The Road to Resilience: A Young Camper’s Journey After Stroke

0f115c55 bdc7 470e 9cfd 65baf74a5391 IMG 9546 Saturday April 13th, 2018 was a normal day.  Levi was 18 months old at the time. We played outside as a family and I remember it was the first time Levi tried to play hopscotch on our driveway.  That morning my husband, Pride, and I thought he looked a little bit yellow in color but he was acting completely fine so we went about our day and just thought we would keep an eye on him and take him to the doctor on Monday if needed.  The next morning, we got up for church.  Levi was extremely lethargic.  After he got sick a few times we called our friend, who is his pediatrician and she advised us to take him straight to the ER to be sure everything was ok.  

Once we arrived at the ER, they immediately took us back to a room.  They tried multiple times to stick him for a blood sample and his veins just kept blowing.  He was miserable.  So tired and grey in color at this point.  Finally, the nurses were able to get a blood sample.  That told us Levi had Hemolytic Autoimmune Anemia, which was causing his body to fight his own Red Blood Cells. They told us after a few days in the PICU and a few blood transfusions we should be on our way back home.  So that night I stayed with Levi while Pride took our oldest son, Landen, home.  Levi was given transfusions through the night, which meant they had to keep pricking his finger before and after the transfusions.  After a night of lots of crying and screaming the nurse came, checked his blood, and said go give him a break, he deserved it.  So, I took him out of PICU and walked to Starbucks while I carried my very happy little baby boy with me.  I remember sending my husband a good morning picture that morning with us both smiling with excitement at being out of that room.  Later that day, my husband and I switched places so I could go home and shower and get some rest, still thinking this would be just a few days.  When I returned, he said he just thought something about Levi wasn’t right.  We both had mentioned it several times and were told it was probably the medicine he was on and that they were moving him out of the PICU to the HemOnc floor.  

That night my husband stayed with him and he knew something wasn’t right and asked for a physician to come look at him.  When the PICU resident came back, she immediately said he needed to go back to the PICU but didn’t give Pride any answer why.  He packed up the room as fast as he could and rushed back with Levi.  After a series of tests and image studies the next morning, we found out Levi had been clotting everywhere.  He had multiple Pulmonary Embolisms and had a massive Left MCA stroke.  We were completely crushed and terrified.  They immediately put Levi in a medically induced coma to let his body heal.  About 10-12 physicians met with us in Levi’s room, they told us Levi would never walk, never talk, never use his right hand or arm, and may not even be able to understand us talking to him.  The goal at this point was to get through the next hour, and then the next hour and so on of every day for the next week.  Then we could go day by day for a week, then week by week.  Levi underwent many daily CT scans to make sure the swelling in his brain didn’t go over a certain amount.  He also was continuing to clot everywhere, and his body was still fighting his Red Blood cells, so he continued to get transfusions.  At one point we were called in the middle of the night to an emergency meeting with a neurosurgeon.  We were told we may need to allow them to do a hemispherectomy to relieve the pressure from swelling on his brain, as it was continuing to swell. We were also told he was continuing to clot and they needed to start him on Heparin.  This could also lead him to bleed out more into his brain.  We were told if he required the surgery they needed to know at that moment but also that it would more than likely leave him with very little to no quality of life.  We felt like we were asked to either allow them to save his life, which would lead to him having no quality of life, or to let him go.  We walked away believing that we needed to call in the family to plan for his funeral. It was a devastating time and prayer is all we had to keep us going. Because of that prayer, he never needed that surgery and he continued to improve.  He was weaned off his sedation medications and ventilator and was eventually moved back to the HemOnc floor.  Once he was strong enough, he was sent to an inpatient rehab facility for 21 days.  He left that facility able to stand with help, to take food by mouth without his NG tube, and unable to speak but he could fully understand what we were saying.

Once he came home, we dove head first into the therapy world. I researched anything and everything I could find to get him the help he needed. South Carolina has one medical daycare in the state that is thankfully located in our city. Once they had an opening, Levi started there and immediately started OT, ST, and PT all 2 days a week. One of his OT’s told me about Constraint therapy and how good that would be for him so I started researching. That’s how we found Powerhouse therapy. September 2019 was our first year of CIMT. Levi has had a total of 6 CIMT sessions. Each time he has gained strength and awareness. Because his stroke was large and he should have zero functional use of his hand and arm, the intense CIMT sessions have helped him create new connections in the brain to allow his physicians to plan out multiple tendons transfers in his hand for more functional use. His Orthopedic Surgeon and Neurologist attribute his recovery to all of the therapy he has received, especially the CIMT.  We will continue to work with Powerhouse Therapy.  Charlene, Disha, and all of the Therapists involved in Levi’s care at Powerhouse are amazing and so knowledgeable. It is worth all the hard work you put into it when you see how proud and excited your child is to open a snack bag for the first time on their own!  Levi continues to defy all the odds against him. 

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