I have been blogging for almost a whole year now and I can't believe that I never got around to posting "Our Story, Sonya's Story". Well, what better time to do it (besides the first post) than now on my 100th post! Geez, 100 posts! Where does the time go?!
This was quite hard for me to relive as I typed it, so hopefully the tears didn't obscure my thought process and this will come across as clearly as I intended it to be. It's a long story, but I didn't want to miss any of the details, as this is first and foremost a place where I document Sonya's precious life.
Ian and I were high school sweethearts and after 6 years of dating we tied the knot on June 22, 2002 only 8 months after our first daughter Zoe Elizabeth was born on September 14th 2001. Yes, Zoe was a little surprise, we like to do things a bit backwards! We lived with my parents until Ian finished college, I tried to finish as well and we both had steady jobs. In September 2003 we bought our first home! It was quite a fixer-upper but with the help of my dad, Ian's dad and my cousin Jim we had the place gutted, remodeled and cleaned up in 4 months time. New house equals new baby... Enter Akela Lillian! Akela was born on the warmest night here in PA on January 13th 2005 when it was an incredibly unseasonal 67 degrees! Shortly after Akela's birth Ian received the chance in a lifetime kind of job! Merck Incorporated finally gave him the call he had been waiting for after his application and resume was handed in years before! He gladly accepted and is still currently working there as a bio technician making some of the top vaccines that our children receive! I continued to waitress and bar tended at a busy restaurant. We were making great money, we had two wonderful children, life was good!
In May of 2007 we were happy to know that we were expecting a third baby! Ian and I always wanted to have 3 children and this little one would complete our family! The first 5 months of my pregnancy sailed by smoothly. I chose to have a level two ultrasound at my 20th week of pregnancy to compensate for the quad-screen blood test that I turned down. When I was pregnant with Akela my triple-screen (before there was a quad) had come back with a false positive for Downs Syndrome and we were under immense stress and worry for her until a level two ultrasound done at the end of my 8th month of pregnancy revealed everything to be just fine. At our 20 week ultrasound with our third baby our lives were turned upside down.
The ultrasound technician slid the transducer over my belly on the day before Zoe's 6th birthday, taking longer than the norm. I had a dress fitting to go to later that night for my sister who was getting married in a little over a month. My previous situation with Akela sent thoughts running through my head as I lay there trying to get the nerve to ask what was taking so long, what was wrong. Did I want to know, dare I ask? I had to press this tech's buttons and get an answer out of her or at least get her to go fetch me my doctor ASAP! She wouldn't tell me what she saw and ran off to go get my doctor. Those 10 minutes felt like an eternity, but nothing could compare to the next 18 weeks that I would spend worrying sick with the knowing of what would/could be.
The doctor came in and repeated the ultrasound again. He told me that my baby girl's femurs were extremely shortened and bowed and that he could see that her one foot was clubbed and that I would need to see some more doctors for another ultrasound. I couldn't believe what I was hearing "malformation, demineralized bones, dwarfism? lethal?" all unbearable, but "baby girl" sounded just wonderful!
5 days later after celebrating Zoe's 6th birthday and attending another party at Ian's brother's house over the weekend, I lay again on another cold hospital table while doctors slowly examined every inch of our baby girl's body through another ultrasound. I initially tried to think happy thoughts. Zoe was getting her picture taken at school that day, I pictured her pretty smile. I thought about Akela contently playing with her toys at home. The doctors kept finding more and more problematic bones. Now her tibia's were also shortened and bowed, her other foot was questionably clubbed as well and her chest was small and bell shaped, her respiratory health in jeopardy. The doctors then had me scheduled in 2 more days for amniocentesis and genetic counseling.
On September 20th 2007 we were told that our baby would not survive. She had one of two lethal skeletal dysplasias. Campomelic Dysplasia was most likely our baby girls' diagnosis with her bell shaped chest which would not support the growth of her ever expanding lungs. We were told that she would suffer respiratory failure shortly after birth. Osteogenesis Imperfecta (Brittle Bones Disease) type 2 did not sound any better. If our daughter was to have this dysplasia she would undoubtedly break almost every bone during her birth, ribs included which could potentially puncture her lungs. The trauma of that many broken bones during the birthing process would be enough to bring upon her death. The doctors painted our daughters future as dark as midnight and as cold as ice with no light or ray of hope to be seen. The amniocentesis I underwent gave no additional information, leaving us to wait and worry. I remember asking "If she has Osteogenesis Imperfecta, would having a C-section help?" My glimmer of hope was shot down with the answer "No, it will not matter which way you chose to deliver, your baby just will not survive, you should make the arrangements now for her funeral. I'm sorry." Just like that, just that cold.
I don't know exactly how much I cried over this devastating news, but I think it was enough to fill all 7 of our oceans. How could I possibly go about daily life with this knowledge of our future in my head at all times? What would I tell my older girls when mommy's belly became small again and there was no baby in her arms? How could I ever possibly live on after something so terribly traumatic? I prayed and prayed and prayed. I pleaded with God to let me keep her, even though I knew it was selfish. I just couldn't seem to get past just wanting to keep her.
I quit my waitressing and bartending job, I could barely face my boss to tell him why. I just came in for my shift the next day after the meeting with the genetic counselors, completely broke down in tears and told him why I had to leave and not come back until God knows when. He understood completely of course! I had follow up ultrasounds every 3 weeks to watch our daughters condition. At first those ultrasounds showed continual increase in significant bowing of her bones and then much later no changes at all.
Only 2 weeks after we were told that our daughter would not survive, my father was diagnosed with stage 4 lung cancer. In between my ultrasounds I attended and organized my sister's bachlorette party with the help of her wonderful bridesmaids as well as her bridal shower party again with her bridesmaids and my mother. I went through several dress fittings for her wedding as my belly kept growing and cried at home after every single one, wondering if there was any slim possibility that our baby would make it. I attended my sister's wedding and watched my father walk her down the isle, seeing him with his hair for the last time. I took my dad in for his chemotherapy treatments and brought him back home again seeing him continually get thinner and sicker. I took the older girls to see Bee Movie and went to Zoe's parent teacher conference meetings. I visited my girlfriend Danielle after she welcomed home her new baby boy Aidan, celebrated Thanksgiving and Christmas with our family and had my hair cut from it's long style into a short bob. After celebrating the new year we had Akela's 3rd birthday party a week early just in case our new baby girl planned on an early arrival. Somewhere in there I had a consultation for a C-section because I did not plan a funeral for our daughter, I wanted to plan a birth and I saw a C-section as hope, just in case her fate was Osteogenesis Imperfecta type 2.

