Welcome

"Enjoy in peace the joy God is giving you, without worrying about the future. He is reserving for you, I am sure, new graces and many consolations." - St. Therese of Lisieux, The Little Flower

Jason and I started this blog to keep family and friends updated and share our story with others. We are so grateful for all of the support and prayers that we continue to receive.

I have added a couple of links explaining Potter's syndrome and some additional info.

Monday, October 18, 2010

Two Month Birthday

Saturday would have been Therese's 2 month birthday. It's hard to believe that it has been that long. Sunday, Jason & I went to Mount Olivet to visit her & see the granite plaque on the niche.
Some of Jason's co-workers at Porter & Hedges purchased a tree marker in Therese's name at the University of St. Thomas (Jason's Alma Mater). We selected the tree a few weeks ago & finally decided on the the inscription. It takes two or three months for the bronze plaque to come in. Once it does & they place it on the tree, I will post pictures of it as well.

Monday, September 20, 2010

Her final resting place

A few months before Therese was born, we made the decision to have her cremated, however, we never decided on where to keep her remains. The wonderful people at the funeral home told us to take our time & they would keep her until we found a place. We have chosen one of the cemeteries run by the Archdiocese of Galveston-Houston. Located in Dickinson, Mount Olivet Cemetery is south of Houston, just off I-45, only 30 minutes from our house. We have selected three niches in a new columbarium called Holy Rosary Garden. Since it is a new construction, this area of the cemetery has very little landscaping. Jason & I are going to donate a beautiful little Pin Oak tree that was given to us the week Therese was born. Since they grow so large, we don't really have room to plant it here at our house. This way it will always be near little Therese. Thursday, Jason & I met at Mount Olivet to finalize the paperwork & take her remains. That day was also Therese's 1 month birthday. It is so hard to believe it has been that long. My incision is healing nicely. I am still a little sore, but feeling better all the time. Emotionally I think we are both doing fine. Of course, we miss her terribly & I have good days & bad. I often cry when I see little baby girls wrapped up in pink blankets. Part of me is angry that our baby girl isn't wrapped up in my arms, but I take comfort in knowing we have a Saint in Heaven to look out for us. I also know that we will see her again.

Little T

Friday, August 20, 2010

Therese Emma Lloyd

Born 08.16.10 @ 12:14 pm. She weighed 6 lbs 6 oz & was 19 in long.
 

