Julie's 22nd Birthday

Tammy Keppner

Veritas Contest 2006

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Yesterday afternoon as I sat at my computer my daughter Julie was in her room listening to her music as she always does. Her room is directly above where I am sitting and since she plays her music a little loud I can often hear what she is listening to, who she is talking to (she often talks out loud as if someone is there) or singing along to. Yesterday she was listening to the Stations of the Cross on CD.  Julie listens to all kinds of music and some of her stuff is religious material. Julie loves Jesus like no one I have ever known. She talks about Him (and to Him) a lot and has a deep empathy for what He went through on our behalf. I've come to believe this is a very special gift He has given her. The highlight of Julie’s week is Holy Mass. Julie is not independent and never will be, but in matters of faith, she is soaring. She cannot remember how to dress herself properly but Julie’s faith and love are virtues she practices daily effortlessly. Julie is blind and moderately retarded. She is a joy to be around as she is almost always happy and joyful. She functions at the level of a 7 year old but spiritually, she is way beyond anyone I have ever known or had personal experience with. She can't wait to get to heaven to sing Jesus lullaby's and "make Him feel better". She tells me this at least once a day. As I sat here yesterday she comes out of her room and hollers down to me "Mom, who is Veronica?" Knowing what she was listening to, I told her that Veronica was the woman who wiped the face of Jesus when he fell while carrying the cross. She replied: "Awww, I'll make Him feel better Mom. I'll snuggle Him when I get to heaven." I said "I know you will honey."
 
Twenty -two years ago today I was sitting on my couch watching TV. I was almost 6 months pregnant. I felt a gush of fluid so I went into the bathroom only to discover I was bleeding profusely. I grabbed a small hand towel to stop the flow of blood and got into my car and drove the short distance to a tennis court where my husband was playing. From there we went straight to the hospital. My doctor said I had a small polyp and that was causing the bleeding. He wanted me to stay there the night and told me I could go home the following day. Later that night when I had gone to the bathroom, I discovered something hanging out of me. It was Julie's foot. From there a whirlwind of activity followed. The doctor was called and I was hooked up to medicine that induces your labor. The doctor made it clear from the beginning that Julie was "non-viable". When I asked him what that meant he said she would not live, she was way too early. Bill and I were devastated. After several hours with the medicine not working he said he needed to get her out. Bill and I kept questioning if there wasn't SOME chance of Julie surviving and we were told no. No special measures were taken like there would have been if there was even a small chance she'd live. Our doctor was consulting with experts from the University Of Iowa Hospital and they all agreed, at 24 weeks gestation she didn't have a chance.
 
I was awake while they tried to deliver Julie. Because she was breech with one foot already out my doctor had a horrible time getting her out. He ended up just yanking her out by the one foot. The only sound in the room was Bill and I sobbing. They whisked her over to a small side table and cleaned her up then let Bill and I see her. She was the smallest baby I had ever seen...she weighed one pound 8 ounces. She was perfectly formed just very tiny. She was also gasping for each breath. Once again the doctor emphasized that Julie would not live and told us she didn't have long. They gave her no oxygen or assistance whatsoever, it was just a matter of time. A short time later I was taken to my room. There Bill and I decided to call our families and we also called a priest to come and baptize Julie. The priest was told to hurry. When he arrived he popped his head into my room and asked me hurriedly what her name was. I paused because Bill and I had not made any decisions much less talked about it very much. I blurted out "Julie" and he left to go give her that sacrament.
 
Every now and then the doctor would come in and tell us that Julie was still with us but not for much longer. One hour passed, then 2, then 3......

He called the University again and they were all still in agreement to do nothing, just let her pass. After 6 hours they decided to transfer her to the other hospital where they had the team and facilities to handle premature babies. Even though they were transferring her, we were still told she would die. The University Hospital was two hours away.
 
