This is the story of a wonderful baby boy named Rasheed. Rasheed lived 5 glorious months on earth but his final destination was heaven. 6 days after Rasheed was born he was taken back to the hospital because his respirations were high and I noticed his nostrils were flaring. A little baby's nostrils should never flare, and his little heart was beating so fast I thought he had a vibrator in his chest. Rasheed showed no signs of discomfort. He cried and ate and slept practically all day long except when he was hungry as most newborns do. When Rasheed was taken to the first hospital the doctors said he looked fine but his respirations were high. They listened to his heart with a stethoscope and said that it also looked fine. The doctors initially thought that maybe he had come down with pneumonia or some strep infection but when he went for a chest x-ray they saw his heart looked enlarged. Then they told my husband and I that we would have to take him to another nearby hospital that had paediatric cardiologists on staff. So to make along story short we rushed to the next hospital and Rasheed was taken in there. The following morning we were visited by a paediatric cardiologist who examined Rasheed and gave him an electrocardiogram. After the doctor consulted his fellow colleagues he had a conference with me. Dr. Consevage told me that Rasheed had a rather rare congenital heart defect by the name of HLHS or hypoplastic left heart disease. He went on to explain that Rasheed was very fragile and that the reason his respirations were so high was because the tiny opening at the top of the heart where Rasheed was pumping out the blood to his body was staring to close. He went on further telling me that Rasheed would need a series of Heart surgeries and maybe eventually ah heart transplant. "This is something that we can fix", were his words. I was told that I was very fortunate to be at HMC because a lot of hospitals do not have the know-how when it comes to dealing with the disease that Rasheed had. The disease was so complex because of the fact that Rasheed's left ventricle never formed in the womb. They thought it amazing that the problem was never corrected.

THE AFTERSHOCK

The day that I found out how sick my baby was I was a nervous wreck. I could not concentrate on anything. The nurses transported Rasheed to the PICU where he was put on a ventilator and given a drug called prostaglandin to keep the opening to his heart from closing until he could have surgery the following Monday. I was unable to leave his side for fear of something happening to him. I would not eat or shower. Those things were the furthest things from my mind. 

SURGERY

Rasheed had open heart surgery and it lasted 8 hours. My husband and I did a whole lot of pacing and waiting. After the 7th hour the surgeons nurse came and told us that Rasheed was off the heart-lung machine that they use to perform the surgery and was resting well. He would be brought back upstairs to the PICU after they monitored him for a while. I will never forget what he looked like after they brought him back. He had this little tiny incision on his chest, and he smelled like baby lotion. I stayed by his bedside and brushed his hair. He loved when I did that. The doctors told me that over the next day or two they would just let him rest and let his body adjust to his semi-corrected heart. After 3 days they started to let him wake up. He would try to breathe over the ventilator and choke on the tube. It was a sad thing to see, but he was alive.

HOME

Before I would be allowed to take Rasheed  home I would have to teach him to nurse again. A lot of times when babies are on ventilators they forget how to suck, but after 2 days of trying Rasheed caught on. Then I had to learn to give him his medications using a syringe. Rasheed was on 4 different heart medications and it was very hard to get him to take them. I was terrified of taking him home with me in this state. He was so fragile.

Rasheed came along very well after his first 2 weeks out of the hospital. He slept a lot but the doctors said that was normal because he only had one functioning side to his heart. I was concerned though because he was always hungry and it never seemed as if he was getting enough. Another concern was that he would not cooperate when it was time to get his medicine .He would scream and choke it back up, and I would have to call the doctor constantly about it. Rasheed was seen at the doctors office alot. Sometimes he would be seen 2 times a week I was so scared. If Rasheed coughed 1 time I would call the doctor. Fear consumed me.

The first week of June arrived and I was scheduled to have a tubal ligation. After the surgery I recuperated at home with Rasheed but towards the end of the week he started turning funny colours and sleeping without waking. I would have to wake him. I called the doctor and they assured me everything was fine with him. On the 8th of June at 3 in the morning I was changing his diaper and trying to console him. He would have none of it.  Then in the prescence of my husband, brother and I he simply stopped breathing and turned totally blue. I PANICKED. I raced around the room, and my first thought was of killing myself. My brother called 911 and then he shook me and said, "YOU HAVE TO DO IT", and without thinking I dropped to my knees and tilted Rasheed's head back. I listened. Nothing. So I put my head to his chest. Nothing. Then I put my mouth over his and gave him breaths. Then I performed chest compressions, I did this 5 times. By the time the police and ambulance arrived he was breathing and his heart was beating again. I ran around screaming and hollering I had so much adrenaline.

