Far Away From Home, But in the Best Hands

Published on in CHOP Family News

Maria Francis was born in New Jersey in 2012 with a rare genetic condition while her mother Rita was visiting from Egypt. CHOP staff diagnosed Maria's condition and continues to care for her as they support this family far from home.

By: Rita Francis

What was supposed to be a short post-gradschool, pre-baby trip to the United States has become a two-year-and-counting odyssey into the world of pediatric healthcare at its very best.

In February 2012, I had traveled from my native Egypt to Central New Jersey. My second child was due in late April, and my obstetrician had cleared me for the trip. He just encouraged me to eat more since the baby was small, but said everything would be fine.

March 18, 2012, my water broke and my daughter, Maria, was born by c-section at St. Peters University Hospital in New Brunswick, N.J. Right away, I was told that something was wrong with my baby. By coincidence, an Egyptian nurse was in the OR that day, and she told me my tiny baby, only 4 pounds, was born with a lot of severe complications. I got to see Maria briefly in the NICU before I was transferred to my room.

I was in shock. My son had been healthy when he was born 12 years before. We didn’t have a family history of birth defects. All I knew is that I loved my daughter, no matter the difficulties she might face, and I wanted the best for her.

When Maria was 6 days old, the neonatologists at St. Peters told me the best place for Maria would be The Children’s Hospital of Philadelphia. I didn’t even know

where Philadelphia was or how long it would take to get there. An ambulance took Maria and me to CHOP, and what I remember most about the trip was the transport nurse. He was such a big guy, and he gently held a pacifier to her little mouth the whole two hours.

At CHOP, I received Maria’s diagnosis: RAPADILINO syndrome, an extremely rare genetic condition that involves many parts of the body, especially the bones. RAPADILINO is an acronym for the typical features of the syndrome: RA for radial (forearm bone) malformations, PA for patella (kneecap) and palate abnormalities, DI for diarrhea and dislocated joints, LI for limb abnormalities and little size, and NO for slender nose and normal intelligence.

Since we arrived at CHOP more than two years ago, Maria has stayed in the Harriet and Ronald Lassin Newborn/ Infant Intensive Care Unit, Children’s Seashore House, the Pediatric Intensive Care Unit and the Pediatric Care Unit. She had surgeries to support her spine due to scoliosis, lengthen her jaw bone, repair her anal fistula, and place a gastrostomy tube, plus a tracheotomy and a colostomy. It’s a lot for her — and me — to go through.

My husband, Paul, comes from Egypt for month-long visits when he can. My parents have both come to see their granddaughter. And last summer my son, Marc, who is now 14, moved to the United States to be with me. But I’ve taken this incredible journey mostly without family close by.

Instead, so many people at CHOP have given me support. Social worker Abby Simmons and case manager Sarah Wolf have helped me so much with all the insurance paperwork and even with non-medical issues. Nurses and child life specialists are always ready to lend a hand. I can see they love Maria so much, and she knows and loves each of them.

CHOP is a place where you feel safe. People here have not only taken care of my daughter, but also have taken care of me. Even the security officers are part of my positive experience as they would drive me back to the Ronald McDonald House when I missed the last shuttle. If Maria had been born anywhere else in the world, she wouldn’t have made it.

CHOP has specialists in the many areas both Maria and myself, trying one thing, and if it doesn’t work, coming up with another solution. They never stop trying to help her. Now she is doing much better, and when she smiles, she lights up the room. Her smile gives me strength. CHOP is a blessing, and whenever I look at the slogan, Hope Lives Here, I smile because I strongly believe it. Whoever came up with that is a genius because it is so true.

Maria will have a rough road and will always need special care. But I’m hopeful because hope lives at CHOP.