Wednesday, March 4, 2015

Selah's Story

This is a story about love.  Not a romantic tale from a novel but a real story of four people who weathered the worst things life can throw at them and who I hope can show the rest of us that every day is a gift.

Reggie and Sontina Barnes were happily married and living with their toddler son, Josiah, when they received the joyous news that they were expecting.  In the summer of 2009, the family was celebrating not only the news that the family was growing but also the fact that Sontina had been accepted to the Thomas M. Cooley Law School in Michigan.  So they left their jobs in NYC, packed up their belonging and moved to the Midwest for her to pursue her dream of becoming an attorney.

At Sontina’s routine sixteen-week ultrasound, a defect was found in their baby girl’s heart.  Further testing showed that this defect was a result of something called DiGeorge syndrome (DGS) which is caused by a partially deleted 22nd chromosome in her DNA (22q).  

Because of the potential for considerable complications and health risks, doctors gave the couple the option of terminating the pregnancy.  With not a word spoken between them, Reggie immediately said, ‘This is our daughter and we would like to meet her.’  Even though the doctors said that the heart defect might be more serious than the testing revealed the desire to see their baby girl far exceeded their concerns.  So they decided to follow through with the birth.

That winter in Michigan brought more snow and ice than the family had seen in a while.  One day, while walking outside, Sontina fell on the ice, which induced pre-term contractions and resulted in an overnight stay in the hospital for observation.  It was then that Sontina realized that they were alone in Michigan.   They had no extended family nearby and Reggie still had not found employment.  Their savings was exhausted and they ultimately decided to move back home so they could be surrounded by loved ones and get back on their feet.  In early 2010, Sontina took a leave from law school and the three of them moved to Asheboro, NC to live with her parents and to prepare to welcome their daughter into the world.

Their daughter, Selah Janan Barnes, was born at Duke University Hospital on March 16, 2010.

Immediately upon her birth, Selah was whisked away for observation.  Aside from a few pictures, they did not really get to spend any time with her.  Because doctors were unsure how DiGeorge had impacted Selah’s immune system, they had to isolate her to protect her from possible infection.   In order to even see her, Reggie and Sontina had to don gowns, masks, gloves, and bags over their shoes.  They were unable to hold and cuddle with her like most parents are able to with their newborns.

Less than a week after her birth, Selah underwent her first open heart surgery.  The same day, doctors discovered that her immune system was not compromised.  This was the first time they were able to actually touch and kiss Selah, not knowing whether they would see her again. 

Fortunately, the surgery was successful.  They knew that Selah would need additional surgeries to completely fix her heart defect, but they were thankful the first one went so well.  In recovery, Sontina recalls how hard it was to see Selah hooked up to all of the tubes and monitors, unable to just hold her and let her know that everything was going to be okay.  Reggie continued to drive back and forth from their home in Asheboro to Durham but Sontina was blessed to have a room at the Ronald McDonald House in Durham

After a few weeks and several days of training, Sontina and Reggie were finally able to take Selah home to meet the rest of the family.  They continued to keep family and friends updated on how Selah was doing through blog posts and Facebook.  People from all over the world prayed, encouraged and cheered as they enjoyed the pictures and learned the latest about Selah’s growth and progress. 

In the midst of continued medical challenges, surgical procedures and minor setbacks, they celebrated Selah’s milestones that some parents often take for granted like her first noise or using her hands for the first time while she was eating.  They also enjoyed big family events like a trip to the zoo, her dedication at church and even a huge 5-month birthday party.

Reggie and Sontina were also facing challenges outside the hospital.  Reggie was offered a job at Eastern Michigan University.  It was a great opportunity and the couple decided that it would be best for him to return to Michigan with Josiah and begin the job while Sontina stayed with Selah in North Carolina.  The separation was going to be hard but they both agreed that it was best for their family.

While Reggie traveled between North Carolina and Michigan for Selah’s surgery, Sontina was staying again at the Ronald McDonald House in Durham, NC.   The Ronald McDonald House was so welcoming and generous that at Christmas that year, they were overwhelmed with gifts for the family – Josiah even got so many toys that they had to donate some!

The second open heart surgery was scheduled and seemed to be a success.  However each time that Selah’s team attempted to remove her from the ventilator she would go into respiratory arrest.

During one of these attempts to remove the ventilator, instead of breathing on her own Selah went into cardiac arrest, her heart stopped beating and she lay lifeless while Sontina stood next to her.