Remembrance

Perhaps the most daunting challenge a writer ever faces is the task of writing about someone, or something, that cannot be described by words. I now face the doubly-daunting task of writing about both someone – my daughter, Therese – and something, the events and circumstances involving her coming into and passing out of our lives on Monday, August 16, 2010. As if this task were not insurmountable enough, I must face it at a time at which I am weary, weak, and exhausted from several months of battle that Therese, Angela, and I vigorously fought until the very end. Like a farmer or a gardener, the best that I can hope for is that at least a few of the seeds of thought that I am attempting to sow in this writing will sprout in the hearts and minds of others and, in blooming, successfully impress upon them the sense of joy, the sense of sorrow, and the sense of hope that Angela and I have experienced over the past few months.
When Angela and I first heard the news of Therese’s condition and that it was completely untreatable, we were devastated. Our world was shaken and the pillars of its foundation cracked as the massive weight of our agony fell upon us. We often asked ourselves seemingly rhetorical questions, such as “Why is this happening to us,” “Why is this happening to our baby,” “What have we done wrong,” and numerous other questions of this nature. I describe these questions as rhetorical because, at least on the surface, they do not appear to have answers. I, on the other hand, along with St. Thomas Aquinas, Aristotle, and numerous others, believe that every question has an answer, though we might not be able to ascertain it, understand it, or accept it. For if God infinite, and God is also Truth, the Truth is therefore infinite and no question is answerless.
You might ask how any of these considerations are relevant to why we’re here today. This is why: if the questions that we ask have no answers, then the suffering that we have endured is completely meaningless. Angela and I, however, do not believe that we have suffered in vain, nor that our suffering is meaningless.
After Angela and I first received the news of Therese’s condition and were able to regroup and gather ourselves, we took a deep breath and decided that we would fight alongside Therese and help her to bear her Cross as long as she needed us to. We knew that the journey would be long and arduous, certainly the most difficult of our lives; we knew the road would not be a smooth one of only joy and bliss, but a tumultuous path through dark, uncharted territory, full of unexpected twists and turns, winding inevitably to an uncertain and unknown destination. We were determined, however, that we could triumph over any obstacle or any evil that we might encounter along the way so long as we tactfully took each step together as a family, and thus as a team. To focus our efforts, Angela and I decided to set the following short-term goals:
1. To do everything possible to assure that Therese would be born alive;
2. To have Therese baptized; and
3. To have the opportunity to spend some time with Therese after her birth.
Because we knew that, absent a miracle, Therese’s time with us would be very short, we tried our best to make the most of the time that we had with her. We decided to give her a name – Therese Emma Lloyd. We named her after St. Therese of Lisieux, commonly known as “The Little Flower,” and Angela’s grandmother, whose middle name is Emma. We talked to her, we sang to her, and we prayed the rosary with her. She seemed to love the sound of organ music, especially the song “Ave Maria,” so we brought her to mass at the Co-Cathedral several times to let her hear the music. As soon as the organist began to play, she would become quite active – moving her head and legs as the music played. We like to think that she would have made good use of her exceptionally long fingers by becoming a pianist or an organist.
On several occasions, the doctors made remarks about what a fighter she was and how tough she must have been. Despite her condition and the numerous other factors that stacked the odds against her, she continued to grow and develop physically within the range for normal babies. The specialist that gave us the bad news told us that most babies with this condition die in the womb. Therese, however, did not seem to care too much for what the experts had to say. Indeed, she had her own plan, which was to be born alive and to meet her family. When she was born, it was no surprise to us that she looked just like her father, for we already knew that she had her father’s stubbornness and recalcitrance. She is, without a doubt, her father’s daughter.
As the pregnancy progressed, the doctors informed us that Therese was in a breech position and, because of the almost complete absence of amniotic fluid, she would not likely be able to turn to the appropriate position for a normal birth. The specialists advised against delivering Therese via C-section due to what they considered to be an undue risk to Angela. They reasoned, quite fairly, that the risk to Angela was not warranted because Therese would not survive for long, if at all. On the other hand, we knew that a breech birth, even if possible, would have been extremely traumatic to Angela and Therese most likely would not have survived such a delivery. After consulting with Angela’s OBGyn, Dr. Paul Cook, we decided that Angela would deliver Therese via C-section. Like Therese, we were firm in our resolve and were committed to achieving our goals.
