we were on the PEDIATRIC SPECIAL CARE FLOOR.

Listen closely to the chatting in the background, remember this was ALL DAY every day!



Now on the other hand there were more days there that were not humorous in any way, although I tried desperately to find humor...somewhere. So many days I sat in the PICU with Makily, tubes down her throat, in her stomach and up her nose. I can still smell the hospital tape that was all over her, the soap I used every day and the sour smell of her little hand when her IV would blow and they would unwrap it and place another. I remember vividly the frustration of trying to hold a hypotonic baby with tubes, wires, and bandages all over her without pulling anything or hurting her. It just all seemed so unreal. I kept thinking "This only happens to other people........I guess I am one of them now".



Some memories just never seem to fade to gray, these memories for me are as vivid as the day they happened.

I remember this time because it was one of my darkest with Makily. It also a huge bonding period for her and I. My motherly instincts had FINALLY seemed to kick in the night they were letting her WRITHE in pain in the bed and did nothing. I felt like a part of me had awoken and that even though I didn't know what the future was going to be like for her or I, that I would be damned if they were gonna let my baby lie in bed in agony because they were too busy or simply didn't give a darn.

So I look back at where we started, where we have been and where we are going and I am in awe.

In awe of Makily.

She is not the child I dreamed of having,
in fact she isn't even the child I wanted when she was born.

She is the child I NEEDED, the child I was destined by God to have and the child that has changed me in ways I never imagined a child could.

She is the child that has taught me how to love UNCONDITIONALLY, to look past disabilities, to see that every special needs child is truly a miracle. It's all I can do NOT to approach a mother in the store pushing her child's wheelchair. I immediately feel a connection there, an unspoken one that you can truly only know if you walk that road.

I see kids with trach's, g tubes, feeding pumps, tight muscles, scars and oxygen and I am in awe of them too. These children have a gift of showing other's what is TRULY important in life without using the spoken word. What's sad is that so many people (me included at least the "me" before Makily) can't look beyond all the medical equipment, disabilities and struggles and see what is behind all of that.



These children have the strength of Goliath and the patience of Job. I know some adults would be frustrated with the day in and day out therapies and treatments. Many would just give up. Not these children, they continue to fight to survive because to many of them, it's all they have ever known. Makily does not know that eating is supposed to be easy for her. She doesn't realize that walking should have been something she started doing EASILY over two years ago. So she continues to work hard during therapy, standing on her two now chunky legs until they begin to shake because she is trying so damn hard.

I am in awe that after all she has struggled and suffered through that she still manages to laugh and giggle at the small things. That she can go from hysterically crying from a terribly painful procedure one minute to hugging and snuggling me while smiling the next. That she wants NOTHING from ANYONE except to be loved. That's all, she just wants to be loved.

I am not sure how much more perfect her spirit could be.

Money and material things will never matter to her, she won't complain to me when she is older that she MUST have the newest Polly Pocket or that she hates me because I won't get her the cell phone she is demanding. She will always be my baby.

Although her worldly body has failed her time and time again...and most likely will continue to, Makily will always be a perfect, innocent soul. What God has given her this world cannot ruin.

And for that, I am forever grateful.

Dumping, Retching, G tubes, Mic-Key buttons and a Partridge In A Pear Tree....

*This details what happened the night we almost lost Makily, including the overdose and susequent MONTH LONG hospital stay......to see pictures of Makily's stoma, the moldy shower curtains and hear more stories about problems at Shands go to this entry.**


