{"id":4552,"date":"2018-10-27T14:30:17","date_gmt":"2018-10-27T19:30:17","guid":{"rendered":"https:\/\/www.osfhealthcare.org\/blog\/?p=4552"},"modified":"2022-04-22T14:18:38","modified_gmt":"2022-04-22T19:18:38","slug":"team-approach-helps-baby-thrive","status":"publish","type":"post","link":"https:\/\/osf-blog.live.imagescape.com\/blog\/team-approach-helps-baby-thrive\/","title":{"rendered":"Team approach to pediatric surgery helps baby thrive"},"content":{"rendered":"<p>At her first birthday, Olivia Howard is reaching all her baby milestones\u2014smiling, sitting up, and babbling at her big brother. Parents Shameika and Cordney marvel at the progress of their little girl, who underwent three major surgeries before she was seven months old.<\/p>\n<p>Olivia made an early debut at 31 weeks gestation at <a href=\"https:\/\/www.osfhealthcare.org\/saint-francis\/\">OSF HealthCare Saint Francis Medical Center<\/a> on August 6, 2017. She was immediately moved to the <a href=\"https:\/\/www.osfhealthcare.org\/childrens\/services\/neonatology\/\">Neonatal Intensive Care Unit<\/a> (NICU) at <a href=\"https:\/\/www.osfhealthcare.org\/childrens\/\">OSF HealthCare Children\u2019s Hospital of Illinois<\/a>.<\/p>\n<p>Within hours, after realizing that Olivia was unable to keep food down, doctors found that she had been born with multiple developmental abnormalities in her digestive system. \u201cIt took us completely by surprise, because nothing had showed up on the prenatal ultrasound exams,\u201d Shameika said.<\/p>\n<h2>Experts working together<\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-4554 alignright\" src=\"https:\/\/osf-blog.live.imagescape.com\/blog\/wp-content\/uploads\/2018\/10\/howards3-300x225.jpg\" alt=\"Young Olivia Howard in an incubator.\" width=\"300\" height=\"225\" srcset=\"https:\/\/osf-blog.live.imagescape.com\/blog\/wp-content\/uploads\/2018\/10\/howards3-300x225.jpg 300w, https:\/\/osf-blog.live.imagescape.com\/blog\/wp-content\/uploads\/2018\/10\/howards3-500x375.jpg 500w, https:\/\/osf-blog.live.imagescape.com\/blog\/wp-content\/uploads\/2018\/10\/howards3-400x300.jpg 400w, https:\/\/osf-blog.live.imagescape.com\/blog\/wp-content\/uploads\/2018\/10\/howards3.jpg 640w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>Fortunately, Olivia had a team of specialists on her side, including physicians and nurses trained to care for children with serious medical issues. Pediatric surgeons <a href=\"https:\/\/www.osfhealthcare.org\/providers\/charles-aprahamian-1462686\">Charles Aprahamian, MD<\/a>, and <a href=\"https:\/\/www.osfhealthcare.org\/providers\/anthony-munaco-1463019\">Anthony Munaco, MD<\/a>, took the lead on her care.<\/p>\n<p>\u201cComplex cases like Olivia\u2019s require multiple levels of expertise,\u201d Dr. Aprahamian said. \u201cWe\u2019re always consulting each other, and sometimes we even operate together to ensure the best outcome.\u201d<\/p>\n<p>Olivia\u2019s most critical issue was duodenal atresia, a type of <a href=\"http:\/\/healthlibrary.osfhealthcare.org\/Search\/134,199\">bowel obstruction<\/a> that occurs when the part of the small intestine attached to the stomach (the duodenum) has not developed properly, preventing the stomach contents from moving through the digestive tract.<\/p>\n<p>During a two-hour procedure, Drs. Aprahamian and Munaco removed the blocked portion of Olivia\u2019s intestine and reconnected the healthy sections, ensuring that the two-day old, 4-pound infant could start to eat.<\/p>\n<h2>An ongoing ordeal<\/h2>\n<p>Over the next few weeks, Shameika and Cordney anxiously watched over Olivia in the NICU. Shameika felt that Olivia was struggling with issues beyond her surgical healing. \u201cHer skin color didn\u2019t look right, and she was having trouble eating,\u201d she said.