A Birthday and a Heart Cath

Zayne enjoyed Halloween and her 12th Birthday, but did not enjoy a heart catherization.

Halloween Horse Show
Halloweening

Zayne was a pirate for Halloween (yes, the horse is wearing the same hat that she wore for Halloween). She turned 12 on October 29th and had a birthday party at a trampoline park.

Normal artery section (above) vs stenosis (below)

The heart cath was rough on Zayne, but she had a good outcome. There was a lot more pain after this cath than she had ever had before. This one was a little different because they had a team from the adult hospital as well as the Children’s Hospital team (and some observers to check out the new equipment), plus she had a high dose of blood thinner and was under for double the usual time. The hospital acquired equipment to enable high resolution measurements and images for Zayne. I was glad that she didn’t need to go to the adult hospital.

She had a high dose of blood thinner which caused bleeding in her throat from the breathing tube. Then someone ‘helped’ by siphoning out blood in her mouth which caused a large, bleeding bruise under her tongue. Zayne woke up with pain in her throat, pain under her tongue, a bruised lip, pain in arm and body achiness from a vaccine, pain in hand from 4 sticks to get a single IV going, pain from the cath site (where wires were inserted into vein and artery), and the discomfort of needing to lay flat for 4 hours. We did NOT need to spend the night in the hospital, but Zayne spent 2 days recovering at home. She is feeling much better, today.

The artery image shows a normal section vs the section that is narrowing. The perfect orange circle is the cath wire. The flow through the narrowed portion isn’t as bad as they thought, so Zayne does not need a stent at this time. Also, Zayne has had less heart pain the past few months, and that is probably due to the pressures in her heart going down to more normal levels. There is some minor cellular rejection; kids often go between 0 and 1R after rejection (which Zayne had in April 2020). So far, the plan is to repeat this type of heart cath in 6 months. The transplant team will meet next week to discuss her case, so plans may change.

Comments Off on A Birthday and a Heart Cath

Filed under Medical Procedures, Uncategorized

Milky Way and Needing a New Heart

Wow – the Milky Way

A couple of weeks ago, we went to family camp at Roundup River Ranch Family near Gypsum, CO. I don’t think we were every there without cloud cover. This time we could see the Milky Way, shooting stars, and watch satellites crossing the night sky. Zayne did the usual camp stuff – archery and boating. There was even a car show to enjoy.

Zayne wants an old sports car
Zayne reading from Colorado Roadside Geology

During the drive, Zayne read from Colorado Roadside Geology book (for only 5 minutes, but it was a start).

Archery

Zayne’s heart isn’t doing so well. She has cardiac allograft vasculopathy (CAV) – this is where heart blood vessels become blocked. CAV a progressive type of coronary artery disease that is related to transplants – the only definitive long-term treatment for advanced CAV is re-transplantation. Right now, Zayne is on the heart transplant waiting list as a level 2 (this means it is not a rush). The car is packed, my cell phone is always on, and we are limited to being within a 2 hour drive of the hospital. Next month, she will have a special heart catherization where the blockage in her circumflex artery will be measured. If oxygen levels are reduced, a stent will be placed, and there will be a petition to move her up to the next waiting list level (more urgent need for a new heart). Unlike coronary artery disease (CAD), a stent will only be a temporary help for CAV – the plaque will grow over the stent.

So, play, ride horses, go to school (against Zayne’s wishes), and wait…..

We had fun at an amusement park

Bumper Boats with water guns
Race car driving
First time driving
Don’t tell anyone, but here is another driving first (for real)

The old blog subscription add-on no longer works, so I’m trying a couple of things to enable email notifications for new blog posts.

Comments Off on Milky Way and Needing a New Heart

Filed under Fun

We’re Back

Well, it has been a long time since there has been a post. Zayne is now a middle schooler (6th grade) attending Prospect Academy. We are still living in our house, in Golden with our kitty – Scotty. This post has some pics from the past year and a half. More posts will be coming.

2 Comments

Filed under Fun

Feeling Better

Just wanted to let everyone know that Zayne is feeling better and isn’t short of breath anymore. She is using her pogo stick and running around outside.
Zayne is still in heart failure and seems to be on the slow road to recovery – it is looking like it could take 2 to 3 years. I’m still hoping for a full recovery…

School is still a struggle, especially when spending time taking self portraits during school hours.

New favorite snack is plain popcorn which isn’t going to help her gain weight.

1 Comment

Filed under Rejection

Back Home

Graffiti in the meeting room

CT Scan – no problems

Pulmonary function test – nothing (even recalibrated the machine to make sure it was reading correctly). Inhaler – didn’t help at all

Swallow test – not scheduled, yet. Just need to rule out any issues.

Possible diagnosis when everything else is ruled out: Vocal Cord Dysfunction (VCD)

Zayne thought the CT scan was fun, but didn’t like the Pulmonary Function Test since it made her very tired. Also, needed to rule out the inhaler so she had to go through the “burning” pain of using the inhaler and proving that it doesn’t help at all.

Walking around improved in the afternoon, so were were released. Her oxygen level is always high, so that isn’t a concern. Zayne is still tired and having more breathing issues – mostly making sounds when breathing in, so maybe it is VCD? We’ll be back in the hospital for more outpatient work.

I was really proud of her for walking out of the hospital and nearly making it to the car. She only used the wheelchair for a short distance.