I was going through pictures of Makily from last year this time, admiring how much she has grown and how far she has come....but something continuously caught my eye that I couldn't ignore.....she had a tube in her nose. All of her Christmas pictures from HER FIRST CHRISTMAS are of her BEAUTIFUL, sweet face with an ugly yellow tube going up her nose. I grew to hate that nasty yellow tube. That tube reminds me of the worst month of my life....a month that began with one awful night in September......when we almost lost Makily....and I almost lost my mind.
It all started when I had noticed a little brown ucky stuff coming from the gauze I put around Makily's Mic-Key Button. Oh I guess I should warn you some of this entry will be gross and have some nasty descriptions.
When you have surgery to place a G tube they put in this long tube that just kinda hangs out. Then after 6 weeks they YANK (and yes I said YANK) the long tube out and put in a tiny little Mic-Key button. It's kinda like a little valve to the stomach that can be opened and closed and it sits almost flush to the skin. Much easier than the long tube hanging down and getting caught on everything. The brown stuff coming from around Makily's button didn't concern me too much because well it always had some type of discharge. I guess if I had to describe "normal G tube goo", I would say it's like eye boogers except it is around a button..hahahahahhahaaa....I told you this would be a gross entry. I just dismissed it and prayed that it would go away. Later that week Allen and I went to church. If Makily was fussy myself or Allen would go and walk with her in the lobby of the church. Makily started to get upset so this particular time Allen went out with her. Soon after an usher came in and tapped me on the shoulder saying that my husband needed me. I walked out and Allen was upset....Makily was screaming and her little white dress had blood all over it and was wet. I ran into the church and got my mom and dad. We were rushing out when one of the ushers stopped us, they wanted to pray for Makily. They stopped the church service that second and our Pastor, all the elders and deacons in the church came to us in the lobby, surrounded Makily, anointed her with oil and prayed. I was bawling. We got into the car and rushed to Shands. When we arrived at the ER they told us to have a seat....we waited for a while and they finally took us to the back. It was then I noticed a bright yellowish/green liquid leaking out from underneath Makily's button in addition to the bleeding. After giving Makily's medical history about 800 times the surgeons on call came into the room. They looked at Makily's tummy and decided to take out the button and see what they see. They took it out and the surgeon explained that there was a stitch left over from surgery that *USUALLY* comes out when the long tube is removed....but not in Makily's case...for some reason it had stayed in. He explained that it was working it's way out and causing all the problems. He removed the stitch and cauterized the area then replaced her button. He said the green fluid was bile (which was extremely acidic) and was expected since Makily had a pyloroplasty 2 months ago, which can allow bile easily flush up into the stomach. We fed Makily there and things seemed okay. I explained to him that Makily had an appointment with a gastro doctor the next morning. She had been having what's called DUMPING AND RETCHING SYNDROME. Dumping happens as a side effect of the pyloroplasty she had in July. Sometimes after having this procedure the pyloric muscle (opening from the stomach into the intestines) can open up too much thus "dumping" the entire contents into the intestine at once. This causes extreme pain, sweating, increased heart rate, and terrible diarrhea. Makily had this at least once or twice a day. She also retched. This was an awful thing to watch. Retching happens as a side effect of the Nissen she ALSO had in July. Since the Nissen binds the top of your esophagus to prevent reflux it also prevents vomiting. At times if Makily's stomach wasn't emptying like it should she would get too full and try to vomit.....so she would retch, Makily would retch so hard her face would turn blood run and she would try so hard to puke, this would soon be followed by hysterical crying. It was so horrible. We had an appt with the gastro doctor the next morning to discuss these issues and if the button was still a problem we would talk to him about it the next day. We came home and it wasn't long before the leaking started up again. I was ready to pull my hair out. The leaking was making the area around Makily's button VERY RED, RAW AND IRRITATED. Allen and I kept changing the gauze around it and trying to keep Makily happy. The more she cried the more stomach acid, bile and blood she was pushing out onto the raw skin around her button. It was an awful cycle. This went on ALL NIGHT LONG....it worsened when we fed her. Allen again was my rock and was up with her most of the night. He is such a strong man and awesome father. We went to the gastro doctor the next day. We explained all of our problems to him, the incident at the ER the day before, how it had continued all night and even showed him the cloth diaper we used to catch the bloody, green liquid coming from Makily's tummy. He said with all the issues she was having at once he would like to admit her to the hospital to try and solve things that way. It was too much to try to deal with as an outpatient. We agreed, I did have a few stipulations. I did not want Makily in a room with several other children that had ANYTHING that was contagious. I had gone through this before at Shands on the pediatric floor and did NOT want to deal with it again. He told me he would take care of everything. We were admitted to the hospital and immediately I was irritated because we were put in a