beantownbubba wrote:We need a Channing update.
Hey guys, sorry, I know it's been awhile. I'm going to try to make this as short as I can without writing a novel.
I never thought I would be in a situation in which I would have to tell a doctor "You're fired", but I think we are officially there. Just to sum up the backstory for those that missed it, two days after Channing was born (at 26.5 weeks) her doctor called us in and told us that her CT scan showed that she had holoproscencephaly (HPE). HPE is a brain disorder in which the brain fails to divide thoroughly into two separate hemispheres. The finding was confirmed by the pediatric neurologist after he looked at the CT scan. At the time I asked them if an MRI would be done in the future, and was told that yes, that would be "appropriate". The pediatric neurologist told us that the brain is easier to see as a baby gets closer to term and that the brain can develop further, but that any further development would NOT change the fact that she has HPE.
Flash forward 3 months. Last Monday Channing had her MRI. After 5 days of waiting my wife finally asked one of the nurses on Friday if her results were in. The nurse says "oh, I didn't even know she had gotten it done, let me go check". This was over lunch and I was not at the hospital at the time. The nurse is gone for awhile and comes back and says "I'm about to make your day". My wife's like, what are you talking about? The nurse proceeds to tell her that two different radiologist had looked at her brain MRI and have deemed her brain
"normal". My wife, incredulous, was still like "what does this mean"?? The nurse tells her this means no HPE. My wife doesn't tell me anything about this until she gets home because, understandably, she still didn't believe it. When she told me, part of me was incredibly happy, and part of me was incredibly enraged. Our life the past 3 months has been an absolute LIVING HELL. We have thought our daughter would never speak, never walk, never be able to feed herself, etc, etc, etc. We still just couldn't believe it, so we demanded that the scan be reviewed by a 3rd doctor, the pediatric neurologist. After waiting at the hospital for 5.5 hours on Saturday we finally got a chance to speak with him, and he agrees, normal brain, no HPE. He said, and I quote, "I have never seen anything like this." He goes on to say that CT scans just aren't as reliable as MRIs are, and that the preemie infant brain is a really difficult thing to see/diagnose. Let me just throw in that the MRI results had been in since Tuesday and her main doctor had not taken any measures to inform us. We had to ask one of the nurses if the results were in 5 days later.
We go back to Channing's room at the NICU and tell my parents, who just happened to be there to visit her at the time. There were a lot of tears. Whatever anger I had I had pretty much let go of and chalked it up to just being that the brain is a tough thing to diagnose. Well that lasted until her "main" NICU doctor comes into the room and right in front of my parents basically starts saying that he thinks that are still neurological issues (even though he has no proof of this or virtually no reason to think this) and proceeds to start rattling off some other "issues" that we have literally not heard a word from him or anyone about before. The first issue is that she has had problems eating lately. Every single person we had talked to at the hospital had previously told us that this was likely due to acid reflux and is an issue that affects quite a few preemies. However he is now trying to say this is related to a neurological issue. The second issue, which was apparently pulled from an examination by the pediatric neurologist that literally lasted all of 3 minutes, is that supposedly her eyes aren't "tracking" like they should. He's also trying to say this is related to a neurological issue. Now as you can imagine after being told her brain was normal 10 minutes earlier to have another doctor tell us that she still has neurological problems was incredibly devastating. I mean it's like somebody telling you "you have cancer", "wait you don't", "okay yeah you do". The odd thing about it is after we came back to the room we saw her main doctor out in the hallway talking to the pediatric neurologist that we had just met with, and after that conversation the tone of the pediatric neurologist completely changed. It's like the neurologist just didn't want to disagree with another doctor in front of non-doctors. It also seemed that Channing's main doctor almost WANTED something to be wrong with her just so he can say that his initial diagnosis was not wrong. At this point I am on the verge of punching someone and basically had what amounted to an argument with the neurologist out in the hallway. Channing's main doctor literally - I mean literally - ran away from us without saying much of anything. We finally just left, not knowing what to think.
The next day my wife calls to check on Channing, and talks to the same nurse that was there during all of this the day before. The nurse proceeds to tell us that she argued with Channing's main doctor in the hallway for about 30 minutes after we left, and said, and I quote "I asked him why he's acting like this, that he's almost acting like he wants something to be wrong, why he would do that to these people, that if there had not been the initial finding of HPE from the CT scan that all of these issues he's trying to make into neuro issues would just be chalked up to prematurity, etc." To try to make it short, nobody at the hosptial, NOBODY, thinks she has any neurological issues now except for this one doctor. Now I kept asking myself, "are we just feeling this way because he's not telling us what we want to hear?", but we have had multiple nurses (including the charge nurse) tell us that they don't understand why this doctor is acting like this and it's NOT just us. One nurse told us that he told them "I just don't want them to get their hopes up." So you try to invent some other s**t that is supposedly wrong with her? What is there NOT to be hopeful about at this point, she doesn't have some horrific brain problem we thought she had/???
So, that leads me to what I said at the outset - I think we are about to fire us a doctor. The charge nurse asked us today if we wanted to sit down and talk with him about our frustrations or just get a new doctor, and I'm leaning toward just getting a new doctor. I don't know what it would accomplish to have a conversation with him if he is just going to try to justify himself to us even though he has zero medical proof at this point that would indicate any neurological issues. Let me say that I've always had a healthy respect for doctors and have never been one to not take them at their word when they tell me something. However, in this instance I feel like we are more than justified in being extremely frustrated/angry with this guy. I realize that doctors have to be pessimistic, but we don't need you to try to INVENT things that are supposedly wrong with her because your initial finding didn't prove to be correct.
Let me try to just sum this up by saying:
1)Channing is up to 5 lbs, 13 oz
2)The past two days she has eaten much better
3)Still breathing on her own without assistance, her breathing is perfect
4)her eyes and ears have been tested and she has passed both with flying colors
5)The developmentalist which sees her once a week (he is a doctor) has NEVER indicated a problem with her "eye tracking".
6)3 doctors (2 radiologists and one neurological specialist) have all said her brain appears normal, that there are no structural defects
This is not to say that she won't have some issues. She was born 3 months early, that goes with the territory. However, we now know that she does not have some horrific brain deformity. And we have a hell of a lot of hope, whereas before we had very little. I know this is rambling and poorly written, and I apologize...but it's been one hell of a last few days. Thanks again to all of you for your support. We hope that Channing will be coming home sometime in the next few weeks. I'll try to get some new pics up soon