29 Ways in 29 Days: Walking, One Step at a Time

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These kinds of pictures are my favorites from Abby’s surgery.  I know it seems silly, just Abby walking down the hallway.  I have others of her sitting in a chair next to her hospital bed less than 24 hours after surgery, or getting on the scale to be weighed that also mean the world to me.  For those of you who have sat by the bedside of anyone who has had open heart surgery, you know the excruciating pain that follows this kind of surgery.  As a baby, patients are kept calm and quiet and the pain seems to be fairly well regulated.  As an older patient, this isn’t always the case.  I mean, don’t get me wrong, medicine is given to keep the pain at bay but the older open heart patient is encouraged to get up and get moving within 24 hours of surgery.  This is a herculean feat.  I would equate it to running a marathon.  Abby hates moving after surgery.  I have sat with her while she pleaded with her nurses or with me “please don’t make me do this.”  My heart aches for her.  But, behind that pleading, crying voice is the spirit of the undaunted.  Abby absolutely will set her mind to it and with incredible determination, and maybe a bit of plain old stubborness, she pushes through the excruciating pain and first swings one leg over the bed, then the other, then she slowly lowers her feet to the ground and on shaky, wobbly little legs she lifts herself off the bed.  That in and of itself makes her incisions and chest throb with a pain unimaginable.  Then she takes one small step, and another, and another until she makes it to a chair or a scale or the door.  After a very short time out of bed, she soon begins asking to get back in bed, where she can rest and let the pain subside.  But she knows it will only be a short time, before she is up and walking again.  Only next time, she will take five or six more steps than the first time, and with each walk, she works through the pain because she knows on the other end of the walk is new found strength and one step closer to getting out of the hospital.

This is how having a child with a CHD is.  It is a journey, which starts with one excruciating step.  The diagnosis knocks you right down, takes the breath from your lungs, and leaves you without the strength for anything.  But slowly, you learn to walk again, one small step at a time.  With each step on the journey a strength you never knew was in you surfaces and you find you can push through it.  It isn’t easy or fun or even anything you want to do…but you know it is worth it.  These CHD kids are worth learning to walk one step at a time for.  If Abby can do it, I can certainly walk along side her, one small step at a time.

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29 Ways in 29 Days: Ways that Having a Baby with CHD Can Change Your Life

Filed in Congenital Heart Defect 1 Comment

Today I wanted to post a guest post I read recently.  This post is from fellow heart mom’s blog, Nicole Casey.  I met Nicole through Facebook when she was expecting her little heart princess, Aine.  She did a wonderful post about what her morning is like with a toddler and a heart baby.  Take a deep breath and read on because, you will need it when you see what a day in Nicole’s life is like:

A day in the Casey Household

Well,
Lately I’ve found the common question that I am asked is How do You Do It??
The Answer…. I don’t know & I don’t how to explain it – so I did a little “experament” today. I took lots of pictures to help explain a typical morning. Enjoy the ride :) -

Today my morning starting at 6:45 with a VERY crabby girl. I’m not sure what got her goat, but something did – so… after 3 diapers (all of which need to be weighed & put into a chart to verify she isn’t having fluid retention), one feed, one leg rub down, one outfit removal & lots of kisses later her brother woke up (he woke up about 7:15 & Aine wasn’t calmed down yet…. bummer – starts the day out on a negative note for him & usually an easy breakdown day for him :(

To change the attitude of the day I decided pancakes would be a good lifter upper (I forgot to take pictures of the fun pancakes – I color them red, yellow, blue, and green & put honey on them. 6 pancakes later & he was a happy boy!

This however is what I was left with :(


Now… Aine usually takes 45-60 minutes everyday to get ready, but today was bath day. So you can add another 60 minutes to “get ready time”.

Pre-bath

Post-bath

Checking the chest & G-tube site. Looks GREAT! Saturday will be 3 months post surgery! (The “Stickies” are used to hold tubes in place)

Post-bath stats – Looking Good (we were quick & efficient with bath time today Yeah Us!)

Strategically placed dressings, lines, and cords (minus the addition of the G-tube, that still needed to be sterilized for the day).


Little Cuddle time before it’s Liam’s turn to get ready.


Liam Getting dressed – First pair of pants ended up being too big :(

Second pair worked perfect – off & running!

Now, as I walk out of the kid’s bedroom – this is what I’m greeted by (I just took one downstairs on Monday)

And this is what the microwave says :(

Which means it’s already Lunch time. Man…. where did the morning go??? I still the breakfast dishes to do, at least I got a load of laundry in the washer/dryer.

Getting Baby Aine Ready for her lunch/nap



Now, one might ask how does anyone keep their sanity in this. Get nothing accomplished – not even 10 minutes of playtime with your kids before lunch is due to be served & then naptime? Containers!!! Containers are my sanity :)
I love the fact that I can put a bunch of stuff in one little container & forget about it. For that 10-20 minutes after I get things put away, we have a “normal” house. No medicine, no syringes, no bags, no lines – just the kids & I & hugs & kisses. That is my sanity & salvation.


