Charlie had a doctor's appointment today with the cardiologist to check up on his hear. Below are the notes that Jan (my mother-in-law) took about Charlie's new heart problem. His prognosis isn't the best in the world. There is hope. I am just thankful that I know that our family is forever and that Charlie will always be my little guy. I know that no matter what happens that the Lord is orchastrating everything.
I will be getting a phone call from the doctor on Thursday telling me when the next step to helping Charlie will be.
Tuesday, October 4, 2011
The following is what we understand from Charlie’s doctor’s appointment today:
It was determined that he has pulmonary hypertension and that the right side of his heart is bigger and thicker than the other side. The pressure is high in his lungs, which makes his heart work too hard (or something). He has a flow gradient of 4, and normal is 1 (we don’t know what that means, but we’re including it in case somebody does understand that). All of this is indicative of the fact that there is an obstruction (or narrowing) somewhere.
If the obstruction is in his pulmonary vein, there will be nothing they can really do to fix it, and his condition will deteriorate. A heart transplant is an option in this case but the likelihood of getting a newborn heart is not high. If they could get one, that surgery would be somewhere else like in Boston or L.A.
If the obstruction is somewhere else (perhaps in an artery—or elsewhere?) nearby, there are medications they can try that could help that situation. It is even possible that after being on a medication for a few years, the condition would resolve itself.
The doctor is attending a cath clinic tomorrow (Wednesday) at Primary Children’s Medical Center. This is a meeting in which all of the cardio people and echo people at the hospital get together and discuss patients’ problems and prioritize their care. After the doctor talks to that group, he is going to schedule a cardiac cath test at Primary Children’s in which they will send a catheter or some other kind of monitoring equipment through the arteries in his groin up to his heart to try to discover where the obstruction is.
It appears that the part of Charlie’s heart that had surgery on it before is looking alright. There seems to be a bit of narrowing but nothing dangerous. That problem has not caused this one. It just seems to be that there was more than one heart problem.