Ian and me with Zoe and Akela (she really wants that beer!)
Our last Christmas with Dad
At 9pm on Wednesday January 16th 2008, 12 days before she was due and 7 days before my planned C-section date, my water broke on my vinyl covered new couch (just in case... good thing huh?!) and I started having contractions. After calling Ian's parents to the house to watch the older girls who were already tucked in bed and calling my doctor to notify him, we rushed off to the hospital to have an emergency C-section. We arrived at 10:45pm and I was in the surgery room and prepped by 11:05pm. At 11:20pm Sonya Collette Swartley entered the world screaming!!! I was so happy to hear her crying! Tears rolled down my face as I begged for them to let me see her! They slipped me a glance of her beautiful face for a brief moment before whisking her away to the neonatal intensive care unit. To me, weighing in at 8lbs 5 oz and 18 inches in length, Sonya did not seem small enough to qualify as a baby with dwarfism! Her apgar scores came back great too! She wasn't even put on oxygen! All of this I had been told from the nurses who frequently came in to give me pain medications through my IV as I waited impatiently to see, hold, feel, hug and kiss my baby girl! I don't remember how long it was before they finally brought her to me and Ian, but it was sometime around 4 or 5am I think. I couldn't believe that she was ok! We nursed and I held her so long, practically refusing to go to sleep because I just couldn't get enough of her.

