Care4Conway: Appointment Update

Thursday, September 23, 2010

Appointment Update

Conway has had a few appointments recently and has a couple more in the next week or so. He went to Dr. Tychsen yesterday for his twice yearly eye exam and after waiting two hours he was cleared for a whole year! He's still far sighted, more than a child his age should be. They said that young children can compensate for this and as long as he's not this far sighted by the time he's eight or nine we can avoid glasses.

He's been to the pediatrician for his flu shot and to check on some bumps on his legs, arms and face. The doctor thinks they were just bug bites that got infected and as a precaution she put him on both an oral and topical antiobiotic. His lymph nodes behind his ear and on the neck were even being affected by the bites. The sores were oozing and draining and looked nothing like any mosquito bites I've ever seen! We just got word back today that thankfully, the cultures came back negative. Yesterday he broke out in a rash again on his torso. Doctor thinks it's unrelated to the meds as the rash is not hive-like. It's better today so they're thinking he just picked up "another virus".

He goes to Dr. Bromberg for a big cardiac exam including x-ray, echo, pacemaker interrogation and lab work next Monday. We'd appreciate any and all prayers for good news. He appears to be doing well but there have been times when he's been a bit off; overly sluggish and tired, excessively thirsty, etc. We'll feel much better after Dr. Bromberg checks him over thoroughly.

A week after that appointment he sees the dentist. Last time he cried and was a little scared so pray that he'll be "so brave" this time.

He's been busy going to preschool, spending time dancing to VBS CD's, riding his sister's razor scooter and riding his trike. He loves playing outside now that the weather has become tolerable. We've been having some fun on the weekends when it's not raining and cancelling MK's soccer games! We recently made our first family trip to Eckert's Farm to pick apples. The girls and I made pies and shared our haul with all the neighbors. We also went to a fundraiser for St. Louis Children's Hospital. Connie had a blast riding on the "train" at both places.

No comments:

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.