Wed 5 Nov 2008
Reality Check
Posted by Andy under Updates
[23] Comments
The news from the cath surgeon on Friday put us into shock all over again. For me it feels very much the same as the days following Ramona’s first diagnosis – questions about her future, our ability to face it, fear of losing our daughter, the profound tragedy of it all.
One difference, however, is that we’re not nearly as preoccupied with Ramona’s day to day medical care. On the days before and after last Friday’s cath Ramona was up and about, mixing it up with Simon and being her sweet, goofy self. No oxygen tanks, no feeding tubes, no narcotics, or crazy sleep schedules (besides Simon waking up at 5:30am…thanks Daylight Savings). For Ramona, nothing happened Friday to change her life. Not so for Jane and me.
When we brought Ramona home from her first surgery, we didn’t have the luxury of worrying about her prognosis. It was too big to deal with, too epic. And besides, we had so many things to learn about taking care of her here and now. The daily grind of her first few months was so intense that there was barely room for anything but the essentials. As she steadily improved, we slowly returned to a more “normal” existence. I guess there was no moment where it seemed natural to sit back and say, “ok, let’s start dealing with the big questions now”.
But on Friday those questions made their painful appearance once more. And this time around we have to face them. Reality check. So here they are. What if Ramona can’t get her heart fully repaired? What if she lives to be only 20 years old, or less? How will we help her grasp and cope with that? Will she ever attract a partner? How will this affect Simon? How do we provide the best quality of life for her? How will our marriage survive? The list goes on.
One thing’s for sure – I can’t keep thinking about these things all day long. There’s way too much to do here at home and out in the world, so I’ve come to an uneasy truce with them which goes something like this: Ramona and Simon are God’s children. What potential they have is unknown. They are both beautiful and bring new life into our family. We’re all going to keep doing our best, and try to enjoy one another each day. None of us know what tomorrow will bring. We’re all living this Beautiful Tragedy together.
Thanks for all your support.
I hear you honey. She’s the same girl today that she was last week. We just haven’t had to deal with the gravity of all of this in a while. Love you.
That’s right. None of us know how long we might live. Enjoy each day!
God is watching out for your little girl. He loves her very much.
Hang in there, you guys. We are praying with you. oxoxo
Well said Andy!
Andy, we love you. This is so beautifully said.
Hi,
Sorry to hear about the report on Ramona. I know as a heart mom that is a hard one to swallow. I keep up with your blog because I too have a little girl with Digeorge and a CHD. I know of several people on our support group that use Dr. Hanley out in California. If you are going for a second opinion I think it would be wise to try him. He will try when others give up.
Praying for peace as you work through all of this.
Such a wonderful post…
angie
I feel your pain. Having a daughter who is 8 now with DiGeorge and CHF. I think our marriage has been strenthened by all we have gone through with our daughter and we have learned to appreciate all little things that we would have otherwise missed. None of us our promised tomorrow so live for today. Lean on each other and don’t be afraid to cry and let it out.
That was beautifully said Andy. Thank you both for taking time to share your hearts with all of us. Love you guys.
I have been following Ramona’s story for quite some time. I, too, live in the Chicago area and have an almost 5 year old daughter with DiGeorge and a heart condition eerily similar to Ramona’s. Our dd had her OHS this past June, which was not successful, and we are now feeling many of the same emotions and questions you are. I you feel like talking more, please email me. I would love to help support eachother through this. Many prayers to you and your family! Liza
Dear Andy
I send my love and hugs. Ramona is a beautiful miracle. All thing are possible/
Love
Aunt Ro
You don’t know me; I’m Dina Lindemann’s Mom and have been following your stories about Ramona and Simon since Dina told me about Ramona’s health concerns. I was so moved by your heartfelt post that I had to write. The joy you have in your children is so beautiful and I pray that all of your dreams and hopes for the kids are realized, that your faith continues to give you strength, and that your love for each other grows. May God Bless all of you.
We love you guys.
Love you dude.
