Just some thoughts about how one more chromosome shapes and changes the attitudes for the better because she is part of our world. And sometimes it's just too good not to share.
Showing posts with label Mott Hospital Ann Arbor. Show all posts
Showing posts with label Mott Hospital Ann Arbor. Show all posts
Welcome back! So it’s a longer one.What do you expect after over a 2 year+
hiatus from blogging? I think it’s worth it though.
If you are not up for reading a bit this afternoon, let’s
just use the album title to get the short list of questions answered:
The Answer is “Yes!”
Did you
go see Jason Mraz again?
YES
Was it a
fantastic show? YES!
Is Bernie going to have her next open heart
surgery soon? YES!
Are you going back to Ann Arbor? YES, May 11 (cath lab May 13, operating room
for 4th open heart surgery May 14 to remedy the obstructive tissue
growth around her aortic valve known as “subaortic stenosis”.We are not upgrading the size of her
prosthetic mitral valve at this time.)
Are you expecting it to be difficult? Yes! Gone are the baby days of easy
sedation and turnover to staff. She fully understands fear in this matter and
talking her down for the simplest of procedures doesn’t really happen. She gets
anxious about upcoming events that are either exciting or scary. Please do
not discuss any of this with Bernie or talk about it “over” her in the room as
if she’s not there.
The tracks from the most recent Mraz album provide a perfect
framework to explain our situation more in depth.I will try to provide the right amount of
history and background for those of you just getting to know us. Thanks for
reading along.And if it’s just a little
too Mrazzy for you, that’s just too bad. You
can skip to the parts in italics, but you might just miss how it all comes
together in the end.
“Quiet”
It’s ironic that the perfect bridge back into blogging about
Bernie is none other than Jason Mraz and my most recent attendance at his show
in Detroit.Maybe you remember the movie
“Muriel’s Wedding” where the main character confesses: “My life is an ABBA
song!” In my case, the musician of interest is again Mr. Mraz.And it’s incredibly coincidental that my most
recent concert-going experience and his newest album are precisely metaphoric
of life with Bernie, where we are headed next, and an important lesson for us
all to keep in mind (video at the end).
No news over the past
couple of years is really good news in our case! Bernie ended her 4 years of preschool. In addition to her glasses, the biggest news is that Bernie started kindergarten this fall.Jen’s (my Jason Mraz concert going pal)
daughter Hattie Jo is also in Bernie’s class of 18 kids.It’s been so wonderful to see them be part of
the same educational experience as their other family members at the school
(Hattie’s cousins also attend Woodland).It’s great for them to have
each other as well as many other meaningful relationships with their typical
peers. When reviewing her evaluations with the team this fall, one of the women
involved in the evaluation process professed, “She seems like something of a
celebrity around here! One little boy in particular announces her arrival to
school each day.” Would we expect anything different? She’s pretty famous, at
least in our minds. Here are a few pictures of them as tots and at school this
year.
"Hello, You Beautiful Thing"
“Long Drive”
In my last blog entry, I posted about the fabulous and
meaningful time I had at the concert in Detroit on Jason Mraz’s tour promoting the “Love” album.You may enjoy revisiting it here. This most recent
show, a culmination of Jason’s work with a very talented group of women called
“Raining Jane, ” took a different twist as it was a more acoustic and relaxed
concert at the Fox Theater in the heart of Detroit.The album title of their work together: “Yes!”
The album itself tells such a great story connecting the concept falling in
love and its associated passion that then presses on to celebrate the beauty
and deeper reward of staying in love and getting over the challenges. In my
opinion, it’s intensely underplayed on the airwaves. Drive another 500 miles to
see another show? Absolutely YES!
“How long do you think
she will be in the hospital?” I wish there were clear answers on this.The last time we knowingly admitted ourselves
for heart surgery, staff told us we could expect to be in the hospital 10 days
if all went according to the typical course of recovery. Bernie was in the
hospital for 140 days.However, this
time, Bernie is not a 10-pound sick baby.She is a strong, willful, and active 7 year old. We hope things will be
different, but are preparing for months away from home, living at the Ronald
McDonald House if we can get in. If everything goes perfectly, we could be home
as early as Memorial Day weekend. We will follow Bernie’s lead. As the song
states, “As long as I’m with you, we can take the long way.”
