In Loving Memory of This Treasured
Trisomy 13 Child

Noah Patrick McCoy

March 13, 2009 - March 23, 2009

  Unalakleet, Alaska (AK)  
 

"But Noah found grace in the eyes of the Lord."
 
"Noah truly impacted more lives in 10 days than many healthy people will do in their lifetime. Now that in our opinion is not only worth any pain we may be suffering but that is “quality of life.”

Our tough journey with our son Noah didn’t begin on Friday March 13th 2009 which also happened to be National Trisomy 13 Awareness Day and Trisomy Awareness month in Alaska. Our journey really didn’t begin in the fifth month of my wife’s pregnancy on January 21st when we went in for our ultrasound and we were told about our baby possibly having Trisomy 13. Naturally one of the happiest days in a married couples life is the day they realize they are going to have a baby. However for whatever reason my wife never really did feel just right about the pregnancy. I can remember like it was yesterday the day last August when my wife made the announcement of her pregnancy to me, and with tears also saying that she didn’t feel right inside. That was really the day that our Journey with Noah began. As a matter of fact during her entire pregnancy she maintained that she felt like something was wrong.
This being said there have been times throughout this journey that have been more difficult. I think about the ultrasound. We actually had two ultra sounds the initial one we both noticed that the tech wouldn’t really give us a clear image so we left feeling kind of strange but since we were only informed that our baby was a boy that uneasy feeling turned to a sense of relief, considering the feelings my wife had been experiencing. About an hour later as our family was celebrating the soon to be birth of our son over pizza, our hearts seemed to fall when we received a call from my wife’s doctor that he wanted us to have another ultrasound with a specialist; to take a closer look at some concerns he had about the heart and possibly cleft palette.

The rest of that evening and the next morning were very apprehensive to say the least. During the next appointment as clearer images of our baby were being shown to us by the specialist, medical terms seemed to almost mumble in our minds as we were attempting to process the bad news. However certain terms did make themselves clear to us. Terms like abnormality, Chromosome disorder, lethal condition, mother’s safety. Of course the term early termination was mentioned several times as being the more favorable alternative to enduring a dangerous pregnancy. Soon feelings of apprehension turned to a feeling of fear at what lied in store for my wife and our son, especially when our son’s abnormalities were made clearer to us. The doctor told us that our baby had an extra digit on each hand and foot; a bi-lateral cleft palette and lip, rocker feet, a hole in his heart and well as an enlarged heart, and several other heart defects. If the baby were not stillborn it would not live more than a few hours. We did agree to an amniocentesis to confirm the diagnosis but only for purposes of knowledge not termination. Let me say here that we are Baptist and believe God according to the Bible is not only the giver and taker of life but He is also the sustainer of it. According to his word in Isaiah 49:5 and Jeremiah 1:5 the life of the child begins at conception therefore we are completely pro life. Nevertheless we are very compassionate towards those with the same sense of fear that are at this very moment faced with a decision like we were faced with to terminate a life prematurely. Especially after being faced with the temptation ourselves to do the very thing that we are completely against.

We spent the next several hours, weeks, months just as if we were going through the motions of not really carrying a life but more so carrying an abnormality. Things that we had done to prepare for our previous sons birth we failed to do for Noah. Things like playing classical music, Bible reading, and talking to our son while in the womb. Wondering in the back of our minds were we really doing the right thing by my wife carrying the abnormality. I guess for lack of a better explanation we had really lost perspective on why we were carrying the child; it was more that we were carrying him because we were supposed to and not because he was a gift from God. As far as a spiritual explanation I guess you could say we kind of lost our faith even though we were carrying out the pregnancy in faith. However at each passing day we were faced with more challanges as my wife’s health continued to decline. First her weight was an issue. She had already put on 30 pounds more weight at 5 months than she had at full term with our previous son, most of which was water. She could no longer wear any of her shoes and had to go out and buy loose fitting house shoes 3 times her normal size, and her blood pressure became increasingly dangerous. Looking back at it now we can see that God’s hand was in every aspect of her pregnancy, up to and including the decision to deliver Noah a little early.

