Hi. It is 4:30 in the morning, and I can't sleep anymore. I did get 6 hours, so that is good. The appointment is at 10:30, about an hours drive.
The misunderstanding with the surgeon and the medical records is not the first time something has been messed up. I have caught them, at CHLA, giving her an intravenous med with the wrong base before. That is because I am fierce, like a mama bear. I stay by my child, each and every one (4), everytime they need me. I stay in the hospital by their side. I ask about everything. No one administers anything without me asking, "What is that? Do we need it? What is the criterion for knowing if we need it?"
When Mikaela had her first valve repair. I was there. Always. When she came out of surgery, they said she would be in ICU three days. She was there three hours. They sent her up to the floor. I was there. I asked about each and every hose, wire, and tube - "What is that? What is it for? What is the criteria for getting it out? Oh, could you call the doctor and we could check? Thank you." One by one, I got all those things out. They tried to give her Morphine. I asked why. I asked, well, what is the next step down? Could we just give her that, then if she cries alot, then we could do the Morphine? No Morphine was needed.
For her initial repair, we had a very kind, compassionate and skilled surgeon at CHLA. He did a non agressive cut to the bicuspid valve. This was done to allow for future valvioplasties to not cause leakeage. Evidently, this worked. This was why the surgeon yesterday assumed that she had not had that done. Evidently, (I asked, and the appointment went over by about an hour) he looked at the pictures of the valve, and drew pictures for me (a first) to explain why he was under that impression. A more aggressive cut would have caused something different to appear. I think he felt bad that he didn't know something that big. And that I had to point it out, on the report in front of him, because I was familiar with the report . . . I guess not everybody demands a copy of the report each time. I have a huge file of them.
I am so glad I had all the info from you guys. Part of that is why he took me much more seriously. I think an uninformed person would have had a catastrophe today. Because of our discussions, he is going to be a little more cautious. We also discussed her veins and previous caths. He will not do a big balloon, but rather, if it is called for, two balloons of smaller caliber from both sides. And I think he is going to be very cautious about accidently ruining the valve, necessitating an immidate replacement. Yes, I think he was embarrassed about being caught being ignorant, or whatever.
Ummm, back to all the questions from you. Not multiple repairs. One repair, multiple balloons. No meds, I don't know why or what there was supposed to be. Greece was awesome!!!! I am a teacher, albeit subtitute at this time, and got to be a chaparone. Oh yeah! And my daughter fund-raised all of her fare. It was a school trip. I really wanted to do this, to spend some quality time with just her, especially in light of the fact I knew the end of the valvioplasties was drawing near. Also, thank you guys for the surgeons info. Diane has pointed out that the guy from Stanford is really good. I am going to make sure I have the opportunity to communicate with him. As it was pointed out, just a pig valve being the only choice is absurd! But then again, it was the cath surgeon speaking. So . . .
Thank you, thank you, thank you. Pray for Mikaela, around noonish today. Thank you, hugs, Ursula and Mikaela, and family