Disabilities Awareness Month: An Adoption Story

 

 

Lilly, born in China, was welcomed into the loving arms of her mom and dad, Jenny and Daniel, at the age of 3 years.  That was nearly a decade ago, not long after I began working with the China program!  I recently reconnected with Jenny to talk about Lilly’s journey over the past ten years.   Jenny fondly recalls the excitement of being matched with Lilly.  Although they were thrilled to become parents, there were looming questions about her diagnosis which had the potential to cause great fear.  Lilly was born with spina bifida and hydrocephalus, both of which were surgically repaired in China shortly after her birth.  Jenny shared that while she and her husband were hopeful that the surgeries had been successful, they did not know the extent of damage or what her future would hold.

As directed, they researched her medical needs and spoke to a physician specializing in international adoption.  They learned of worst case scenarios while staying cautiously optimistic.  Jenny stated it was easy to allow fear to slip in as they waited to travel.  While worrying about mobility issues, possible paralysis, cognitive deficits, future needs and surgeries, they also began thinking about accommodations that could be made to ensure she was given the best life they could provide for her.  Through it all, they trusted God would provide and pressed forward.

Lilly came to them as a tiny 28 pound 3 year old wearing 12-18 month clothing.  She could barely walk and had many other physical delays common of children coming from less than optimal care.  These deficits were quickly overcome through short term therapy. Jenny reports, however, that the personality that emerged within a few days of placement in China is the same personality Lilly exhibits today which has allowed her to overcome and flourish.

Due to the spina bifida, Lilly has some hip displacement and wears braces on her legs requiring occasional appointments at Shriners Hospital for adjustments.  Because of the hydrocephalus, she has a shunt and sees a neurologist every other year.  She also requires annual visits to an ophthalmologist to check the pressure behind her eyes.  Despite the braces, mobility is not an issue and she even cheers for an Upward basketball team!  She is actively involved in choir, musicals and theatre and does not allow her orthotics to limit her abilities. Cognitively, she is fine and does well in school.  Other than medical visits to monitor her conditions, Lilly is a typical pre-teen on the brink of celebrating her 13th birthday next month.

Jenny told me that as a parent, her greatest challenge has been advocating for her daughter medically.  While she trusts her treating specialists and referred to them as “amazing,” she also trusts her own instincts as Lilly’s mother.  She shared that the neuro department wanted to perform a procedure on Lilly’s shunt, however, Lilly was not showing any neurological symptoms to indicate intervention was needed at the time.  Despite the surgical recommendation, they made a decision together as a family to wait after learning there were more risks with having the surgery than not.  They realize that surgery may be needed in the future and will face that when the time comes.

Jenny and Daniel have also taught Lilly how to deal with curious questions from her friends as well as prying questions from others.  They have given her the confidence that her adoption story and tough beginning are HER story and she can choose to share the details or keep them private.  Her outgoing personality works to her favor in this regard.

When I asked Jenny what she would like other parents to know as they consider a special needs adoption, she said, “Disability does not mean constant illness and inabilities.”  She shared that Lilly is a very healthy child and in the past 10 years, has probably seen her pediatrician for sick visits only 3-4 times.  She also reiterated all of the positives in Lilly’s life and above all she wanted to share that Lilly had taught her and the rest of their family to persevere.  Watching Lilly navigate the hardships in her life “has been amazing to see!”  In talking with Jenny, it became clear long before she said it that, “As her mother, she makes me so proud!”

2 Timothy 1:7 For God gave us a spirit not of fear but of power and love and self-control.

Philippians 4:6-7 Do not be anxious about anything, but in everything by prayer and supplication with thanksgiving let your requests be made known to God.  And the peace of God, which surpasses all understanding, will guard your hearts and your minds in Christ Jesus.

Protecting Your Baby From Birth Defects Through Nutrition

Women who are interested in embryo adoption are clearly interested in becoming pregnant and carrying a healthy child to term.  Did you know there is something you can begin NOW that will help protect your growing child in utero?

Take folic acid.

