I want to give thanks. This is a letter of thanks. Not because we are out of the weeds with our boys in our arms, but because an amazing and wonderful thing has already occurred, many wonderful things.
First off, we believe that had we not switched OB/GYNs after Nicole’s second tracheal dilation to Dr. Harnsberger, our boys may not be alive today. TTTS is a killer. River and Bryce had a 100% chance of mortality is what our nurse told us at the Fetal Care Center in Cincy. The team, Dr. Lim, our surgeon specifically told us of cases that were diagnosed, jumped in the car to drive immediately from their hometown to Cincinnati Children’s, and by the time they got there and were rushed into laser surgery, both babies had already perished. The advance on our boys was rapid, the assault on Bryce’s heart, the draining of River’s resource. Dr. Harnsberger was watching us, whatching out for us like a hawk. He was performing all the ultrasounds himself, and we have being very careful and very precise. He told us early on what we were open to as parents of monochorionic, identical twins, we had a 10-15% chance of being visited by this disease. But Scott was aware, he was also aware that there were treatment options. So the day I was in Knoxville and Nicole went for a routine checkup, that day he dropped everything and ran out to make calls ashen white and rushed her over to Dr. Lam’s for a second inspection by his more advanced machinery, he set something in motion that we do not believe would have been set in motion had we not moved to his care. When Dr. Lim looked at the boys, he at first thought we were there, then he looked again and backed off. We were on the brink, but not there yet. The boys were 8Cm to 2.3Cm. He sent her home but set an appointment for a week later. Upon that visit less than one week on, we had advanced to what Dr. Lam thought was stage 2 TTTS which qualified for Laser surgery.
We were called twice by the Fetal Care Center before that day was over. We were on the road the next day with a full day of tests set up for Friday. That was a 12 hour day of testing and I have recounted that before. In closed TTTS groups we had read so many heartbreaking stories. Good one’s too. And it seemed the most had both triumph and tragedy. Many saw the death of one twin after laser, or, the demise of the donor after treatment, seemingly to keep his brother alive to birth. These stories were painfully common. We were looking for everything, every story of triumph that is. But things were pins and needles.
So here we are, River is in perfect health, with 3.6Cm fluid and a full or filling bladder having been pinned and shrink wrapped against the wall of the Uterus in .6Cm of fluid, on the brink of dehydration. We were in the end diagnosed stage 3C, one tiny step from stage 4 which is common to point to permanent heart damage in one or two of the twins. The pressure in Bryce’s heart was tremendous with thickening walls, and two leaking valves. They referred to the damage as severe. Even today Nicole takes blood pressure medicine for him that pummels her every six hours. The pressure had been reduced, but one valve in the left chamber has severe leakage still. This may or may not be attributable to the TTTS though leakage is common to stage three. The Cardiologist and Fetal Care Surgeon both thought it may correct itself in time as his heart heals over the next 8 weeks from the TTTS. That is one amazing thing about the womb, it is regenerative … damage done one the outside such as that would be damage lasting. In the womb, things are plastic enough to repair. However, the cardiologist believes the valve may be oddly shaped pointing to a congenital defect in his heart, but not one that is necessarily life threatening. Even if the valve does not heal and seal with the heart, there is a better chance that it will not explode into a life threatening issue, and most likely will be something that will have to be monitored in him as he ages till he reaches an age when there are good options for fixing it. But those fixes are not ideal, so as long as the heart tolerates it without turning toward demise, he will be normal. Wow.
So the thanks. We are so deeply grateful to Dr. Scott Harnsberger who was watching for our boys like they were his own.
We are thankful for Tabitha, Scott's wife who not only lent her husband to us in times of crisis, but who advised, and counseled us behind the scenes and helped us prepare for what may lay ahead.
We are grateful for Dr. Lam and his connections to advanced fetal therapy in Cincinnati and Philly.
We are thankful to the astonishingly good team at the Fetal Care Center in Cincinnati, especially Dr. Lim and Dr. Polzin who performed the Selective Fetoscopic Laser Photocoagulation, Amnioreduction and Microseptostomy.
We are thankful for the ENT team at Cincinnati who have decided against a Trach for Nicole and have decided they can perform a Tracheal Resection as a permanent fix without much risk to her vocal cords to treat her Idiopathic Subglotic Stenosis.