I continue to
volunteer at Mott Children’s Hospital in Ann Arbor in a portion of my “free”
time.For the past 5 years, I have
driven down monthly (7 hours, 500 miles roundtrip) to attend meetings and build
the Patient and Family Centered Care program within the Congenital Heart
Center.I have helped design walls,
weigh in on procedures, participate in administrative rhetoric, vocalize the
needs of the center for patients and families, and co-chair a team of
approximately 30 physicians, nurses, and staff from all disciplines to better
ensure that the delivery of services dignifies the core values of patient and
family centered care.I am a true
superfan of the pediatric cardiology and cardiac surgery programs. My
connection to the program is important to me and to Bernie, but my reasons
maintaining this role may not be what you think.
“3 Things”
So this time we weren’t holding back.Jen, Barb, Bonnie, and I bought our tickets
during the fan presale and we went big.Front row, Baby. Somewhat by accident in a serendipitous “Oops-
I-doubled-your-budget-ticket-purchase” we wanted to be as close as
possible.It was a bit of a sticker
shock, but it could not be disputed that it was money well spent.Who cares if my decision to go back to work
this fall was based upon my Jason Mraz habit?If we were going big, I was going to pull out all the stops. There would
be 3 things to set us apart from the typical fan: T-shirts for all, photo heads
of the ladies in our group and Jason, as well as props and signage. Obnoxious?
Probably, but no great love deserves to go unrecognized. And when it involves a
public figure, well one has to be ready to knock it out of the park.
As this song mentions,
“There are 3 things I do when my life falls apart”.
1) Cry my eyes out
2) Close my eyes and be thankful, gathering strength from sorrow, be
glad to be alive
3) Pause, take a breath and bow, and let the chapter end.Try again.
At Bernie’s darkest
hour, in July of 2008, this was exactly what I did and in the process, made a
deal with the big guy upstairs.I’ve not
necessarily been very public about the events of that night of Sunday, July 27,
2008.In short, in the darkest of
nights, I hit rock bottom.Bernie was
barely staying alive. She could not even be touched without experiencing
cardiac arrest.I asked God to define
our path more clearly. In short, through streams of tears and the loudest
crying sobs since I remember as a child, I told God that if she had to go back
to him, then take her.I wasn’t sure how
to fight any longer. It had been 9 months in and out of 3 hospitals across the
state. I also told him aloud in that dark and lonely Ronald McDonald House room
that if she were to live, I would serve however I was called. I believe in a
balanced deal.
The very next morning,
I woke up and went back to Bernie’s bedside and this happened:
An invitation to service came from the
Congenital Heart Center in a letter almost one year to the day of that night.
My duty as a parent advisor began.
“Love Someone”
How perfect was the “Michigan Love” t-shirt on our first
Detroit show? For the “Yes!” tour, I knew exactly what t-shirt we needed to
deliver to Jason: “Say Yes! To Michigan”.And Raining Jane would get some as well. We would not only profess our
love for their music with t-shirts, however.I was determined to make this a night to remember. I made poster sized
faces of Jason and my crew of ladies and duct taped them on paint stir
sticks.Profile poster faces of each of
us smooching could be aligned with Jason’s face so he could witness our
enthusiasm for him and his music more concisely. I printed the album covers
image on patches we pinned to our own “Say Yes! To Michigan” shirts. Garden
gloves, a PGA “Quiet” sign, and a trucker hat were all other props with careful
thought behind them to be exhibited at the appropriate time during the show. We
even sent Jason a “preview” of our excitement via Facebook.
It’s hard to know what
to do with all of the t-shirts from the hospital over the years. For Congenital
Heart Defect Awareness Week this past February, I decided to slice and dice my
collection into a skirt.I wore it to
the awards ceremony I attended as the administrators of the Congenital Heart
Center accepted the University of Michigan Health System “Program of the Year”
award.A big deal!The skirt was a hit and clearly just one
small example of the enthusiasm many have for the excellence exhibited by the
army of people who heal kids with broken hearts there. If any group of people
deserve to be shown love and enthusiasm, they do.They see families at their roughest times and
often at their worst.
