Showing posts with label PKU. Show all posts
Showing posts with label PKU. Show all posts

Friday, August 24, 2012

A little less sucky


I always hate PKU but this week it has sucked a little bit less.
If we're facebook friends, you've maybe already seen a couple reasons why but don't go away because I've got a couple more.

  • The State of Utah has selected an essential health benefit plan that will include coverage for medical foods in the new insurance exchange that will start in 2014!!! This means we can still get coverage for Avery's expensive medical formula! 
  • Last week's PKU fundraiser at the Utah Natural History Museum raised more than $6000 for the Intermountain PKU and Allied Disorders Association!
  • I found out our insurance company not only covers 80% of Avery's medical formula, but they will also cover low protein FOODS!  We'll now be able to get things like low protein breads, cheese, pastas, etc. for much less than the retail price which makes them about the same as buying regular foods.
  • It's not just that she can't have a lot of protein, she has to have the exact miligrams every day.  So on days when she doesn't eat enough, I have to add a little cow's milk to her bottle at night so she gets the exact amount for each day.  Well yesterday she ate all her protein without needing milk at the end of the day!  I was so happy I nearly cried.  Getting her to eat has been a HUGE battle lately so this was definitely a win.

Thursday, April 19, 2012

It's just a thing


I've come to the realization lately that perhaps I've spent too much time feeling sorry.  Sorry for myself because I have to manage a PKU diet, which I really do not like sometimes.  Sorry for my baby that she will grow up "different" from other kids and will never eat my favorite foods.  Sorry for my husband who will never be able to buy her a hot dog at a baseball game.  Sorry for our family that probably will be going through this again with another child.

All along the way people have offered encouragements that I didn't want to hear.
I knew "it could be worse."
I knew we had "so much to be grateful for."
I knew we are "so blessed to have her in our lives."
But I haven't really felt like it was okay until recently.

I no longer feel the need to make excuses or apologies for my baby who is perfect and wonderful and will never be restricted in anything she wants to do in life.  I don't complain so much anymore when I have to break out the scale before dinner and scrape up baby left overs to do some math when it's over.

I think now it's a little easier to feel okay about PKU because I can see that Avery is okay.  She is consistently ahead of all her milestones and is wonderfully curious and crazy, just the way I'd like her to be. PKU or not.  

PKU hasn't defined her and I don't ever want it to.
It's just a thing, you know?

Like how it's impossible for me to get a real tan.
Or like how I have a ginormous forehead a la Tyra Banks.
And big teeth.

These are just a few of the things I was made fun of for all growing up, even through high school and college.  But you know what?  I'm more than big teeth and pale skin.  And just in the same way that Avery is more than a low protein diet and a genetic disorder.  I imagine she may face some of her own ridicule in her life for the things that make her different, but I refuse to ever let it define her.  And I'm done feeling sorry.

Tuesday, March 6, 2012

Painful Sometimes


I think for the most part, the day-to-day of having a child with PKU is becoming normal enough that I don't spend too much time obsessing about it.  But then some of the little things become difficult again, like the simple task of keeping a diet record, and the reality of how stupid I feel this disorder really is starts to set in again.  

I was "gently reprimanded" by the dietitians because we forgot to give Avery one of her food equivalents (a required allotment of natural protein) last week when we sent in her blood to be tested.  Her levels came back too low and I am the one to blame.  It kind of hurts.  Too much protein makes her levels high and is damaging. Too little protein makes her levels low and means she's not getting enough protein to grow, build muscle, etc.

We rely so much on the doctors and dietitians to coach us through every little step in Avery's life to make sure she is healthy.  But ultimately it comes down to us to feed her what she needs, keep track of it, and send in her blood to be tested.  Since Kyle works full time and I am home full time, I feel like the burden of that responsibility lands squarely on my shoulders.  Her levels too high?  My fault.  Her levels too low?  My fault again.  It's a lot of responsibility to carry and I sometimes don't feel qualified for the task.  Especially when I fail to give her all the food equivalents she needs and her levels come back too low.

Ouch.

Being a mom can sure be painful sometimes.


