Wednesday 5 November 2014

The Longest Day

The Longest Day

It has been a while since my last post Final Preparations and False Alarms  So much has happened between now and then. Our beautiful little X Man, Xavier David, came into our lives at 8.38am on 5th July and grew his angel wings at 1.57am 6th July. This is my recollection of the events of that very long day...

Two days after my last post I got home from work just after 8pm and Mum was hurting and also believed that her waters may have broken.  A quick call to Nanny P and Poppy G to come and look after Mr Two and we were off to the hospital.

The midwives started monitoring Mum and just like our last false alarm there were signs of contractions but no other obvious signs of labor (waters were still intact).  It was decided that Mum would be admitted.  Through the night Mum continued to be in pain.  This was confusing me as the times Mum was in pain were not matching up with the times the monitors shows contractions or Xavier moving.  At this stage the midwives were not overly concerned and happy to keep monitoring.

Around 7ish the following morning I noticed that the monitor for Xavier's heart rate had started showing erratic readings.  I put this down to Mum shuffling around in bed and the monitor having moved so I didn't think twice about this. Because we had come straight to the hospital after I finished work I had not had anything to eat since lunch time the previous day, so just before 8am I went out to get a bite to eat from the cafe, which opened at 8am. 

After I had finished eating, I went back to find a doctor and a number of midwifes/nurses in with Mum. The doctor explained that Xavier's heart rate was erratic and that they were concerned and believed that they needed to progress the labor by breaking Mum's waters.  When the doctor went to do this she discovered that Xaviers head was not as low as she would have hoped.  Because of this there was a risk that the umbilical cord could drop below Xaviers head and if this happened then this would mean they would need to perform an emergency C Section. So the doctor and midwives/nurses made all the necessary arrangements to ensure if this happened everyone was ready.  The doctor then proceeded to break the waters and when she did, there was an almighty gush of blood.  Now, if you ever want a definition of a well oiled machine, what happened next would definitely suffice.  As quick as a flash the operating theater was told they were on their way and before I knew it I was left alone in the room.  Scared the bejeezus out of me.  For the next 10 or so minutes I am pretty sure I paced a grove in the flooring in that room while I waited for some news. Finally a midwife/nurse came and got me and I was taken to the recovery room where Mum would end up. 

Around 9am a midwife came and got me to go and see Xavier.  They had Xavier on the trolley and were providing some respiration assistance because he was struggling to breathe on his own.  They took the respirator away long enough for me to get this photo of him.

Xavier David
I then went back to the recovery room and a short time later Mum was brought in.  Drugged up to the eyeballs and still coming out of the general anesthetic but otherwise ok, I showed Mum the photo of Xavier, but unfortunately she was not able to comprehend what she was seeing or what I was saying yet.

Not long after Mum was brought in I was summoned back to Xavier, who had been taken to the Pediatric Intensive Care Unit (PICU).  On the way I was told that there was an issue in getting a tube down Xavier's throat which was required in order to prepare him for his heart surgery and that they were going to have to take him to surgery to investigate what was causing the blockage.  When we arrived at the PICU there were around a dozen doctors, nurses and midwives all attending to Xavier in one way or another.  As soon as I stepped into the room I was immediately approached by a doctor who explained that a tube that was required to be inserted in Xaviers throat was not proceeding past his voice box and that in order to identify why they would need to take him to surgery.  I was also advised that depending on their findings they may need to perform a Tracheotomy in order to assist him to breathe and asked for my consent to do this, which I gave. 

The next question threw me for a massive six... I was asked what I would like them to do if it was required for Xavier to be resuscitated.  Whoa! What a question! How can you possibly be asked to make a decision like that? My first thought was that I wanted to speak with Mum and together make a decision, but with Mum being out of action after surgery and time not being on our side I had no choice but to make a decision and to hope and pray that Mum would be happy with the decision I made.  It was a tough decision, but I let them know that if resuscitation would result in no quality of life for Xavier to let him pass, but if there was even a slight chance that there would be no last side effects then to please do what they could to save him.  Mum later backed me all the way on this decision.

Now, if that wasn't enough, once that doctor had finished with me I was then introduced to the cardiac surgeon.  He proceeded to then tell me that if the tube could not be inserted, or if Xavier needed to have the Tracheotomy that this would probably mean that the risk factor for heart surgery would become so high that it would be unlikely that they would be able to proceed with his heart operations and that if that was the case then Xavier's only option then would be palliative care. Bloody hell!

Anyway, after they had finished all their scans and everything else they needed to do to prepare him for theater, and after I had signed all the consent forms, we all walked Xavier around to the Children's hospital where he was to go into surgery.  I got to say goodbye to him and then I was taken back to Mum.  I then had to break the news to Mum, but again because she was so soon out of surgery I could tell that it just wasn't registering with her.

Shortly after my return to Mum we were taken up to our room to await news about Xavier.  It was about 2pm when our Doctor came to see us.  He told us that they had discovered that there was a massive abnormality with Xavier's respiratory system which alone would have been a massive challenge to attempt to repair, if at all.  Coupled with his HLHS, it was just too much and there was no surgical options left available to us.  We were going to have to say goodbye to our beautiful boy.

My immediate concern was that I wanted Mum to meet Xavier and be able to hold him and spend as much time as she could with him.  The midwives put this concern to rest immediately and advised us that they could wheel Mum down to Xavier on her bed and that we could spend as much time as needed with him.

Knowing that we were going to have to say goodbye, we wanted Xaviers grandparents to have the opportunity to meet him also.  By this time the grandparents had got together.  A few phone calls later and I had arranged for a friend to look after Mr Two and had called and spoken to Poppy G and Grandma H to let them know what was happening and to ask them to come in to the hospital.

Mum also called Uncle S who lives in Canada to let him know.  I called Aunty K who lived in Sydney and filled her in also.

After we had made these calls Mum was wheeled down to Xavier with me in tow.  Once there they maneuvered Mum's bed in among all the equipment that Xavier was connected up to and  finally Mum was able to meet and hold Xavier. A while later I was also able to get to hold our little man.

Xavier was and always will be so beautiful.  It hurts so much to have seen how perfect he was on the outside and yet there was so much wrong internally.

A short while later the Grandparents arrived and they too were able to meet Xavier.

Whilst we were spending time with Xavier there were a number of things happening.  One of the nurses had a camera which we later learned was a special camera which had been donated to the hospital by Heartfelt.  Heartfelt is a volunteer organisation of professional photographers from all over Australia dedicated to giving the gift of photographic memories to families that have experienced stillbirths, premature births, or have children with serious and terminal illnesses.  At the same time, it was organised for a Heartfelt volunteer to come and take some professional photo's of Xavier for us.

We were also asked if we wanted to have Xavier baptised.  Before Xavier was born we had discussed about having Xavier blessed prior to his first operation, so when this came up we were able to immediately say that yes we would like him baptised.  Mr Two is baptised Anglican so the hospital tried to organise for an Anglican minister to attend and perform the baptism.  Unfortunately there was no Anglican minister available.  As I am Catholic the hospital tried for a Catholic priest and we were fortunate to have a priest come and baptise Xavier.

A couple of hours later the volunteer from Heartfelt, Amy, arrived.  She had travelled 1.5 hours just to be with us.  This is a small indication of the lengths Heartfelt will go to to provide their service.  Amy took some amazing photos that Mum & I will treasure for the rest of our lives.