room that can fit up to 4 kids. There was only 2 others in the room and one was being discharged. I was trying to be nice so I didnt say anything, I figured the others in the room had nothing to be concerned about or that Makily could catch. The nurse came in and I told her Makily needed a Kangaroo pump for her feedings and that I had no "attachment tube" with me because I had we didn't know we were going to be admitted to the hospital when we went to the doctor that morning. She said she would be sure and get it for us. A few doctors came in and I gave Makily's medical history another 800 times (doesn't anyone read the chart anymore?). Allen had gone home to get some sleep, he had to leave for work that night and he was very tired. The other mom in the room came over to us and started talking....she was VERY young. She asked how old Makily was and why we were there (yet another reason I didn't want to be in a room with others). I just said Makily had some tummy problems. She asked how old I was and I told her I was 27. She asked me why I waited until I was so old to have a baby. I was a little offended and confused. I told her I waited until I was married and had a home before I got pregnant. She told me that she should have done the same as she was only 18, had no husband or boyfriend and a sick baby all by herself. She explained to me that her baby had meningitis and that SHE had given it to HIM. I almost exploded right there. She explained that she had gotten it from riding the bus system and that she must have touched something that someone else had touched that had it. I was so mad that my baby was in a room with this woman and her baby. This was the second time I had this type of thing happen to me at Shands on their pediatric floor and I was very angry. The last time I had made a complete jerk of myself and demanded a different room. I figured I would be nice this time (never again). I went to Makily's nurse and explained my fears and she came in later and very kindly told the girl not to go NEAR me or Makily as she may spread germs. I was still VERY ANGRY, what kind of CHILDRENS HOSPITAL puts a patient with meningitis in with a "healthy" child? After 3 hours they finally got Makily's feeding pump and started to feed her. I had drifted off to sleep it was about 7:30 pm...I awoke and Makily was crying. She was covered in green bile and blood. I called the nurse and she called the doctors. They came in and tried to examine her but she was in so much pain she wouldn't be still. They ordered a shot of Morphine and said they would come back once it had taken affect. At about 8:30 Makily was given a shot of Morphine in her right thigh....she never calmed...the doctors came back and looked at her....ordered another shot of Morphine and said to put Maalox on the area around her button. (Maalox neutralizes the acids so they wouldn't burn her skin so much) She was given a second shot of Morphine in her left thigh and the nurse and I attempted to apply Maalox to her tummy. The more Makily cried the more bile and stomach acid would pump out from underneath the button and the Maalox would just wash right away. Makily slowly started to calm down and was calm for a total of 20 minutes. The on call gastro doctor came in during that time and said that we should continue feeding Makily through the button and applying the Maalox. If the leaking continued he would talk about giving her an IV. I explained I did NOT want to keep poking Makily to give her pain meds, she had already had 2 shots now. He said that he didn't feel she needed an IV at this point. They continued feeding Makily through the button and the leaking worsened, all the while Makily is screaming and crying in pain. They had used the wrong tube attachment with the feeding pump because they didn't have the appropriate one in the hospital. Because it was the wrong tube, it pulled on the button, which pulled on the skin to the opening in her stomach and it made things worse. He came back in an hour later because Makily was still screaming and the leaking had worsened. He said to stop the feedings through the button and he ordered IV fluids. I was relieved because I felt that feeding her through the button made the leaking worse. The nurses got the IV in place which just upset Makily even more. The entire time they were placing the IV green, acidic bile was gushing from under her button because she was crying so hard. The skin around her button at this point was just very red, raw and sloffing off in places. I can only imagine how painful it had to have been for her. After the IV was in place I spoke with the nurse and said that I didn't think the Morphine was working that Makily hadn't seemed to have gotten much relief from it. She agreed. I told her I felt the Maalox was a joke because before we could even get it applied it was washed away from all the stuff pumping out of Makily's tummy. I asked her to have the doctors come back and talk to me. They came back in and I told them that Makily had not stopped crying with the exception of about 20 minutes....it was about midnight at this point. They said they would give her some Morphine through the IV. I protested because I felt that it hadn't worked before, why give it to her again? They explained that since it would go through the IV this time it would work faster. I knew that meds through an IV work faster and more efficiently so I agreed. Makily was given a dose of Morphine through her IV. The screaming continued and the leaking and bleeding just worsened. I just held her while she cried and walked up and down the halls with her. I had bile, blood and all kinds of stuff all over me and her. I am sure it was an ugly site. I waited a half an hour for the Morphine to work and it didn't. So I asked the nurse to call the doctors back again. Remember this whole time Makily is screaming and the skin on her stomach is