Macey Elizabeth Hangartner
"The Coke Can Baby"

Born: September 24, 2003
Weight: 380 grams
Parents: Mike & Rachelle Hangartner

This is the story of a very tiny little girl with a very big will to live. Macey was born on September 24, 2003 weighing only ¾ of a pound or 380 grams. Macey was very tiny for a 26 and 6/7 weeker. This was due to a blood condition I was diagnosed with while already pregnant with Macey. To date, Macey is the smallest preemie to survive at BC Children’s Hospital. Here is her story….

My mommy flew from Whitehorse (Yukon Territory) to Vancouver to have some tests run. They were watching her very closely through her pregnancy with me. You see, I was my Mommy and Daddy’s third pregnancy. Mommy lost the first baby at 23 weeks and the second baby at 9 weeks. At 7 weeks gestation (with me) Mommy was diagnosed with Anitphospholipid Antibody Syndrome.

Mommy was put on a twice-daily injection of Heparin to thin her blood. As follow-up Mommy flew to Vancouver every 4 weeks to start and then every two weeks until mid-August 2003. During that visit my Mommy and Daddy were told that I was very tiny for my gestational age. Mommy was hospitalized and told that I needed to grow and she needed to stay pregnant until I was at least 27 weeks for me to have any chance of being viable. Mommy and Daddy prayed and our ten month long roller coaster ride began.

At 12:16am on September 24, 2003 Dr. Skoll delivered me by Classic Caesarean-section. My Mommy, Daddy and Grandparents were so scared. They knew I was still very little and they were not given good odds for my survival. You see a preemie born under 400 grams had never survived before. But out I came with a little cry, kicking, and one eye open. I looked at my family before the resuscitation team took me away. Mommy says I looked like a little baby bird. Everyone was so overwhelmed by my tiny size.

Because of my size the doctors did not know if the equipment needed to sustain my life would work on my tiny body. Thanks to the experience, skill, and nimble hands of the staff, they were able to intubate me and start lines. I also had several eye exams while in the nursery. But on December 1, 2003 the Ophthalmologist stated that I had “marked plus disease” and my eyes required retinal laser surgery. I went in to surgery later that night.

In the next few weeks the eye doctor determined the surgery was successful. I remained intubated until December except for several self-extubations. On one of those occasions I required CPR, which resulted in fractures of my tiny ribs. On December 5th I was started on Bubble CPAP. Oh how I hated CPAP. On December 21st I was switched to high-flow nasal prongs and then onto low-flow on January 6, 2004. During this time I began to breast and bottle-feed. And despite being very stridorous I did very well.

On January 20 I was re-intubated due to aspiration. It was a huge set-back for me and my family. Although the doctors tried to extubate me several times, I needed to be re-intubated each time. On February 23rd I once again self-extubated. My nurse, Tammy, called my Mommy and Daddy at 3am just so they could hear me cry. I was told that Mommy and Daddy cried too because they were so happy to hear my little voice. I worked very hard to breathe during that time.

So hard in fact that they even tried me on heli-ox, which my parents affectionately called “bubble baby”. On March 5th I took a turn for the worse. The doctors attempted to intubate me again because of my increased work of breathing. It took several attempts due to severe subglotic narrowing (swelling in the top of my throat). In February my parents were advised that a tracheostomy might be necessary. With my airway so closed the doctors decided that I had to be trached.

Later that night I went in for an emergency tracheostomy. My parents were beside themselves with worry and fear. I had been so tough up to this point but could I make it though another huge hurdle. As the days passed following my tracheostomy I appeared to be once again growing stronger. On April 13, 2003 (after 200 days in the SCN) I went in for a gastrostomy (G-tube for feeding) and laparoscopic fundoplication surgery. Like many preemies, I had terrible reflux.

The reflux was not only causing me discomfort, but further complicating issues with my throat. Following the surgery I was transferred to the ICU. On April 19, 2004, I was transferred to the Transitional Care Unit (TCU). We were very sad to leave the doctors and nurses in SCN, especially my primary nurses, Tara, Tammy and Laura. Oh how I love and miss them. However, in TCU my parents would learn how to care for me at home. By May I was weaned completely off the ventilator and was only on a small percentage of oxygen.

My parents underwent nearly a month of training and by the end felt so confident that they could hardly wait to get me home. Besides they couldn’t bear to stay at Easter Seal House for much longer and missed home so very badly having been gone for almost a year. On June 4, 2004 they had a nice going-away party for me at the Special Care Nursery. I slept through most of it but my parents had a good time and I got lots of wonderful things. I really love the staff at Children’s Hospital and so do my parents.

There were many close calls, lots of tears and a ton of prayers. But at the end of a long and emotionally turbulent road, I am finally home. I am now a happy 10-month-old baby girl (seven months corrected) with a bright future ahead of me. In May 2005 they will reconstruct my throat and remove my tracheostomy. Until then my parents will take endless pleasure in my gummy smiles and silent giggles and look forward to hearing my baby babbles and coos once the tracheostomy is removed.

UPDATE, March 2005:  My surgery date is getting closer now. I am much stronger and if you can believe it I am a whopping 20lbs and am 18 months old (15 months adjusted). I am still not able to sit on my own or crawl but I get a little bit stronger each day. I am a super happy baby and love to laugh, play with my feet and clap my hands.

On May 4th I leave for Vancouver. My surgery is scheduled for May 10th 2005 and my recovery is expected to take 3-4 weeks. Although my parents are nervous about another big surgery, they are very excited about finally hearing me laugh and for me to be free of many of my tubes and equipment. I will still have my feeding tube but hopefully that will eventually be removed too.

The picture below is me at 22 days old.

This next picture is me now. What a difference huh!

Thanks for listening to my story.

Love Macey xox

If you want to email my family or me our email address is: onyx@klondiker.com

I will update you soon as I did undergo tracheal reconstruction in May in an effort to take my trach out. Well, it was out for seven days but do to some "dynamic" factors I was retrached at the end of May. My Mommy will send more details and some updated pictures because I am almost 2 years old!!!


 


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