Our first exposure to Williams syndrome came in January 2009. We had taken Kieran to the local children's hospital to have an echocardiogram after his pediatrician had detected a
heart murmur at his 2-month visit.
It had been a rough first two months. He had been born
a week late but was still
fairly small (
just over 6 pounds). He
rarely slept,
wasn't eating well,
wasn't gaining weight, and
cried all the time.
All the time. It was hard not to think, "Surely this can't be normal." By that time my friend's baby, who had born a few days before Kieran, was sleeping 5 or more hours at a time during the night; Kieran was sleeping 1-2 hours at a time around the clock. Combine that with feedings that took 45 minutes and crying jags after and before feedings that lasted hours, and I was one sleep-deprived mother. I blame that for what
didn't happen after our cardiology visit.
After Kieran's echo, we waited a long time as the doctor reviewed the results and took more pictures. Although the normal procedure was that the results were sent to the pediatrician to review and go over with us, in this case, another doctor came in to go over the results with us. By that time, we wondering what was going on. When the cardiologist came in, he pulled up a small stool, sat down, put his fingertips together, and looked very serious.
"Your son has a condition called
supravalvular aortic stenosis and . . . this condition is usually associated with a genetic condition called Williams syndrome."
We were stuck on the aortic part of what he said and asked him questions about what that meant for Kieran and his future. And I remember asking, in passing, "Would the Williams syndrome explain some of the other difficulties he's having?" The doctor replied, "It might." I think he even mentioned that it would be a good idea to have Kieran visit a geneticist for testing. But because he seemed so noncommittal about it, I didn't really pursue it any further. And when I Googled the heart condition to find out more about it later, I didn't search for the correct term -- all I managed to hear, in my sleep-deprived state, was "aortic stenosis." (
Which is how I described it in this post.) And, although "supravalvular aortic stenosis" is one of the primary markers of Williams syndrome, "aortic stenosis" isn't and didn't return any results on a specific genetic disorder. And I hadn't registered "Williams syndrome" so never even searched for that.
Over the next few months, we visited with a
GI doctor at the children's hospital to try to figure out why he wasn't gaining weight or eating well. And also made some visits to the urology department after Kieran had a UTI (he was diagnosed with
renal reflux). We also noticed -- as you can see in the picture above -- that his head continually tilted to one side (a condition called
torticollis, usually associated with
low muscle tone).
He met most of his early milestones on time, until it was time to sit up on his own and begin crawling. Then the
delays began. And he seemed
overly sensitive to some sounds, while being
very attracted to music (we used to joke that Kieran's favorite TV program was the one where we turned on the classical music station and he would watch the DirecTV logo bounce around the screen as he listened to the music).
Finally, in late June of 2009, we visited with an endocrinologist for another issue. When she came in the room, the doctor looked at Kieran, sat down, and said, "Has anyone ever mentioned Williams syndrome to you?" She then, very gently, went over some of the features she saw that were
characteristics of those with Williams syndrome--his puffy eyelids, long upper lip length, small chin . . . . She then said that she was going to write a referral for us to see a geneticist and took a blood sample for them to analyze.
I remember going home, Googling "Williams syndrome" and reading all about . . . Kieran. There he was -- on the websites that popped up and described those with WS -- all the characteristics that I've underlined above were characteristics of those with WS.
That was him. And I remember sending my mom an email that said, "Take a look at this site. Does this sound like Kieran to you?" I think Seth was more in denial than I was at that time.
We both waited for the geneticist to call with the test results. And I remember very clearly the day I went with Kieran to meet with the genetic doctor and he gave us the results (Seth was working). August 11, 2009. I remember the doctor went over the characteristics, again, that Kieran was showing, and I remember that he was very encouraging about Kieran's diagnosis and what it meant for his future. It was the confirmation we didn't want of something we already, deep down, knew. And I remember that through it all I was fighting back tears.
I called Seth and said three words to him when he answered, "He has it." Seth immediately left work and came home. We made it through the rest of the evening and then, after we put Kieran in bed, we
both started crying. I didn't stop crying for the next three or four days. I remember waking up in the middle of the night those first days and thinking, "Surely this can't be happening." For months afterward, it was difficult for me to talk about Kieran's diagnosis without tearing up. There's a very real sense of loss that gut-punches you with a diagnosis like this, which I later wrote about
here.
This post (which I've reprinted here with my own permission) that I wrote the day we got his diagnosis doesn't reflect the tumultuous emotions we were going through at that time but it does reflect the truth that we clung to (and continue to cling to) even as the emotions raged.
It wasn't supposed to be this way. Life, that is. Life wasn't supposed to be the way it is. Women weren't supposed to die of leukemia when their children were three years old. Couples weren't supposed to struggle with infertility. Grandmas weren't supposed to slowly succumb to Alzheimers. Little girls weren't supposed to be born with an extra chromosome.
And little boys weren't supposed to be born with 26 genes deleted from the long arm of their seventh chromosome. Life wasn't supposed to be this way--full of death, disease, and suffering. Life was supposed to be full of . . . well . . . life. That's the way God originally made it--a "very good" creation, He called it. And yet here we are, living in a creation groaning under the weight of the Curse placed on it by its Creator because of sin . . . my sin, your sin, the sin of all mankind. It's not pretty, the effects of this sin.
In January, when we found out Kieran had the aortic stenosis, the cardiologist mentioned that it was usually associated with Williams Syndrome, and he wanted us to have Kieran undergo genetic testing. Since then, several of his other doctors have mentioned the association between aortic stenosis and Williams Syndrome, however, I didn't really think anything of it -- they didn't make it sound like it was serious, and I never bothered to google it and find out what it was.
Last week, the genetics office called to set up an appointment. That appointment was today. Today we found out that Kieran has Williams Syndrome. In some ways, this changes everything. In some ways, it changes nothing.
The diagnosis explains so many things--his "failure to thrive," the frustrations with his eating (or lack thereof), the delayed sleeping-through-the-night, why he doesn't really look like either of us, the aortic stenosis, the kidney reflux . . . . At this point, the doctor wasn't able to determine what level of mental disability K would have, but assumed it would be in the mild to moderate zone, rather than severe. He was encouraging that Kieran would be able to live on his own in the future, although he'll probably need help with things like keeping track of his finances. And the doctor has referred us to the state physical therapy program so that we can keep him on track (or as close as possible) developmentally.
We'll have more doctor visits with the geneticist (and all the other doctors Kieran has been seeing) in the future. We'll just take it one thing at a time and see how Kieran develops. God is good--all the time.