Instead of breathing Selah went into cardiac arrest and died.  She stopped breathing and her heart stopped beating.  I walked out of her room not knowing if I would ever see her alive again.’

Thankfully, the doctors were able to revive Selah and bring her back.

Sontina posted to her friends and family afterwards, ‘When I asked God to use my life for His purpose I never knew it would entail watching my beautiful baby girl's heart stop beating. As she lay lifeless in my hand I told God this is more than I can bear. And just when I thought I could bear no more, I began to understand how Mary must have felt when Jesus was on the cross.  Selah was lying lifeless because of no fault of her own. After that moment the peace, God begin to minister to me that people will give their life to God because of the testimony of her life. In the moment that her heart stopped, my heart began to be transformed. From this day forward I will never again be the same.’

Two months after the surgery, it was determined that the phrenic nerve (which controls movement of the diaphragm) was nicked during surgery and that was causing the respiratory arrest.  Selah’s team was then able to take the necessary steps to get her off the ventilator but it did result in a tracheostomy and a feeding tube being inserted.

Despite these setbacks, Reggie and Sontina could see that Selah was improving.  She was doing so well that the additional surgery was postponed and date was scheduled for Selah and Sontina to return home to Michigan.

In early 2011, an anonymous donation allowed for air transport to be paid in full.  Selah and Sontina returned to Michigan and the family was reunited. Josiah was ecstatic to see his baby sister again, excited to show her their new rooms, the new swing set in the backyard and the pond around the corner.

Selah continued to beat the odds.  Her team was amazed with her progress.

Shortly after her first birthday, Selah pulled out her feeding tube which prompted a trip to the Emergency Room.  Before they returned home, her ventilator failed and she had to be revived at home.  These two events led to the discovery that both of her legs were broken as well.

Sontina and Reggie both immediately felt the crush of another blow to their beautiful daughter.  She was making so much progress.  Why something else now?

However, Selah’s broken legs became a blessing in disguise.  She was found to have calcium and vitamin D deficiency and the broken bones were merely the result of the weight that she was putting on them as she was learning to stand during her physical therapy.  Doctors placed her in casts for six weeks to allow her to heal and get stronger.

From them on, Selah continued to make amazing strides in her recovery.  She was weaning from her ventilator, spending most of the day free of machines.  She was sitting up on her own and typically worked on her strengthening exercises while watching her dad and big brother dance.  Selah was learning sign language and was getting strong enough to stand alone.  She loved to read books and watch cartoons with her brother.  She proudly even loved to watch football with everyone else on the weekends.   

As Selah grew stronger, so did her family.  Reggie continued to succeed in his new position, Sontina was readmitted to Law School and Josiah was thriving in pre-school.  Selah continued to improve despite the need for glasses to correct her eyesight.

Life was becoming normal again full of family outings, birthday parties and holiday celebrations.

On Valentine’s Day, Sontina and Reggie were able to get some much needed alone time while Selah’s nurses watched Josiah too. 

The next morning at 5:00 am, they were awakened by a barrage of alarms, something they had not heard in a long time.  Selah sat straight up in the bed in extreme pain and was having a lot of trouble breathing.  First, Sontina rushed downstairs to help the nurse.  When she could not help her, she called for Reggie to call 911.  The EMS technicians did not have the necessary equipment to help Selah, so they packed up her equipment, put her in the ambulance and rushed to the hospital. 

When they got to the ER, although looking better, Selah was still obviously in distress.  After several hours waiting, doctors could not figure out what happened.  They did determine that Selah needed to have her feeding tube replaced again, a procedure they would perform the following morning.

On February 16, 2012, Selah’s feeding tube was replaced and while under sedation also underwent a procedure to strengthen the muscles around her eyes.  The surgery was successful and afterward she was resting comfortably, waving and smiling at her family.  She was given a clean bill of health and was expected to go home the following day.

Later that night, Sontina began to notice Selah exhibiting unusual behavior, wincing in pain, clenching her teeth and stiffening like a board.  These episodes happened a few more times, but Sontina would soothe her and the hospital personnel reassured her that Selah was just having an adverse reaction to the pain from surgery. 

