Saturday, March 13, 2010

First infusion down...many more to come!

I am happy to be the first to post on this new blog. I hope that it can help people who are just learning about Hemophilia come to understand that this disease is manageable. The reason we started this blog was to share our experiences and learn from other's going through this same journey.
I am the mother of a very active nine-month old baby boy. He was diagnosed with Type A Hemophilia (severe) right after he was born. My dad had Hemophilia, so I knew when I started having kids that this diagnosis was a possibility. When Zander was diagnosed, I was scared and I felt guilty (yes, guilty: they were my genes that gave him this disease.)
I am blessed to have the family I have, to help me understand this new role as Hemophilia expert. I have a nephew who is almost eight who was also diagnosed at birth. I call my sister all the time asking about bruises and every other hemophilia question under the sun.
Up until this point Zander has done very well. He has lots of bruises (I don't know how he gets most of them) but he had not needed any treatments.
With that being said, all things changed this month. Zander is starting to walk and he is in need of a little more stability. The first week of March he hit his head on a end table while I was at my sister's house. He got a pretty bad bruise but after talking it over with the Hematologist he said Zander would be fine, just keep ice on it. Over the next couple of days we seemed to have little episodes pop up, so I called our HTC again. They said based on the combination of things, it would be wise to bring him up for an infusion.
Those words hit me like a ton of bricks. I had been anticipating this first infusion since the second I found out he had Hemophilia. I was scared and anxious. I didn't know if they would be able to get a vein. I worried about the pain he would be in.
The actual infusion went well. The nurse hit a vein on the first try. I have heard as long as you are calm your child will be calm. I guess, I will use that advice the next go around. I held Zander down on the table, and I cried and he cried. He looked at me with his big eyes, all my guilt came rushing back. I was very happy to be done with his first infusion. It was a big milestone and we made it through.
Then, this week (one week after his first infusion) he hit his eye on a barstool (yep, the only chair that isn't up on our table) it bruised right away but didn't swell up that much. Over the next day the swelling increased quiet a bit and I called the HTC again. They said to bring him in right away, we were also told that for soft tissues (like around the eye) it is better to infuse than wait and see if it swells. You can imagine hearing that made me feel horrible. I have asked the question, "How do you know when your child is having a bleed?" I get the same answer all the time, "You will just know." My sisters all told me that they would have waited also, that made me feel a little better.
Our second infusion wasn't as good as the first. They had to try and get a vein in his hand because they wanted to leave the IV in so we could do and infusion the next day as well. The first poke went through his vein instead of in his vein. The second poke went in and we were able to give him a dose of factor. The nurses wrapped up his hand and arm, using about a roll of tape. We didn't want him to be able to pull out the IV.
Two times I had to flush the IV to avoid clotting and the next morning I mixed up factor for the first time. I did call my sister to walk me through it, I didn't want to ruin a bottle of factor (it is very expensive). Zander did great. When we were done flushing the IV for the last time, I pulled it out of his hand. It was a relief to have it done. I will say, the first time was a lot more stressful. The second go around took a little longer but I did stay calm. No tears from me.
Starting this next week we are going to try for once a week infusions (prophylaxis) this will give him a little protection against himself.
Zander seems to handle it all very well, I have a feeling I am going to learn a lot from my sweet little man.


  1. Sounds like an adventure!! I am glad to be following this blog too =)

  2. What a cute little man! I love this blog already--name, subtitles, and sweet brave little (and big) people.
    Friend of Princess E.