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Little Miracles
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Since 1912
Children's Hospital & Research Center has
been providing specialized healthcare for
the children of Northern California. This
outstanding medical center has performed
"Little Miracles" on thousands of children
from all backgrounds.
Here are some stories
of our "Little Miracles": |
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Ciara Chow |
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It
was October 2000, Ciara was six months old
and had been a perfectly healthy baby girl -
up until then. One day she woke up with a
104 + fever that Tylenol or Motrin wouldn't
lower, a transient rash on her tummy,
swollen pink hands and bloodshot eyes.
During that day she vomited several times
and refused her bottle. That night, upon her
arrival at the emergency room at a local
regional hospital, several diagnosis from
meningitis to the flu were discussed. They
admitted Ciara that night, kept her for 4
days, hydrated her and ran a myriad of
tests. On the last day of her stay there,
her fever finally began to decline somewhat
and her physical symptoms began to slowly
disappear. Clinically she looked worse
according to her daily lab work.
Our pediatricians and the hospital could not
figure it out. So, she was discharged to go
home but continued to have daily blood
tests, which began to indicate a consistent
rising platelet count. She was seen by a
pediatric oncologist at the regional
hospital who speculated it could be
leukemia, spinal column tumors or juvenile
rheumatoid arthritis - none of which he
seemed to have much conviction in. It was a
mystery to them and they said it could very
well just be a strange virus that seemed to
be going away on its own.
On the 9th day of her illness, at home,
Ciara continued to be lethargic, ran a
low-grade fever of 102. I frantically
researched her symptoms on the internet and
it became very apparent that her daily
increasing platelet count could cause an
aneurysm or perhaps even a stroke. At one
point Ciara's platelet count was three times
the normal level.
My research into her symptoms pointed to
something called "Kawasaki Disease". The
online information said this required an
echocardiogram to evaluate the child’s heart
and then gamma globulin therapy had to be
administered before the 10th day from the
onset of the fever to prevent permanent
heart damage. I learned that in our area,
the only place for a child to receive an
echocardiogram was Children’s Hospital
Oakland.
We drove Ciara straight to Children's
Hospital where the echocardiogram
immediately determined it was Kawasaki's
Disease. We were within 12 hours of the
timeframe they could administer the gamma
globulin to save Ciara's heart. Dr. Saba,
Ciara's cardiologist at Children's Hospital,
was simply wonderful. I believe he and the
staff at Children's Hospital kept our
daughter's heart as lovely and perfect as it
was before and continues to be. Since our
initial stay at Children’s Hospital, Ciara
has had a few follow-up visits with Dr.
Saba. Her heart was not damaged thanks to
their quick and decisive action. Ciara is
able to run, and jump and play as if she had
never had Kawasaki's Disease. We will be
forever grateful to Children’s Hospital for
making this possible. |
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Cali
Brownstein |
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Until my daughter Cali was born, I had not
really given much thought as to what goes on
every day in a hospital. And by that I mean
not really appreciated the hard work and
dedication of doctors and nurses that save
lives and try to make things better every
day. But now I had a newborn with some
serious health issues and that forced me to
face a scarier side of life.
Cali was born with a heart defect called
coarctation of the aorta. In simple terms,
she had a kink in her aorta that was
obstructing blood flow to her lower body.
It can be compared to an older person with a
clogged artery. As time goes by and if left
untreated, the situation worsens and the
results can be disastrous.
We found out about this defect during an
ultrasound when I was halfway through my
pregnancy. What’s amazing is the technology
that allows us to find problems and address
them much earlier. At the time of the
ultrasound, Cali's aorta was smaller than
the prong of a fork and they had to look
through my body to look through hers.
But technology has its limits. Though the
ultrasound picked up the heart defect, there
were other defects that weren’t apparent
until after Cali’s birth. In the delivery
room, the nurses showed her to me briefly
before they took her away to intensive
care. She looked so tiny; she only weighed
four pounds.
While I was recovering from my c-section, my
husband Paul came in with Polaroids and a
huge smile. “Isn’t she beautiful?” He
showed me the pictures. I couldn’t believe
it. Cali was so bruised and swollen, it
looked as if she had been in a boxing
match. A geneticist was brought in to
consult on some of the doctors’ concerns
about Cali. “Her muscle tone is not good,”
she said. “It’s low, floppy. If you hold
her up she’ll hang like a rag dog. We’ll do
some tests.” The tests the geneticist ran
came back normal. They didn’t know what
Cali had, but clearly something was wrong.
When she was three weeks old, she finally
opened her eyes for the first time. She
couldn’t open them all the way; they were
tiny slits. “She has ptosis of the eyes,”
the geneticist told us, “droopy eyelids.”
