Inactive on the Transplant List
Today's echo went well. They changed Bailey's status to "inactive" on the transplant list. (They won't take her off of the list for potentially months, even if she goes home with her own heart.) PA pressure is right at 50, which hasn't gone down much since our stay in ICU. But Dr. Darragh explained to me today that what has been changing in the past couple months is the volume in Bailey's left ventricle. To go back a bit, the surgery back in January was to remove scar tissue that was lining Bailey's left ventricle (as a result of her heart defect, aortic stenosis). The scar tissue is what was keeping her left ventricle (LV) from expanding sufficiently to keep up with her heart. It finally just reached its limit and began causing problems. They removed the scar tissue in surgery, but they thought it might not have been enough to make a difference. So, she was listed for a transplant a month later when her LV didn't show signs of recovery. This is what they've been looking for on the periodic echos since then. Now, her LV is showing signs of recovery. The doctors just have to determine if it's enough to allow her heart to function effectively long-term. So, they are now going to turn the VAD down to a rate of 30 (beats per minute) over the weekend. They're doing another echo on Tuesday and, if things still look good, they're doing a cath next Thursday where they'll actually stop the Berlin Heart, increase her heart rate, and see how her heart functions under those kinds of conditions.
Bailey was really scared this morning before the echo. Dr. T came in and helped us out. She said she was afraid the echo would be bad news. Dr. T said there could be no bad news to come from this. Worst case is that we remain on the transplant list where we've been for 4 months now, and that's not a bad thing. Sure, it would be nice to go home with her own heart, but with that comes some uncertainties -- she could still possibly need a transplant at some point, and they would still be watching her very, very closely to keep an eye on things and make sure there are no signs of moving in the wrong direction. However, with that said, going home with her own heart would give us hope that she would fully recover. Wouldn't that be something?!
As you can tell, lots to think about and even lots to worry about, but worrying doesn't do any good and it takes away from the awesomeness of watching God work.
I'm starting to get mad at Perry (our pigeon). I've been trying to get a picture of him for months (literally!) and he just won't cooperate. I might have to come up with a different, less-flattering name for him . . .
I've finished our third afghan, and, yes, I've started a fourth. Marissa picked out yarn for a blanket for herself, so I've started that one today. She asked when her daddy was coming to pick her up and I told her he'd be here soon. She said, "Well, keep working because I want you to have it done when he gets here." She wasn't too disappointed when it wasn't done by her deadline. I just love the mind of a child.
"Thank you, Sue, for the Thursday brownies!" From: the nurses
(Don't worry! We keep a stash for ourselves, too. But I think the nurses are scheduling themselves to work on "Brownie Thursdays" now!)
Have a good one, everyone!
Angie