An Update on Harper

Writing about our life allows sneak peeks into our fun as a family.  I love being able to share our adventures, our best days.  But the truth is, some days are hard.  This is one of those days.


My sweet Harper loves glitter and unicorns.  She is a whiz at math and has a tremendous gift in art.  She’s easy to get along with (total middle child), a great snuggler, and a collector of little things.  She’s obsessed with toy videos on YouTube.


Harper also has a cholesteatoma.  Without getting too doctor-y, a cholesteatoma is an abnormal cyst formed from years of chronic ear infections.  The cyst eats away at whatever it touches–in Harper’s case the three delicate bones of the middle ear.  Harper’s cholesteatoma is isolated, thankfully.  Worried mothers in the middle of the night should not consult Google.  There are so many worse cases.



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For nine months, we’ve been working towards getting Harper a healthy head.  A surgery in November removed the part accessible from her ear canal.  Today, Harper has surgery to remove the remainder of the cyst.


Thinking back to that November surgery, it was when things got a little crazy.  She was supposed to be having tubes put back in.  The ear infections have dramatically decreased.  But her ear drum didn’t fluctuate the way it should.  The thought was too much fluid behind her ear drum had built up and hardened.  It was supposed to be a 15-minute procedure and then her hearing would be normal.  As the ENT called me back to recovery, and started his explanation with “Well…” I knew it wasn’t good.  It’s not cancer, I remember him saying that.  The rest was kind of a blur.  I made him spell “cholesteatoma” so I could write it in the notes on my phone.


As we head into the hospital today, there’s so much still uncertain.  How much bone will need to be removed? Will bone implants be needed?  Will she be able to hear?


The primary goal of the surgery is a healthy head.  The secondary goal is to protect her remaining hearing.  Her hearing diagnosis is in flux.  Previously, my darling little girl had mild-moderate unilateral hearing loss.  More recently, her affected ear registered moderate-severe and her “better ear” at mild-moderate.  Again, not trying to be too doctor-y.  That means she can’t hear conversational level speech from her left ear.  Unless you’re facing her and speaking loudly, she can’t hear you.  Until the cholesteatoma is removed, her audiologist is waiting for fitting her with a hearing aid.  I hate that she’s spent even more time missing out on so much around her.   Her right ear, the “better” ear, will be examined during surgery to investigate the decline in hearing.



Much to her credit, Harper is very good about asking you to repeat yourself if she didn’t hear you.  Of course, she has to know that she missed you saying something.  If you’re behind her, I’ve noticed she doesn’t pick up what you’re saying very well.  She uses lip reading to fill in what she may have missed.


At seven, I marvel at her maturity.  She admits she’s scared and sad.  She knows she can’t hear, and that surgery is the only option to protect her from further damage.  But thankfully, she’s also blissfully unaware of all the things on Google.  The things that weigh on our hearts as we send our darling daughter into a four-hour surgery.


As challenging as this day is for all of us, it’s been a long process.  It’s almost a relief to be able to move past this and figure out what the new normal will be.  One day I’ll sit down and write all my thoughts on the challenges of such a diagnosis as a parent–the heavy heart, the mom guilt, the intense worry.  But for today, I’m starting here.

Post Author: Melanie

Hanging with my family, making fun stuff, & going on adventures.

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