I took a seat on a stool next to Angela in the operating room, and could not believe that the moment had arrived. The mood was tense and uncertainty filled the air. Fortunately, Dr. Cook and Dr. Milhelm lightened the mood by talking about how great the margaritas and Mexican food are at the original Ninfa’s on Navigation. Within minutes, Therese was born, alive as we had hoped. I immediately baptized her, and the nurses and I wiped her off so that I could quickly take her over to Angela. As I held her for the first time, she cried, but I rocked her and kissed her and put my index finger in her hand. She then stopped crying and opened her dark eyes, and for a moment time stood still as we gazed at one another and I told her that I loved her. I then took her over to Angela, and laid her across Angela’s chest so that Angela could hold her while the doctors closed Angela’s incision. I leaned over Angela and cushioned Therese’s head with my hand, and as Angela and I looked at Therese in amazement and stroked her chubby cheeks, we had finally accomplished the goals that we set months earlier and we were happy.
As Miss Jennifer snapped photo after photo of the three of us, I walked alongside Angela and Therese as the doctors rolled Angela along in her bed back to her room. Whenever we walked into the room, all of our family and friends that were waiting with bated breath in the room adjacent to Angela’s stormed in to great us. Everyone was happy and no less than 20 people huddled closely and stood on chairs and sofas to catch a glimpse of the newly-born Princess, whose luminous radiance emanated throughout the room like the blinding light of a supernova illuminates the heavens. Therese was able to meet her grandparents, numerous aunts and uncles, and several of her family’s closest friends.
Approximately one and a half hours after her birth, Therese passed from this life and into the next. Though her time with us was short, she forever touched us and will forever live with us in our hearts and in our thoughts.
Angela and I consider August 16, 2010, the very best day of our lives. Some might also consider August 16 the very worst day of our lives, but the worst day was actually the day on which we first received the news of Therese’s condition. We will always remember August 16 as a day of joy. The outpouring of support that we received, and continue to receive, from our family, friends, and colleagues is truly remarkable. One of the lessons that Angela and I have learned from this experience is that no matter how bad the world might seem at times, and no matter how badly certain of our fellow men might behave, there are a lot of truly remarkable people in this world and in our lives who will always be there for us in our darkest and most trying hours. Angela and I cannot even begin to thank all of our family and friends who have sacrificed so much and offered us their unwavering support. The world is a beautiful place, as are its people, and they are all worth fighting for.
Growing up, my grandma always told us, “If you don’t bear the Cross, you can’t wear the Crown.” I do not believe that I ever fully understood what that meant until this week. Angela and I did not bear the Cross, but Therese did, and just as Simon of Cyrene assisted Jesus in carrying his cross, we did our very best to help Therese carry her cross. When something like this happens to a person, it can either strengthen his faith in God or weaken it. Those who are not able to find answers to the seemingly-rhetorical questions that I mentioned at the beginning of this writing typically experience despair and a weakening of their faith. Those who are able to find answers to those questions, or at least come to terms with the fact that there are answers, though we might not be able to ascertain or understand them in this life, experience hope and a strengthening of their faith. For Christians, there is a reason that the Cross is the symbol of our faith: the Cross symbolizes both the gravity of sin and the suffering that Christ endured to atone for our sins. It is only through the Cross, and thus suffering, that we become closer to Him. Suffering is an almost alien concept in our society, which makes it all the more difficult for us to understand why we suffer and what our suffering means. What pop culture fails to take into account, however, is that it is only through suffering that we are able to experience true joy, for the road to Heaven passes through Calvary. The short time that Angela and I had with Therese is, at least for us, worth an eternity of suffering.
I hope that some of the seeds of thought that I have attempted to sow in this writing will sprout in each of you and bloom into an understanding of what Therese is like, and how Angela and I will forever cherish the precious moments that we spent with her during her short life. Therese will always be our “Little Flower,” our Saint, who watches over us from high above. Flowers are beautiful, and although they are delicate, they are also able to sprout in the most unusual places, even in rocky ground with little or no soil, just long enough to bloom and share their beauty and their life with the rest of the world. If you remember nothing else from this writing, remember that Therese, our Little Flower, has bloomed, and has left with us an image of angelic beauty that will never wilt, wither, or die.
Although she is no longer with us on this earth, she is still our daughter and we are still her parents. We will always be a family. Although the grief is still very near and we have not had time to reflect upon and digest the events of this week and the past few months, with each day that passes I become more and more convinced that my grandma’s words of wisdom offer the best answer to the seemingly-rhetorical questions that we repeatedly asked ourselves throughout this journey: “If you don’t bear the Cross, you can’t wear the Crown.” The nice thing about having a princess as a daughter is that, at least in a way, it makes me feel like a king and it makes her mother feel like a queen. We hope that someday, whenever our time on this earth is over, we will be worthy of wearing the Crown of eternal Glory that Therese now wears in Heaven.