Just a few hours old.
Our little Eskimo baby.
Sonya's club foot and severely bowed leg.
Here is where things get blurry. All family members came in to visit at various times. So many people came and I was pretty much hopped up on pain meds. My stomach hurt so much from the C-section and I felt like my whole front side was going to literally just tear right off and drop to the ground when I stood up for the first time. It was very uncomfortable to say the least. I don't think all C-sections are this painful, I just think that because of my extreme weight gain towards the end of my pregnancy and Sonya being my third child, those stomach muscles just were not what they used to be! I was sharing a room at the time with another mom who just gave birth to her second baby. Just as my mom and sister had come in to see us (for the first time or again, I'm not sure) a group of doctors rushed in and told them to leave, practically pushing them out and pulling the separation curtain in between me, my family and the other mom. My face fell as I held sweet Sonya in my arms. What was going on? There in the shared room they told me that there was something wrong (I gather from the numerous x-rays that they had taken of Sonya), that Sonya had Campomelic Dysplasia and that she didn't have long to live, that surely her lungs would be smothered by her too small rib cage and that she would need to have more testing done. "What?!!!" was all I could muster. "Do you want your own room?" they offered. I wanted my own damn room now! This was complete bull! Here I am balling, crying so hard I have probably terrified the mother on the other side of the curtain. My baby is going to die? Thoughts racing. Heart dropping. Sinking. Hands shaking uncontrollably. Couldn't they have at least offered me my own room before they killed all my hope?
The rest of my stay at that hospital is completely vague due to all of the trauma and drama that played out. All I really remember is praying and seeing how perfect Sonya was, her cheeks and lips pink with warmth, her dark thick curly hair so soft, her skin tone darker like Ian's (that little bit of beautiful Leni-Lenape Native American peeking through) and her long dark eyelashes occasionally opening up for me to see her gorgeous eyes looking right at me. Sure her foot looked different the way it was bent in half, toes kissing her heal and her leg curled awkwardly coming all the way up to her belly button and resting there naturally, not wanting to straighten, but couldn't those things be easily fixed if they needed to be?
We were transferred to the Children's Hospital of Philadelphia's NICU where we stayed for the next 4 days after the 3 days at our local hospital. X-rays, ultrasounds, blood tests, DNA tests, echo cardiograms and other tests were all run on her. She laid in a teeny tiny examination bed during our whole stay as Ian and I slept bedside in chairs next to her. We only occasionally left to grab something to eat. The cafeteria was all the way across on the other side of the hospital and all of that extra walking for me combined with some unavoidable stairs and no access to a shower caused an infection of my C-section incision. I could care less though and ignored it while Sonya was in the hospital. We met with Sonya's genetics team (yes a whole team just for her) and were told they were almost certain her diagnosis would be Campomelic Dysplasia, a dysplasia so rare that there were only approximately 80 cases in the world. They were 99% positive about their decision and sent out the first set of DNA samples to Cedars Sinai in California. We were told by all of her nurses in the NICU that she was the healthiest baby in their NICU despite her possible diagnosis, that she had no signs of respiratory distress or any other immediate issues and that she would be going home with us on the 23rd.
At the NICU at CHOP.
So many wires and monitors keeping track of her.
Zonked out after a DNA blood withdrawl.
Home sweet home! *Yawn!*
All three of my beautiful girls.
Teeny tiny hands.
Sonya with her teddy 1 month old.
We came home on the 23rd of January and picked up life where we left off. My C-section incision was clearly infected and 2 weeks worth of antibiotics finally cleared up the painful mess. We had some snow days, friends and family came to visit and Akela had her major follow up appointment with her cardiologist. The leaky valve and heart murmur had cleared itself up and one major worry was off of our shoulders! I continued to take my dad to his chemotherapy appointments. In March my dad went into the hospital and we found out that the cancer had spread to his liver. He came home on hospice on Easter Sunday and we all had Easter dinner together. We all visited my dad on the 29th and I took some pictures of him with all 3 of his grandchildren, my daughters. On the 1st of April dad lost his fight against lung cancer when Sonya was just 10 weeks old. He is missed so much and I wish he could see my girls today! Sonya has come so far!
My dad with all three of his grandchildren, my girls, one last time.
Sonya's first cast to correct her club foot.

Surgery, Achilles Tendon Release and Reattachment.

Sleep study test and lung function test a month later to check for respiratory issues. All was well!
Under the assumption of Sonya's Campomelic Dysplasia diagnosis, we started seeing an orthopedist at CHOP for her clubbed foot. The first attempt to correct it was to do a series of casts which would slowly stretch her achilles tendon into it's correct position. If this would not work then surgery would be needed. The day after my dad passed away we headed down to CHOP to have Sonya's first cast applied. I know my dad would have wanted me to still get to this appointment, it was important. Unfortunately after a month of this series of casts method her doctor found that it was not working and Sonya had her first surgery on May 9th 2008. An achilles tendon release surgery was done to correct her clubbed foot. She was put into a cast for a month and then she was braced with a Mitchell Bar Brace, setting her feet outwards at a 70 degree angle. If I only knew how damaging this could have been with her Osteogenesis Imperfecta diagnosis! I did decide on my own that Sonya was done with the brace after only 4 months. I just felt like something wasn't quite right and that I should stop putting it on her.

Sonya with her Mitchell Bar Brace to aid in the final correction of her club foot.
Extreme flexibility huh?!
Family vacation to Brigantine Beach NJ.
Sonya loves her mommy!
9 months old.