So, with all that being said, a little dirty laundry aired :) , and a little more insight into our lives -
If you ask us how we are and we don’t have an answer you now have an idea of why.
If we seem a little pre-occupied when you are talking to us you have an idea why.
If you don’t hear from us for a while, we aren’t ignoring you and you have an idea why.
If you wonder if you should drop a line to say HI – it is always welcomed. Time gets away from us – VERY quickly.
We are very grateful to have each and everyone of you as a friend and want you to know that we think about you often.

I hope you enjoyed our morning – I’d love to take a nap, but the breakfast dishes are calling my name & Aine is due to have her afternoon snack in an hour so I better get busy.

Thanks for letting us share in your day Nicole, and letting us see what raising a CHD baby is like.

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29 Ways in 29 Days: Things You Should Know About A Heart Mom

Filed in Congenital Heart Defect | Open Heart Surgery 5 Comments

Chances are good I’m not the only heart mom you know.  I know that at least 4 other people in my high school graduating class alone have kids with congenital heart defects.  I’m sure if you looked hard enough you would find them at work, at church, in your children’s school classes, in your past, in your neighborhood, after all heart defects are the number 1 birth defect.  They occur in one out of every 100 births and between 33,000-35,000 babies are born each year in the US with a heart defect.  So, here are things that I think you should know about heart moms (and dads for that matter).

1.  We have faced the mortality of our child.  We have been told that their hearts are broken and the only chance of survival are through open heart surgery or heart transplant.  We have sat at hospital bedsides and counted every heart beat and watched every breath, hoping it wasn’t the last.  Some have lost their babies to this killer.  After experiencing any of these things, we find it hard not to value the life of every child, knowing that life in itself is a miracle to be celebrated and life is also a treasure to be protected at all costs.

2.  If we don’t return your phone calls or make it to appointments or cancel out on dates with you, it is nothing personal.  We may be overloaded with the care required to take care of our heart child.  We may be emotionally exhausted, and not up to a chat or a movie or a night out.  Some times all we can do is fall into bed at night and cry.  Some times we don’t want one more person asking about our child’s condition, because explaining it is hard, and painful.  Some times we just need some time away from it all.  Please don’t give up on us.  We still need you there when these times are over.  We still want you there when these tough times clear.

3.  We talk about heart defects and our heart kids a lot.  We don’t find our children any more amazing than yours or any more amazing than our heart healthy kids for that matter.  We do know that having a baby and having a doctor tell you your child has a serious heart condition that threatens their life is overwhelming, furthermore, when we find out that it is the most common birth defect, we are more overwhelmed.  We hope to prevent this from happening to another mother.  Preparation and knowledge is the key to making it through having a baby with a heart defect.  We hope to educate others.  And some day, we really hope to learn how to prevent these defects.  For some of us, our children’s lives can only be saved through organ donation.  Others want to offer support and love to those who are going through what they have already been through.  Some have lobbied local and national governments to get newborn screening, pulse ox testing and better tests for heart defects.  All these things take a voice…one who dares to speak out.  If our talking bothers you, we know that there are others out there who it will be the difference between life and death for.  If our talking bothers you, we know that somewhere a mother or father or grandparent is feeling alone and frightened and despondent and completely in despair and agony, and our voices can help them.  If our talking bothers you, we don’t intend to offend, but we do hope to reach out to those who want to listen to what we have to say.

4.  We have learned to be good at listening through our journey with heart defects.  Somewhere along the way someone listened to us, or maybe they didn’t, but either way, we vowed to listen when it was our turn to offer help or hope.  We hope to be a lifeline to others.  We are accepting of others problems because we know what life is like with a fragile child.  We champion the child who may be different or left out or picked on because of something beyond their control.  We have empathy for any parent watching a child suffer.  We sorrow over any child that is feeling different or isolated.  We understand, or at least try to, because we hope that others do it for us and our children.

5.  We have learned to love a little deeper and live life a little fuller.  If you ask us about the best schools and the fabulous plans laid out for our children 10 or 20 years down the road, we may not have thought that far ahead.  We live moment to moment, because with a heart child, that is how life runs.  We enjoy today for what today brings, because we know that tomorrow may bring stormy weather.  So we may not be concerned about grand achievements or the highest grades in the class or the smartest or most talented or prettiest or best athlete because for us, each smile is more than we asked for, each memory is worth more than every good grade ever earned.  For us, it is the little things that are the biggest achievements.  A first birthday is a success to be celebrated.  Every heart beat is our pride and joy and just the fact that they were here and lived for moments or days or hours with broken hearts is enough for us.

