Nikki's Story

 

On August 22, 1998 an angel came to live with our family, her name is Nicole . She is the most beautiful child with curly red hair, big blue eyes and the longest eyelashes around! Nikki is the most loving and caring person and never has a bad thought of anyone or anything. She truly is a gift from GOD! Nikki was voluntarily placed with us by her birth mother, and we were able to adopt her in March of 2000.

Nicole was born on May 21, 1998 to a single mother, who had no history of drug use and very rare alcohol use. Shortly after birth came the diagnosis of Hydranencephaly. We were told that Hydranencephaly is caused by a stroke that happens for unknown reasons while in utero. Typically children with this defect are stillborn or die shortly after birth. The prognosis for Hydranencephalics is grim, but GOD has plans for Nikki!

Nicole has been through a lot in her 2 ½ short years, she has had 6 major surgeries and numerous testings that almost always require anesthesia. This is always a very uneasy time for us, her family, and she has always been a real trooper through it all! We live in the small town of Clearwater, which is located in the North Central part of Nebraska, we are a little over 3 hours from Omaha. Since Nicole is a poor traveler and we live so far from Omaha, we generally try to make all of our doctor appointments within a few days. WE are lucky enough to have a wonderful social worker,  who let us know that there was a place that we can stay while we are in Omaha at Children’s Hospital and Clinic, the name of the house is The Rainbow House. The managers’ name is M. M. goes above and beyond the call of duty to make each and every one of her guests feel comfortable, and she never asks for anything in return! Last spring we were scheduled for surgery the day after Nikki’s birthday, and I was upset that we would be unable to have a party for her on her birthday, well let me tell you, when M. found out that it was Nikki’s birthday she set herself into motion and we had one of the best birthdays to date. You see when you live with a chronically ill child you typically don’t look too far into the future, you live day to day, this is why it is so important to us to “make a big deal” our of Nikki’s birthdays.

Over the years I have had many people make comments as to Nikki’s condition, some as meaningless as “why would you want a child like her?” which shouldn’t even be justified by an answer. However, I always answer those type of comments with, “Doesn’t every child deserve someone to love them?” Most people will just step back and stare, generally not coming within touching distance, almost as though they are afraid that they will catch what she has. And yet there are others that feel “children like those” should not be schooled, should be left in institutions, to die, alone…and then there are those few who have compassion and will touch and talk to Nikki, and she really enjoys those times.

We are a very busy family and every Sunday you will find Nikki in her purple wheelchair in the front row of church, smiling, cooing, quietly watching and sometimes patiently waiting for the next hymn to begin. If she feels that a hymn was not long enough, she will sometimes shout out “MORE”! As you can probably surmise, Nikki loves music! Nikki has a speech therapist who works with her in our home once weekly and they are currently working with her to use Big Mack switches to make her needs be known, even though she has a vocabulary of about 6 words! But, what matters most is that she has learned to say “momma”! We have also adapted a computer keyboard for her to use with pre-school programs that require a one key response. Nikki also has a home-bound teacher that visits her twice a week and she attends center base weekly. Twice weekly, we travel one hour each way, to Norfolk for Physical and Occupational Therapies. Nikki has made tremendous progress in the last year. Because Nikki does not use the muscles in her arms and legs like most children her age, they tense up and cause her pain, so she has recently started taking Klonapin to help her muscles relax. Nikki will probably never sit up, crawl or walk by herself, but with assistance does things that we were once told “she would never do”. WE know that Nikki has perfect hearing and has cortical visual impairment. She is legally blind.

There are many things that Nikki can do that we were once told that she never would, she can breathe, swallow, eat, move her arms and kick her legs, roll over and interact. She has a personality, knows what she wants, when she wants it and how it is to be done! Nikki truly is a miracle! There are obviously things that she cannot do, but as we see it, she gets by fine without them. We have always said that we we’ll do things for Nikki, but not to her, that is, there comes a time when enough is enough.

Nikki eats solids and takes sips of liquids, she even uses a sippy cup! Because she is unable to drink an adequate amount of liquid we were encouraged to have a feeding tube placed. We had this done when she was 18 months old. Placing the feeding tube was the hardest decision that we have had to make, yet it was the best thing that we could have done for her. She is now rarely at risk for dehydration, even when sick, she can still get her liquids, not to mention that there is no question as to how much medicine has actually been swallowed! Nikki is rarely sick, but at any time her temperature can go from normal (98.6)to as high as 104. The hot weather is especially hard on her as she cannot sweat which makes it hard for her to cool down. Visa versa, in cold weather, she has a hard time warming up, so it is important that she id dressed properly in all types of weather.

We provide all of Nikki’s care. She receives respite/day care about 20 hour a week. I am trying to maintain my job, but it is becoming more and more difficult. Rich farms and milks cows for a neighbor to help pay the bills. I wish there was more that I could do to help him out, but the older that Nikki becomes, the harder it is to care for her without help. WE have recently become involved with a home health agency and are praying that we will receive nursing help a few hours a week.

February 2002:

In January 2001, Nikki had another surgery; bilateral femoral osteotomies. This will, hopefully keep her free of pain and allow her full range of motion of her hips, and not allow them to dislocate. Ear tubes were also replaced that following February 14th.

We have started Nikki in Preschool, 3 ½ days per week. She really enjoys the interaction that she has with her peers. This also allows for PT, OT and speech to work with her at school eliminating the 2 hour drive twice weekly from my schedule! Nikki also involved in the S.M.I.L.E. program. This is a therapeutic horseback riding program that teaches challenged individuals how to care for and ride equine. She really enjoys the volunteers and her pony “Sparky”. Not to mention her relationship with the program director! Nikki is gaining strength in her upper body and neck from riding and she is up to 45 minutes on the pony!

Nikki is fed mainly through her g-tube, but does eat some by mouth and gets a lot of pleasure from the different tastes and textures that go along with it. She takes only 24 ounces of Pediasure a day, with no water flushes. She cannot take the extra water as her stomach will only hold 2 oz. at a feeding. So she is fed every 3 hours during the day and pump fed at a rate of 40cc an hour through the night. You would think that on this amount of intake that she could not possibly grow, but grow she has! She has outgrown all of her equipment, her wheelchair, stander, and micro shell, all within the last 6 months!

We have no respite care, as we cannot find appropriate care for her, but we just recently got approved for 12 hours a week of nursing care in our home. I have had to resign from my job as a LPN-C shortly after Nikki’s hip surgery because we could not find care for her while I was working, but I do not regret that decision. As I have said before, Nikki is my life, and I love being a stay at home mom to her and I feel honored to be able to do that.  

August 2002
In June, Nikki had the metal brackets taken out of her hips and she is doing great! What at one time was a scary decision, turned out to be one of the best decisions that we could have made! She just flew through surgery and recovered and was dismissed from the hospital within 24 hours! In July we underwent ear tubes for the 3rd time, and her hearing seems to be improving.  And in August our long awaited visit with a Rays of Sunshine family from Chicago came true! We spent a couple of days in Colorado with Daniel and Nancy and family. The kids had a great time and it was amazing how they somehow seemed to know that they were very much alike. We have some great memories and photos and can't wait to go back and visit next spring!

The future is still unknown for Nikki, but we have come a long way from the day we were told “take her home and lover her, but don’t let yourselves get too attached, she will probably die within a few months”.

 

 

 

 

 

 

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August 16, 2001- January 12, 2005

This website is funded in loving memory of Jason S. by his mother Kammy

The information on this site is provided by families, caregivers, and professionals who are or have been caring for a child with Hydranencephaly.

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