“Rise”
We arrived at the Fox Theater on Thursday, November 6
promptly at 7pm.We had stopped by
earlier to snag this shot with the marquis.After some fun at the hotel, we headed out for a quick bite to eat
before the show. We were excited!
We headed through the crowd to our seats.By 7:10 or 7:15, I decided to get up and
retrieve Jen and I (Barb and Bonnie were a few rows back and to the side) one
more beverage before the show started. When I returned, Jen had a look of utter
disbelief and sadness on her face. “You missed him,” was all she could muster
at the moment.
“Missed what?” I needed
clarification.
“He was out here.I gave him the shirt.I didn’t know what else to do.”
My heart sank. I clearly missed
out. It was my own damn fault. I was a little too thirsty.
“You did what you had to do.I am glad you got it up there.” I told
her.And I was glad she got it to him.
“Everyone cheered when they saw the shirt. He
held it up for everyone to see.”
My heart sank a little deeper.
“I am sad,” I told her. “But what
else? Did you shake his hand? Hug him? Selfie? What? Tell me more. I need to
know.”
“He came onstage and even asked for
the “creepy heads” you made.”I could
have started crying easily.
“Well, other people brought him stuff
also.That girl over there brought him a
shirt. And she actually got her picture with him.” She wasn’t trying to rub it
in.I was prying to know all the details
to at least construct the memory in my head.
Before
we knew it, the show had started.I tried
to pop out of this disappointment and the only way to really do that was to get
up and dance and enjoy the music.Jen
and I had to move on and enjoyed what we came all this way and paid all this
money to see.
But not
for long. As if the first leg of disappointment was not enough, I felt
something hit my back. I looked down.Garbage.Yes, someone was
throwing trash at me. Talk about degrading.I turned around to see where it came from.Most everyone in the entire Fox Theater was
sitting down. Ugh. Some woman a couple of rows back then leaned forward and
gave me a talk about sitting down.Clearly no dance party happening now.
The
people in “the pit” in front of us continued to dance, one by one starting to
sit down.The ushers were seeing to it.
One girl, ironically the one who got her picture with Jason after delivering
her t-shirt, was even escorted from the theater. Kind of made me glad Jen and I
chose to calm it down. We did get to see the show. And of course the music was
amazing.
Later in November,
Bernie had her 6-month ECHO at Mott.We
showed up and made our usual rounds, saying hello to staff and giving out hugs
when appropriate. We waited a while to get back to our bed space so Bernie can
meet the anesthesia team (sedation doesn’t get us where we need to go anymore).
I accompany her on the bed back to one of the cath lab rooms and we get the
mask on her.She goes to sleep.
Our latest ECHO
revealed a new number regarding her pressures that indicates we need to get more
serious about addressing Bernie’s sub-aortic stenosis.Essentially, what we’ve thought was falsely
elevated is actually closer to the truth. We decided the surgery needs to happen. Bernie will be admitted to Mott on Monday, May
11.She will have her fourth open heart
surgery.We will not be replacing her
mitral valve, but will essentially be performing a “roto-rooter” job on her
aortic valve to allow for better blood flow to lower the pressures in her heart.
“Out of My Hands”
I did everything I felt I could to personalize and set up
for the most amazing Jason Mraz concert experiences I could possibly have. If I
knew of a way to meet him, trust me, I would have tried. I love his music and everything he stands for.
I am a true superfan for life. I sang every song with complete admiration and
tried to put the heartbreak and humiliation in the evening behind me.There was only so much I could do to make it
the night I wanted it to be. But this concert experience and Jason’s music had
some very important lessons to reteach: The importance of living in the moment.