6.  We have a need and a duty to protect our broken hearted children.  We use words like fixed or repaired when discussing our children’s hearts, but the fact of the matter is, their hearts will never be normal.  Surgeries and procedures and medicines and artificial stimulation may help our children’s hearts to work, but they will never be whole. We may seem to overreact to colds or flus or viruses, but what is a minor illness to your child, could be disastrous to our child.  A sickness that gets in the blood stream and attacks the heart or upper respiratory tract or heart’s lining, can damage it beyond repair, causing a need for more surgery, heart transplants, or death.  We are not being overdramatic.  We are not making a mole hill out of an ant hill.  All of us know heart parents whose children have come down with a “cold” on Friday and are hospitalized and fighting for their lives on Sunday.  Please respect our concerns and trust us, that they are real.

7.  We are all different in a million ways.  This list is certainly not all inclusive and not all encompassing.  Other heart moms might wish to add to it or take things away, but it is a broad spectrum of what we wish others might know about us.  We still want your friendship.  We love a friendly phone call, an invite to dinner or a girl’s night out.  We value our time with others, even though it may be limited.  Don’t run away from us.  Don’t ignore us.  Even if you don’t know what to say or how to act, tell us that, and we’ll reassure you that just being there is more than we could ask for.  The journey of the broken hearted is challenging and lonely, and those of you who take the time to walk it with us, lighten our heavy load and help us carry our burdens.

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29 Ways in 29 Days: Ways CHD’s Affected One Songwriter–Erin Bode

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Today’s post highlights a new song by singer/songwriter Erin Bode.  At St. Louis Children’s Hospital she met a darling 10-year-old who was born with a serious congenital heart defect .  She was so touched by the life and miracle of this little girl, that she wrote and dedicated a song to the heart warrior, Katelyn.  They used the actual recording of Katelyn’s heart from a Holter monitor as the basic beat for this song.  Katelyn and her CHD affected Erin and inspired her to write the song.  The song, “The Space Between” is about the space between health and sickness, especially that space between that our heart warriors will always live in.

The Space Between by Erin Bode

Maybe if you hold my hand
As we walk through
I know I can trust you
Here now we go again

I wanna help you understand
The world that I know
Surrounded by Angels
Here now we go again

Out in the dark our eyes never knew if they would see again
But when the stars come out I can feel the light creeping in
Once again

Music playing in my head
Feels like something
I recall loving
Here play it once again

There must’ve been a melody
I can’t remember
I only knew the beat beat beat beat
Here play it once again

Out in the dark our eyes never knew if they would see again
But when the stars come out I can feel the light creeping in
Once again

You and I
Living in the space between

When I see the light of day
I never close my eyes again
And lift my head
And so it is

You and I
Living in the space between

See the music video featuring Katelyn and Erin here…I love the song!  The Space between where our heart warriors live is a precarious place, full of fear and pain and frustration…but it also filled with courage, faith, hope, achievement, and love.  In honor of all of you who live with perfect broken hearts…this song is for you!

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29 Ways in 29 Days: Ways that our Journey Still Haunts Me

Filed in Congenital Heart Defect | Open Heart Surgery | tetralogy of fallot 1 Comment

When Abby was in the hospital recovering from her first open heart surgery, I had an experience that I can’t get out of my mind.  I think about it often and still get overwhelmed with the same emotions I experienced that day in June of 2000.  I have shared aspects of this experience in a creative writing story on my blog a year or so ago, but I have never put the experience into words.  I have seen a lot on this journey with Abby’s Tetralogy of Fallot.  We have met many mothers who have lost their children to congenital heart defects.  Each one brings a wave of pain and heartbreak.  I have cried over many of your angels when I learned of their passing–but this experience still haunts me.  It is one of the ways heart defects continue to break this mother’s heart, years after the actual experience.

I don’t know the baby boy’s name–I think it might have been Braden or Bradley with a last name of Jameson or Harrison—I only noticed it briefly on the PICU dry erase board that helps everyone keep track of which patient is in which bed.  In June of 2000 Primary Children’s hospital didn’t have a CICU so all heart patients were cared for after surgery in the PICU.  They had no glass partitions or separate rooms then, if you wanted a separate room, you had to pull the sliding curtains around your bed, giving you privacy from the eyes of others, but not from the sounds.  Others could still hear everything behind the curtain and you could still hear everything going on behind other curtains.  Two beds over was the baby boy whose name I probably will never know.  In between Abby and the baby was another baby, who was well on his way towards recovery, and also had very little visitors.  His curtains always remained open.

Abby had surgery on Friday and had her chest closed on Sunday.  She was still in serious condition, but was stable and making slow steps towards a recovery we were warned not to expect.  She still had breathing tubes in and was sedated at all times.  I had little to do but sit and sing softly to her or stroke her silky black hair.  On Monday I noticed the new baby two beds down.  He was brand new–hours old.  I noticed his parents later that day as well in the hallway.  They were tall and she was obviously recovering from childbirth, tenderness in walking and having a hard time moving.  They were smiling and looked hopeful.  Tuesday, Abby had opened her eyes and was being weaned off oxygen in the hopes of extubation so I was hesitant to leave her even for a second.  I wanted to be there when she began to wake up more.  In the afternoon the baby boy two beds over crashed.  His heart rate suddenly fell flat and a “code blue” was being called out.  Nurses were suddenly all around him, administering meds and doing all they could to get a heartbeat back.  Their hands were as big as his entire abdomen.  It was a tense couple of minutes until his heart began to beat again, ever so faintly–just barely.  Abby’s surgeon was also his, and he was present by the time the heartbeat had returned, but called for an emergency shut down of the PICU so he could perform an emergency procedure in an attempt to save the baby’s life.