Around 6pm'ish and we started discussing preparations for us to say our final goodbyes to Xavier and to prepare to take him off the machines that had been keeping him alive. For Mum it was too much for her to watch Xavier go.  Mum had said her goodbyes and wanted to remember Xavier for the time that she had with him, so Mum decided that she would return to her room.  I wanted to stay with Xavier.  I wanted him to know he was not alone while he went to sleep.

After Mum and the Grandparents left to return to Mum's room I held Xavier while the midwives/nurses removed all the equipment Xavier was connected to, apart from his pain relief.  I held him and spoke to him and told him how much I loved him. I told him how much his Mummy loved him and how much his big brother loved him.  I apologised to him for not being able to help him and I let him know that he will forever be in our hearts.

A few minutes later the midwife who was with me explained that Xavier had not made much of an effort to breath on his own, which was evident to me as well.  She checked for a heartbeat and was still able to detect it at that time.  I spoke to Xavier for a bit longer before she again checked, and this time she was not able to detect a heartbeat.  I said my final goodbyes to Xavier before leaving to go back to be with Mum.

I arrived back to Mum and let her know that Xavier had gone to heaven.

We said out goodbyes to the Grandparents and settled down to contemplate what had just happened.  Not long after the Grandparents had left the midwife who had been with Xavier and I came up to the room with a doctor.  The doctor had been called to officially pronounce Xavier had passed, however, when he checked for a heartbeat he was still able to detect it.  They aplogised to us and asked us what we would like to do.  We could have gone down to where Xavier was to be with him or we could have had Xavier brought up to us to be with us.  For mum it was all too much.  For me, I had already said goodbye to Xavier twice that day, I was at peace and I couldn't go through saying goodbye to him again.  I knew that Mum needed me and I needed to stay with Mum to look after her.

After the doctors had left Mum and I talked for a while.  We cried and held each other.  We were both physically and emotionally exhausted and before long we both drifted off to a semi-sort-of-sleep.

Just before 2am I woke to hear Mum crying.  Unlike her earlier cries this was a deep, sorrowful mourning cry.  I went and comforted Mum and held her tight and let her know I was there.

At about 2.30am a midwife and the duty nurse came in to see us. They let us know that Xavier had passed peacefully at 1.57am.  Mum knew, she just knew, and this was why she had been so upset right at that time.

Today it is 4 months since Xavier was born.  Every day I think of him and every day I am reminded of him in some way or other.  The days are getting easier slowly but the ache in my heart is constantly there.

It has taken me 4 months to be able to write this post.  Not a word has been typed without a tear in my eye.  There is still so much more that I want to say, but that will come with future posts.

For Now, I just want to let Xavier know that his Mummy, Daddy, Brother, Grandparents, Aunty and Uncle, and everyone else who shared in his journey, love him and will remember him always.

I love you Xavier, my Son xxx

Friday 8 August 2014

Always a mummy………………..

Always a mummy………………..

Victor Frankl once said:
We cannot judge a biography by its length, by the number of pages in it; we must judge by the richness of the contents. Sometimes the "unfinished" are among the most beautiful symphonies.
Its been 34 days since we said hello to you Xavier and 35 days since we kissed you good bye until we meet again.

This journey has become so many things to me now; one of grief, strength (feels like none most days) the blessing of family and friends and us. The three of us….. trying to find our feet and our new routine and new normal.

We have been blessed with a network of family and friends that are incredible, this has been the backbone to helping us move from one day into the next. The glue has been my mum and hubby. These beautiful people have just hugged me and held when I have completely crashed because there are no words and that’s all there is sometimes.

I have felt no anger or resentment in any situation over the last month, which has been good because I think that those feeling would be harder to move on from. All I can say is hug those you love especially your children and tell them how important they are to you and how much you love them every single day.


Tiny Angel

For brief and fleeting moment, an angel touched the ground;
With tiny wings and halo, and sweet, soft angel sounds.

Blessing the lives of others, in beauty and in grace;
Those who saw the angel, knew God had kissed his tiny face.

The angel came for reasons we may not understand;
A journey brief, with gifts so great, and guided by God's hand.

So, rest now tiny angel, your work on earth is through;
In the beauty of God's perfect love we saw His gift in you.

Author Unknown
Anyone that knows me understands that I tend not to slow down very often.  There are a couple of things that I am having trouble dealing with and slowing down and quieting my mind is up there.  No I am not turning in a new age hippy…. mediation is helping but oh it is hard for an old dog, never been very good at learning new tricks.

The other speed hump is the physical side. Any mummy will know what I mean after a little one. I have all of that without my little man. That truly cuts very deep. Time everyone says is the healer. I am finding that the tears don’t come as often as before but saying that I have them streaming down my face.

Thank you the beautiful staff at the Mater, words just will never be enough for how you have guided us from the start and every single step of the way provided the tools and knowledge.

To everyone out there, please if you recognise that you are struggling with a situation and it seems to be getting on top of you and taking too much of a toll, please go to your Doctor and reach out to get some help.

Liz

xxxxx

Wednesday 2 July 2014

Final Preparations and False Alarms

False Alarm!

Don't much enjoy these, and neither does Mum. We had a False Labor last week. Mum called me from work to say she was in quite a bit of pain so I went and picked her up and we went to see our GP.  Our GP tested the usual (blood pressure, temperature etc) and then checked X Man's heart beat and did a general observation of Mum.  Our GP thought it best that we head into the hospital so we packed ourselves up and off we went.
False Alarm
At the hospital they wired Mum up and began monitoring X Man's heart rate and Mum's contractions. The contractions Mum was feeling were very short, sharp and had no regularity about them. They did not progress into any rhythm or consistency.  Further checks were done and there was no other obvious signs of labor.  Mum was given some pain relief and given a bit of time to let it kick in.

After a while the pain did subside to a tolerable level.  The midwives were tossing up if to have Mum admitted for the night for monitoring just in case things progressed into true labor.  It was initially decided that Mum would stay overnight so I went and made arrangements for my work and also Mum's work.  When I returned Mum said that the midwives had come back and were going to do a test which checks for a protein which is present when labor is imminent within the next 72 hours.  This test returned negative so the midwives were happy to send us home with pain relief and instructions to return if things got worse.  Thankfully things settled down afterward and we have not had any issues since.

Needless to say, after this false alarm Mum didn't go back to work for her last two days.  She did go in on the Friday afternoon to say goodbye to everyone and apparently there were a lot of tears from everyone.  We were very spoiled by Mum's work.

Final Preparations

We had our last big checkup yesterday at The Mater with our Cardiologist.  Whilst there has been some improvement in the development of X Man's left side of his heart (from approx 25% to 33% the size of the right side), the size of the left side of the heart is still too small to work on its own and so we are still looking at proceeding with the surgical path. X Man is measuring well and our Cardiologist is happy that if X Man comes along now he is of a good size to operate, although if he can grow a little more between now and then they will be happier.
Final Preparations
We went for a tour of the Children's Hospital yesterday.  I was not prepared for the emotion that this tour brought. I think it really concreted what lies ahead and it shook me up quite a bit.  I said to Mum later on that in hindsight I probably shouldn't have done the tour as I believe I would have better managed things better once things were happening because I would only be focused on X Man and wouldn't notice the surroundings in the same way I did yesterday.  That being said, I am also in a way pleased that I did do the tour as I now know where X Man is going to be and what facilities are available not only for X Man, but also for Mum and I and also for Mr Two when he comes to visit.