just sloffing off. I have to add this side note. The doctors ordering the Morphine and Maalox were the residents on call that night. One was a male and the other a female. This time the female resident came in alone to talk to me. Makily was crying and writhing in the bed and I was a mess at this point. I told her that Makily was IN MISERY and to please help her. She said she wanted to give her more Morphine. I honestly envisioned myself slapping this woman. Instead I said "don't you think we should try something else since the Morphine didn't work the FIRST 3 TIMES?" She said she wasn't sure what else she could give her and she would research it and come back to let me know. 45 minutes passed and I was angry Makily was still writhing and crying....I searched down my nurse and asked what was going on. She went to check and came back and showed me the order. It was for more Morphine. I was livid. The doctor didn't even have the guts to come and tell me what she was giving Makily, she just ordered ANOTHER dose of Morphine that had not worked the first 3 times and left. The nurse looked at me and said "she isn't going to order anything else". I finally gave in and said "okay but this is it, if this does not work...heads are gonna roll". They gave Makily ANOTHER dose of Morphine through her IV. I sat in the chair with her in my arms...crying with her. I was exhausted, angry and I felt so damn alone. Nurses and aids had been walking in and out of that room all night, seeing the pitifullness that was Makily and I and NOT ONE stopped to ask if they could help me. I had to hunt Makily's nurse down to get help. I didn't know what to do...I felt like I could have done better helping her at home. They were not helping her, they were letting her suffer and ignoring my pleas to give her something to make her stop hurting. Her stomach was a TERRIBLE mess and getting worse by the moment...Makily's breathing was getting rough because she HAD been screaming for about 5 hours and was exhausted to say the least. Makily is the kind of kid that will cry until you fix whatever is hurting....no one was fixing it, so she just kept crying thus causing MORE AND MORE stomach acid and bile to pump out of the opening, which then would cause the area to bleed and the skin to break down even further. It was a vicious cycle that I felt would have no end. 30 minutes after the last dose of Morphine I went to the desk and DEMANDED the doctors to come and see Makily again....I told the girls at the desk it was ridiculous that Makily had suffered like she had all night. I sat back in the room and cried again with Makily, an aide walked in and asked me if I wanted to go downstairs to get a coke and said she would stay with Makily for me. I told her thank you but I wanted to see the doctors. She said if I needed her later to let her know. That was the only time someone was kind to me on that pediatric floor. The doctors came in...both the male and female. I told the male resident that Makily had been screaming her head off and had never stopped but that SHE (and I pointed and gave the female resident a dirty look) wouldnt give her anything else but MORPHINE. He defended his counterpart by saying she had gone up on the dose and that was "appropriate". I said "yeah if it would have worked the first 3 times!!!!!" He then told me he could "totally snow Makily if that is what I was asking". I just looked at him and said "no sir, I don't want you to TOTALLY SNOW my 6 month old, I want you to take her pain away, look at her stomach!!!" Then he suggested ANOTHER DOSE OF MORPHINE. I told him absolutely NOT! He then said he would research what to give and come back...he also asked about her breathing, I explained that it was getting rough because she had been in pain for 6 hours and crying. If they could take away her pain her breathing would resolve. I have seen it happen with her many times before. He ordered an oxygen monitor and went to go figure out what to give her. He came back and asked if Makily had ever had Fentanyl before. She had when she was in the NICU and she hadnt had a problem with it. He said that is what he would give to her. They gave her the Fentanyl through the IV(we were still waiting on the oxygen monitor). Makily's entire body began to relax. She slowly calmed down within 2-3 minutes, her eyes closed and she seemed to go to sleep. I was so happy for a short moment. Finally my baby was getting some relief..PRAISE GOD FINALLY....Then all the sudden she opened her eyes and her pupils were dilated...she began flailing and bucking in the bed and her breathing sounded awful. Makily does this really cute thing with her mouth. It's a sucking motion that you will see some babies do in their sleep. Makily did this alot of the time...it's a comforting, calming thing for her. I noticed she started doing this VERY FAST, I had never seen her do it like that, she was panicking. I kept saying WHAT IS WRONG, why is she doing that. The doctors just stood by watching. They put oxygen on her face (she hates ANYTHING on her face) and she continued to kick and breathing was becoming more labored. Finally the man with the oxygen monitor came in...he was trying to get a reading but since Makily wouldn't be still it wasn't picking up. She was freaking out like I have never seen her do before. When the monitor finally picked up her heart rate was over 220 and her oxygen saturation was about 85% with oxygen on her face. I then began to panic. I then notice there are about 3 nurses standing around me and both doctors are watching everything unfold. I kept saying "why is she doing this, she had Fentanyl before and was fine". Then the female doctor explained that in the NICU Makily had most likely had it on a slow drip for sedation but now she was just given one dose all at once and so she was reacting differently to it. THANKS FOR TELLING ME THAT NOW!!! The male