I hadn’t noticed before, but his mom and dad were standing there watching all this.  That is when the surgeon looked to them and told them to quickly kiss their baby boy and then wait in the waiting room.  I will never forget that scene as long as I live.  The mom leaned over her baby boy and whispered in his ear and kissed him and began to sob.  Dad reached over and rubbed his little boy’s head, kissed him, and then began to gently pull his wife from the baby’s bedside.  She sobbed, a gut wrenching, agonizing sob that was undeniably the sound of pure agony.  They quickly left the PICU out the doors that were directly in front of Abby’s bed.  The curtains were whisked closed around the baby and the PICU was on lock-down–meaning no one in and no one out until the emergency procedure was performed.

I was left sitting there, trying not to look at the curtain and choking back tears and an impulse to break down crying.  After the baby’s parents left nothing remained in the room but an agony that suffocated everything.  It choked out my breath and even the sounds of the PICU machines which are never quiet.  I was aware of nothing but the struggle for life two beds down from my own heart warrior.  Minutes passed, and nearly an hour later the curtains were pulled back.  The baby boy was ashen and his little chest barely moved at all.  His heartbeat on the monitor was still barely beating.  The look on our surgeon’s face said it all.  Whatever emergency procedure he had just performed had not worked.

Moments later the baby’s parents returned.  They were crying and obviously every bit as heart broken as their baby that lay before them.  Family members had gathered.  Grandparents, aunts, uncles, and others were there.  They had all come to meet this little miracle for the first time–and the last time.  After they had gathered around his bed they pulled the curtains closed, in an effort to say goodbye with some little bit of privacy.

I left.  I couldn’t stand being there any longer.  I can’t begin to explain the pain at watching them go through such an agonizing experience.  And there before me, was my little warrior, fighting for her life, but winning her battle.  I know his heart defect was much more serious than Abby’s, requiring immediate surgery after birth, but it didn’t ease what can only be described as survivor’s guilt.  My mom told me that she had talked to one of his grandparents in the hall.  He had asked about Abby and she had told him about her surgery.  He then asked how old she was.  My mom replied, “Five months.”  Then the baby boy’s grandpa said, “I wish we could have had five months to get to know him.”  I thought about the comment as I left the PICU, and found an abandoned and quiet hospital bathroom to break down in.  I have spent a bit of time crying in the hospital bathrooms at Primary Childrens and that night was no different.  I cried.  Tears of sorrow for their loss.  Tears of gratitude for Abby’s slow, but gradual recovery.  Tears of guilt that Abby was alive in her bed while he was laying there dying in his.  Tears–for all those whose lives are halted and whose hearts are crushed and whose worlds are turned upside down by the world of Congenital Heart Defects.

I returned some time later to spell my mom who had taken a turn at Abby’s side so I could escape.  Immediately upon entering the PICU I noticed that his line on the white board was now empty.  His name had been erased.  I glanced over at the bed space and a janitor was there instead of a bed, mopping the floor, like he was cleaning up a lunch room.  The emptiness of it all is hard to describe.  I was standing in the middle of the insanely loud and crazy PICU with machines beeping, phones ringing, oxygen machines swishing, and yet it seemed so empty.  He was gone.  He was the first baby I had ever seen whose life had been stolen by CHD.  I will never forget him.

I wish more than ever I knew his name.  I have scoured the internet looking for obituaries of baby’s who passed away in June 2000.  Of course I haven’t ever found him.  Our children’s hospital serves five states and countless cities.  I don’t know why I want to know his name, other than to remember.  To remember him and his parents and his lesson to me that every day I have with Abby is important.  That every heart baby who survives is a miracle.  That every heart baby who loses their battle to a heart defect is loved by someone and missed by someone and has taken a piece of their parents’ heart with them that will never be whole again.

I don’t share this story with you to bring you down, although I know it does.  I share it in the hopes that you understand more of the stakes for our heart children.  I share it so that you know why I keep this blog and why I find the message of CHD awareness important.  I share it so that you might love your kids a bit more, squeeze them a bit tighter, and take complete joy in everything they do, because somewhere out there, this mother, and too many others like her, will never be able to do those things because of congenital heart defects.  I share it because it truly haunts me, in quiet times his memory comes drifting to my mind, and I find myself choking off tears all over again.  Mostly, I share it to remember this baby boy whose name I don’t know who taught me to value the gift of life that is held in Abby’s perfect broken heart.  Fly high baby boy…you are never forgotten.

