17 Months!

My computer has been acting up the past couple of days and I wasn’t able to commemorate Rudy’s 17-month bday so here’s a quick, belated post!  Rudy got a special treat on Monday with a visit from Earl the blogging monkey.  Earl belongs to a friend from church and is a fellow wordpress blogger…he came and brought some love and smiles to Rudy and helped us celebrate 17 months!!!  Well done Rudy!!!  You’re doing great….

Earl was very curious about all of Rudy's equipment...
Rudy's paci-monkey was a big hit!
March 1, 2010 - 17 months old

 As of yesterday, Rudy is on his 2 new pulmonary hypertension drugs…Tracleer and Viagra.  The Tracleer comes with ALOT of paperwork and instructions for monthly blood tests to keep tabs on his liver function as well as monthly consults with the specialty pharmacist…all very much routine but a little intimidating.  The Viagra (Revatio) is dispensed every 8 hours so we’re back to a staggered med schedule which discourages me for some reason this morning.  I’m sure it will all become second nature like everything else in Rudy’s care but today it’s new and different and I don’t have the energy for “new and different”…I just pray the meds work without any adverse side effects and help Rudy in his slow journey from point B to point C.  It’s funny how there are days when nothing is particularly “wrong” but  still it takes all you can muster to remember “right foot, left foot, right foot, left foot”…crazy stuff!  Okay, I’m off to officially update our med schedule!

Time Fillers

A big thanks to everyone for all the birthday greetings and well-wishes.  My birthday officially marks the start of the Geyling “birthday season” as mine is in February, Max’s is in March, Wilson’s is in April and Rolf’s is in May!   Poor Livy was all by herself in September until Rudy came along and added October to the line-up!  Ha Ha   At least we have alot of upcoming activity to fill our time as we wait for news of Rudy’s surgery.  Unfortunately, Rudy has yet to start the two new meds prescribed THREE WEEKS ago due to a few challenges in obtaining the proper authorizations, etc, etc, etc…We see Dr. Harake again on Friday so surely we’ll get it all squared away by then.

In the meantime, we thought you’d enjoy seeing some of our recent miscellaneous fun…

Whether he is in his over-crowded day crib or on the floor, Rudy's preferred sleeping position is spread eagle!
Olivia giving Rudy his nebulizer medication...
Rudy learning the finer points of GameBoy from Max!
Max and Olivia on a Girl Scout Family Snow Trip!

 (The following “cool pics” are courtesy of Greg Lawler!)

All smiles in the snow!!!
JOY
(As a fully trained Girl Scout Leader, I must add a disclaimer that the following recorded activity is not sanctioned by Girl Scouts of America OR
Brownie Troop #50649 due to the risk factor involved.  This is what happens when DADS, after watching too much Olympic snow cross, chaparone.  It was, however, the favorite part of the trip for our little dare devils and in their words “AWESOME”.)
Big Air!
Wilson was the substitute drummer at church this weekend!  I sent Max up front to catch a little footage of Wilson’s debut…the video is a little bouncy because Max got into the moment and started dancing as he filmed!   🙂  Oh well…it’s fun nonetheless!

 

Happy Valentine’s Day 2010

It’s certainly hard to top last year’s Valentine greetings but we’re going to try with our version of “Lean On Me”.  Given all the “leaning” we’ve been doing the past 18 months, we’re eager to return the favor…”so just call on us, brother (and sister) when you need a friend.  We all need somebody to lean on.  🙂

Happy Valentine’s Day!!

P.S. A BIG thank you to everyone who ordered a “Rudy’s Heart” pendant!  Together we raised an initial gift of over $500.00 for Camp del Corazon!  Whoo-Hoo!!

“PULMONARY HYPERTENSION”

Dr. Harake handed us a prescription at our appointment last Friday for two new meds and wrote on the bottom of it in big, block letters “PULMONARY HYPERTENSION!”.  Never before has he written SO CLEARLY the diagnosis for which a drug is being prescribed but apparently this time there is need for clarification as one of Rudy’s new meds is Viagra.  Yep, you heard me right and many of you heart moms out there can relate to the awkward interaction one can have with the pharmacist when trying to fill an order of Viagra for a baby.  Here’s a little trivia for you…the drug was originally developed for it’s vessel dialating function and when some lucky guinea pig discovered it’s positive side effect, it quickly began being marketed for,  well, you know….  Poor Viagra is a bit type-cast because it actually serves a very important medical purpose in many heart and lung patients.   So, it’s off to the pharmacy we go with two new meds on our list bringing our grand total back up to 13 daily meds.   Bummer!  I guess Rudy’s list of meds will always be somewhat fluid but adding meds always feels a bit like taking steps backward instead of forward. 

