Wednesday, November 4, 2009

Dylan's Heart

Exactly one year ago, at 8:30 in the morning, we handed our 4 month old baby over to his cardiovascular surgical team. Dylan was about to undergo open heart surgery.


What was meant to be a complete AV canal repair, wound up being quite a bit more complicated than everyone had anticipated. Once the surgery had begun, an additional, and extremely rare defect called an A.P Window was discovered. And thus it began. The journey of how our broken hearts were repaired.

Here is an update I wrote the day after his surgery:

Dylan's surgery began at about 8:30a.m yesterday. At around 11a.m, the Physician's Assistant came to update us as to how the surgery was progressing. She told us that the surgery was going to be a bit more complicated than they had anticipated. They had found an additional defect called an A.P Window which they did not know about until the surgery had begun. We later found out that they had never before seen an A.P window with an AV canal defect before. Never ever. Ever.


We were updated again at around 2pm and were told that the A.P Window had been closed and they were now going to begin the AV canal defect repair. She told us that because Dylan had been on the heart/lung bypass machine for so long, as well as having to be put on cardiac arrest, they were concerned that his recovery was going to be quite difficult. We were told that he was going to be sick for longer than they had originally anticipated.

At around 3:45pm we were told that the AV canal had been repaired and that he was now off the heart/lung bypass machine. She said that there was still a bit that needed to be done before we would be able to see him.


The surgeon, a genius to be sure, but yet a man of few words, came out to talk to us a couple of hours later and told us that Dylan was doing "Ok" but that his lungs were "not good".


We sat with that information for a couple more hours until the cardiologist came to talk to us. She was much more optimistic. She was exactly what we needed. We were then able to see Dylan. It was amazing...he is amazing.






I went on to write this:


My head definitely hurts, but I am telling you, my heart is so full of love for this kid. He has absolutely, positively, 100% blown me away. He is so courageous and so strong. As I was leaving today, the Physician's Assistant said, "Don't worry about Dylan. He's leading the way and I'm pretty sure he knows exactly what he's doing".


Yes, that was it. That was when my thinking began to change. When my feelings began to change. That was when my fears about Down syndrome began to fade, and my love for Dylan began to evolve into something far stronger than what I had thought possible.



My son was fighting for his life. His life that was worth living. And I was realizing that there was nothing more that I could possibly hope for, than to be a part of it. Nothing else mattered.



Dylan began to recover. His heart began to heal. And all the while, my heart was recovering and healing as well. As it turns out, mine was also in need of repair. See, after hearing my baby's diagnosis of Down syndrome, my heart broke. Not completely in two, but indeed, it was hurt. And just as Dylan's heart wasn't working properly, wasn't working to it's fullest potential, neither was mine. It needed perspective. I needed perspective.



His heart and mine. Healing together.


It has been one year since the surgery. Dylan's heart is still not perfect. If you were to look closely enough on an echocardiogram, you would see that there is still a very small hole and a mildly leaky valve. If you were to listen carefully to his heart with a stethoscope, you may hear a murmur. In Dylan's daily life, however, these issues are virtually unnoticeable. And over time, his heart is expected to heal completely. And mine? My once damaged heart? I think if you were to look very closely, or if you were to listen hard enough, you may notice that mine is also not perfect. I'd guess that a few small cracks still remain, however most days you would never know it. And I am confident that, as time goes on, like Dylan's, my heart will also make a full recovery.

For now, our major repairs are done and we are lucky. I have been given the gift of perspective and Dylan - the gift of life. And because of this, we have both found love.


Happy Heart Day, Dylan. And thank you. We are incredibly proud of you.

Saturday, October 31, 2009

My Little Chicken...

and his big sister, Kitty Cat, were quite excited about celebrating Halloween this year!

Little Chicken had just recently woken up from his nap, so he was a bit, err, dazed,


but excited nonetheless. Excited and healthy.


This time last year, we were just days away from Dylan's open heart surgery. Dylan's heart needed repair. And mine? My heart was lodged tightly in my throat. But still, we celebrated...


...with My Little Jack-o-Lantern and his big sister Bunny Rabbit.

Friday, October 30, 2009

Change of plans

and not by me.

(Revisited)

I called our satellite hospital this morning to verify Dylan's endoscopy procedure. You know, the procedure that I have talked about incessantly for the past, oh, couple of months? The one that I was hoping would help us understand the cause of his constant vomiting? The one that was scheduled by our GI doctor for November4th? Yes, that one. The secretary collected my name and number and said that a nurse would call me back to speak with me about all of the details.

10 minutes later:

Me: Hello?
Nurse: Is this Dylan's mother?
Me: Yes.
Nurse: Sooo, he has Down syndrome?
Me: Er. Yes?
Nurse: Oh. Yeah. Um, he can't have his endoscopy done here, then.
Me: Excuse me? Why not?
Nurse: We do not do procedures that require anesthesia on any Down patients.
Me: Excuse me? Why not?
Nurse: Because we are a free standing building and are not connected to any hospital. We cannot take the risk, you see. You will have to reschedule it down at Children's.
Me: ...............

So. After throwing the phone across the room and crying tears of defeat and frustration, I picked it (and myself) back up and called just about every medical person we are involved with who I thought may be able to help us expedite the rescheduling process. Unfortunately, I have not been very successful as we are currently looking at the end of November/beginning of December for the next available endoscopy appointment at Children's.