We are thankful for each person that took time to pray for our boys.
We are thankful for those that took time to pray for us, hold us up as well, and send us great strength and encouragement through their prayers and words.
We are so thankful to our home church, our brothers and sisters, who were in the feeling trenches with us during this period and kicked into action like the cavalry as darkness surrounded us.
We are so moved by your letters, Emails, FB posts and notes and anyone who took time to make us feel like we were not alone.
We are thankful for TTTS support groups, for TTTS moms who reached out to us and advised and advocated on our behalf.
We are grateful to those that activated prayer from folks who did not even know us. We know there are many but if you are tagged in this note, we at least aware of who you fought along side us and brought others to our cause before the throne.
We are thankful to those that shared the picture of our boys here on Facebook asking others to pray on their behalf.
We are thankful to our small group at church who had prepared a care package for Nicole that Crystal placed at her bedside and for the Guyton’s who did the same.
We are so thankful for Crystal Middleton, who brought her boys and cleaned and organized our bedroom while we were gone.
We are thankful for our Sunday School class who burned up my phone with blessings and prayers in their Sunday School Hour.
We are thankful for the staff at CCS who kept loving watch over our little ones and prayed as a team for us and our boys.
We are thankful for Danielle Wilke who volunteered to be a point guard with Nicole’s aid and for Crystal Middleton again who led the charge to have us fed.
We are so grateful for every family, mom, woman that has pledged to help provide cooked meals for us in this difficult time as Nicole is so confined.
We are so grateful for great family, for Kelly who drove up to sit with me and then Nicole and I after surgery, for Peggers who kept the kids, for Martha, Lucy Wykoff, Martha Krabbendam, and Lynda Brown who all spent hours keeping Eden or taking Elise to gymnastics and had a hearty cooked meal for us with all our kids when we pulled into town along with a celebratory cake. And for Pappa Doug who has done so much around our house it can’t be listed.
The list could go on, and on even. But there are two even bigger points I want to make after I give the greatest thanks of all to our loving father who holds our boys and Nicole in amazingly loving hands. Who has blessed us far more than we deserve. Who has loved us when we scorned and loved only ourselves. Who has taken the lashes of our rebellion in the past, and in forgiveness has paid us back with more love and more miracles than we can get our heads around.
So here are the points. One, we read of those who are not part of the loving spiritual body of Christ (not the material church mind you) who are in a similar boat we found ourselves in and they are falling apart with little connection and no support. As darkness set all around us, we felt and found a thousand points of light breaking through even in the uncertainty. We discovered that it not only takes a village to raise a child but a village of love filled folks to save a child and save a family as they give themselves to saving their child as best they can. For those who have not had the wagons pulled round in times of assault from the outside, I can honestly say my heart breaks for you that you may feel like you have to grab a proverbial gun and hold on paranoid for dear life. We were able to let go and feel incredibly strong, not only because of the hands of the father who knew our boys before the fertilized egg split into two, but because those who had been moved by the creator’s unconditional love demonstrated the love of God in word and deed.
Secondly, based upon where we stand today, and what we know, we are on the receiving end of a miracle. Not one we had credits to buy. Not one we earned. But one that was given just because of grace. We are not out of the woods, and there may be VERY difficult days ahead, but as Scott told Tab when he came home tonight – our chances just shot sky high that we will have our beloved Bryce and River one day smiling in our arms. Grace cannot be earned. It is not in limited supply. It cannot be swapped like bills on the open exchange. It is not scarce. And any time a religious person treats it as something to be bartered for, bought, or earned, it looks rather ugly. It’s beauty comes from the fact that it is not merited. It’s impacting power comes from the fact that it cannot be earned. It is given. Just given. And it’s given to those who, like me and like my wonderful wife have done things which should have made us worm meat. Our story is “colorful” as they say - Filled with more idiocy, stupidity, and spiritual rebellion than you could shake a stick at, but today, rather than having our wages, we have hope. We have each other. We have our beautiful kids. We have our family, our life-long friends. We have you and most importantly, we have God’s love living in us rather than the anger of old. And today, we have our twin boys safe and sound in Momma’s tummy.