X Mans due date remains August 1st, however, we really do not believe that we will get that far.  Mum is quite big (I am sure a lot bigger that she was with Mr Two) and the scan yesterday also showed that X Man has dropped and his head is down.  Just the last couple of days you can also see that X Man has moved down as he is sitting a lot lower than he has been.  I reckon we may see our little fella in the next week or so.

Our preparations are just about complete.  Mum's hospital bag has been packed for a couple of weeks now and is loaded into the car.  Mr Two has bought X Man a little toy to keep with him at the hospital, and we are going to get another little toy that X Man can give to Mr Two.  We have some photos of us printed and laminated to put in X Mans crib so that when we aren't there he can still look at us and see us.  We have books ready so that we can read them to him, and we have some music to play quietly for him as well.

The managers at my work are looking after us and are more than happy to adjust my hours as required.  At the moment my parents are coming over of an evening when I am working to help Mum out with Mr Two and then they are heading home once Mr Two is in bed.  I used to work until 10pm but because Mum is not able to physically lift Mr Two and can't chase him around, my hours have been adjusted so that I can finish at 8pm so I can get home in case Mr Two wakes up.  It is this flexibility at work which Mum and I are very appreciative of.

Mr Two is as excited as a 2 year old can be about having a brother.  When we ask him "where's your baby brother" he goes over to Mum and pats her tummy and says hello.  He can also say his brother's name (no, I am not saying what that is).  We are also pretty sure that Mr Two can tell that there is something up.  He is playing up quite a bit and has become quite a handful, but only for Mum and I.  He is a complete angel for everyone else.  Very frustrating but completely normal, and my research has shown that this is quite common for toddlers who have a new brother or sister on the way or who can sense there is something wrong but not be able to understand what that is.  Mum and I speak to Mr Two about X Man and let him know what is happening because he is big a part of this journey as the rest of us.  He can't communicate to us that he understands and we can't really tell what he does and doesn't understand, but we let him know every day that we love him and that even when X Man comes along Mr Two will still be our special little guy.

What Next?

Just when we thought that all our appointments were over, we have another appointment scheduled for the 16th July to see the Obstetrician.  Somehow I don't think we will need that appointment...

So really, next stop is labor.  How exciting! Can't wait to meet the little fella.

Thursday 12 June 2014

Counting Down....

Counting Down...

It feels like a lot longer than 12 weeks since I started this blog and introduced you to The X Man - Our Journey With HLHS (Hypoplastic Left Heart Syndrome).  So much has happened for us in 12 weeks.  The good news is that when all things are considered Mum, Mr Two and I are doing ok.  We have moved into the preparing stage and are starting to get things ready for the impending arrival of X Man.

Counting Down to Maternity Leave

Not long to go now!  Already Mum's transition has started, including a reduction in work load as her duties are reallocated, as well as a relocation of desk so that Mum's replacement can transition into the team.  For Mum, this is a strange feeling.  With Mr Two, Mum's employment situation was different and there was no need for any 'reallocating' or 'transitioning' and therefore none of the emotion that has come with this experience.  It is a different feeling to going on leave for a week or even resigning from a job. But even through all this emotion Mum is also very excited that this milestone is rapidly approaching.

For me, this milestone is when I know that things are really real.  While Mum has still been working things have pretty much stayed routine.  When Mum goes on maternity leave, then I will know that on any day at any time within the next 5 weeks our little X Man will come into our world and into our lives, and our real journey will begin.

Counting Down Appointments

One Day of Appointments Left!

After today, we have one more day of appointments to go before birth.  We had an appointment today with our midwife, just a general checkup today, nothing major.  X Man measured nicely and his heart was beating strongly.

It is very strange... every time X Man hears his own heart beat he goes crazy and starts running around.  Drives the midwife mad chasing him to be able to get a good listen, and drives Mum bonkers as he bounces off all the walls.  It is almost as if he knows that there is something wrong with his heart and he is trying to run away from it.  Very strange...

Counting Down to Birth

When will X Man be born???

Officially 1st August.  If this little boy is anything like his big brother, he will be early.  I still think (guess) 21st July.  We don't want him to come too early though, we need him to continue to grow and get strong ready for his impending fight.

Preparing

Mum and I are starting to really get moving on getting everything ready and prepared for X Man's arrival.  Things like Mum's hospital bag ready for when she goes into labour, as well as little bits and pieces for X Man.  We were given a great suggestion to print and laminate photos of ourselves so that when we are not there X Man can look at us and get used to seeing Mummy, Daddy and Big Bro.  We are preparing books to take to read to him, and we are going to also make some recordings of us reading books that can be played to X Man so he can hear our voices while we are not there with him.  This may also be helpful for the nursing staff to help settle him if he is unsettled while we are not there.  We have even started cooking some extra meals so that we can defrost and reheat them on nights where we get home from the hospital and we are both too buggered to cook (I am pretty sure there will be a few of these...).

We have been very lucky to have received so much good advice on how to prepare for X Man's arrival and extended stay in hospital.  We are sure that we have not thought of everything and are more than happy for you to leave your suggestions in the comments section below.

Wednesday 28 May 2014

The Good, The Bad and The Not So Ugly

The Good, The Bad and The Not So Ugly

Wow, what a day!  At the end of my last post (Acronyms, Acronyms, Acronyms... An Update On X Man and Mum) I mentioned that we had a full day ahead of us at The Mater. Well, that day was yesterday.  All up we had four appointments, three with various departments within the hospital and the fourth with HeartKids QLD.  There was some good, some bad, and some not so ugly outcomes from the day. Overall, Mum and I are "frazzed", our heads are spinning as we work at processing everything.
Frazzed!!!

The Bad

Let's get this out of the way earlier and finish on a positive note...

Our second appointment yesterday was with the Neonatologist (AKA Baby Doctor).  His job was to go through things with us to ensure we understood what was happening now and on the road ahead.  We were hit with a bombshell, something that we had not even thought to consider and that no-one else had brought up with us as yet.  We were told that children born with a CHD are also commonly born with other genetic defects, such as Down Syndrome (just to name one that I am aware of).  Now the kicker here is, if there are other genetic defects, or other severe abnormalities within X Man, then there is a high chance that the surgeons will not operate, and we will have no choice but to allow X Man to pass peacefully...

Up until yesterday I had not even considered this, nor had Mum.  We believed that the only risk to prevent surgery is an undetected issue with the heart that would make surgery impossible.  We were not prepared for this news and it has impacted us quite a bit.

This being said, from all the information available to us X Man is growing at a perfect rate and we are remaining confident that we are brewing a little fighter who is getting ready for the fight of his life (if you ask Mum, he sure is doing a lot of training and workouts in there!).

The Not So Ugly

The first appointment yesterday was with the Diabetic Physician to check to see how Mum's first couple of weeks of test results for the Gestational Diabetes.  So far, apart from a single big blip (no more raisin toast Mum) everything is looking good toward Mum being able to get through the remainder of the pregnancy controlling the Gestational Diabetes with diet, so without having to use insulin.

The second half of our second appointment we were taken on a tour of the special care nursery where X Man will be taken straight after birth.  He will be here for up to a week, this time frame being dependent on day and time of birth, his health after birth, the surgeons time frames etc etc... It should be a day or so prior to the first operation that he would be moved over to the Mater Children's Hospital.  The tour was very good, we were shown where everything is and what we can expect during the time X Man is in the nursery.  For Mum, this tour had been a source of anxiety in the lead up to it, but I think with the bombshell we had been hit with moments earlier Mum's brain was "numb" (as was mine) and Mum was able to get through the tour without any issues.

