Friday, March 27, 2009

Noah's Story





Spirit and determination are two words that describe Noah. These personality traits have always been evident. Starting with when Noah was born, on 10/11/2004, in the front seat of our car, en route to the hospital. He was delivered by his dad, Robert, with a little help from a 911 operator. On site he looked like any other healthy 8 lb newborn. His pediatrician, after consultation with an infectious disease doctor, decided to test Noah for Congenital CMV immediately after his birth. This decision was made because on Noah's routine 20 week sonogram an "echogenic bowel" (bright spots on his bowel) was seen. The doctor I was seeing that day decided to run a torch screen blood test. This torch screen showed that I had been exposed to a primary infection of the Cytomeglavirus. Congenital CMV causes the most damage to babies whose mothers contract it for the first time while pregnant. I never knew that because I had a toddler in day care, that I was at a greater risk for exposure.
In some ways I was lucky. To this day my regular OB GYN states that he would not have run the blood test to check for a CMV infection that day of my sonogram. Without that blood test, we would not have known that I had been exposed to CMV as a primary infection and we would not have known to run the urine test on Noah when he was born.

That positive result set in motion a string of events and opportunities Noah would not have had, if we had not known he was CMV positive, even later on. We were approached by the pediatric infectious disease team about a new study they were initiating on an oral anti viral medication for Congenital CMV(Vanganciclovir). Noah was one of the first babies nationwide in this study. The purpose of the study was to see if the medication would be effective in reducing the progression of hearing loss, that is a trademark result of the virus.

Noah was moved to the NICU and given a spinal tap to test for CMV, brain scans, MRI's and hearing tests. The tests did reveal a hearing loss, calcifications in his brain, and other brain abnormalities.

We spent the next 3 1/2 weeks trying to spend as much time with Noah in the NICU, without feeling like we were neglecting his big sister at home who did not understand why her new brother was not coming home from the hospital.

We dealt with physicians who had already written him off. Our first neurologist told us, when Noah was just 10 days old, that Noah would never walk, talk, or do anything beyond a newborn level. It is a good thing that Noah was not listening to him.

During the last four years, Noah's schedule has been overloaded with therapies and activities, but as a result, he can walk, learning to run, jump with both feet off the ground (a new accomplishment that he was quite excited about), and his language continues to grow each day. He has struggled with motor issues (Noah has cerebral palsy which effects his right side), hearing loss, feeding disorders, developmental delays, and a seizure disorder. But this in no way describes Noah. Noah has never known the meaning of "can't." His therapists have always stated that his motivation and determination have been integral to his progress.
People can't help but smile at Noah, his energy, excitement, and pure joy for life is absolutely contagious.
There is no reason that this devastating virus should be so unknown. Help me increase awareness and hopefully spare other families and children.




1 comment:

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