Meagan's day started out like any other day - at least in the life of a teenager. She slept. And slept And slept. Now, what's the problem you might say? Well, in a child who has a fairly "set" routine and a child who has been known to have brain issues in the past, sleeping for inordinate amounts of time isn't necessarily a great thing. Or a calming thing. Of course I may have to rethink this when she's a teenager - I know teens love to sleep in.
In hindsight, it really should have been my first clue - but, I wasn't thinking that way on that day. My in laws were visiting at the time, and so I thought it would be the opportunity to run down the road and get Meagan's "Frozen" themed cupcake mix, cups, and plates. I had timed it perfectly so I could go from running my errands to picking up Maura from preschool and then get home to plan for the rest of the evening. Making cupcakes. Bringing said cupcakes to the older girls' dance class where Meagan loves to be so much. Having a small dinner and celebration. Letting her open presents when we got home. Just small, simple, and appropriate enough considering the fact it was a dance night and a school night. Meagan apparently wanted something much more exciting.
I got home from picking up Maura and did my usual "Hey everyone!" as I walked into the door.....except I didn't get my usual greeting back from my in laws. And I didn't get my usual excited Meagan scooting as fast as possible over to me saying "Hi mommy!!" Inside I instantly knew something was wrong. I closed the door to look into the living room. There I saw my mother in law trying to frantically explain to me what was going on and say she was about 2 seconds from calling me. I saw my father in law with an extremely worried expressions telling me that Meagan couldn't sit up. I looked down and Meagan was trying to sit up... over and over again... but could not. She was also trying to talk to me. Typically, her speech is her strongest suit.... but although sound was coming out, all her words were completely slurred. Being a brain kid's mom, the first thing that popped into my mind was stroke.... I knew she had to go in. Something was terribly wrong.
I grabbed her up and put her in our car. I started to drive to Children's. The whole way there Meagan was in between screaming/slurred speech and completely passing out. She would go from one to the other within a half second. It was very scary. I had one hand behind me holding Meagan's foot so when she would pass out, I could squeeze it and pull on it yelling her name, and it would rouse her for another few minutes when we just repeated the whole thing all over again. When we arrived at Children's, we were immediately taken back to a room. Meagan was still between comletely inconsolable and passed out. I noticed a small reddish rash spreading on her chest and her skin looked puffy. She would need to be sedated for her CT scan so they decided to do her shunt series X-ray first to check that. It's a good thing how it worked out. There, clear as day on her X-ray, were her two valves, and her long catheter. Problem was - they weren't connected. Meagan had snapped her shunt catheter in half somehow just below her neck valve, causing it to heap into her belly and the fluid began to drain into her skin.
They started to page the on call Neurosurgeon...but being that it was just at the end of office hours, I asked if they would at least call Dr. Reisner to let him know. Of course he was just leaving the office, but he came over anyway. As he entered the ER room where they were prepping her for surgery, Meagan slurred out an "Sorrrrrrry....sorrrrrry..." I think that did it. Dr. R had other obligations but made a few phone calls to see if he could stay and do the surgery for us. With a kid as complex as Meagan, this gesture meant the world to us. Typically we see Meagan decline over several days and can make a plan, but this was the first time there was an emergent situation. Dr. R's main concern was the catheter. He wasn't sure he could grab it from her peritoneal area and may have to put a new catheter in, leaving the old one to just sit. He said because of her multiple belly surgeries, this was the safest way or they would have to call a general surgeon to monitor her belly region since it had been opened up so many times. Before I knew it, Meagan was being whisked off to the OR and I waited outside with Brian who had just arrived from work. About an hour and a half later, Dr. R came out and told us the good news. Not only did he fix Meagan's system, but, he was able to (with some very careful and precise maneuvering) grab the original catheter out of her abdominal area and reuse it. We were very happy to hear this because not only did it save her having a new catheter, it also saved her from having a dormant catheter just swimming in her belly potentially causing other issues down the road. Dr. R said as long as Meagan woke up ok and got her IV doses of antibiotics in, he was aiming to send her home the next day.
Of course throughout that night, Meagan got many visits from her nurse friends who know her so well - they could not believe she had emergency brain surgery ON her birthday. I said several times "yep.. I guess Frozen cupcakes weren't exciting enough for Miss 'center of attention'...." Meagan did well through the night and was able to go to over the counter pain meds by morning. She woke up and besides being a little sore, was right back to her old personality. We had a few more days of her speaking from one side of her mouth - but otherwise she was back to her old silly self.
Of course over the next few nights, we had our "make up" birthday celebration. Meagan got to nibble on her blue birthday Frozen cupcakes. She got to see her Anna and Elsa balloon, and she got to open her gifts from family, friends, and siblings. She laughed, played, and did all the things a little girl should do on her birthday, and it was good.
.... 3 years later, and Meagan is still doing just that. Being who she is. Sometimes cupcakes aren't the plan... and that's ok. We wouldn't want anything more or anything less. Happy 3rd Birthday to our little fighter! We are so happy you are here and we cannot wait for the years to come. We love you Megs!