I recently watched a short documentary called "My PKU Life" and it made me cry, like a lot.
Even though I hate so much that this is a part of our lives now, I am so grateful we live in a time and a place where PKU can be diagnosed and treated from birth.  It's devastating to imagine what would have become of our sweet baby girl without the proper care and treatment she's received.  It's also a relief to know that she can grow up to do whatever she wants without being limited by PKU.

I also want to say that after watching this video, I'm really upset that the Department of Health and Human Services recently decided that medical formula and foods for inborn metabolic disorders were not an "essential benefit."  They've basically left it up for the states to decide whether or not to provide coverage for the extremely costly and absolutely necessary medical formula and foods.

How is it possible that we can live in a country that wants to make it mandatory to cover birth control and yet something life saving like this goes undefended?  It's unreal.  And it pisses me off.

With that, here's the video, "My PKU Life."  If you have 11 minutes to spare, please watch it.



Monday, February 20, 2012

Holland's Not So Bad I Guess


A few weeks after we first received the news about PKU, I was talking with a friend about what the experience had been like so far.  I realized in talking to her that I literally felt like my baby had died.  It probably sounds so dramatic, but I was, in fact, in mourning.  I was overcome with sadness and I became depressed and incredibly angry.  The reality was that the baby I thought I had and some of the experiences I'd thought we'd have together no longer existed and I was grieving for the loss of those dreams.  When I finally realized that, it helped me to get through those most difficult first couple of months.  I put away the ideals I'd so long held of what having a baby would be like and fell in love with my perfect tiny baby all over again.

From blogging about our experiences with PKU, I've been able to meet other moms who are going through the same thing.  One of them has a baby almost exactly Avery's age!  I mean, what are the odds?  She shared thisamazing essay on her blog (Hi, Kate!) about what it's like to go through something like this.

I think about this essay a lot and every time I read it I can't help but cry.
It's written by a mother of a child with a disability but I think it can apply to any shattered dream or trial we might go through.




WELCOME TO HOLLAND


by
Emily Perl Kingsley.
c1987 by Emily Perl Kingsley. All rights reserved

I am often asked to describe the experience of raising a child with a disability - to try to help people who have not shared that unique experience to understand it, to imagine how it would feel. It's like this......

When you're going to have a baby, it's like planning a fabulous vacation trip - to Italy. You buy a bunch of guide books and make your wonderful plans. The Coliseum. The Michelangelo David. The gondolas in Venice. You may learn some handy phrases in Italian. It's all very exciting.

After months of eager anticipation, the day finally arrives. You pack your bags and off you go. Several hours later, the plane lands. The stewardess comes in and says, "Welcome to Holland."  "Holland?!?" you say. "What do you mean Holland?? I signed up for Italy! I'm supposed to be in Italy. All my life I've dreamed of going to Italy."

But there's been a change in the flight plan. They've landed in Holland and there you must stay.  The important thing is that they haven't taken you to a horrible, disgusting, filthy place, full of pestilence, famine and disease. It's just a different place.

So you must go out and buy new guide books. And you must learn a whole new language. And you will meet a whole new group of people you would never have met.  It's just a different place. It's slower-paced than Italy, less flashy than Italy. But after you've been there for a while and you catch your breath, you look around.... and you begin to notice that Holland has windmills....and Holland has tulips. Holland even has Rembrandts.

But everyone you know is busy coming and going from Italy... and they're all bragging about what a wonderful time they had there. And for the rest of your life, you will say "Yes, that's where I was supposed to go. That's what I had planned."  And the pain of that will never, ever, ever, ever go away... because the loss of that dream is a very very significant loss.

But... if you spend your life mourning the fact that you didn't get to Italy, you may never be free to enjoy the very special, the very lovely things ... about Holland.

Tuesday, January 17, 2012

Impossible to Forget


I'm not sure there will ever be a day that goes by that I don't think about PKU.  Even though it crosses my mind every day, I usually suppress my fears and worries about PKU and what it can mean for our tiny Avery. But today was like a reality slap in the face.  