My quest for that extra beverage prevented me from potentially experiencing one
of the most awesome moments of my concert going memories. Why couldn’t I just
be happy watching the pre-concert hubbub on the main floor of the theater? I
wasn’t appreciating all there was right there, right then.I thought I needed something else. It was
that whole idea that “oh, just one more beverage, and it will all continue to
be fabulous.” Um…what the heck did I name this blog?! Shouldn’t I already know
better?!
Whose hands is it in
then? You may wonder…now that you have “crossed the line” with her heart
surgeon and have a personal relationship, will she still operate on Bernie?
Should she still operate on Bernie? Totally fair questions and ones we have all
thought through. We chose Dr. Jennifer Romano (formerly Hirsch) as our
daughter’s heart surgeon first. We feel confident she is our best choice and
know that the person who has such a heart history with her is the one who knows
her best. In the event that emotions take the wheel at any given time and
prevent a clear pattern of thought with regard to the procedure (it has
happened to other surgeons in the past), Dr. Rick Ohye will also be available
to step in and perform or assist with the surgery if need be.The truth of the matter is, I am close to
many people who work at the Michigan Congenital Heart Center and I consider
quite a few people like family.We are
all entering into this next experience with personal connections that I believe
will make her care team even stronger. I honestly believe that our personal
connection with each other is what enabled Bernie’s life to be saved that
Monday morning in July. It made the team dig deeper, work harder, and consider
possibilities they would not have considered otherwise.And she’s here today.
“Best Friend”
This is a lovely song for those of us who were granted only
one spot for one friend who is perceived as the singularly ultimate relationship.
I do love the gratitude expressed in this song for relationships and what
people actually do for each other in those tight bonds of friendship, but in my
world, one relationship cannot ever be everything. Sorry, Jason.I
suppose marriage is right up there, but even a spouse shouldn’t be expected to
be one’s singular source of happiness and meaning.Our humanness drives us to connect in lots of
ways with lots of people.
I pray that the slight
fraction of issues that can result from having these relationships doesn’t work
against us.It’s similar to when a
person claims “a best friend”.I
strongly dislike that term. I even discourage my kids from using that
phrase.Why? It’s exclusive.It suggests that no one else can get in or
get as close and nor should they really try because it’s already been
determined that there is just one person who can know and love you best as a
friend.My answer to that?Have close friends and as many as you want.Friendship should not be competitive.It’s cooperative between two people.You can have as many close friends as you can
handle in different, concentric circles and for different reasons.Every person who enters your life has some
significance and it’s up to you to figure out which circle fits your
relationship the best.
This goes for the care
team.There will not be one person who
is solely responsible for fixing Bernie’s heart or seeing to her recovery.This is very much a team sport. No
assumptions can be made that one doctor, one nurse, or one family member will
have ultimate significance. But as we all have roles, we all will also have a
responsibility to see that Bernie gets what she needs when she needs it and our
communication as a team will define her recovery.There will be no “best friends”, but a close
team who will effectively communicate to maintain the highest levels of dignity
and respect.
“Back to Earth”
This song really relays the importance of grounding oneself
when life gives you the business.Here
are the first couple of verses:
Whenever my head
starts to hurt
Before it goes from bad to feeling worse
I turn off my phone
I get down low
And put my hands in the dirt
I try to stop the world from moving so fast
Try to get a grip on where I'm at
AND simplify
This dizzy life
And put my feet in the grass
Grounding will be
important for me and our immediate family in the next few weeks.I know the stress of all of this feels just
wretched. It’s intense. It’s as though I am preparing for combat.I will be packing up, leaving home, and
getting ready to once again fight this disease so many thousands of kids each
year are born with.I am trying to work
out, eat well, get massages, and organize my house fanatically as one might
when they are pregnant and nesting. I am trying to soak up all those little
moments of kids coloring at the dining room table, running around playing
circus in the yard, and laughing together about farts. Sometimes I wonder: What
if she doesn’t come home? Because it does happen. I spent too much time there
and saw too much the last time not to know this.Bernie herself was as close as one can get to
parting ways with this world.I need to
look at what I have in front of me today and be happy.Celebrate every second. I need to face the
coming weeks with strength.And pray for
the best hoping God has an extended lending period in mind for Bernie.
