We had another heart echo.
This is the third heart exam because Katie’s back has always been
pointed out and her ribs are casting shadows making it difficult for them to
see exactly what is wrong with the heart.
Of course, our stubborn angel had her back on display again. They were able to get some better pictures,
but are still not exactly sure the extent of the problem. They did discover that the pulmonary artery
is narrowed (bad news), but they were able to see a good amount of blood
flowing through it (good news).
This leaves three possible scenarios.
- Worst case: The artery is too narrow. Katie would be born blue, she would immediately be put on medication to manage the blood flow. She would be kept in the hospital until she could be transported to Rochester for an open heart surgery to correct the blood flow. She would be released 1-2 weeks after the surgery (assuming the DS doesn’t slow her release with other problems). Then, she would need another open heart surgery at 6 months to correct the hole between the chambers of the heart.
- Medium case: The artery is narrowed but not too much. Katie would be born fine, released, but would start to struggle earlier and would have the complete surgery early, ie before 6 months.
- Best case: The artery is perfectly narrowed and actually corrects the blood flow. Katie would be born fine, released, she would stay strong and healthy, and she would have the corrective surgery at 6 months or even later.
Again, this visit has left Mike and I frustrated. Frustrated because they cannot see what they
need, that they cannot give us a firm diagnosis, that there is not a firm idea
or plan for what will happen to Katie when she is born.
At the same time however, we are very happy with the
doctors. We are happy with their care
for Katie and their devotion to getting the diagnosis right and fixing the
problem. We have every confidence in
them.
We also learned that Katie cannot have surgery if she has
had a viral infection in the previous month.
It will be important for us to reduce the chances of Katie getting
sick. We do not have to have ‘germ
isolation’ but we will need to be careful with hand washing, flu vaccines for
people in her inner circle, being sure people that hold her are not sick, etc.
We will be having another heart exam in about a month. We will be praying that they get good images
to make the best decisions for Katie’s care.
It would also be nice to get some really good news!