After talking with Dr. Harake (SB) at our appointment and then with Dr. Dan (UCLA) over the weekend, the plan for now is to wait a couple of months for these new meds to address some blood flow resistance issues in the lungs.  The high pulmonary resistance makes the Glenn a very risky operation for Rudy as not enough blood would make it through his lungs to sustain him.  This is actually a seperate issue from Rudy’s low oxygenation (which is due to damage or disease the lungs are trying to recover from); but the physiology of it all would suggest that if the blood flow is allowed to freely flow then the oxygen sats could be influenced.  I don’t quite understand it all yet but the main point is we are going to wait…and the fact that we can wait is a blessing we don’t want to overlook.  The timing of the Glenn in HLHS patients is often determined by heart failure and doctors are forced to do the surgery despite any critical concerns about the lungs.  As most Glenns typically happen around 4 to 6 months, we are amazed that Rudy’s trusty single ventricle keeps beating without any signs of failure even after 16 months.  Since we’ve been going month-to-month since June, even knowing we have a 2 month timeline is more definition than we’ve ever been given so we’ll work with it.

Speaking of working,  Rudy continues to try hard in his therapy sessions and we’re working with objects that are a bit heavier to increase his strength.  Wooden spoons are the “barbell” of choice these days:

Thank you for standing alongside us in this and for standing by as we wait this thing out…we will most certainly keep you posted!

Now What?

Boy, I sure wish I knew the answer to that question.  Although there weren’t any major surprises in the results of Rudy’s heart cath on Thursday, I have to say the disappointment over his lungs is weighing heavy on me.  I guess I expected his lungs to show significant improvement because he is so much bigger, stronger and looks so much healthier than ever before.  To hear Dr. Dan say “he’s not a strong candidate for the Glenn at this point” took me by surprise and left my stomach in knots.  Deeply disappointed yes, but at the same time, I don’t want the disappointment to overshadow the encouraging report on his heart.  God has allowed Rudy to thrive with a shunt he was expected to outgrow months ago!  One of many miracles along the way that is getting us from point A to point B.  And so we wait with our weight of mixed emotions and re-align our hearts and minds to living in limbo a little longer (the alliteration there is kind of fun to say 5 times real fast).   We haven’t heard word yet from the pulmonologist whose consult will hopefully help direct the cardiac team in their decision-making process but Rudy does see Dr. Harake (SB cardiologist) tomorrow morning so we hope, hope, hope he has some news for us. 

To add to the list of reasons to worry, both boys had issues surface this week that were out of character for them and it’s hard to know whether it’s just normal pre-teen boy stuff or stress-related behavior.  I feel like Steve Martin in the movie “Parenthood”.  Have you seen that movie?  I remember thinking it was funny when I first saw it in college but now I watch it and just howl with laughter as I can TOTALLY relate to it’s portrayal of parenthood.  Anyway, there’s this one scene when Steve Martin is distressed over his young son’s issues with anxiety and is fearful that how he responds in that moment will mean the difference between his son becoming a well-adjusted, valedictorian college graduate OR the kid who locks himself in the clock tower on campus in a shooting rampage!  That’s how I’m feeling this week…like I could “blow it” on so many levels…well, not “could blow it”, “HAVE blown it” in the way I’m handling life and my kids in this big bubble of disappointment and fear.  Today I wrestle with the question “how do you help your kids navigate a journey like this in a healthy, hopeful way when you are having a week when you can’t seem to do that for yourself?”.  

I’ve been so consumed by how I’M feeling that I totally forgot to commemorate Rudy turning 16 months old on Monday!!!  SIXTEEN months…that means we’ve had Rudy home for over 9 months!  With all the joys, heaviness, victories and stomach knots…it continues to be remarkable!!!!

Happy 16 months on February 1st!

He’s In

After all the consent forms and information gathering, Rudy was prepped and taken to the cath lab a little before 8am.  Rolf was able to accompany Rudy into the lab as long as he dressed appropriately…good look for him:

Lucky Rolf...they're letting him keep the suit!

So, he’s safely in and sedated and we should hear something in a couple of hours…

Prepped and ready!

Settling Stomachs

Okay, so I’m probably sharing too much information about what’s going on in our household but be thankful it’s not as detailed of an account as what Max and Livy were discussing this morning as they compared vomit stories with one another.  Ha  Ha  As it turned out,  Rolf stayed out in the living room all night keeping an ear on the sickos…everyone’s tummies finally settled down about 2am.  I stayed in our room with Rudy and so far he’s doing fine.  Unrelated to the events of last night, Rudy had an early morning doctor appointment with a local ENT (Ears, Nose and Throat Doc) so I got him up, ready, out the door and back again before 9am.  First thing this morning, Olivia was pretty weepy and cried as she said, “the worst part of throwing up is that I can’t be close to Rudy” (sweet girl)  but by the time I returned home, she and Max looked chipper and were soon eating saltines.  ‘Praying for a day of rest for the kiddos and a productive one for me as I finish up a few details before tomorrow. 

