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Jessica's Story
written by mom Carol |
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Jessy was born to us as a blue baby! She spent 3 days in neonatal ICU
with the diagnosis of transitional stress syndrome. Until October of 1998 we
thought we had a healthy little girl with the exception of "activity induced
asthma". Jessy loved to run and play as does every child but she would
quickly become short of breath and her lips and fingernails would turn blue.
On the morning of October 23rd, 1998 she woke up very early and appeared to
be having a full blown asthma attack and was taken to our local hospital.
Within hours she was transferred to a Children's Hospital in upstate NY. Her
oxygen levels were critically low and even with 100% pure oxygen, they were
not responding. By Saturday morning a decision was made to place her on a
ventilator.
The doctors did some tests and found that Jessy has a 9mm Ventricular Septal
Defect (hole between the two lower chambers of her heart) and that because
she had been living this way for a full 6 years she had acquired
irreversible Secondary Pulmonary Hypertension. Even trials of a gas called
Nitric Oxide which is not FDA approved and used in cases of "compassionate
care" would not lower the pressure in her lungs. Because her blood flow
through the heart and lungs was abnormal, her body had done its best to
compensate for this.
After 6 days, she was weaned off the ventilator. Her oxygen levels at this
time were 87-88 % on three liters of oxygen. Normal for most people is
98-100 % without oxygen. At this time, the doctors could not close the hole
in her heart due to the damage to her lungs. The only possible way to
correct this is for her to have a double lung transplant and closure of the
hole at the same time.
In July of 1999, after being seen by doctors at Children’s Hospital in St.
Louis, we were given 3 options:
1) we could do nothing and she might live to be a teen.
2) we could do a double lung transplant and repair the defect in her heart,
which would open up a whole new spectrum of possible complications and the 5
year post transplant survival rate is 50%.
3) we could try to delay the progression of the illness with a continuous
infusion of a medicine with a pump through a permanently placed catheter in
her chest to help to dilate her blood vessels.
We choose option 3.
By 2004, Jessica had been on her continuous infusion for 5 years and those
five years had for the most part included many hospitalizations, mainly
related to infections in the catheter in her chest which required it to be
replaced several times. When she was home, she did pretty well, was able to
go to school and do what she liked best, socialize…LOL! Her cardiac
catheterization was showing that her pulmonary pressures were slowly
beginning to increase and that we needed to seek out interventions regarding
her medicines from a specialist.
In November 2004, Jessica was being followed by Dr. Jim White who
specializes in pulmonary hypertension and has an office within an hour of
our home…per his recommendation Jess was transitioned to a newer form of the
same medicine she was on. There were many advantages to this... she no
longer needed a catheter in her chest, so no more worries about infections.
This medicine was also a continuous infusion, but it infused through a tiny
needle into her abdomen, the pump for it is about the size of a cell phone
whereas the old pump she had to carry weighed about 5 lbs. Jess was able to
go to school more frequently, and more importantly, because this medicine is
less complicated and more stable, she was able to do more social activities
without her dad or I needing to be right there with her at all times. That
year, for the first time ever, she has gone to friends parties, school
dances, and spent the night at friends houses.
In 2006, Jess did very well with her new medicine regime and her most recent
cardiac catheterization showed that she was maintaining well. She was able
to go to school much more frequently and even gone to some after school
activities. She had a very active social life and loved to spend time either
on the phone or computer chatting with her friends.
In 2007, Jess continued to do well with her current medicines. She loved the
freedom and the ability to be more socially active. Her favorite things to
do included going to the park, going to the mall, and going to school dances
with her friends. Since July 30th, Jess has had some tragedy to deal with,
one of her favorite cousins died as the result of a small farm tractor
accident. He was 23 and very much a “big brother” to Jess. He also was a
good father to his little girls. Jess loved to spend as much time as she
could with the girls and loved to take pictures of them, I think it helped
her to deal with her grief.
2008, for the most part, had been another fairly uncomplicated year for
Jess. She had also become very good at her latest “hobby”. She loved to take
pictures with her digital camera and had taken some really nice scenery
shots. Her favorite things to photograph though were her friends and her
cousins babies. Jess enjoyed spending time with her little 2nd cousins.
But on November 26th, 2008, Jess was admitted to the hospital after being
taken to the emergency room due to severe abdominal and back pain. A
CAT-scan showed her pain was due to internal bleeding which formed a large
sac of blood surrounding her right kidney. We had no knowledge of any injury
that led to this, however, she had been on blood thinners because of her
heart defect since she was diagnosed in 1998. Because of the risk of further
bleeding, she was transfused with 4 units of FFP (Fresh Frozen Plasma, a
blood product) and given Vitamin K to counteract the effects of the blood
thinner she had been on. Jess was discharged home on December 5th, and at
that time there was no sign of any further bleeding and she just needed to
limit her activity.
During the month of December 2008, Jess spent most of her time on the phone
and computer talking with her friends and had been on large doses of pain
medicine to control the pain caused by the blood surrounding her kidney.
Some of her friends even stopped in to visit and brighten her spirits.
Sadly, on December 25th, 2008 at 12:06am, as a result of complications
related to her illness and her medications, Jessica went to Heaven to
receive her halo and wings and become our “Christmas Angel“. While she had
recently had some medical issues, her passing was totally unexpected.
I thank our Heavenly father that her passing was quick and peaceful, she was
not in any pain nor did she cry or show any signs of fear. As her dad said,
we helped her when she came into the world and we helped her to leave.
Jessica was a spirited, compassionate, and loving young lady and she touched
many lives with her outgoing and cheerful personality as was attested to by
the attendance of over 400 friends and family at her funeral service. I pray
that God gives our family the strength to cherish her memory with love and
that He will lovingly watch over her until the day that we can be reunited
with her in Heaven.