By the time the squad arrived, Alex had calmed down alot. His whole body was red and sweaty. He didn't like the paramedics touching him. They checked out his shoulder, arm and collarbone. All looked to be just fine. They gave us the choice of taking him to Children's hospital ourselves or having him ride in the ambulance. We declined, and decided to just follow up with the pediatrician on call. The pediatrician told us that it sounded like he had a Breath Holding Episode, or Spell. It is something that only happens to toddlers, and peaks around the time of the terrible 2s. (And my boy turns 2 in just 8 days!) When they get really upset, frustrated, angry, hurt, etc. their little bodies don't know how to handle it and they stop breathing. Usually when they pass out and lose conciousness, they instinctively start breathing again. Unfortunately, once they have one, it's likely they'll have more. She recommended that we sleep with Alex that night, take him into the office in the morning to double check his arm, and call his cardiologist in the morning. Poor Grant had just gone back to work for his first day after paternity leave, and already had to call in sick for the very next day. He slept in Alex's room and woke up periodically to check on him.
I decided to email Dr. Knilans, so that he could hear the whole story directly from me, and not secondhand through an answering service or nurse. He emailed me back this morning (from Denver, where he's at a cardiology conference) that he thought it sounded like a Breath Holding Episode, but he wanted to run some tests just to be sure. I had checked out Breath Holding Spells on the internet (I know...not always a bright thing to do). There is a possible link between BHS and Long QT syndrome. Most of my friends from around the country that have defibrillators have Long QT. Alex did NOT have it on his first two EKGs, so hopefully he still doesn't. (There is a part of the pattern on the EKG called the Q wave and another part called the T wave. Long QT is when the interval between the two sections is two long. So it's able to be diagnosed through an EKG, usually.)
We loaded up the boys this morning and made our first stop at the pediatrician. Alex did great! He was more concerned with the boo-boos on his legs, and made the doctor listen to his boo-boos with his stethescope :) Dr. Friedburg agreed it was a BHS, and gave us advice on what to do when/if it reoccurs (start CPR if he doesn't breathe on his own after 30-40 seconds....not sure if I'll be able to wait that long to do something!). He thought the cardiac testing was probably overkill, but with my history, he understood why Dr. Knilans ordered it. We loaded the boys back up and headed down to Children's. Alex had an EKG and then had a holter monitor placed. It will record all of his heart activity for 24 hours. Dr. Knilans is supposed to call us this evening (from Denver) to let us know how the EKG looks. (Alex has had EKGs in the past that were fine, so we're hoping nothing has changed.) Alex definitely flipped out during the testing. He cried so hard that he broke little blood vessels all over his face and neck. But---he kept breathing the whole time. Whew! It broke my heart because he kept doing the sign for "all done" and saying "bye bye." It felt like we were torturing him, holding him down for the testing. He's actually done amazingly well with the holter. We slipped the device in his pocket and told him it was his cell phone. He hasn't pulled at his wires or leads (at least yet!). He had 5 leads that each had big stickers over top. Then he has a net-like shirt on over top of all that to keep things in place and keep his little hands away.
Well--those are the facts of what has happened over the past 24 hours. The feelings--are alot harder to describe. I will be haunted forever by the face of my child unable to breathe. I will never be able to get that image out of my head. I had to be the strong one. I wanted to break down and sob, throw up, run away when it was all happening..and I couldn't. I had to be calm and strong and hold Alex and make it ok for him. Then I had to continue to be strong until he went to bed a couple hours later. When all I wanted to do was break down. I am so scared for my child. I am scared that this is an indication that he'll develop my problem later on. Even if it is a typical toddler behavior, at the root of it, his body had a jolt of adrenaline that it didn't know how to handle. That hits really close to home for me. I feel like I can't take my eyes off of him. I feel like I have to watch him constantly to make sure he's alive. (I finally have some idea of what my parents went through with me and my whole ordeal.) On top of that, Noah. I have a two week old baby to take care of. Who has 3 holes in his heart. Who had a little not-breathing episode of his own when he was 2 days old. (He choked on some saliva...apparently it's a common thing to happen to newborns.) I already had Noah sleeping in our bed, just in case he choked again. I was already sleeping with my hand on his stomach to make sure he was breathing. For both of my boys to stop breathing within 10 days of each other is ALOT to handle. They feel so fragile and precious to me. I feel like they could just slip away from me. I don't know if I'm cut out to be the mom to possibly two boys that may have long term health issues (and I'm trying not to get ahead of myself. Both of the incidents could totally be normal for their age and have no bearing on their future health). But, as my wonderful sister in law pointed out to me, God gave me Alex and Noah because I am the perfect mom for them. He knew all the issues my boys would have and gave me them to take care of for Him. I need to trust that God knew what he was doing in giving me my two specific boys. As a side note, God definitely knew what he was doing when he gave me to my parents and my boys to their grandparents. My poor dad has had to relive some very hard memories over the past 24 hours. But yet, he was meant to be there and was the perfect choice to be my dad and Alex's grandpa.
