Thursday, August 28, 2008
Sunday, August 24, 2008
HIS GLENN SURGERY IS SCHEDULED FOR
Please keep him in your prayers :)
Bidirectional Glenn Procedure
What is a Bidirectional Glenn Procedure?
The bidirectional Glenn procedure is the surgery used to prepare the heart for a Fontan procedure. It is used in children with congenital heart defects in which only one of the main pumping chambers (the ventricles) can be used fully. The Glenn is used for many types of complex congenital heart disease, like tricuspid atresia. The word bidirectional means that the blood from the upper body flows through the surgical connection to both lungs.
Preparing for the procedure
Prior to surgery, the child will have tests to diagnose the heart defects, including an EKG, a chest x-ray and an echocardiogram. In addition, a cardiac catheterization is conducted to diagnose the congenital heart defect and to measure the pressure inside the lung blood vessels to assure that the pressure is low. Blood tests are conducted to be sure there is no infection, no problem with clotting and normal electrolytes. Prior to surgery, blood tests to determine blood type and compatibility will be performed to prepare for the use of blood during surgery.
During the procedure
During this procedure, the child will be placed under general anesthesia, and special monitoring IVs will be put in. The chest is entered through the sternum (breastbone). The heart/lung machine is then connected. Any procedure that needs to be done inside the heart is then carried out while the heart is empty and stopped. The superior vena cava (the main blood vessel returning the dark, unoxygenated blood from the head and the upper body) is divided and connected to the pulmonary artery. Any other existing connection from the heart or from a previous palliative shunt that is connected to the pulmonary artery is closed. The heart is then allowed to resume its normal function. Appropriate temporary pacemaker wires and drains are placed and the chest is closed. The baby is allowed to awaken within a few hours and taken off the respirator. Oxygen blood levels do not reach normal levels after this surgery, since all the blood from the inferior vena cava (all the blood returning from below the diaphragm) is still mixing with the oxygenated blood within the heart. The procedure does allow the superior vena cava blood, which represents approximately 40% of the blood volume, to flow passively through the lung. This change diminishes the workload of the heart.
After the procedureAfter surgery the child will need a few days to recover from anesthesia, the use of the heart-lung bypass equipment, and the surgery. The child will initially be on a ventilator (breathing machine). Once the breathing tube is out, the main goals of care are pain control, taking care of the lungs by deep breathing, walking (if old enough) and eating
Tuesday, August 19, 2008
Sunday, August 17, 2008
This is a procedure to examine blood flow to the heart and test how well the heart is pumping. A doctor inserts a thin plastic tube (catheter) (KATH'eh-ter) into an artery or vein in the arm or leg. From there it can be advanced into the chambers of the heart or into the coronary arteries.
This test can measure blood pressure within the heart and how much oxygen is in the blood. It's also used to get information about the pumping ability of the heart muscle. Catheters are also used to inject dye into the coronary arteries. This is called -->coronary angiography --> (an"je-OG'rah-fe) or -->coronary arteriography --> (ar-te"re-OG'rah-fe). Catheters with a balloon on the tip are used in the procedure called coronary angioplasty (commonly referred to as percutaneous coronary intervention [PCI]). Catheterization of the heart may also be done on infants and children to examine for congenital (kon-JEN'ih-tal) heart defects. -->
Parrish had his sedated echo last Friday and things went well. The nurse said "this is how we can tell what kind of drunk they'll be when they get older... when it hits him either he will get mad and feisty or mellow out". Well, unfortunately for him he is going to be that guy at the party who passes out first and everyone does stuff to him and takes pictures! lol. After his heart rate went up, he passed out and did fine. Its so amazing what they can see with those specialized sonogram machines. Oh, and she told me that it would probably give him gas. What she didn't know is that since he hadn't eaten and had the medicine, he didn't get a chance to poop at his usual time and had helacious gas when we got there! So on the way out she says "now, when he finally does go to the bathroom, it could be explosive". I swear that is what she said! So when we went to meet Murvin for dinner , he started playing with him- and Parrish pooped right out the side of the diaper onto his uniform! lol. That nurse was NOT lying :)
He weighed 12lb and was 24.25in. He is getting so big!