Another thing to be corrected surgically.
We took Cali to a neurologist when she was
three months old. He said all her
abnormalities – the heart defect, the ptosis
of the eyes, the low tone – all suggested a
genetic syndrome, although he didn’t have a
name for it. The low tone worried me the
most. She just didn’t move much and she
never vocalized or made cooing sounds like
other babies her age. I once went to get
her from a nap and noticed she had edged
sideways. I called my mother-in-law in to
see. “Look! She moved!” It was the first
time she had changed position in her crib.
She was four months old.
By the time Cali was five months old, we had
moved to California and were lining up new
doctors and preparing for heart surgery.
Cali’s new cardiologist, neurologist,
geneticist and surgeon were all at
Children’s Hospital Oakland. We first met
Cali’s heart surgeon about a week before her
surgery. He addressed all of our concerns,
was confident and had a good bedside manner,
a nice change from most of the doctors we
had encountered in New York.
The surgery went perfectly and we went to
see Cali in the recovery room. It was a
little overwhelming with doctors, nurses and
residents all coming over to read her chart
and check on her. But the flip side to that
was that there was a very concerned staff
totally devoted to our child, and to all the
other kids in the intensive care unit as
well. That’s probably the biggest thing
that stands out in our minds about our
experience at CHO. Everyone we encountered,
from doctors to nurses to support staff to
the volunteer who knitted us a baby blanket,
was on board and gave us a comfort level
that made going through something like this
as easy as can be expected under the
circumstances.
So by the time Cali’s eye surgery rolled
around, we were definitely more comfortable
with the whole process and being at
Children’s Hospital Oakland. As they did
before, the hospital gave us a tour of where
we needed to be on the day of surgery and
gave us a demonstration on a baby doll so we
knew what to expect while Cali was in
surgery. Thankfully, this operation also
went without a hitch. When we got home
later that night we were thrilled to see
that Cali’s eyes, once only slits, were now
open enough so that she would no longer have
to tilt her head back to see. And the very
next day, she started babbling for the first
time. She was eleven months old.
After going through what we did that first
year, it made me appreciate how fortunate we
are to have a hospital devoted to children
with incredible doctors and nurses right
here in our back yard. So when I found out
about the Rowan gala that benefits the
hospital, I was thrilled to go and lend
support.
Cali is now a first grader who is reading
and writing and learning and playing right
along with her peers. That scary first year
is a distant memory. As our wonderful
neurologist at CHO advised us, “Don’t put
limits on these kids and you’ll be amazed at
how far they’ll go.” |
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Lindsay
Keller |
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Lindsay
Keller was a very healthy 5 year-old girl.
She had no symptoms of any sickness but at
her annual well child check up tests had
come back with some abnormalities. She had
an unusually high number of red blood cells
in her urine. After rechecking her urine
several times we were referred to Dr.
Bothelo, a nephrologist at Children's
Hospital Oakland.
We found the care at Children's Hospital to
be amazing; from the check in receptionist,
to the nuclear medicine technician who had
the daunting task of talking Lindsay into
taking radioactive medicine, to the warm and
gentle doctor and staff. Throughout the
entire process of diagnosis and treatment,
Lindsay was never intimidated. We always
felt that she was in the best hands
possible.
It turned out that Lindsay has a rare
genetic abnormality called "familial
hematuria". This means that because of her
DNA, she will always urinate blood. There
are no health ramifications from this
condition; she just needs to get checked
yearly. Whew! We are so thankful to
Children’s Hospital Oakland and the
wonderful care and caring they provided for
my daughter and our family. |
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Gregory
Warrington |
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My
nephew, Gregory, was born in 2000 with
multiple skeletal deformities and internal
problems. Within hours of being born to my
sister, Carol, Gregory became a life-long
patient of Children's Hospital Oakland. He
underwent several life-saving surgeries
during the first few weeks of his life and
endured approximately 20 more procedures and
operations in the following years to come.
His medical and nursing team includes
specialties from head-to-toe;
gastrointestinal, neurosurgical, cardiology,
orthopedics, urology, Nephrology,
Rehabilitation, Pulmonology, critical care,
emergency, and pastoral care. It is because
of these Children's Hospital experts that
Gregory has sustained a normal, happy, and
active life. He is now in kindergarten,
walking with crutches, and living the life
of a 5-year old. Thank you Children's
Hospital Oakland! |
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Oliver
Northing |
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Our
second child, Oliver was born on November
15th 2002, a full-term 8lb baby. When
Oliver was seven days old things started to
change. He became sleepy and lethargic
during the day and by 1 a.m., he refused to
nurse at all and appeared very listless. We
took Oliver to John Muir ER at 3a.m., where
the nurses and doctors worked with
incredible urgency to diagnose why he was
finding it so difficult to breathe. His
blood work showed that he had a very high
level of carbon dioxide in his blood. After
consulting with Children’s Hospital and
further tests at John Muir, we were told
that Oliver had two major heart defects (a
coarctation or blockage of the aorta and a
ventricular septal defect). The coarctation
was immediately life threatening for him.
