others may increase and I may decrease ...
That others may be chosen and I set aside ...
That others may be praised and I unnoticed ...
That others may be preferred to me in everything...
On August 14th, we found out Agnes had a tethered spinal cord. At that time, I only knew one other momma who had a baby with a tethered cord. She was a friend I had met only 18 months before, and we had talked at length about her precious daughter and her surgery. Thank you, God.
In Denver, exactly two months later, as we were looking at the MRI scans from her spine, with wide eyes the radiologist said, "Be sure and ask the neurosurgeons the 'right' questions." What were the right questions? "Ask if she will walk," she replied.
If she will walk?!
We met with the neurosurgeon an hour or so later. He spent some time with the scans and then said it was one of the most complicated cases he had ever seen. He explained that the fatty tissue that spinal cords can be tethered to (a normal spinal cord floats free inside the spinal canal. One that is tethered is attached somewhere.) called a lipoma was everywhere. Instead of being contained like most lipomas were, her's was not. In fact, it had punctured the dura and was both in front and behind the spinal cord and covering the sacrum.
He said she may walk. But, he was almost positive he would never be able to fully de-tether her spinal cord. It was too complex, and with complex cases, often greater neurological damage can happen with surgery. But waiting means watching for symptoms (like loss of bladder and bowel control), and when the symptoms arrive, the nerve damage has been done and is irreversible. So, what does one do?
Our first doctor wanted to proceed with surgery at the beginning of 2021.
My pediatrician wanted a second opinion. I didn't think we had much time to wait.
Why? Well, based on the scans and where she was tethered (the lowest possible spot in the sacrum) plus a prominent syrinx on the cord, she shouldn't have been able to move her feet and toes. Yet, she was. I didn't want to lose that.
So, instead of taking her to another doctor, we went with an online opinion...paying a service to gather all of her images and reports and asking one of the top pediatric neurosurgeons in the nation to give us an opinion. The process was to take three weeks. I had an opinion in five days. Thank you God.
The opinion went something like this:
First, it is important to stress that Agnes has a very rare condition. Spinal cord lipomas, themselves, are relatively rare. But Agnes has a constellation of abnormalities that put her into the diagnostic category of LUMBAR (also called PELVIS) syndrome. These include her extensive hemangiomas with ulcerations, anal/urogenital anomalies, sacral dysgenesis, and intraspinal lipoma. In regard to the lipoma, specifically, this is also of a more rare type that could probably fit the recent classification known as a "chaotic" lipoma. The lipoma surrounds the lower end of the spinal cord, including an extension anteriorly (towards the front). The nerve roots are mixed into the lipoma, and it would be very difficult to achieve either a significant resection of the lipoma or a successful untethering of the spinal cord without causing neurologic harm.
It went on to say that sometimes these children can have an intraspinal hemangioma that can be easily missed without a contrast enhanced MRI - if those are cut into, it isn't good. Like my pediatrician said at her birth, if cut, sometimes the bleeding cannot be stopped.
Then, I was so incredibly thankful for the second opinion, as I hadn't thought of doing more damage with surgery - only the potential damage that could come with lack of surgery. Basically there was no clear option. Either way there were many risks.
So, we toyed with the idea of a third opinion. At first I didn't want to wait to get one. But, the Wednesday after the second opinion, I received word of my cancer and knew I would be traveling to Houston for testing and a plan. So, as I was researching pediatric neurosurgeons in Houston, a friend mentioned that her friend was a neurosurgeon and might have an opinion as to who to see. He did. A very emphatic one. If he had a child anywhere in the world who needed to be seen by a neurosurgeon, he would strongly recommend Dr. David Sandberg.
My friend looked him up. We found his email address, and I emailed him, detailing the situation, that evening. Before I woke up the next morning, I had an email from him saying he would like to see her. He reiterated there were considerable risks with postponing or proceeding with surgery, but in seeing her, he could provide direction. He had appointments set up with himself and other members of his team while we were in Houston.
At the appointment, he took a look at her scans, assessed her, and then gave me the varying medical opinions. After all of that, he said, "If she were my daughter, we would do the surgery this Friday." Yet, insurance would take longer. So, we tentatively set a surgery date for December 4th. The then hugged me and said, "I'll take care of your baby girl." At which point I could no longer keep from crying.
We had a decision to make, and it needed to be made quickly.
