The story of Taylor Matise Colvin

We have decided to place our story in full on the Internet in the hope it might help some other new, or soon to be parents who may have to face the same difficult times we have. The story is long, but there is a lot to say, and we still have such a long way to go.

"DISCOVERING OUR UNBORN BABY HAD A CONGENITAL HEART DISEASE"

On Wednesday 26th April 2000 we attended a routine 18-week ultrasound in Wollongong. This was our first pregnancy, and since we had only ever planned to have one child, we were very excited and keen to find out the sex. We were having a little girl and had already decided on the name “Taylor Matisse”. During our scan something unusual was detected with our babies heart and we would have to get it checked by a specialist. Although this scared us a little we didn’t think there could be anything wrong with our baby - this was just a precaution.

On Friday 28th April we received a telephone call from our Obstetrician who had viewed the ultrasound - he referred us to the Children’s Hospital at Westmead for further scanning. We still weren’t too worried at this stage, and had just started telling everybody we were expecting a little girl. We called on Monday to make an appointment for later in the week - The Cardiologist, Dr Cooper was fully booked however he cancelled another appointment to fit us in on Tuesday. This worried us a little - why the sudden urgency?

On Tuesday 2nd May we took two cars out to Westmead so Andrew could go to a meeting that night and I could go straight home to feed our dogs. This ultrasound seemed to take forever, nearly an hour. I laid there not suspecting a thing. What Dr Cooper had to tell us in the following minutes devastated us. All our hopes and dreams of enjoying the pregnancy and having a healthy baby girl were shattered. He told us that our daughter had a congenital heart disease, which was very serious and also quite rare. The left side of her heart was not growing sufficiently to sustain life after birth. He did not tell us what the condition was called, although through our own research we later found it was HLHS.

We were given two options at the time - to terminate the pregnancy or go to term and have our daughter die shortly after her birth - this was called compassionate care. We might have a few days with her at best. The diagnosis was to be confirmed in two weeks at a follow up appointment where we were expected to have made our decision. We walked out of the room very calmly then it actually hit us. I went totally numb and tears welled up in my eyes then in a sudden outburst I couldn’t stop crying. How could this happen to us? We had done everything right. I was healthy, didn’t drink or smoke. This was going to be our only child. Why her…why Taylor? They must be wrong. My baby wants to live!

"Our first picture of Taylor"

"WORKING THROUGH OUR OPTIONS"

It was all too much to cope with. We needed time to absorb this terrible news. Andrew called to give his apologies for the meeting and we drove home together leaving one car at the Hospital. We both cried all the way home and for the next few days. I was not going to terminate this pregnancy. I could never live with the guilt of knowing I did not give my daughter every possible chance - and what if they were wrong? Andrew agreed. We started researching everything we could about heart conditions, which was made difficult not knowing the name of Taylor’s condition. After two weeks of endless research we discovered that what Dr Cooper had described must be HLHS. We also discovered that there were in fact two other options available to children born with this condition. Palliative though they may be - there was a surgical option involving a risky three staged procedure - and heart transplantation.

Armed with all this information we questioned Dr Cooper who told us that heart transplantation for babies in Australia was not an option as there were no donors. He admitted there was a three-staged procedure although it was not very successful and he did not recommend it as an option. He stated that babies did not have a very good quality of life after the procedures - and the likelihood of surviving the three surgeries was very low. He further added that he would not have the surgeries performed on his own child. At this point we no longer cared. We wanted to know about the surgical options available to our child and us.

Dr Cooper advised us that there was only one Surgeon in Sydney who was prepared to attempt the first surgery. We made an appointment with him immediately. During our very brief and abrupt meeting with the Surgeon we were given little encouragement. We were also told that during the first procedure (the Norwood) he would need to cut oxygen to the brain, which would increase the chances of damage to the brain. If our daughter survived the surgery she would most certainly have a below average IQ. He also said that he would not elect this option if it were his own child, however if we wished he would perform the surgery. We were not given any hope of survival for our daughter. He followed up by stating that he would be on holidays for weeks 38 and 39 of my pregnancy.

