We had another appointment with our Perinatologist earlier this week. It was a routine 32 week check-up, but it afforded us the blessed opportunity to ask some questions that had been mulling around in our minds ever since our last visit with the specialists over 1 1/2 months ago.
Some of the questions (& answers) were as follows:
1) What should we expect, in terms of delivery?
It is actually preferred for Tikvah to undergo a normal delivery, which is a huge answer to prayer. However, should she show signs of weakness as the delivery progresses, then there may be a need to consider a c-section at that time.
Also, unless Tikvah arrives early (which would NOT be preferred), then an induction can be scheduled sometime during her 39th week (October 24-31, 2011). This would certainly be our preference also, as it would afford the specialists the opportunity to plan and coordinate the team of doctors that will need to be present to address Tikvah’s condition immediately following her birth.
2) Immediately following Tikvah’s surgery, would it be possible to stay near the hospital for a couple of weeks until she is fully recovered?
In God’s providence, there is a Ronald McDonald House around the corner from the hospital. This is a great organization, which basically houses the families of children being treated at several local hospitals for a very inexpensive fee. We have made initial contact with the appropriate parties, but have yet to hear back from them. (Please join us in praying that the Lord would grant us favor in their eyes and provide a room for us to stay during Tikvah’s recovery period.)
3) Following the surgery and recovery period, will Tikvah require any special care or equipment (i.e. special carrier, car seat, clothing, etc) when we bring her home?
Apparently, by the time we bring her home (approximately 2-4 weeks following her birth), she should be healthy enough to be handled and manipulated like any other newborn baby. Of course, a measure of caution should still be used, but as far as bathing, dressing, holding, handling, etc is concerned, her care and should about the same as that of any other newborn baby. The majority of her incision should be completely healed by that point so her wound should not require any special care either. All of the baby items we used with her older brother, Hezekiah, should work just fine for her (i.e. car seat, stroller, etc). This is another huge answer to prayer as hand-me-downs are a great way to cut costs.
4) Prior to discovering Tikvah’s condition, we were planning to move to the mid-west around the New Year. Is that still a realistic plan or should we plan to remain here long enough for Tikvah to complete all of her follow-up care/visits?
As long as there are reputable hospitals in the area where we are moving, which can sufficiently address Tikvah’s condition and follow-up care (which there are), then it should be fine for us to still plan to move. This, of course, is assuming that everything concerning Tikvah’s delivery, surgery, and recovery go well. Again, the Lord seems to be answering our prayers according to our requests, as we would like to move around the New Year so that we can remain faithful to our previous commitments.
5) Since we are planning to move to the mid-west, we will be outside of Kaiser Permanente’s coverage area. What steps should we begin taking now to transfer Tikvah’s care and coverage?
We will need to begin looking for medical coverage now for our family’s health care coverage. However, since Tikvah’s “pre-existing condition” is so extreme, the likelihood of finding a provider that might offer an affordable rate for our family is not very favorable. We are beginning to look into it, but not sure how the Lord is going to provide here. (This is a huge prayer request as we move forward.)
As you can see, God continues to go before us, providing for us in so many ways. We are continually amazed to see His faithful hand working out all the details of this entire situation. We rest in His unfailing love and tender mercies, which He has made known to us in exciting new ways during this season. We trust Him to continue to work out everything else according to the counsel of His good and perfect will. To God be the glory!