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29 Ways in 29 Days: Ways Everyone Can Help

Filed in Congenital Heart Defect | Heart Failure | Heart Transplant | Heart Transplant List | Open Heart Surgery Leave a comment

To rehash my favorite hashing…CHD’s are the NUMBER 1 birth defect!  1 in every 100 births are affected.  I use this month to focus on raising awareness in the hopes of educating those who don’t know, helping those whose lives have been affected, and gaining support for this cause.  There are ways that anyone and everyone (or almost everyone) can help in the fight against congenital heart defects.  Here is the short list:

*Donate Blood.  Did you know that for pediatric open heart surgery, frozen blood is not recommended.  At Abby’s hospital in Salt Lake, they must use fresh blood, which is no more than 7 days old.  All indications say that children recover better from open heart surgeries when no frozen/stored blood is used.  ARUP in Salt Lake supplies all the blood to Primary Children’s hospital, not the Red Cross.  In Utah most anyone 16 and older can donate (with guidelines and some restrictions).  For heart surgery 1-4 units of blood are used and 1-4 units of platelets and plasma.  For heart transplant 2-6 units are used.  Donating blood, especially at those that supply children’s hospitals, helps heart patients.

*Share information on pulse ox testing with pregnant women, doctor’s offices, and anywhere else.  The previous link will take you to a site full of information on pulse ox testing, as well as having a printable form of the information to hand out to others.  Share it…because not all heart defects are detected by ultrasound or by physical examination after birth.  Babies are often not diagnosed and treated which can lead to serious complications or death.

*Become an organ donor.  As of today, 112,000 Americans are on the national organ transplant list.  14,600 donors are registered…the math obviously doesn’t add up.  2900 of those 112,000 are waiting for hearts…and 10% of those 2900 (290) are young people under 18.  Abby will be in this category most likely within the year.  It will be her only chance at life, and we pray that IF someone has to go through the terrible pain of losing a child, they will be touched and donate their child’s organs during their time of greatest sorrow.  The moral implications of this are hard to deal with, but a truth we live with and 10% of all CHD children live with as well.

*Raise awareness yourself.  Share information, stories, blogs, and facts about congenital heart defects through your own social media and daily contacts.  That information is where funding starts for a variety of research, advancements, and organizations that impact the world of CHD.

The steps above are simple really.  They don’t require you to dig deep into your pockets or take more than an hour at most, but it could be the world to one of the 1 million people living with CHD or one of the 35,000 babies that will be born with a heart defect this year.  The steps above could be the difference between life and death for someone like Abby.  Her perfect broken heart depends on you and others like you, to save her failing heart.

 

 

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29 Ways in 29 Days: Ways A Broken Heart Has Enlarged Mine

Filed in Congenital Heart Defect | Heart Failure | Heart Transplant | tetralogy of fallot Leave a comment

A broken heart– a congenital heart defect–is definitely frustrating, frightening, sad, and discouraging.  I would be lying if didn’t mention here that some beautiful things have come out of Abby’s Tetralogy of Fallot.  Her broken heart has enlarged my own heart.  Without this journey, I would be less compassionate, less caring, and less involved in a world that really reaches out and tries to fix the broken hearted–both emotionally and physically.  I can’t devote a whole month to discussing the ways Abby’s heart defect has affected us without mentioning each of you!

Abby’s Tetralogy of Fallot and subsequent heart failure have put us in contact with amazing people.  The support and love and acceptance and understanding of other parents of CHD kids and CHD teens and adults has been amazing.  There are those who have devoted their lives to offering support for mom’s like me.  There are those who have suffered the loss of their child to CHD–a loss I can’t even begin to imagine–who have started organizations, campaigns, and support groups so that other parents don’t have to go through it alone or suffer the same agony they did.  I feel a part of something that makes a difference in people’s lives.  Maybe the difference doesn’t affect everyone, but it might affect one mom who is standing at the beginning of her journey through CHD’s.  I admire those who have taken their tragedy and turned it into a lifeline for some other CHD mother and infant.

When life hands you a trial, it is natural to reach out to others who can understand or help.  I have met fellow heart moms or dads (or heart adults/teens) who have made a huge impact on me.  Some are in my life briefly, we connect and share a bond in a way that is nearly impossible to explain, and then slowly fade away.  Others have come into my life and have become fast friends, close friends, the kind I can pick up a phone and talk to and KNOW they will understand.  My life would be so empty without those heart moms and I am so grateful that Abby’s broken heart has produced some beautiful friendships.  For those with TOF babies, you can relate that when Abby was diagnosed with heart failure and an impending heart transplant I was devastated.  Heart failure and transplants don’t happen to TOF kids who have already been through the repair and are living normal happy lives.  We had a long, fairly normal future to look ahead to.  It was many of you who reached out and helped me pick myself up off the floor and forge ahead to our new future.