Un-freaking-believable.

You know, I really do try to believe that things happen for a reason. Seriously, I do. So right now, I'm just hoping that there is a reason for all this. And in the mean time, where oh where have I left my last beer?

Kidding.

Now, I am wondering if you are wondering why I am suddenly quite eager about getting the endoscopy done, when back in July I actually had the opportunity and declined? My answer to that is that his reflux has gotten considerably worse since then. Actually, back then, the endoscopy was scheduled to check for a laryngeal cleft. Vomiting wasn't even a concern a few months ago. So, because his struggles with reflux have gotten so much worse and because he has begun to lose weight, I now feel that an endoscopy is justified.

Am I wondering if perhaps they will find nothing and we will be left with the belief that this is all a low tone issue? Yes. Am I kicking myself (hard!) that I didn't get the endoscopy done when I had the chance. Indeed.

Ah. Onward we go.

Tuesday, October 27, 2009

I decided to do it.

I got both of my kiddos all vaxed up today. I had thought for sure that I wouldn't go ahead with the H1N1 vaccine, but I changed my mind. As the days went on, I had begun to fear the swine flu more than the vaccine, so I decided to go with it. Please don't flame me.

I called our pediatrician's office to enquire about the availability of the H1N1 vax and because of Dylan's ol' bonus chromosome, both he and Cassidy fall into the "high risk" category. Our appointment was this morning and so far, so good.

Trust me, I am on high alert for any side effects, but to be quite honest, I feel good about my decision. I think.

Ah. As I lied in bed last night, tossing and turning, I couldn't help but stress the heck out, I mean, ponder this whole parenting thing and how insanely difficult it can be at times. I don't know. I just did not feel...good having to choose between possibly allowing my kids to get sick from the Swine Flu or possibly harming them from a vaccination. Bah. Maybe I'm over thinking this and maybe I'm being dramatic, but still. It's hard. For me, having to make decisions that involve the well being of my children is just. plain. hard.

Time will tell, I suppose. But for now, all is good. My kids have forgiven quite easily and we are happy. I think bopping around in the car on the way home to I Gotta Feeling by The Black Eyed Peas helped all of us.

~

Hold on. You didn't think that I'd be capable of completing a post without mentioning spit up, now did you? Ha! C'mon now!

Dylan's endoscopy is scheduled. You know, the thing that will help us figure out the root of all of his spit up issues?? Yes, that. It will be on November 4th. The one year anniversary of his open heart surgery, naturally.

Thursday, October 22, 2009

A for Effort

Well, I think it's safe to say that I am totally and completely burned out with all of this spit up talk. How 'bout you?

If you can't bear any more of it, please feel free to skip the following update. I wouldn't blame you in the least. Trust me.

So, after talking with Dylan's GI doctor as well as his pediatrician today (why yes, yes I am becoming quite the squeaky wheel), I was informed that some of Dylan's blood work has come back elevated. The elevations were shown in potassium as well as zinc (and somethingelsethatIcantrecallatthemoment) which his doctor said may indicate some kind of allergy and/or irritation in his esophagus or stomach. They are recommending an upper GI endoscopy at this time, which will also include taking biopsies of his tissue. I feel like at this point in time, it is pretty justified, so we are going to go ahead with it in hopes that we will be one step closer in finding an answer for our little guy.

Anyway...

I decided to put Dylan on the floor the other morning. I knew the ramifications may be nasty, but oh well - I let him go crazy - spit up be darned!

video

I'd say he deserves an "A" for effort. Don't you?

Wednesday, October 21, 2009

So.

Dylan's GI results: Normal

Dylan's tired Mama: Discouraged

Tuesday, October 20, 2009

Tomorrow...

...is our appointment for Dylan's upper GI. At this point, to be perfectly honest, I am feeling like tomorrow can't come soon enough.

Because today? Today I am having one of those days.

I am worried about Dylan. Worried about his health and well being. And at the same time I'm worried that when everything is said and done, we will not find any issues and instead will learn that this reflux, this constant vomiting, is something we just need to learn to live with.

Three times in the past two days, Dylan has panicked and choked while vomiting. It almost seemed as though it got stuck in his throat and couldn't move - neither up nor down. After a few seconds, it came up. Out of his mouth yes, and his nose. It was a scary scene, to say the least. Can this be normal? The only experience I've ever had with reflux is this, so I really do not know...

Oh, I am nearing my wits end, I think. I truly may be. My head is spinning.

Nothing is staying down. Every single thing that I feed him comes back up. All. Day. Long. His development is, without a doubt, being severely affected as are his relationships with people. I don't even want to think of the damage that is being to done to his insides.

Sometimes when I feed him, I feel as though I don't know what in the world I am doing. I am suppose to be feeding him fatty foods to help increase his weight, but at the same time, fatty foods do not digest as quickly and with an already obviously slow digestive system, that's not exactly helpful to the situation. There is talk about the possibility of Celiac Disease, so while I am being instructed to thicken his foods with oatmeal and other cereals, I feel like if in fact he does have Celiac, I am certainly not doing his belly any favors by giving him 10 tons of oats and barley a day. His pediatrician said today that maybe he's having difficulty with milk proteins. So, do I feed him milk, soy milk, Pediasure, formula? I don't know.

Ahh. I just hope we find an answer soon. And by soon I mean, like, tomorrow.


*Annoying pity-party over*