THE LONG RIDE

When the ambulance arrived they took Rasheed and gave him oxygen because his pallor was not good. He was very blue and his vital signs were not strong. I rode with the ambulance and my husband took the car. I could hear Rasheed struggling to cry in the back as they tried to get an I.V. line started in his hand. It was the longest journey I have ever been on. I kept praying frantically that he would just hold on. Just please hold on. Finally we made it to the hospital, and the paramedics rushed him into the E.R. My husband and I were told to wait in the special room that they reserve for Trauma patients families. We were a bunch of live wires. I remember a chaplain coming in with us and me screaming at him WHY ARE YOU HERE!!! I felt as though my life was over. After what seemed like forever a doctor came in and said that Rasheed was stabilized and his heart rhythm had returned to normal. He would have to stay in the hospital for some time until they could figure out exactly what went wrong with him.

PICU...AGAIN

Rasheed slept peacefully and without incident for the rest of the night. I was so worked up that I could not. The doctors and several family members would tell me that I needed rest, but it would not come to me. I would not dare rest after what had just happened to the baby, so I stayed by his bedside until I was going to fall over myself. The doctors came in and questioned my husband and I about what had happened and the only conclusion that hey could come up with was that he had maybe...maybe choked? They ran every test imaginable and then I was told that little man had a reflux problem. They said all of his symptoms (vomiting his medications) were concurrent with this problem. So they started him on Zantac and sent us home with a heart monitor. The heart monitor was supposed to go off anytime there was a sudden change in heart rhythm or in case he had an apnoea spell during the night. The machine would make this ear piercing screech that would awaken us. Rasheed would pull the cords off his chest sometime or try to eat them. For him to be so sickly you would never even have guessed. He was constantly trying to stand upon my lap, and he loved to play with people. My daughter was so delighted with Rasheed I would have to explain to her constantly that boys don't wear earrings and carry purses. I would leave the kids in a room together and come back and she would have him propped up on some pillows telling him stories and putting clip on earrings on him (smile)

We had the best time with that little baby.. He certainly changed the whole definition of motherhood for me.

THE DREADED EVENT

Rasheed started showing signs of illness as far back as that first week in June. The signs were clearly overlooked by the doctors that were seeing Rasheed. In his last month here on earth, I made at least 7 trips to the doctor and the hospital. Rasheed's apnoea alarm would go off all the time. Sometimes when he was wide awake it would go off, other times when he was asleep it would sound off. I was very worried by this and in the last month I made several phone calls. I would always call and get the same answer, "If he looks okay, then he's fine."  Then he would sleep all the time again, it finally got to the point where he would cry and sweat profusely. I refused no for an answer. I took him to the doctor constantly. I would run all of the air conditioners in the house and Rasheed would still sweat. Rasheed was due to have a heart cauterization in September, I did not think he could wait that long. So I took him to the doctor and demanded they give him an Electrocardiogram. Upon examination the doctors all said he was fine and that I just needed to relax.

 

On August 28,2001,Rasheed went into the hospital for the last time.

Rasheed had been crying inconsolably for some time and then would stop because he was so tired. I would try to comfort him but he would not stop. So I called for the doctor and was told they would see him later in the afternoon. After hanging up I decided to just Go take him to the hospital...something told me that was right. Upon arriving at the E.R. I explained that Rasheed was irritable and turning colours. They immediately took us into the E.R. and measured Rasheed's pulse oxygen (measures how much oxygen is in the blood) and the numbers were very erratic they would go from 70 to 15 in a matter of minutes. They mostly stayed at 20. This is way to low. There was not enough oxygen getting to his little brain. I was frantic.. something in me knew.. it just knew.. So I tried to keep it together but I could not do so. I cried and rocked my baby while they tried to get an I.V. started. I fed him and he nursed. That was the last time that I held him in my arms and nursed him. I am having such a hard time writing this. I am trembling....The cardiologist on call told me that Rasheed was experiencing severe heart block, and would eventually need a pacemaker after he was stabilized. He said that this condition was very rare in a person with HLHS and Rasheed was among the first he and his colleagues had ever seen. I was delirious. I could not see straight.