Since the time we found out about Noah having Trisomy 13 we prayed that the Lord would allow us to deliver him vaginally. It was our desire to deliver our previous son Levi that way however complications prevailed and we were forced into delivering him by c-section. By this time my wife had developed a pretty common condition known as Preeclampsia that had become dangerous not only to her but to our son Noah. So after a point that we felt he was developed enough he could survive if born we decided to go ahead and induce labor, this would also give us a better chance at a vaginal delivery as Noah was still a couple of pounds smaller than Levi was at birth. We had planned on delivering the following week however our doctor called on Wednesday the 11th of March and said some things had come up and he wanted Lisa to be admitted on Thursday the 12th. After we checked into our delivery room the head NICU doctor on duty came in to discuss our options. As we began to discuss life sustaining options it began to occur to us that the first time that Noah being still born was not discussed as certain, that his being still born was not one of the likely scenarios. We discussed that when Noah was born we would let him try to breathe with the help of God on his own. If he needed some assistance then we would give it to him but if we found out for certain that his heart could not sustain his life then we would limit the assistance he would receive. Looking back on it now we see that the doctors even though more optimistic that he would be born never really expected him to make it more than a few hours.

Nevertheless as the hours passed and I began to pray, and the Lord began to speak to my heart about something in his word. I opened my Bible and the Lord guided me to a verse that I will never forget Genesis 6:8. “But Noah found grace in the eyes of the LORD.” I began to realize that none of the things over the past many months really held any significant bearing on Noah. As the Psalmist said in Psalm 139:14 “I will praise thee; for I am fearfully and wonderfully made:” That no matter if Noah made it through the delivery, or whether he lived 5 minutes, 5 days, 5 months, or 5 years, God doesn’t make mistakes. This is thinking that the medical industry doesn’t want you to consider when dealing with a baby with Trisomy 13. To them these babies are nothing more than a lethal abnormality. However we realized that Noah was not just an insignificant abnormality he was a soul that was living, breathing, feeling, and thinking. That no matter the outcome he is one of God’s and God will bestow grace upon him whether in life or death. That at the very least God would take him to Heaven without him having to spend much time in this unforgiving unmerciful world which would be greatest of all blessings. Either way Noah had found grace in the eyes of The Lord!

Now the time was at hand; the day that the medical industry turned what should have been a day of excitement and jubilation into a day of dread, God had turned back into a day of excitement. The contractions that had started late Thursday night became very strong and the labor began to progress very fast and after about 20 minutes of hard labor Noah Patrick McCoy came into this world on Friday March 13th 2009. Not a perfect baby by the worlds standards nevertheless one the most beautiful babies we have ever seen. As I cut the cord I don’t think there have been two happier parents in the world. Apparently delivery came just in time as Lisa’s placenta had several lesions. The nurse present said that if she would have carried Noah much longer it would have had a complete placental abruption.

They immediately took Noah to the NICU to check him out and then the next phase of our journey. By the time I made it to the NICU they had already began doing some things to help Noah with his breathing but we began to be increasingly encouraged as he was very responsive to our voices, and our touch. Even though his heartbeat seemed very strong we did try to keep our optimism somewhat stifled at least until we could get an ultrasound on his heart. Later as we watched the heart specialist check him out then she told us as she ruled out one heart problem after another until soon she admitted that she didn’t see any of the abnormalities mentioned from the original ultrasound. Once again Genesis 6:8 came to my mind. Not only was Noah not still born, and not only did he not have the extra digits on his feet, nor was his rocker feet as bad as we were initially led to believe but now our main fear had been turned into joy. His heart was working like it was supposed to.