The cardiologists, nurses, surgeons, anesthesiologists, and countless other medical personnel we have come in contact with have been amazing.  We love each and every one and can’t begin to express the way these amazing people have taken care of Abby.  They sacrifice a lot in their own life, to make Abby’s possible.  They patiently understand how hard this process is, and allow me to ask question after question.  They understand when I get second opinions without being offended.  I can’t tell you how many times I have asked and re-asked and re-asked Abby’s heart transplant cardiologist if she REALLY needs a transplant.  She is always gentle and understanding in her reassurance.  I am so amazed at a surgeon who rearranges his schedule so he can be present when Abby has her heart caths because he is so distraught over her condition.  He cares for her like his own and it shows in everything he does.  I am so grateful for nurses who dote on Abby, who understand that she is in pain, and who help her work through the hard days and the painful rehabilitations.  Our love and gratitude for a very special child-life specialist who has been with Abby every step of this journey since October 2010 is impossible to put in words.  I can’t express enough love for all those whose job is saving my daughter’s life.

Lastly, the outpouring of love from everyday people, people family members work with, people we have never met but found out about Abby, people who have good hearts and a tremendous amount of empathy is amazing.  I get a lump in my throat when I think about Abby’s friends who really love her and show genuine concern.  They support her in ways that I’m sure they don’t even know.  We have had those of you who went out of your way at Christmas time to make sure we were taken care of, taking a lot of the burden of planning and stressing over Christmas during a time when we were just getting back on our feet.  Those who have LOVED Abby unconditionally and expressed that love in so many ways has shown me how to be a better person myself.  I have learned from watching all of you how to reach out and offer a shoulder to cry on or an arm to lean on.  My heart has grown from watching all of you reach out to us.

One of my favorite quotes is from Robert Louis Stevenson:  Every heart that has beat strongly and cheerfully has left a hopeful impulse behind it in the world, and bettered the tradition of mankind.  I don’t love Abby’s heart defect, but I do love that it has taught me the truth of this saying.  Because of Abby’s CHD I have come to realize what a hopeful impulse is and how it can change the world and make all of us a little better.  It is only through learning to live with Abby’s perfect broken heart that I have come to feel like a person changed for the better.

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29 Ways in 29 Days: Ways I Hate Abby’s Heart Defect

Filed in Congenital Heart Defect | Heart Cath | tetralogy of fallot 3 Comments

First, let me say that my use of affect/effect is driving me crazy!!  I keep interchanging and mixing them up…maybe I’ll just stop using them.  It’s hard to believe that I will be finished with my Senior Thesis and earning my bachelor degree in English the end of February!!  So, to those who have this rule down pat, I apologize!

Next, I want to say that I am generally a positive person.  I generally see things in an optimistic light with rose colored glasses.  But this month is always about spreading awareness.  It’s about being as honest as I can about Abby’s heart condition.   So today, my post is on Ways and reasons I H.A.T.E Abby’s heart defect.  I admit up front that the journey has been quite a ride.  I have learned more about faith, empathy, love, sacrifice, hope, optimism, determination, courage, inspiration and more because of Abby’s broken heart.  That doesn’t mean I don’t hate it.  It doesn’t mean I love living with this and love watching Abby go through all that she has to go through.  So, here are the reasons I hate CHD:

*PAIN.  The process of open heart surgery and recovery is painful.  It is messy.  It is physically taxing and exhausting and excruciating at times.  From stitches, to incisions, to IV’s, to blood draws, to heart caths, to chest drainage tubes, to thoracotomies, to sternotomies, to muscle knots from hard hospital beds….it is so hard on these little bodies.  Watching a child in pain is hard.  Watching your own child in pain brings tears to my eyes at times.  No child should know how to use a morphine drip.  No child should have to experience this kind of pain.  I hate anything that causes pain to my children, and this does!

*Emotional drain.  The emotional drain of Abby’s CHD is hard to put in words.  Diagnosis and major surgery are just the surface of the kind of emotional turmoil I’m talking about.  Abby’s siblings are hugely impacted by her surgeries and heart issues.  They worry about her, empathize with her, and have to deal with jealous feelings and comparing themselves.  Trying to prepare for surgery, appointments, procedures, and hospitalizations is stressful.  Having to face the unexpected bumps in the road is emotionally turbulent.  Seeing your heart child get sick is taxing, as you never know the toll each sickness might take on them.  Emotionally draining…I hate it.

*Financial burden.  The financial burden of Abby’s heart defect and her recent heart failure is tremendous.  We have spent thousands and thousands of dollars keeping Abby’s little heart pumping!  I hate the financial strain caused by her broken heart.

*Robbing infants and children of life.  We know far too many who don’t get to experience life with a CHD.  Those who have not made it.  I hate hearing about those who weren’t as lucky as Abby.  Those who experience a lifetime of what ifs and empty hearts for those who didn’t make it.  I hate knowing so many angels.  Angels like Cora, Hope, Annie, David, Ewan, Joshua, Elaine, Ayden, Chloe, Grace, Gracie, Brayden and SO MANY more.  I hate that CHD’s rob these kids of life and their parents of children in their arms.

