Pediatric Cardiologist Appointment Update

We're so happy and blessed to have good news to report from our Vanderbilt pediatric cardiology appt this morning! Your prayers are working!

We spent about 2 hours with Dr. Liske at Vandy this a.m. The first 45 minutes he took pictures. I have to say it was all black, white, and fuzzy to us with the occasional blue and red thrown in, so it boggles the mind how he could see anything. Anyway, then he left to compare our baby's heart measurements to normal babies' measurements and then came back in to chat.

He said Jelly Bean doesn't fit criteria for HLHS at this point. He said there isn't really a name for his condition right now, but he'll refer to it as Borderline HLHS. Jelly Bean has 4 chambers and he has all structures forming in his heart, they just aren't either big enough or complete yet on the left. The chambers and structures on the left side of his heart that aren't big enough yet still fall in the low end of healthy heart measurements. For example, his aortic valve is in the 5th percentile, while his mitral valve is in the 10th percentile. The measurements on the left side of his heart are small compared to the measurements on the right side of his heart. One of two things will happen over the rest of the pg: Either he will develop a full-blown case of HLHS or he will begin to develop a healthier heart.

Let's take the more optimistic scenario first: If his heart begins to grow into a more healthy one, he will likely still have some congential heart defects that need to be fixed either at birth or shortly thereafter. It is highly unlikely his heart will be normal at birth. At this point, we know he is likely to have a Coarctation of the Aorta. This is a minor heart defect (compared to HLHS, anyway) that requires surgery, but not open heart surgery, and can be fixed soon after birth. He also appears to have a hole in his bottom left chamber, referred to as a Ventricular Septal Defect, but Dr. Liske had trouble getting a clear picture of that area, so he couldn't be sure. If the hole is there, it might close on its own as Jelly Bean grows. If not, it will eventually require surgery. There are also problems with his aortic valve and his mitral valve; those problems could resolve during the pg or, if not, they will need to be fixed through heart surgeries.

Worst case scenario, Jelly Bean could develop full-blown HLHS. We discussed treatment options, all of which can be done at Vandy. Heart transplant is an option that we could do at Vandy, too, though we didn't focus on that. We focused on the 3-stage treatment. Accroding to Dr. Liske, Vandy currently has high success rates, right up there with Boston Children's Hospital. The two hospitals that have higher success rates right now (and only by a couple of percentage points) are Univ of Michigan and the children's hospital in Milwuakee. Dr. Liske trained at the University of Michigan and the other cardiologist, Dr. Bichell, who would be on our treatment team trained at Boston Children's. In short, we appear to have excellent treatment options at Vandy, which is such a blessing that we can hardly absorb it. To be able to at least consider staying "in our own back yard" for treatment is so stress-relieving that we are overjoyed.

All that aside, the full-blown HLHS treatment scenario is frightening to any parent. We've encountered many success stories and many tragedies when talking to HLHS parents and reading about HLHS on the internet over the past week. While optimistic and encouraging, Dr. Liske said that the treatment outcomes vary widely depending on the complications encountered as HLHS children go through each surgery. He said they would support whatever decision we reach regarding treatment of HLHS and will offer all the advice, medical information, and comfort we need while we learn more about HLHS and make decisions about Jelly Bean's treatment.

We will see him again at 34 weeks (at the end of June) for more tests to see if we can get a better idea of how Jelly Bean's heart is developing. We won't know more until then, and we may not have a true picture of what JB's heart is like until he is born. So now we watch, wait, seek second opinions, plan, and just move forward while praying for a strong, healthy
heart to develop. The goal is to make it to August 16 without Lisa going into labor. She will deliver via a planned C-section. This was actually the plan even before we were aware of Jelly Bean's heart problems.

We continue to URGENTLY need your prayers, in fact now more than ever, as we enter this period of waiting. For now, we are thrilled to even have a CHANCE at fewer problems than HLHS involves. We believe God is answering our prayers even as we speak. Most of all, we remain steadfastly confident in God's promise to give us the strength we need to face anything life throws at us. Please, continue to pray, pray, pray!!

Updated Prayer Requests:

1. PRAISE that Jelly Bean does not have full-blown HLHS!
2. PRAISE that we can consider treatment at Vanderbilt Children's Hospital.
3. PRAISE that we live in a day and time when so many options are available for treating heart problems.
4. PRAISE that God answered so many prayers for a fast appointment at VCH. Our initial appt was set for 4/19, but they called on 4/11 and offered us a 4/12 appt due to a cancellation on Dr. Liske's schedule.
5. For complete healing for our son during this pregnancy (we will ask for the moon since God made it anyway!).
6. For strength, guidance, and wisdom as we face treatment choices and decisions.

7. For good physical health and restful sleep for Bill and Lisa as we absorb this news and make decisions.
8. For God to show us the way financially so we can provide the best medical care for our son.
9. For the strength to let this child go home to God if it becomes obvious that this is God’s answer to our prayers.

Brothers, as an example of patience in the face of suffering, take the prophets who spoke in the name of the Lord. As you know, we consider blessed those who have persevered. You have heard of Job's perseverance and have seen what the Lord finally brought about. The Lord is full of compassion and mercy. James 5:10-11