The next morning, instead of being able to come home as scheduled, it was determined that Selah had been having repeated seizures over night.  Antibiotics were started and an MRI was scheduled to look for a cause.  The scan revealed swelling but the doctor’s were unable to find a cause.  Reggie left the room for a couple hours, expecting Selah to be awake when he returned.  Instead, when he returned, the brain monitor showed little brain activity and a host of doctors were in the room.  The seizures continued and Selah fell into a coma while Reggie held her hand.

Doctors and nurses were at a loss.  They didn’t know what had caused the coma.  Reggie and Sontina were again in a Ronald McDonald House while their baby girl continued to fight.  Reggie’s faith never wavered, ‘We have no fear, just anticipation for what God is about to do to show the world His limitless healing power. Her attending (physician) said that he hasn't seen a case like hers in 25 years in medicine, I looked at him and the other doctors and said, Great! It looks like the perfect time for a miracle!’

Messages and prayers were flooding the Facebook pages, emails, and cell phones of both Reggie and Sontina; people from all across the world spent days praying and hoping for a miracle.  In the midst of the medical teams, machines and tests, Sontina and Reggie took turns at Selah’s side.  Reggie remembers holding Selah while watching “Tangled”, one of Selah’s favorite movies. 

On February 22, 2012, after having been pronounced brain dead, Reggie and Sontina were faced with the heartbreaking decision no parent should ever have to make and after much prayer; they decided to remove Selah from life support.

A few days earlier, in the wake of the news that her brain had ceased responding, someone had asked if they might be willing to donate Selah's healthy organs to another baby in need if for some reason she did not pull through.  They immediately said it was something they would consider.  Now that that time had come, they agreed to move forward with the donation.  Selah remained connected to the ventilator until doctors could determine her eligibility for transplantation and find a donor match.  At the time, because of Selah’s size and the fact that very few African-American families choose to donate organs, she was a perfect candidate.  In a matter of hours following the tests, a match was found in the same hospital.

“As soon as they said Gift of Life, for me, it was immediate,” Sontina said. “There wasn’t a doubt in my mind that that was something I wanted to give to another child.”

In a Facebook post, thanking friends and family for their prayers, the day after his daughter’s death, Reggie said, ‘although our hearts are broken, that pain is far exceeded by our continued and ever-increasing love for and faith in God! He has not only strengthened us throughout the many transitions we have endured over the past three years, but has also given us even more confidence in His omniscience, omnipotence and unconditional love. Although we do not yet understand why He has allowed this to happen, we trust His wisdom more than ever. Everything happens for a reason.’

It is now a little over a year since Selah’s passing and Reggie, Sontina and Josiah have continued to live and to grow.  What could have torn some families apart instead made this family stronger and more steadfast in their faith than ever before in part by the ‘cost in this life to be called according to God's purpose.’

Above everything else, Selah’s memory and example of strength in the midst of hardship keep Reggie and Sontina going.  Reggie continues to strive for social change in his position at Eastern Michigan University.  Sontina continues to progress in her law school studies.  She was offered a summer internship with a Superior court judge in Washington D.C. and she expects to complete her juris doctor in 2015.  Josiah is a precocious five year-old with amazing musical ability and a mean jump shot.  Although he still misses his ‘Sissy’ terribly, he understands why she is no longer with them and looks forward to talking to her whenever a full moon comes out.

As a mother, I can not even fathom the pain that these incredibly strong people endured over the course of Selah’s too short life.  I do know that I have learned lessons from them about unconditional love, grace and strength more than either of them could ever know. Reggie’s strength and ever-visible adoration for his wife, son and daughter is something to aspire to and Josiah’s smile when looking at his little sister’s photo is one everyone should have. Sontina’s words regarding her daughter are more powerful than any I’ve ever read in a great work of writing.   It is my hope that everyone can learn at least one thing from the most amazing love story I’ve ever known.

For More Information about the Ronald McDonald House, visit http://www.rmhc.com and for more information on becoming an organ donor, please visit http://donatelife.net


Stephanie Bertorelli is the co-owner of S2 Media Concepts, a Media Consultant, Publicist, and author living in Charlotte, NCShe’s the mother of two girls whom she’s raised to say thank you to all officers and soldiers they meet and who also know that they better get the tissues ready for mom when the National Anthem plays. With a passion for sparkly shoes and vintage green dresses, she spends her free time (what free time?) writing, perfecting new recipes and trying out new wines. Please feel free to follow her on Facebook (http://facebook.com/stephieb13) or on Twitter @stephiebinnc