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Breathe for Olivia

  • Frustration is setting in.....

      30 April 2015

    I’ve come to realise that expectation feeds frustration…..its an unhealthy attachment to an outcome I wish I could control….but can’t. I feel like I’m waiting for something that isn’t going to happen & the uncertainty of it is probably one of the most stressful feelings. I’m going to assume you can read through that trifle you just read and understand that once again Olivia’s surgery has been deferred. We’re on “standby”…..I would argue we’ve been on standby for the last 4 weeks. Note to self: stop expecting

    It makes no difference to the kids at this point, but for me the lack of sleep the night before I’m expecting a phone call to confirm it all can lead to some anxious moments.

    I focus on why I started this journey for Olivia’s wellbeing and count my blessings.

    As someone said to me today…..”time to let that Mama Bear out again”…..true that

    If I can pass on any advice, it would be stick to your guns, fight for what you believe in & trust your instincts.

    Karen, Olivia & Xavier

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  • Olivia's Journey.......stalled again!

      15 April 2015
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    Its like dejavu......the familiar number came up on my screen again today. Again my stomach flip flopped. I was more mentally prepared this time so was expecting a rush of acceptance that this weekend we'd be flying out to Auckland.

    Alas with so many acute cases coming in since Easter we've been bumped again.......until 4th May. The Surgeon who is carrying out the procedure is off to Seattle next week to carry out other surgeries over there. She doesn't want to delegate Olivia's surgery to anyone else. That comforts me knowing that the best in New Zealand wants to do the surgery herself.

    So Olivia gets to go back to school for a couple of weeks, gets to spend more time with her friends & ultimately focus on keeping well. Olivia seems far more interested in her first ever wobbly tooth, which is just fine by me!

    Until the next time that number appears on my phone, enjoy the sun while you can

    Love Karen, Olivia & Xavier

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  • Olivia's Journey -The road has stalled momentarily

      8 April 2015
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    There is a phone number that comes up on my work phone display that is becoming familiar. It rang today. I felt that same flip flop I did when Olivia's surgery date was earmarked.

    Due to an influx of emergency surgery over the Easter long weekend, Olivia's surgery has been bumped. I felt several things.....happy because I realised I wasn't emotionally ready for the surgery. Deflated because of the delay but also glad that we have specialists who can help babies/children in dire need at such short notice.

    Fortunately we've only been bumped a week, but final confirmation won't be until Wed/Thursday of next week. I'm a last year kinda gal.....patience is not my forte but it is what it is. I haven't sleep well the last few nights, worrying about Olivia's future. We'll get a slight reprieve instead.

    Until next week....hug those that are dear to you

    Karen, Olivia & Xavier

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  • The Road is speeding up...eeekkkk

      30 March 2015
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    Today started like any other Monday…..a bit ho hum after a fantastic weekend with friends and family. I like Mondays, it always feels like a fresh start at work and if it falls when I don’t have the kids, its a day closer to having them back again.

    Two things happened today….I got a phone call and I cried. For those that know me, I’m pretty good at containing myself but a combination of other factors meant today I couldn’t. I might’ve even given my colleague a bit of a fright (I think the polly filler I’d applied earlier had all but slipped off!)

    The phone call had two sides to it…..the first being a tentative date for surgery (major yay) and secondly being a tentative date for surgery (OMG its real !!). Amazing how you can flip flop between emotions. At this stage we could be looking at the 13th or 14th of April (eekkkk 2 weeks away) but I won’t know for sure until later this week. It means I can finally co-ordinate care for Xavier and work out with my ex-husband the logistics of who goes where & when. Mostly it means making the most of the next 2 weeks with Olivia.

    Olivia had her last assembly for this term today and she was due to speak (proud Mama moment). From the moment I got there she grinned, waved, danced and looked so happy. Its at those times you wonder if there has been a misdiagnosis. Alas, my stomach drops thinking of what could be happening in two weeks time.

    I’ve received some amazing messages of support even from people I don’t even know. No matter how much or how little you give, whether it be your time, your ear, your friendship or your donation, its appreciated beyond measure. Feeling eternally grateful & looking to pay it forward when I can.

    Karen, Olivia & Xavier

    xo

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  • Olivia's Journey - The road begins....