He was given medication to prevent his fetal
duct from closing further, thereby allowing
some oxygen to his lower body and was
stabilized.
Oliver was transferred to the ICN at Oakland
Children’s Hospital immediately to receive
the care he needed. As we watched our
little seven-day-old baby head off alone in
the ambulance, we seriously questioned
whether we would ever see him alive again.
This is where we met Dr. Avasarala and he
was truly wonderful! He spent considerable
time providing us with a detailed
explanation of Oliver’s condition, plans for
surgery, and the potential long-term
implications of the condition.
When Oliver was 12 days old, he underwent
eight hours of open-heart surgery to correct
his heart defects. Dr. Hanley performed
what he described as a technically
challenging surgery, with Dr. Gulati
assisting. Dr. Hanley successfully repaired
Oliver’s coarctation, patched the
ventricular septal defect and also a third
problem, an atrial septal defect, that was
discovered during surgery. Oliver recovered
incredibly quickly and was soon on the road
to recovery.
Oliver is now three and a half, and is like
any other boy of his age. In fact he has
more energy and spirit than most. We still
visit Dr. Avarasala every six months so that
Oliver’s heart can be monitored as he
grows. Recently, he underwent a
catheterization procedure that showed that
there is no further surgery or intervention
required at this time. This is a fabulous
outcome for Oliver and a wonderful gift for
us to have such a healthy child.
We are so grateful and thankful for the
wonderful doctors and nurses at Children’s
Hospital for making this possible for our
family. |
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Morgan
Mahre |
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My
7-year-old daughter Morgan was home with
what I thought was the flu. My son had been
home with the flu for 5 days, so I thought
Morgan was also coming down with the same
illness. The strange thing about Morgan was
that she was excessively thirsty and
abnormally tired. She was looking
emaciated. Something didn’t seem quite
right to me so I called our pediatrician.
At first, the pediatrician thought Morgan
had the flu, but after taking her blood and
urine test he asked to speak to me in
private. He told me her blood sugar level
was so high that his machine was not able to
read her numbers. Morgan was in danger of
falling into a diabetic coma. “Mrs. Mahre,
I think the best place for Morgan to be
right now is Children’s Hospital Oakland”,
he said. “Put her in your car, drive her
directly to the Emergency Room, and carry
her through the Emergency Room doors. You
are not sitting in the waiting room.” That
is exactly what I did. The doctor had
called ahead and told them we were coming.
Morgan went straight into emergency at
Children’s Hospital and Research Center
Oakland and was given immediate attention.
I was surprised that the Director of
Endocrinology and a nurse practitioner came
into the emergency room to meet our family
and let us know they were going to take good
care of Morgan.
Morgan was diagnosed with Type 1 diabetes,
also called juvenile diabetes, which is
caused by a malfunction of the body’s immune
system. With Type 1 diabetes the immune
system attacks the insulin producing cells
in the pancreas rendering the pancreas
unable to produce insulin. Without insulin,
the glucose in her blood doesn’t get
converted to energy for the cells in her
body. People with Type 1 diabetes must take
insulin for the rest of their lives to stay
alive. Insulin does not cure diabetes, nor
does it prevent its eventual and devastating
effects such as kidney failure, blindness,
nerve damage, heart attack and stroke.
Morgan spent two days in intensive care
(ICU), where her body was replenished with
fluids so insulin could be given
intravenously. Morgan spent another three
days in the hospital. During that time, my
husband and I were trained how to care for
Morgan. We learned about Type 1 diabetes,
insulin types, blood sugar testing,
treatment of high and low blood sugar levels
and how to give insulin shots. Additionally
we were counseled on nutrition and a school
plan. At Children’s Hospital Oakland, the
family must demonstrate that they are fully
capable of caring for the child‘s diabetes
before the child can be taken home.
It had now been six months since Morgan’s
hospital stay. We are challenged every day
with effectively balancing food, exercise
and insulin. Morgan has three to four
insulin shots every day and pricks her
fingers at least six times a day to check
her blood sugar level.
We thank Children’s Hospital Oakland for
their distinguished and caring doctors and
nurses. The diabetes support team has been
instrumental in our education and care for
Morgan. We have great hope that researchers,
maybe even Children’s Hospital Oakland
researchers, will find a cure for Type 1
diabetes during Morgan’s lifetime.
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