resident then told me that he wanted to transfer Makily to the PICU/SCU to be "monitored". I said fine. Suddenly all the nurses were up my behind getting Makily ready to be moved. Everything was moving so fast and I couldnt seem to catch my breath, why is the happening? We got up to the PICU and the doctors and nurses were moving very quickly and I began to realize how bad things had gotten. I just stood there frozen and felt like I wasnt truly there. I felt as if I was watching someone else's life fall apart on TV. They asked me to step out for a minute until they get Makily "settled". I went right outside the PICU doors and called Allen, he was just getting ready to leave for work...it was about 3am. I told him Makily was in the PICU and couldnt breathe. He said he was on his way. I hung up and called my parents and I don't even recall what I said I just remember my mother saying "we'll be there in a few minutes". I hung up the phone, sat down on the floor in the hall...alone and cried. The doctor came out and explained the situation to me. Makily's heart rate was soaring....she was fighting, crying and struggling to breathe. She wouldnt relax no matter what they did. My sweet, hard headed, fiesty baby girl was doing her damnest to continue breathing. He asked how long Makily had been crying and hurting. I told him since about 8 pm. He then explained that he was afraid if she continued to struggle like this that she would finally give up and either stop breathing altogether OR have a heart attack. I just sat there staring at him with his blood shot eyes. I remember the words "heart attack" ringing in my ears over and over and thinking "how can a 6 month old have a heart attack?" The room suddenly felt like it was closing in on me when he said what they needed to do. He wanted to intubate her and put her on a ventilator.....How am I in this situation I thought, she was breathing fine this morning....it was just a leaky G tube and some tummy problems. How did it come to this? Should I listen to this man? I had listened to the idiot resident doctors on the pediatric floor...that's what got me into this nightmare of a mess. I stared into his eyes and sensed a kindness that was comforting. I told him I wanted to hold Makily and to try and calm her. That I felt if I could just comfort her...she would calm down and her breathing would become easier and her heart rate would slow. I walked back into the room and Makily was still struggling and fighting. I tried but Makily was beyond comforting. She was so tired and out of it. Her stomach was a disaster and she was struggling so hard to get air. I quickly relented and agreed to let them intubate her. I made sure to explain that Makily was terribly hard to intubate, and to please be prepared. I walked out into the hallway and Allen was there. I then had to explain to him what was happening. It had all happened so fast that I don't think I truly took in everything until later on. My parents got there soon after Allen and I repeated the story to them. The nurse came out and said we could go in and see her. They had successfully intubated Makily....after several failed attempts. We walked in the room and I suddenly felt nauseaus. She had the tube down her throat breathing for her...she was still awake. She opened her big, beautiful, blue eyes, looked up at me and opened her mouth to cry....blood poured out of her mouth and no sound came out. I just started crying....I tried to stay right by her but the sight of her so sick, with that damn tube down her throat breathing for her again was too much for me to take. It was like we were back in the NICU all over again, werent we past this I thought? My heart was breaking. This was my fault. I had made the wrong decision. I shouldnt have let them give her all that Morphine. Maybe I shouldnt have let them give her the Fentanyl. Maybe if I would have tried to calm her down longer I could have and we could have avoided all this.....I was beside myself. I sat down and just cried. My father was VERY angry. You see my parents had time to process what had happened. I still hadnt realized that Makily had basically been overdosed on narcotics by 2 inexperienced residents. I was blaming myself though and not in reality. My dad asked the nurse who had intubated Makily and she told him. I remember hearing the anger and sadness in my dad's voice when he said "well he's a damn fool, a damn fool, look at all the blood in that baby's mouth". I asked my dad to stop. Not because he wasnt right but because I was about to loose it completely. I was about to loose myself and I didnt know what I would do. I was seeing visions of myself jumping out the window of that room. I kept trying to stand up by Makily's bed and comfort her but I couldnt look at her without bawling. I knew she would sense my sadness and fear. I just remember thinking my baby is 6 months old and has gone into respiratory distress 3 times now. 2 of those times were so bad she needed to be put on a machine to breathe for her. How much more of this could her little body take? How many more times would I find myself in this haze of uncertainty and fear? Would this ever end? What happened to my normal life? Why HER? WHY, WHY WHY!!!!?!?!!? I could feel the anxiety building and I was on the edge of breaking. Allen suggested I take a Xanax and go to sleep. I remember saying what a terrible mother I was because I wasnt strong enough to stand by her bed at that moment and comfort her. Allen said "I am here, if anything happens I will wake you up". My mom said "this is what I am here for Patricia, you need to take a pill and calm down". She was standing on one side of Makily and Allen was on the other...mom was gently stroking her hand and telling her "it's okay baby girl". Allen looked terribly upset and worried. I took 2 pills and escaped this horrible reality....at least for a little while.

