**UPDATE**
Thank you all for your comments thus far... really helpful.. keep them coming!
I have spoken with some fabulous nurses from Stanford, Seattle Childrens, Texas Childrens, and waiting to hear back from more. It's still the same bad news when it comes to antibodies. Some don't pre-treat, they wait for the perfect match and we PRAY that it comes. Other's pre-treat more agressively than other. Carson wants to check out Boston Childrens and some in Pennsylvania as well. It's all going to come down to parent's intuition. What the best options are for Owen. THANKFULLY, we have time on our hands and we continue to pray for more. I hope to spend less time on the phone tomorrow and more time PLAYING. What a stink of a day!
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I have had an aweful feeling in the pit of my stomach all day.
It started with me calling the transplant coordinator through our insurance to make sure they were going to cover Owen being seen at yet another transplant center. I expressed my concerns with UCLA, to which she immedietly called them. Surprise... I got a return call from UCLA just 5 minutes later. Not sure why it took an angry insurance provider to get a return call.
First is was the transplant coordinator asking if I wanted the transplant cardiologist to call me back with information... um yeah?
Dr. Halnon called immedietly after I hung up with the coordinator. She said she hasn't called because it's only bad news. All of the chemo and immunoglobulin treatments did NOTHING for Owen's antibodies. They didn't even budge a bit. Being the optimist that I am... I said "why not try it again?" OR "we can maybe try cellcept?"
The reply that she gave was "OH, do you want to try the treatments again? I can also sent a request for a perscription of cellcept to be written by your cardiologist if you want to TRY that. We haven't seen much success with either treatments, but it doesn't mean Owen won't be the first!"
She proceeded with asking me if I'd considered maybe selecting a transplant facility in the midwest? With Owen's antibodies, he would need almost an exact cross match right now, which means he definetly needs a caucasian donor .. almost a twin. So she suggested that the midwest may have a larger caucasian donor pool and his chances of getting a heart would maybe increase. The majority of donors at UCLA are hispanic or african american. She also stated that some transplant facilites don't run cross matches on antibodies, so they'll transplant any available heart and treat rejection after the fact.... no thanks.
The antibodies he has are common antibodies. Only a heart out of about 10% of the donor pool would be acceptable for him. Since he didn't show signs to the initial antibody treatments, it's discouraging to think that after he gets a heart, that the treatments to prevent rejection of the heart will work. Another option she gave was to simply treat his heart failure and forget about transplant. I don't like this option.
She said she would speak with their immunologist to get more ideas. She will also contact some other transplant centers to find out what their ideas are.
After our 45 minute phone call, I hung up feeling discouraged, and VERY DETERMINED! I know that UCLA is the "bad guy" and had to deliver the news. I also can't help but to listen to my instincts. There has to a transplant facility that has a little more optimistic news for me. Someone that sounds hopeful. A team that has dealt with this in the past and had successful outcomes. I will call every transplant facility and ask them how they deal with antibody treatments, what their opinons are and I will go anywhere!
I need your help!! Tell me your experiences with hospitals, transplants, antibody treatments.. whatever you know or have experienced. Good or bad. Anywhere in the US. At this point, I will do anything!!
Spread the word. Thank you.
Wednesday, April 1, 2009
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30 comments:
Oh, Andrea, I am so sorry to hear about Owen's non-budging antibodies. I wish I had the answer for you, but I will pray you will feel confident in your decision and it will be clear to you how to proceed from here.
I just really admire how you advocate for your son ... Owen is one lucky boy!
Jesse
OMG.. I'm really sorry about the bad news. Honestly I think the way they handled it is terrible. Withholding information because they don't want to tell you something bad.. seriously???
I'll see if I can find out any scoop about other ways the antibody issues are treated. I agree with your sense that he might need to switch transplant centers. Even if you don't pick Colorado.. I'm glad that you are looking at other options and trying to find the best place for him.
I wish I knew about this sort of stuff so I could help you!!!! I admire your strength and faith!!! I am praying for Owen!!!
Lots of love and hugs and PRAYERS--
Tiff
I am so sorry for this. How scary and frustrating! Have you looked into Primary's? I know that they aren't the biggest hospital out there but they rank pretty high in Caridac care ( I think 14th or 15th in the Nation) and service 5 different intermountain states (Utah, Idaho, Wyoming, Northern Nevada, and Montana, I think). Also, they are actually in the works creating and building a seperate CICU (cardiac intensive care unit) to minimize cross contamination with sick ICU kids and to have highly trained and specific staff to care for the heart kiddos. Anyway, maybe I'm biased but I have nothing bad to say about Primary's. Good luck with you're search.
