| Logan, proud as can be to be holding his new baby sister. |
Thursday, June 21st 2012 around 3pm, we received a phone call from our Pediatricians office. It was a nurse telling us that our sweet, perfect little girl most likely has a blood deficiency called MCADD. I was instructed to nurse her every 2-3 hours around the clock and that we needed to take her into a lab TONIGHT to get blood work done and urine sample. That was to confirm that she had MCADD. There was not even a moment that passed that we were given an ounce of hope that maybe, just maybe she really didn't have this and the pre-screening at the hospital was wrong. I felt as though my world was crashing down around me. So I woke Miss Livi up and made her nurse (she had been sleeping for nearly 4 hours- she was born a natural sleeper). We packed ourselves into the car and away we went to the nearest lab in Redmond. When we arrive it was 10 minutes before closing. I walk in with her in my arms and explain why we're there. They don't have my paperwork that was supposed to already be there!! When the lab tech finally gets it, she declares that she can NOT get a urine sample from Olivia because she doesn't have the equipment needed. I cry. Hard. Like ugly cry. I make my way back to the car and call the doctors office again to find out what the heck we're supposed to do. They wouldn't have made us come into Redmond on such short notice if this wasn't urgent. The nurse has us come into the doctors office so we can talk with Olivia's Pediatrician. There is when we learn what is going on with our sweet bundle of joy. Her body is unable to convert fats into energy. What does that mean for her? Well, if she gets a fever or the stomach flu and won't eat then she has to go straight to Children's Hospital for fluids. If she can't/won't eat then she will become hypoglycemic and if left alone could go into a coma, have brain damage and die. Great. We are 5 days postpartum and she's been sleeping like a champ: 4-5 hour stretches and still gaining weight. Now I have to force feed this baby or she'll die?
Our Ped. has never is his 15 years of practice had a patient with MCADD, neither have his co-workers. Oh great!! Now what? He assures us that this deficiency is super easy to control and is no big deal. Uh, did you hear the part where she could die??? No big freaking deal??!! Yeah right buddy! MCADD is a genetic disorder. Which means both parents have to have a mutated form of the MCAD gene. Oh Jim freaking dandy, we gave this to her, now I feel much better....NOT. Our Ped told us that within the next week to 2 weeks we would be hearing from the genetics team at UW to discuss Olivia and our game plan for her life with MCADD.
The next week was the longest. week. of. my. life. Nursing every 3 hours around the clock and stressing about what life with MCADD meant for our sweet baby was way too overwhelming. So many tears were shed. So many. I was sad. No, more like completely devastated.
On Wednesday of the nest week I received a phone call from the genetics counselor at UW. She gave me the run-down of the disorder and informed me that I can ease up on the feedings and nurse every 3-4 hours. The heavens opened and the angels sang!! There was sleep in my future and a whole lot less gas from over-feeding lil Miss. I still felt super overwhelmed and cried a lot that day. But I woke up the next morning feeling like there was life back in my body. Olivia had slept like a champ and so did I. And best of all, she wasn't going to die. We made our appt with our new genetics team and waited for the day to come. It came! July 5th we packed Olivia in the car and away we went to meet with our team of Doctors that would and do have her best interest at heart. The doctor explained the disorder again to us and assured us that she will be just fine. Apparently there is a spectrum that an MCADD patient can be on and she is on the low end!! I didn't even ask what life looks like for those on the high end or even in the middle. But what it looks like for us: Olivia gets to sleep and eat when she wants (no more 3-4 hour schedule at night, the girl can sleep 6-7 hours straight at night!! She's a miracle!) she is to be treated like any other child, there are no dietary restrictions (except for coconut milk) and if she gets a fever and/or the flu we take her to Children's with our emergency letter that they gave us explaining her rare condition and their instructions for caring for her. Thankfully we have about a 3-4 hour window when she does get sick to get her to the hospital before things get dangerous. She will have to stay in the hospital until she can keep food down. But other then that, life will be normal.
As of today, I feel much better about her condition and controlling it. I'm still nervous and probably will be until the first time we have to take her into the hospital. But that is to be expected. I'm so thankful that we were blessed with this sweet MCADD baby. I know that Heavenly Father gave her to us because we would take perfect care of her and her sensitive situation. I'm also thankful that Washington state tests for MCADD when babies are born so that there doesn't have to be any more deaths because of this disorder. I wish every state would make it a requirement.
So there it is, go google MCAD Deficiency (or MCADD) and found out what's happening (or not happening) inside Olivia's body.