      23 March 2015
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    I’d sat both Olivia and Xavier down two days prior to explain what was happening on Wednesday 11th March. I was sad as I had to return Xavier to his Dad a day earlier than normal but he put it into “kid perspective” pretty quick….thinking there may be some lolly treats in it for him. Olivia’s first question was whether we’d get to see Uncle Warren, seemingly carefree of the actual reason for going to Auckland.

    I was anticipating some nerves when I woke on Wednesday about 3 hours before I needed to but wasn't expecting the blank accepting numbness that I felt instead. Olivia was typically excited and like a seasoned traveller marched around the airport while waiting to fly out. She kept everyone entertained with her constant chatter and giggles as the plane took of and landed. Thankfully, as I didn’t have a conversation in me at all….the joys of being a 6 year old!

    We were met at Starship by Uncle Warren & Lhorna who had come in to have some lunch with us. It was lovely to see some family support and be given a hug when I needed one. All too soon we were called in to see the Chief of Cardiothorasic surgery.

    I was thankful when Dr Finucane made a connection with Olivia first, it left me in no doubt that we weren’t just a “case” or “number” and that she saw Olivia as a person. The head nurse did the obligatory observations, blood pressure, oxygen saturation levels, ecg etc, before we took Olivia off to meet the play therapists in the play room. Dr Finucane and I returned to her office to talk about “what next”. That’s when that blank accepting numbness turned into nerves.

    It was relief that Dr Finucane had been in touch with the specialists at Great Ormand Street Hospital in London (Thanks again Mike & Tiina Thornton!!!!) and after exchanging case studies and opinions, the Starship team have come to the same conclusion as the board of specialists at Great Ormand Street Hospital. It was an even bigger relief to get an apology from Dr Finucane. Dr Finucane felt that a lack of understanding of Olivia’s symptoms and misinterpretation of facts between the various departments involved in her care meant what was relayed back to me was not a fully informed opinion. I felt vindicated that I’d pushed for more advice, albeit outside of New Zealand.

    So on that note, Olivia needs a pneunomectomy (lung removal) with some heart remediation as well. She is listed as Priority 1 which means they could be doing her surgery within a month & preferably before winter. Olivia’s heart has shifted so instead of it being slightly to the left of your chest hers is more central. The removal of the right lung could cause her heart to shift further & twist. If this happens post surgery they will insert a prosthetic in place. They are reluctant to insert a foreign object so soon after removal as her body may reject it. And as we know with the horror leaky breast implants of the 80’s, the thought of something like that happening is abhorrent. The less trauma to her the better!

    For now we wait…..Dr Finucane has to relate all this information to Olivia’s dad in the hope that he agrees this is necessary. So until then, I sit, I wait and try and keep Olivia well in the mean time. Olivia knows she has a lung that’s “not good” and in the shuttle back to the airport she asked me what was going to happen to it. I was as honest as I could, telling her the doctors wanted to take that bad lung out which will make her feel much better. She simply replied “ok”. How simple things are at that age.

    Last night, mentally and emotionally drained, I couldn’t switch my brain off, so much running through my head & heart. I must have stared at the ugly bedroom chandelier (don’t ask) for about 6 hours. I couldn’t face work today, I woke feeling sick, tired & drained. Work has been my saviour for the last year, I’m grateful for my Area Team, especially my boss Dave Berry (Area Commander) and Jim Ryeburn at the New Zealand Fire Service. Without their support, I can’t imagine being able to do work justice and still do what I do to be a good Mum

    So along with Mum, Dad, Joella, Tom, Mike & Tiina, Uncle Warren & Lhorna, NZFS and all the other well-wishers, I can’t thank you enough for the support so far.

    Next stage.......coming soon

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  • Olivia's Journey Begins

      23 March 2015
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    Xavier was always supposed to be the one I worried about….he was the one born in Starship Hospital with a prenatal diagnosed heart defect….he was the one who spent time in NICU and came home from Auckland on a DHB plane with specialist nurses in tow……he was the one who suffered hypoglycaemic “comas”….and yet today he’s the one I worry the least about. Hindsight is a luxury and I wish I had that when Olivia was first born. Being my first child, I trusted in those around me to ensure she was okay when she finally came into the world. Olivia lost 1 pound of weight in the last month of my pregnancy, my placenta had given up providing the very nutrients she needed. I distinctly recall the midwife saying “she looks like a skinned rabbit” when she arrived after a 40 minute labour. Some weeks later the midwife confessed that it was touch and go as to whether Olivia should’ve gone to NICU but there were no beds available at the time. She didn’t want to tell me that at the time so as to not worry me. I wish she had.