Sonya's 1st Christmas!
Opening presents!
Sonya turns 1!
Birthday girl and her cake!
My three girls January 2009.
For the first year of Sonya's life we assumed her diagnosis was Campomelic Dyplasia. When all 3 of the DNA tests for it came back negative over the course of the first year, her geneticist finally sent out the first DNA sample to be tested for Osteogenesis Imperfecta (his second guess). Well, within a month it came back positive for type 3! Man, was I angry that this test wasn't sent out with the tests for Campomelic Dysplasia. We could have known this when she was just a month old, special precautions and treatment could have started much earlier and eliminated much of her pain that she endured all that time! I digress, our Sonya finally had a diagnosis, but what did this mean?!
Osteogenesis Imperfecta (OI) is a genetic disorder characterized by fragile bones that break easily. It is also known as “brittle bone disease.” A person born with this disorder is affected throughout his or her life time. In addition to multiple fractures people with OI often have muscle weakness, hearing loss, fatigue, joint laxity, curved bones, scoliosis, blue sclerae (whites of eyes are blue), dentinogenesis imperfecta (brittle teeth), and short stature. Restrictive pulmonary disease occurs in more severely affected people. OI is caused by an error called a mutation on a gene that affects the body’s production of the collagen found in bones, and other tissues. It is not caused by too little calcium or poor nutrition. OI is variable with 8 different types described in medical literature. The types range in severity from a lethal form to a milder form with few visible symptoms. The specific medical problems a person will encounter will depend on the degree of severity. A person with mild OI may experience a few fractures while those with the severe forms may have hundreds in a lifetime. The number of Americans affected with OI is thought to be 25,000-50,000. The range is so wide because mild OI often goes undiagnosed. The majority of cases are caused by a dominant mutation to type 1 collagen (COL1A1 or COL1A2) genes. Other types are caused by mutations of the cartilage-associated protein (CRTAP) gene or the LEPRE1 gene. This type of mutation is inherited in a recessive manner. OI occurs with equal frequency among males and females and among all racial and ethnic groups. Approximately 35% of children with OI are born into a family with no family history of OI. Most often this is due to a new mutation to a gene and not by anything the parents did before or during pregnancy (this is the case with Sonya). Since 1979, OI has been classified by type according to a system based on mode of inheritance, clinical picture, and information from x-rays. The characteristic features of OI vary greatly from person to person, even among people with the same type of OI, and even within the same family. Not all characteristics are evident in each person. Health issues frequently seen in children and adults who have OI include: Short stature, weak tissues, fragile skin, muscle weakness, and loose joints, bleeding, easy bruising, frequent nosebleeds and in a small number of people heavy bleeding from injuries. Hearing loss may begin in childhood and affects approximately 50% of adults. Breathing problems, higher incidence of asthma plus risk for other lung problems and curvature of the spine. To read more you can check out my
Osteogenesis Imperfecta post.
Sonya has type 3 moderate Osteogenesis Imperfecta. In most information that can be found on OI, this type 3 is defined as the most severe among those who survive. Sonya has been classified as moderate by her specialists. She is not one of the mild cases yet she is not among the most severe, she is somewhere in between.
Upon finding her new diagnosis I found new doctors, *SPECIALISTS* for Sonya, at AI duPont in Wilmington DE, where they have a OI clinic, and we love them! They have wonderful knowledge of Sonya's condition and we trust them to do what is best for Sonya. There is no cure for OI, but there is treatment. Sonya is on a bisphosphonate called Aredia Pamidronate (PAM). It is an IV infusion that is strengthening her bone density and lessening the amount of the fractures she may sustain. She receives this every 8 weeks for 3 days consecutively for 4 hours a day. For more info you can read my
Pamidronate post.
The princess and her PAM!
We carry with us at all times Sonya's diagnosis papers to avoid allegations of child abuse and a "break box" chuck full of splinting materials, pain meds and severe trauma first aid items. Sonya has had 13 fractures to date (she is 20 months old). Both her femurs (thigh bones), left tibia (lower leg) and right radius (lower arm) broke while she was in utero and she also had 2 spinal compression fractures while in there. Shortly after birth in between transport from the local hospital to the CHOP NICU she had another 2 spinal compression fractures. All of these broken bones plus her extensive (over 100) wormian bones (extra suture lines in the skull, there are typically 6) went unnoticed by her doctors at CHOP, explaining the misdiagnosis for over a year (yet I'm still disappointed in their care and examinations, how do you miss 8 broken bones and a funky looking skull on x-rays?). She broke her right radius and ulna (lower arm) in March 2009, her left femur in June 2009, her left index finger in August 2009 and she had a micro fracture in her left scapula in August 2009. Yet through it all she remains strong and happy!
March 2009

March 2009... same break, different cast, she took off the first one!
Sonya with her new SAM splint!
June 2009
She never ceases to amaze me with her determination and strength, her courage and knowledge, her spunk and beauty! We take it all day by day. I often get asked how I do it all, how do I deal with all of this? My answer always stays the same... "A crap load of coffee, incredible patience, next to no sleep and because I have to, I love her! When you become the parent of a special needs child there are extra steps and necessities, setbacks, stress and anxiety but all in all when it comes down to it you get yourself out of bed and work with what you have because you have to, you love your child!" Sonya is a blessing! I am thankful everyday that I got to keep her! Oh, and life is still good, very good!!!

With mommy on the caurosel, no casts or breaks for now!