Although sympathetic to his siblings, Wilson kept his distance and occupied himself with a good book…

We're all becoming a little phobic...
Rudy, however, doesn't seem too concerned.
So far, so good!

Help!

Oh my, it seems we’re getting hit hard….Maxi has been getting sick every 20 minutes since 2:30pm this afternoon (it’s now 8:30pm Tuesday night).  Now Olivia has joined the chorus – both are banished to their rooms and I’m nervously covering everything in Lysol spray.  Wilson has resorted to wearing a mouth and nose mask with medical gloves and I’ll be sequestering Rudy back in our room for the night…Rolf has the first vomit watch!  Ugh, THIS of all weeks!!!  It’s discouraging but I’m hoping that because it came on so hard and fast, it will run its course just as quick and NOT SPREAD any further.  Please pray…between the sick-watch and Rudy’s suction needs, it’s going to be a long night.  Thank you!!!

Packing The Overnight Bag

I pulled my overnight bag out of the garage to pack  for this week’s trip to UCLA and I had to laugh because it was still packed from Rudy’s last heart cath back in June!  I guess I was a little distracted when we got Rudy home and the scary thing is I didn’t miss any of the items that were packed away for half a year!  Silver lining? – one less item on my “to do” list this week (pack overnight bag…done).

My heart has been both anxious and excited to move forward as I’ve anticipated Thursday’s cath but, I admit, today’s news of Josiah’s passing has taken the wind out of my sails and I wish we could just scoop Rudy and the big kids up and hide somewhere far, far away.  That, however, is not an option.  We can’t go back, we can’t detour around it…we have to walk forward into (what feels like) the eye of the storm and pray.   And so, we ask all you prayer warriors to, once again, deploy on Rudy’s behalf and blanket him with prayers for wisdom among those planning his treatment, continued healing of his lungs,  a successful heart cath procedure,  an encouraging post-cath report and, most importantly right now, good health.  If Rudy catches a bug, the cath will have to be rescheduled and poor Maxi came home early today because he vomited at school.  At first we thought it might just be because he had a vigorous workout in PE after lunch but he has continued to empty his stomach – five times since getting him home – and, understandably, he’s fading fast.  I’m praying his body clears everything out  soon and he is then able to sleep it off.  Please pray Max recovers quickly and Rudy is protected from any virus or infection lurking around.  

Rolf and I will take Rudy down to L.A. early Thursday morning and Rudy’s cath will, most likely, start in the early afternoon.  For those of you who are freed up to check the blog on Thursday, we’ll post updates throughout the day.   We hope to come home on Friday with a date on the calendar for the Glenn!  Bless you, friends, and thank you!

Celebrating MLK Day

We braved the harsh rainy weather early this morning to make our way to the annual Martin Luther King Day Celebration at the historic Arlington Theater in Santa Barbara.  We felt it was worth bundling Rudy up and taking him out in this dreary weather to see big brother Max present his winning poem at the big event.  Max was this year’s first place poetry winner in a city-wide competition among 1st-6th graders.  It was a morning filled with state and local dignitaries, speeches and music but our favorite contributor was, of course, Max:
Live Together Poem by Max Geyling
 
We should treat each other equally
Black men and white men with
Black women and white women
And all other kinds of colors of people
 
We should bring each other flowers
In the early morning hours.
As brothers and sisters living in peace,
Our hatred and sorrow will be released.
If we listen to MLK Jr. and keep our cool,
We’ll perish as friends, not as fools.
 
Luckily it’s over where I live
Because I have friends of all colors.
We’ve noticed we can have fun
With the ones our ancestors called dumb.
We can play together,
live together,
cry together,
laugh together,
and die together.
At our school you won’t find one fool.
Miss Grant came in support of Max! -So sweet

 Max was well supported by Wilson, Olivia and Rudy and his teacher, Miss Grant, who was kind enough to come as well.  It was a special opportunity and Rudy enjoyed being a part of it all…

Rudy likes celebrating MLK Jr!
The Arlington Theater offers the added bonus of viewing the actual "Gone With The Wind" couch used in the movie! Rudy is wondering why he can't get a diaper change on it...

And so, we mark our journey with Rudy with yet another memorable holiday.  ‘Just 10 more days until the heart cath…anxious and excited…and, as always, very grateful.