We asked how often he had performed the Norwood procedure to which he responded “twice”. We then asked what his success rate had been - both babies died. He told us that the most critical period for a Norwood baby was immediately post operative and that this care was critical and unique. Given the lack of success in the past we were not left with much confidence in getting even that far. We also asked what would happen if our daughter arrived during weeks 38 or 39, which was highly probable. He had no answer to this question and offered no suggestions or alternatives. We felt we had come so far only to hit a brick wall. We now had a possible surgical option (although the statistics were very grim) yet we would be without a surgeon. Hadn’t we already been through enough without this?

It was the most difficult time of our lives having to make a life or death decision for our unborn daughter. I was so glad that Andrew was as certain as I was that there was no decision to make. We would do everything possible to give our daughter a chance at life. We had made our decision. We so desperately wanted our daughter to undergo the surgery - even given the supposed appalling survival rates and the lack of medical encouragement we were receiving.

"DEALING WITH THE PREGNANCY"

During all this confusion and heartache we tried to do things with our dogs. We couldn’t go about our lives as normal. There was no normality to anything anymore. The only real comfort we felt was being with our six Siberian Huskies and our pet Chihuahua. The weekend after we found out about Taylor’s condition was an annual Husky Club fun run, where we enjoyed racing our dogs on rigs in the Belanglo State Forrest. We decided to go in the hope that it might take our minds off things. We weren’t yet strong enough to tell people what was wrong. When I got home on the Sunday night everything hit me like a tonne of bricks and I fell apart. I cried so hard it physically hurt. I felt as if I would never be able to stop crying. I had never cried like that before in my life. The pain I felt was so overwhelming and consuming I felt like I wouldn’t survive what we had ahead of us. I couldn’t deal with preparing for the possible death of our daughter.

Having people congratulate me on the pregnancy and ask how things were going were very difficult times for me. People are so excited to congratulate newly pregnant couples, with jovial comments and smiling faces. We found it very difficult telling people that the pregnancy was not going so well. Nobody really seemed to understand the complexity of the condition, and many people made well-intentioned comments that really hurt without meaning to or even realising. Day to day waiting for my due date I cried a lot. I knew there was nothing I could do. I was very scared about her birth because I knew she could die - I spent most days and nights very depressed.

I could no longer be excited about my pregnancy knowing that there was a very real chance that my baby would not live long enough to see Christmas. My growing tummy was a constant reminder of my baby’s condition and fate. She started kicking for the very first time on the night we found out about her condition. I can’t begin to imagine the joy and excitement that most mums-to-be must feel when they get their first kick. For me it was almost a feeling of resentment and at times I became very depressed. That little girl who was so active in my tummy may never get a chance to walk. I had a very hard time dealing with the fact that Taylor was moving inside me and yet was considered fatally ill.

We had already picked out all the nursery furniture and put it on lay-buy before we found out about Taylor’s condition. I questioned myself about bringing it home. If we were going to be strong and positive for Taylor then I had to set up her room and have everything ready for her to one day come home to. Yet there were so many other things I just could not bring myself to do - child birth classes, buying tiny little baby clothes, talking with other happy pregnant couples, watching baby commercials on TV, listening to advertisements for Mother’s Day, walking down the baby isle at the supermarket…. I cried at just the thought of these things. All my dreams of pregnancy and having a healthy baby were now nightmares. I didn’t want to talk to my nieces on the phone or hug my own nephew through fear that I may never get to do these things with my own daughter. I even envied friends with healthy babies and couldn’t bring myself to be near them

"The Melbourne Zoo"

"THE DECISION TO RE-LOCATE TO MELBOURNE"

During these difficult times we had many more check ups at Westmead Children’s Hospital and Westmead Adults Hospital. At each ultrasound I hoped and prayed that by some miracle her heart had improved - but it never did. I wanted this all to be a bad dream that I would eventually wake out of. We asked many more questions yet still didn’t get many satisfactory answers. I felt like a guinea pig at my check ups with the Obstetrician. Everyone was interested in looking at Taylor’s heart yet nobody appeared interested in actually treating her. Time was fast running out as we approached my due date and still no decisions had been made about Taylor’s care. We went through many tears and fears, not to mention extreme frustration. In one final moment of desperation, less than three weeks before her birth, we wrote a letter to the hospital demanding that a decision be made about a plan for Taylor’s care.