We changed pediatricians and we met our new doctor today.  He's so much better than the last one.  But even still, he knows very little about PKU.  After a few minutes of explaining what we know about it, he told us he learned more about PKU from us in 5 minutes than he ever learned in medical school.  This would worry me, but it seems to be pretty typical in the medical field.  People just don't know much about it.  He was really understanding and interested and we all just agreed to leave the diet management to Avery's team of dietitians and geneticists and he'd pretty much stay out of it.

On the way home, we had to stop to fill a prescription for Avery.  A 15 minute prescription filling turned into over an hour because the pharmacists had to investigate whether or not the prescription contained an artificial sweetener that contains phenylalanine, which Avery wouldn't be able to have.

And then I came home, checked my email, and read a new study about how even people on current diet management for PKU can suffer brain abnormalities.  

What. The. Heck.

I want to take a PKU vacation.  
Go somewhere far away where no one has heard of it and I can forget it exists.  
Oh wait, no one has heard of it.  
Ha!  
But it's impossible to forget.

Even though there's a lot of studies and research going on about PKU, it still seems to be a medical mystery in some ways.  The unknowns are what scare me.  The current treatment is relatively new and who really knows what works?  It's sometimes so hard to trust that we're doing the right things to protect Avery.

You see, it's more than "just a special diet."
It's the weighing of each gram of food.
It's making a huge batch of formula every morning.
It's making sure she eats what she's supposed to in 24 hours.
It's keeping a record of everything she eats and when.
It's the weekly blood samples we have to send in.
It's ordering medical formula every month.
It's worrying about the cost of medical formula and low protein foods.
It's the weekly phone calls with the dietitians.
It's the regular visits with the geneticist.
It's fixing dinner at night and realizing she couldn't eat it.
It's the worrying each week that her levels are where they should be.
It's the fear about the future.

It's sometimes so very much overwhelming.

As a parent, I just want to protect her from everything bad, hurtful, and uncomfortable out there.  I know it's impossible, but it still seems so unfair that she's been dealt this disadvantage in life.

It's embarrassing for me to admit that the only thing that usually makes me feel better is to imagine how it could be worse.  There are people who have lost children, or who can't have children, or whose children are suffering from painful conditions.  I'm sure if they read my story and my whining laments, they would roll their eyes and think to themselves "Oh she thinks she's got it bad!"  But then again, I've done the same thing to others....  in my head, of course.

I try to look on the bright side, and there is a lot of brightness there.  The future is scary, sometimes numbingly terrifying, but for right now, on Avery's 6 month birthday, she's healthy.  She's doing all the things babies at 6 months can do and whenever she does something "advanced" I feel a bit of relief.  Not that she's better than other babies or something, but because I think that she is still smart and her little baby brain is still healthy.

But you know what else makes me feel better?


This face.

Tuesday, November 22, 2011

Applesauce

We were eating dinner at the table and Avery just wanted to sit with us.  So I plopped her in the high chair and she watched us eat.  She was so interested in our dinner, we decided it was time for her to try baby food!  Because of PKU, we are starting Avery on applesauce because apples have very little PHE (maybe none?) so she can eat them all she wants without raising her PHE levels.

She was hesitant at first and even made a few faces, but then if we didn't keep the applesauce coming fast enough she'd scream and throw her arms around until she got another bite.

  I think that means she liked it.


 Even if most of it ended up on her clothes.

Thursday, November 17, 2011

Silver Lining


By now it's probably pretty obvious that PKU is not something we expected to experience (crap, I'd never even heard of it before Avery was born).  However, it has given us the opportunity to meet really cool people and have experiences that we never would have had otherwise.

While it sucks a lot most of the time, I guess even rain clouds have silver linings.

In just 4 short months (my baby's 4 months old today!) this PKU thing has become a major part of our lives.  It's now something that I'm really passionate about and as much as I wish I'd never heard of PKU, some days I feel like it just might even be a blessing.

(But when I'm pissed off about it later, don't remind me I said that, k?)

