livingwithevan.com

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  • Hemi-Fontan Update #1

    Evan did so great while waiting for the anesthesia team to take him back.  There was a bit of a delay and they got him at about 1.  A surgical nurse practitioner updated us at around 3 and said that so far everything was going as planned but that they had just begun the actual surgery.  Dr. Hirsch commented that there was a decent amount of scar tissue.  She expected this and told us this would be some of the most tricky part of today’s procedure.  It’ll be the 3rd time opening up his chest.  We’ll get another update around 4:30.

    Thank you to the Wilson family for stopping by.  I hate that you’re here too but I’m so glad to have friends like you.

    Evan is having the bi-directional Glenn aka Glenn aka Hemi-Fontan today.

    Here is a quick 26-second video showing what he will have done today.

     

    Here is the full 9:25 video from which that clip was extracted and has more details.  Evan doesn’t have HLHS but the same operations apply to his condition as well.

    Please be patient with updates.  Among the great things with the new hospital are zero cell phone reception anywhere and spotty (at best) wireless internet.  I’ve lost connection 6 times during this post so I hope it makes it. 🙂

  • In waiting…

    The first case is running late do we’re waiting in pre-op.

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    Always with that foot in the air. 🙂

  • Prayers

    I haven’t prayed much throughout everything.  I don’t know why that is.  Well, I do know why but some things should stay personal.  I cannot thank everyone enough for all of their prayers, wishes, thoughts, vibes, everything positive.  Right now I do need to pray several prayers.  I am a very worried mother and I’m sure I will be for the rest of my life.  Please join me in prayer, however you pray.  I need to meditate on these words and this will help ease my mind to get a few hours of shuteye…

    Dear God, please guide the surgeons, nurses, assistants, and specialists.  Guide their hands, heads, and hearts.

    Dear God, please don’t let tonight be the last time I tuck my son in to bed.  Please don’t take him from us.

    Dear God, please give Evan back to us just as happy and full of smiles.  I want my happy baby boy back.

    Dear God, please don’t let this weekend be the last time Evan hangs out with his baby friends.  Let them grow up together as children.

    Dear God, please give Evan a full nights rest so he will be in the best form to go into surgery tomorrow.

    Dear God, please allow this hospitalization and procedure to go without complications.  Please cut Evan a break.  I will gladly take it if you can spare him.

    Dear God, please fill my heart with patience and understanding when people tell me, “Everything will be ok.”  Please quiet my tongue from saying, “So then do you want to change places with me” and know that they just don’t know anything else to say.  What do you say?

    Dear God, please lift the load of worry from my heart and let me release in my trust into you.

    Dear God, please help Evan’s father just as much as me.  Provide comfort to extended family and friends as well.

  • “Where did you get your Christmas cards?”

    “Where did you get your Christmas cards?”

    Our Christmas cards went out a little late this year but they are so adorable and worth the wait.  I’ve had a couple inquiries on where we got them.  They are from Pear Tree Greetings and it was either something like this, an ornament design, or your typical card design.  They have some unique designs and their prices seemed reasonable.  A lot of their stuff is pretty customize-able too.  The holes were perforated but not punched all the way through so we needed to do that.  And then string the “lights” on.  We heard of them through a coupon from Zulily.  Zulily is an online store that has sales from various vendors at usually good discounts for 72 hours.   If you want to join Zulily, follow this link.

  • Today’s Heart Cath went splendid!

    Today’s Heart Cath went splendid!

    The title says it all. Evan was amazing today and his heart cath went really well. It was an exhausting day for everyone.

    We were supposed to be there at 7AM but we were running late as usual. We got up at 5 AM and were out the door at about 5:45. We arrived about 30 minutes late but it didn’t seem to make much difference. First we went to radiology where Evan got a chest X-ray that he was not too happy about. We’ve never had a chest x-ray like this one…. all strapped up.

    We met with Shannon, a nurse practitioner, and went over general stuff like height, weight, meds, etc. Evan had an EKG and his pacemaker was checked out. At about 10AM we were moved to the pre-op area and started getting Evan ready. They took him at about 11 and we went to see Mia Wilson and grab a bite to eat.

     

     

    Ha… I spit on your silly sedatives.

    Just after 1PM our pager went off to let us know he was done. The cardiologist performing the cath, Dr. Aiyagari came out and gave us the good news. Everything went really well and his heart looks great for surgery next week. The only bump they ran into (which the anesthesiologist had already came out and told us) was that the sedation they wanted to use did not work on Evan, it actually had the opposite effect and they had to intubate (breathing tube/ventilator) him and put him completely under. Apparently Versed is like candy to Evan and it just amps him up. This is something we’ll need to remember for the future as this isn’t the first time he’s reacted this way to Versed.