“Shine”
After the show, our group headed over to The Old Shillelagh in
Detroit. It was incredibly clear where we had been.We started talking to some people at the end
of the bar who were also at the concert.They told us their entire family of about 70 people went to see the
show.How curious! It turns out that
they were family of Christina Carano, the woman currently dating Jason, who
happens to be from Berkley/Royal Oak area but lives in San Diego now.They told us how their grandmother who lives
by our horse camp (apparently somewhere in her late 80s or even 90s) even came
to the sound check that afternoon and had her picture taken with Jason.Talk about an evening to meet the family! Clearly
they could tell Jason has superfans!
The big kids asked how the concert was the next night I was
home.I told them the story.Izzy even said, “Mom, that’s so sad! You
worked so hard on all of that.” From that was born their own Jason Mraz (Sadie
is Jason) performance-with Izzy as Mona(right) and Lucy as Chaska (left) from Raining
Jane-which made me laugh so hard. Enjoy!
Although we are faced with negative experiences and
adversity, I love the way the human spirit consistently finds ways to shine the
right kind of light through to make better meaning of relationships and point
us in a forward and positive direction. It’s not always the way we think it
should be, but if we wait long enough we usually see the reasons and importance
for things happening to us the way they do. Jason Mraz’s music does that for me
and I am so grateful to him for his work.What a gift. Honestly, Jason if you ever in a million years take the
time to read this, thank you so much from the bottom of my heart.
My gifts from you all have
come in many forms over the years as being part of Bernie’s care
community.As this next leg of our
journey commences, I reflect back on all of the light you sent our way seven
years ago and consistently in our daily lives.I think we had meals delivered to the house for the better part of a
year, endless messages, prayers, and comments on our care page (carepages.com, cp:
BernieCarsonSmith) and countless kindhearted acts of love directed at our
family. If you never knew us during that time, it was truly amazing. It’s just another example of how Bernie
enables us to see such good in the world.Bernie has given us our own rose colored glasses in a sense. It’s like
she passes them out to everyone who gets to know her.Oh, except for all of you at Mott who are
about to poke her. I apologize in advance if she even tries to hit you. Please
know that her light really does shine brightly as evidenced in this video
encapsulating her year in kindergarten and reminding us of the importance of
living in the moment!** And of course this Jason Mraz song fills the bill most perfectly.
“You Can Rely on Me”
Being a superfan of
anything doesn’t make you better than anyone else or make you more appreciative
than any other fan.It doesn’t mean you
get better treatment. It just makes you more vulnerable.But you are willing to be press on because
you realize the amazing things that happen when you show love to others without
letting the other less important stuff get in the way. You soak up the glory
and take the pain a little more publicly and maybe more personally than you
otherwise might.Just like being Mraz
superfan did not protect me from some heartbreak and humiliation at the
concert, being a superfan of the CHC does not protect me or our family from the
inherent risks and difficult path that accompany pediatric cardiac
surgery.It’s important for me to
recognize the struggles and celebrations that go along with all of this as a
way for you to stay informed and for me to process all that is happening.It grounds me. You can rely on me to update
our care page (with a link to this blog) so check it at any time and know that
if you have supportive messages, it is always worth your time to write them
down. Your words of encouragement and acts of love and kindness are always
appreciated way more than you may think.
Our door at the
hospital will always be open unless otherwise noted on this blog.If you’d like to send Bernie a letter or care
envelope/package our address will be:
Bernice Carson Smith (patient)
Michigan Congenital Heart Center
1540 E Hospital Dr
Ann Arbor, MI 48109
Thanks for the love!!
**There are a million other edits I would make to this if I knew how to use my new video software better. You will get the idea...
"Just one more..." It's a phrase we hear frequently from kids, "Mom, just one more time down the slide!" Sometimes it is said in order to remind us that things will be better as a sort of euphemism of positivity that offers a reward. "Just one more dish to wash and I can go have a cup of coffee." Or it comes in the form of encouragement we offer ourselves to get through a tough situation, "Just one more day and that it will all be over."