So last week I was interviewed by a reporter from The Salt Lake Tribune for an article about IPAD (Intermountain PKU and Allied Disorders Association) and some recent fundraising for PKU research.  My part in the article is very minor but it was a cool experience and I think it's even cooler that PKU is getting public exposure.  The fundraising and the article have really got me thinking about what more could I really do?  I've never been much into politics and my contributions to non profit organizations are limited.  And, *ahem* our own funds are pretty limited.  
So what could I do?  
Little old me?
I certainly can't enter a bike race.
I have no celebrity power...
Maybe I can become a reality TV star, make it as a B list celebrity, get recruited for Dancing With The Stars, and win lots of money for charity!
Yes.
I think that is the path for me.
(I mean, a quote in the SL Tribune is a start, am I right?)

See?
Something that totally never would have happened if we weren't going through all this.

Silver lining, right?





Tuesday, November 8, 2011

A Drama


Once upon a time we drove 1 hour and 15 minutes to a surprise party for one of our favorite friends.  (Happy birthday Abby!)  Kyle and Avery and I were hanging out at the party pre-surprise when the following conversation ensued:

Avery:  WAHHH!!
Me:  Kyle, would you grab a bottle for her?
Kyle: Where are the bottles?
Me:  In the diaper bag.
Kyle: There are no bottles in the diaper bag
Me: WAAHHH!!!

I forgot the bottles. 

2 hours previous I had carefully packed 3 Enfamil + medical formula bottles for Avery and even packed an empty bottle, gram scale, and extra formula just in case.  We were planning to be out partying until who knows when and we were sure as heck going to be prepared with lots of bottles.

Bottles that I left in a cooler on the kitchen counter.

I totally wanted to cry.  I had a screaming, hungry baby and nothing I could feed her.  I couldn't run out to the store and grab something (her medical formula gets delivered to us once a month).  I couldn't even breastfeed her (although I did contemplate it...  I'm totally dried up though).  

I guess if it was really bad I could have just given her regular formula and prayed she wouldn't have brain damage from one day of high PHE levels, but I am a control freak and a perfectionist and also did I mention a hypochondriac?  So pretty much that was out of the question.  (I'm a trifecta of emotional crazy)

We were able to stay long enough for the birthday surprise but I was really sad we could not stay.  And even more sad it was my fault :(  I did, however, grab a sucker on our way out and 10 minutes down the road I let Avery have a taste.  It got her to stop screaming and she sucked on it for a long time before finally falling asleep, her cute little face covered in red, sticky sucker!  


I'm pretty sure our pediatrician would not be pleased.
Shhhhhhh.  It'll be our little secret :)

Sunday, November 6, 2011

PKU Q&A

I get asked a lot of questions about PKU and while I am still learning the ins and outs myself, I am happy to share what I can and flattered that so many people take an interest.  I'm going to do my best to answer some of the common questions I get.

What is PKU?
PKU is a genetic metabolic disorder that makes it so that Avery can't process the amino acid phenylalanine (PHE).  Too much PHE builds up in the brain and can cause severe brain damage.  However, with careful diet management, the PHE levels can be kept low so that Avery will not have brain damage and can lead a normal life.

Newborns are screened for PKU at birth because there are no symptoms of it and no other way to tell that a baby has it.  I am so thankful for newborn screening because PKU is a rare disorder and we would never have known there was anything wrong with Avery until it was too late.  Screening for PKU started like in the 1950s I think.


How did she get it?
Kyle and I are both carriers of PKU and each of us had to have passed the gene to Avery in order for her to have PKU.  I take comfort in knowing that it's not just my fault she has it--it's Kyle's too! ;)  Because it's genetic, each child we have will have a 25% chance of having PKU.


What is the diet like?
Right now Avery isn't even eating baby foods yet so her diet consists of a medical formula mixed with regular baby formula.  The amounts of each are prescribed by one of three dietitians we work with (they are all on my speed dial) and we have to weigh them out in grams before mixing them.  Her diet is often changing as she continues to grow and depending on what her recent PHE levels were.

When she starts eating solids, we will have to weigh each food before she eats it to make sure she is not getting too much PHE.  The amount of PHE she can have a day will change as she gets older and is monitored by the dietitians.