    Each winter in Olivia’s first 5 years she endured countless chest/lung infections, bronchitis, projectile vomiting and pneumonia. The doctors put it down to asthma and she was given inhalers, antibiotics and steroids to combat symptoms. It wasn’t until Christmas 2013 when Olivia got suspected Glandular fever and 4 bouts of pneumonia in the space of 4 months that I sought further investigation. Olivia had countless chest X-rays which all depicted her right lung had the signs of pneumonia & significant scarring from repeated infections. She has never had a normal looking X-Ray. She endured cystic fibrosis and genetic testing and countless blood tests. We were blessed with a wonderful play therapist who helped Olivia through her multitude of tests. Diane was worth her weight in gold, Olivia immediately connected and trusted Diane who made the trauma of needles & procedures so much less stressful for everyone. I continued to put pressure on the specialists to keep investigating which led to a CT scan and echocardiogram….this confirmed a parents worse nightmare. I will never forget holding Olivia’s hand while she lay in the CT scanner, looking peacefully asleep under anaesthetic and watching more and more doctors come into the room and crowd around the monitors. Lots of arms were crossed and chins were being scratched. I knew instantly something untoward had been found but didn’t expect what they told me.

    Outwardly Olivia is a beautiful, happy, healthy looking “normal” 6 year old girl……its the complexities inside that staggered us all. In a nutshell, Olivia has a complete absence of her right pulmonary venous drain to the left atrium of her heart, the main function of which is to receive oxygenated blood from the lungs and drain into the left atrium of the heart. With no venous drain this process doesn’t happen. Her right pulmonary artery is also hypoplastic resulting in the incomplete development of her right lung. Her right lung is 1/2 the size it should be. This strong willed little girl has survived on only one lung since birth. She’s a true fighter in body, mind & spirit.

    I started researching as much as I could to try and understand her diagnosis and what it meant for her future. I was astounded to find out she is 1 of 29 in the world to have this particular type of defect. I was crushed to find out it was a rarely described entity. Specialists here in Christchurch suggested we monitor her and when she presents with haemoptysis (coughing up blood) they will review her again. My “mama bear” instincts kicked in and I reached out to people who could help. I didn’t want to watch my beautiful girl suffer in the future. I was surprised & humbled by those who joined in our journey. An old primary school friend and his wife facilitated a review of Olivia’s files at Great Ormand Street Hospital in London. A board of top surgeons/specialists reviewed Olivia’s medical records and scans. I felt so humbled that people were prepared to be in our corner and help us move forward. It resulted in several emails and definitive plan of what would be recommended to ensure any future infections did not affect her good lung & heart function. I took the feedback to the specialists here in Christchurch who in turn presented this to the cardiothorasic head of surgery at Starship Hospital. I had asked that Starship be given her files to review sometime earlier but until I had the support of specialists in UK, they either did not feel the need to review her files OR just hadn’t got around to it. I’m just relieved they’ve finally agreed to enter into discussion regarding Olivia. We have an appointment on 11 March in Auckland to discuss the findings of the UK consultants and what the Starship team can offer. This is what I wanted……however now it seems more real and its only going to get more real as time moves on.

    The UK consultants have recommended her right lung be removed completely and be replaced with a prosthetic lung (non functioning). The prosthetic will ensure that her chest wall and spine don’t get malformed due to the space the removal of the lung will leave. The operation in itself is a mammoth undertaking and having to go to London to have it carried out has several complications in itself. Not only are we looking at travel, accommodation and surgery costs. We would have to stay in London for at least 1 month after surgery before being able to come home. I’m hopeful the consultants at Starship can work alongside the consultants at Great Ormand Street to get the same result here. Not only is it a emotional and financial nightmare, we won’t have our close support network near us.

    Olivia’s journey has only just begun…..until the next instalment, take care of those that you love and whom love you

    Karen, Olivia & Xavier

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