
We are only seven days away from Lola having surgery at
Children's Hospital in Birmingham. Her operation will take place Wednesday, April 29, and will be performed by
Dr. John Grant III, who is a pediatric craniofacial plastic surgeon and
Dr. Jay Wellons, a pediatric neurosurgeon.
Lola has
unicoronal craniosynostosis, which means one of her coronal sutures (these run from ear to ear) in her skull has fused early. Surgery is required to correct this and prevent her skull from becoming even more misshapen, keep her mid-face from twisting and allow her brain to grow evenly. You can see in the above photo that the left side of her forehead is flat, and she has a ridge on the top left side of her head where the closure occurred.
The surgery entails Dr. Wellons cutting her scalp from ear-to-ear, pulling her skin down to expose the skull and removing the bones that make up her forehead. Dr. Grant will reshape the bones of her skull as well as those around her left eye, which are also affected, and then replace the bones using titanium plates to hold them together. He will then sew up her scalp using dissolvable sutures. According to the doctors, she should be in the hospital 5 days, the first of which will be in ICU.
Lola will be 10 & 1/2 months old when the doctors perform the operation. I know babies much younger than her have had to have surgery, but this is different because it's my baby. I never dreamed I would have a child who needs major surgery at such a young age. As the date draws nearer my world is completely shaded by this upcoming event.
When we first discovered Lola had this condition, which affects about 1 in 2,500 children, we were terrified especially because we read online about babies who had multiple complications associated with craniosynostosis. For me, that terror is still there, but I am somewhat more at peace with the situation likely because I've had so long to ponder it. We've known since Lola was two months old that this surgery is necessary. If we didn't do it, the likelihood she could develop serious intercranial pressure is very real as is the chance her she could become developmentally delayed because of the pressure and restricted brain growth.
Jeff and I took Lola on Friday for her pre-op visit during which the doctors reviewed the surgery with us, assured us it is necessary (I had been considering canceling it) and went over the risks to Lola, which are being put under general anesthesia, losing too much blood, receiving a traumatic brain injury during the surgery, and developing an infection post-op. While all of the risks are very real and very scary, I am somewhat comforted by the fact that there is a less than 1% chance she will suffer any of these.
I have been so fortunate to have found three mothers of cranio babies through a
support group on Facebook. These women, who live in England, Utah and New Zealand, have become a huge resource for me. They can answer questions that no doctor or nurse, or anyone for that matter who hasn't been through this, can.
As we come closer and closer to surgery day, I have become more and more consumed with thoughts about it. I am not constantly thinking about it, but it's as though it's a cloud that sort of follows me around. Because of this, I have found myself in a funk that's hard to rise up from; and, my situation is not helped by the fact I have developed a gum infection that's causing me a great deal of pain.
Being stuck in this funk makes it hard for me to find the motivation to do any more than the most necessary things. As an example, I've been able to wash, dry and hang up clothes but haven't put forth the effort to fold them, which is why I've been shuttling two baskets of the girls' clothes from room to room for three days. Additionally, I haven't begun packing for our stay in Birmingham, something which I would have nearly completed if I were in my normal state of mind. Mostly I just want to read and watch TV so I don't have to think about anything else. I know this isn't healthy, and I intend to do better, but, for now, as I mentioned before, I am just kind of stuck.
I have a prescription for my "don't be crazy pills," and I am taking them regularly. I am hopeful I can, through taking my medicine and leaning on my family and friends for support, break out of this haze in which I am caught and be more present for my family, who need me to be at my best during this time.