Whether or not this is accurate, this was the decision in my mind:
1. Wait on surgery and risk losing her bowel and bladder control, and possibly feeling in her lower extremities BUT possibly save her life by not cutting into a hemangioma we couldn't see.
OR
2. Proceed with surgery in order to prevent any more neurological damage YET risk bleeding out. In both decisions, we knew there would be damage one way or another because no one thought she could be fully de-tethered.
Basically, damage would come either way.
We decided to proceed and trust God via the surgeon's hands.
I was able to hold off on chemo in order to at least be there for the day of surgery, so we made plans. If I thought too much about it, which I did, my heart ached...begging God to not "take" our baby girl.
We flew into Houston the day before surgery, had her emergency confirmation via a beautiful, holy priest, and finally, the day of surgery arrived. Before surgery, the neurosurgeon came to speak to us. Jeremy prayed. And, they wheeled her away promising text updates. When I received the one an hour into surgery that said, "surgery is going well" I knew she was okay. At that point I didn't care if they saw that no de-tethering could be done. At least they didn't cut into a hidden hemangioma.
Five hours in we received a text saying surgery was nearing the end and closure would take two hours.
Around the two hour mark, we saw her neurosurgeon walking toward where we were sitting, beaming (we could see it in his eyes, underneath the mask. He said, "I'm so, so happy! We got her fully de-tethered - let's find a room to talk." Praise God!!
We got into a room, he took a seat, dropped his shoulders and said, "Man, that was rough. But we did it." He went on to explain again what a complicated case she was. Once part of the lipoma was removed and the cord de-tethered (he set up sensors over her lower body to monitor nerve function before cutting anything), he discovered that not only was the lipoma puncturing the dura, but that she was actually missing a major piece of dura, bone and muscle. She had/has a type of Spina Bifida. So, closure of that "hole" would be difficult.
To repair the missing dura, he used a bovine pericardium. Then, he dissected nearby muscles to cover the opening and sutured her up.
It all took approximately seven hours.
But it happened. Miraculously (I truly believe), she was fully de-tethered without any of the three incredible neurosurgeons thinking that was possible. On top of that, we see no signs of neurological damage from the surgery right now. And...she made it through surgery.
Early on, no one thought she should have the lower body function that she did based on the scans. But she does. She wasn't supposed to be able to be de-tethered. But she was.
You see, people all over the world were praying for our girl every minute of that day and more. Rosaries were prayed, holy hours made, sufferings offered, prayers said, fasts made and intercessions of saints begged for on behalf of our Agnes.
Yes it was rough. Yes it was one of the most complex cases seen by these wonderful men. But, each one played a part in getting us to Houston, right into the hands of one of the most humble, capable, compassion neurosurgeons I now now.
He did it. He took care of our baby girl.
And so did you.
Agnes is in surgery. Possibly for the next seven hours. Seeing your little baby (or any one you love) being wheeled off is a new kind of ache. Yet, she is in such good hands.
Before I forget (which I'm sure I've already forgotten some of the details), I want to record where God has been in all of this. Suffice it to say...He has been in every detail.
A month after Agnes was born, I received the sweetest email from a "stranger" who had read my blog post about Agnes...about how we didn't know until she was born that she came with some special needs. She, too, had a baby girl a few days later with a similar situation...and unexpected diagnosis. We were no longer strangers.
In fact, in the chain of events that lead to us taking Agnes to a care team in Denver, this new friend's daughter had an appointment the same day...and now, we communicate at least weekly! The day I met her, I got an Instagram message from another "stranger" saying how thankful she was that we met...that my new Denver friend was one of her best friends. Small world. Little did I know at the time how small.
Fast forward to a week later and my cancer diagnosis. Soon we would be heading to Houston (where we were originally planning to take Agnes for care) to undergo testing and develop a plan to attack this cancer.
Agnes and I were in Houston with my sister (until my husband could come trade places with her) because since I was already going, we thought we would get a third opinion from a neurosurgeon here on her spine. While here, a college friend said I should go to Mass near the medical center with a priest she knew and loved. We did. And, we called an Uber to get a ride back to our hotel so that my sister could get ready to fly home. I really wanted to tell the priest hello and that his friend suggested I go to Mass at his parish, but I didn't think I had time. The line to speak to him was a bit long, and the Uber was on his way.