My heart is very heavy after the last post. Your right…no one knows what tomorrow brings..we have to enjoy today for all it’s worth. I find myself just playing with Arianna and I start crying because I know how blessed I am to have her with me at that very moment. When you become a parent to a child with a heart defect, or any serious illness, you change as a person. You realize the little things in life that mean so much to you. You give that extra kiss to your child each night and pray to God for another night. I know I’m not very uplifting with this comment…I guess I just wanted you to know that I understand your hurt even though we are not in the same situation.
Much love,
Vanessa
Andy,
I read your post and I feel like I can’t type quickly enough. I want to tell you not to lose hope!!!! Our daughter Cassidy will be 1 on Monday. .She has TOF w/ PA, MAPCA’s and DiGeorge an she has a VERY serious case of it with abnormal Pulmonary Arteries as well. We were directed towards Dr. Emile Bacha at Boston Children’s and know in hindsight that we avoided the “there is nothing we can do” speech by finding him right away. He is a Pioneer for heart kids and Cassidy is home (as of 2 days ago) repaired as of last week and doing WAY BEYOND what anyone thought she could do. She is expected to have a normal lifespan.
Please contact him for another opinion. He’s also an amazingly kind and caring man. I know he would love to talk to you.
Behind every diagnosis is a kid that goes above and beyond what everyone expected of them. There is always one child that proves everyone wrong. Ramona could be that child. Help her stand strong with your unfading hope. She’s already proven how strong she can be.
Please let me know if I can assist you in any way.
Traci Lisa
(Cassidy’s carepage: http://www.carepages.com page name: cassidylisa)
Andy, that was beautiful. Praying that God gives you and your family exactly what you need each day…
I remember reading a medieval adage that hope makes a good breakfast but a poor supper. I know it’s been the attendant grace in Ramona’s story. It’s not her whole story , of course. Love is a much better day to day nourishment, and in that Ramona is rich.
She is always in our prayers. All of you are.
Hey Jane,
Thanks for checking in on us. I am going to bed now so this will be quick.
You really must not give up on a surgical repair until you have spoken with a number of other surgeons. Pediatric cardiology is not an exact science. The menu of options depends on the skills and experience of the surgeon.
Eg. In Wren’s case, we were only offered a mechanical valve in Seattle but Dr Hanley did and continues to propose a repairs until Wren is much bigger.
I know that he is a pioneer of the unifocalization surgery used in pulmonary atresia with many collaterals. He does the repair in a single long surgery rather than staging it as is done at many centers.
I am sure you will have googled articles like this one:
http://cat.inist.fr/?aModele=afficheN&cpsidt=2060483
BUT
Until you speak to the surgeons at CHOP and CHOB and LPCH I continue to believe that however complex and unique Ramona’s case is there will be a surgeon who has an approach to help her grow old rather than outgrow her heart.
Today, a toddler came into CVICU – transferred from Cleveland. They found that the approach there wasn’t working but Stanford has a plan.
I know the shock of each new piece of information and I hope that the process of consultation is easier for you than it was for us.
Shannon
your last two post brought tears to my eyes. My heart is so with you all and my prayers. I am encouraged about all the 2nd opinion suggestions and will be praying for your peace and comfort along with another team of Drs that the Lord can use to heal Ramona!
Dear Andy and Jane:
I’m sorry to read about the present state of things. We’re keeping your family in our prayers for the little miracles/ breakthroughs/ developments that could come up in the near future to help lessen each day’s challenges.
Much love and God bless…
Dear Andy and Jane,
I saw ur post on msn groups and followed the link. I will email u, but I just wanted to say, please don’t worry too much. I am an unrepaired ToFer with PA and I just turned 30. I know life is pretty uncertain, but I think the key is to take it one day at a time and listen very carefully to what our body and mind tell us. I will send you an email and you can ask me questions that will make you feel better.
Take care,
Hari
Hey you two!
Just checking in. Sorry to hear the news, but it looks like there are a lot of people here with GREAT opinions on other Drs. I hope you plan to follow up on them. Let me know if you need me to make phone calls or help out in any way. Hang in there…you’ve come a long way baby!
The kids look WONDERFUL. Thanks for sharing all this with us.
Trish
Thanks for inviting us into the Beautiful Tragedy, Andy. It’s good to be together in some certain way. We pray for you all –