ARPKD| CHF Alliance
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Shannon's Story

In October of 2001, my husband and I conceived our first daughter, Alexis.  We were so excited and couldn’t wait for her to arrive.  Things went smoothly throughout my pregnancy.  The initial ultrasounds were perfect, heartbeat was perfect, and I felt great. 

In my 32nd week, we went to a specialist for our last ultrasound – a 3-D ultrasound to see what Alexis looked like and to make sure things were progressing normally.  Once the ultrasound started, we heard nothing but silence and the words “amniotic fluid is zero, do you have a history of kidney disease in your family?”  It was devastating news.  I had no amniotic fluid left, my daughter had a kidney disease and my doctor was giving her little chance for survival.  We had no history of kidney disease in our family and he determined that she had ARPKD.  I was checked into the hospital immediately and waited for my OB-GYN and the Neonatologist to research this disease and decide what to do.  ARPKD is rare and no one had experienced this before so they started calling specialists for advice.  Since her heartbeat was strong, they decided to wait to deliver so that Alexis could grow bigger and stronger. 

Alexis Taylor was born by c-section on June 16th in 2002 – Father’s Day.  What a gift my husband was given.  She was just beautiful, a true angel.  As anticipated, she had many problems.  She did not cry or utter any sounds, her lungs were severely underdeveloped and Alexis immediately needed ventilation.  The neonatal unit sprung into action.  She needed extra care and was flown to Children’s Hospital for special treatments and medications.  Nothing seemed to help.  She had good days and bad days and terrible days – mostly bad days.  Her lungs were weak and this added pressure to her other organs.  After 2 weeks of fighting, her body gave out and God welcomed our angel to heaven. 

God blessed us right away with another pregnancy, in October of 2002 Hannah Elizabeth  was conceived.  It was hard to imagine that I was going to go through all this just a year later, but because of my age, I didn’t want to waste any time.  I had a stressful pregnancy.  My “innocence” of pregnancy was gone and I was terrified at what the future could bring.  I had a “high risk” pregnancy and had ultrasounds every 2 weeks to look for signs of ARPKD.   In week 22, my amniotic fluid started to run low and I tried bed rest and drinking lots of fluids but nothing helped, by week 24 I was completely out of fluid. 

My perinatologist recommended trying amnio infusions to help Hannah’s fluid levels and hopefully help her lung development.  An amnio infusion is the opposite of an amniocentesis.  Instead of taking fluid out, they use a long needle and drip saline solution into the uterus and into the amniotic sac.  Lung development is crucial in those weeks, and he was worried this pregnancy would end the same way.  So we started infusions the following day.  The risks are high – infection, hitting the umbilical cord with the needle, and others.  I was willing to try something new – anything that might help my baby girl.   I did 6 infusions overall – 3 as an outpatient, and 3 as an inpatient because my amniotic sac ruptured. 

Hannah was born on June 19th, 2003 and cried immediately.  It was music to everyone’s ears!   She needed ventilation and was driven to Children’s Hospital, where she spent the next 2 weeks.  This time, we had mostly good days.  The initial few were tough, but then the doctors took her off ventilation and each day more medications were being stopped. She was responding very well.  She was transferred to our local hospital and spent another 3 weeks gaining weight, getting her blood pressure stabilized and learning how to eat.  She was beautiful and such an answer to so many prayers.

She went home after a total of 5 weeks in the NICU.  She came home on 4 medications but no other equipment.  She quickly tapered off and for Hannah’s first year, she only remained on 2 different blood pressure medications. It was very manageable, much easier than I thought it would be. 

Hannah is now 3 ½ and is the light of so many lives.  She has a couple other complications which developed after birth – she was diagnosed with congenital hip dysplasia at 6 months old and has had 2 surgeries to correct these.  She also has hypotonia (low tone) which gave her physical delays.  She is about 6 months to a year behind others her age.  She currently has physical therapy and occupational therapy to assist with the low tone delays.  She is on 6 medications now and doctors say she is probably going to need a kidney transplant in the next 1-3 years.   My husband and I are both a match so hopefully things will go smoothly.

She attends preschool every day and loves it.  She sings and dances around the house and no one would ever know she has any issues, except for some physical delays.  It is amazing how this disease works.  It is absolutely so different in each child.  That is what makes it so hard to predict.  Doctors can’t tell you what is going to happen to your baby, or even to your child.  We were hoping Hannah wouldn’t need a transplant until she got older, but it may be sooner rather than later.  For now, we enjoy each day and relish each moment.  We know how precious life is and how easily it can be taken for granted.
 

Shannon coordinates "Regional Support" for the ARPKD/CHF Alliance. 
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