One of the many "first realizations"....

There were many times during Makily's first several months of life that I would all the sudden be struck with the severity and seriousness of her numerous conditions. I will admit I was in "la la" land for a while. I went through many mental "phases" if you will. It's a very confusing time because in a way you are mourning the loss of a child you NEVER had and that NEVER "was". I dreamed of this healthy baby that looked just like me, that breastfed like a champ, she met all her milestones a little early and she wrapped everyone around her little finger. Well Makily surely wraps EVERYONE around her little finger but as for the rest of those things she isn't that. Most parents slowly come to the realization that their child isn't going to live the life they had mapped out for them.....and it's okay because that is slowly revealed over time and hopefully you see a good life, and future for their child anyway. I had to accept that all at once with no certainty of Makily's future or even how long she would live. I also dealt with the fact that I was unable to bond with her. I mean I loved her but I didn't feel this "feeling" that I have for her now back then. There are so many reasons why I didn't bond with her right away and in this entry I will explain one of them. From the time Makily came home from the NICU at 4 weeks old until she was about 4 months old, she cried....and cried.....and cried....and never slept. At first I thought maybe I was just being impatient with her because I was a new mom but finally one night I timed her. She cried for 7 hours without stopping. That particular morning we went to see Dr. Pierre and I told her about the 7 hours of marathon crying. She immediately switched Makily's formula and said it was most likely colic. To say that Allen and I were tired is an understatement. We were EXHAUSTED. I began to think that Makily hated everyone, she was NEVER happy, all she did was cry. The main thing that was even more frustrating was the fact that when we tried to feed her.....she would cry the loudest and hardest. When you tube feed a baby if they push with their abdominal muscles (as a baby does when they cry) it will not let the food go down.....it pushes right back out of their stomach. Makily did this at almost EVERY SINGLE FEEDING. It was the worst at night and I remember sitting for an hour or more just trying to get 2 ounces of formula down....Allen was amazing during this time. He knew mentally I was DRAINED so there were many times he would just do the night times and I would do the day time. Nights were the worst. I would jokingly say at night that the "demon spawn" came out. 2 weeks after having Makily home we had to take her back to Shands pediatric clinic for a feeding evaluation. The speech therapist was very blunt and continuously said "she is sooo uncoordinated" while she was eating. She told me that Makily was aspirating very small amounts of formula when she ate by mouth and to stop oral feeds until we figure out a way to fix this. Then they realized that she had SEVERE reflux. They put 5 cc's of formula into her G tube and it went straight up her esophagus. So we were referred to a gastro doctor to get his opinion. I told Dr. Pierre about it all and she set up nursing care and a feeding pump. I was a little proud to take the nursing care but my mother and Allen insisted so I did it. The feeding pump slowly pumped Makily's feed into her tummy over an hours time so it wasn't such a fight to get her to eat....although she still cried much of the time. I remember saying "if Makily is awake....Makily is crying". Allen and I went to the gastro doctor to get his opinion on what we should do about the reflux. He was a very rude doctor. Anytime Allen spoke up he was very sharp to him and even at one point looked at Allen and said "was I talking to you"? He explained to us that the reason reflux in newborns is so serious is because they could reflux their entire feed in the night and drown in their own vomit before anything could be done. He said that it is sometimes fatal. With that he gave us 3 choices. The first choice made me very angry and I am still digusted that he even said this "You can do nothing about her reflux....and seeing as she has a genetic condition that would be understandable." IT WOULD BE UNDERSTANDABLE TO LET HER DROWN IN HER OWN VOMIT BECAUSE SHE HAS A GENETIC CONDITION!??!?! I don't think it sunk in what he meant when he said this to me......later on in the car I asked Allen and he confirmed what I thought the doctor had said....it would be okay to let Makily die....she wasnt "normal" they would "understand". The doctor went on to explain a Nissen which is a surgery where the top of the esophagus is "binded" if you will so you cannot reflux anymore and then last he explained a J tube. None of these choices sounded good to me but I was thinking that the Nissen would be our best bet. He never once mentioned medication to help with her reflux. 