Most would say Jack had a rough start to life. His parents say he is a miracle. The realities of Jack’s serious medical conditions began to unveil themselves only after his mother had an Emergency C-Section at 31 weeks. Now at age five, Jack has had eight major corrective surgeries, a series of scopes and MRIs, as well as several admissions into the hospital which almost always included administration of IV therapy.
Esophageal Atresia and Tracheoesophageal Fistula (EA/TEF) Diagnoses in the NICU
At a 20-week ultrasound, a two-vessel umbilical cord was discovered leading to more frequent ultrasounds and a close watch on mom Amanda’s fluids. Ten weeks later, her amniotic fluid was much higher than normal, and a visit to see a specialist was scheduled for the next day. She never made the appointment, as her water broke that same evening, and was admitted to the hospital for monitoring. “Because my water broke early, I was more susceptible than normal and ended up with an infection. On day five, our baby’s heart rate went up and he was born by emergency C-section.”
Soon after birth, the care team discovered a multitude of anomalies, where treatment decisions had to be made quickly to keep Jack alive. The first congenital defects diagnosed, and a major cause of concern for the medical team and parents were Esophageal Atresia (EA) and Tracheoesophageal Fistula (EA/TEF) where food could not travel past the first portion of the esophagus, and Duodenal Atresia because that made it impossible for waste to travel out of the body.
Upon delivery, baby Jack was rushed from a community hospital to a nearby specialized Children’s Hospital, and within 24 hours, had his first surgery. During this surgery, Jack’s liver started bleeding, and his parents were informed there was only a 50/50 chance he’d make it through the surgery. He persevered as they were able to disconnect the esophagus from the trachea and place a gastrostomy tube (G-Tube) to vent his stomach. From there, Jack spent the first of many long nights in the Neonatal Intensive Care Unit (NICU).
IV Complications During Care for Respiratory Illness
Jack spent his first four months in the NICU where he was able to have the Duodenal Atresia and Choanal Atresia repaired. He was able to go home and received additional home health care, until his return at six months for the surgery to repair his Esophageal Atresia including a one-month recovery, and again at 12 months for his spinal cord. Fast forward through several successful surgeries and recoveries, Jack continues to battle respiratory illnesses and pneumonia due to his early conditions and prematurity. It was a stint with a respiratory infection where Jack experienced and was able to verbalize his discomfort with an IV.
“He was receiving antibiotics and fluids for dehydration, and when a nurse came in to flush it [his IV], and he said it hurts, they were just under the assumption that he didn’t like the way it felt.”
“But he just kept saying that it bothered him, and eventually after a few hours, it [the area around the IV] swelled up to the size of a golf ball.” Jack is notorious for being a hard stick. He would have IVs changed because the nurse would be unable to flush or draw blood. However, this was his first confirmed infiltration. Since then, the Children’s Hospital that has taken care of Jack has implemented a technology to help nurses detect infiltrations.
“With the technology, we are alerted if an IV is going bad [infiltrating] in real-time. That helps us prepare Jack for what’s coming up instead of [a nurse] just coming in, stopping it [the IV] and pulling it out.”
Parental Advocacy: Children Experiencing IV Pain
Amanda says speaking up as a parent is important. “You have to be there, and you have to speak up for them. And you know your child, so you know what’s going to make them comfortable and what works best for them.”
“If you read his medical history and then see him, people say, oh my gosh, he looks way worse on paper than he looks in person.”
By all accounts, Jack is thriving. He is starting kindergarten. Jack runs, keeps up with his friends, and does many of the everyday activities his parents were told he may never do.