Thursday, August 12, 2010

Final follow up appointment

Today I had my final appointment with Dr. Cook. Therese's heart rate is good & I'm doing fine. We are all set for delivery on Monday. My c-section is scheduled for 11:30, but I need to be at Memorial Hermann Hospital (in the Medical Center) by 9:30. After delivery, Jason & I have decided to stay in one of the suites at the hospital. They are a little quiter & further away from the babies.

I have 3 outfits for little Therese all washed & ironed, as well as a couple of matching blankets. I even ordered a couple of cute hospital gowns for me to wear in my pictures with her. I finally received the clay imprint & ink kits that I ordered on-line. We are also finishing up our birth plan. It lays out our preferences for the delivery of our little angel.

Friday, August 6, 2010

Follow up appt/ Ultrasound 08.05.10 (37 weeks)

I had another appointment with the specialist yesterday morning. Instead of Dr. Gei, we saw his partner, Dr. Earheart, who performed another ultrasound on the baby. Therese is currently 5 lbs 8 oz, which is in the 7th percentile for her gestational age. Her weight gain has really dropped off, which is common with Potters babies. Her heart rate was good at 135 BPM. We even got to see her take "practice breaths" & watch her little abdomen go up & down. It was so amazing to watch! Jason has teased me for months that Therese has the "Cude head" (my mother's side of the family all have big heads, including me). The tech performing the ultrasound overheard our conversation, so told her we were curious whether the baby had my big head or Jason's little peanut head. After taking the measurements, she confirmed, Therese most definitely has my head! They also noticed some fluid in her brain, which is related to the irregularities with her vertebrae they saw on the MRI a few weeks ago, all of which can be attributed to Potter's Syndrome. Dr. Earheart reiterated that Therese will most likely be born alive & these findings do not change that. She also said that how long we will have with her is "up to her & the Creator."

After my appointment with the specialist, I had another follow up with Dr. Cook. My weight & blood pressure are fine. My pregnancy seems to be progressing nicely. During my follow up with him last week, they were able to confirm she is definitely a little girl! I will go back to Dr. Cook next Thursday for my last appointment before the delivery on the 16th.

Tuesday, August 3, 2010

Follow up appointment

I had another appointment with Dr. Cook on last Thursday. My mom flew in Wednesday night to go to the doctor with me. As expected, the baby is still breech, but seems to be doing well. Her heart rate was 154 BPM. My weight & blood pressure are fine. We are still scheduled to do the c-section on the 16th. Dr. Cook told us he wants to get me out of the hospital ASAP, but making sure that I'm ready to go home. He said that I will probably go home Wednesday morning, but it will just depend on how I am doing. Since my mom was with me, Dr. Cook asked if she would like to see the baby on the ultrasound. They escorted us to another exam room where Laura, a new mid-wife on staff, performed the ultrasound. Although the screen was small, we could see little Therese moving & sucking her thumb. Plus, we were able to see that she is definitely a little girl! Laura also told us a little bit more about what to expect when little Therese is born. I think we are going to have less time with her than we hoped for, not that there could ever be enough.

Tuesday, July 13, 2010

C-section scheduled

I had another follow up appointment with Dr. Cook today. My weight & blood pressure are good & Therese's heart rate was at 143 BPM. She is still breech so we have decided to deliver her via C-section. It is scheduled for Monday August 16 @ 11:30 am (be at Children's Memorial Hermann). Dr. Cook said that it should go very quickly but sometimes things get pushed back depending on how busy Labor & Delivery is. The actual surgery is very, very quick. I will be awake & alert (unless I ask for something to make me sleep), but will not be able to feel anything. Jason will be in the operating room with us. As soon as she is born, Dr. Cook will cut the cord & hand her to Jason so that he can baptise her. After Dr. Cook closes me up, they will move us to recovery where we can have visitors. Dr. Cook has assured us that Jason will be with Therese at all times.

We are beginning to talk about our "birth plan". I am so torn on how to do this. Part of me wants to have a very detailed plan. I don't want to miss out on anything. I want to make sure we get to do all the things new parents get to do with their newborns. On the other hand, we have no way of knowing how much time we will have. It could be a few minutes, or few hours or maybe even a day or so. I don't want to spend it all jostling her around trying to get ink prints, clay prints & bathing her. Although knowing the outcome is so difficult, I am grateful that we can make arrangements so that her grandparents will be there to meet her. Also my dear friend Jennifer has agreed to come & take pictures of little Therese. I also take some comfort in knowing that we will not have to come home from the hospital to a nursery full of pink & a house full of baby gifts. I am still feeling fine & am enjoying this time that I have with her. She still moves around mostly just before we go to sleep & sometimes during the night. She is a night owl, just like her daddy.