I am so sorry. I have been thinking about Owen A LOT lately and praying like crazy. I don't think they handled everything the way they should have.
I would strongly suggest you giving the surgeon we talked about a call.. at Texas Childrens. They have an amazing rank #3 in heart surgery and #6 over all. I really think he could help.. and if he can't I KNOW he would refer you to someone who could just over the phone. They are some of the most amazing people I have ever met. We are so glad we made the change.
Please keep us all updated. I am still praying for your sweet Owen!! I HEART HIS SMILE!!
If you need any of the information I sent before, let me know.
It it seems to me that Primary's runs the crossmatch thing. I am pretty sure of that. Anyhow, I have nothing bad to say about that hospital or any of those that cared for Kaidence. We lived there for months straight and so I think that says a lot about all the great people that treated my daughter. I also felt that they did everything possible to give Kaidence a chance. They even brought in the Berlin Heart and started there VAD program so that she could have that device to buy her more time. We will pray that you may find the answer that you are looking for. I will call Primary's transplant coord and ask about this and let you know. BTW, I was also told that this region is usualy a good one for transplant because many people DO choose to donate. I know that the first day Kaidence was listed they recieved a call saying that they had a heart for her but transplant turned it down because it would not be the best fit for Kaidence.
I know one of the top doctors at Cooks Childrens Hospital in Fort Worth. I will talk to him and pick his brain about what he suggests you do. Continue to follow your instincts!!
Many Blessings,
Amanda
Hi,
I have not been following your blog that long, and have never left a comment---I hope you don't mind me just jumping in here.
I live in St Louis, MO and have heard nothing but excellent things about transplants at St. Louis Children's Hospital. It's NOTHING in comparison but my daughter had a minor surgery there two years ago and I was very impressed with everything about Children's.
Just a thought.
I emailed our wonderful nurse at Lucile Packard Children's/Stanford and asked her for someone for you to contact. Below is what she sent me.
Andrea Bobke is the NP who takes care of the heart failure/pre-transplant patients. Her phone number is 650-721-2596 or email is adelarosa@lpch.org.
Heart moms so often have to be, among many, many other things Investigators and Fighters. I LOVE and ADMIRE the Sherlock Holmes and the Muhammad Ali in you!
~ Chris A ~
I am convinced there is a reason Owen was sent to you because Heavenly Father knew you would fight for his life and take such great care of him.
I am so sorry to hear about these setbacks. I seriously can't believe they didn't call just because they only had bad news!!!
I added Owen's prayer button to my blog. I'll be praying for you to find the answers you are looking for.
Hey! I hadn't checked the blog today, so when I picked up the kids I had no idea what was going on with Owen. Poor guy! He's just so gosh darn happy all the time, it's hard to believe there's anything wrong. I get caught up in playing with him and forget to ask for the update. Let me know if I can do anything to help. You know you can call me for anything--and Kamryn is ALWAYS welcome here.
HUGS!!!
I have never commented before on your blog but have been following your blog. In my personal experience I would reccomend St. Lousi Chrildrens Hospital as my neice had a heart transplant done there, she was born with HLHS and she was on the transplant list in Minnesota for over 2 years until they went to St Louis and she recieved a heart within weeks of being there, as they are centrally located in the US. Now she is a happy 5 year old.
My daughter had her OHS at University of Michigan, Mott Childrens Hospital. They were amazing. They have a group of 4 amazing ped. surgeons. I know they do a lot of research there. Dr. Bove is the "main man" there. The heart center # is (734) 764-5176. I have no idea if they have what you need but it is worth a phone call. I would ask to talk to Dr. Bove personally. http://www.med.umich.edu/mott/chc/
I am so sorry that you have to deal with so many "unknowns." I am just stranger to your family but I follow your blog and pray for your adorable son daily. God Bless you.
What about Loma Linda University Medical Center (located in Loma Linda, California)? They have a children's hospital, and a strong history of heart transplantation in infants. Might be worth checking into. Praying for sweet Owen and the rest of your family.
Stacie in Los Angeles
Vanderbilt Childrens Hospital in Nashville is Excellent. I know of someone who had a boy with HLHS and they got his heart within 3 weeks. He went home within about a month after that and is still doing great.
I'm not 100% sure what is going on, but have you read the book Walk on Water? There is a dr in Boston that fixes these kids with HLHS and gives them a whole heart without the need for transplant. After everything that I have read, if my little guy needed more heart repairs we would head to Boston.