My sister insisted. So, I went to the line and waited. As I was waiting, someone tapped me on the shoulder saying, "Are you Britt?" That person was the same sweet girl who had messaged me on Instagram saying how glad she was that I met one of her best friends in Denver.
She was also the sister-in-law of the wonderful priest, and before we knew it, we were going to their house for dinner the following Tuesday.
At dinner with this amazing couple who so easily opened their hearts and home to our family, they mentioned that their parents/in-laws had a home they liked to use to help people and said we should get in touch.
My first thought was, "absolutely not!" I never wanted to ask anyone to host me...and even if I could bring myself to ask, hosting my entire family would be insane.
A few days later, I received a call from the mother/mother-in-law. She basically told me we would stay with them when we were in Houston (in a very loving way). I told her I could never ask that of her, and her response was, "That's the beauty of it. You didn't." She had a bed for every one of us, and she said they were called to do so. Then, as she was hanging up, she said, "How do you know (this particular family)?" It was the family of one of my favorite priests back home...who also happened to be one of their son's best priest friends.
What is even neater is that none of us were "supposed" to be at that particular Mass. Agnes fell asleep before the Mass we were planning to attend. Our friends never attended that particular Mass time. Yet, we were there, together.
And, now, here I sit a month later, having been driven to the hospital via our new family away from home.
Other things: when I found out the cancer trial I was a candidate for (which would have been a much shorter/less invasive plan as a whole) was no longer an option (and after I had gotten really excited about it), I took a walk. On that walk ,in a pile of rocks, was a painted rock with the word, "trust."
At one point during my Houston stay, I didn't think I'd made it back in time for Genevieve and Lucy's birthdays. Of course, so many sweet people were determined to make it special. I did arrive home the afternoon of Gen's birthday. But, I had one more oncology appointment the next day before going home home.
When we did, they had the cutest cakes, a house full of unicorn decorations, Chicago pizzas and so many extras from sweet friends. After all of that, as we were getting ready for bed, Gen excitedly said, "Oh I can't wait for my birthday party!" Confused, I told her we just had her birthday party. She immediately started bawling (Gen's style). When I asked her what was wrong, she said, "It's not a party without a piñata."
Had I ordered a piñata? No. Did I tell her one was coming to make her stop crying? Yes. Was it a lie? I thought so.
Until the mail came the next day. A piñata!
Not knowing anything about this, a Florida friend had sent Genevieve a piñata of all things!
So, as Carter said when we found out about all of Agnes' needs, "We drink from the cup He gives us, and not a hair falls from our head that He doesn't know about." He's right.
In fact, not only does He care about our community, shelter, friendships, support and everything else we have been given...He cares about the piñatas in our life, too.
I just watched that movie. Sitting here in my hotel room, attached to MD Anderson, alone. And, while I wouldn't recommend that movie to just anyone without strong caveats, strong caveats, it has a profound message, and one which deepens one's empathy. And, in that setting, I write.
So, I have to back up. To a month ago. To this...
...sitting for family photos knowing I had a mammogram in two days that very few knew about. Knowing that this might be our last "normal" photo for awhile.
I was afraid. Always. With every new pregnancy, there would be moments in that first trimester that I would worry myself sick about the possibility of something being "wrong" with the baby.*
*Before I go any further, I am not well-versed in this nomenclature, and I'm sure I'll say the wrong thing unknowingly, but I never mean to offend.
I would anxiously await the genetic testing or anatomy scan and breathe a huge sign of relief when everything came back clear. Although I know God doesn't work this way, I would think to myself, "We've had four (or five or six) healthy babies...when will my luck run out?
Typing all of this out humiliates me. It wasn't that I didn't love those around me with special needs. It was that I didn't think I could handle it. It was fine for my neighbor, or that beautiful woman of faith who had a special needs child (or five!), but I wasn't that strong.
Then, we found out at twenty-three weeks that Agnes had a two-vessel cord...which meant next to nothing. She could have health issues, or she could be completely fine. Since her genetic testing was normal, I didn't give it much more thought. She was "good."
Then the nursery nurse's words, "Umm, just so you're not alarmed when you change her, she doesn't look quite normal...and she has a big bruise down her leg."
Needless to say, a million questions ran through my mind -- I hadn't even been able to completely see her as I was hemorrhaging. Would we be able to announce we really had an Agnes? Was she okay? What about the bruising?