I am trying to trust God and trust in His goodness. God has ALWAYS watched over our family. God had my dad at my house last night for a reason. My dad was there to save me 15 years ago, and he was there to save Alex last night. God's responsible for that. (By the way, we decided my dad either has to move in, so he's always there to save us, or never come around so that nothing bad can happen. :) ) I know that my boys are in His hands and that nothing will happen to them that He doesn't already know about. I know that everything works out for HIS glory. It's just really hard in the moment to trust that. I've had a hard time trusting before, and by the time the situation has played out, God's glory has been revealed and my doubting has seemed stupid and shameful (for example, my wire breaking when Alex was 4 months old..). I'm going to try and just trust, blindly, this time that God has everything under control and will work things out.
I couldn't sleep last night, so I started reading Psalms. Here's what God showed me (in the Message version):
"I love God because he listened to me, listened as I begged for mercy. He listened so intently as I laid my case before him. Death stared me in the face, Hell was hard on my heels. Up against it, I didn't know which way to turn; then I called out to God for help: 'Please God!' I cried out. 'Save my life!' God is gracious--it is He who makes things right, our most compassionate God. God takes the side of the helpless; when I was at the end of my rope, he saved me.
I said to myself, 'Relax and rest. God has showered you with blessings. Soul, you've been rescued from death; Eye, you've been rescued from tears; And you, Foot, were kept from stumbling." Psalm 116: 1-8
Please pray for Alex. Pray that his little body learns how to handle the strong feelings and that he wouldn't have to experience another Breath Holding Spell. Pray for Grant and I to parent our boys appropriately. To watch over them and keep them safe, but not hold them too closely--to let them still be boys. Pray for strength as we wait for some answers. And please, praise God that this scary situation didn't turn out much much worse! God is good!

6 comments:
Sarah...
I can't even imagine what all of this must have been like. Wow. You guys had a huge scare but I'm sitting here marvelling at the perspective God has given you. You are SO right...all of life is fragile, even the lives of our children, but God gave them to you and He will give you what you need for each moment. He was watching over your family yesterday so clearly. I am praying that you will have peace in the coming months and years that your children rest firmly in God's grip and that because of that you are free to hold them loosely. Oh how He loves your little guys! Asking for clean bills of health and peace of mind (and rest!) for you guys! Just holler if there's anything at all we can do! Love you four!!
Matthew has done something similar twice now (I don't think he stopped breathing quite as long, but the eyes rolling back in the head was part of it). We also ended up calling 911 and at Children's hospital the first time. (I didn't have a new baby, but was newly pregnant...lots of hormones to make it worse, huh?!) It's moments like those that really make us remember who is in control and how fragile life can be! So scary! I'm praying for you and your peace of mind as you watch over both boys. Glad to hear everything seems to be okay!
Sarah, K told me the story this morning, but my heart still hurt as a fellow mommy reading it in your words :( But you have a beautiful perspective...I think one of the hardest things for me as a mom has been letting go of the false sense of control I have regarding Emma's life...still a work in progress when it comes to that :) I know in my head that God has it covered...but my heart still tries to take over. Praying that all of Alex's tests come back fine, and knowing that no matter what its all in His hands :)
Hi Sarah
If you need any info/support etc. about the "holding breath" episodes, call me. I am a PRO!! Madison started this at 6 months old. Doctor didn't believe me until he witnessed it. She started doing this when I would leave the room for something. She had severe stranger anxiety too. Didn't make for a happy mom needing a break every once in awhile. Then she started doing it when she got hurt or got mad (which was often). Her twin would take a toy from her and she'd do it. It was happening 5-10 times/day somedays!!! The first 20 times is scarey. There are things you can do to get them to breathe when they initially start holding their breath......blow in their face, spray water at face with squirt bottle. Anyway....it does end......didn't end for us until age 5 1/2. Made for a long 5 years. Just make sure if it happens again that you hold him or lay him down so he doesn't fall and hit his head. Don't let the shaking/seizure looking stuff scare you either......just means the body is taking over and he's going to breathe again in a couple seconds. Hang in there!!! The joys of parenthood!!!!!!!!
You don't know me, but I follow your blog when I have time. We are just two families away... Steel family to Blatchford family to us: www.ourtalesfromthecrib.blogspot.com
Anyway, I just wanted to say that I cannot imagine how scary that must have been for you guys, and I'm so happy it ended well. My thoughts are with you guys and I will lift up a quick prayer that all would be well in the future! :)
Sarah, I'm so sorry you had to experience this! We went through breath holding episodes with Leo (two very scary ones to be exact that resulted in ambulance visits to our home as well as a drive to the ER the 2nd time around). His first one was at barely over 2 mos. old after he had gotten his first round of shots. He and I were home alone and after crying his little head off after nursing, he went limp in my arms and his skin became cold, clammy and he looked white as a ghost. I could NOT tell if he was breathing. It was by far the scariest moment of my life. Anyways, I'm sorry you've been experiencing such a rough go with Noah's heart problem lately. You are handling things beautifully though. Except for reading your blog for the first time today, I would've never known you've been having a hard time these past few weeks. You still seem so friendly and warm and most people cannot deal with those things so gracefully.
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