April 15, 1999
By Mary Margaret Earl
Staff Writer
One moment, as Merrie Warner awaited the surgeries on her
husband and baby, she realized she could lose both.
Surgeons at Strong Memorial Hospital in Rochester were scheduled
to slice into her husband, Robert, harvesting a third of his
liver for their gravely ill daughter.
And when Merrie Warner faced grim possibilities, she did as she
has since this ordeal began: She leaned on her faith.
"I gave it to God," she said.
Last week, back in Binghamton with her healing baby and husband
and her three other daughters, Merrie Warner said God delivered.
He gave peace through the struggle.
Baby Savannah Warner was born Aug. 12 with biliary atresia,
a birth defect in which bile can't drain from the liver. But
nothing seemed amiss. She joined a healthy brood that includes
5-year-old Nikaya, Jenica, 4, and Terea, 2. Mom worked as a Mary
Kay consultant. Dad cared for the kids.
In November, Merrie noticed the whites of Savannah's eyes
were yellow. An exam showed her liver was enlarged. A doctor's
assessment was immediate.
"He said 'If this is what I think it is, she's going
to need a liver transplant,' " the mother recalled.
Soon after the diagnosis, Robert Warner learned of an uncommon
transplant procedure. Instead of using a dead person's whole
liver, doctors split a liver from someone living. Like a starfish,
the liver regenerates. The surgery had never been performed in
upstate New York.
The Warners' first thought Savannah wouldn't need it; she
could wait for a whole liver - though that was something for
which they couldn't pray.
"Even when we were praying, we could not ask for another
liver," Merrie said. "Because that would be asking
for someone to die."
A success
On Jan. 8, Savannah's condition deteriorated. She couldn't wait.
Doctors tested Robert Warner for compatibility. He matched.
Surgeons operated Feb. 8. Afterward, Savannah struggled with
infection and liver rejection. The good-natured baby kept her
sweetness.
One day, Merrie visited her 6-month-old daughter in the intensive
care unit. Savannah was in a crib sedated, a breathing tube down
her throat, her tiny arms strapped down.
"And she was smiling at me," her mother said.
The ordeal meant changes for everyone. The Warners' three older
daughters stayed with friends and family as their parents waited
in Rochester.
"They would say 'Mom, when are we going to be a family
again?' Nikaya would say that," Merrie recalled.
Merrie stopped working to care for Savannah. The family has
relied on financial help from friends and the Union Center Christian
Church. The Warners didn't know exactly what the surgeries and
hospital care costs. They expect Medicaid to cover the medical
expenses.
The ordeal has deepened their faith.
God, Merrie said, promised peace. And that's what she has
felt.
"We were scared at times and upset at times. But through
all of that we had a peace," she said.
She listened to parents whose own children were sick. Listening
felt good.
"The less selfish you are," she said, "the
better you feel."
Robert Warner learned something of that.
Giving part of himself to his child was easy, he said. Facing
a sick child's care was difficult.
He wasn't sure he favored a transplant. He told himself he
loathed putting Savannah through the medications, the exhaustive
care.
Then he realized he loathed it himself. He didn't want a life
centered around a sick child.
When he faced that, he decided he needed to buck up and deal.
"I had lost sight of this vision," he said, "...
of seeing what a blessing children are."
Going home
Savannah left the hospital March 17. Her body is accepting her
new liver. Her father is mended.
"They're doing wonderfully," said Dr. Oscar Bronsther,
who assisted in the transplant and directs Strong's transplant
program
Savannah's care is near constant. A day is crammed with medications,
feedings, taking her blood pressure. Savannah has a tube in her
nose for feeding and medications; another in her heart to draw
blood.
And there are three other sweet, chattering girls to love,
too.
On a recent evening the house was a hubbub of talk and hugs
and baby-tending. Robert measured Savannah's blood pressure.
Merrie gave her medicine. Nikaya couldn't find her socks. The
girls wanted to bike ride, and returned with muddy sneakers.
Robert made dinner as Merrie breast fed the baby. Jenica set
the table, and Nikaya got the dishes. She dropped one. It shattered.
No problem, Robert said. He didn't sweat the plate or mess.
He soothed his daughter.
He'd recently been reminded of what a blessing children are.
savannah's medical history
Here is Merrie and Robert Warner's accounting of Savannah's medical
history:
Aug. 12. Savannah is born after a normal pregnancy and delivery.
But she has a birth defect: biliary atresia, which means her
liver can't rid itself of bile.
It's an extremely rare disease, but the most common cause
of liver transplants in children, according to Dr. Oscar Bronsther,
who directs the transplant program at Strong Memorial Hospital
in Rochester.
November. Her mother notices the whites of Savannah's eyes
are yellow, and Robert takes her to the doctor. Savannah has
an enlarged liver. The doctor tells the Warners their baby may
need a transplant.
Dec. 2. Strong Memorial calls. Doctors hope to help Savannah
temporarily with a procedure that uses loops of intestine to
act as ducts to drain bile. They perform the surgery.
Jan. 4. The Warners take Savannah to Wilson Memorial Regional
Medical Center in Johnson City. The baby's abdomen is swollen.
Her diseased liver is filling her belly with fluid.
Jan. 7. The Warners and the baby fly to Strong Memorial. Doctors
draw a liter of fluid from Savannah's abdomen. She's admitted
to the hospital.
Jan. 8. Savannah is very ill. Tests are ordered to tell if
Robert Warner is a match for a living donor transplant.
Feb. 8. Doctors spend 3.5 hours removing a piece of Robert
Warners' liver. They spend six hours reconnecting the organ in
Savannah.
It is the first liver transplant from a living relative in
upstate New York.
March 17. Savannah leaves the hospital. She and her mother
stay close to the Rochester hospital for a couple days.
March 19. Savannah returns home to Binghamton.
All content ©1999 The Binghamton Press
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