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teddyhasaspecialheart

~ My Little Boy's Fontan Journey

teddyhasaspecialheart

Tag Archives: Hypoplastic Left Heart Syndrome

Being Prepared Always. Like a Scout.

29 Thursday Jan 2015

Posted by carolyngalvin in Uncategorized

≈ 5 Comments

Tags

CHD, Fontan, HLHS, Hypoplastic Left Heart Syndrome, motherhood, organised

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Until the recent demands of three young children caused a temporary lapse in my hyper-organised state, I would have considered myself a very well prepared type of person. Organised almost to the point of being a Scout. Note however that I find the whole scout thing generally rather odd. It seems almost cultish, never mind the scarves and all those knots…

Being prepared for Ted’s Fontan surgery has posed a stumbling block for me not just because we are facing the 20% cancellation rate that unfortunately affects all patients in Australian public hospitals. Also we have the added consideration that if Ted has even a slight sniffle he will be deemed unfit for surgery.
So here I find myself juggling my inherent desire for everything to fit nicely into place and the reality that it could all be postponed at the last minute. I am still struggling to find suitable care for my 7yr old and 18 month old during Ted’s hospitalisation. Not knowing if he faces 3 weeks in hospital or 13 weeks make it very difficult to find a temporary nanny.

Preparing my precious boy is another issue entirely. Ted is incredibly sensitive and suffers with anxiety and phobias of needles and medical gloves. To deal with this I have been taking him out to the hospital for weekly sessions with a wonderful ‘Child Life Therapist’ who aims to give Ted coping strategies through play. While play therapy is a lot of fun for Ted with his truly wonderful therapist, for me the sessions are particularly upsetting. Watching Teddy learn through play that he will be subjected to countless painful procedures is crushing. He plays with the multi coloured tourniquet they call “a funny arm seatbelt” and he cracks jokes and smiles as he puts it on the dolly. While it is all laughs for poor little Ted in these sessions it breaks my heart because I know how much it will hurt in reality and I hate so much that this has to be his reality.

When I was 13 I remember being awarded an amusing prize after a ballet performance for ‘best stage smile’. Still to this day I reckon I could hold a cheesy smile for about as long as it would take Ted to walk a kilometre. That’s a very long time. This brilliant skill has come in very handy since we were dealt the blow of HLHS. Holding Ted and making jokes as he fights the anaesthetist placing the mask onto his face before surgery is always a struggle. Not crying in front of Ted is sadly very important.

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The ‘F’ word. Fontan explained.

18 Sunday Jan 2015

Posted by carolyngalvin in Uncategorized

≈ 4 Comments

Tags

Bi-directional Glenn Shunt, CHD, Congenital Heart Disease, Fontan, gore-tex shunt, HLHS, Hypoplastic Left Heart Syndrome, left ventricle, perfectionist, prenatal diagnosis, right ventricle, Single Ventricle Defect

Friends always ask me to explain what this impending Fontan surgery entails.

Being more of an arts person than a science person I have struggled to answer it with the degree of certainty a perfectionist like me demands. So I have grilled Ted’s surgeon and also his cardiologist. They have drawn me diagrams and patiently answered my questions. Even those irritating ones generated by reading terrifying research papers late at night. I have taken to research like only a frustrated housewife could and finally I have the answers. Well, I have some.

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An ordinary heart has two ventricles, with the left one pumping (red) oxygenated blood to the body and the right pushing (blue) blood to the lungs where it is then oxygenated and flows back to the heart.

Ted’s heart is different. When he was born all of the structures on the left side of his heart were too underdeveloped to pump enough red blood to keep his body alive. In the uterus it was my circulatory system doing all the work, that is why he was otherwise perfectly formed. He was safe in the womb, it was taking that first breath that started the danger.

The first and second stage surgeries totally re-plumbed Ted’s heart so that his right ventricle did the work of the left as well as the right, thereby mixing red and blue blood. When you stand Ted next to other children you see his colour is different, he is blue. This final stage aims to stop the mixing of the blood, by changing things so that his single ventricle heart has only one function; sending oxygenated blood to the body.

The blue blood will passively flow straight into the lungs totally bypassing the heart. This is done by disconnecting the inferior vena cava (the vein that normally takes our blue blood from the lower part of the body up to the heart) and re-routing it with a gore-tex tube up to the lung arteries. Red blood can then pass freely to the heart.