2 weeks later we went to see the surgeon that had originally put in Makily's G tube when she was 3 weeks old. I told her all that was happening with the feedings and reflux and she suggested we try some medication with her. I was happy because I would have preferred this over surgery. I told her what the gasto doctor had said and she kinda dismissed it and said "we don't do J tubes in little ones and I don't understand why he wouldn't try medication". So we put Makily on 2 reflux medications.....they did nothing. It was so frustrating...she still screamed and cried all the time. So back to the surgeon we went 3 weeks later. I told her that the reflux was no better, Makily still constantly screamed. She said the only option at this point was to do a Nissen. As much as I hated the fact that Makily would need another surgery I wanted her to be happy. I was starting to believe she would just cry forever so the thought that maybe this surgery would help her was exciting. The day before her surgery she had to have a gastric emptying study. This test just times your stomach to see how fast or slow it empties. We were in that room for 2 hours and none of the 2 ounces of formula that we put in her tummy had really moved. Makily's stomach took 5 hours to empty 2 ounces....the normal is about 30 minutes. So when I was feeding her every 2 hours....she was still full from the previous feed......which made her reflux even worse. No wonder she constantly screamed. Imagine someone forcing you to eat every 2 hours 24 hours a day and you are already over full. The next morning was surgery day. I was nervous. I kept Makily in the baby carrier on my chest the 2 hours prior to the surgery. I didn't want to put her down and this was a start of our bonding. They came and got Allen and I and took us to pre-op. I undressed Makily and put her in the little gown. She slept. Then a man came in wearing scrubs with a strong Russian accent. He asked Makily's medical history and before I had really finished he abruptly stopped me and asked when Makily had last had an echo of her heart. I told him in the NICU and that I had been told it was "normal". He said "no this baby has heart problems, I will not put her under without an echo". Then he stormed out. Allen and I just sat there dumbfounded....heart problem? what heart problem...she didn't have one, they told us her heart was fine. Soon after the surgeon came in and I was in a panic. I told her what we had been told and she said that the anesthesiologist was being overly dramatic. There wasn't a problem. At that point I wanted an echo and right then and there!!! She suggested maybe we put off the surgery for another time when I said "no she is miserable, I don't want her to wait any longer....can we just have an echo right now?" They sent a cardiologist in with a echo tech....they performed the echo right there at the bed with Makily sleeping in my arms. We basically were told that Makily "may or may not have a hole in her heart or something else but whatever it was, it wasn't worrisome." I was confused at this point. First she is fine, then she is not, then she might have something. I didn't understand why on earth they had not addressed all of this the day before. I had gone to the hospital and gave anesthesia all of Makily's history and had a "pre-op" with them. They never said one word about Makily's previous echo from the NICU. Then the discussion turned to intubation. Makily has a very difficult airway and the last time she was intubated it was very hard to get in place.....the surgeon ended up having to do it herself......she got it on the first try while the anesthesiologist had tried at least 5 or 6 times. As you can imagine when you have gone up and down a baby's throat that many times, there will be more swelling and breathing problems afterwards. They tried to convince me to let the anesthesiologist try a few times before letting the surgeon do it but I told them NO......why go up and down her throat 6 times when you can do it once? We ended up getting everything straightened out and Makily was FINALLY taken back to surgery. It was decided that she would have 2 and maybe 3 procedures during the surgery. The Nissen for reflux, they would do a pyloroplasty to help her stomach empty better and because her stomach would be moved around so much the G tube would have to be replaced.....maybe they could save it but it wasnt likely. The surgery was about 2 hours. Afterwards