Thursday, July 8, 2010

Follow up appt/ MRI

On Monday June 28 they performed a MRI on the baby. Jason & I have decided that we do not want to do an autopsy & thought this would give us more info on the baby. Unfortunately, they found no renal tissue (no kidneys). Although this only confirmed what we have already been told, we were hoping for something different. The MRI also showed what they thought were some "anomalies" with three of her vertebrae. Also, they thought they could see a hole in her heart during the ultrasound. Dr. Gei said that with normal babies, the hole usually healed on its own after birth. I told him that we were hoping that little Therese would be born alive, that we could baptise her & spend a little bit of time with her. I asked Dr. Gei if anything in the MRI changed that & he said "definitely not." He thought that was very realistic.

I had another follow up appointment with Dr. Cook on Tuesday June 29. Therese is still breech & will not be able to turn (due to the lack of fluid). He feels that a C-section is best for me & the baby & said we should do it sometime the week before August 25. We will probably schedule it for Monday the 16th, only 39 days from today. I asked if there is a limit to the number of C-sections that I can have. He said we can have three more kids after Therese. Dr. Cook also told me two of his kids are less than a year apart, so we will not have to wait long after she is born to try again.

I have started buying a few things for Therese (and one extra outfit in case it's a boy). I am really looking forward to bathing & dressing her after she's born. Since it looks like I am going to have a C-section, more of that may fall on Jason (which makes me giggle a little). She may be wearing nothing but a diaper & a blanket! I found this adorable leopard print swaddling sock on-line. It will be perfect for her pictures! I ordered a couple of silver keepsake boxes - one for a lock of her hair (if she has any) and one for her birth certificate. I also ordered a kit to make clay imprints of her hands & feet, as well as a ink print kit. I have enjoyed shopping for her, as long as I can do it on-line. I know people are trying to be nice, but if I have one more stranger ask me if the nursery is ready or tell me "it doesn't matter if it's a boy or a girl, as long as its healthy, right?", I may scream.

Thursday, June 24, 2010

Ultrasound 06.24.10 (31 weeks)

I had another appointment with the specialist this morning. There are still no changes with little Therese (no amniotic fluid). She is growing nicely & weighs 3 lbs 10 oz which is in the 29% percentile for her gestational age. She was moving around while the technician was performing the ultrasound & we could watch her on the screen. We could even see her lips move!

Here is a picture of her little face. The red arrow points to her eye, the blue to her nose. The green arrows point to her mouth. It takes a little imagination, but it really is there.

I have an appointment on Monday for a prenatal MRI. This will tell us for certain whether or not the baby has kidneys. Even if they told us that the kidneys are present, the prognosis is still the same. Without functioning kidneys, Therese cannot produce amniotic fluid & her lungs will not develop. I also have a follow up appointment with my regular OB, Dr Cook, on Tuesday.

I am feeling great, but beginning to have some trouble sleeping. Simply rolling over in bed is such an ordeal! Therese has been very active. Jason & I enjoy her so much. We talk to her, laugh with her & even pray with her. I love to tell Jason what the baby would like to eat "Therese wants a cookie." I really do think she likes cookies, though. As difficult as this is, we are so grateful for the time that we have with her. Every minute is a blessing.

Thursday, June 10, 2010

Isn't there anything that they can do?

Jason & I ask ourselves that everyday. It is so frustrating, with all of the technology out there, no one can help our baby! During the first 14 weeks of a normal pregnancy, amniotic fluid consists mainly of water supplied by the mother (which explains why my ultrasounds were normal until 18 weeks). After about 20 weeks, fetal urine makes up most of the fluid. By this time, the baby is able to breathe the fluid into the lungs and to swallow it. The fetal urine is critical to the proper development of the lungs by helping to expand the airways and supplying Proline, a critical amino acid to the lungs. If the lungs are underdeveloped at the time of birth the infant will not be able to breathe air properly and will go into respiratory distress shortly after birth.