Our third appointment for the day was with the lactation consultant.  Because X Man will likely be fed through a drip until sometime after the first operation, Mum will need to express to not only stock up ready for X Man but to also ensure that her milk levels stay high.  This was very informative and it gave Mum a clear picture of what lies ahead with regards to breast feeding.

On this note, if anyone has an electric breast pump that they would like to sell (or donate) please let us know, we will need one for home and apparently it is cheaper for us to buy one than to rent one.

The Good

A week or so ago, HeartKids QLD shared a very interesting article, a Q&A with Prof. Sally Dunwoodie at the Victor Chang Cardiac Research Institute (link). Prof. Dunwoodie is researching the genetic cause of CHD's. After reading the article, Mum and I discussed our thoughts on offering ourselves as case studies to Prof. Dunwoodie to help with her research.  For Mum and I, the cause of X Man's condition is inconsequential, knowing this is not going to help solve X Man's problem.  However, if our participation in this research goes toward providing answers to families why do want to know why, or even to a possible prevention of CHD's, then we would be be thrilled to know that our journey has provided such a positive outcome.

I sent a message to Prof. Dunwoodie and was excited to have received a call from her, albeit a Voicemail as I was working at the time.  A couple of more phone tags between us and I was able to speak to Prof. Dunwoodie yesterday.  We had a wonderful conversation about our journey and about Prof. Dunwoodie's research.  Mum and I have now been referred through to one of Prof. Dunwoodie's colleagues who is going to contact us to discuss how we can help from here.

We are going to be receiving so much over the coming months/years, Mum and I are very thankful for the opportunity to give a little back.

After our phone call with Prof. Dunwoodie, Mum and I were privileged to meet Angela from HeartKids QLD.  Straight away Mum and I felt at ease and comfortable and it was also great to speak with someone who has traveled a similar journey to ours (Angela's son had HRHS and is now 9 years old).  We basically just sat there and chatted about everything. Angela's knowledge and advise was amazing and after the day we had had, so very welcome.  HeartKids QLD will become a part of our lives when X Man comes along and after meeting Angela today Mum and I are so grateful that this organisation is going to be there for us.

Earlier in the week HeartKids QLD posted to their Facebook page some awesome news regarding HeartKids QLD Medi-Hospital (link), where regional HLHS babies will have the chance to spend time away from the hospital with their family in a homely environment between surgeries. Currently these babies would be admitted to hospital for 4-5 months.  Parents will be trained in the care of their baby and report back to the hospital daily.  Whilst we are not holding our breaths and we would put ourselves ahead of any other family who needs it, Angela did suggest that there MAY be an opportunity for us to take advantage of these facilities if they are not already being used.  This would be awesome and so very much appreciated if we did have this opportunity.

The End (Start) Draws Near

August 1st remains the official due date, I am sticking with my guess of July 21st... We can look at it as the end of the pregnancy drawing near, or we can look at it as the start of X Man's journey drawing near.  There is no right or wrong, each has its own positives and negatives.  Mum has grown used to having X Man with her and the knowledge that X Man is safe and well while growing inside.  Right now Mum is in control.  The downside of this is that Mum is now getting nervous about birth, knowing that once X Man is born that sense of control is going to be gone as a lot of what happens after X Man is born is outside of our control.

For both of us we are excited that before we know it we are going to get to meet our little X Man and we are going to get to tell him face to face how much we love him.

Tuesday 13 May 2014

Acronyms, Acronyms, Acronyms... An Update On X Man and Mum

Acronyms, Acronyms, Acronyms... An Update On X Man and Mum

HLHS, CHD, DORV, VSD, SVC, GDM... OMG WTF???

In my original post The X Man - Our Journey With HLHS (Hypoplastic Left Heart Syndrome) I introduced us all to our road ahead with our little X Man and his Congenital Heart Defect known as Hypoplastic Left Heart Syndrome. Today we had our next appointment with our Cardiologist (Mum & I thought he was our surgeon, but we found out today he is our cardiologist and that we would meet the surgeon(s) just prior to surgery).

The scan today showed that the left side of the heart is still only around a quarter the size of the right.  This makes it more likely that we will go full term and have no improvement in the left sides size. There have been a couple of very rare cases where the left side of the heart has miraculously grown to a size of 70% that of the right but as the size difference is so dramatic in X Man this looks unlikely in his case.

What we did find out today was what makes X Mans case of HLHS different from "classic" HLHS, which enables us to have the operations here in Brisbane rather than having to travel to Sydney or Melbourne.  In Classic HLHS (Hypoplastic Left Heart Syndrome) there is no "outflow" from the left side of the heart, rather there is "backflow".  In X Man, there is outflow due to a condition known as DORV (Double Outlet Right Ventrical).  Because of this X Man has a variation of HLHS known as Hypoplastic Left Heart Spectrum.
Double Outlet Right Ventricle with Subaortic VSD

In double outlet right ventricle, something goes wrong during the formation of the heart in the womb, and both great arteries (the pulmonary artery and the aorta) are attached to the right ventricle. No arteries, or only a part of the aorta, are attached to the left ventricle.

We also found out today that X Man has a hole in the heart, or in medical mumbo jumbo, a VSD (Ventricular Septal Defect).  This is a hole in the septum, the wall that divides the right and left ventricle. The VSD is actually helpful — it allows X Man to live. Without the VSD, blood that traveled to the lungs and back to the left side of the heart would have no place to go, since the aorta isn’t attached to the left ventricle, and no oxygenated blood would reach the body.

There are a number of types of VSD's, X Man has what is known as Subaortic VSD.  The VSD allows oxygenated blood flowing into the left side of the heart to cross over to the right ventricle, and be pumped out to the body through the aorta.

So, all up X Man has Double Outlet Right Ventricle (DORV) spectrum, subaortic VSD. small left ventrical, mitral valve, aortic valve, hypoplastic aortic arch/aortic coartation, bilateral SVCs (right SVC to right atrium, left SVC to large coronary sinus). This diagnosis provides a positive outlook toward the doctors being able to perform the Norwood Procedure after birth.

An Update on Mum

While Mum was pregnant with Mr Two, Mum was diagnosed with Gestational Diabetes. Through careful diet management Mum was able to control the diabetes.  Last Friday Mum went and had the test done for Gestational Diabetes.  Mum has been careful with her diet from the day we found out we were pregnant, but alas, the results came back today and it is confirmed that Mum has Gestational Diabetes again.  Mum is confident that with continued control of diet that she will be able to manage the Diabetes just like she did with Mr Two.

The blood test also showed that Mum's iron levels were low, which could very well explain why Mum had been feeling off for the past few weeks.  Mum now has to take iron tablets to increase her iron stores to ensure there is enough iron not only for X Man but for Mum as well.  We have been told that Mum can expect to start feeling better as soon as a week from now. Fingers crossed.

Contortionist

We were given a copy of a 4D image the radiologist took whilst performing the scan today of our little contortionist.  Seriously little man, I know it is cramped in there, but how do you get yourself into this position?
X Man

X Man

Upcoming Appointments

We have a couple of weeks off now before we have a full day at the hospital with numerous appointments.  We meet the Diabetic Physician, we then meet the Neonatologist and have a tour of the nursery, and then we are going to meet up with a lady from HeartKids QLD to touch base.

Within the following month we will have another regular checkup at The Mater before another appointment with the Cardiologist at the start of July.  That appointment will probably be the final scan before X Man is born as by that stage the heart will be fully developed and the extent of the deformation can then be assessed ready to prepare for surgery.