She will not be able to eat high protein foods like meats, fish, dairy, nuts, whole grains...  She will eat a lot of fruits and vegetables. I'll have to learn how to make low protein breads and there are low protein foods (pastas, cheeses, breads, cereals...)  available to buy, although they are kind of expensive.

She will have to take the medical formula for the rest of her life in order to supplement the protein she is not getting from foods.  The medical formula basically has all of the amino acids but PHE and she will get just as much PHE as she needs every day from the food she eats.

What if she eats something high in protein?
If Avery were to eat a high protein food, she wouldn't have any immediate reaction or anything.  The effects are more long term so it's not the same as having a food allergy.  From what I understand, if she ate something high in protein, she would then have to eat really low protein foods for a couple days (i.e. apples) to bring her PHE levels back down.  As we're learning about starting her on solids, we are told that it is more important that she not eat restricted foods because then it will be easier for her to stay on her diet.  She can't miss something she's never had!


PKU Resources:
www.pku.com
www.go-ipad.org
www.npkua.org
www.cookforlove.org





If you think of a question you want to ask about PKU let me know!
I certainly don't know everything but I like questions and it helps me to learn too.

Tuesday, November 1, 2011

I Just Don't



As we get closer to starting Avery on solids, the reality of PKU and it's suckiness is starting to weigh on me.  Especially with the holidays coming up.  Thanksgiving is one of my favorite holidays.  It kicks off the Christmas season and features some of my very favorite foods.  Foods that Avery can't eat!!  Turkey, stuffing, pies, rolls...  *sigh*

I recently went to a low-protein cooking class for people with PKU and learned how to make low protein breads, pastas, cookies, pizza, and veggie nuggets.  It was in some ways comforting to learn that these foods are going to be doable, but also still overwhelming because I can't just go out and buy a freaking loaf of bread for my baby girl.  PROTEIN IS IN EVERYTHING!!!!  

I had a mini breakdown about it while trying to make formula the other day.  I have to weigh regular formula and medical formula by grams and mix it in a big measuring cup and divide it up into bottles every night.  I was in a hurry and the scale kept resetting and I had to re-measure each formula several times and by then I just got really pissed off.  And then I cried.  I can't just make a regular bottle like regular people for babies with regular diets.  It's a reality that sometimes hits me hard.  

In truth, I really don't want to do it.  I just don't.  I don't want to mix the formulas.  I don't want to make low protein foods.  I don't want to keep diet records.  I don't want to take blood samples.  I don't want my baby to be different.

But there's the other side of it all.  The side that is my love for her.  I love her so much and want so much for her that I will do it all.  I will mix the formulas.  I will learn how to make every low protein food I can find.  I will keep the diet records.  I will take the stupid blood samples.  And as much as I hate it all, I love that Avery girl even more and that's what keeps me going.

Tuesday, October 25, 2011

It was time


Well, it finally happened.  I quit breastfeeding.  I just had to.  And I cried about it.  

Here's why I quit:
Avery wasn't gaining enough weight and her phenylalanine levels were too low
She would only nurse for a few minutes and then try to beat me up
It was impossible to keep my supply up
I couldn't even pump anymore
I got nauseas from smelling like maple syrup (thanks, fenugreek)

Here's why it's not so bad now:
It's easier to monitor how much phe she is getting
I don't have to deal with annoying nursing bras
Bottles are easier (kind of)
She's less fussy (I think she was hungry a lot before)
Other people can feed her too
She's now gaining weight at a faster rate than most babies (she's finally on the charts at 6% for weight)
She's getting cute chubby legs
I don't smell like maple

While it's certainly not what I had planned, I want what's best for Avery and right now that means moving to formula.

Thursday, September 15, 2011

Possible TMI? Oh well.



Have I mentioned lately that I hate PKU?  It gets in the way of my life.

Avery has to drink a medical formula every day to maintain the right amount of phenylalanine.  The amount that she needs changes about every week or two so one week she'll need 4 oz. a day, then 5 then 7.5....  it just depends on what her phenylalanine levels are.  