    Evan's Heart Cath pictures

    If you click on the image on the left you can see some of the images that they captured of Evan’s heart and arteries. In the top left you can clearly see Evan’s pulmonary arteries, these are the ones that provide blood to the lungs. In next weeks surgery the superior vena cava (the large vein that empties the blood from the top half of the body to the heart) will be removed from the heart and attached to this artery to provide blood to the lungs instead of the shunt that was placed during the Norwood procedure. You can read more about all three operations here. Dr. Hirsch (the surgeon that performed the Norwood and will be performing next weeks surgery) came and talked to us and was extremely pleased with the size of his pulmonary arteries. Yay Evan!

     

    EKG, and Pacemaker Check… all while Evan eats his drumstick.

    We got back to see Evan at about 2:45 pm and he was very awake but clearly still sedated and in need of some sleep. He fought off sleep until 4:30 when we got him unhooked from everything and headed over to see the Wilson family and  then head home. They hold patients for 4+ hours after a heart cath to make sure that there is no bleeding at the catheter site (Evan’s right leg, femoral artery and vein). During this time we had a few visitors including Nurse Bethany and Nurse Practitioner Staci. Bethany took care of Evan quite a bit when he was there  for the first surgery. Staci checked out his pacemaker again and another EKG was done both with the pacemaker turned on and off. The doctor’s need to determine if they are going to replace Evan’s pacemaker next week or wait until surgery #3, the Fontan, which will occur  at about 2 years old. If you recall, Evan’s current pacemaker controls his ventricle only and at a  set pace, it does not increase/decrease like ours would when we get excited. This one was installed because it’s much smaller and all that an infant needs. The intention was always to replace it with one that senses the atrial beat and tells the ventricle to beat just like yours or mine, it’s just a matter of when.

    Momma tells Evan how proud she is of him and all that he's gone through.

    Right now we are scheduled for first case on Tuesday, which means we need to be at the hospital at about 6:15AM. Yuck. Typical stay for surgery #2 is 5-10 days, and we’re told this is the surgery that kids recover the quickest from. I’m interested in hearing from other heart families how their hemi-Fontan went and if their kid had the ‘hemi-headaches.’ How long did they last? How bad was it? Did you just give tylenol regularly, did it help?

    Here are some pictures from the day. Everyone have a safe and happy new year!

  • Surgery moved up.

    Just wanted to leave a quick note to let everyone know that Evan’s heart surgery has been rescheduled. We will go in for the heart cath tomorrow morning and the surgery will be on Tues. January 3.

    Here’s my understanding of what is going to happen tomorrow:

    Arrive at Mott @ 7AM
    Meet with a nurse practitioner where we’ll go over some pre-procedure testing including:

    • anesthesia (he needs to be sedated for this echo to make sure they get perfectly clear pictures)
    • echocardiogram
    • chest x-ray
    • EKG

    We’ll go to the cath lab at about 10AM and this will take 2-3 hours. Heart catheterization, if you don’t know, is a procedure in which a catheter is placed into an artery and moved into the heart to look (it has a camera on the end) at the chambers, valves, etc of the heart. Pressures and flows can be measured and if necessary samples can be taken of blood or heart tissue. If you would like to know more you can read about it here. After the cath lab Evan will be moved to recovery. Recovery takes about 4 hours, after which we will come home.

    Please continue to keep Evan in your thoughts and prayers as he goes in for another procedure tomorrow and surgery next week.

  • Christmas photos

    My family celebrates more on Christmas Eve so we loaded up the car with baby stuff, gifts, and dogs and headed on up.  First stop was Grandma Nan’s house.  We got there early and beat the rush of ~20 people who would be showing up.  Cousin Morgan helped to open Evan’s presents while Aunt Kate got to get in some cuddle time.  Sadly we could only stay for a short time due to our schedule needs and we proceeded onward.

     

     

    Next stop was Holly Wood… ‘s house.  No, really, my Grandma Jo named her daughter Holly Wood.  Cool, right?  Ok technically she is Holly Wood Webber but details… Evy received even more wonderful gifts and mostly just sat there and took all the sights in.  He is definitely one to observe first, analyze data, and then act.  As you can see, we had more fun opening them than he did.  Next year he should be able to go bananas.

     

     

    Christmas morning had me dressing Evan in a ridiculous outfit and I got one of the funniest “Woman, are you for real” looks he’s ever given me. Ahahahahahaha.  I just really love BabyLegs and have a couple pairs.  It is hard to get Evan to wear onesies due to the mickey button.  So if you don’t wear pants, it makes it easier.  Besides, who doesn’t want to see those sweet (albeit purple 🙁 ) toes and chubby little thighs.  Evy also checked out his first candy cane.

     

     

     

     

    That afternoon Will’s family came over to celebrate and feast.  Evy opened his gifts from Mom, Dad, Nana and Papa.  And by opened I mean that he slept in his swing while we opened them for him.  Even as a child, going through this pile would have taken some time.  You think he is spoiled?  Nah…. just loved a whoooooole lot.

