The Price of Miracles - Families, modern medicine and premature births

Dec. 27, 2009

For Teagan, more challenges ahead
By FELICE J. FREYER
Providence Journal medical writer

"You don't want to hear those words," says Kim Grant.

The words she's talking about are "cerebral palsy" -- the diagnosis that her daughter, Teagan, received only a few weeks ago. Born severely premature, Teagan is more than 2 years old and still can't sit unsupported. So her parents saw it coming. Still, those words -- once finally spoken -- came as a blow.

But, as usual, the Grants rallied. "We look at it as another opportunity to prove them wrong," Kim says. "I kind of look at it as our next challenge." After all, there was a time when no one thought Teagan would even survive.

Teagan Grant was born 16 weeks early in June 2007 and spent her first seven months in the hospital. She went home still dependent on a ventilator and feeding tube. The second chapter of "The Price of Miracles" chronicled the lives of Teagan and her parents, Kim and Joe, during her first year home in Pawtucket.

At home in Pawtucket, R.I., Teagan practices standing with her mother, Kim.
Journal photo / Kathy Borchers
At home in Pawtucket, R.I., Teagan practices standing with her mother, Kim.

This month, we caught up with Kim and Teagan at Greenlock Therapeutic Riding in Rehoboth, where Teagan goes for "hippotherapy" -- riding a pony to strengthen her neck and back muscles. Watch a video

Teagan has made considerable progress in the past year. She no longer needs a ventilator or even supplemental oxygen, breathing entirely on her own. The tracheostomy tube in her neck is scheduled to be removed in the spring. Meanwhile, her "trach" has a speaking valve that forces air into her mouth and nose -- and enables her to vocalize. Once consigned to silence, Teagan now cries, babbles and sometimes says "Hi."

Teagan has also learned to eat -- a challenge for a child who was entirely tube-fed for so long. She eats two to three ounces each meal, three times a day, but still needs supplementary tube feedings.

The Grants still get 16 hours a day of home nursing care, and Teagan regularly undergoes one-on-one physical, occupational and speech therapy.

At Greenlock, Teagan works with physical therapist Laurel Welch. Strapped into a supportive vest, Teagan sits on a pony named Pumpkin, a U-shaped cushion (her "boppy") in front of her as Welch and two assistants hold her steady. They walk down the driveway and back to the stable.

"Right now, we're trying to work on mostly head control and trunk control," Welch explains. "The movement of the horse challenges that head control."

Since starting the hippotherapy, Kim says, "we've noticed a big difference in her. … Teagan's getting stronger." At home, Teagan can stand up in a walker.

When she turns 3, Teagan will transition from the Early Intervention program to the Pawtucket school system. If the School Department is able to provide the services she needs, Teagan will attend school in town. Otherwise, the schools will pay for her education elsewhere. Kim is hoping Teagan will attend her neighborhood school, the Flora S. Curtis School.

Despite her physical challenges, Teagan is smart, says Kim. "Cognitively, she's doing very well," Kim says. "I think when Teagan goes to kindergarten, she'll do fantastic with her ABCs."

Now, when Kim needs to go out, Teagan understands as Kim explains where she's going and when she'll be back -- and greets her mom with joyful excitement when she returns.

"She's a good girl," Kim says. "We're very fortunate."

ffreyer@projo.com

Read other stories in this chapter:
Care, support may be best medicine for preventing premature births
Laboratory mice offer clues to preventing preemies
After two problem pregnancies, the courage for a third
What you can do to lower your risk of premature birth
Bjorn carries no scars, but mother's trauma lingers

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VIDEO
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Video: Teagan Grant, no longer tethered to a ventilator, gets hippotherapy, riding a pony to strengthen her neck and back.
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GRAPHIC
Every day matters
Development outside of the womb
Track the week-to-week development of the heart, lungs, brain and digestive system in the womb, the impact of premature birth on these organs, and on a preemie's survival.
Explore the graphic

QUIZ
Are you at risk?
Are You at Risk? an interactive quiz

What's known -- and what isn't -- about the factors that contribute to premature birth.
Take the quiz

Share your story

Have you ever worried about having a premature baby? What did you do to try to prevent it?

An early birth has a long aftermath. In ways obvious or subtle, shocking or imperceptible, preemies are different –– perhaps for a lifetime. Do you know someone who was born early? How is he or she doing?

Parents of preemies: What do you think of plans for the new NICU?

Do you have a teenager who was born prematurely? Have you found that adolescence poses new problems?

Parents who have faced uncertainty with their preemies: What advice was helpful to you, and what advice would you offer others in similar circumstances?

Tell us about your experience with premature birth


CHART

On the rise in RI
Preterm births in Rhode Island have steadily increased since 1990, but the growth has been chiefly among late preterm births