In most situations, the concept of "just one more" can help us take a complex task, no matter how desirable or horrifying, and break it into more manageable pieces.In my case, "just one more" was what my husband and I decided after having our first daughter, twin daughters 16 months later, and talking about having another child in less than 4 years. After a tumultuous pregnancy in many ways, Bernice Carson Smith arrived 10 weeks premature (3 pounds, 9 oz.) at 11:56 PM on October 3, 2007. She was diagnosed with a significant congenital heart defect, only a portion of another diagnosis: she had just one more chromosome.
"Just one more" took on an entirely new meaning. Down syndrome and wasn't just "Corky" from that eighties TV show. The world of congenital heart disease was new territory. These uninvited visitors had knocked on my door, invaded my most personal and private spaces, and told me they were staying for the rest of my life so I had better figure out how to live with them and find the bright side.
This was the first time I could touch her about an hour or so after she was born. I only had about 5 minutes with her as not to overstimulate her little body. She was taken away via helicopter hours later to a hospital that could better monitor her cardiac needs. In the year that was to follow the moment this picture was taken, little Bernice would take 4 urgent helicopter rides, live for 220 days in multiple hospitals far from our home, and undergo three open heart surgeries within 4 of those months. Our Northern Michigan town rallied around our family and daughter, bringing us hundreds of meals and hours of childcare for our older daughters, as well as innumerable supports during this crisis-jammed time in our lives
This was our first family photo of all six of us during our near 60 days in the NICU:
This was our first family photo taken at Christmas once Bernie was home from the hospital after her birth.
Heart surgery was the following April after contracting RSV, a respiratory virus that affects preemies.
And another heart surgery later that same month... I started making little movies of her progress since I could tell it would be a long road until we could be home sharing life as we once knew it with friends and family. She became known as "The Bern" and the campaign to "Heal the Bern" had begun. She was no longer a patient that followed the rules which made her something of a celebrity since she lived through so much. She had no idea.
Home for a few weeks. After an unexpected crash, she had a third heart surgery that July of 2008.
It was a very long recovery. We spent months and months in the hospital. Bernie faced death on quite a few occasions, both before and after her last surgery. This was the first movie I made after her third surgery.
Bernie was able to move out of the pediatric cardio-thoracic ICU in early September of 2008. She spent about 100 days there since April. This is the movie I made about how many fabulous PCTU employees it takes to get a family through the heart surgery process. It also quite triumphantly shows Bernie leaving their walls once and for all.
The six of us were back together again in September to celebrate her first birthday with 400 of our supporters, family, and friends.
Bernice endured more than 20 episodes of cardiac arrest during her stays in the hospital for heart surgery. She defied all odds even though falling through the cracks was a game she played frequently. She was on death's door and at her worst point, when she could not be touched, turned, suctioned, or cared for in the most basic of ways, there was really only one person left who thought there was another plan that could save her. That was her surgeon, Dr. Jennifer Hirsch. Her established relationship with Bernie was special and a very unique bond developed between us over so many months. We wanted her to be Bernie's godmother.
She accepted the honor. Bernie and her cousin Charlie were baptized together in October of 2008. The girls dressed up as superheroes for Halloween that year. Izzy was Super Girl, Sadie and Lucy were the Wonder Twins, and Bernie was the talented and lovely Dr. Hirsch.
The representation of the number one is often looked at as inconsequential. The purpose of this blog is to reinforce the significance of "just one more" and the positive impact of having a child with Down syndrome has on our family's daily life. One has value. One has life. One shapes and changes the attitudes of thousands for the better with her spirit, determination, and joyful presence. One transforms people's lives and forges new and beautiful relationships. One offers hope and positivity and tells us that our lives will be better because she is part of our world. She truly reminds us to always look up! Bernie, nearly 2
Here we all are just before Bernie's second birthday.
And so I document our story from today forward here to share with you the amazing journey and gift of "just one more". As Bernie now begins to take her first steps, I will take my own in writing about this privilege and gift I've been given in being Bernie and Izzy and Sadie and Lucy's mom. Thanks for following along. Missy