Dear Friends and Family,
Here is a little summary of the last couple weeks and the
wonderful miracle we’ve seen with Kaden.
Monday night, July 1st, Callista was getting
ready for bed and she broke into tears. “I am so so tired of being pregnant,
everything is uncomfortable and in pain, I want so bad to not be pregnant
anymore.” Trying to comfort her, Ben said, “Wait a second honey, I think I hear
something…” putting his head to her 9 month large tummy he nodded his head as
if listening intently to instructions. “Yep … Oh really …. Oh she’ll be happy
to hear that….” Pulling his head away from her stomach he said, “Sweet heart
Kaden has just told me he is going to start coming tomorrow”. Laughing she
responds, “Oh really, Kaden told you that did he? Well, if you are so sure,
what are you willing to wager on this prediction?”
“A homemade apple pie” Ben responded
“Deal. If I go into labor tomorrow, I will bake you an apple
pie, If it doesn’t start tomorrow, you owe me one” replied Callista and they both
got into bed and fell asleep.
The next morning, Tuesday July 2nd, Callista went
in for her last growth measurement (she wasn’t scheduled for induction for
another week). During the ultrasound they found that her amniotic fluid levels
were low, something called oligohydramnios. There wasn’t really an explanation
for this; her water had not yet broke and previous ultrasounds showed normal
levels. Regardless of the cause, low levels of amniotic fluid can cause
umbilical cord problems, so the standard treatment is immediate induction. So
at about noon on Tuesday they started Callista on Oxytocin.
At first, the contractions were mild. They felt more like
stomach grumbles than pain. These soft contractions lasted a while, until 8 o
clock. During these 8 hours Callista barely dilated, going from a 2 to a 4
despite the fact that on the monitor she was having consistent contractions
every minute or two. At 8 o’clock her OB/GYN broke her water.
Almost immediately the contractions came hard and painful,
each one harder and more painful than the previous. In an effort to prove
herself strong, Callista wanted to see how long she could endure the
contractions unmedicated. At 10:00 the pain was too much, and with the
begging’s of her husband, she consented to an epidural. Unfortunately, it took
the anesthesia team roughly a half hour to come. Needless to say, those last 30 minutes of
natural contractions were dramatic…
Once the epidural was placed Callista was in heaven.
Completely relieved from pain she was talking and laughing, and eventually
ready to get some sleep. The nurse came and measured her, but there had been no
change, she was still at a four. At this
rate it was becoming more and more likely that the baby would come in the
morning.
Tucked into bed, she tried to fall asleep. About 40 minutes
later I called the nurse in, watching the monitor Kaden’s heart rate seemed to
be dropping quite a bit with each contraction. Concerned about the same thing a
resident physician came running in to measure Callista, she was at a 10. In 45
minutes or so, Callista went from being dilated to a 4 to being dilated to a 10
and completely effaced.
All the teams were immediately called, the newborn
cardiology team, the neonatology team, the OB/GYN team. All in all there were roughly
25 people in the delivery room waiting for Kaden’s arrival. Were amazed at how
fast everyone was able to get there.
Callista started pushing at about 11:45 pm.
After a few rounds of pushing, Kaden’s heart rate began to
drop and we needed to act fast. Her OB/GYN expedited the delivery using forceps
and we went through another couple rounds of pushing.
Kaden was delivered at 12:20 AM July 3rd.
He came out angry as heck. The neonatology team immediately
did their evaluations. Given his heart condition, we half expected him to have
trouble breathing or to be blue. However, Kaden looked incredible. He was
breathing well; he had great color, and was responding appropriately.
The tension came down dramatically as the teams realized
that there was no immediate emergency.
We got to hold him for about ten minutes and time seemed to
hold still. He was beautiful. He had Callista’s button nose and cheek dimples
and Ben’s chin and lips. We had been worried up until now that he may have some
genetic cause for the hear t defect which could also cause mental delay. These
genetic causes often manifest with dysmorphic facial features. We can’t tell you how relieved we were to see
his perfect little face. However he came out, we would have loved him forever,
but we were very grateful to have avoided that struggle.
