One Month to go...

In one month from now, we will be handing over Jasiu for his third open heart surgery. Yes, our date has been changed to April 22. Friday we had a consult with Dr. Illbawi, Jasiu's surgeon. He is such an amazing person to us and to so many families that he touches during the toughest times. He takes time few times a month to sit down with families and go over the procedure, draw pictures, answer questions and provide hope. Me being the "obsessive compulsive disorder" one I knew the procedure fairly well but I listened with Joe and then we asked our questions. To prepare for this meeting, last week, again being the OCD one, I got Jasiu's medical records from the hospital for his last catheterizing procedure and his last echo report to get an idea of what exactly we are up against in detail.  I learned a few things about the specifics of Jasiu's anatomy and maybe I think that I should have known before, but I know now. Another thing I learned is though I know a lot of medical jargon, I still don't know that much and had to look up quite a few things. Here are a few observations from reading these documents:

• Listening  to the official risks of the procedure at the hospital and signing is one thing and actually reading them in your home, right there in black and white,  you want to just throw up right there
• The report actually included the word "beautiful" as in "the left pulmonary artery near the hilum looks beautiful" With such a complicated anatomy knowing something that often gives these kids issues, we were blessed with a BEAUTIFUL pulmonary artery.
• Once wasn't enough, we also saw the word a second time as in "beautifully low diastolic ventricular pressure"
• A disappointing thing to see was to see that his heart muscle is still seen as enlarged and some diminished function of the top right
• Another thing is they confirmed is the tricuspid valve is leaking but in the report it said "mild"
• Overall, all and all,  Jasiu is good to go for the Fontan and our surgeon confirmed this.

So in our meeting we found out what the procedure  will entail and all the options that may or may not happen depending on what they see once they open him up.  Our surgeon performs the extracardiac Fontan, meaning they insert a gortex tube and run it along the outside of the heart wall, instead of going through the heart muscles. Dr. Illbawi  switched to this variation of the procedure about 12 years ago and has seen improvement in the long term outlook for his patients. Jasiu may or may not also need a fenestration, which is a small opening in the new tube connecting to the heart to relieve pressures. They may also need to work on his valve, but all of this we will not know until they see how his body actually looks and reacts to the new circulation.  Dr. Illbawi provides so much calm and hope when he speaks that it really puts us a ease. Doesn't make it easier, but it really helps.   Below is a picture that Dr. Illbawi drew while he was explaining this to us.  Also this link shows a video of what is done (it's not graphic, just computer gnerated 3D visual explanation)  Link to Video of HLHS treatment (3 staged surgeries)

This picture can be viewed from Children's Hospital of Philadelphia website. With this link.

In other news, Jasiu and Emily both had some sort of virus and as usual a bad cold for our little man ends up in an ear infection. I took him in on Friday as well because his voice was still hoarse after 5 days and his cough was also not getting better so we went to get checked out and ear infection it was. Since this is our 3 rd infection this winter and even when not with a cold there was a little fluid in his ears at the well visit we got a referral to an ENT specialist (ears, nose, throat) . Hopefully we get an appointment this week because after Easter we are on a mini lock down and Jasiu is sentenced to 3 weeks of being home bound : no stores, parties, church and minimal visitors in hopes to keep germ exposure to a minimum. I hope it works otherwise we postpone once again . For the time being we pray for health and we humbly ask for your continued prayers as well.

I will keep updating once there is some news.