During the next
ultrasound the cysts were a little bigger. He then referred me over to a
place for genetics to do a 3D ultrasound. There we found out that his
legs were slightly different in length and an amnio. was recommended.
Down Syndrome was ruled out but over the next few months the by-weekly
ultrasounds showed an increase in size for 1 of the cysts and it seemed
to be filled with fluid. At 22 weeks the fluid was drained in utero
because it had grown dangerously large. They drained over 100 cc from
the cyst. There was still some fluid in the cyst but it was not
dangerous any more. The next couple of ultrasounds showed no increase of
fluid and a slight decrease in size of the cyst. My doctor said that
there was nothing else we could do until the baby was born.

At about 30 weeks I
developed hypertension and was ordered bed rest until the baby was born.
I was so big that I welcomed it. The doctor also said that the baby was
big from the start but my husband is a big guy so he also said
that I had a lot of amniotic fluid and knew that I would go in early
because of the baby's size and extra fluid. This would be my 3rd
c-section.
Christos was born 6
weeks early at 7 lbs 14 oz. (Warning kind of gross) The first thing I
remembered was all the amniotic fluid splashing onto the floor and
underneath me. They pulled Christos out and the first thing the doctors
noticed was the grossly shaped umbilical cord and it was tied in a true
knot. Christos was cleaned up and was showed to me for a minute before
my husband walked him to the neonatal section of the hospital. I barely
noticed his big tongue he was so beautiful. As I was waiting for the
spinal to wear off I was informed that Christos had some problems
including hypoglycemia and he was rushed to {...} (2hrs away). My memory
is kind of fuzzy during this time but I was stuck in the hospital for 2
more days before I could make the trip to Portland. I was able to call
the NICU and the nurses told me he was resting fine. Which didn't tell
me much.
I went directly
from the hospital doors in {...} to the NICU in {...}. Seeing my baby
with tubes and needles sticking out of him made me break down into
uncontrollable tears. The many doctors that were involved with his case
told us his blood sugar was under control but he had a tumor on his left
adrenal gland that was producing hormones. These hormones were making
him go into premature puberty and that it needed to be removed. The
tumor was removed successfully along with his left adrenal gland a week
after he was born and he was diagnosed with BWS within the week. After
careful study of the tumor itself the doctors said that it was
inconclusive if the tumor was cancerous.
Christos was at
{...} for 5 weeks. My husband and I would drive there and back every
Wednesday and then drive there on Saturday where I would stay the night
and my husband would drive back to Eugene and come and get me on Monday.
I thank God that my mother-in-law was able to come and help us take care
of our daughters while Christos was in the hospital. We were able to
move Christos to Eugenes Sacred Heart Hospital for another 3 weeks
until he came home, apnea monitor in tow.
We started doing
bi-weekly blood tests to make sure the hormones didn't start producing
again. I would like to say we were happily ignorant of the danger
Christos was actually in during this time but I have to admit that I
chose to ignore what the doctors told us. He had to be monitored every 3
months with blood tests in between. After 3 months of self- induced
ignorance Christos started showing the signs the doctor told us to look
for when we brought him home. Excessive hair in the pubic area, chest
and face, BO, aggressive behavior and mood swings. Also a blood test
showed elevated hormone levels. Then we went in for an ultrasound, then
a C.T.

Christos had a
tumor in the same area as the last one. The doctor needed to remove it
as soon as possible. January of 2002 the tumor was removed. The
oncologist sat down with us and told us that the tumor was not actually
in the same place but in his pancreas. The surgeon was able to remove
all of the cancer without harming the pancreas but he also found two
tumors on his liver and smaller tumor masses all over the liver. He cut
out as much as he could taking his gallbladder as well but then Christos
was diagnosed with Adrenal Cortical Carcinoma, an extremely aggressive
cancer, and it was in the 4th phase, meaning it was spread to
other organs and all of it could not be cut out.
A Hickman line was
surgically implanted into Christos' chest and in March he started
Chemotherapy. We drove to Portland's Doernbecher Childrens Hospital
where 3 different types of Chemo were given to him over the course of 5
days. After we took him home we would have to give him hormone shots in
his legs to boost his immune system. We also had to sterile clean the
hickman site twice a week to make sure no infection could be introduced
into his blood. We continued this for a year. He lost his hair twice and
got two blood infections, blew 2 hickman lines and then had it replaced
with a port-a-cath and has had 3 different oncologists.

Throughout this time the nurses and
doctors said that he was the healthiest and happiest baby they have ever
seen going through chemotherapy. He used to go down the halls of the
Chemo word in a walker faster than most kids ran. Let me tell you it was
hard keeping up with him while hanging onto an IV pole. His oncologist
also said that he was responding to the chemotherapy like the adults who
have survived ACC, because until this point, according to his
oncologist, no child diagnosed with ACC has survived.
Christos is now 1
year cancer free. We get his blood taken every 6 weeks and he goes in
for C.T. scans every 3 months. He has had a lesion on his left kidney
since he was born but it has not changed.
His
last C.T. scan has showed a lesion on his right kidney and they are
monitoring both to see if they change in any way. He will be going
through Eye Surgery March 30th to correct the muscles in his
eyes and I am now in the process of getting his tongue reduction surgery
done before he starts preschool in September.
Christos is an
amazing child and continues to bring sunshine to our lives.
Our hopes and prayers are with you
all.
The Rehfeld Family
March 2004