My Journey with hydrocephalus and Cerebral Palsy

Morgan Grace was born 3 1/2 months early on Aug, 21, 2012 weighing just 1 lb 7 oz and 13 inches long. Morgan was hospitalized at Children's Hospital NICU in Minneapolis, MN for 108 long days. During this time she encountered many medical challenges common to "micro preemies" but most devastating was to hear she had suffered from grade III/IV Intraventricular hemorrhage (IVH / brain bleed). We were told she may never walk or talk and they would not be able to tell the severity of the damage until she is older. The IVH resulted in Hydrocephalus, a condition she will have for life. At two, Morgan was also diagnosed with Cerebral Palsy.

I have found it very difficult to find information online - stories and information on hydrocephalus, shunts and people's experiences - so decided to write this blog to share what we have been through. I hope some day that Morgan can take over writing from her perspective. More importantly I hope maybe it can shed some light for other hydrocephalus and Cerebral Palsy patients and families. We welcome comments and questions.


From Wikipedia, the free encyclopedia:

Hydrocephalus is also known as "water on the brain", is a medical condition in which there is an abnormal accumulation of cerebrospinal fluid (CSF) in the ventricles, or cavities, of the brain. This may cause increased intracranial pressure inside the skull and progressive enlargement of the head, convulsion, tunnel vision, and mental disability. Hydrocephalus can also cause death. It is more common in infants, although it can occur in older adults.
The cause of Cerebral Palsy is a brain injury that occurs while the brain is developing. As a result of the brain damage during brain development a child's muscle control, muscle coordination, muscle tone, reflex, posture and balance can be affected.

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Sunday, April 28, 2019

Back to Normal

We got through the first week of back to normal and actually went smoother than I thought!  I expected Morgan would have a hard time adjusting to school again but no morning tears and she was excited to see her friends and teachers.  Just a couple of snafus with forgetting/losing wheelchair pieces which caused a couple extra trips back to school but got through the week!  She has daily PT sessions at Gillette's in Burnsville and the times are not consistent so we are juggling schedules which will get harder with activities/sports starting this week also.  The early morning sessions were definitely better/more productive than the late sessions because she was pretty tired and her AFOs hurt after wearing them at school all day.  We got her an adaptive trike at home also so have done that a couple of times (as weather permitted) and she is doing pretty well with it. Her PT sessions have been mostly focused on building that leg strength still with the trike also, treadmill walking with a harness, squatting, balance exercises, etc.  Orthotist saw her on Friday morning and plans to hinge both AFOs also which she is ready for and should help with stairs and floor mobility.  Progress feels a bit slower this week but imagine it will feel that way until she is walking independently.

Friday, April 19, 2019

Day 39 - SDR - HOME!!

We are home!! We packed up the remainder of her room and had one morning session with OT & PT. They talked through restrictions at home (no walking or passive trunk rotation) and showed me stretches to do daily with her. We were discharged before lunch, said our goodbyes and were out :)
Feels great to be at home just in time for spring weather and Easter and we are so grateful for the support and prayers from our family and friends to get through this long hospital stay!  Morgan is a rockstar and her therapists had great feedback on her strength and imagination of course :)
We are catching up on life and trying to get some relaxing time in with family this weekend and back to school and daily PT sessions starting Monday for Morgan. Will continue to post less frequent updates on her progress getting out of the wheelchair and back to baseline.

Thursday, April 18, 2019

Day 37 - SDR

Last day of inpatient therapy!  Morgan had a full day today which included pool therapy and I watched a little bit of her last PT session - she was standing unassisted while she served some therapists play doh pizza and walking with just a little guidance on her hips, mostly on her own and also climbing stairs alternating legs.  Her balance has really improved over the past few days also.  They had her rental wheel chair adjusted and we cleaned out/packed up most of her room tonight so ready to finish tomorrow morning and get out of here after her morning PT/OT appointment!  This is Morgan sitting in front of the wall of cards (pic does not do it justice) we had to take down tonight - thank you for all of the love!