They bundled little Kaden up and they rolled him down to the
NICU where they would perform an Echocardiogram on his heart. With Kaden gone,
the attention shifted to Callista. Given the speed of the delivery, going from
a 4 to a 10 in 45 minutes and the forceps, she was hurt pretty bad. We’ll spare
the details and leave it at this; she experienced a 3rd degree
perennial tear with many layers of stitching.
As the epidural wore off over the next few hours, this injury became
incredibly painful and will take some months to bounce back from.
Up till this point the plan for Kaden had been to do a
procedure within the first few days of life where they run a wire up into the
heart, and blow up a balloon in the region of the severely narrowed pulmonary valve.
This procedure is called a Balloon valvuloplasty. If this worked, it was likely
Kaden could come home in 2 weeks or so. If that didn’t work, we move to the
very traumatic open heart surgery, where they would open Kaden up and manually
fix the valve. If this was the case, his NICU stay would be up to 3 months or
more.
Down in the NICU Ben watched as they performed the ECHO.
Shaking his head, the Cardiologist told Ben that the Pulmonary Valve was very
dysmorphic. He doubted whether the balloon valvuloplasty would be enough.
“Tell me honestly, do you think he’ll need open heart
surgery?” Ben asked
“Speaking honestly … Yes. I think you’re in for the long
haul. We’ll try to balloon the thing open, but when it is this bad, usually
they need to be opened up and fixed surgically. My advice, don’t tell your wife
this, but prepare her for the worst.
Disregarding his advice, Ben went and told her everything in
as optimistic terms as he could find. She was still pretty out of it and stayed
hopeful. Ben however was devastated. The dreams of a quick procedure and being
able to take him home in 2 weeks seemed to be dwindling.
A few hours later, at about 9:00 AM on Wednesday July 3rd,
the cardiology team came to visit Kaden and delivered some good news. They
would be able to fit Kaden in just a few hours for then to perform the Balloon
valvuloplasty. They indicated that we would know immediately if it was a
success and whether or not he would need an open heart surgery. 5 months of
wondering about Kaden’s fate would be answered in just a few hours
At noon Ben kissed Kaden’s cheek as they rolled him into the
Interventional Radiology surgical room.
At 3 o clock, our Surgeon walked to our room and told
Callista and I that the procedure had been an incredible success. Everything
went right. The valve open up beautifully and the pressures normalized rapidly.
He indicated that as expected the valve was not perfect and may need surgery
when Kaden is in his late teens, But from his standpoint, Kaden’s story was as
happy and good as anyone could have hoped.
Over the next few days Kaden continued to amaze. Without any
significant problems, Kaden breathed wonderfully, his heart beat well, and he
ate like a champ. We were even able to get Kaden to begin breast feeding.
After a day or two, both the cardiology and neonatology team
indicated that given his awesome performance, there was no need for him to stay
any longer. Kaden was discharge on Saturday July 6th. Ironically,
Kaden was discharged almost before Callista was.
Since then we have had some of the happiest days of our
lives with Kaden. He eats and sleeps well. He loves to snuggle with mom and take
naps with Dad. Callista’s mom Linda has been with us the last week and her help
has been priceless.
We know that all of you have been directing your prayers and
best wishes toward us. We truly believe that this made a difference. Sometimes,
despite heart felt prayers and hopes, a miracle doesn’t happen. Sometimes we
have to face the unthinkable, and mourn over a tragedy.
But …. Sometimes a miracle does happen. Sometimes, God takes
the impossible and makes it reality. I don’t know why it happens sometimes and
not other times. But I do believe there is something bigger than us, directing
our lives and influencing events for our good.
Both Callista and I thank you for all your support. We are
so grateful for all you have done for us. Lastly we are grateful to God for
this beautiful blessing and miracle in our lives.
Love,
The Welling’s
P.S. Now for some pictures of Kaden (see below)