I can't remember why Owen needs the heart, but I have heard many parents of children with HLHS that have said that they wished they knew about Dr. Mee before transplant etc...
Just a thought. I really liked the book Walk on Water. It was amazing
K, I'm no expert nor do I know much about any kind of heart treatment, but right now I'm living in Cleveland, Ohio and I know the hospitals around here rank very highly (nationally). You could look into the Cleveland Clinic (one of top 4 for cardiac in country), or Rainbow Babies which is part of the University Hospitals.
I hope you find the best place for Owen - he deserves it! You are one strong mama and Owen (and Kamryn) are some lucky kids. We'll continue praying
Dear Simmons Family,
This is my first comment on your page! I am praying for Owen every day here in Minnesota. =)
And would like to suggest that you look at hospitals here in Minnesota (Fairview). I am 22 years old and shortly after I was born my grandpa had a successful heart transplant there! I am not sure about how they go about all the antibodies, direct match, etc. But, I am very thankful for what they were able to do for my grandpa and I know our family was very happy working with them!
Good luck with your search tomorrow!
Much Love and Prayers, Cassie
I just shared your story with my husband. We are praying for you. You are in my heart everyday. Your family pictures are priceless. Your kids are BEAUTIFUL! May your worries be lifted soon.
I am so glad you have started hearing back from some nurses.. I am praying praying praying for good news and the perfect place for Owen.
If you need anything at all, please do not hesitate to ask.
I am helpless to you here. I can offer zero advice since this is all foreign to me. I am so sorry (again) that you have to endure this trial. We will keep praying for you guys.
I know that I live quite far away, but one thing I can tell you about living in Iowa (right in the middle of the US) is that we had the advantage of getting a heart from coast to coast. Beck's heart actually came from New York, and we were able to list him all over. University of Iowa Hospital ranks in the top 20 of best children's hospital in the US (I know, you would never think that of Iowa). Plus, we are currently dealing with a severe anti-body problem and I feel very confident in Beck's care. E-mail me if you want more info (kimscadlock@hotmail.com). Also, have you thought about Denver's hospital? I have heart amazing things about that hospital - especially when it comes to taking a severe case.
Good luck. My prayers are with you!
Andrea, we've been following Owen on your blog for awhile, but I finally thought it was time to post. My son was transplanted at Children's Medical Center of Dallas; great surgeons, they do cross-match, and because it's land-locked, HUGE radius for organs.
All that being said, we've been in Boston being treated for intestinal failure for the last month at Children's Hospital Boston. We ADORE our transplant cardiologist here; I would be happy to give you her info too.
Good luck to you, and we'll continue to pray for Owen and your entire family. Please let us know if there's anything we can do to help.
Andrea,
Could you email me at JennaDP@gmail.com?? I don't have your email. One of our coordinators here who follows Alan would love to chat with you and I can send you her phone number.
hey girl! We go to Arkansas Children's Hospital in Little Rock. Dr Jaquiss is Amazing!! I think he does 2 to 3 transplants a week. They also use the berlin heart pretty regularly. They have one of the best ecmo centers and they even have an ecmo that can be transported. I would definitely call the cardiology clinic. He really is amazing--he was highlighted on a discovery health special. Let me know if you need phone numbers.
Oh dear. You are a very determined woman-I love it!! You will get through this. You need to feel good about your decisions and it sounds like your not. Trust those instincts. Ryan wanted us to move to Boston because of all the amazing things that they do there. Thankfully we didn't need to. We will most definatly be praying for you and Owen, I am so glad that he is home and doing well-all things considering. We will help you get through this. Let me know if there is anything that I can do. Sending lots of prayers and faith your way.
....I know one wouldn't usually consider Arkansas at the forefront of medicine, however Arkansas Children's Hospital is one of the country's leading pediatric cardiology programs and transplant services. Check them out
WEll, you have a lot of suggestions! Seattle Childrens... two thumbs up! I of course grew up going to primary children's and would give my right arm to be back in Utah... not for transplant purposes ;-) It is a wonderful hospital!
There are so many things that come into play...it may be a good idea to be in the center of the states... so it opens up the options.
Our transplant docs are sooo good. I bet one of them would talk to you too. Let me know if you want me to see if one of them will call you.
Is Loma Linda on your insurance plan? That is where Mia had her transplant and they are amazing - I think have done the most pediatric cardiac transplants and deal with Hypoplastic heart all the time
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