Wednesday, April 17, 2019

Day 36 - SDR

Today Morgan received her new "take home" wheel chair rental so tested that out and do need to have some adjustments made tomorrow.  She also had her last day of RobALT - they only have this in St Paul and she will have her outpatient PT in Burnsville.  I didn't post yesterday but she also loves the OT sessions with the therapy dogs and this picture is of her playing hair salon with Sara (a very patient cute white fluffy dog).  She is doing great and taking several steps with just light hand holding, her right foot is turning out a bit which is something we will watch but likely just due to weakness in her hip still and apparently common post SDR.
They asked me yesterday if they could use her room for a local news story on a girl that cleans in this unit so agreed to this and didn't really expect to be in here but right after lunch they came in without much notice started filming so Morgan made the news tonight :). I have commented in past posts how they do a cute job cleaning her room and rearranging her stuffed animals in funny places and this is a great program they have for special needs ex-patients, here is the story:







Monday, April 15, 2019

Day 34 - SDR

I spoke with Morgan's PT this afternoon and they have now removed the sitting/wheel chair time restriction so she is able to sit up as much as she needs/wants now.  We still need to try to keep 3 hrs of prone time in per day if possible and not best for her to be sitting all day!  They have also updated to allow assisted transfers (from dependent), so Morgan should be getting in and out of her chair, out of bed, etc herself with assistance as needed.  Quite honestly we have been doing this for about a week anyway and she is doing well with it  :). She has stood unassisted for ~ 40 seconds and has taken a few steps on her own. Her rental wheelchair is ordered which should be here before we are discharged on Friday and we are looking into getting her a adaptive trike for exercise to have at home.  
Tonight's activity was cooking making, the kids were very excited for this!



Sunday, April 14, 2019

Day 33 - SDR

Headed into our last week inpatient hopefully!  Morgan had OT and PT yesterday morning but spent Sat afternoon and Sunday at home (just back to the hospital Sat night for an hour in the stander & to sleep).  She is doing great and its difficult to keep her prone or laying down at home, she wants to be sitting up playing all day.  We also ventured out to get a much needed haircut on Saturday afternoon.  She can stand well holding on to things and move around furniture and now trying to balance standing on her own also which she can do for several seconds (see pic).  When we got back this evening we spent more time in the stander and some time in the trike - we need to do more of this to build her leg strength!  She can ride the trike a little on her own but does need help steering and pushing that right leg mostly.



Friday, April 12, 2019

Day 31 - SDR

We've spent a lot of time in hospitals over the last several years and while there have been times we have seen and heard some very sad and unthinkable situations from other families I think for the most part we are inspired by these kids and I hope Morgan and her brother grow up realizing the same.  The rehab unit is a new experience, most children are there long term and its a bit more social with a play room, social activities every evening they encourage you to attend, and you tend to see the same families in the unit and at therapy every day.  Some kids with existing conditions & surgeries like Morgan, others with scary accidents and random illnesses they are recovering from.
There is one family we tend to spend a lot of time with, a 3 year old boy (and his brother who is 5), who was a healthy "normal" toddler and suddenly started complaining of leg pain and quickly went into full paralysis, was rushed to the hospital and later diagnosed with Guillain-Barre, was intubated and received plasma exchange.  Apparently it was scary for days but he pulled through and has been in the hospital since February recovering and regaining his strength.  He HATED his stander and cried about having to be in it, so Morgan has been a bit of a role model for him, we meet up in the play room in their standers and they usually blend up some interesting food shakes for us in the play kitchen.  The other night she said her feet hurt after a full day in her new AFO's but just after we got back to the room to let her take a break, he showed up ready to play in his stander and cried when she was getting in the wheelchair so she agreed to get back in the stander for a while longer to help him out and play :).  His mom was also telling me he wouldn't stand or try walking in therapy which was getting frustrating.  Last night we were at activity and he suddenly asked his mom for her hand so he could stand up and just stood up and started walking, he walked across the room and gave Morgan a high five.  What an amazing thing to seem him walk again for the first time and his mom a bit shocked and teared up.
Morgan continues to make great progress and gets stronger every day.  She is able to stand on her own holding onto something and took a few steps unassisted at therapy today.  She has had OT in the room each morning since Wednesday helping her dress and she can get down from the bed onto the mat and dress with little assistance (except her socks due to her clammy feet!).  We have her daily outpatient PT schedule set through June and still on track and getting things organized to prepare for discharge next Friday!  Tonight was music therapy night and the kids had a blast trying out new instruments.