Sunday 4 May 2014

Wow! All things considered, we're doing ok!!!

How are we going to get through this???

Ever since mum and I received the news of X Man having HLHS (The X Man - Our Battle With HLHS (Hypoplastic Left Heart Syndrome)) we believed that we had both been struggling to keep on top of things, especially our emotions. Both of us are prone to breaking down at the drop of the hat, more often than not if we are tired or if there is some sort of trigger to set us off.  Along with this is what seems to be the never ending list of things that we need to organise and/or put in place to prepare for the arrival of our little X Man.  How would we ever be prepared for our road ahead???
How are we going to get through this???

Mum and I always speak to each other and discuss everything.  We have an amazing support group of family and friends and we speak to them and keep everyone up to date with everything that is happening.  This is awesome and both Mum and I are so grateful for this.  However, all of our friends, all of our family, as well as Mum and I, we are all emotionally involved in this journey.  We are all on the same train with the same destination.  Mum and I needed an outlet that was emotionally removed, an independent ear to which we could openly communicate who was removed from the emotion of our journey (as much as is humanly possible). We had discussed this with the midwife at The Mater and we were referred to a counselor.

Being Prepared

On Friday we met with the counselor. Nervous as we were, my intuition told me immediately that our counselor was going to be great and I was put at ease making it easy for me to open up. Speaking with Mum later she also had similar feelings.  Mum and I discussed where we were at physically and emotionally. Our counselor guided us through our time from now until birth and was even able to provide us a brief explanation on what would haven once X Man is born (ie, where he will go, where Mum will go, where I go etc etc). We were very grateful for this information as it gave us a little more clarity.  We went through what we needed to think about and prepare for over the next few months so that when X Man decides it's time to come we are prepared as much as possible,

Guess what??? We are so prepared! Most of what was suggested to us Mum and I had either already taken care of or had already discussed and put in place a plan.  For me this was a shock because I felt that we would never be ready.  This was such a relief!

We're doing ok!!!

We spoke about our emotions. We spoke how sometimes we would break down, sometimes for no reason, sometimes with triggers. I thought maybe I wasn't emotional enough, that maybe I should have been more emotional than I was.

Well, the prognosis is, we are normal and our emotions are perfectly acceptable and to be expected considering the journey we have ahead of us.  The randomness of our emotional moments is nothing strange and can often be impacted by physical and emotional variables (we know this, especially when we are tired).

Redundant? Don't you go anywhere!

As our time was ending with our counselor and we all had come to the conclusion that we are actually doing quite well, our counselor actually said to us that we were making her redundant!  Not a chance in the world! We may be doing pretty well at the moment, but as things get closer and especially when X Man comes along and we are in that critical phase, I am sure that our counselor will become one of our best friends at the hospital whilst we travel our journey with X Man.

Thursday 1 May 2014

HeartKids QLD 30th Anniversary Gala Ball

Tuesday 29 April 2014

Mummy Bear

Emotional Roller Coaster

I know that Dad has been writing the blog so far and  now I wanted to contribute - Mummy bear. The weekend with the massage and baby shower was beautiful. Words can't express how much I appreciated everything - thank you Auntie K.  I was nervous leading into the shower but as a friend kindly put things in perspective - you need to take time to celebrate your little X Man as you truly don't know what is around the corner and you are having a beautiful baby boy.

This week things has started to become real, X Man is moving around a lot and responding to us more, especially when he hears Mr Two which is special. I have very torn emotions: ranging from the general freak out of another child on the way (are we ready for this again?), being plain out right scared, numb and of course excitement.

The hospital appointments are coming in thick and fast, I guess with the knowledge we have been building I thought things would be easier at this stage. Err no, not for me this week I have really felt I have been pushed way back to square one and some. Thank goodness for Dad, my best friend and my hubby.

Take it one day at a time and be positive but remain realistic.....this is where I am sitting at the moment. For some people I guess that maybe hard to hear and writing it on paper and re-reading it it does seem a bit harsh. I guess that's the little box I am putting the baggage in.


Emotional Roller Coaster

A Hospital Visit and a Baby Shower

A Hospital Visit

A scheduled appointment last week, basically just a check up and to finalise Mum's records to ensure everything was up to date for The Mater after our transition from Logan Hospital.  We got to listen to X Man's heart.  It is amazing that his heart sounds so strong considering the deformity. In my books this is a really good sign, we need our little X Man to be strong.  Everything else checked out ok.  

A Baby Shower

My wonderful sister, Auntie K, with help from Grandma and Nanny P, put on a Baby Shower for Mum on the weekend.  
Baby Shower
A great day was had by all. Auntie K had organised games all with a baby theme.  Although I was not directly involved, I was floating around while looking after Mr Two and I could see (and hear) that the air was light and there was a lot of laughter and good times being had.  I cannot express how thankful I am to everyone involved for helping to make this day so enjoyable for Mum. It was a well needed positive distraction from our journey and I know that Mum is also very appreciative.

We were very fortunate to have received many amazing gifts for X Man and again Mum and I would like to thank everyone for these gifts.

Counting Down

Things are starting to pick up for us now.  Our calendar is looking very full with hospital and associated appointments.  We are also now starting to count down, first to Mum's final day at work before going on maternity leave, and secondly to welcoming X Man into our world.  We are still looking at August 1st for the due date, but if X Man is anything like his big brother we are probably looking like meeting our little man around the middle of July, which brings me to...

Guess X Man's Birthday

Want to take a guess at X Man's birthday?  Leave your guess as a comment below.  Closest gets bragging rights!

Monday 7 April 2014

A Level Of Acceptance

A Level Of Acceptance

In a previous post I spoke about The Road Ahead and the journey we have been presented with.  In today's post I would like to speak of the level of acceptance that Mum and I have reached.

As those of you who are following our story on Facebook would have seen, Mum reached a milestone last week in being able to speak openly about X Man and the road ahead without breaking down.

A Level Of Acceptance

Those of you who know Mum will know that she is a stronger person than she likes to believe.  This being said, it would not be human for even the strongest minded person to not be affected by the news that their child will need to travel the journey that X Man has ahead of him.  Mum is no exception, and for many days there were tears accompanying the sense of disbelief.  I am so very proud of Mum for having reached this milestone.  I know that there are still going to be teary moments along the way and I know (and importantly Mum knows as well) that I will be there to provide that shoulder to cry upon.

As for myself, I guess the best way for me to describe how I am feeling is numb.  Through the excellent information provided by the Doctors, Midwives and staff at The Mater, our GP and through my own research I have a fairly solid understanding of what lies ahead medically for our little X Man. Like Mum, I can also speak openly about our journey with X Man without becoming overwhelmed with emotion.  However, there is no research which will tell me how I am going to handle things emotionally when the time comes.  I do not like being unprepared (just ask Mum).  I like to know exactly what I am walking into at all times.  I guess this is a classic sign of my anxiety.  For me this is my biggest challenge, but I know I have a massive support base of friends and family behind me with the greatest support of course coming from Mum, and when the time comes together we will help each other pull through.

So have I reached the same level of acceptance as Mum?  Or has mum reached the same level of acceptance as I have?  Both valid questions because whilst we both are travelling the same journey and are doing so together, we are also still both very much in control of our own conscious and emotions.  We are dealing with X Mans journey together as well as in our own ways and we are in no way expected to conform to one another's ways.  We have always believed that whilst we have our life together as a couple and a family unit, we are still very much individuals and we give each other the freedom to live our individual lives (within reason of course!)

