Wednesday, July 7, 2010

Cardiology Today

We had a cardiology appointment today, bright and early. As we were exiting the freeway, Owen saw the hospital and got really excited. He LOVES to go places... but the hospital... that had us laughing.

Owen's sats were low today...70 on 1/4 liter, 74 on 1/2 and then 65 when we took him off to go weigh him. He was delightful and cooperative. He loves when they take his "beep beeps" (translation: blood pressure and o2). His weight was down to 28lbs again. Not cool. He was up to 29.5 at our last visit four weeks ago. This virus really did a number on him.

His length was the same, so at least he didn't shrink. Ha.

He has been wiped out, which is to be expected. I just hope it doesn't take him too much longer to recover. The poor little guy is breathless when he plays and he'll roll himself in the middle of the floor and just lie there for an hour or so. Happy. But relaxing.

Another concern we have is that his blood pressure remains really low. Too low to increase his medications at all. We are stuck. There is nowhere to go from here. If his sats are going to start decreasing and he's getting exhausted easier.. what do we do from here?

Dr Stock scheduled him for an echo in five weeks and he suggested I contact Stanford about moving up his Cath date. He is currently scheduled for the third week in October, but we're not sure we should wait that long. How much longer can he go before he needs to be listed for a heart? That is the main question. Who makes the decision? Stanford.

Why wait to list him?? I hear that question all the time. So here is the best answer I have been given. Right now, Owen is pretty stable with his own heart. He's not thriving, which is heartbreaking. He is growing and developing (a little behind schedule), but he's moving along. With transplant comes it's own complications and we are only trading one heart problem for another. He will need biopsies frequently. He will be immunosuppressed. I'm sure he will be fighting rejection like crazy because of his naughty antibodies. His are significantly sensitized at 98%. We'll have lots of pre-transplant treatments of IVIG, and post-transplant treatments, including plasmapheresis. He may not make it. The reality of what lies ahead is frightening.

He is home and remains stable on his many (incredibly large doses) of medications. His oxygen remains between 75-80 with continuous flow between 1/4-1 liter. He doesn't eat, he doesn't walk (yet, but that has alot to do with stubbornness) and he just can't keep up. A new heart will give him the energy, that he never knew existed.

Transplant is inevitable. I don't know when but I always have it on my mind. I will enjoy the next five weeks before the echo. It's also the last five weeks that Kamryn is home from school.

As we were leaving the hospital today, Owen kept saying "Moooorrreee beep beeps!!" Over and over and over again....

Don't worry buddy... we'll be back all too soon!

13 comments:

Allison said...

Oh the thoughts of the future are frightening aren't they! It must break your heart to watch Owen with little energy and know that it is time for intervention, but that is also a very scary reality. We will continue to be tuned in for what life has in store for you guys!

cici said...

What a good boy!
Sometimes the hardest part is watching a child fight the Doctors and not cooperate at all. Sounds like that part is the easiest for you.
I know little buddy will bounce back soon. There has been a nasty bug hitting people really hard and lingering yuckiness lasting
quite a while in the tum tum.
Try to relax and know God is watching over.

Wright Family said...

Continued prayers for Owen.

Anonymous said...

THANK YOU for answering my (and many others, apparently) question about why wait to get him listed for a heart...when I first started reading the post I was thinking "maybe i'll email her and ask her cuz i'm really curious"... only to get to the end of the post to have my question answered :) I do have one more question though... how long does it, on 'average' take to get a new heart? and how many people are ahead of him? As scary as it must be, it also would scare me to be waiting when it could take sooo long to get a new heart, right? just curious about that. Glad to hear he's feeling a little better though and hopefully he's 100% up to par soon! :) *Megan from WI*

Jessi said...

Praying.

I can't imagine how so very hard it must be to watch him go through this!

Melody said...

Owen and your family continue to be in my thoughts and prayers!! I can't imagine how difficult this must be! Remember that God is in control!

Glad Owen is feeling some better. He is so precious - I hate to know he has to deal with this so I can't imagine how you must feel! He sure is fortunate to have such a devoted and caring mother.

Thanks for sharing Owen with us!!

Anonymous said...

I don't remember how I found your blog but I did and have been following your story for months. I have to say that your family is amazing. You always seem so upbeat and the relationship between Owen and Kamryn is priceless. My prayers are with you and your family, I truly beliee that great things are in store for Owen, he just has that sparkle in his eye!!

Cassie C said...

Dear Andrea,
You are an incredibly strong lady! You inspire me-a single 24 year old girl-to live each day, love more, and not take for granted what I have. I'm so blessed to read your blog! I pray for you, Owen, and your family daily! {HUGS!!}

Evie's Story said...

Sweet Owen!
Thanks for the explaination...helped me understand! It all feels like a gamble some days, doesnt it?

Knowing that HE who loves Owen immeasurably has a perfect plan and will give you wisdom and direction in making decisions!

Stephanie said...

Always staying updated and praying for Owen!

The B Family said...

Owen stays on our hearts and in our prayers...he is so, so precious to me! (For many reasons, but one big one that we know all too well!)

Love you, Andrea...and so thankful for the gift that Owen is to all of us!

Nancy said...

Continued prayers for Owen and your family. I can't imagine facing the decisions that you have ahead. Owen is so cute and lovable. I absolutely love reading about what he has been doing. Praying that he shakes this virus quickly and gets back to gaining weight soon! (((hugs!)))

Mindi said...

Thinking of you and knowing you will KNOW when the time is right to list Owen. The doctors will guess--but you will know.

xoxo,
Mindi