Care4Conway: 9/21/08

Friday, September 26, 2008

Please Pray For. . .

. . .a local boy named Luke who is having surgery on Tuesday, 9/30, with Dr. Bove. We met the family when we were in Michigan last fall. Luke was having surgery then too, but this one is expected to be 6.5 hours and the most involved yet for him. Please ask God to guide his doctors and nurses and to help his body adjust to the new pulmonary artery and valve that will be placed and that the repair to his AV canal is successful. Please also ask for safe travels for the family and a speedy recovery for Luke.

Connie still has a cough and has been put on azythromycin as well. Hopefully it's gone soon. He's been so funny lately. When his speech therapist came Thursday, I told her that when he's excited he tends to verbalize more and so we tried to get him all riled up. It was a hoot watching him go from one thing to the next. Tackling Mookie, pushing the exercise ball, rolling over the peanut ball, "sliding" on the floor. He was definitely showing off for her! She agrees that he's probably in a big gross motor spurt right now. He's focusing all his learning on that portion of development (which is totally normal!) and after awhile, he'll go in a different direction. We're hoping it's speech!

Tuesday, September 23, 2008

I-Team Investigation-Connie's in the News (indirectly)

Newschannel 5 (St. Louis, KSDK-TV) has been conducting one of their I-Team investigations for the past two months and will begin airing that investigation tonight on the 10pm (CST) news. Why is this being advertised on Connie's website, you might ask? The investigation is related to the money that the City of St. Louis paid two IT employees that it contracted from United Forensics, Greg's former employer. United Forensics, due to it's extreme mishandling of funds, terminated Connie's health care with only a couple of week's notice back in April of this year. They're really a first-rate outfit (hint of sarcasm in my voice). They told Greg on April 10 of this year that they were filing bankruptcy and starting a new company, paying hourly wages only and offering no benefits. They told Greg that our benefits would be terminated on April 30. In reality, they are still open and employees do have benefits. They just wanted to get Greg's family off the health insurance because Connie's heart condition raised the premiums of everyone in the company. The decisions made by the owners of the company hurt many people, including taxpayers and citizens of the city. Our family was affected too. If you don't live here locally, you can watch live newscasts on www.ksdk.com. Here's the article.

Conway's Heart Story

Conway's Heart Story

Conway David Beckemeier was born on March 3, 2007. His heart defects went undetected during pregnancy and he was diagnosed at two days of age with L-TGA, a large VSD, sub pulmonic stenosis and Ebstein’s Anomaly. Just before turning six months of age, he underwent open heart surgery to reroute the bloodflow in his heart. Called the "double switch", this procedure is the most technically challenging for pediatric cardio-thoracic surgeons to perform. The version of the double switch that Conway received on 8/28/07 was called the Rastelli-Senning with VSD closure and sub pulmonic resection. He suffered a grand mal seizure following the surgery that lasted over an hour and had several other post-op setbacks including surgical heart block, which required another operation on 9/18/07 to insert a pacemaker. Following surgery and such a long hospital stay, Conway developed an oral aversion (he would not eat) and he was 100% NG tube fed for eight months. He also lost muscle tone and required both physical and occupational therapies. In April 2008, he had a cardiac cath and attempted balloon angioplasty on his pulmonary arteries that did not work. Although his recovery was very long, he had a solid year or so of being a "normal" kid . Then in May of 2009, it was discovered that Conway was having rhythm disturbances, specifically atrial flutter. His pacemaker allowed it to go undetected for several weeks until he showed signs of heart failure and was admitted to the ICU for a week to be placed on IV heart meds and undergo cardioversion on 5/6/09. He went home and his heart function started recovering when he had another episode of flutter (6/16/09). This time, he was again hospitalized and put on IV milrinone, but he converted back to normal sinus rhythm by himself. At that time he was placed on the anti-arrhythmia drug, amiodarone. On 7/22/09 he had to be cardioverted again for yet another episode of flutter. The following week, he got worse instead of better. His cardiologist did a full work up and it was determined that his aortic, mitral and tricuspid valves were all leaking worse and were felt to be the cause of his heart failure. On 8/24/09 he had a cardiac cath and attempted ablation. The electrophysiologist was unable to induce a single arrhythmia. Then, just two days later, he went into atrial flutter on his own. He was placed back in the cath lab where he underwent mapping and a total of 17 burns were made to try to knock out his arrhythmias for good. The next day, 8/27/09, he had his second open heart surgery to repair his mitral valve called ring annuloplasty. He also had a partial Maze procedure done. His surgeries are performed at C.S. Mott Children’s Hospital at the University of Michigan (Ann Arbor). This time he was discharged just six days later! His Left Ventricular function improved drastically. In December 2010 we noticed he began getting more winded during physical activity. A January 2011 cath showed that he is outgrowing his RV-PA gortex conduit, but he was not symptomatic enough to warrant intervention. In April 2012 Conway’s fatigue increased and an echo at the end of May revealed that the ratio between the right and left sided pressures has gotten too high and it is time to replace the homograft that was placed when he was five months old. He had a cardiac cath on 5/25/12 which confirmed the echo findings. He had surgery on 8/8/12 to replace his pulmonary valve and RV-PA conduit, add an additional pacing wire to his left ventricle, and change his generator to a bi-ventricular model which is shown to preserve function and help the heart muscle pump more efficiently/effectively.