He has a heart catheterization scheduled for this coming Wednesday the 20th. They will insert the cath in his groin up to he heart and check the pressures in the chambers and his lung function as well. They will probably keep him overnight. We should get a better picture of when his next open heart surgery will be based on what they see and if they have to insert a balloon in an area that is narrowing (it is where the blood is pumped to the body) to buy some time. Will keep you all updated- promise :)
Friday, August 8, 2008
Monday, August 4, 2008
This afternoon when we got home, he was laughing and giggling and we couldn't figure out what he was looking at. It was the ceiling fan!!! lol. It was so cute :) I have some new video clips I am going to try to post soon.
Wish us luck tonight- its Parrish's first Tropical Storm!
Saturday, August 2, 2008
Friday, August 1, 2008
It means going into your baby’s room a dozen times a night just to check to see if he’s still breathing.
It means standing over the crib to watch the chest rise and fall and when you don’t see it move, you begin to panic and put your head down close to your baby’s face to try and hear him breathe.
It means that when you don’t see the chest move and you don’t hear him breathing (because your own heart’s beating is drowning out any other sound in the room), you put your finger under the baby’s nose to feel the air on your finger – until you wake the baby and it stirs – and you’re thankful, so thankful that he’s still with you.
It means feeling a huge sense of relief when he hears you and opens his eyes and smiles.
It means saying a prayer of thanks for another day.
It means measuring out his medication and panicking if he spits some of it out. How much did he spit out? One cc? Two or three? Then wondering if you should guesstimate how much more he should have and if you’d overmedicate him.
It means checking his nail beds against your own to determine how blue he is today.
It means asking your husband, your mother, or your sister, “Do his lips look blue to you?”
It means snuggling him in an extra blanket for fear he won’t be warm enough.
It means worrying that even a sniffle could cause an infection that could harm his heart.
It means taking your baby to the doctor and worrying that he will catch something in the waiting room, so you walk back and forth in the corridor until the nurse calls his name and takes you straight back to the examination room.
It means knowing that everyday is a blessing and a gift.
It means knowing that you are the luckiest person in the world, just to be a parent.
It means cherishing every moment, every breath with such intensity that you feel tears come to your eyes for no apparent reason.
It means praying for a miracle to save your baby’s life.
It means praying your marriage is strong enough to endure the hospitalizations, separations, and grief.
It means praying for the will to live, even if your baby doesn’t.
It means your own heart knows a pain, no parent should know.
It means feeling weak, helpless, angry, and depressed because your child’s fate is out of your hands.
It means feeling strong, determined, and brave because you know you have to be.
It means your love knows new unlimited boundaries.
It means your pride in your child’s accomplishments is unparalleled.
It means your pain has taught you a deeper sense of compassion than you ever imagined.
It means we are all united by the same feelings.
It means that we all know the mixed up emotions of dealing with death – but more importantly of living with life.
It means that even though we are strangers, we are more to each other than friends could ever be. 1996, by Anna Jaworski
100 Wishes for Parrish
- 1.a handsome look- madeline
- 2.adventure- nathan
- 3.all the love in the world- uncle matthew
- 4.best of health- uncle matthew
- 5.bravery- mommy
- 6.charming personality- madeline
- 7.common sense-jane
- 9.courage- daddy
- 11. generosity- mommy
- 12. gentleness- mommy
- 13. health- mommy
- 14. humbleness- mommy
- 15. humor-nathan
- 16. inner strength- mommy
- 17. integrity-matt
- 18. intelligence- daniel
- 19. long, happy & fulfilling life- uncle matthew
- 20. many caring people in your life that you can call family & friends- the cowleys
- 21. no regrets- uncle matthew
- 22. strength-matt
- 23. true love- mommy