It would be wonderful if the story ended here however Babies with Trisomy really aren’t treated like other babies even though their symptoms may be exactly the same as a baby without the Chromosome issue. This became more and more evident in the 10 days that followed. From Friday March 13th to Monday March 23rd it was as if we were in a constant battle both physically and spiritually for our sanity and our sons life. It seemed that as one shift of doctors and nurses left with a mood of optimism they were replaced with a staff that was pessimistic towards Noah’s prognosis and future. In those ten days we learned more about the medical industry than we knew before. Most of which we would have just as soon not known. Of course we had heard some horror stories from contacts we had made through the Living with Trisomy website and others that had gone through what we had but you don’t really know what others are talking about until you experience it yourself. I remember one instance when a doctor approached me about Noah and his prognosis and quality of life not being favorable. When he was through with his speech I looked at the doctor in his eyes, pointed to my son and told him that I wasn’t calling him a liar but I didn’t believe a word he was telling me. As I pointed to Noah I explained the reason was because my son wasn’t even supposed to be here much less make it past a few hours or day. So he would have to forgive me for not believing him because I know God is really the one in control of Noah’s quality of life.

Another significant battle that will always resonate in our minds occurred on the 5th day when we were given some false information about Noah’s health. We had taken a few hours prior to the shift change and went to get some rest, the next morning the doctor and respiratory therapist on duty told us that while we were gone Noah’s lungs had been damaged due to the pressures from the respiratory assistance he had received. We were advised that the best thing to do to keep Noah from suffering was to take him off the ventilation machine. We almost immediately found ourselves surrounded by support staff in assisting us with making this decision. It was almost as If the hospital was more morbidly supportive about letting him die than helping him live. As we left the NICU to make the arrangements we began thinking about letting him go. While we were not happy about the prospect we wanted to do what was best for our son. After all we were led to believe he was suffering and we did not want that. By this time we had developed a pretty good support group so as I began telling them what we were considering they began to help encourage me to not act too rashly. We began focusing on the fact that he has a strong heartbeat, and other things that contradicted the information the staff was giving us. It was at this point I realized if we were going to be good stewards of this precious life God had given us and if Noah was going to live another day we were going to have to roll up our sleeves and fight for his life. We went in and told the staff on duty that we had decided not to take Noah off of the ventilator and we wanted a second opinion from another hospital, and that I wanted a meeting with the hospital ethics committee. Almost immediately the attitude began to change in the NICU. We did have a meeting, were told he had improved, and things began to change. We found out that Noah had not received any nourishment from his IV’s only glucose, and other things that they could have been doing they weren’t because of his so called lethal abnormality. He did begin to improve and after a couple of days we began to feed him his mother’s milk through a tube. He not only was keeping it down but they had increased the amount they were feeding him considerably. Unfortunately on the eighth day Noah began having some complications.

Looking back now we are still not sure as to why only that he was. Well to shorten this already long saga we spent the next 24 hours running out of options. We began almost exhausted in the fight. We have said from the beginning of Noah’s journey that began on the 13th of March that we were not going to consider ourselves a victim. That no matter what the doctor’s had or hadn’t done, or what they were doing or going to do God is still in control. Even though looking back we see that Noah and babies with Trisomy are not treated according to their symptoms but rather by their condition. It is almost an evil ideology that overshadows the medical industry so they cannot separate the symptoms from Trisomy 13. Nevertheless we cannot be victimized because God is the giver, taker, and sustainer of life. One of the terms that kept us fighting for Noah that the doctor’s used were “quality of life”. I began to realize that although Noah was not the victim but the doctors were the ones that were in fact the victims. Victims to medical and preconceived ideologies as to what exactly “quality of life” is, and who determines it. We decided to take Noah off the ventilator and if God wanted him he was his to take anyway.

On March 23rd 1:00am Noah truly found grace in the eyes of the Lord as we were holding him while singing hymns and reading scripture Noah went home to be with the Lord!

In ten days not only were our lives changed forever by our son but we witnessed a change in several of the doctors, and nurse’s lives. Noah truly impacted more lives in 10 days than many healthy people will do in their lifetime. Now that in our opinion is not only worth any pain we may be suffering but that is “quality of life”.

Pat, Lisa, and Levi McCoy
truth2ak@afo.net
 

 

Submitted 5-13-09