January 19, 2011
by marfmom
6 Comments
January 17, 2011
by marfmom
41 Comments
Please Don’t Say “I’m Sorry”
This is a post I’ve been working on for a couple of weeks. I don’t think I’ll ever be able to make it just right. I can’t even think of a catchy way to start it off.
We had Baby J tested for Marfan when he was two days old and got the results back a few days before Christmas. He has Marfan syndrome.
Neither Mark nor I were surprised. The first thing I noticed about our son in the OR was his beautiful long fingers, then later on his large feet and long legs (all symptoms of the syndrome).
How I feel about this is complicated. And because it’s complicated, my gut reaction was to not tell anyone. There were two things I didn’t want to hear: “This is your fault” and “I’m so sorry!” I think the first is fairly obvious. I mean, clearly Mark didn’t pass on the gene. I know it was me. However, assigning blame makes it seem like was a purposeful act, which it most certainly was not. Also, I don’t feel at all guilty about J’s diagnosis.
The second is harder to explain. I mean, yes, not having Marfan syndrome is preferable to having it. And yes, I feel sad when I think about some of the things that J will most likely go through, like surgery (quite possibly multiple; I’ve had 5 surgeries and 2 other procedures myself, not counting my c-sections). But, when I look at Marfan through the lens of my own life I’ve commented repeatedly that I am not sorry that I have it. There are days it makes me sad and days it makes me angry, but as I’ve written before I have found a lot of beauty in it and I believe I am exactly the way God intended me to be.
I feel like I’ve had to fight against the idea that because I have this illness I am “less than.” Hearing people say they are sorry for Baby J’s diagnosis (or even worse, if they were to follow it up with a declaration of how terrible it is or a guess at how we must feel) makes me feel as though they are making a statement about the quality of my own life, even if they don’t intend it that way.
What I realized though, was that hiding J’s diagnosis sent the wrong message: the idea that we were embarrassed or ashamed of him having Marfan. That couldn’t be farther from the truth!
Everyday I am amazed at my baby’s looong toes (his feet didn’t fit the 0-3 month footie PJs at 4 weeks!) and his lack of a chin (a feature I hate in myself but is endearing in him). I kind of take pride in those physical characteristics. I have long thought that children with Marfan are so beautiful and am always telling the teens how advantageous some of our unique features are. That is not to downplay the seriousness of the disorder, but Mark and I are making a concentrated effort to focus on the positives, so right now one of my positives is that my son looks like me…at least a little bit!
So, what does having Marfan mean for Baby J? To be honest, we don’t know. J might be affected like me, with mostly just skeletal & pain issues. He could also be more severely affected, with more eye and heart problems. Only time is going to tell. He has his first echocardiogram this week (well, technically his 2nd since he had one at 22 weeks gestation), then an eye exam in mid-February to make sure his lenses haven’t dislocated. I don’t expect us needing to think much about his diagnosis for a few years yet.
I’m the one who plans everything 5, 10, 20 years in advance though, so I’ll admit that as soon as my doctor gave me the news, I started considering J’s future. When will we start him on medication? How will we handle PE? Will he come to love the Marfamily and want to be involved, or will he resent it and wish that Mark and I had used reproductive technology to have a baby who didn’t have Marfan instead?
Right now, I don’t know the answers to these questions. I can’t know them. There are a few things I DO know though. I know that we will make sure J has access to the best doctors we can find. I know that Mark and I love him to pieces and will be the very best parents for him that we can. And I know that while Marfan will be a part of who J is, it will not define him.

January 14, 2011
by marfmom
11 Comments
Marfan: The Gift That Keeps on Giving
I had nasty swelling with both pregnancies. It took two months for it to disappear after the Menininho was born, but I apparently had pre-eclampsia after delivery, so it made sense that it would take awhile for the swelling to go down.
This time, I was amazed at how gorgeous (I use the term very loosely) my feet looked a few days after delivery. The nurses would say “aww, you’ve got a bit of swelling!” and I’d say “No this is great! It’s almost all gone!” I mean, swelling started at 18 weeks with Baby J, so finally having toes that didn’t look like cocktail wieners was bliss!
That bliss was short lived. A week after delivery my feet were back to pre-delivery levels of swelling and a few days after that they were even worse. I couldn’t even fit into my flip flops! I worried about pre-eclampsia again, so I made an appt. back to the OB clinic. Pre-e tests were negative and I was told the swelling was normal. My cardiologist offered lasix, but I declined. The next time I saw him though nothing had changed and he insisted I take some. Unfortunately, it didn’t help and my doctor warned me that the swelling might be permanent. Apparently Marfan can cause our veins to become insufficient after an event like pregnancy. Not that it would have affected my decision to get pregnant, but that would have been good information to know ahead of time!
On Monday of this week my GP put in a referral to the lymphedema clinic and surprisingly they were able to fit me in yesterday!
This is where I take a break to brag on my hospital.
1) No one batted an eye at me nursing in the waiting room.
2) One of the nurses offered to put cartoons on for M. to watch (even though I’m sure she would have rather watched Rachel Ray). He loved it!
3) Two doctors offered to hold the baby when I couldn’t so he wouldn’t have to lay in his carseat in the stroller.
4) The doctors brought M. a stuffed elephant to play with during the appointment and then TAKE HOME with him.
I had been so nervous about taking both the boys out to my doctor appointment without an extra set of hands. I REALLY appreciated how kind everyone at the clinic was. The cardiac team actually does treat their patients like family…one of the nurses was even reminiscing about how she first met M. was he was J’s age and ohmygoodness how is he going to be TWO already, hahaha.
Aaaaaanyway, after a thorough exam the lymphedema specialist told me that I do, in fact, have lymphedema (as opposed to hydrostatic swelling, which is what women get during pregnancy & what lasix can treat). It’s partially caused by Marfan and probably has some genetic predisposition from my mom’s side as well, as she and her mom both got lymphedema after radiation for their breast cancers. The doctor said normally lymphedema can’t be cured but he feels cautiously optimistic that mine can be, since it was brought on by pregnancy and is still pretty early. I’m supposed to have 5-10 sessions of physical therapy and if that doesn’t work then we’ll know this is permanent. Unfortunately, the PT doesn’t start for a month.
In the meanwhile? I’m just happy to be cutting my daily number of pills in half! I’m also hoping removing the lasix will allow me to go a whole night w/o having to pee, which isn’t something I’ve done since oh, last April.
Moral of the story? If you other Marfan Moms have swelling that lingers for more than week or so after delivery, go see your doctor sooner rather than later!