As we learned more those two days, and the doctors threw out the name of a syndrome to attach to her health issues, the questions and unknowns weighed heavily on us. What would she go through? What crosses would she have to carry? Would she grow and develop normally? Would she be in pain? Those thoughts made me ache for her.
I wanted to fix it all. I wanted to take her pain. I wanted to carry her crosses.
But...in those early moments, was it anything like I thought it would be...the things I was afraid of? No. Not at all. In fact, the love for her was fierce...deeper than I knew I had in me...more life-giving than I could imagine.
And, that's when I realized the birth of a child with special needs wasn't a curse. Instead, it was a tremendous gift. God chose us. He gave Agnes to us. And, while I don't for a minute believe God causes pain or punishes us with trials, I do believe He uses them to bring us closer to Him. And, that He has already.
I was asked if I did anything during pregnancy to cause this. And, while I can't honestly say I haven't thought of that, the very next day a man I didn't even know shared the story of the blind man in the gospels...the one in which His disciples asked if he or his parents had sinned to cause this, and to which Jesus replied: "Neither he nor his parents sinned; it is so that the works of God might be made visible through him."
It is so the works of God might be made visible through Agnes.
Later that week, I was listening to a podcast from Father Mike Schmitz...and he said this:
The best is going to be the cross...for me and for you. The best is going to be denying this part of me who wants to run away and say yes to the Father’s will...for me and for you.Love demands sacrifice.
My tendency as a mother is to want to take this pain and "being different" away from Agnes. But, in doing so, I would rob her of the opportunity to use her crosses to bring others closer to Him. And, to do that would be to play God.
So, instead, these last five weeks, we have said so many prayers...begging for healing and understanding...asking God to show us how best to care for Agnes and how to lighten her burden...all the while praying we use what He has given her and us to bring greater glory to Him.
Agnes may never receive the miracle of full healing, but there are miracles happening all around us...in the prayers offered, the the mindsets changed, in the finding of excellent medical care, and in the humbling of her mother.
The diagnosis I used to run from in fear is the one I'm thanking God for now. I'm so humbled and honored that God chose us to be Agnes's parents. I just pray I'm worthy of such a gift.
I didn't want a child with special needs. I needed one.
She is how He desires. And, that, is perfect.
Hearing that Agnes had health issues the day she was born (and learning every hour that they were more complicated than originally thought) was heart-wrenching.
In one breath, I knew we could handle whatever God laid before us with our precious baby girl. In another, I couldn't stop the tears thinking of the future she would have and the crosses she would carry. I wanted to take those crosses from her (and many times I still want that). I wanted her to be "normal" - I didn't want to worry what this might mean for her and what it could mean for our family. I knew next to nothing about what was in store (and still don't), and that was maybe the most difficult part. The unknown...the waiting...seems to always be the most difficult.
We came home from the hospital both physically and mentally drained. Where would we go from here? When would a team of specialists call and let us know they could see her? What would we tell the other kids? How would our lives change?
As we waited to hear the next steps, we decided to tell the older kids about Agnes, knowing some of her health issues were visible to them and that we would be away from home from time to time seeing her doctors. When we told them, there were many questions, tears and uncertainty. Then our oldest, Carter, looked at Jeremy and said, "We drink from the cup God gives us, and there's not a hair that falls from our heads that He doesn't know about." Praise God for the affirmation through the mouth of a little one. That was the beginning of the revelation of so many affirmations in the last four weeks.
When we were worried about genetic issues, I remembered a question I asked a close friend-now-pediatrician ten years ago that prepared me for that moment at birth. When we discovered she had a tethered spinal cord, I then realized why I met my wonderful friend Amy two years ago...whose daughter is on the other end of surgery for her tethered spinal cord. Each new day brought many "signs" of God's presence always. Some more distinct than others.
I, of course, arrived home and promised myself I wouldn't google any of her conditions until I heard from doctors. But, I read as many medical journal articles as I could get my hands on and joined a Facebook group for parents of LUMBAR kiddos. One specific journal article my pediatrician gave me to read. It was full of information and studied a case that looked eerily similar to Agnes's. The week I read that article, a friend and former roommate of mine in Houston had an appointment at Texas Children's for her daughter. She saw a new-to-her doctor that day in the department of hematology, and she casually talked to her about Agnes. The doctor gave my friend a chart about LUMBAR to send me. I looked at it and realized I had seen it before. It was in the article from my pediatrician. This new doctor for my friend was the author of the journal!
