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Showing posts with label BNP. Show all posts
Showing posts with label BNP. Show all posts

Monday, December 23, 2013

Merry Christmas

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A recap of 2013

January ~ 
After a very sudden, but rapid decline in heart function, Ivy was air ambulanced back to Boston Children's. At first they thought her mechanical mitral valve had clotted, after open heart surgery it was discovered to have a piece of loose scar tissue stuck in it as well as clotting.  She would need another open heart surgery to replace her mechanical mitral valve with a porcine valve. Poor sweet girl was so sick and so scared. And in true Ivy fashion, she pulled through. God was not done with His miracle yet!

February~
We finally said goodbye to Boston Children's for the last time and headed home just in time to celebrate our sons 14th Birthday.

March~
Ivy made huge strides in her health and seemed to be doing better than ever. We celebrated daddy's birthday and did lots of home physical therapy. Ivy was doing lots of hand held walking, but none on her own yet.

April~ 
Our youngest big girl turned 17! Our oldest big girl and son in law moved back to Arizona. Ivy started showing signs of heart troubles again and was hospitalized. She was put on Milrinone, and 24/7 oxygen, had a heart cath, and it was determined that it was time to list her for heart transplant. 

May~ 
Ivy got out of the hospital just in time to celebrate her 3rd Birthday! We had a wonderful celebration with very special guests traveling in from New York and Missouri. 48 hours later, we traveled to Lucile Packard Children's for her transplant work up. They put her on a strong regimen for her pulmonary hypertension and she continued 24/7 oxygen as a therapy for the hypertension as well. 

June~ 
School was out and we spent the month enjoying life as a family at home sweet home. Ivy started walking independently and before we knew it, we could hardly remember all the days of her being too weak to do so before! 

July~ 
I loaded up 1 of my big girls, the 2 little girls and the oxygen tank and ventured out to the East Coast for a lovely vacation with a dear friend and her sweet family. It was priceless! Just what we needed to feel normal for a while.

August~ 
We headed back to Lucile Packard Children's in California for Ivy's heart Cath the final step needed to list her for a heart transplant provided her pulmonary hypertension was lowered enough to be considered a candidate. First stop was our cousin Cindy's wedding. The girls were flower girls and it was a wonderful time!
Next stop, Lucile Packard Children's hospital. We met with the transplant team had lots of tests and then the following morning she went in for her heart cath. It was determined, based on the cath results, that Ivy's pulmonary Hypertension was miraculously near normal now! Her heart function was showing very promising signs of recovery and her overall function was better than we had ever seen it! They took her off of oxygen and gave us the thumbs up to go home and continue healing. Her heart was finally bouncing back, squeezing a little better, responding to all of the medications that she takes! Their words were like a dream.... AT THIS TIME, WE BELEIVE IVY DOES NOT NEED A NEW HEART! THERE IS HOPE FOR HER OWN HEART AND WE REALLY CAN'T EXPLAIN IT! ~ But we can :)~
Rejoicing!! We were indeed rejoicing! And then we discovered that we were discharged not knowing that somewhere in the blood thinning process and her heart catheterization, Ivy had developed a severe brain bleed. After a CT scan revealed the massive bleed and neuro saw her quickly declining she was taken in for an emergency craniotomy. Ivy had so much blood collected that her brain had shifted to the left side. It was possibly the scariest thing I have ever experienced as I felt equipped to handle all the uncertainties of her heart, but knew nothing about what we were now dealing with. I felt so helpless at that moment and wondered how much more this precious child would be handed. How much more this mamas heart and soul could handle.
And God, well, He reminded me that no day is to be taken for granted, not one! No job is too big for Him. He drew me right back to the foot of the cross and reminded me that none of this life is mine or hers and to embrace every gift, even the ones that came in what seemed like hopelessly dreadful packaging!
In pure Ivy fashion, her recovery was nothing shy of miraculous, she was blowing bubbles on her own within an hour of waking and being extubated. She continued to show the doctors and nurses what a fighter she is and while this bleed left me certain I was ready for Jesus to come back and free us from all this suffering, she had other plans. She came back to us stronger and mightier than she ever has. She left her mark at Lucile Packard and we left for home before the end of the month.

September~ 
Lexi started her last year of pre school and was so happy to do so! 
Lots and lots of appointments filled the month! Not only did we have all of the heart follow ups but now we added neurology to the mix! Staples came out, recovery continued, and Ivy rocked every day of it!

October~ 
It was obvious to everyone that Ivy was like a different child now. She got colds that left her weak, but she didn't end up in the hospital. She was growing, thriving and clearly doing amazing! Both girls had lots of fun dressing up for Halloween and while last year Ivy lay in a hospital bed on Halloween, this year she walked far more than she sat in her stroller! 

November~ 
Monumental month..... Ivy Joy started Pre School! She was cleared to be a normal little girl! We took it slow and still are very very careful, but for the most part she is just one of the Little's! She loves school, loves her teacher, and tells us so all day long.  On the 11th we celebrated 4 years home with our precious Lexi Jade! 