*Abby’s self esteem.  Abby has a tremendous self esteem.  She is a poised, gregarious, happy, socially adjusted girl.  But, it doesn’t mean that she doesn’t have bad days because of her heart.  I hate hearing her say “I just want to be normal.”  or “I look like Frankenstein.”  I hate how she worries over how big her pacemaker looks or how worried she is that people will treat her different or gently or like a sick girl.  I hate that Abby has to worry about that on top of all the normal things us girls worry about.

*I HATE it that Abby has been in a position where she has looked me in the eyes, on numerous occasions, and asked “Am I going to die.”  and I HATE HATE that when she asks,  I get a lump in my throat, and a squeeze on my chest, and a sudden feeling like I can’t breath because to be honest, the answer is yes.  She has a tremendous team of doctors and specialists working to keep her here as long as possible.  But, when she looks at me with tears in her eyes and asks me those questions, I. HATE. CONGENITAL. HEART. DEFECTS.

A bit raw, but also honest.  I’m sure I have left lots of things out to hate about it.  I hope if you are reading and you have your own things you hate about CHD that you share.  Not to dwell on the negative.  Not to get pity.  Not to commiserate in misery…but to share with others how it feels.  So those who don’t live with CHD understand why we feel so strongly, why we speak so loudly and why we spread awareness and education.  Because we don’t want others to go through this and we hope that someday, more will be done to find answers and cures and gentler treatments and ways to lessen the heavy load that comes with a perfect broken heart.

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29 Ways in 29 Days: Day 2

Filed in Congenital Heart Defect | Open Heart Surgery Leave a comment

Abby’s CHD has definitely had an effect on me as a parent. Everything I know about parenting started with the birth of a little baby girl with a broken heart.  I’m short on time tonight, and short on the ability to concentrate on this.  After Abby’s first open heart surgery I made a video, documenting what we went through.  The lyrics to the song capture so perfectly so many of the emotions I experienced during this time period.  I typed the phrases in bold that really sum up so much of what the journey of Abby’s first open heart surgery felt like;  what I felt like; what I hoped; what I wanted:

“To Be With You” by David Archuleta

I’ve been alone so many nights now
And I’ve been waiting for the stars to fall
I keep holding out, for what, I don’t know
To be with you, just to be with you

So here I am, staring at the moon tonight
Wondering how you look in this light
Maybe you’re somewhere thinking about me too
To be with you, there’s nothing I wouldn’t do

And I can’t imagine two worlds spinning apart Come together eventually
And when we finally meet, I’ll know it’s right
I’ll be at the end of my restless road
But this journey, it was worth the fight
To be with you

Just to be holding you for the very first time
Never letting go
What I wouldn’t give to feel that way

Oh, to be with you And I can’t imagine two worlds spinning apart Come together eventually
And when you’re standing here in front of me
That’s when I know that God does exist
‘Cause He will have answered every single prayer
To be with you, just to be with you, yeah You, ooh

Her video is on the video link page on this blog, but I will also include a link to it below.  It runs a bit choppy at times, the pictures aren’t the best quality (we didn’t own a digital camera at the time so they are all scanned in!!)  but I think it says a lot of what is hard to put into words.  It does contain images that might disturb sensitive viewers of Abby after her surgery.  I know if you imagine it was your own child, or a sister or brother, or loved one, it will impact you, and maybe, you will understand a bit of the ways CHD has impacted me from the first day Abby was cradled into my arms.

To Be With You:  Abby’s 1st Open Heart Surgery

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29 Ways in 29 Days: The Effect of Congenital Heart Defects

Filed in Congenital Heart Defect | Heart Failure | Heart Transplant | Open Heart Surgery | tetralogy of fallot 2 Comments

Today is February 1st.  Heart Awareness month.  A month I have spent vigorously spreading awareness for CHD in the past.  February 7-14 is National Congenital Heart Awareness Week–and I want to raise awareness.  Last year I spent my month posting pictures with facts or statistics about heart defects.  This year, I’m not in the same boat.  You see, last year was the first year that Abby’s heart problems were “past us.”  I know that children born with heart defects are never healed.  They never get fixed.  But, babies born with Tetralogy of Fallot generally have one or two surgeries and then go on to lead amazingly normal lives.  Many live into their 50′s, 60′s or beyond.  Many have careers, spouses, children…this is the boat we were in last year for CHD week and heart awareness month.  Abby’s tetralogy was corrected, her valve was in place and the future looked limitless.  This year, we had to jump ship.  Abby’s ship got high centered, and then capsized as we entered a bit deeper into the world of CHD’s.  Her badge above is certainly outdated.  The pictures are old and the diagnosis tagline is old.  Abby is still living with Tetralogy of Fallot, but she is also living with severe left ventricular dysfunction and heart failure.  No surgery will correct it.  No medicine will make it work right.  A new heart is her only option; and a new heart means a new horizon in the future.  The horizon is closer and we must take life one day at a time.  So, this year, I want to focus on ways…ways Abby’s heart condition has changed us.  Ways we can actually make a difference.  Ways the world of congenital heart defects has made us stronger.  Ways the world of congenital heart defects has simply taken the wind right out of our sails…ways it has affected us.  So, today I start 29 Ways in 29 Days: The Effect of Congenital Heart Defects.  Part 1

Today’s post focuses on one way that congenital heart defects affect not just me, but you!