     

     

     

    Uncle PJ and Grandma Nan came down to eat with us as they had a limited amount of time the previous day.  It was so nice for Evy to meet his uncle as he lives in Florida.

     

     

     

     

     

     

    And finally here is Evy modeling the hat and pants Grandma Nan gave him while getting ready to go visit some friends.  Baby Gap in need of a model?  Because I’ve got one cutie pie on my hands here.

    All in all we had a very tiring few days but absolutely worth it to give Evan the best First Christmas possible.  It is only the first of many to come!  Thank you everyone for your help, understanding, generous gifts, and love.

  • Merry Christmas!

    Merry Christmas!

    Have a safe and happy holiday!

     

     

     

     

     

     

     

     

  • Open Heart Surgery #2 Scheduled 🙁

    It’s been a few weeks since we’ve made a post… sorry about that.

    Here’s what has gone on the last few weeks…

    Since the G-tube surgery Evan has continued to gain weight very steadily. In the last two weeks he’s gained a pound. His current weight is about 14 lbs 12 ounces. Feeding orally has unfortunately gotten worse. We think it’s from the constant puking that he’s decided that food in mouth = puking and he doesn’t want any part of it. We’ve stopped trying to feed him orally all-together as to not reinforce whatever it is that has made him hate it so much. On Wednesday we had our first visit with occupational therapy. The therapist evaluated Evan by watching his reactions when she touched his face and mouth with her gloved hands. He was not having a very good day, worse than most and when she put her finger in the front of his mouth he started retching and puked. It was at that time that she told us that Evan was the most oral averse child she’s seen. That wasn’t very comforting to hear but at least it allows us to put in perspective how hard we’re going to need to work to fix this. We’ve temporarily switched to straight formula wondering if something Sarah eats is upsetting his stomach. So she’s going to give up dairy in the meantime and if the change in formula works we’ll try the ‘dairy free’ breast milk. If the formula change helps and the same is true of the dairy free breast milk that would be great. If Sarah’s diet change doesn’t help and the formula does then I guess we’ll switch to formula but that would be a real disappointment. Sarah works very hard for that milk… pumping 5+ times a day, the endless pump parts to wash, lugging it around with her wherever she goes, always having to schedule things around pumping. It would be a shame to see the 2+ months worth of milk in the freezer go to waste. Spending $235 per month on formula vs the zero we spend now is another negative.

     

    We had a follow up appointment in Ann Arbor with Neurology for the stroke/seizures that Evan had back in August. Dr. Lieber was very happy with his progress, he didn’t see anything out of the ordinary. So far Evan has developed very well, and we’re not seeing any negative impact of the brain injury. We’ll follow up with them again in 6 months.

     

     

     

     

    It’s Christmas time and what is a must for kids at Christmas? Sitting on Santa’s lap of course! Our friend’s brother dresses up as Santa at Christmastime for events – and since he had the costume laying around he thought he would offer to be our personal Santa so that we don’t have to lug everyone to the mall.  It was very kind of him to drive from Grand Rapids (yes in costume) to walk into an ambush of babies.  Getting 5 kids ranging in ages of 4-13 months in a picture with Santa is no small task. Shear chaos, but it was fun.

     

     

    We’ve been seeing the cardiologist every two weeks and so far everything has looked great. Our appointment two weeks ago was no exception, Evan’s oxygen saturation (sats) were in the low 80’s which is great given his heart condition. After leaving last time and not having an appointment for another 2 weeks we really thought things were looking good. If you would have asked me yesterday I would have told you that I thought Evan’s surgery would not be until early February.  Today’s appointment didn’t go as well. His sats were in the mid 60’s today. What gives? Well, he’s a growing boy… His shunt, only 3 millimeters wide can no longer supply enough blood to his lungs to keep up the level of oxygen in his blood. As he grows it’s only going to get worse. The cardiologist performed another echocardiongram to look at his heart function and the shunt, both of which were good. Then she told us that she was going to call the surgeon at U of M and let her know that it was time for the next surgery. We were taken back to say the least. We left the appointment with heavy hearts and lots of dread. I went back to work and attempted to get some things done but all I could think about was my beautiful little boy and what he’s going to have to go through… again. A short while later we got a call. Evan goes in for  a heart catheterization  on Jan 5th and the surgery is scheduled for Jan 6th. Less than 2 weeks away. 🙁

     

  • Happy Thanksgiving!!

    Happy Thanksgiving!!

     

    This year we are thankful for all of the wonderful doctors and nurses at Mott Children’s Hospital and Bronson Methodist Hospital. Their dedication to helping children and families is amazing and we’ll be forever in their debt for what they have done for Evan.

    Have a wonderful and safe Thanksgiving!

    Thanks Erica for the beautiful hat.  🙂