Care4Conway: Quick Update

Thursday, August 12, 2010

Quick Update

Not much to report lately. Sorry it's been awhile since there's been an update on how Connie's doing. We've been winding down the summer mostly indoors, unfortunately, due to the high heat and humidity. We've taken a couple trips to the local pool and of course been swimming in the little pool in back too. We're really looking forward to school starting. Connie starts preschool up again next Wednesday. That is also Mary Kathleen's first day of Kindergarten. Celeste will be entering 4th grade on Monday.

Health-wise, Connie has been a bit off for the last month. He had a virus of some sort starting in mid-July. He got like he normally gets when he's not feeling right-whiny and lethargic and not sleeping well. We rode the "Is it his heart or just an illness?" roller coaster for awhile. Then he got a rash and low grade fever. His rash finally improved a week or so ago. Yesterday, a new rash started and he can't stop scratching. His pediatrician gave him some prescription antihistamine and cream for it today and we'll see how that works.

Milestone-wise, he's just conquered using the potty! He's doing so well and we are very proud. Of course the week he started potty training our washer went out, but he's done so well it hasn't mattered!

Latest Pics
Mr. Grumpy not feeling his best but managed to still be a pretty cute ring bearer for his godfather's wedding

All gussied up

At City Garden trying to stay cool

2 comments:

simple4sweets said...: I love the pictures. Connie looks adorable with his little grumpy face. Too cute. Crazy summer is almost over and back to school. Thanks for the updates.; August 13, 2010 at 7:50 AM
Jenny said...: Hello! I wanted to introduce myself as your newest "follower". My name is Jenny and my daughter, Aly, is 13 months old and has HLHS. She is also treated at U of M by Dr. Bove. I look forward to learning more about your family!; August 13, 2010 at 3:22 PM

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.