THE LAST GOODBYE

Rasheed's nurse asked me if I would like to help her carry him up to the Picu and I said Yes. When we got upstairs the nurses told me that I would have to wait outside for him or go home and get my husband because they had to try to get Rasheed stabilized. I changed Rasheed's diaper and sang a little song to him...He was so quiet...So sweet. Then I picked him up for that last time and gave him a big kiss. Then I handed him to the nurse. They would not let me see him again after that for over 24 hours.

After waiting all night the nurse came out and told my husband and I that they were still having some trouble getting an I.V. started. They were able to get a temporary pacemaker hooked up to him and his heart was pacing regularly.

At three o'clock the doctor came and told us that Rasheed had taken a turn for the worst and that we would not be able to see him until they figured out what was wrong. Again after waiting for another 4 hours another doctor came out and told us that Rasheed had suffered a heart attack and that his liver and kidneys were shutting down. He told us that all we could do now was to wait. Rasheed had coded on them and after 9 minutes they were able to get his heart started. They were taking him off the sedatives to see if he would wake up. I collapsed in the corner and refused to hear what he was saying to me...I had been to that hospital plenty of times before and had already seen many children dying. Some of them were Rasheed's roommates. I knew very well what "We are doing what we can meant."

My husband and I went to the nearby waiting room and sat down. There were so many thoughts running through our heads that for awhile neither of us could say anything. We just sat there like bumps on a log. Finally he said to me ,"Angel, you know what we have to do.." And then I lost it. I vomited.. There was a feeling of overwhelming sickness in my body. My heart felt as though it would stop. I could not hold a thought for more than a second. So we sat there and held each other and cried..

FAMILY

Our family members started to show up at the hospital, and it was the worse thing because we had to explain over and over what was wrong with Rasheed. It got to the point where I went off and isolated myself from everyone. It was so quiet in the sunroom that you could hear a pin drop. I sat by a window and looked out at the sun and trees and tried to tell myself that maybe he would come out of it all. He was such a fighter.

The following evening I knew that my wish would never come true.

Rasheed started having seizures that involved the right side of his brain. The doctors were concerned because he was no longer on sedatives and was showing no response to stimuli. His body temperature would rise and fall and his kidneys and liver were still failing. Amazingly his heart was fine.

The doctors told my husband and I that they thought it necessary for Rasheed to have a brain death study.

We said okay.

THE LAST STRAW

After the brain study the doctors said that Rasheed had brain activity, but they had never seen someone with so much fluid on the brain survive. Then they suggested that we go home and rest because the next day would be a hard one for our family.

The next day we arrived at the hospital in time to see them making a mould of baby's hand. I broke down and collapsed on the floor. I had seen them do this procedure with other dying children. Then the doctor came in and told us that they had done everything humanly possible for Rasheed...Just like that...There was nothing else to do. He thought it would be best for us to let Rasheed go with the Angels... he wanted our permission to take him off of the life support....

My mother called a priest and Rasheed was given his last rites...I collapsed again during the reading of these rites...It was all too painful for me. And then the doctor came back and told us that Rasheed would never feel a thing. He and a nurse turned off his heart monitor and drew the curtains. I was given a rocking chair and Rasheed's ventilator was turned off.

I held him for the last time.....I watched as he went home to be with our father... It was a moment I will never ever forget. The doctor came in after a moment and took his pulse and told us that he was gone. I passed him over to my husband and other family members and after they held him ..I held him again. Just one final time. He looked so different yet so like himself. I cried and rocked my baby and told him how much I loved him...How much mommy loved him...Mommy loves you Rasheed, I whispered to him over and over again.

THE RIDE

As you may have realized by now, I have left out quite a bit of Rasheed's story. A lot of it is just so painful that I am still not ready to disclose it yet. There are so many of these things that even my husband and I have not said to one another for fear of hurting the other partner all over again.

The truth of the matter is it is so devastating to lose a child. no one can understand that unless they have faced this great obstacle. So I am sure that you will try to understand why some things are better left unsaid........