
Jenna was born in December 1996. Biliary atresia was
suspected within one week because of her severe jaundice. She had a Kasai
at five weeks, but it was not successful.
When she was five months old, we flew from
our home in Tarrytown, NY, to UCSF, in San Francisco, because we wanted Dr. Emond to see her. Once
admitted, she developed ascites and was scheduled for a living-related
transplant within a couple weeks. They wanted to beef-up her nutrition
before the transplant. I began the screening to be her donor.
The day
before the transplant Jenna spiked a fever and the transplant had to be postponed
until the infection cleared up. She was hanging by a thread, needing the
transplant, but besieged with infection. She became very lethargic and her eyes were
dull. Needless to say, it was a very tenuous and stressful time.
The transplant, according to Dr. Emond, was particularly difficult.
She lost six pints of blood because her ability to clot blood was
severely compromised. He told us that perhaps one day he would tell us
just how serious it was for Jenna, but not yet. I believe her operation
lasted 8 hours and it was Dr. Emond's last transplant at UCSF before he left to
start the program at Columbia, where we now go for Jenna's follow-up care.
One week after the transplant, surgeons opened her up as standard
procedure for an open biopsy and in the process checked to see if all
seemed okay. It is disturbing to know that they don't do open biopsies at all
transplant centers but at least all went well.
One week after the open biopsy, they performed a needle biopsy that
was a disaster. The needle went through her new liver and punctured a
lymph node on the underside of the liver. The internal bleeding was discovered
later in the day as her hematocrit dropped and she passed black, blood
stained stool. She was rushed in for emergency surgery to cauterize the
bleeding. In the middle of the night her hematocrit began dropping
again. Again she was rushed in for emergency surgery, this time to stop
bleeding of punctured vessels within the liver. So, the needle biopsy
had not only pierced the lymph node, it had broken blood vessels on the
way through the liver.
After having four operations within three weeks she took a while to
recover. But recover she has and we have not had any trouble with her
liver since.
A year and a half after her transplant, Jenna had to have surgery to
correct urinary reflux. While it was miserable to go back into that
"hospital world", which we had so gladly left, this surgery seemed minor
compared to what she had been through. She sailed through it and has
been perfectly healthy ever since.
Jenna is now three years old and is in nursery school and swimming
classes. She is a very active, agile girl who climbs everything she can
reach. She is very loving and so independent that she insists on doing
everything by herself.
|