<\/p>\n<p>Tests revealed that Olivia had developed jaundice resulting from <a href=\"http:\/\/healthlibrary.osfhealthcare.org\/Search\/90,P01982\">biliary atresia<\/a>, which occurs when the bile ducts that carry bile from the liver to the intestine have not formed correctly.<\/p>\n<p>Once again, Drs. Aprahamian and Munaco joined forces in the operating room to remove the blocked bile ducts and reroute Olivia\u2019s digestive system.<\/p>\n<p>After her second surgery, Olivia slowly healed, and by mid-October, she was ready to go home. In January, however, she was back for yet another surgery, performed by pediatric surgeon <a href=\"https:\/\/www.osfhealthcare.org\/providers\/paul-jeziorczak-1462931\">Paul Jeziorczak, MD<\/a>, to correct an intestinal blockage caused by scar tissue resulting from her previous procedures.<\/p>\n<h2>Thriving at last<\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-4553 size-medium\" src=\"https:\/\/osf-blog.live.imagescape.com\/blog\/wp-content\/uploads\/2018\/10\/howards2-300x188.jpg\" alt=\"The Howard Family\" width=\"300\" height=\"188\" srcset=\"https:\/\/osf-blog.live.imagescape.com\/blog\/wp-content\/uploads\/2018\/10\/howards2-300x188.jpg 300w, https:\/\/osf-blog.live.imagescape.com\/blog\/wp-content\/uploads\/2018\/10\/howards2-768x480.jpg 768w, https:\/\/osf-blog.live.imagescape.com\/blog\/wp-content\/uploads\/2018\/10\/howards2-710x444.jpg 710w, https:\/\/osf-blog.live.imagescape.com\/blog\/wp-content\/uploads\/2018\/10\/howards2-500x313.jpg 500w, https:\/\/osf-blog.live.imagescape.com\/blog\/wp-content\/uploads\/2018\/10\/howards2-400x250.jpg 400w, https:\/\/osf-blog.live.imagescape.com\/blog\/wp-content\/uploads\/2018\/10\/howards2.jpg 800w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>\u201cAfter her last surgery, Olivia started eating better and her energy level came up,\u201d Shameika said. \u201cFinally, we began to see her steadily improve.\u201d<\/p>\n<p>Today, Olivia visits her surgeons for periodic checkups and continues to delight her parents and the team who brought her this far.<\/p>\n<p>\u201cIt\u2019s wonderful to see her gaining weight and thriving,\u201d Dr. Munaco said.<\/p>\n<p>\u201cI\u2019m so grateful to the entire team at <a href=\"https:\/\/www.osfhealthcare.org\/childrens\/\">OSF Children\u2019s Hospital<\/a>\u2014everyone was so easy to talk to, empathetic and always available,\u201d Shameika said. \u201cOlivia is a completely different baby today, thanks to them.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>At her first birthday, Olivia Howard is reaching all her baby milestones\u2014smiling, sitting up, and babbling at her big brother. Parents Shameika and Cordney marvel at the progress of their little girl, who underwent three major surgeries before she was seven months old. Olivia made an early debut at 31 weeks gestation at OSF HealthCare [&hellip;]<\/p>\n","protected":false},"author":25,"featured_media":4555,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[118,223],"tags":[649,142,413],"coauthors":[690],"class_list":["post-4552","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-birthing-center","category-patient-story","tag-neonatal-intensive-care-unit","tag-childrens-hospital-of-illinois","tag-premature-baby"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Team approach to pediatric surgery helps baby thrive<\/title>\n<meta name=\"description\" content=\"Olivia was born with several health challenges, but thanks to the pediatric team at OSF Children&#039;s Hospital of Illinois, today she is a 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