Waiting for Sterling

Managing the long-term hospitalization of a child can be challenging, especially when there are other kids at home.

For the Minnesota Star Tribune
January 24, 2010 at 5:09AM

Bringing a baby home from the hospital is a special occasion for any family, but for Stephen and Jessica Steiner, the day they finally bring their infant son, Sterling, home to Independence, Minn., will be especially joyous.

Born in June with hypoplastic left heart syndrome (HLHS), Sterling had his first heart surgery when he was 4 days old and a second operation at 4 months. Several complications, including fluid build-up, small pulmonary arteries and a failure to gain weight (he weighs less than 12 pounds and is fed through a tube in his small intestine), have kept Sterling in the pediatric intensive care unit at Children's Hospital of Minneapolis since birth.

"We just take things day by day and week by week," Stephen said. "We always felt like the time for us to bring him home was right around the corner, then something would happen to change that."

In addition to his parents, Sterling has two sisters, Sydney, 3, and Lauren, 2, who are also eagerly awaiting their brother's homecoming. Because of the H1N1 threat, Children's has restricted visits by kids younger than 5; the girls saw their brother once in October and received special permission to visit him at Christmas.

Early on, the family developed a daily routine: Jessica drives her husband to his Minneapolis office, spends the day with Sterling, then picks Stephen up after work for his time with Sterling before they head home to their daughters.

"They just mob Jessica when we get home," he said. "Bedtime can be a struggle. They are always looking for more attention from us."

Managing the long-term hospitalization of a child can be challenging, especially when there are other children at home.

"Many siblings wonder about their role in everything that's happening," said Diane Dingley, child life specialist at Children's Hospital. "We try to help parents understand that all of their children have different needs."

Because the Steiner girls are so young and have limited contact with Sterling, making sure they feel comfortable when they visit the hospital is important. Crayons and stickers are readily available. "They always know they are going to get a Popsicle when they're here," Jessica said.

Dingley recently gave each girl a muslin doll with a "trach," so they will get used to seeing Sterling's tracheostomy tube and understand its purpose.

"Sydney was playing with her doll at home and started talking about that. She told me, 'Sterling needs a trach to breathe, but I don't,'" Stephen said. "I think they really understand more than we give them credit for sometimes."

Dingley said siblings are also sensitive to their parents' emotional states. "Tone of voice, facial expressions are all cues," she said. "We help parents talk honestly to kids about their sibling in ways that are appropriate for the child's age and development."

Once Sterling is discharged, the family will rely on home health care for at least a year and know life will once again change.

"It's definitely going to be an adjustment, but his best chance to thrive will happen at home," Jessica said. "We want him to be in the middle of our lives where he belongs."

Stephen agreed. "It's going to be exciting to wake up every morning and know he is finally there."

Julie Pfitzinger is a West St. Paul freelance writer. Got an idea for the Your Family page? E-mail us at Tellus@startribune.com with "Your Family" in the subject line.

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JULIE PFITZINGER