Some Things More Difficult Than Others To Accept

Whilst Mum and I have reached our own levels of acceptance, there are some things about our journey ahead that we are struggling to come to terms with.  It is funny how the mind works and what it can focus on in a sea of information.  For Mum and I we are both finding it difficult to come to terms with the fact that X Man will look "blue" for the first few years of his life (until the Fontan Procedure).  This is such a minor thing in the grand scale of things but we just can't seem to shake it.  We think it may be because we don't know exactly what "blue" looks like.  We are going to ask the hospital if they have any images which they can show us that will provide us a better understanding of this.


For me personally, I am having trouble accepting that X Man will one day be home with us.  A month ago I was so excited and looking forward to finding out if X Man was a boy or a girl so I could start putting together their room ready for when they came come from hospital.  Now I am so scared that if I put together X Man's room and the worst does happen that I would not be able to face seeing yet alone entering that room.  I now am going to wait until X Man has had his second operation and is recovering well before I put his room together.  I know from the outside this may seem strange, but this is something I need to work with.  Who knows, over the next few months my level of acceptance may grow and I may feel comfortable enough to start putting X Mans room together ready for him to come home.

Thursday 27 March 2014

The Road Ahead

The Road Ahead

In a previous post I introduced you to The X Man - Our Battle With HLHS (Hypoplastic Left Heart Syndrome) and the journey ahead of us. The information I provided at the time had mostly been obtained from various online sources while we waited to see the specialist at The Mater Hospital. As it turns out those online resources were very much on the money.

Yesterday we had our appointment at The Mater. This purpose of this appointment was to have a more in depth scan of X Man's heart to determine the full extent of the deformity.  

Confirming The Worst

The Doctor who saw us was amazing. He reviewed the scan results and then took us aside for counselling. It was at this time that the Doctor advised us that the issue with the heart was a variant of HLHS known as Hypoplastic Left Heart Spectrum. It was explained to us that in a normal case of HLHS the left side of the heart may show as approx 50% the size of the right (a normal heart the left and right sides are equal). In X Man's case, the left side of the heart is only around 20% the size of the right.

One of the questions I asked was how many cases of HLHS do they see.  The response was that Queensland wide they see roughly 20 cases per year.

Our Options

We were presented with 3 options.  Each of these options was explained to us and there was no expectation of us to make a decision straight away.  These options were:
  1. Surgery
  2. Conservative / Palliative Comfort Care
  3. Discontinue
Quite daunting really when you sit back and look at the options. It was explained that the same options were presented to all parents facing the birth of a child with HLHS and all options were taken. Mum and I through our research had already discussed which option we were going to take so we were able to let them know that we wanted to proceed with the surgery. We want to give our little X Man the best chance at life we possibly can, be it a day, a month, a year or 100 years, he is our little boy.

Surgery

There are 3 operations which will need to be performed.  

Surgery 1: Norwood Procedure

The first operation is called a Norwood Procedure and is carried out within the first few days after birth. The goal of the Norwood procedure is to connect the single ventricle to the systemic circulation. To accomplish this, blood flow to the lungs is disrupted, and therefore an alternative path must be created to supply the lungs.  In simple terms, the Aorta (which distributes oxygenated blood to all parts of the body) is reconstructed using the Pulmonary Artery (which carries de-oxygenated blood from the heart to the lungs). One of two 'shunt' operations is also performed to maintain blood flow to the lungs. 

Although I cannot recall the exact reason why, the little piece of good news is that the Norwood Procedure can be performed in Brisbane rather than X Man having to go to Sydney or Melbourne.  I do know that it is because X Mans HLHS is not the classic HLHS, but the defining reason escapes me.  A question for the Doctor on our next visit...

Because the oxygenated blood coming back from the lungs to the heart is mixing with the de-oxygenated blood from the body, X Man's colour is going to be blue rather than pink.


Norwood Procedure

Surgery 2: Glenn Procedure

The second operation is called a Glenn Procedure.  This procedure involves hooking up the Superior Vena Cava to the right Pulmonary Artery and detaching it from the Right Atrium, making a direct connection between the Superior Vena Cava and the Pulmonary Artery, diverting half of the "blue" blood directly to the lungs without the assistance of the Ventricle. It is usually performed around 3-4 months of age once the lungs mature to the point that blood flows more easily through, and ventricular force is no longer necessary.

X Man will continue to look blue after this operation.
Glenn Procedure

Surgery 3: Fontan Procedure

The third operation is called a Fontan Procedure and usually occurs between 3 to 5 years of age. This involves connecting the veins from the main circulation (SVC & IVC) directly to the pulmonary arteries. Blue blood is thus directed into the lungs rather than to the left atrium. A patch is placed to prevent blood passing from the RA to the LA - though sometimes a small hole (a 'Fenestration') is deliberately left.  Simply, the blood returning from the body will no longer go through the heart to get to the lungs.  The blood from the lungs will go through the heart and the right side of the heart will be "recommissioned" to perform the duties of the left side (ie, pumping blood through the body).

After this operation X Man will start to look pink.
Fontan Procedure

The Risks

The first operation is by far the riskiest, with around a 15% chance of complications.  At The Mater, they have performed 12 of these operations since their first in 2010, with only one fatality due to complications.  In my book these are pretty good odds.  The second and third operations are not without their risks, however, the chance of complications does drop to around 5%.

After the first two operations X Man will have a low tolerance to exercise, may have an abnormal heart rhythm and will have a higher risk of stroke due to the amount of blue blood flowing through the body.

After the third operation X Man will still have a low tolerance to exercise, but will still be able to participate in non-contact sports that are not too exertive, such as jogging, swimming, tennis etc.  There will also be some very serious things to look out for, such as Protein Losing Enteropathy (caused by fluid retention in the body) and Pleural Effusion (fluid build up in the lungs).

Of course, throughout X Mans life he will always have the risk of sudden heart failure.

Long Term Outlook

After the operations are complete X Man can look forward to a life of around 30 - 40 years.  Due to natural deterioration of the heart the only option available down the track is a heart transplant (this is based on today's medicine, who knows, by then they may be able to grow a whole new heart for X Man).

There will also be continuous trips back and forth to the hospital for check ups during his life.

Mum, Mr Two and I

As you can imagine we are numb. It has hit mum quite hard and the tears have been flowing freely.  For me, it hasn't really hit home yet.  I am more concerned about ensuring that Mum is ok than anything else.  I know I will have my time and that it will be soon and I am prepared for that.

Mum and I are surrounded by an amazing support group of family and friends, we are being looked after by our respective employers and we have an absolutely amazing medical community who we know will do everything they can not only for X Man but for us as well.

My work normally sees me working evenings and mornings, so with X Man and Mum being in hospital for an extended stay I will be left to look after Mr Two myself (with the help of the Grandparents of course), therefore I will not be able to work my normal evening shifts. Work understand this and will help to adjust my working hours so that the impact to our lives and their business is as minimal as possible.  Mum is also in discussions with her employer as it is now going to be necessary for her to take an extended period of maternity leave.

Both Mum and I understand that there is going to be a lot of attention toward X Man and that during this time it is very important that Mr Two be involved as much as possible.  This is important so that Mr Two can begin to understand what is happening around him and so that X Man gets to know his big brother. It is also important that Mr Two still knows that he is still just as important to us as always.

The Next Steps

One of the questions I asked was if there was anything that we can do between now and birth that could help to increase the chances of survival.  Unfortunately there is nothing that we can do, the extreme deformity of the heart shows that even if there is some further growth of the left side between now and birth the heart would still not be able to function normally.

