Monday, February 5, 2018

Day 5: Cardiologist (Heart Month)

Perhaps I boxed myself into a corner waxing rhapsodic about our hospital and didn't leave myself any room to talk about our cardiologist: Dr. Matthew Files.

Dr. Files was the cardiologist on service the week we were trying to discharge from the hospital June 2016. While we had never met him before and while all of the cardiologists on service at the hospital had been great, he was immediately so accessible and kind to us. At the time, of course, I didn't know how important he would become to our lives, but he cemented himself in my list of favorite people when he let us discharge that week instead of making us stay as he probably should have, since Job wasn't keeping his feeds down.

He saw us a few days later for our first outpatient follow up and was so clearly invested in Job's care that we requested him as our primary cardiologist for the interstage period (between open heart surgeries one and two). After the second surgery HLHS kids are supposed to start thriving, but when Job didn't and it became obvious Job was too critical to transfer his care down to Tacoma's SCH cardiology branch, Dr. File became our permanent cardiologist. Now, of course, I'm expecting that he will live out his professional career exclusively at SCH so that we can continue to see him every few months (! I still thrill at how far apart our appointments are these days!!) for Job's cardiology care.

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Dr. Files is incredibly knowledgeable, of course, but he is, most of all, compassionate and personable (perhaps in part because he himself has a CHD?). He has spent so many hours talking to us, writing us emails, calling us and even standing by Job's crib crying with me after some really scary days. His dedicated research to explore all possible options for Job and willingness to order weird scans and try new medications and experimental procedures got Job off of oxygen.

I love his willingness to tell me hard things, without sugar coating, and his willingness to explain even minute details of Job's care that I don't really understand or even need to know because they are so technical but still desperately want to try to understand.

It is also absolutely essential to make note of the RN in charge of the Single Ventricle Program at SCH: Kendra Waldburger (also picured). We first met Kendra when we toured SCH a few weeks before Job was born. She spent so much time giving us such a detailed tour of the hospital and explaining so much about the SV Program and CICU which made our transfer to SCH so much less scary. And she has been such a beacon of sunshine and joy, lighting up whenever she sees Job or responds to my emails. I will never forget the sound of her sweet voice, calling us almost daily while we were interstage, to check in on Job, or how she would pop into our room to chat with me while we were inpatient and help me scheme to advocate for a cath for Job and other such things. If I need anything I still call Kendra because she always has answer for me or can connect me to the people who can. The SV Program is absolutely phenomenal because of Kendra and I'm so grateful Job is a part of it.

Photography by Scott Eklund/Red Box Pictures for this article: https://news.microsoft.com/…/childrens-mercy-app-brings-do…/

Sunday, February 4, 2018

Day 4: Hospital (Heart Month)

How do I adequately express my deep appreciation for Seattle Children's Hospital? Every aspect of this place has been a wonderful blessing to our family! I can honestly list our few kerfaffles on one hand. From silly things like clear (but also fun) signage to really important things like personal phone calls from our various specialists, it is so clear that much thought and effort and money has been put into their care for families (not just patients!).

I'm on a number of heart groups/forums on Facebook/online and I can't even tell you how many times different parents have posted questions and concerns that frankly I have never had to ask or worry about because SCH is just so on top of Job's care.

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I remember, while pregnant, researching hospitals that would take HLHS kids. I found the parameters I was supposed to be looking for: number of Norwoods performed each year and mortality rate for this surgery and so on. While Boston Children's and Children's Hospital of Philadelphia really pioneered CHD care, a few other hospitals have made pediatric cardiac care their speciality as well. I was so amazed to realize that, of all the places in the world, we lived a mere 43 miles away from one such hospital. How wonderfully providential! So many families have to travel (and then live) out of state for months while receiving care for their heart kiddos. With Seattle traffic it often takes two hours to get there, but I'm so happy to listen to audio books/sermons and make that comparatively short drive!

Job was born at Tacoma General and then spent his first 36 hours in the Mary Bridge NICU before transferring to SCH and also did one inpatient stay in the PICU there last year. I'm grateful for the therapy services we receive through MultiCare as well! But when we had to decide who would direct Job's cardiac care it was easy to pick SCH. I'm so grateful to have the continuity of service and access to so many specialities by staying in their system.

In many places around the country, patients with CHDs who are now adults must be seen at children's hospitals (because there are so few adult CHD programs in existence because adults with CHDs are a relatively new phenomenon!). UW, however, has a great adult program that Job will someday transfer to. I'm grateful that we will have this opportunity! but the day we transfer from SCH will be a very sad day indeed.

I  SCH.

#heartmonth #day4 #hospital

Saturday, February 3, 2018

Day 3: Meds (Heart Month)

Job is now down to a mere 8 meds given and 5 med times (though we're about to add another). I hardly think about it as I draw them up and several times a week Isaac gives them... A sharp contrast to when we first came home from the hospital and it took BOTH Seth and I a good hour to draw them all up and give them (and I think we came home on 16 meds and had 7 med times).

He'll be on most of his cardiac meds his whole life to keep his fluid balance level and to help his heart pump and to help prevent clotting. We're hopeful he'll get off his digestive meds some day, but his digestive system currently doesn't get enough oxygen to function properly without these meds.

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It takes quite a bit of work to coordinate between his doctors and pharmacies to make sure he gets his refills on time and prior authorizations and dose changes, but it's doable now that I know the system better and have enough of the vocab down and a detailed calendar.

Job has been taking all his meds by mouth (besides his old anti coagulation med that we used to inject 2x/day) since he moved down, out of the CICU, at 10 weeks. Perhaps because he doesn't know any different, he's always taken them so well! I'm incredibly grateful for that blessing and I hope he'll always do so!

#heartmonth #day3 #meds

Thursday, February 1, 2018

February 2018 Heart Month!

I've never participated in an "awareness campaign" before, but these past two years of delving into the special needs community on Facebook especially, have brought these kinds of posts to my attention. I don't know if they're at all helpful to anyone, but I thought it might be a way of jump starting me into writing about CHDs and about Job because I've struggled to do so lately. So we'll see how this goes!

Here's the complete list and I'll link back to posts once I've written them!
Day 1: Diagnosis
Day 2: HLHS
Day 3: Meds
Day 4: Hospital
Day 5: Cardiologist
Day 6: Surgeon
Day 7: Staff
Day 8: Nurses
Day 9: Technology
Day 10: Hospital Stays
Day 11: CHD Family
Day 12: Heart Mom/Dad
Day 13: Siblings
Day 14: Heart Warrior
Day 15: Scars
Day 16: Norwood
Day 17: Glenn
Day 18: Fontan
Day 19: Other Surgeries
Day 20: Cardiac Caths
Day 21: Future
Day 22: CHD History
Day 23: CHDs
Day 24: Developmental Delays
Day 25: Therapy
Day 26: Support
Day 27: Financial Impact/Insurance
Day 28: Hope