December~ 
Lexi Jade turned 5!! Both girls had adorable Christmas performances with pre school. Lexi had her dance recital and was absolutely precious! And to close the year out... Ivy Joy's BNP (heart failure number) is down to 195!!!! The lowest it has ever been... EVER! 

Never doubt, never give up, never underestimate the power of the Lord our God! 



                   From our family to yours,
                        Merry Christmas! 


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Friday, May 31, 2013

Great News!

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Wearing only a dress, shorties and a diaper... Miss Ivy weighed in at 20 pounds today!! She is 31 inches tall (or short). Her electrolytes were PERFECT! And her BNP Was at an all time low (For Ivy) of 379! Ivy has been as high as 20,000! So it is still high, still heart failure, but trending way way way way DOWN!!! Her heart likes it's new heart failure medications. She was not able to ramp up to her final dose of carvedilol because her blood pressure is very low right now due to all the meds. She is 70/40 tonight... We are watching her closely as she gave us quite the scare last night. 
We could not feel more content and overjoyed today. We have been having the best days, the best of times!! We got the ok to take trips with her, to let her be a kid and enjoy life!! Who could ask for more?
Tomorrow we have recital pictures for Little Miss Lexi! And Sunday Make a Wish is coming to help Ivy dream her biggest wish! Next week is recital!! The kids are all out of school and summer is here!!!!! Have a blessed weekend!

we rejoice in the hope of the glory of God. Not only so, but we also rejoice in our sufferings, because we know that suffering produces perseverance; perseverance, character; and character, hope. And hope does not disappoint us, because God has poured out his love into our hearts by the Holy Spirit, whom he has given us. (Romans 5:2-5) Pin It

Saturday, March 23, 2013

Jeremiah 29:11

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For I know the plans I have for you "declares the Lord," plans to prosper you and not harm you, plans to give you hope and a future. 




Love bug thought this was the pose of the day?

Whatever? She's a doll, belly showing or not!




We had our appointment with the cardiologist on 

Thursday as you know, and we got the results 

from the blood work done on Monday.

The results of her electrolytes were delightful! For 

the first time ever Ivy's electrolytes (potassium, 

sodium and Magnesium) were within NORMAL 

(or almost normal) range!!! This is very huge for a 

child on so many diuretics for her heart. Blessed!


But the biggest part of the blood test was the BNP.

BNP is a substance secreted from the ventricles or 

lower chambers of the heart in response to changes 

in pressure that occur when heart failure develops 

or worsens. The level of BNP in the blood 

increases when heart failure symptoms worsen and 

decreases when the heart failure condition is 

stable. The BNP level in a person with heart 

failure, even someone whose condition is stable, is 

higher than a person with normal heart function.

A BNP level below 100 pg/ml indicates no heart 

failure.

100-300 pg/ml suggests heart failure is present.

100 to 300 pg/ml indicates mild heart failure.

Over 300 pg/ml would indicate moderate heart 

failure.

600 pg/ml would indicate severe heart failure.




Ivy's BNP left us all speechless.

3800 pg/ml

this in not a typo


What on earth? Who on earth could be there and 

look like this! Her and that big old donut! Our 

fighter! Mini sized miracle. Determined and 

mighty!


Only a super star!


Only God! He knows! He is the only one who 

knows. We are just waiting on Him. We trust Him, 

we love Him, we believe He is in control and He 

has a plan better than we could ever imagine. He 

clearly is protecting our baby girl. She is nothing 

short of unbelievable and it is all because of one 

miracle after the other. Yes, lots of pain and 

suffering, yes, a few big scars, but all this and look 

at her! She is a happy, funny, loveable, adorable 

toddler living and loving life! 

Her echo shows some moderate to severe tricuspid 

valve regurgitation. This could still be from those 

high pressures in her lungs. She was in the 90's for 

pulmonary hypertension 3 weeks ago and she is 

down to the 70's today. So still severe, but 

trending down and we like that a whole lot! We 

have consulted with our Boston team. They are 

blown away too. Her repairs are working well. Her 

heart may just not know what to do with all of this 

newness yet? But honestly, we really don't know at 

this point. An MRI would help... but she has a pacemaker so we can NOT do an MRI. They do 

not want to cath her unless it is absolutely 

necessary and right now they don't even know 

what they would be looking for so there is no plan 

to order that just yet. The less invasive we can be 

while she heals, the better off she will be. She has 

been through so much already. We will continue 

to do echo's and check BNP regularly.

My hope is that everything will trend down in 

Gods timing. I believe in that. It may seem crazy 

but my heart is happy. We have been given more 

than our hearts could ever have fathomed and I 

know God's not done! My life is so RICH! And I 

would never want another. This road we are 

traveling is different than the road we had 

envisioned. But this road is so beautiful and has 

left us so completely full! 




And we press on! 

With Joy!







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