Nolan’s Story

Site created on March 9, 2021

Welcome to our CaringBridge website. We are using it to keep family and friends updated in one place. We appreciate your support and words of hope and encouragement. Thank you for visiting.


Here is some background on Nolan’s story:
Nolan was admitted to the hospital twice in Summer 2020 for reactive airways and pneumonia. We repeated a chest x-ray in October, and it showed a possible mass near his spine. We then got a CT scan in November, which revealed that Nolan has a mass that extends through his chest cavity and also 6 lesions in his spleen. Nolan also had a lot of blood work and urine studies to help us determine what these masses were. At this point, the x-rays, CT scans, and blood and urine studies did not point us towards a particular diagnosis. So in December, Nolan had more imaging studies done—MRIs, PET scan, etc.). These were also unfortunately unable to determine what these masses were. Our wonderful specialist teams both at Children’s Hospital and Mayo all recommended a surgical biopsy in order to definitively determine what these masses are and help determine how to manage these in the future.


Nolan had thoracoscopic surgery on February 12th to obtain a biopsy. They made three small incisions along his side. Using scopes, were able to obtain a biopsy. The surgery went very well, and he was able to be discharged home the following day. Nolan recovered very well over the next couple of weeks. His biopsy came back showing a lymphatic and vascular malformation. His biopsy has been sent to Cincinnati Children’s Hospital for further staining and evaluation. We are waiting to hear more updates on how we’ll monitor these malformations in the future. We are hopeful we will only need imaging and not need other interventions.


On March 5th, Nolan really started acting not like himself. His breathing was more rapid and shallow. He also was almost completely refusing food and was just wanting to hold onto us. We listened to his lungs and heard almost no breath sounds on the left side of his lungs, so we decided to take him into the ER. They did a chest x-ray right away, which showed that he had a significant amount of fluid taking up most of his chest cavity. Nolan was quickly admitted to the PICU. Nolan had a chest tube placed and almost immediately drained 1000mL of fluid from his lungs. They believe this fluid is coming from a small leak from his biopsy site from surgery 3 weeks prior.


Nolan has what is called a “chylous effusion.” This is where lymph fluid from his lymphatic malformation biopsy site is leaking into his chest cavity. The treatment for this is to have a chest tube in to drain this fluid. The other part of treatment is to have Nolan not eat anything for now. The reason for this is to decrease the flow of fluid, especially fat that often flows through the lymphatic vessel. These should create less pressure in the vessel, hopefully making it self-close/heal itself. Right now Nolan is receiving nutrition through a PICC line in his arm.


Nolan is so strong and brave. He has done great through all of this, all things considered. He overall has been doing well. His energy has been slowly improving. 


We’re so grateful for all of our family and friends who have been so supportive through all of this. We will try to keep you updated as often as possible.

Newest Update

Journal entry by Kristina Schultz

DISCHARGED!!!! Sorry for the delay in post, but yesterday was a whirlwind. We have the best news to share, and that is that Nolan was discharged from the hospital yesterday afternoon!!!! His chest X-ray continued to look great with the tube clamped, so yesterday afternoon, they pulled his chest tube out, and we were discharged a couple of hours later!


Nolan was SO excited to get out of the hospital! He got dressed and into his stroller over an hour before we were packed up and actually ready to leave. We all enjoyed sleeping in a real bed last night!


We are so incredibly grateful to the fantastic team at CHOP and all that they have done for Nolan. We really had as wonderful of a hospital stay as possible. The nursing staff was incredible, and the specialists and pediatricians we saw daily were so caring and patient with all of our questions.


We did find out yesterday that Nolan’s overall picture is more of a central conducting lymphatic anomaly (CCLA) based on his imaging. There are many different variants of lymphatic malformations, and each is treated a bit differently. There isn’t a lot known about these yet, and they are doing research to look into more treatment options. The CCLA patients typically do not respond to the medications they currently have to treat other forms of lymphatic malformations. We will still do genetic testing to see if he would potentially respond to treatment, but they feel it is unlikely. He will mostly be managed through a low-fat diet and procedural interventions if/when needed.


Overall, Nolan has continued to amaze us every day! Looking back just one week, he had just come out of a major procedure with nearly 100 pokes into his little body and had a chest tube in for nine days, and today he is running around playing with all of his toys like nothing ever happened!! He is so resilient, brave, and just the happiest kid we know!! 


Thank you to so many who have supported us in so many ways from Caring Bridge messages, prayers, text messages, gift cards, care packages, etc.! We continue to be overwhelmed and beyond grateful for our amazing village!!! Thank you all from the bottom of our hearts!


We are beyond grateful to God for helping us through this all and protecting our sweet Nolan!! He gave us strength on the difficult days, and we felt his love surrounding us every moment!


While Nolan’s journey certainly is far from over, we are so happy to be past this major hurdle and looking forward to having some more normalcy again. We are planning to fly home tonight!!! Shhhh….we are surprising Ethan!! We cannot wait to be home together as a family of four again!!

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