Families

Success Stories

The Inside Scoop: A Parent’s Journey to Find the Right Medical Care
TRUST YOUR INSTINCTS
By Siobhain Towell

It was a beautiful spring day on April 19, 2001, when my daughter, Brenna, was delivered via a planned C-Section. It was around 1 p.m. that afternoon when I was first able to hold my baby for any length of time. I held her for no more than 30 seconds when I noticed that she had a bony ridge down the back of her head and that her forehead seemed to protrude a little more than usual. Her face was beautiful, she had scored well on her tests and she seemed, by every account, to be a perfectly healthy baby. So, why did I have this sinking feeling that something was wrong? I asked my family over the next several hours to look at her head – did they see what I saw? What was this bony ridge? Why was her head more skinny than round? Could there be something wrong with her? I was particularly taken aback by her head since my son, who was also born by c-section, had a beautiful round head – the classic sign of a C-Section baby since they don’t have to endure any birth canal molding of the head. Perhaps if this was my first child, I might not have been as concerned. But she was my second, and I was very much concerned. Everyone around me that day, and many days to follow, assured me that there was no reason to worry.

I have a vivid memory of that first night in the hospital when this was gnawing at me to the point where I got out of bed (dragging my IV with me) to head down the hall to the nursery. Surely, if “all babies have strange head shapes” then I would see several others babies born that day with strange heads. I did see the classic and very normal “cone” shaped heads from a few babies that were born with forceps. But it was obvious to me that Brenna was different.

I tossed and turned that night. I couldn’t wait for the pediatrician to come the next morning. He was not in my room for three seconds before I mentioned this concern. I didn’t want to talk about nursing, umbilical cords, or anything routine like that… I wanted to talk about head shapes! It was then that I heard the first of many (from doctors, from friends, from family, from strangers who I accosted in coffee shops) “Don’t worry, it’s probably nothing”. My doctor, who is well respected and knowledgeable, can’t be blamed for not pointing this out right away. All of these conditions, although not rare, are still uncommon and are not something that most general practitioners see often in their career. In the majority of cases like Brenna, it is probably nothing – but you can’t just take the word of the doctor and let it be… not if you truly think there is room for concern.

On April 23rd I was released from the hospital and was excited to be home. Why? Now I had access to the Internet and I knew this would help me. A simple search of “abnormal head shapes” on Google delivered pages of results on a condition called Craniosynostosis. Wow! This is what Brenna has – sagittal synostosis also called scaphecephyly – “boat-shaped.” The pictures of the kids who had this looked just like Brenna. Tears streaming down my face and shaking, I brought this news to my family and pediatrician once more.

Another bad day at the pediatrician’s. “There is the possibility that it could be Craniosynostosis, but let’s wait and see. Don’t be so nervous – especially a second time Mom,” they told me. “I finally demanded an X-ray or a CT scan or anything that would definitely prove me wrong.

The May, 2001, X-ray supported a diagnosis of severe Craniosynostosis. This was one of those days where being right was not a great feeling. Multiple hours on the web and numerous calls to various support organizations resulted in getting the names of the best craniofacial surgeons in the country. Finally, in June 2001, we visited the NYU Institute of Reconstructive Plastic Surgery and the craniofacial team led by Dr. Joseph McCarthy. Surgery was performed on October 31, 2001.

Now, it is three-and-a-half years post op. Brenna is doing extremely well and is a happy and healthy four year old. She will endure one more surgery this summer to close some gaps in her skull – but I am confident that this will go well.

The moral of this story is quite simple. You know your child the best – even from birth. If you think there is the smallest chance that something is not right, speak up. Do the research – there is a ton of research at your fingertips. Tap into support groups – there are many available that offer emotional and financial assistance. Be assertive with your doctors. Demand affirmative tests to prove you wrong (whether it is blood tests, CT scans, MRIs, etc). The earlier that you can understand what you are dealing with, the more options you may have for treating it. Be strong – it’s ok to get emotional throughout the journey, but you can’t let the emotions overcome the reality. It is what it is… and now the goal is to try to do everything within your power to make it as best as it can be and help your child to have the best life possible. Use your knowledge to empower yourself to be your child’s advocate.

Top