By this stage we had discovered through our own research that the Royal Children’s Hospital in Melbourne had performed many surgeries on babies with HLHS, and they had also had a great deal of success. Through a series of networks we had managed to get in contact with several families in Victoria of children with HLHS and discovered that there was light at the end of the tunnel. At last something positive. We wanted to know why we had not been referred to Melbourne, considering there would be no suitable Surgeon available in Sydney at the time of our daughter’s birth. We also questioned in our own minds why we had not been given any information about the success rates in Melbourne - or indeed provided with this as an option for our daughters care far earlier. It became obvious to us that Melbourne not only offered a far better chance for Taylor, but that they also offered a much more positive approach to the surgeries.

At our very next appointment Dr Cooper advised that our care was being transferred to the RCH in Melbourne, and we would have to give birth down there. We were thankful that we finally knew what was planned for us, and had a feeling of pure relief. Although we would be a long way from home and all our support, we would now be in the hands of medical professionals who not only had success stories - but also believed in providing children with HLHS the opportunity to undergo surgery.

We organised ourselves to move to Melbourne the following week, for what we initially thought would only be a month or two. As it turned out we were there for four months. The hardest part was finding good foster homes for all our dogs. Luckily we have some very special friends and family members to whom we will always be eternally grateful to for taking care of our dogs. We never would have made it through without the comfort of knowing our dogs were being well looked after.

Shortly after arriving in Melbourne we met with our Cardiologist, Dr Jim Wilkinson, and our Surgeon, Dr Christian Brizard. They were refreshing and positive in their approach to Taylor’s care, and whilst they were careful to never inflate our hope, or overstate Taylor’s chances, they certainly left us with a feeling of confidence and reassurance. They both spoke from a position of experience with HLHS and were able to relay figures and statistics based upon their own findings, which were significantly higher than we had ever been given before. Dr Brizard also advised us that there was no need for circulatory arrest during any of the procedures, therefore Taylor’s mental development should not be affected.

The level of professionalism and assistance we received from all the staff at both the Royal Women’s and Royal Children’s Hospitals in Melbourne was amazing. They worked together as part of a team, and everyone knew what was happening. We received nothing but first grade care and Taylor was the first priority for everyone. They had dealt with HLHS children before which was clearly obvious and knew exactly what needed to be done. We thank God that we went to Melbourne for Taylor and honestly believe that she may not be with us today had we stayed in Sydney.

"Off to R.C.H. with NETS"

"THE BIRTH"

I was induced on 20th September and expected to give birth on the 21st. I was very tired of being pregnant and of all the anticipation. Neither of us slept very well that night. We knew we were about to have a baby - but also knew that once born she would be in trouble. From what we had researched about HLHS, we knew the best and safest place for our daughter was inside me. We were very scared of what the future held for our little baby. Unfortunately our anticipation was prolonged for another day.

I did not have a particularly nice labour - although it was very fast. I was dressed ready and waiting for an emergency caesarean but things happened too quickly for that. At 46 minutes past midnight on 22nd September 2000 I finally gave birth. Taylor Matisse Colvin weighed 2.8kgs and was a Virgo like her mum and dad. I could no longer protect her - her life was out of our hands. Now all I could do was look at this tiny defenceless baby and pray. I held her for only a few short moments before they prepared to take her away from me. She looked so beautifully healthy and normal and scored 8 and 9 on her APGAR test- this should have been one of the most joyful moments of our lives - but instead it was filled with a fear that we could loose her at any stage now.

I knew that so many people were praying for her - and she had the best possible medical services awaiting her. Before I had time to do much more thinking she was gone. The room that had been so full of medical staff only moments before was now empty. I lay there on the bed totally alone. There were no more monitors beeping and it was completely silent. I put my hands onto my tummy and that too was now empty. I didn’t have my little companion with me any more. I really felt more alone at that moment than ever before. The NETS (Newborn Emergency Transfer Team) brought her past my room for one last look before she was taken to the RCH around 4am - Andrew stayed with Taylor the whole time.

I had a couple of hour’s sleep, and then by 7am I was up, showered and dressed ready to release myself from the RWH. Unfortunately I had to wait for the Doctors rounds and wasn’t released until nearly 10am. Between Andrew and I we spent 20 hours a day for the next three days at Taylor’s bedside awaiting her surgery. We spoke to her, told her stories and  just held and touched her to reassure her. Andrew’s parents and my sister and brother-in-law were there to support us. On Saturday 23rd September 2000, in the ICU, we also had Taylor blessed by a Hospital Chaplain, where we asked for God’s help.

~end of part one - please click part two on the menu button to read part two~