I immediately emailed her asking for advice on Agnes. Within 24 hours, this specialist emailed me with the compassion and kindness I prayed for, plus an eagerness to help. She was so open and wonderful and said they would love to see Agnes in Houston. We went back and forth and finally got an appointment scheduled with her and a dermatologist who wrote the article with her.
In the meantime, I was looking for a saint to develop more of a devotion to specifically to ask for healing of Agnes. At this point my mind is on overload and I'm obsessed with finding the "perfect" and most "powerful" saint. Knowing how silly I was being, I still worried and decided to ask intercession from as many as I could think of. Her namesakes of course (Agnes, Mother Teresa and Mary Magdalene). Then, we almost named her Philomena, so her. Then, St. Therese because I love her. Saint Gemma patron of back issues. Alfonsus Liguori for the same reason. Then, Blessed Chiara Badano - as she's a blessed and may need a miracle. (If you don't understand the asking of prayers from saints, think of it as asking your friends for prayers. They don't answer them...they just pray for you, too. And, the saints are in Heaven with Jesus, so why not ask them to ask Him for you, all the while praying to Jesus yourself...the more the merrier).
My sister organized a novena to Blessed Chiara. In the meantime, a priest was visiting my parents and offered to celebrate a private Mass for our family. My parents brought over a saint statue for him to bless for Bell Road Beef, too. Well, they walked into our house, showed us the saint, and said they were sent the wrong one, but it would still be good to get it blessed. They thought it was Saint Cecilia. We still had it blessed because it happened to be the name of this priest's parish!
The next morning I was sitting at the table drinking coffee, and I took a closer look at the saint statue. She didn't have a harp or musical instrument like Saint Cecilia usually does, so I Googled "what saint is typically depicted with an arrow and an anchor."
Saint Philomena.
Then I discovered Saint Philomena is the patron of infants and babies, was born and died in the same years saint Agnes did (how neat if they were friends!), were both 13 at death, and both died as martyrs for their faith. Wow. I think that "wrong" saint chose us.
The same priest came back through town on the day we were finishing our novena and gave to Agnes holy oil he had from the tomb of Saint Philomena seven years ago! He said he went there on his first pilgrimage as a seminarian and bought the oil not knowing what he needed it for, but that God always revealed that to him, and seven years later, he knew Agnes needed it.
Fast forward to the next week when my friend was taking her girl back to Texas Children's to hopefully get a diagnosis for her blood disease. She texted that morning asking for a saint to intercede for her. I looked up the saint of blood disorders...Saint Philomena!
As she was driving to the hospital she saw a tiny Catholic bookstore and called to see if they had a medal of Saint Philomena. She was on speaker phone and the lady said they've never had anything of Saint Philomena, and just as she said it, the other owner in the background yelled that a lady had just brought in a medal of Saint Philomena giving it to them saying maybe someone could use it.
These saints are powerful, I tell you.
Then on Tuesday, Houston called to ask if we would rather get Agnes seen sooner...in Colorado the very next day. I've had some struggles with that...just in my mind thinking Houston must be the best for Agnes since those two doctors are there, but they work with the team in Colorado and I have to believe wouldn't refer us there unless they were very confident as well. So, to Colorado we went. I was a little sad, too, that I wouldn't know as many people in Colorado if we needed anything. Yet God came through again, reminding me of a family we met 18 months ago who stopped by our house on the way to OK. And, my instagram messages went nuts with offers to help from Colorado people. God is good.
All throughout the past four weeks, I've had so many reach out with prayers, offers to help, stories, and connections. I've discovered why certain things in the past happened...in order to prepare us for such a time as this.
Is God "punishing" us with a sick kid? No. Does he allow these situations for a greater good? Absolutely. And is He with us every step of the way, giving us the grace to handle each day? YES! Truly, I feel so blessed to be Agnes's mom, and she has already deepened our faith as a family. I have a feeling that big things are in store for her, and us...but more on that in another post.
It been a long time since I've blogged, but what better way to jump back in (even if maybe just for a day) with this one...
At my 37 week appointment, due to the polyhydramnios and two-vessel cord, we decided to induce the following Wednesday when I was 38 weeks.