I have a headache. Do you?

Hopefully that makes sense to you.

That all sounds great you say, why the panic and why the dread? Because friends, nothing comes without a cost and there are a number of risks and short and long term side effects that I can delve into in another post. The bottom line remains, and that is that without this procedure our son’s heart in the current form is not compatible with life.

The last four years in an 800 word nutshell

11 Sunday Jan 2015

Posted by carolyngalvin in Uncategorized

≈ 8 Comments

Tags

Bi-directional Glenn Shunt, CHD, Children's Hospital Westmead, Congenital Heart Disease, Fontan, HLHS, Hypoplastic Left Heart Syndrome, Norwood Procedure, Sano shunt, Single Ventricle Defect, The Heart Centre for Children, VSD

Ted was born with Hypoplastic Left Heart Syndrome. Essentially, half a heart.  There is no cure and his treatment is called a 3 staged palliation. Nobody wants to hear “palliative” with regards to their child, nobody.

This means that our little boy needed a series of open heart operations to enable his single ventricle heart to work well enough to sustain his life for as long as it can. After surviving his first open heart surgery shortly after birth we were told he had a 70% chance of making it to 5yrs of age, beyond that nobody knows.

We found out half way through the pregnancy. They encouraged us to terminate our son. We refused. We adored him. We begged for a referral to a cardiologist. We decided to name him Theodore because it means ‘a gift from God.’

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What we found out about Theodore’s heart horrified us, but we held tight to the belief that every child is a gift from God and through our tears we tried to focus on the positives. We wondered if he would be like his 3yr old sister and wondered whether we would have him in our lives long enough to find out.

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We had read the studies and we saw the pictures, we knew Teddy’s journey would be horrific.  We were reasonably prepared to see our tiny baby after a marathon Norwood-Sano surgery at 2 days old. The operation is the most complex of all CHD surgeries it took all day. We weren’t prepared for the complication at 10 days that saw him back in the operating theatre. His little chest had begun to heal but already he was going back in to have a pericardial effusion drained. He had only just been extubated and he was back on the ventilator.

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Quite the little soldier he recovered well, but once he was extubated this time it became apparent that he had suffered vocal cord palsy. We were told his voice may or may not return. He was banned from swallowing and for the next few months had to be continuously fed via trans pyloric tube.

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 At two months of age Teddy faced yet another open heart operation. This time a Bi-directional Glenn Shunt and a Pulmonary Artery Augmentation.  Following a cardiac catheter procedure we then had to prepare for the Glenn- the second stage of his palliation. Two weeks earlier Teddy’s beautiful room-mate Keeley had died following the Glenn. We were very scared to hand him over for more surgery as we mourned the loss of another heartbaby. We were still heartbroken after our dear friend Erin lost Pippa to HLHS following the Norwood.

 The operation was difficult but Teddy seemed to be doing well in the first 24 hours but then things went downhill and weaning off Nitric Oxide was not successful. We had never felt such terror. It took a lot longer than it should but eventually he was extubated. Unfortunately he was not the same little boy. He didn’t recognize us anymore, wouldn’t smile and just screamed and stared into the distance. We had neurologists examine him and he underwent a lot of tests. Fortunately God blessed us and little Teddy eventually returned to normal after a few very rough weeks.

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After many months he finally came home and by his first birthday he no longer had a feeding tube and his life became a lot more normal.

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By Ted’s second birthday he was doing a lot of the things other children his age could do. By three our little miracle boy was amazing doctors and delighting loved ones as he prepared to start preschool.

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Today he is a chatty little almost-four year old, however the capacity of his single ventricle heart is waning and he is often breathless and blue. He cannot keep up with his pre-school friends and he often cries about having a ‘special heart’ and feeling breathless. It is time for his Fontan surgery. It terrifies me to admit that, but it is time.It has been set for mid- February.

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 Seeing Teddy do his ‘ninja turtle dance’ makes us very happy. It is these small things that bring us joy these days. There are plenty of sad moments like realising how tragic it is that we get so excited when we read about a person with HLHS making it to their 20’s. As though it is some major achievement to get to 21?!

It is cruel and unfair that we are facing old age without our son, nobody wants to outlive their children. All we can do is pray for advances in medical science so people like Ted can live healthy long lives and that instead of 20 being an achievement, we’d like the average to be closer to 100!

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