Comments Off on Back Home

Filed under Rejection

Slow Day in Hospital

About to sleep after only 3 hours the night before

We waited for hours to move from Pediatric Intensive Care Unit to new Cardiac Progressive Care Unit. When we finally got to the new room, we weren’t allowed to leave because they decided to use the negative COVID swab to test for a bunch of other viruses (all were negative).

Once freed from the room, we tried for a stroll, but Zayne had trouble walking and breathing, so she spent the day in bed. The ER X-ray shows some pulmonary hyperinflation.

The Plan for Friday:
– Lung CAT scan
– Maybe a swallow study (since both acute respiratory incidents occurred while eating)


We’ll see if anyone can figure out what is causing these incidents.

Stay tuned…..

Comments Off on Slow Day in Hospital

Filed under Rejection

February 24, 2021 Update from ER

Wow, I didn’t realize that it has been so long since I posted an update.  I had some posts in draft that didn’t get published. 

We are in the ER, again.  I’ve actually lost count of how many times we have been in the ER, and how many COVID tests that Zayne has endured.

Good news is that her heart pain has stopped (there were a couple of ER visits , but the last 2 visits have been for breathing difficulties). This has happened twice.  The first time was 3 weeks ago – all of a sudden, Zayne announces that she can’t breath.  Being a good Mom, I told her to go to sleep (I was hoping it would go away overnight). The next day, we ended up in the ER and spent the night in the 2 month old Cardiac Progressive Care Unit.  The new, modern unit is an improvement over the previous stay. 

Before it went bad

This time, I could hear wheezing.  She was struggling to breathe but vitals seemed ok. Once again, the symptoms came on very suddenly. This time Docs could hear the wheezing and could see a lung issue on x-ray. A breathing treatment did nothing, but the 2nd treatment with another med was painful and set Zayne into a bad reaction. 

It has been a rough couple of hours.   I can’t stand it when she doesn’t see me and doesn’t talk.  Her body was shaking, legs kicking, staring blankly – this has been a pretty bad experience. When her vision and mind came back, there was excruciating stomach pain. It is nearly 1 am, and meds are here fir stomach pain.

This is from an older post that never got published:

Zayne and I have been having pogo contests in the living room, but we have finally moved the pogo sticks to outdoor use only.

Mostly, Zayne has been feeling fine, but still on the slow road to heart recovery.  We go for walks around the neighborhood and in Golden, and are still going to the hospital once each week (sometimes just for blood draws).  Supposedly, she should be only going once a month for clinic visits, but we seem so go more often.

Zayne had a stress test the day before Christmas Eve which results in severe heart pain that night and into the next day.  After consulting with her team, we ended up in the ER (and another COVID test), but they could not find any explanation for the sharp heart pain that continued until Sunday.  After a lot of exercise, Zayne experiences bad heart pain so I was expecting this to happen.  The stress test showed that her heart is still in failure, but they don’t see any concerning anomalies.  Also, Zayne does not have asthma (not a surprise to me).

Comments Off on February 24, 2021 Update from ER

Filed under Rejection

COVID Test #5

Last night there was difficulty breathing and chest pain. This morning it felt like someone was sitting on Zayne’s chest. We tried for a clinic appointment, but were told to go to the ER.

All tests (blood, x-ray, echo, ekg) are good. The doc thought it may be something related to her esophagus. After taking a med that coats the esophagus, Zayne feels normal. Unfortunately, there was the trauma of having another COVID test and a painful IV.

She probably had a pill stuck that dissolved in her esophagus and caused irritation. Her doc was correct

We are very happy that we don’t need to spend the night, and that her heart is still recovering and not getting worse.

After taking med that made her feel better

Comments Off on COVID Test #5

Filed under Uncategorized

Heart Cath #3 in 2020

At hospital just after 6 am

This should be the last heart catherization of 2020. The numbers are slightly better by 1 or 2 points since the June cath. Better to be have a very small improvement than to have the numbers going in the wrong direction.

Antibody rejection is rated 0 (that is very good). Cellular rejection is at 1 R which is considered very mild and it is ignored.

The nasty antibodies floating around in her bloodstream are going down (and not attacking her heart).

The Required Cat Drawing

Next heart cath is her annual in June 2021. The annual cath is more invasive, because they will go into her right (vein) and left (artery) sides of her heart. Also, her flat time will be 4 hours instead of 2 hours.

Zayne has had a rough week, because she received the painful Meningococcal Group B vaccination while she was under anesthesia. Even though she escaped the painful injection, she didn’t escape the side effects: very painful injection site (pain would wake her up during the night), feeling achy, sickly, and had a fever.

Back to transplant clinic in 2 weeks, and if things look stable, we will be down to once a month visits. Zayne’s heart is taking a long time to heal, and she is still in heart failure, but we hope it will continue to improve.



Comments Off on Heart Cath #3 in 2020

Filed under Rejection

Double Digits

Happy 10th Birthday!!!

Zayne turned 10 years old on October 29th – double digits! This year, we didn’t make a cake or cupcakes, because we were too full from her Indian food birthday dinner (curbside pickup). We’ll probably still bake something to celebrate, but it may be 10 yrs and 2 weeks birthday.

On Saturday, Zayne had to get her 4th COVID test in preparation for her heart catherization on Monday, Nov 2. She was hysterical, and I was surprised that they didn’t have other people at the testing drive through that would help deal with her fears. It took 3 swabs and over 20 minutes and promises for a gift until she allowed the test – this one didn’t go as deep as the previous tests, so not too bad.

There will be another post this week when we get the results of her cath.

Comments Off on Double Digits

Filed under Post-Transplant, Rejection