Friday, June 22, 2012

Evan's story, chapter 4, Delivery


Delivery
Be patient in afflictions, for thou shalt have many, but endure them, for lo, I am with thee, even unto the end of thy days.
Doctrine and Covenants 24-8

   My mother and I arrived at UCLA at 6:30 am. My brother, Richard, had just arrived. Since I was to be allowed in the operating room, I was instructed to change into the hospital surgical clothes and then wait in the waiting room until called. But at 7:38, a nurse brought me an urgent message.
   The operating team was alarmed by a sudden drop in Evan’s heart rate. The delivery was being performed immediately. They wanted me there as soon as possible. By the time I arrived, Evan was born, and at that moment, I was face to face with my concerns.
   Evan was a tiny baby, at four pounds, eight ounces. He had a full head of dark hair. His face reminded me of John, when he was a newborn. His head was slightly enlarged, the sure sign of hydrocephalus. On his lower back, there was a reddish purplish lump. Nerves were plainly visible through breaks in the skin. This lesion was immediately covered to prevent a fatal infection.
   His weak cry was heart breaking. I had been present at the births of four of my older children. Their cries always seemed to scream, “Why have I been disturbed? I don’t want to be here.” Evans whimper was different, as if to say, “I don’t understand why I’m here. But I hurt. Please help me.” At that time, I almost broke down crying, but I decided to stay strong for Cindy’s sake.
   As the doctors were showing me my newborn son, they pointed out he could move his hips. He could also move one of his ankles. The promise was there that Evan might walk someday. They then said, “Congratulations, Dad, you have a new son.”
   In the New Testament, James 5, verse 14 says, “Is any sick among you? Let him call for the elders of the church: and let them pray over him, anointing him with oil in the name of the Lord.” As an Elder in the Church of Jesus Christ of Latter-day Saints, it was my privilege to perform this ordinance for Evan. Giving a sick or hurt person a blessing is a spiritual challenge. You can’t just say what you want to say, you have to listen to the Spirit. Afterwards, self-doubt can enter into your heart. “How do you know what you just said is not the result of a frenzied mind?”
   As the nurse took Evan to the neo natal intensive care unit (NICU), I asked the nurse if I could give him a blessing. “Sure,” she replied, “We do that all the time. But please give me ten minutes.” My mother, brother and I spent those ten minutes praying.
   Richard anointed Evan with consecrated oil. I then pronounced the most important and most powerful blessing I had ever given. I commanded his body to heal well, that his recovery would be deemed to be excellent by the surgeons. I then felt prompted to say “Evan, you have a purpose to accomplish in this life. You will not be taken back until you have accomplished it.” That was my first promise that Evan was not going to die very soon. With that, my optimism and confidence was strong.
   By 11 am, my youngest son was in the operating room. The spinal cord was placed more or less where it belonged and the lesion was surgically closed. To address the hydrocephalus, a temporary system was installed to drain excess fluids. The doctors told us the surgery went well.
   For the next few days, his back healed well. The major concern was the hydrocephalus. Hydrocephalus, or water on the brain, is very serious.
   Forty years prior to Evan’s birth, medical science had developed a treatment. One end of plastic tube, called a “shunt,” is inserted into the brain. It is then inserted under the skin into the abdominal cavity. The spinal fluid is absorbed. When this works, the patient’s brain is protected. Prior to this life saving advancement, babies born with this problem always died a painful death.
   For the next few days, excess spinal fluid would be removed from a temporary reservoir on top of his head. His head would swell and he would get tense and grouchy. A nurse would insert a needle and remove the fluid. His head would shrink and he would relax, as if relieved from a pain. I watched this process several times.
   While I visited Evan in the NICU, Evan responded to my voice more than the voices of any of the nurses. We all used the same tone of voice, saying the same things, but the difference in his response was truly remarkable. I shared my observation with one of the nurses. She said, “Yes, we see that every time. The babies recognize their parents’ voices.”
   After a few days, they finally gave Evan his shunt. But after this second surgery, the poor child was hungry, but could not eat until the next day. Cindy and I managed to comfort him. I told him that the worse will be over soon. I was right. He ate very well the next morning and he seemed relaxed.
   Meanwhile, Cindy and I were exhausted. At the urging of the doctors and nurses, we returned home for a few days of rest. When we went back to UCLA, we really wanted to bring Evan back. After a few more days of ups and downs, Evan was discharged.
   However, before we left, a new group of doctors had a sobering conversation with us. They were kidney specialists. Without telling us the name of the condition, they explained that parts of the kidneys were not functioning properly. They explained that everybody’s blood has a certain amount of sodium and a certain amount of potassium. If the potassium is too low, his heart would not work well. If his potassium level was too high, his heart would go into fibrillation. If that happened, nothing could be done. Evan’s potassium level was elevated. We would have to carefully monitor this threat. That would mean frequent pokes with a needle to draw a blood sample. Later, we would learn the name, “Renal Tubular Acidosis, Type 4.” RTA type 4 is very rare. Most doctors have never heard of it.
   Never the less, it was still a joyous day when we brought Evan home.  
Mike and Evan

No comments:

Post a Comment