Showing posts with label echocardiogram. Show all posts
Showing posts with label echocardiogram. Show all posts

Friday, April 10, 2009

Kate's Pre-Op Visit


"Dr. Kate" listens to her panda's heart.

Kate was an amazing trouper today! We were worried that she would freak out the minute she got to the hospital, but she only wimpered a bit and got tears in her eyes. I think that made my heart ache worse than if she had gone into screaming meltdown mode.

"Please tell me I am having a bad dream and I'm not REALLY at the hospital again!"

We were there from 10AM until 3PM, so it was a long day for her. They are so thorough--I am very impressed. She had an EKG, echocardiogram, chest x-ray, health exam (three different times!), and blood work. Thankfully, the blood work was last on the agenda.

"This EKG is a piece of cake, especially with my panda beside me!"

Two different cardiologists talked to me, explaining things about the surgery. Both of them had been at the conference on Monday where her case was discussed, so they were fully aware of the details of her heart condition and surgery. Again...impressive to have doctors who hadn't just read a chart before they walked into the room and who FULLY understood her.

We had good news and not-so-good news, but most of it was good.
The Good:
-Her heart cath showed that she was a good case for a full repair
-People come from all over the world to have her heart surgeon operate on their children
-The procedures he is doing on Kate are his specialty
-She might not have to spend 3 weeks in the hospital--it might be more like 10 days if everything goes perfect
-Our hotel bill will be $40 per night--not $70
-8 out of 10 children come through this surgery very well

The Not-So-Good News
-One of the cardiologists very frankly told me that this surgery 'is a huge deal.'
-One in ten children die from complications of this surgery (This is the biggest on the not-do-good news for me. Despite the fact that 8 out 10 children come through the surgery well, my mama's heart fell to my toes when he said this. I know 10% is a low risk, but....)

They have given us a link to a video of what to expect her to look like after her surgery, which was very helpful. She will have three chest tubes draining fluid from her lungs and (I think) the area around her heart. She will be on a respirator for probably two days, so will have a tube down her throat, helping her breathe. One cardiologist told us that he wasn't sure if her chest would be closed up or if it would need to remain open for a few days. He assured us that there would be something covering it so that we wouldn't be looking down into her open chest cavity.

As long as we can keep her healthy until Monday, we are good to go for surgery. We are able to have our laptops with us in the waiting room, so I will be able to post to the blog every time they come out and tell us how the surgery is going.

***Note: I know most of you read this blog when it comes to you via email subscription. The subscription service only sends email to you once every 24 hours. If you want to read the updates as they are happening, you will need to go to the blog and read it there. If you wait for the email, it will probably not come to you until Tuesday morning. The blog address is: www.jacobsjourneyhome.blogspot.com . You can click on it from this post here, or scroll to the bottom of the email posts and click on the blue 'Treasures from Afar."***


All tuckered out on the ride home. She was playing with her sticker and fell asleep with it on her mouth.

Thursday, February 12, 2009

Miracle Kate


Kate, getting her Echocardiogram

"For you created me in my inmost being, you knit me together in my mother's womb. I praise you because I am fearfully and wonderfully made..." Psalm 139:13, 14

Kate was dubbed, 'miracle baby' in China because of all the times she almost died, and then pulled through. Her miracle continues...

We saw the cardiologist this morning at the University of Michigan. During her echocardiogram, we were shocked to be told that she has TWO ventricles--not the single ventricle that is on all of her paperwork from China! Not only are there TWO, but both of them are big enough to be usable!! I got very emotional when they told us the great news!

Later, the cardiologist told us that she is scheduling Kate for a heart catheterization very soon. If Kate's heart anatomy is the same as what the doctor can see from the Echo, she will approach the surgeon to see if he will do a FULL REPAIR! She thinks it is possible--and very likely! The surgeon she plans to approach is the #1 pediatric heart surgeon in the country!! Her surgery will likely take place this spring or early summer, since she does need it done fairly soon. Her oxygen level is only at 80%, which is why she has a blue tinge to her skin. For that reason, they would like to repair her heart and get her oxygen levels higher.

If he is not able to do a full repair, Kate is still a good candidate for what is called a 'fontan' procedure, but that would leave her with single ventricle function.

Kate's little heart is on the wrong side of her body and is also turned totally backwards. She has a large VSD, no pulmonary artery and one ventricle is not being used, due to the Glenn procedure she had in China. The doctor called her heart, 'very complicated,' but she still has great optimism that Kate can have a full repair, with only valve changes as she ages (due to size). SaraGrace, will also need valve changes as she ages, so we are familiar with what that entails.

We are soooo excited about this new possibility for Kate! We truly believe that she had the horrible diagnosis in China as a way for God to bring her our family. You may not remember, but one of the US doctors who reviewed her medical information said that she would need a heart transplant and had a very uncertain future. For that reason, many families turned down her referral. Because of our situation (already in process to adopt our 9th child), we would never have been considered as a potential family for her, if her diagnosis had been correct. She no doubt would have been chosen by another family if her medical report had looked more promising.

It is sooooo humbling to us that God went to this effort to get her into our family. Throughout the entire process of Kate's adoption, we were awed by all that swirled around us. We felt like we were flies on the wall, watching something huge unfold before our eyes. We continue to be amazed at what God is doing in little Kate's life and feel privilged to be a part of it.

SaraGrace went along to show Kate the ropes.