There are some cases where a mechanical replacement of amniotic fluid (called an amnioinfusion) was used, however in the majority of BRA or RA babies this procedure has proven unsuccessful. There has not yet been a BRA baby (no kidneys and no ureters) that has been reported to survive more than a few days past birth. With each injection of fluid there is a risk for infection to the mother and the baby, as well as miscarriage. The fluid most often used is sterile saline, which doesn’t contain all of the essential proteins and chemicals for lung development. Also, since the baby would eventually swallow all of the fluid, the procedure would have to be performed frequently (every week or so). Even in the event of successful therapy, the baby could still not develop properly and die at birth or shortly thereafter from other complications.

Follow up appointment

Thursday 06.10.10 (29 weeks & 1 day)
I had another follow up appointment with Dr. Cook this morning. There are still no changes with the baby (very little amniotic fluid). He said that her heartbeat is good & strong and that she is growing nicely. He estimates that she weighs around 4 lbs. Unfortunately she is still breech, a little sideways actually, & if she is still breech at term, he may need to do a C-section to get her out. If he does a C-section this time, then any babies we have after this must be delivered via C-section. Some doctors believe that you should not perform a C-section on a baby that is not expected to survive, however, Dr. Cook feels that trying to deliver Therese in the position that she is in now would be very traumatic, not only for her, but for me as well. We still have plenty of time to decide & there is a small chance that she will turn, although very unlikely due to the lack of fluid. He said that I am doing great. My blood pressure & weight are good. Also, my glucose test from a few weeks ago came back perfect (no gestational diabetes). I go back to see Dr. Cook 2 weeks from today. I also have an appointment with Dr. Gei (my specialist) that day. He will do another ultrasound on the baby.

Monday, June 7, 2010

Ultrasound 05.12.10 (25 weeks)


Here is the most recent ultrasound. It was completed on Wed 05/12 in Dr. Gei's office (the specialist). The top picture is her "profile." You can see her nose in the center of the picture. The top of her head on on your left.
The bottom two pictures are of her entire body. Her rear is in the bottom right corner. Follow the line that goes from there towards the upper left corner. That is the back of her legs (think she's going to have long legs?). It is so amazing!
Dr. Gei told us that she is growing normally & that she is in the 29 percentile for her age (size), which is well within the average range. At the time, she weighed 1.9 lbs. I am thankful that it doesn't look like she is going to be a big baby, especially since she is breech. Jason & I both almost weighed 10 lbs when we were born!

Friday, June 4, 2010

What's happend so far

Most of you know everything up to this point, but for those who don't know the specifics, here they are...

Tuesday March 23, 2010 (almost 18 weeks)
I had a routine follow up appointment with my OB, Dr. Cook. Jason was busy at work & he had been to every appointment so far, so I told him to skip this one. After sitting in the waiting room for over an hour & then the exam room for another 30 minutes, one of the nurses asked if I would be willing to see one of the other doctors since Dr. Cook was so busy. I said "yes, please" & Dr. Boone came in a few minutes later. She examined me, did a quick ultrasound, asked me to get dressed & walked out of the room. One of the nurses came in, escorted me to a conference room & told me Dr. Cook would be in to speak with me. I knew something was up, but thought it couldn't be too serious. I heard the baby's heartbeat when Dr. Boone did the ultrasound & I had just seen Dr. Cook a week & a half earlier & he told us we were going to have a happy, healthy baby.
Dr. Cook came in & told me that there was very little amniotic fluid around the baby. He told me to immediately go to Dr. Palmer, a specialist, so that she could do a better more detailed ultrasound. I asked him if the baby was OK & he said "I think so, but we have to find out." I called Jason & drove to Dr. Palmer's office where he met me. While we waited for an exam room, Dr. Palmer explained what was going on. Basically it had to be one of two things 1) either I was leaking amniotic fluid or 2) the baby was not producing the fluid (amniotic fluid is the baby's urine). I was sure that I had not been leaking fluid, so it seemed to be the baby was not producing fluid. During the ultrasound, Dr. Palmer explained some of the things that could cause this (absence of one or both kidneys and/or bladder, blockage, etc). She thought that she could see both kidneys & the bladder. It also looked as though there was blood flowing to them. She reiterated how tiny the baby was at 18 weeks & the difficulty she was having looking at the organs (the baby's heart was smaller than a nickle).
After the ultrasound, we sat down in Dr. Palmer's office again & she gave us her diagnosis. She started out the conversation by letting us know that this was a long shot & most other doctors would tell her that she was wrong. She believed that there was some sort of blockage or clotting in the placenta. This would prevent the baby from getting the proper fluids & nutrients from me. She said that this was very rare to see this early in pregnancy, but since it looked as though the kidney's were present & functioning (blood was flowing to/from them in the ultrasound). She also told us that most other doctors would tell us that this is not a viable pregnancy. She ordered me on bed rest & prescribed daily Lovenox injections - a blood thinner.

