Quick Status Update

Matthew was moved out of CICU and into a room last night. His oxygen canula was removed and his sats have been pretty good overall. He has received the "blow by" oxygen a couple of times though, when they dropped.

He continues to have too much fluid draining off his lungs so the chest tubes are still in, which, in my opinion, is one of his bigger issues right now from a pain standpoint. The tubes are really large and reportedly the big kids say the day the tubes come out is the day things change for them in terms of feeling better.

Sometimes he seems to feel like getting up and about but as he moves he has pain from the tubes then changes his mind. Ideally he shouldn't still have this much drainage a week out and if it continues we may be heading back to the cath lab to investigate.

He's irritated and vacillating between whimpering and crying for the last couple of hours and is clearly just plain miserable. He went outside this morning and hopefully we'll get him back outside again this afternoon for a bit.

Matthew's No Spin Zone

Hi Friends,

I hear lots of you have been asking about me, praying for me, sending me love and energy for swift healing and I thank you for it. They told me about some of the updates you've been getting and I'm here to tell you that you can ignore all that sugar-coated crap that's been coming your
way.

Dad says people want to know how I'm doing so I'm going to tell you. Jen Jen says she's unwilling to transcribe swear words for me because I'm too young to say them but take every one you've ever heard, put them all together and then scream them at the top of your lungs while you're completely constipated, have daggers in your chest, tubes from every extremity and oh yeah, a gaping wound in your sternum. Okay, maybe it's not gaping. In short friends, I feel like hell. I kind of feel like I just had open heart surgery. What's that? Oh, I'm being told I did. Well, there ya go. That's how I feel.

Honestly, I appreciate everyone trying to help me feel better but I am just sick to death of everyone touching me (except my family of course), poking me, prodding me, sticking me, measuring me, poking me again, forcing me to take meds, holding me while I puke them back up. I've taken to letting out a warning whimper every time a medical person walks in, just for good measure, even if it's just the janitor here to change the trash. Better to make it clear he shouldn't even think of coming near.

We finally got to go outside today, which was nice but I wish I could enjoy it more. Sometimes I want comfort. After outside Mommy held me in her lap until I fell asleep. I feel better when she or Daddy or Mimi or Jen Jen are nearby and holding me or my hand.

Other times I'm just ready to get on with things. I tried to stand up earlier. I had help from Mommy and Daddy and held on to Mommy's legs but I guess what they say is true... use it or lose it! Time to hit the gym again apparently. Most times though I just feel too darned crappy to move so I just lie here and wait for it to pass... including my bowels... I hope they pass very soon!!!

Ohhhhhh.... well I just got a shot of something magical in my IV line and I'm starting to see things again that people around me can't. Better sign off rather than risk saying something goofy. :)

Thanks for all the love and well wishes. I'm trying to get through this... whatever this is. I thought we came to Boston to have fun! The airplane, the ball game, the museum, the harbor cruise... guess we weren't here for a fun vacation after all. Off to sleep and let the body heal.

BCH Has Gone To The Dogs

Matthew has had a rough couple of days. He's had a lot of fluid continuing to drain from his lungs and basically just still feels pretty rotten. He's still in CICU despite the ongoing discussion of moving him to the floor. This morning there was a dog show here at the hospital and the day nurse, Jess, agreed to load him up and help us take him to see the pooches. Matt Matt just observed quietly. Then we got a huge bonus - we were able to take Matthew out into the beautiful healing gardens here. I read about the garden here a couple years ago in an issue of Sci Am Mind, which featured studies being done on the healing powers of outdoor green spaces on recovering patients. As we've talked about before, "outside" is in the top 5 if not top 3 all time favorite words for Matt Matt so we have been anxious to start bringing him out here. Once he's out of CICU we'll be able to bring him out more and more. The fluid is reducing today and there is still a possibility he'll get out to the floor today. Here's hoping!

Post–Op: Day 4

 

They say day 3 after surgery is always the worst and there was no exception for Matthew. He had a couple of bumps the road but had a good night and seems to be doing much better today. Jen Jen is on her way! :-)

 

Man, I have been looking all over the place for this thing!!! It's great to see you smile again, son!

Post-Op: Day 3

Matthew's common atrial line (an IV that went directly into his heart) was removed today which allowed us to take a short walk. Earlier today, the plan was to transfer Matthew out of the CICU and out to the floor, but due to a shortage of beds on the floor, Matthew gets to enjoy being the "wellest" baby in the CICU. We've had a few issues this afternoon with urinary retention as well as continued output from his chest tubes. These problems will eventually take care of themselves with continued treatment. All in all a good day. It only gets easier from here!

Post-Op: Day 1

Matt Matt and Jen Jen, pre-surgery. Happy baby!

EVENING UPDATE: Matthew has been extubated and is doing very well so far. His pressures look good. O2 sat is great. Plan to start pulling central and arterial lines tomorrow.

AFTERNOON UPDATE: Things are sounding more positive for Matthew. They have removed one of three chest tubes. He is responding well to diuresis. ABG's look good as well. Planning to extubate him around 7:00 eastern today.