Jennifer Hofmeister, a Physician’s Assistant in Loveland, CO recently submitted an editorial on this subject.  Jennifer tells us:

“I want to make sure that all women in Northern Colorado who can become pregnant know about a simple way to improve their health to prevent brain and spine birth defects, such as spina bifida.

Spina bifida is the most common neural tube birth defect in the United States affecting 1,500 to 2,000 babies every year. Spina bifida is characterized by the incomplete development of the brain, spinal cord and/or meninges (the protective covering around the brain and spinal cord). While children can lead active lives with spina bifida, it is a serious birth defect that can result in severe physical disabilities, and there is no cure for the disorder.

Women can lower the risk of spina bifida in their future children by simply taking one pill a day: folic acid. Studies have shown that adding folic acid to a woman’s diet significantly reduces the risk of having a child with a neural tube defect, especially if women start taking the supplement before they become pregnant.

Birth defects of the brain and spine happen in the first weeks of pregnancy, often before a woman knows she’s pregnant. If a woman doesn’t begin taking folic acid until the start of her pregnancy, it leaves a short window for her and her baby to benefit from the supplement. Even if a woman is not planning to become pregnant soon it’s best to plan ahead and start taking folic acid today.

The easiest way for women to incorporate folic acid into their diet is by taking a supplement every day. Folic acid is available as an individual supplement or as part of a multivitamin. Always check the label to make sure it contains the recommended 400 micrograms of the supplement.

Folic acid can also be found in foods such as enriched breads, pastas and cereals. For the last decade, the FDA has required that manufacturers fortify these foods with folic acid. In addition to supplements and fortified foods, women can also eat a diet rich in folate which can be found naturally in beans, peas, lentils, oranges, asparagus, broccoli and dark leafy green vegetables such as spinach and kale.

Even women who are not planning to become pregnant can benefit from getting enough folic acid every day. Our bodies make new cells every day — blood, skin, hair, nails and more. Folic acid is an important part of making these new cells. Deciding to start taking folic acid is one of the easiest healthy habits women can start today.”

So ladies, start your folic acid regiment today to protect the baby you adopt through embryo adoption tomorrow!

Learn more about embryo adoption at www.EmbryoAdoption.org.

Spina Bifida Occulta: Part II

bigstock_Adorable_Asian_Baby_With_Spark_938600Spina Bifida Occulta (SPO) is considered the least detrimental of the Spina bifida disorders, and is estimated to affect 10-20% of the population, so clearly many people have the disorder and do not know. The children from China or other countries who have no symptoms would not be classified as having special needs. However, there are types of SPO that do have symptoms.

These are the main categories of Spina Bifida Occulta

  • Thickened filum terminal: The spinal cord is too thick.
  • Fatty filum terminale: There is fatty tissue at end of the spinal cord.
  • Diastematomyelia (split spinal cord) and diplomyelia: The spinal cord is split in two and this split is often caused by a piece of bone.
  • Dermal sinus tract: The spinal cord and the skin on the back are connected by what looks like a band of tissue.
  • Tethered spinal cord in which the end of spinal cord is attached in the wrong way and, therefore, becomes stretched
  • Dipomyelomeningocele and lipomeningocele where the spinal cord is attached to a fatty tumor [1] Continue reading

Spina Bifida: Part I

Welcome to the first in a 6-part series on Spina Bifida. In the following posts we will discuss each of the types of Spina Bifida (SB); making the decision to adopt a child with SB; and the treatment and prognosis for these children.spinalcolumn

SB is a condition that occurs during the first month of fetal development in which the bones on the child’s back, called the vertebrae, do not fully enclose over the spinal cord.  It can be very mild and never noticed or it can be very severe, causing a child to have paraplegia or quadriplegia. It is a neural tube defect, and here in the US, with more women taking folic acid before conceiving and during pregnancy, the incidence of SB has decreased significantly.

In the US, the condition is most common among Whites  and least common among Asians. However, in China  there are reportedly 200 infants born with SB for every 10,000 births (see footnote); in the US, the incidence is 5-10 for every 10,000 births.  Certainly, SB is represented among the more than one million Chinese children born each year with special needs.

There may be a genetic component to SB as well as environmental factors that contribute to the condition. Continue reading