So from here we have to transition from Logan Hospital to the Mater Hospital.  We have an appointment on the 22nd April with our Case Manager to discuss in further details what the road ahead of us involves.  We then go back and see the Doctor on the 13th May for another scan to check how the heart is going and if there are any significant changes.  Then back to The Mater again on the 27th May to meet with the Neonatal staff to discuss birth.  In between will be regular visits with our GP and a number of other blood tests/diabetes tests as well.

Support

We are being asked by many of you if there is anything that you can do to help.  Thank you.  As for now, we don't have anything that we really need to worry about. As time goes on and we get settled in to our journey we may find that we do need some help and support and we would love to have you share in our journey.

If you do find that you wish to contribute in any way, may we suggest a donation to the Mater Foundation.  It is through donations made to this foundation that their ability to help out our little X Man is even possible.

Mum and I will be contacting Heart Kids QLD over the next few days.  Heart Kids QLD is run by parents who have been through their own journeys with children with CHD (Congenital Heart Defects).  Heart Kids QLD are a not for profit organization and any donations would again be welcomed.

We were also provided with a website where we could get further information about HLHS - http://www.hearts-of-hope.org/  I have not yet had a chance to look through this site and I have been warned that there are some sad stories in there.

It may sound strange but last night all I could think about was "how can I help someone else who is in the same shoes as we are?"  It is my aim to continue this blog and to share our story in the hope that our journey may help others along theirs. I will also be making enquiries with The Mater and Heart Kids QLD as to how I can become involved.

Of course, your thoughts and prayers are welcome and appreciated.

As for Now

For now it is a matter of us all coming to terms with our situation, understanding it to the best of our ability and doing everything that we can to help make our foreseeable future as painless and as comfortable as it possibly can be. The next few months of appointments will go by before we know it and then little X Man will be with us and his fight can begin.

Spreading The Word

We would appreciate if you could share a link to this blog with your social media circles (Facebook, Twitter Google+ etc).  Don't forget to subscribe to this blog to get email updates once the blog is updated.

I will also over the coming days be creating a Facebook page to allow the public to follow our journey.

We would also appreciate hearing from anyone who may have travelled a similar journey to our and to hear your experience.

Pain Management

In a previous post I spoke about Pain Management in regards to the pain Mum had been experiencing.  The pain has almost completely gone now thankfully and there was no indication given yesterday during the scan that anything unusual could be seen that may have caused it.  Hopefully that is the last of that!

Until next post, bye for now!

Saturday 22 March 2014

Pain Management

Pain Management

Another trip to hospital for us last night.  Mum had some more abdominal pain which started Thursday accompanied with a slight bit of spotting, but not as much as there was the episode we had 2 week earlier.  The spotting stopped on Thursday but the pain continued through Friday progressively getting worse.  The closest Mum can explain the pain is similar to severe cramping which fluctuates in intensity.

Mum went to see the GP to get them to check her out.  The GP was not overly concerned, however, she did send us to the hospital for them to do a thorough check to ensure that there was nothing nasty happening.

The staff at Logan Hospital were once again awesome.  They did all the same test as they did with our previous visit.  Everything looked ok from their perspective, and it was decided that it would be a matter of Pain Management for Mum until our scan at The Mater on Wednesday, at which time they will do a more thorough examination to see if they can pinpoint the cause of the pain.

Pain Management


This morning Mum is still hurting but the pain does seem to have settled and Mum is a lot more comfortable.  Hopefully on Wednesday they can identify why Mum has the pain and what can be done to relieve this pain.

Friday 21 March 2014

Soul Mates

Soul Mates

I received a beautiful card from my wife for my birthday that I wanted to share.  It is written by Carey Martin and titled "To the one person I consider to be my Soul Mate". I love you darling xxx
I am so glad that you are a part of my life. It is a privilege to know you, to share myself with you, and to walk together on the paths that take us in so many beautiful directions.
I had heard of "soul mates" before, but I never knew such a person could exist - until I met you. 
Somehow, out of all the twists and turns our lives could have taken, and out of all the chances we might have missed, it almost seems like we were given a meant-to-be moment to meet, to get to know one another, and to set the stage for a special togetherness. 
When I am with you, I know that I am in the presence of someone who makes my life more complete than I ever dreamed it could be. I turn to you for trust, and you give it openly. I look to you for inspiration, for answers, and for encouragement, and not only do you never let me down - you lift my spirits up and take my thoughts to places where my troubles seem so much farther away and my joys feel like they're going to stay in my life forever. 
I hope you'll stay forever, too. I feel like you're my soul mate. And I want you to know that my world is reassured by you, my tomorrows need to have you near, so many of my smiles depend on you, and my heart is so thankful that you're here.

Thursday 20 March 2014

Why "X Man"?

Why "X Man"?

Since receiving our news we have had a few people ask if we are going to give baby a name.  Well of course we are, it's just that we are not going to name him yet.  The main reason for this is that by giving him a name it will personalise him and will make it harder for us to process things.  Also, like any parents-to-be we have a number of names on a short list, and if we name him now then we may get in a position where when he is born we realise that he is not a "Billy Ray" as we had named him but is a "Bobby Joe".  So for now little man will be known as X Man until he is born and Mum and I will then give him his name.

But why "X Man"? 

Most people would probably think that it is a reference to The X-Men, well, in part you are right.  While I admit I am not a huge X-Men fan, I know enough.  The X-Men are mutant superheroes who use their powers for the benefit of humanity.  I don't think of X Man's heart as a "mutation", it is a defect.  However, it is a comparable reference.  His special power is the power to fight! And I believe he will fight, and through his fight I am sure that his fighting spirit will give strength where it is needed to not only us but others facing our same fight.  He is our own little superhero.

I also love the symbolism and mystery associated with the letter X.  For instance, one of my favourite TV shows ever - The X-Files - uses the letter X to refer to FBI cases that were considered outside of the normal.  Also, "X marks the spot" (bringing out my inner pirate).  Did you know that X-Rays are so called because their discoverer did not know what they were? In mathematics "x" is commonly used as the name for an independent variable or unknown variable, or can be used to signify multiplication.

There are many many uses for the letter X making it such a strong and versatile symbol.  Not only can X be viewed positively it also has negative connotations as well, such as marking a question wrong in an exam, or to symbolise a dead characters eyes in a cartoon.

But the simple answer lies in X's use to represent unknowns (eg Person X, Place X etc).  While we have a lot of information already, our journey ahead is still a big unknown for us.


Wednesday 19 March 2014

Appointment Change

Appointment Change

Our appointment at the Mater has been pushed back another day to Wednesday next week. Apparently there was an issue in being able to have all the required specialist available for our previous appointment.  I am not upset as these things happen and I am all too familiar with how hard our medical staff work. I am happy to work to their schedule, after all, these are the people charged with saving X Man's life and for this we are truly thankful.

The X Man - Our Journey With HLHS (Hypoplastic Left Heart Syndrome)

The X Man - Our Journey With HLHS (Hypoplastic Left Heart Syndrome)

I am creating this blog to tell our story of our little X Man who has recently been diagnosed with HLHS (Hypoplastic Left Heart Syndrome).  It is my hope that our story will help others, as well as myself, who are also facing the birth of a child with HLHS, to understand exactly what HLHS is and the journey that is now ahead of us.

Who Are We?

