Monday, June 11, 2007

the number five

Since learning about Heidi's heart condition, we've been given a lot of numbers. The first one though stuck with us all these years: "40% of children with Hypoplastic Left Heart Syndrome live to age 5". These were the numbers that had us consider terminating the pregnancy. Later, we were told that the numbers could be better. We heard about survival rates a lot initially, such as 85% for the first surgery at CHOP, and improving all the time. Then, the first surgery behind us, numbers focused on oxygen saturations (the amount of oxygen in the blood - normal is 100%, but hlhs kids live on a lot less - Heidi is currently around 90%), weight gain, calorie intake etc. etc. Weight is always an issue with heart kids, and Heidi did well, plotting her own line between the 5th and the 25th percentile on the growth chart. Lots of numbers everywhere during that first year. Husband plotted Heidi's food intake in a spreadsheet and showed up at the Cardiologist's office with a graph in hand to better argue for continued breastfeeding. And so it went.

Today we remember that first number we were given. We remember the Quinn's and Corbin's and the numerous other heart kids (get a box of tissues before you click on the link) who were not among the lucky. And we know just how blessed we are to have another day with Heidi, our little miracle who beat the odds so far.

Happy 5th Birthday, Sunshine!

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Wednesday, March 14, 2007

doing the happy dance

I just found out that Heidi won't be going to the hospital for a heart procedure this year. Woohooo! I'm not sure on all the details (Husband spoke to the doc, so what you're getting here is a translation of sorts), but it appears that over the years that the doctors have closed the fenestration from the Fontan procedure in HLHS kids, there haven't been many proven benefits to the children. So as long as Heidi keeps running us ragged, has high energy and spends very little time looking like a blueberry, she is off the hook for this.

Sometimes relief can feel a little intoxicating! Excuse me while I go dance with my kids.

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Tuesday, February 13, 2007

coping with chd

I was recently asked to contribute to a local newsletter on coping strategies for parents of children with chd. I thought I'd share some of what I wrote here, and I invite all who have experienced something similar to let me know how you cope in the comments. I'd love to hear what you have to say. Thanks!

When we first received Heidi's diagnosis, we were devastated. I cried for about a week straight, and I felt like the thoughts in my head were going around in circles. I didn't know how to get past this thought pattern, so I asked my midwife to refer me to a therapist. The lady she sent us to was amazing. The first thing she asked was what we saw in our lives a year on, regardless of whether or not the baby would have made it that far, hospital stays etc. This really helped focus us to work together on having a vision for our family. We were able to explore what each of us needed (mom, dad, older sister) during this time and how we could ask for it from each other. The therapist also helped us discuss how to deal with different (difficult) family dynamics and how to get through the surgery time.

Once we were no longer in crisis mode (and the voices in my head stopped saying the same things over and over), we focused on preparation. Since we had to relocate Sophine for several weeks, we got busy researching activities, making craft kits, buying books etc. We also spent hours researching Heidi's condition on the computer, talked to other families who had been through the surgeries, and graciously accepted the mountains of food offered by people who wanted to help in some way. Sadly, we also had to accept that some people would walk out of our lives at this point, not being able to deal with our burden. We tried to let them go with love.

Now that we are 5 years into this journey, I find myself focusing on what is normal in our lives. I've given up Heidi's future to the higher powers, and I trust that somehow there is a reason we are meant to experience this. I remember distinctly just weeks before Heidi's third surgery, I was traveling in the car, and it struck me that I had no control and that this was okay. It's so unusual in our culture to strive not to be in control, but I realized that since there isn't a whole lot I can do, I can't spend too much time worrying about it. What I do have control of is giving my children a good, healthy, positive life experience. This is what I try to focus on. I don't restrict Heidi's activities, though we are conscious of germs and emphasize frequent hand washing. Heidi receives chiropractic care and nutritional support to counter some of the effects of hospitalizations and antibiotics. We help her through her medical experiences by being honest with her and asking nurses and doctors to clearly explain to her what to expect, how long it will take, and most importantly, when it is over. These are all things we can do, and they help us keep it positive.