Thursday March 25, 2010
After speaking with Dr. Palmer & hearing her diagnosis, Dr. Cook wanted to send me to another specialist, Dr. Reiter, for another ultrasound. During the ultrasound, Dr. Reiter told us that he could not see any kidneys or bladder. He explained to us why he disagreed with Dr. Palmer's diagnosis of clotting in the placenta - all of the baby's organs would be significantly smaller, as well as the baby's overall size, not just the kidney's & bladder. Our baby was growing a normal rate & seemed to doing just fine other than the lack of fluid. He explained Potter's syndrome - a term that describes the effects of Oligohydramnios (insufficient amniotic fluid) resulting from any number of renal (kidney) abnormalities or a rupturing of the amniotic sac. He said this appeared to be Classic Potter's syndrome, which is the result of bilateral renal agenesis (BRA), or the absence of both kidneys. He told us that due to the lack of fluid, the baby's lungs are compressed and cannot develop properly. The baby would die of respiratory failure within one or two days of delivery, most likely a few minutes to a few hours (if the baby survived delivery). There are no treatment options & there has not yet been a BRA baby that has been reported to survive more than a few days past birth. He told us to be thinking about whether or not we wanted to continue the pregnancy & we could wait a couple of weeks to allow the baby to get bigger & see if anything changed. We were obviously devastated. This diagnosis was completely different from Dr. Palmer's finding only two days earlier.
Dr. Cook called to check on me that night, after speaking with Dr. Reiter. He told me that Dr. Reiter's diagnosis made more sense given all of the evidence. He told me to wait two weeks & he would send me to a different specialist, Dr. Gei for a third opinion. At twenty weeks, the baby would be big enough for them to see all of the organs.

Wednesday April 7, 2010 (20 weeks)
Dr. Gei performed another ultrasound. Afterwards he explained that he had to agree with Dr. Reiter's diagnosis. He showed us that not only were there no kidneys or bladder, but the arteries that branch off from the spine going to the kidneys were absent. He explained our "options" with continuing the pregnancy just as Dr. Reiter had. I told him that we would not be taking any actions to alter this pregnancy. He also told us that some of his other patients that had been given similar news had continued the pregnancy & acted just as they would with any other baby - pictures, grandparents, family & friends at the hospital during delivery. I immediately knew this is what Jason & I wanted for our baby. He assured me that I was in no danger, there were no risks to me & I just needed to continue my prenatal care just as I would for any pregnancy. He also had me discontinue the daily Lovenox injections that Dr. Palmer prescribed (to treat blood clots).

Getting started

Jason & I started this blog to keep our friends & family updated on what is going on with us & the baby. I am 28 weeks as of this past Wednesday (due date Aug 25th). As most of you know, Dr. Cook thinks that the baby is a little girl. We have decided to name her Therese (St Therese of Lisieux) Emma (my grandmother's middle name). However, she has her legs crossed everytime they do an ultrasound, so we may be surprised. As soon as I can get Jason to fix our scanner, I will post some of the ultrasound pics. I am feeling fine & little Therese seems to be happy in her house. She bumps & kicks up a storm, especially around the time we go to bed. My next appt with Dr. Cook is Thursday the 10th. He said that we will continue my prenatal care just as we would with any other pregnancy. I will have also another appt with the specialist, Dr. Gei.