The month of February passed by in a flash. I had a pretty decent month. What bothers me most are the seizures. Since Liva Nova has offered to help begin the process of the donation of the VNS device my mom’s job was to find the doctors and a hospital to donate as well. In order for Liva Nova to donate they request the doctors and the hospital donate their services and operating. Since the device costs $20-$25K I can understand why they request everyone to come on board and donate.

Since I am Tica,(Costa Rican) my mom decided to ask the Children’s Hospital in San Jose. In Costa Rica, there is a social system where medical attention is free if paying your monthly quota. I have been paying into the system for nearly 11 years now and mom did not think it would be a problem to have the surgery done there! We also donate to them each year either to the Intensive Care or Respiratory Care department. You probably will remember I stayed inside ICU for 6 weeks while fighting for my life. Remember we donated a couch and nice chairs for the parents who have to wait outside of ICU since when mom and dad were there it was metal chairs. She called my neurologist who works at the Children Hospital and is on the neurology board. This is an ambulatory surgery that takes maybe 2 hours at most. My neurologist said she would speak to the board at their next meeting. They meet every Tuesday.

We were anxiously awaiting the news the following day and when mom called Dr. Hernandez she was not very happy when she hung up. Even though we had previously been informed that I was not a candidate for the VNS at Children’s Hospital for my poor prognosis, we did not think the hospital would tell us no on using the operating room even though we had the VNS device donated. It is always hard to take news like that. How could my life not be validated? Seizures can kill. Did we take no for an answer? No we did not.

The following day, mom made an appointment in San Jose, with the pediatric neurosurgeon. He was one of the doctors on the neurology board that had said no. We made the appointment so that we could see him face to face and that he could say no to my face. I was tired as we had just made the long trip to go to San Jose so when we entered the office I was sleeping. The Doctor was surprised to see us. We began asking questions as to exactly why we were told no. His answer was simple. He told us that we did not follow the rules. How do we not follow the rules? Basically we’ve been paying into the social service system of Costa Rica since I have been born. We do not however see doctors routinely there. Thankfully I have private insurance that covers my appointments. As with any social service, it takes time to make appointments, and one can wait hours to see a doctor. Bottom line is that it is not convenient plus I risk getting sick every time I go into any hospital. Hospitals with sick children everywhere is not the best place for me. The doctor was not happy that we were not being seen inside the Children’s Hospital. My neurologist I see outside of Children’s she also works full time during the week at the hospital. She understands why I don’t see her on the inside. Anyway, we did not agree with him and his reasons why. What difference should it make? We pay into the system, and by not using it frequently other children who do need it are better served.

After listening to all the risks of the surgery….Trust me, he would not stop talking about every possible thing that could go wrong. We also were trying to convince him that hey, my life is worth something and if I could achieve a 50% seizure reduction, it would not only help extend my life but give me a better quality of life. Mom point blank asked him would he donate his services and do the surgery for me if we found a hospital to donate the operating room. It took a few minutes for him to think about it, but finally he said yes. That was a pretty huge thing to get him to come on board and say yes to donating! At least he didn’t charge us for the visit which was very nice of him. So our new mission was to find a private hospital to donate the room. We had both the doctors, now we just need the place.

The following day, mom went to CIMA. You probably know through reading my blog that CIMA is my hospital. I have been going there since born and Dra. Castro works out of this hospital as well. Dr. Castro had spoken to the medical director about my situation but she did not get a real answer from him. My mom went to the office of the Medical Director and sat outside his office and waited for him to come back. When she met with him she told him the story. He was surprised that CHildren’s hospital had turned us down. He listened intently and said that he was not the sole decision maker, but to let him talk to the CFO and he would get back to me. He was a nice man and at least did not turn mom away. Mom left my picture with him so he would be reminded by my cute face! :)

We went home the following day with hope that we would be hearing back from CIMA soon.
Love Malia

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