The next 3 months of Julie's life were days filled with pain and anguish for all of us. A roller coaster of emotions when she made it through another day only to be followed by another crushing setback. Julie experienced almost all the worst case scenario's that might happen with a preemie. When my doctor yanked on Julie to get her out this cause a brain bleed. They rate them 1 through 4 with 4 being the worst. This bleeding into her brain was causing brain damage. Julie's bleed was rated 4. To keep her head from swelling they went into the top of her head every day with a needle and drained the fluid out. They tried to keep the area where they went in to a quarter size as they knew they could also be causing damage each time they did this. This went on for about a month when it finally just stopped. Bill and I were often asked how far we wanted to go with Julie. They wanted our permission to let her die. We wanted them to do everything possible to save her. We were told that Julie would be nothing but a vegetable. She would not talk or walk and would more than likely be spastic. The picture of Julie's future was horrible but we still wanted them do everything possible.  I remember telling God that if only she can know love and give love, that would be enough for me. Julie continued to get every sickness a preemie can get. Once every hour they would prick her fingers or heels to get blood to check the oxygen level in her blood. It wasn't long before they didn't have to prick her anymore, they just had to squeeze. Because Julie was on a ventilator you could not hear her cry. But every time they did something painful to her she WOULD cry, you just couldn't hear it. It was gut wrenching to see all the painful things done to her on an hourly basis pretty much month after month. When Julie was two months old she developed the worst kind of virus you can have in her colon. Basically, her colon exploded and she was rushed to surgery. Bill and I were told that very few preemies survive this. Again we were asked how far we wanted them to go with her treatment. Before this surgery, we told them again to do everything possible. When we saw her after the surgery we took one look at her and knew this was the end. She was swollen to twice her size and purple. They had to do a colonostomy on her so now she had a piece of her colon protruding out of her stomach and her bodily excess flowed into a bag attached to this colon. This was so the damaged part could rest. They told us that even if Julie did survive this, the colonostomy was permanent.
 
The ventilator they had Julie on was not breathing fast enough for her even on the highest setting so the nurses were taking turns bagging her. It was seeing her at this point that Bill and I both knew we could put her through no more of this. All these weeks the hospital staff tried to convince Bill and I that Julie's life, with all that had happened to her, had no value. Some suggested we let her die, some suggested that if she did live, we put her in an institution. There was never given to us even a glimmer of hope but we pushed ahead. Until this last surgery. One look at her told us we had pushed her as far as we could. Bill and I finally agreed with the doctors and told them that if Julie should code again, to just let her go. We were told then that they could not do this without a court order. What? It appears that a new law was put in place where they had to give several measures of life-saving drugs first before they could let her just pass. Bill and I we incredulous that we finally agreed with them, and then they tell us we can't just let her go peacefully. As it was however, the toll from this last surgery was tremendous and they did not expect her to live through the night. So we gathered our parents and a priest and had Last Rites given to Julie. We stayed at her bedside talking to her and praying all night long. Only Julie did not die. For the next week each day was like the one before. We hovered waiting for her death and she kept on breathing. Somehow Julie managed once again to pull out of that crisis. All in all, over the course of Julie's hospital stay, we had Last Rites done on 3 separate occasions.
 
Over the next few months there were more traumas for my baby. The oxygen she needed to keep her alive had detached her retinas. Julie would also be blind.  Her veins had all but shut down from all the iv's so they were now using the ones in her head. At one point they decided that putting a trach in Julie was the next best course of action. Shortly after this surgery was done and Julie was back in ICU her trach became clogged and they could not unclog it. This was where Julie breathed from. She was hurried back into surgery but for over 5 minutes Julie did not get enough oxygen and we were told more brain damaged had occurred. From the brains scans done it was clear that Julie's brain had suffered horribly. Her outlook was very bleak.
 
It took Julie 8 months in the hospital before they thought she was ready to come home. We would be bringing her home with a feeding tube, a trach, apnea monitors and oxygen. At 8 months old Julie weighed 6 pounds. Eventually her colon was successfully reversed. When Julie was two years old the trach was removed from her neck and surgery was done to close the hole. Her need for oxygen was not longer necessary. 
 
Today my baby is 22 years old. She came running down the stairs this morning with a huge laugh and smile anxious to open her presents. Gabby and I began singing Happy Birthday and she laughed her head off. She was beside herself with glee because this is her special day and we have lots of fun plans. I'm so thankful for this angel God gave to us. What a special little girl! Happy Birthday, my love.

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Veritas, 22nd November 2006

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