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Inside the head of a heart mom, part - oh, I've lost count.

I am the mom every doctor dreads. Seriously. I have no qualms about calling about the tiniest thing. I've called the step-down cardiac floor when I can't get through to anyone else. If I'm uneasy or unsure, I don't care if it's a Saturday morning, I will hunt down the pediatrician on-call. In the end, my son is just another patient to them and I'm just another neurotic mom, but I'm his mom and his health is my responsibility. So what if they roll their eyes when I call?

For example, this is the subject of the email I sent Sammy's cardiologist earlier today: Samson's Fontan-terrified mom's obnoxiously long list of questions. :-) It was followed by 9 questions about the Fontan, Fontan take-downs, how Boston handles Fontans, what we could expect and so forth.

The past few days have sucked in a painfully scary way. There's definitely a correlation between how much I read about other heart kids and how poorly I'm doing emotionally. A bunch of kids recently had their Fontans - and then had to have them reversed (taken down) because their bodies couldn't handle the change in dynamics. The next step at that point is usually transplant - though they can attempt the Fontan again some time later, the heart is usually too weak. I've seen relatively healthy kids go in for their Fontan and then end up with a take-down and then there's talk of needing a transplant. Do you have any idea how terrifying that concept is? How do you go in and hand over your relative healthy kid and then end up on the transplant list? How do you, as a mother, cope with the knowledge that that is a possibility for your child? How do you prepare for the months leading to that surgery?

Throw in that our insanely wildly active child has been hyperventilating and turning bluer than normal, and I've been on the edge. Thankfully, his cardiologist is so fantastic and quickly replied to my email, explaining that the out-of-breath wheezing and blue lips are 100% normal for this stage. He also kindly answered all 9 of my questions, helping to calm some of my fears. Hell, he even used the term, "uneventful Fontan". It amazes me that they can consider an open-heart surgery "uneventful"!

All of that aside, I have to say, I'm proud of one of my questions: Is there a higher risk of a take-down with a lateral tunnel Fontan versus an extracardiac Fontan?

Seriously - does that not sound like I have a clue or what?


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Comments (11)

Ugh. I don't even know what to say other than that I would be a total wreck too. You must be totally freaked watching Sammy turn blue. I can't believe that any doctor would balk at you for calling and/or writing with questions considering Sammy's condition. I am glad that his surgeon is so fantastic. I know that I've said it before but I hope that you are able to find a little peace during the coming months leading up to the Fontan.

Posted by Divrchk | September 16, 2007 9:46 PM

You have a great site! I enjoyed reading through. I will be a new Mom come December and i think i will learn a lot from you. Can i add you to my links? Thank you very much!!!!

I'm really praying for that "uneventful Fontan" for you.

Although, I'm with you, I'm not sure I would ever call open heart surgery on my son, "uneventful." But then again, I would never be able to work on another human's heart (especially a child's), either.

So, just out of curiosity, how did your cardiologist answer your last question there?

You're going to make it through this and so is Sammy!

Shari

Posted by Shari | September 17, 2007 2:19 AM

I don't blame you at all for your worries, BUT sometimes I blame the internet for a "enough information to make us dangerous". Dr. Google can send any nervous new mom, or perspective mom into a total frenzy! My co-worker just gave birth. They had some warning signs show up, so she had to be closely monitored. The more tests they did, and the more she read, the more hysterical she became! She gave birth to a perfectly (so far) healthy baby boy. If he has problems later on, they will likely be developmental delays or such, and how is all her worry and grief going to change something like that?

STAY AWAY from the heart boards! You have more than enough information, you've asked your questions gotten the answers from the horses mouth, and all you're doing is making Sammy's mother a nervous wreck! *hugs* I know it must be so hard, but don't wait or look for trouble. Stay strong.

A clue? Oh, Erika, you continue to amaze me. I don't know how you could be anything but terrified. Know that we are thinking of you.

I'm SO curious to your PC's answer to that question - IS there a higher take down rate? Is Boston considering the lateral tunnel anytime soon?

We're on track for a lateral tunnel Fontan next year (ish).

I know the panic you feel and I'm here for you.


Hugs....

I have to agree with Bev. The worst thing I did in the months leading up to Jillian's fontan was read blogs and search for information. Another heart family that we had met in the hospital was having a horrible time after their son's Fontan and ended up having a takedown about a year later, right around the same time Jillian was due to go in for her Fontan. And that scared me to death. I had to stop. I stopped reading all blogs that pertained to the Fontan and stopped following several carepages that I had been following. I had to or I was going to absolutely crazy.

The one piece of advice that a wise nurse gave me at UCSF after Jillian had her Norwood and I was insanely looking for information on other babies to get an idea of what our world may look like is..."every heart baby is different, you can't compare any other heart child with your heart child because every surgery, every recovery, every outcome is different." And that helped me to understand that no two heart situations are the same and that I have to be ok with not knowing what our future holds.

Jillian has done great post Fontan but I know that things can change very quickly. I hope that Samson does just as well and I am sure that he will with such a great advocate as you for a mommy.

Dina

I've seen bother sides from many heart friends. I can't offer a lot of personal advice as we just had (thankfully) one surgery to deal with - though we were lucky that our son even made it to that first surgery. I definitely know how it feels to watch your son turn blue - that was how we found out about the heart defect.

Just know that you and Sammy are in our prayers. And take the advice of the other heart moms - the worst thing is to read too much of other's stories, because it can cause so much more anxiety and stress than you are already dealing with.

Like Dina I followed that same family's story and the horrible time they had. We were all going crazy. It is scary. During one of my many conversations with my PC he pointed out that there are lots of people who have great experiences and sail through the Fontan and they don't write about it on their blog. My own husband practically banned me from the internet. I don't know what it is, but there is something in us moms that makes us NEED to know. Try to fight it! Also, just wanted to reassure you that the hyperventilating and turning blue happened for us too. Usually on warmer days when Drew was running around outside.
Andrea
PS Love your question!

Erika,

I love the fact that you are asking questions. You are asking the right questions as well. You are Sammy's Mom and no one else. You are there to make them think and work.

This is one question I recommend all parents going into the Fontan to ask their surgeon. How long do you wait after the Fontan to determine the need of the Take Down. What we have learned from our experience is that you have a better chance of not losing heart function and having another chance at the Fontan if you get the reversal quicker rather than later. Does all that make sense?

We are praying for you, Sammy's health and the days ahead.

Terri G

Posted by Terri Grabb | September 19, 2007 9:01 PM

I've been thinking about this whole bloggy thing lately. You've been blogging since before Sammy. You've incorporated Sammy, and his heart issues, into your blog. However, this is not a heart blog. I know that Sammy has his own blog, but for the most part, you just write here. Correct?

I am willing to bet that most of the heart blogs that you are reading that are stressing you out didn't come into fruition until the heart became an issue. The ordinary, non-blogger, wouldn't start writing a heart blog unless things were complicated and scary. You're not reading about the surgeries that went super smoothly and had no complications, etc. because a lot of people don't have blogs and wouldn't be looking to write online to share with strangers. So, you find a lot of worst case scenarios.

I know this is a sweeping generalization and I'm not discounting how serious things are but I guess what I'm trying to say is: try to stop reading the heart blogs :-)

Posted by Divrchk | September 20, 2007 2:12 PM
 

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