Posterous theme by Cory Watilo

Filed under: stories

Meet Dylan.

Dyl_update

Dylan was born June 15, 2005. With some minor complications after delivery (infection of amniotic fluid) we went home two very proud and happy parents. We did not know at the time, but they had run a bilirubin test and his direct bilirubin was a 2...well above normal.

At about two weeks of age Dylan started crying at all times...no make that screaming. Dylan was fed on a demand basis, so he nursed at least every 30-45 minutes. He started having trouble sleeping. We took him in and were told he just had colic and to try to space his eating out more. The screaming continued but I ignored the doctor's orders on spacing Dylan's meals, I was not about to have my child scream all night. Another week passed and Dylan developed a terrible rash all over his body. We took him in again and were told it was a heat rash. We tried to keep Dylan as cool as possible over the next couple weeks. We were beginning to think we were crazy. That maybe we were being paranoid and that it was because we were first time parents, but could not shake the feeling that something else was going on. The next issue was hard to ignore...Dylan had started having large green balls in his diaper. We had never seen anything like this. We knew something was wrong. I took a diaper into the doctor to have him look at it. He was beyond concerned. Dylan not only had the alien like things in his diaper, but they were also acholic. There was no bile at all. That would be the beginning of the life we know now.

Dylan had weeks worth of lab draws and tests. HIDA scans, ultrasounds, x-rays, endless blood work. You name it it was done. Terms were thrown at us. ALT, Alkaline Phosphate, Bilirubin...what on earth was wrong with our baby? We were then sent to a pediatric gastroenterologist, Dr. Edward Rich. Dr. Rich took one look at Dylan and told us our child had Biliary Atresia. What? What was that? Biliary Atresia is a congenital defect of the liver. Children with BA are born with little to no bile ducts and the bile has no way of leaving the liver. The liver then starts to poison the child. With no medical intervention the child will not survive. We were told Dylan would need a liver biopsy, cholangiogram, and possibly a surgical procedure to help correct this, the Kasai. Dr. Rich also informed me to feed Dylan every time he cried as children with Dylan's condition have trouble digesting fat.

Dylan went 24 hours with nothing to eat and was only allowed pediaylte for up to 4 hours before. This was a terribly hard task for a baby who eats every 45 minutes. The anesthesiologist took our baby and he went in for surgery. About 2 hours into surgery we got word that it was in fact Biliary Atresia and that they would be performing the Kasai procedure. When the surgery was over Dr. Williams, Dylan's surgeon came out to talk to us. She told us that Dylan had little to no bile flow and that she had to remove a lot of his liver to get any bile to flow at all. She warned us that we might be facing liver transplant right away, but we would have to see what the labs looked like. We spent 4 days in the hospital and were sent home.

Dylan's labs took several months to come down, but it looked like his Kasai was starting to work and he would have sometime before transplant. Dylan has a lot of damage done to his liver. There would be a lot of scare tissue that would develop. For the past five years we have checked his labs on a monthly basis. Dylan has had several hospital stays due to infection. Dylan has taken 6 different medications to help minimize the symptoms related to his cirrhosis. He has been medically managed. It was just recently that there has been a turn in his health, a turn for the worst.

On October 21, 2010 Dylan suffered a massive GI bleed. Dylan lost half the volume of his blood and required a blood transfusion. We were rushed by ambulance to the ER and then transferred to another hospital for a 4 day stay. The bleed occurred due to pressure building up in the veins of Dylan's liver called portal hypertension. This is a direct result of his cirrhosis. Dylan has been listed for transplant and Noah (his dad) will be donating a portion of his liver to him, as it is the only solution for him long term. There are other surgical procedures that can help with the portal hypertension, but are too risky for Dylan in his current state, his only option; a new liver.

Dylan received his new liver on February 7th, 2011. We have been blessed with a relatively smooth recovery. Dylan’s liver function is completely normal and he is growing leaps and bounds. All of this was made possible by his donor…his Dad. Dylan has a very bright future ahead of him and we can not wait to be apart of it.

Meet Quinton.

Quinton was taken to our local hospital in Salisbury, MD on 8/21/10. After numerous tests it was determined that Quinton needed to be taken to John Hopkins Hospital for immediate Surgery. During my pregnancy, it was discovered that Quinton had a Choledocal cyst in the area of his liver. The cyst was watched throughout my pregnancy and birth. The cyst was 1cm by 1cm and never changed so they were never concerned about the cyst. The doctor just said that Quinton would have yearly check ups to monitor the cyst. A few days prior going to the ER, Quinton started to have symptoms of Jaundis which lead us to the hospital. Once at the hospital, it was determined that the cyst was blocking the Liver ducts from properly working and draining all the fluids to the intestine. So once at John Hopkins, more tests were run to confirm that in fact that the cyst was blocking the bile duct of the liver. It was determined that surgery was the only option to correct the problem. The surgery that they performed was called Kasai. They removed the cyst and the bile duct below the gall bladder and reattached the intestine to the bile duct (new plumbing as the doctor called it). On 8/23/10 Quinton under went a 3hr surgery to correct the problem. His condition is known as biliary atresia and there is no known cause or treatment for this. It is a liver disease. As you can imagine, Michael and I were beside ourselves. The doctor stated that they have been studying this disease for approximately 30 to 40 years and they still have no idea what causes it and how to exactly treat it. They had sent liver tissue away to be examined to find out more about Quinton's liver. The doctor stated that a very small percent of people with biliary atresia after surgery have no problems but must be watched their entire life. The other 85% to 90% require a liver transplant within the first 1 to 5 years of life. Quinton is at home and is doing VERY well. The doctors are very pleased with his progress so far. Quinton will require frequent check ups and tests throughout the early stages and his entire life. This is a long, tedious process. We have to go to Hopkins every two weeks for checkups and blood work. Quinton takes 5-6 medicines every morning and 3 evey night. It was much easier to give them to him in the beginning, but now he's starting to realize what's going on and he fights me. He is a very strong little man. He truly is doing very well. They also have us putting more formula into the same amount of water for his bottles. They want his calorie intake increased cause one of the side effects of the medicines is decreased appetite. We have Quinton in an experimental study through Hopkins called the BARC study. It is to help find a cure/cause of biliary atresia. We figured that if it may help save even one other child and bring no harm to Quinton, then we would participate.


On November 21, 2010 we were transported to Hopkins. We took his temperature earlier this morning and it was 102.5. Being concerned, we took him to PRMC ER and they ran tests and confirmed that his bilirubin level was elevated. Once at Hopkins, they did an ultrasound. They told us that they "suspect" ascending cholangitis. It's basically a "bug" drained from his liver to his intestine and then went back up into his liver and caused an infection. They're only treating it as this as a precaution. They're giving him antibiotics and monitoring him. They said we should be able to go home in 7-12 days. Quinton is already showing improvement. We were at Hopkins for 4 days. They did suregery and put a PICC line in on November 24, 2010 so we could go home for Thanksgiving and give Quinton his antibiotic at home. Those two weeks went by and healed the infection. In March he started crawling and his liver levels are excellent! 

 


 

 

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