Focusing on our own lives as individuals and as a couple has also helped us come to terms with our situation. Husband has taken up compulsive exercising and is training for his first marathon. I am up to my eyeballs immersed in homeschooling Sophine and my Foundation Studies class, and until recently I took pottery classes every week. We are still working on carving out more couple time, but it's a process.

Finally, I have to admit that I am in denial about Heidi's health issues as much as I can be. For right now we deal with the upcoming catheterization. I just can't think about valves and what might be going on there some time down the road. So I push it out of my mind. I have too much to think about regarding how to make this hospital stay easy on her and super-sensitive Sophine, so that's where I focus my energy.

I'd really love to hear what has worked for other people. Please share!

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Monday, February 12, 2007

this is so cool

Not exactly current news (the article is from November), but what with it being CHD Awareness Week and all, I wanted to link to this anyway. For those who don't want to link through, it's an article that describes experiments done last year in which heart valves were grown from fetal cells collected from fluids during an amnioscintesis. The reason this excites me so is that in a few years, it could be a real possibility that patients requiring valve surgery may be able to receive some grown from their own tissue. Since Heidi's valves are a bit leaky, the need for valve repair or replacement some time down the road is a real possibility. Medical advances like this open up such incredible opportunities and should receive widespread support as no fetuses need to be harmed in the process. So yay all around, though personally I'd prefer not venturing down that particular road anytime soon...

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Thursday, February 08, 2007

building awareness

First of all, thanks to those who've written to me about our cardiology visit. It means much to feel supported. We're hopeful it will be just a couple of days out of our lives...

The timing of the post was good though in light of the following:

There are many folks in our community of parents of children with Congenital Heart Defects who work hard to bring awareness of CHDs to others. This week in Virginia, it's officially CHD Awareness Week, declared in honor of a little boy whose mom is a member of our local support group. Corbin had hlhs, same defect as Heidi, and he succumbed to multiple complications after at least 7 open heart surgeries (it might have been nine, but I can't quite remember) and many months of hospitalization. His little body just couldn't do it anymore.

Why awareness? I don't want to get too loud on this issue, but just two facts:
1) Of every 100 children born, one will have a heart defect.
2) There are over 40,000 people living with a CHD in the USA.

The medical community is only just starting to understand what might cause some heart defects. I dream of a day when these illnesses can be prevented, as no parent should have to go through what Corbin's family had to endure.

'Nuff said, have a great CHD Awareness Week. I hope to get more time to post on this, but don't hold your breath as visitors are coming...

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Tuesday, February 06, 2007

I kind of knew this was coming

Heidi had her cardiology visit today. The good news is that her heart function and overall health remain excellent, and her valve insufficiencies are unchanged. Unfortunately though she will not get her New Year's wish of "no hospitals and no IVs" as she needs to go into the cath lab.

Most likely her procedure will take place sometime in April. In essence, she will have closed-heart surgery to place a device that will close a small hole left after her last surgery. While this opening allowed pressures to equalize, it is now time to close it so her oxygen saturations can rise closer to a normal level. If all goes well, we are looking at a 1-2 day stay in the hospital. I expect during that time she will watch a year's worth of videos while her desparate parents will attempt to keep her still for at least 6 hours.

If you want to know about Heidi's heart defect, you may begin here.

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Tuesday, January 30, 2007

just wanted to share

I always feel inspired when I read or hear about the relatively normal lives of teens and young adults with complex heart defects. When we received Heidi's diagnosis (five long years ago now), we were told that statistically, 40% of the children with her condition (hypoplastic left heart syndrome) live to age 5. While the survival rates at the Children's Hospital of Philadelphia, where Heidi had her surgeries, are higher, somehow, until her third surgery, I could never picture her actually growing up. Now that she is going on 5 herself, we are much more positive. Still, with only a few of these patients in their late teens and early twenties, it's good to hear the stories of their lives. I am particularly drawn to hearing about those who refuse to be defined by their illness. We work very hard to encourage our children to live full lives and not let their challenges hinder them. So it's always good to read a story like this one.

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