Makily looked pale but good considering. I was happy to see she was breathing on her own.....she had some oxygen on but was off the vent. She was in the PICU and I was going to stay with her that night. Allen had driven all night and came straight from work he hadnt slept so he was going to go home and sleep. My mom wanted to stay with Makily and I that night. I was touched she wanted to stay but didnt know where she would sleep. The PICU rooms are small and there was only one sleep chair. I told my mom this and she said to be quiet and not to worry about her. I said okay but I was concerned. My mom has a back injury from years ago. When she was my age she fell down a flight of stairs at work. She really hurt herself and her back, legs and ankles get worse every year. I knew that her staying up all night in a chair would leave her in alot of pain the next morning but she insisted on staying. I went to sleep at about 9 pm, Makily was resting, mom was watching TV and I was exhausted from the day and the fact that I hadn't really slept much the night before. Around 9:30 my mom woke me and said "Patricia look at Makily". Her voice sounded scared so I got up quickly. Makily was jerking to one side, her eyes were fixed on the ceiling and to the left. I starting saying her name and trying to get her to look at me but she didn't respond, just kept looking up and jerking. I looked at my mom and said "I think she is having a seizure", my mom said "so do I but I was afraid to say it". I called the nurse and she looked at Makily and said "she's not having a seizure, she's just in pain". I still do not agree with that nurse, Makily was a having a seizure if I ever saw one. She gave Makily some ativan and said it would help....Makily calmed a few minutes later and went to sleep. I laid back down and drifted back to sleep, I was so tired. About a half hour later I woke up to hearing monitors going off and my mom saying "Patricia wake up". I jumped up and took in what was happening in the room. There were about 6 doctors and nurses hovering over Makily, I looked at the monitor and her 02 sat said 40% (normal is about 95-100). Makily was a strange shade of blue. I didn't know what to do, I just stood there frozen while they worked on getting her oxygen back up. She slowly went back up to normal, they repositioned her and left oxygen by her face. They said it was because of the position she was lying in. I just sat there and couldn't believe that Makily had just gone in respiratory distress. My mom and I were both upset but neither one of us really knew what to say. We sat there talking and watching Makily breathe. A few minutes later we heard yelling in the hall way. It was a woman screaming something in Spanish. I slid our door open and when I looked out there was a young girl crying and a nurse escorting her out of the PICU....the screaming in Spanish was coming from the room she had been standing in front of. It continued for a while....a nurse came to our door and explained that the child down the hall had passed and she closed our door. We could still hear the woman screaming and crying. I just sat there so sad for this woman. I looked at my mom and said "I hate it here"...she said "me too"...I sat there for a while with my hands over my ears and I cried. My mom was sitting in her chair with her eyes closed and I could tell she was praying. It was then that it hit me that MY daughter, my 3 month old was in the same unit with a child that had just passed away. She was in an intensive care unit....she had just gone into respiratory distress.....this was all like a nightmare to me. It was yet another time I was convinced that this was not truly happening and that I would wake up and it would all be a dream. The situation I was in was something I NEVER dreamed I would go through....much less live through. I was just terribly sad...sad for this woman I didn't know who had just lost her son, sad for Makily that she was 3 months old and had constantly been in pain and felt horrible, sad for myself that I was sitting in the middle of this nightmare and hating and blaming myself for it. Most of all I was angry at God for doing this to Makily, to my family and to me. What had we done so wrong? Why wasn't he saving us from all of this sadness and grief? This was something I struggled with for a long time. It took me a while to realize that everything that was happening WAS in God's will, I have learned so much from my experiences with Makily....I took a Xanax and went to sleep. My mother stayed up all night watching Makily breathe......what would I do without my mother?


A collage I made of pics from her surgery...I know I am weird
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