MIDDAY UPDATE: All is progressing with Matthew. It's a hard recovery process (at this point harder for the family members sitting and watching him than for Matthew) but everything seems to be going as expected, which is a good thing. Mimi says he will occasionally raise his arm (though he is not conscious) or move it, which the nurses say is a good thing for him to do. Matt Matt probably knows this instinctively. ;)

MORNING UPDATE: The overall news remains positive for Matt Matt. He had a rough night in terms of bleeding and fluid loss. He received a lot of replacement in terms of packed red blood cells, platelets (and other medical terms Will and Nikki rattled off ;).

His sinus rhythm is normal and has remained so through the night. There was some concern as they were warming him after surgery because he was a "junctional" rhythm (an abnormal heart rhythm that results from impulses coming from a locus of tissue in the area of the atrioventricular node, the "junction" between the atria and ventricles). This corrected on its own however and the continued normal rhythm is positive.

Of course we all want to race ahead to the point where Matthew is up and playing in the outdoor garden space at Boston Children's and walking around in his new light up shoes from Mimi, but it's a tremendous relief to have a successful surgery behind us and now it is one step at a time. Hopefully the breathing tube comes out later today.

Thought I'd share one of my favorite pics with Matthew this morning... just because it makes me smile.

SURGERY UPDATES

First, many thanks to all the amazing people who care so much about Matthew and are eager to hear how he is doing, as well as for all the love, thoughts, and prayer throughout this process.

I will update THIS POST throughout the day as we have updates from the OR. Please check back here for the latest on Matthew's progress. All times below are Eastern.

2:43 - Incision has been made. Surgery is underway.

4:15 - Matthew is now on heart/lung bypass. 

6:00 - No significant update. Matthew still on bypass. Surgery is progressing well. 

6:45 - During the bypass process, they cool patients down to slow the cellular metabolic rate down. The liaison nurse just told us that the operation is essentially complete, and they have just started warming him up to take him off of bypass. We have not heard from surgery for a full report of the operation yet. 

7:23 - Officially off of bypass. It will be another 45 min to 1 hour before we see him or hear any more. 

8:20 - Matthew is back in the CICU (Cardiac Intensive Care Unit). Still haven't seen him or the surgeon. 

10:20 - Will and Nikki are with Matthew now. Dr. Baird said that everything looks really good. They put a graft into his left pulmonary artery (PA) to expand it. For those of you who missed the earlier post - during the heart cath last week they said Matthews left PA (supplies blood from the heart to the left lung) was "tortuous" or in lay terms... had some obstruction. Dr. Baird said they will watch the PA to see if it needs any more attention in the future, however, any intervention could be done in the cath lab. Just got one more quick update from Mimi, who just saw Matthew and announced that he looks "beautiful." :)

So many thanks to those of you who have remembered Matthew and family today in thought, prayer, or an uplifting word.  Our gratitude is hard to measure. 

In Surgery

Thomas saves the day!

Matthew was taken back about half an hour ago. Here are a couple pics from pre-op. Looks like the hospital staff is smart enough to know that having plenty of Thomas the train characters on hand will go a long way in distracting a hungry/thirsty 2 year old.

More Thomas!

Thief of Hearts

Matt Matt and Mimi

We are now just 3 weeks away from Matthew's third open heart surgery, the Fontan Completion. In a couple weeks he will make his way, once again, to Boston Children's Hospital where the pre-operative care and testing will begin.

I have been fortunate to spend a lot of time with "Matt Matt" (as he calls himself - and now so do we) over the last several months. He is a great talker with a huge vocabulary and excellent enunciation (better than many adults I know). He really seems to enjoy words and you can watch the process as he learns a new word - he stops and considers the word first, then begins to utter each syllable, one at a time, before stringing the word together. He will continue to work on the word until he is comfortable that he's saying it like he hears it.

Matt Matt has also been going on the potty for the better part of the last year. Not exclusively of course but he's very good about it every time he wakes up and randomly throughout the day. He's truly an exceptional kid. He's a fan of redundant syllables (Mama, Dada, Mimi, Papa) and so I have become "Jen Jen." And let me tell you - Jen Jen loves her Matt Matt!

In many ways I feel this will be the hardest surgery. Not due to the level of difficulty of the surgery itself (though it will be highly complex like the others), but because Matthew is now a little person - the best little person we know. We loved him during his first two surgeries, when he was 6 days and then 6 months old, but he was still a little blob who made strange noises we couldn't quite identify. Now he talks to us, he interacts with us, he makes us laugh (a LOT). He has his own personality and his own distinct way of interacting with the world around him. The very peaceful and loving presence his mother exudes is evident in Matthew's sweet and goodhearted nature.

Everywhere he goes people fall in love with him. I asked my brother one day, HLHS aside, if he knew how lucky he was to have a two year old who is so pleasant and agreeable nearly all the time. He did. We took Matt Matt to a local alpaca farm a few weeks ago where we picked up some locally grown, organic vegetables and eggs. Matthew breezed through there like a cool wind on a warm day that draws your attention upward and brings a smile to your face. I watched him effortlessly steal hearts from every person he encountered. If he'd had a bag to put them all in it would have been overflowing before we left.

I marveled how a child, whose own heart is so badly broken, became such a master of stealing the best of what others hold in their hearts. Someone told me recently that I couldn't understand a particular sentiment because I didn't have children. I replied: I assure you that, while I haven't given birth, I'd give half my own heart to make this child whole again if I could. This is the effect Matthew has on people. This is the Matthew we are taking to Boston this time around. And this is the precious child we look forward to watching walk down the sidewalk without losing his breath when we come back.