So the point of this is to say that she gets a varied amount of formula in bottles and the rest of the day she is breastfed.  But all the diet changes have taken a toll on my milk supply and folks, I think I'm drying up over here.  It's like it happened overnight.  We saw the pediatrician Friday and because Avery is not gaining weight properly, he recommended I quit breastfeeding altogether and go to formula.  But to him I roll my eyes and say "But dude, this baby has PKU and it is much more complicated than that."  And then I called Avery's dietitian who fixes problems like these.  My boobs must be on the pediatrician's side because they've up and quit on me and my baby is hungry!  So now I have to mix medical formula with regular baby formula like Similac to make up for my lacking lactation.  

In the meantime, I'm doing everything I can to increase the milk supply up in here.  I've dedicated my free time to making up cheers for the boobs and thinking happy thoughts.  I invested a small fortune in herbal remedies and oatmeal and drank as much water as I could handle.  If I can locate flax seed meal and brewer's yeast, I'm making lactation cookies.

I am determined to fight this because if I have to quit breastfeeding because of PKU I'm going to be pissed.  If it was for any other reason, I don't think I would care so much but I want to be better than PKU and right now that means breastfeeding even though it freaking sucks.

Sunday, September 11, 2011

A Story About Friday


Let me tell you a story about our Friday.

I noticed Avery's soft spot seemed swollen so being the paranoid first time mom that I am, I called the doctor.  I expected them to tell me it was nothing but instead they told me to come right in! Ah!

This is Gehry.  He is the darlingest 10 month old baby I watch during the week.   (Don't you love those big blue eyes?!)  So on this Friday I had two babies to pack up with me to the doctor.  
I changed 2 diapers.
I fixed 2 bottles.
I put 2 cute babies in the car.
I felt like a supermom.

At the doctor, everyone was eating up Gehry's flirty baby smile and Avery was fast asleep.  The doctor quickly determined Avery's soft spot was just fine.  Whew!  Buuut she's only gained 3 ounces in 4 weeks :(   I love how tiny and sweet she is but I was sad that she hadn't grown enough.  
And I immediately blamed the stupid PKU.
Pretty much anything crappy I blame on the stupid PKU.
Having a bad hair day?  Stupid PKU.

He decided to do a urine test to rule out some kind of infection that would keep her from gaining weight.  So they attached a bag to Avery's little baby bum and I gave her a bottle in hopes she'd pee on demand.  Well, my plan worked but the bag wasn't attached all the way so it leaked all over my pants.  It looked like I had peed my pants!  I was able to save enough in the bag but on my way to the door to call the nurse, it dripped all over the floor and the exam table.

I got a nurse and a receptionist to help me out and when I picked up Gehry to save him from the mess, I noticed that he had peed all the way through his diaper and his clothes were soaked.  3 of us covered in pee.  Yippee!

It turns out Avery doesn't have an infection, she just needs more calories (stupid PKU).  An hour and a half later I left the doctor's office with pee covered pants, a tiny Avery and a naked Gehry wearing a too small diaper the nurse had given me.  I felt pretty white trash but at the same time I was so proud that I had managed it all with two babies!

Let me tell you, this is a totally different life than I was living a few months ago!
But you know what?  I kind of love it :)

Thursday, August 11, 2011

Thanks!

I just wanted to say thanks for the warm response to my post about PKU. We have received so much love and support!  I didn't mean to be such a downer, but it was important to me to be honest and real about my process in dealing with this news.  Now that PKU is going to be part of our lives, I wanted to get it out there because I'm sure it will come up here again in the future.

I feel a little selfish for having felt the way I did about it because I know there are so many out there who struggle with things which, in comparison, are probably much more difficult.  But the reality is, this really sucked for us and has been difficult in it's own right.  At the same time I already feel this experience has strengthened our marriage and made our family stronger.  It has also led me to have more faith and to look to God for strength when we had none.  I'm now even more grateful for God's plan and purpose for us in this life and I believe that my broken heart was mended through a lot of tearful prayers.

See more about what I believe here

Tuesday, August 9, 2011

Our new reality

We had only been home from the hospital with Avery for one whole day when three stupid letters changed our lives forever: PKU.