Let me try to put this in a way that is clear.  In 2003, the US Department of Health and Human Services produced a report which cited that “about 61 MILLION Americans live with some form of CVD (Cardiovascular Disease).  Congenital heart defects are lumped into this category.  Most CVD’s are diseases caused by age, heredity, or poor lifestyle choices (such as smoking, obesity…etc.).  Most of those included in studies of CVD’s are adults who suffer from ACQUIRED heart disease.  But, also included in these studies are infants born with heart defects/disease.  Congenital means “present at birth.”  In most instances, no one knows why the structural or functional heart defects exists.  It may be hereditary, it may be from exposure to certain dangerous toxins during pregnancy, or it may be as a result of another disease present–but usually it just happens.  So, finding an actual dollar amount of how much money is spent annually on congenital heart defects specifically is challenging.  In the magazine Health Affairs, George A. Mensah and David W. Brown wrote an article in 2007 titled “An Overview of Cardivascular Disease Burden in the United States.”  In this article they state that in 2003 Heart disease was the leading cause of hospital visits/discharge.  Also, “In 2003 alone, there were nearly 70.7 million outpatient physician office visits and 4.5 million ED admissions with a primary diagnosis of CVD.”  Do you see where I’m going with this? The bottom line is heart disease is the is the most costly disease in the US.  $400 Billion dollars are spent every year on treating heart disease.  Of the 61 million Americans with it, more than 1 million of them have Congenital Heart Defects.  35,000 babies are born every year with a heart defect.  Of those, a very, very high percentage of them have treatment and surgery.  I would bet that a much higher percentage of infants born with CHD have surgery than adults living with heart disease.  So, of the $400 billion spent each year, a good portion of that is spent on CHD patients.

The crux of this post has to do with the fact that CHD’s affect every American living today.  Maybe you have not had a newborn baby placed in your arms and told that their heart is failing, broken, sick, or defected.  Maybe you have not handed your baby or child over to a physician and gone to wait in a hospital waiting room while you know they are cutting your child’s chest open and stopping her heart.  Maybe you have never been told that the prognosis for recovery is poor, at best.  Maybe you have never watched as your child is covered in tubes, IV’s, machines, and wires, unconscious or crying in pain…but I guarantee you that you have shelled over dollars to help cover the costs associated with congenital hear defects.  Our health care system is broken.  No government agency has been able to fix it and part of the problem with it is that public dollars spent on chronic diseases is astronomical.

My doom and gloom post does not end there.  A very few, quiet, unheard voices have begun a small health care revolution in America.  That revolution centers around a quote from the article stated above:

“Over the past two to three decades, the total number of inpatient diagnostic and therapeutic procedures have increased dramatically. For example, from 1979 to 2003, total inpatient operations and procedures for CVD increased 470 percent, and the volume of cardiac catheterizations alone increased 373 percent.44 The mean charges for these procedures have also increased greatly.45 These trends are highlighted not to suggest impropriety or inappropriate use of operations and procedures but to emphasize the potential impact that effective programs for preventing CVD can have on health care costs and resource use.”

PREVENTION is key to lowering health care costs.  We need more research to find out why and what and how.  We need more money spent on early treatment and prevention and non-invasive treatments and we will find we spend less on open heart surgery and hospitalizations and emergency room visits.  Those few who have started a revolution have helped make a simple test, called pulse ox testing mandatory in a handful of states.  This test helps diagnose and treat heart defects early, at birth, preventing emergency surgery or costly procedures to repair damage done which could have been prevented.  Others have been studying the effect of stem cells on those with heart defects with promising results.  Failing hearts have stem cells removed, purified, and then put back into the failing heart to find that these stem cells regrow healthy heart tissue which was dead before.  This kind of advance could save thousands and thousands of dollars spent on costly heart transplants every year.

For more ideas on ways you can help decrease the overall costs spent on congenital heart defects, please visit the following links:

  http://www.change.org/petitions/ebc-every-beat-counts — sign this petition to make pulse ox testing mandatory in the state of Utah (Abby’s home state).  Or, find out if a pulse ox bill or advocacy group has been started in your state.

http://www.heart.org/HEARTORG/ — Visit the American Heart Association’s website and search for congenital heart defects to see how to help and spread awareness.

http://www.chdinfo.com/chdaware/ — Join Dr. Mani in promoting and spreading awareness for CHD’s.

http://1in100.org/ — “Know more.  Do more.”  with 1 in 100.

CHD has an impact on all of us, and together we can help fix these perfect broken hearts.

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