I am 38 (actually, today is my birthday), Mum is 36 and we have a beautiful boy, Mr Two, who is absolutely awesome.  We are not a special family in any way.  Mum and I met 5 years ago.  We both knew straight away that we would be spending the rest of our lives together and we married exactly 12 months later.  We spoke about children and we both agreed that we would like to have two a couple of years apart.  Mum got pregnant in 2011 and we had our first child in 2012.  Mum did have Gestational Diabetes throughout the pregnancy which was able to be managed by diet, and Mum also had what is known as Irritable Uterus (http://www.irritable-uterus.com/), however, Mr Two came along with only a few minor issues but an otherwise normal pregnancy and birth.   He has been as healthy as any child, I just wish he would slow down!!!

A Brother or Sister for Mr Two

Mum and I decided the timing was right for us as a family to try for a brother or sister for Mr Two.  We stopped our birth control and got down to business.  Amazingly it looked as though we had hit the bulls eye straight up.  When Mum's period didn't come on time we did a home pregnancy test and the result came back as positive.  Be booked in to see our GP to have it confirmed only to be told that the result was negative.  We waited nearly another two weeks until finally Mum's period came around.  

Round 2 and the weeks rolled by and because things were not happening like clockwork for Mum like they normally did, it was me who actually realised that Mum was once again late, so we did another test and guess what? Positive, again.  Again we went off to the doctors, however, this time they were able to confirm that we were in fact pregnant! Needless to say Mum and I were ecstatic!  I did some calculations and came up with a due date of 31/07/14.

Early Days

Mum started on her multivitamins straight away and everything was progressing well.  At about 6-7 weeks Mum experienced some very minor spotting, so minor that we didn;t even go to see our GP about it, although we did mention it to her at our next appointment.  We then went back to see our GP at about 11 weeks for a regular check up.  She checked out Mum and everything was fine, she then tried to listen to X Man's heartbeat but was not able to find it.  She put this down to how early the pregnancy was and asked that we come back the next week so she can try again, believing that X Man will have moved into a position where the heartbeat could be found.  We went back the following week and again our GP was not able to find the heartbeat.  As we had chosen not to have the 12 week Nuchal Translucency test (to check for Down Syndrome - we would have continued with the pregnancy regardless), it was suggested that we have an Ultrasound to ensure everything is ok.

We had our Ultrasound in week 13 and straight away the Radiologist was able to see the heartbeat. Although we were confident everything was ok it was a relief to us both to see that little flutter on the screen.  The rest of the Ultrasound went fine, all measurements looked normal and the due date provided by the Radiologist was 1/8/14, pretty much bang on what I had calculated.  Obviously the detection of the heartbeat also was a relief to our GP.

13 Week Scan

A Scary Moment

Week 18 and everything seemed to be progressing nicely. Mum came home from work one evening and said she had some abdominal pain which had been hanging around for a number of hours through the day.  Mum then discovered some bleeding which she described as similar to the bleeding at the start of a normal period.  The next potty stop there was not so much any more bleeding but there was still signs of bllod in the urine. We called the advise line at the hospital and explained what was happening and they said to come straight down.  Grandparents thrown into action to look after Mr Two, off we went to the hospital.

The hospital did all the test you would expect, blood, urine, etc, etc... They also did an Ultrasound, but only using a rudimentary portable system which did not have a high resolution, but was enough to observe X Man and to ensure that everything was right inside, which it all appeared to be.  They also did a physical exam on Mum to check the Cervix, again all ok. As there was no indication as to what caused the bleeding and the staff at the hospital we confident that everything was ok, they sent us home.

The next morning we had a scheduled appointment with the Doctor at the hospital.  We explained the events of the night before and the Doctor did an examination of Mum (blood pressure, etc, etc...) and also did another Ultrasound using the same system as was used the night before.  This time the Doctor was able to observe what he believed to be evidence of a blood clot that had been behind the placenta and this led the Doctor to believe that this was the source of the bleeding the previous night.  He said that while it would be preferred if this event had not happened there should be no negative effects on X Man or Mum.  The Doctor also believed he was able to see a little willy 

The News No-One Wants To Hear

Week 20, Ultrasound time! Both Mum and I were excited because we were going to find out if Mr Two was getting a brother or sister, well, find out for sure (we already sort of knew from our hospital visit last week).  We didn't find out if Mr Two was going to be a boy or a girl and it was a wonderful surprise, but with a shed full of baby boy clothes we wanted to know for X Man just in case he was a she so that we could prepare.

It's A Boy!!!

Straight away the Radiologist was able to confirm X Man was indeed a little man.  Both Mum and I were very happy and excited with this news (although we would have been just as happy and excited if it was a little girl).  The Ultrasound continued, measurements were taken, the air in the room was light and happy.  Every time the Radiologist went to look at X Man's heart she was not able to see what she wanted to see.  Oblivious to what was coming both Mum and I believed at the time that it was simply because X Man was running laps around the womb.  We continued to chat with the Radiologist and a question was asked by Mum about what would they do if they did see anything wrong with the baby.  The Radiologist said they would get their Doctor to come in and confirm what the Radiologist has seen and then send the results to the patients GP to discuss directly with the patient.  The Radiology Doctor would only discuss things with the patient having the scan if there was a serious condition found.

The Radiologist kept on trying to view the heart but was not having any success (or so we believed).  She said she would like the Doctor to come in and see if she could have any more luck.  A few moments later the Doctor came in and introduced herself and began to observe the scans, all the while talking technical with the Radiologist.  

Once the Doctor and the Radiologist had finished the Doctor advised Mum and I that they had observed an anomaly with the heart.  We were told that the heart had not developed properly and that we would need to have more detailed scans done at the Mater Hospital to determine the extent of the anomaly. The Doctor wanted to call our GP that day, however, being a Friday our GP was not available as she does not work on Fridays.  As this was the case, the Doctor said that she herself would send the referral through to the Mater and would contact our GP on Monday to discuss he findings directly.

It is needless to say that both Mum and I felt shocked and were quite emotional.  It was going to be a long weekend...

The Results

It was a long weekend...

Monday afternoon we went off to see our GP.  We were told that X Man had Hypoplastic Left Heart Syndrome.  Hypoplastic was explained to us as being small and that it being the left side of the heart that it restricts the ability of the heart to pump oxygenated blood through the body.  We were told that there would need to be surgeries to rectify the workings of the heart.  I asked about survival rate and the numbers suggest around 80% and that this has grown from 0% only 20 years ago.

Our GP had contacted the Mater and they confirmed that they had received the referral and that it was in "Triage" (our GP believed that this means in line to be processed). We discussed with our GP that as care would need to be given to X Man when he is born at the Mater that we would like to change hospitals (we were scheduled to have X Man at Logan Hospital where Mt Two was born).  We now had to wait to be contacted by the Mater as to when we needed to go for the next scan.

Tuesday Morning Mum received a phone call from the Mater to say we needed to see them the following Tuesday afternoon for the scan.  It is going to be a long week...

Understanding HLHS (Hypoplastic Left Heart Syndrome)

Now that a name had been given to X Man's condition, I started doing some research on HLHS.  By far the best information I have found has been from the The Royal Children's Hospital Melbourne.  The information they provide clearly explains what HLHS is and what surgeries are required in order for survival.  Whilst there are many many more resources available, these two links gave me clear and concise information and a clear understanding of our journey ahead.



What Next?

We wait until Tuesday afternoon, have the scan, speak to the staff at the hospital and identify what happens from here.  Hopefully the information we receive will give us some more clarity on our road ahead and allow us to relax a little.  In the meantime, our list of questions grows...