It's hard to believe that it's been 6 years, 6 years!, since that fateful day where we learned we'd be traveling along this clubfoot journey. The day started out with excitement over finding out the gender of our first born but it was quickly deflated by a series of repetitive questions and over analyzing of each part of our baby's anatomy. We'd later find out the baby was a girl, our sweet Riley, but I will never forget the Dr's words that there were "birth defects that had him concerned." Those words and his voice still ring loud and clear in my ear, like it was yesterday. The day ended with fear and a heavy weight on my shoulders that I've carried around for 6 years now and that I will continue to carry as the future seems so unknown for what Riley will face going forward and into adulthood. We have no clue the limitations her defect will cause her (right now none but arthritis is a common side effect) or the pain she may experience (again right now none), the future seems so uncertain and what the future is for children treated with the Ponseti method is so unclear and each case is so different depending on the severity of the feet. I wish for a crystal ball daily so that I can prepare myself and Riley for her future.
But here are some things I would tell my 29 year old self, laying on the table, staring at two crooked feet, two bent pinkies on the ultrasound, learning her first baby had birth defects:
- Take pictures, lots of pictures and when you think you have enough, take some more! I don't know if it was denial, shame, embarrassment or I just wanted to make it better but we have barely any pictures of her pre-treated feet. I wish I had a time machine to go back and do newborn photos that included her feet. I remember being so careful as to not get her pre-treated feet in the pictures and now I wish I had them, I wish I had them as a reminder for me of how perfect she was when she was born despite her imperfections but mostly for Riley. I want her to see how her feet looked, embrace it, and move forward with the knowledge that she's already overcome so much in her 5 1/2 years of life! I know in a few years, she will ask why we don't have more pictures of her feet and I won't have answers for her, only regrets of not having more pictures of her feet pre-treatment.
- Normal means different things. Riley never knew any different from her casts or brace. She was our first baby, so neither did we. She was our normal. When Jacob came around and he didn't have clubfeet, we needed to learn all over again how to change a diaper without a handle bar (brace). Normal labels are lame, excuse my bluntness but they are. For Riley, normal is casts and braces, we're lucky that she's never asked why she has all of this stuff and Jacob doesn't. I hope she never does, she accepts herself as she is and rolls with it. And to Jacob, it's normal for sister to have casts and an AFO. And Jacob is fiercely protective of her and to him, casts and AFOs are normal for Riley. In fact, the other day she asked if she could go in the bouncy house at a party and Jacob asked about her AFO. I was blown away by his comprehension of Riley's needs. I remember when Riley came out of her AFO and we went for our first walk, Jacob yelled at Riley that she needed her AFO. Just the other day he put her AFO on and said "I wear AFO like Wiwey!" This is our normal - our normal is a closet full of casts, constant scruntinizing of positions of feet, braces, and AFOs.
- Other kids, friends' babies will meet their milestones before your baby and it will be like a stab to the heart but she'll get there and when she does, it will be the best feeling because both of you worked so hard to get there. No one wants their baby to be delayed, behind, slower than any other kid. But your baby will do things on their own time and in their own way.
- People are going to be rude and insensitive. I remember when Riley went into her relapse and came out of her casts. One of her friend's mom made a series of snarky comments about the new shoes Riley kept getting. I had to buy her shoes to accommodate her AFO but she didn't think about that, just made a nasty comment about new shoes. I get a pit in my stomach every time I take Riley shoe shopping, when I found out we were having a girl, I was excited about the endless pedicures and shoe shopping adventures for us. None of that is fun for myself or Riley. I want her to buy shoes she wants but they often don't fit her feet right. I hope now that she has had her surgery that changes for her. Or when I met a co-worker's wife and he explained that I had been out on leave because Riley had surgery. She asked why, I gave my 30 second spiel and she responded with "Wow, that must have been hard knowing if the Dr messed up that her feet would be ruined forever." But people are going to make rude and insensitive comments, and it's ok, because they haven't walked our shoes (pun intended). Just remember that you are doing the best so that you can give Riley the best possible outcome and future.
- You will learn more from your child than you ever thought possible. I learn many things from my kids daily, seeing the world through their eyes is amazing. But Riley has taught me more than I could have ever imagine. She taught me to roll with the punches, she faced each stage of her treatment, from casts as a newborn to surgery at 5 with a sense of acceptance, like I said, this is her normal. When she got sick of answering the same questions about her AFO, she got up in front of 60 5 and 6 year olds and told them about her clubfeet, surgery, her AFO and her Dr. I get nervous for presentations at work. Now I feel silly, she faces everything with such a sense of bravery and confidence that I never thought possible from a child.
- This will be a roller-coaster of a journey, there will be ups and there will be downs but in the end you will learn who your support is, you will learn you have strength in the depths of you that you never knew you had. And you will realize that maybe you were destined to do something with this. It's so easy to ask "why us?" but in a few years you will ask "why not us?" 5 1/2 years later I have loved meeting beautiful families from all walks of life that I have created friendships with. We all have the same worries, insecurities and experiences with newborns in casts, braces, and looking for the perfect PJs to work with a brace. I have loved helping families in their darkest of times to see that there is a bright spot in their child and seeing their babies walk for the first time because I know that immense feeling of triumph when a clubbie walks for the first time. So "why not us?" we're not special, we're just a family of four trying to make our way through this life that we were handed, and we were handed it for a reason.
- Finally, go with your heart. You will have to make decisions that could make your daughter's life significantly better or worse depending on the outcome. You need to go with your gut, with your heart, because otherwise you will lose a lot of sleep. Fortunately I have never regretted the decisions we have made for Riley - we love her Dr, he's been treating her since she was a 4 1/2 lb newborn and she adores him and trusts him. We had to decide on surgery, such a hard decision to send a 5 year old into surgery but looking at the results of her foot, I don't regret a thing. And we made lemonade out of lemons, I was able to take a month off of work to spend with Riley while she recovered and it was an awesome month. I learned how incredibly awesome my kids are, I learned that I REALLY wish I didn't have to work and I learned that my kids always, always, always deserve to come first. Yes they may drive me crazy but they deserve more than an overworked, too busy momma! So no regrets, go with your heart and it will all work out!
This isn't the journey we expected but Riley isn't the little girl we expected, she is much much more, she is stronger, older, more mature than I could have ever hoped for. She can be trying but in the end, it's her fabulous temperament, her tenacity, and her fight that has helped guide us through this journey with such ease. Riley is now a month into kindergarten and she's just like a typical 5 1/2 year old. She's sassy, she talks back, she runs, she jumps, she loves school and her friends and she has faced more than anyone ever imagined and has strength well beyond her years. I was talking to her teacher last week and mentioned she had surgery in February to correct a clubfoot and her teacher said she would have never, ever guessed. On the outside, she's just a happy, typical 5 1/2 year old but on the inside, she's much, much more.