The next few days were horrible, not knowing if he'd make it or not. We had him baptized in the nicu and sat there
just praying with him for hours every day. Ryan is truly a fighter.
The next couple of months were made up of sitting in the nicu with Ryan day in and day out, trying to get him to take in
more by mouth and to absorb it. We'd get so far and he'd have a set back. He was finally released and came home
for the first time on July 6th, he was 2 mos old. It was so nice to finally have our family under one roof but it was
very scary as he was still on TPN with a central line in his chest and a feeding tube in his tiny belly. Anyone who
has ever had to deal with home IV's knows about the constant beeping of the machines and all the aggrevation of them.
We had hoped that Ryan's intestine would eventually adapt and learn to absorb food but this didn't seem to be happening.
We tried enzymes which helped some but still he had to continue on the TPN to stay alive. I hated hooking him up
to this "poison" as I called it because I knew it was helping him grow but at the same time it is so damaging to the liver.
He was always jaundiced but it was getting worse and his liver counts were on the rise. In October Ryan's liver
counts were climbing higher and higher and it was time to discuss another option to get him off of TPN. It was obvious
that his bowel was not going to "adapt" like we'd hoped.
Dr. Reinstein, our GI doctor at All Children's along with our CF team discussed with us that he couldn't go on like this.
The wanted to send us to a transplant hospital to have an evaluation. Some of our options may include a liver transplant
or the "Bianchi" procedure to lengthen the bowel which would then get him to absorb nutrients and get him off of TPN
and hopefully save his liver. The wanted to send us to cinncinati or pittsburg but I pushed for Boston since family
is there and that's where we're from! I started researching our options and came across the "step" procedure which is
where they go in and make cuts into the intestine that is left which lengthens it, making it longer and giving the nutrients
time to absorb. The surgeon in Boston was who developed this! Well, this sounded good to us and it would save
him from transplant because if we could get him to absorb, get off of TPN this would save his failing liver. Ryan at
this point was extreamly jaundiced, weak and still not absorbing. Dr. Reinstein agreed on Boston and began talking with
them to get us evaluated.
On November 28th me and Ryan boarded a small medical plane along with a nurse and a respiratory therapist and the pilot.
Ryan was on oxygen and IVs for the flight. It was so scary not knowing what we were in for. The flight didn't
come without complications either. Before we flew out it was agreed or so we were told from ACH that everthing as far
as insurance was all set, approved etc. With just minutes away from leaving we were told that the flight was not preapproved
and the hospital would pick up the cost and figure it out, then we were told the hospital would not do this and we had to
come up with $13,000!! Thank goodness for plastic! So we paid the money and finally we were on our way.
(Not knowing at that time but if we had missed this flight... Ryan may not be here!)
We arrived at the hospital in Boston and were quickly settled into our room. We then met "the team" who would be
evaluating Ryan and deciding if he was a candidate for the "step" procedure.
Ryan was not a good candidate for this operation and now our only option to save his life was to list him on the transplant
list for a liver and a small bowel. This seemed like such a nightmare. It could be months before a donor became
available and Ryan may not have that kind of time. Of course we would go to ANY extent to save our son so we had him
"listed" on December 14th. Ryan's liver was really bad at this point and I was told that he wouldn't be leaving
the hospital without a transplant. He was weak and becoming unresponsive. He could no longer clot and his
lips had turned black. He'd lay there just groaning... it was just awful. When I look back at it I have no idea
how we survived it.