The pediatrician gave us very little information when he called to tell us we needed to go to Primary Children's Hospital for additional testing.  When Kyle asked him what PKU was, all he said was that it can cause brain damage.  You can maybe imagine how we felt.

We couldn't get in to the hospital until the next morning and I spent the whole night worried and scared.  We had no idea what PKU was but the thought that something could be wrong with my perfect, tiny newborn was absolutely devastating.  I kept praying that maybe it could be a mistake.

At the hospital we met with a geneticist and dietician who explained that because of her initial PKU test results, Avery was going to need treatment right away.  I thought we were just going in for additional tests, but that wasn't the case.  I totally lost it.  I cried the whole time we were at the hospital while trying to make sense of what they were telling us.  I don't think I've ever felt so heartbroken before.

She was only 5 days old and I felt cheated and angry and vulnerable.  I felt cheated out of enjoying every moment with our newborn without worrying about her health and her future.  She changes so much every day and instead of soaking in her 5 day old cuteness, I was emotionally shattered and cried pretty much nonstop.  I was so angry that this had to happen to her, and to us.  Angrier still that, because PKU is a genetic disorder, every child we have will have a 25% chance of having PKU.  Angry that everywhere I looked were people with "normal" children.  And I felt vulnerable as if now anything could happen.  As if something else could go wrong at any moment.  It was like we had a perfect shiny bubble of carefree happiness when we left the hospital and it was completely destroyed with the news about PKU.

Avery will have to deal with PKU every day of her life and that pissed me off.  I haven't been a parent long, but it's been long enough to understand that parents want to protect their children from everything possible.  There is enough out there already for her to worry about in life and the thought of her working every day to manage this disorder wasn't fair.  And it made me mad.

The pediatrician was right: PKU can cause brain damage.  But what we quickly learned is that it is also manageable through diet and that brain damage is totally preventable.  "Individuals with PKU cannot process the amino acid phenylalanine, which is present in most foods. Without treatment, phenylalanine builds up in the bloodstream and causes severe neurological complications, including mental retardation. The standard treatment consists of a strict diet very low in phenylalanine and daily consumption of special formula containing life sustaining nutrition. If the diet is consistently and strictly maintained, individuals with PKU will develop normally." from here

What this means for us is right now Avery alternates between a special (very expensive) formula and breastmilk every day.  When she starts regular food we will have to weigh everything she eats and record it.  She will never have foods high in protein like meats, fish, eggs and dairy.  We also have to prick her heel regularly (right now it's twice a week) and send blood samples to be analyzed to check her phenylalanine levels.

Avery is now 3 weeks old and I think I have come to terms with all this PKU stuff.  I expect that it will become difficult again when she starts baby food and again at other milestones and when she starts school and when she goes to a friend's birthday party and things like that.  But for now, I have accepted that this is our new reality and our lives will never be exactly the way I had expected they would be. 

Even if God had told me before I got pregnant that Avery would have PKU, we would not have changed anything.  We would have still had her.  We love her more than anything and wouldn't trade her for the world.  Some of my saddest moments in dealing with this are thinking that she will never have an ice cream cone or chocolate or a juicy steak or a hamburger.  It sounds so silly to even think that but food is such an important part of our culture (and especially my life!) and it is going to be very different for her.  How will it be when she gets invited to a pizza party?  Or to a friend's house for dinner?  Or gets asked on a date to a restaurant?  Or when she goes to college? 

In worrying about her future one night I had the impression that Avery was born with the strength and ability to deal with this and that we need her more than she needs us.  It scares me to think of the future and all the ways PKU is going to affect it, but the most important thing is that Avery will be fine.  She will be healthy and unlimited in anything she wants to do in life.  And as much as I wish I could take the PKU away, I am grateful she does not have anything more serious or life threatening and I am grateful it was detected before it could be damaging to her.  Most of all, I am grateful we have her.  She still is our perfect, tiny newborn and slowly our shiny bubble of carefree happiness is being put back together.  Even if PKU has to be a part of it.


More about PKU: