Wednesday, December 9, 2009

Christmas Shoes

Have you ever seen the movie "The Christmas Shoes"? I have. I'll never forget it.

Last year, during the entire holiday season - from a month before Christmas to a month after New Years Scott was waiting in the hospital on the heart transplant list. Every day I spent some time at the hospital, sometimes going back and forth more than once. The hardest times were when I had to leave Scott at the hosptial at about 9pm so that the babysitter could get home at a reasonable hour on a school night. I would come home to a quiet house with all the kids in bed. It was a very lonely time. I would often watch a little TV to keep my mind from going places I didn't want it to go.

One of these evenings I happened to turn the channel to a made for TV Christmas movie. I hadn't seen it before and it had already started. At first I didn't know the background of the characters but I quickly became interested. There was a young teacher/mother who was sick. I soon realised she had heart failure and was waiting for a heart transplant. I became fixated on this show as I was desperate to see a happy ending beacuse I was hoping to have my own any day.

I watched as this young woman got "the call" and her family had the excited, anxious experience of getting ready for a new heart at the hospital. Every night I would carefully put the phone beside my bed hoping that it would ring in with the news that there was a heart for Scott. In this movie, however, the call turned out to be a "dry run". That meant that something happened with the donor heart making the doctors choose not to use it. I felt so disappointed! I had been worrying about a dry run myself.

Now the wait continued for this woman and her family. She got sicker and sicker. I sat on my couch feeling devastated as this poor woman's husband and son brought her home to care for her during her last days. I sobbed and sobbed but could not turn it off. On Christmas Eve the young woman quietly passed away. Watching this was a small preview to my worst fears. I cried for a long time.

Thankfully my story had a different ending. "The call" came. It wasn't a dry run and it was, after a long difficult recovery, successful. My children and I still have our dad and husband. We didn't have to bring him home to live out his last days with us. After the feelings a fictional experience of losing someone produced I'm very grateful that I haven't experienced them yet. Hopefully it will be at least 30 or 40 years before that ever happens!

Please talk to your family! Tell them how much you love and appreciate them! We never know when our time is up. Take time to enjoy what you have now. If you have a chance to watch "The Christmas Shoes" make sure you have a box of Kleenex handy. You'll need it!

Tuesday, November 24, 2009

Milestones

We have hit a few milestones recently. Scott has gone back to work part-time. That is a huge blessing for us. I like having Scott home but he needs something to do. He needs to contribute, be busy, and use his skills. I'm sure it won't be too long before he's back to full-time hours.

Scott is also going to his last supervised physiotherapy session next week. He has joined a gym and is working out regularly on his own. His muscles are getting stronger and his endurance is great!

Last week he had another biopsy that showed zero rejection. YAY!! He hasn't had a "zero" for many months now. He feels great. He now has the privileges of taking out the garbage, shoveling the snow, putting up the Christmas lights and doing small home repairs. It's not like he never did those things before but now it's quite easy for him so I don't feel guilty asking him to do them.

A few weeks after our youngest child was born 3 and half years ago our new neighbours were not impressed to see me mowing the lawn so soon after giving birth. It was a difficult task for Scott to do and I didn't mind so I did it. They did give poor Scott a hard time about it until they heard of his heart condition. Next spring will be a great change. I have a few yard projects in mind to keep Scott busy!

I've also been thinking back to last Christmas season. I spent many days and evenings at the hospital visiting Scott. Many family and friends took care of the kids during that time. We were completely spoiled with gifts - some anonymous - which added many smiles and laughter to that dark and difficult time. Someone wrapped all of my presents for me, friends drove my kids everywhere almost daily, and many other acts of love and kindness were received by us. I received many cards and emails of encouragement that supported me as well. Again I am feeling so overwhelmed with gratitude.

I am so happy and thankful right now! I know that it is through all of the love and prayers by so many that we have made it through this last year. Thank-you!

Monday, November 9, 2009

Happy Birthday Scott!

Today is Scott's birthday. We have so much to celebrate! Some people groan at the thought of birthdays and getting older but I think each year that we have on earth with our families is something to cheer about and be thankful for! I've never been more grateful for a birthday than this one for Scott. I really wasn't sure he would make it to 38 early this year.

Last year on Scott's birthday we had to be at the hospital early in the morning for Scott to have a hernia repair - minor surgery. It was a LONG day but he came home that evening. It was a pretty crappy birthday! For the next 3 days after the surgery Scott felt absolutely awful! He hardly moved. Finally, he was feeling so bad that he went to the emergency. We found out his kidneys were shutting down due to low cardiac output and he was put on very serious IV heart medication. That was day one of 6 months in the hospital! The hernia operation was "the apple that tipped the cart" for Scott's heart. So every birthday without a surgery is a good one now!

I think I'll always be grateful and happy for each birthday from now on. I only have to consider the alternative - NOT living another year.

HAPPY BIRTHDAY SCOTT! I'm so happy you're still here!

Friday, October 30, 2009

Good Biopsy and H1N1 Panic

Another biopsy is done. It was a 1R. That is good but not fantastic. A 1R means the rejection is better but not completely gone. So the steroids are lowered slowly. Poor Scott and those steroids. It's much better than losing heart function though.

I feel like we're in the middle of the H1N1 panic. It's bad enough when everyone is healthy but when I live with an immune- suppressed person I'm much more edgy. Most of my life I've been pretty easy-going about my family's health, vaccines, doctor's appointments etc. Now, after what I've seen this last year of ICUs, breathing tubes, septic infections, surgeries, and near-death experiences I will do nearly ANYTHING to avoid them - especially a little poke in the arm for my family.

Yesterday we lined up for 3 hours for the H1N1 flu shot. It wasn't too bad. My arm hurts a lot though. Can you believe I'm such a wimp!? I've heard of many people with ILI(influenze-like illness) and so far we've been lucky. Hopefully the vaccines will kick in before we're exposed. I don't usually follow all of the media hype but this time I find myself very interested in every statistic and every opinion.

Have I turned into "that person"? The germophobic, self-isolating, overprotective mom/wife? Maybe a little. I have to give myself a little credit though. We're all still alive - and pretty happy. I might be a little neurotic for a few weeks but it's pretty much a result of a stressful, difficult year. At least I still let my kids go to school...most days:)

Thursday, October 15, 2009

Letters to the Donor Family

I've been wanting to blog about a delicate subject: The person and their family who donated so that Scott could have his new heart. I've been reading about other transplant recipient's experiences and I want to share a little about our experience. I want to respect the donor family's privacy by not putting details out publicly but I also want to share what a wonderful experience it has been to communicate.

We have received 3 letters from the donor's mother. I have written 2 letters, Scott has written a letter and the kids have sent notes and pictures. The H.O.P.E. program facilites the exchanges so we don't send or receive things directly.

It is very humbling to hear from this mother who still feels such pain and loss. It is sometimes difficult to know that our extremely positive event came from someone's VERY negative event.

We know that the donor was a young woman. Her mother has shared with us some of her good qualities. We know she loved children, she had a good relationship with her family and was very loved. She was strong and healthy before a sudden, tragic event.

I do know that writing to this family has been positive on both sides. I'm very sorry that this family has experienced so much pain and suffering. We feel connected to someone we don't even know. It has been reconfirmed to us that there are good, kind people out there who give without receiving anything in return - just because they know it will help someone. The donor's mother has told us that the knowledge of her daughter's gift helping our family has brought her "joyful tears" and smiles. She said that our letters have meant a lot to their family and knowing the difference their gift has made does help them.

I'm grateful for the opportunity to communicate with this family. I'm grateful for the letters we've shared. Sometimes I would like to look them in the eye, give them a hug and let them see with their own eyes our family and the difference their gift has made. The laws here don't allow for that so I can be satisfied with the letters.

I hope anyone reading this post will think about organ donation and choose to talk to their family members about their wishes. Organ donation saves lives and families. It has saved ours.

Saturday, October 10, 2009

Ups and Downs

The last 3 days have been quite eventful. I know I haven't updated in a long time. That is because things have been going quite well. We met with the nephrologist this week and she said Scott is doing great and she doesn't need to see him at all anymore!! Then Scott had a biopsy and clinic appointment with the transplant team. We discussed Scott going back to work as early as next week part-time! We also discussed Scott finally getting off the prednisone(a steroid) after 8 months. He started with at least 50mg/day and was down to 2.5mg/day. If the biopsy results were good they told us he could go down to ZERO!!!! It was a good appointment.

The next day we took a trip to Edmonton. We haven't been there since Scott was transfered back to Calgary over 6 months ago. At that time Scott was barely taking a few steps with a lot of help. He was bloated from his kidney failure. He was still suffering from sleep deprivation and hallucinations. His legs looked like a Halocaust surviver's. His hair had fallen out in places and he stilll had a lot of tubes. In other words he looked pretty bad.

We had the opportunity to see the surgeon, the Berlin Heart doctor, the transplant coordinator, a transplant cardiologist and some of the CvICU staff. They all said they wouldn't have recognized Scott on the street. Thank goodness!! He is a normal, walking, pink, non-bloated regular-hair guy now. It was a great experience to see their smiles and let them know that we appreciate their hard work in keeping Scott alive - because it was hard work!!! We also had a tour of the new units in the new Mazankowski Heart Institute. The new CvICU was SOOO much nicer than the old one. Individual rooms, windows, healing gardens... Oh well, I guess I'm glad we didn't wait an extra 6 months to be able to benefit from the new building.

After that good experience we were able to visit with some family, enjoy time together and attend the temple for the first time together in over a year! We were having a great trip. Then came the bad news. We received the phone call. Biopsy results. Rejection! Not the worst - a 2R. A 3R would be worse. But the dream of ending the prednisone is dashed! Now Scott must take 100mg of prednisone for the next few days then he gets to start the weaning process all over again. We were at 2.5mg!!!! Now the side affects again. Swollen face, pimples, mood swings, bone loss, high blood sugar, etc. etc... I think the weaning process is quicker this time - at least that's what I hope. Now I'm not sure about going back to work. I'm not sure what all of this means. When you get biopsy results late Friday afternoon we just start the new drug regimen and wait until next week for many answers. I do know another biopsy will be scheduled in 3 weeks. Hopefully the rejection is thwarted by the nasty prednisone and life can get back to normal again. But for now the roller coaster continues...

Tuesday, September 1, 2009

Home again:)

Scott is home again after 6 days in hospital. He is not tube-free anymore:( He now has a drainage tube attached to his leg to drain the hernia site so it can't accumulate fluid and get infected again. Hopefully he'll get it taken out in a few weeks. He also has a picc line which is always attached to an IV bag of antibiotics and a pump. It gives him a dose every 4 hours for a month! We REALLY don't want this infection to survive this time!
Gratefully Scott does still feel good. The docs continue to make changes to his meds and another biopsy is scheduled for next week. This time he will get it done the easier way! YAHOO! We won't have to spend 8 hours in hospital for each biopsy anymore. THAT is good news!
Yesterday was the 1st anniversary of my grandpa's death. We visited the cemetery. It struck me how close it came to Scott being there. I felt overwhelming gratitude as I stood there thinking how hard it would be to only visit Scott in a cemetery. I held him close.
Today is our 14th wedding anniversary! I've really been introspective and reflective these 2 days thinking back on this last year. When I feel discouraged because Scott's recovery isn't progressing as quickly as I'd like I only need to read back on my entries from early in the year. The wait for a heart ended, the ICU experience ended, and the hospital stay ended. We are still going in the right direction. I'm thankful to have made it this far! Each day is a gift. I appreciate each one. Fourteen years is really an accomplishment!!!

Saturday, August 22, 2009

Not Again!

Another bump in the road this week! The night before we came home from Utah Scott woke up in the night with chills and a fever. Fevers are a big deal when you are immunosuppressed. After talking with the transplant team we decided Scott should fly home. We bought him a ticket and away he went. I still had the 14 hour drive with 4 kids to do so Scott's parents helped out and did it with me(in 2 cars).
When Scott got home he felt pretty awful so he had my dad take him to the emergency. They did a whole bunch of tests but didn't find any source of infection - maybe just a virus. So Scott continued with the fever, chills, lethargy and no appetite for another day. Then I came home. The next morning, Wednesday, he had a clinic appointment with the tranplant team. That same morning he noticed swelling and redness around the site of his hernia repair that was done in May. When his doctor saw it he told Scott to go to emerg again. So away we went. We met with the general surgeons again and they waited for an ultrasound and bloodwork and every hour there was a new plan. Surgery, no surgery, infected fluid, not infected fluid...

Finally they drained the fluid with a needle, put Scott on IV antibiotics and sent us home. We did need to come back at midnight for another dose and back again in the morning for Infectious Disease doctors to decide the type and duration of antibiotic treatment. That was a long day!

But Scott continued to have a low-grade fever. The next night he had a high fever again. We also got a call from an ER doctor that his blood cultures from 2 days before had come back positive for a blood infection - staph again. Back to the ER again. Gratefully Scott was feeling better by the morning and was admitted to the hospital and feeling pretty good. The infected area was filling with fluid again so Scott had a CT scan and radiology drained it again and left a drain in this time.

Now we wait and see how Scott heals. Then he can come home. Hopefully this is a short hospital stay. Considering Scott's last infection that put him into septic shock this really hasn't been too bad!

Saturday, August 15, 2009

Rainy Day


Sometimes rainy days are nice. It gives me the chance to stay inside and blog, right! We've been in Utah for 12 days now and it has been mostly HOT -usual August weather here. It really has been a vacation. We've had a lot of fun with family, met new family members, met old friends and new friends. Thankfully we've had 2 weeks to get everything in. I am feeling ready to go home now though. Back to reality. School starts in 2 weeks and I really should make the kids get up before 9am. Otherwise it will be a rude awakening on the first day!
I guess I should update on Scott. It has been over 6 months since his transplant now. We are used to the medications and procedures. The day after we arrive home Scott has 3 medical appointments to catch up after 2 weeks off. The fact that we left the country is pretty amazing! Scott even went in a pool a few times. That is the advantage of being tube free. He still looks forward to being more limber and having fewer aches and pains. I think that will just take time. We're not sure when he will be ready to go back to work but it is now on the radar. He looks forward to going back. That is the next big step forward.


Friday, July 24, 2009

TUBE FREE - FINALLY!!

It is true! Scott is completely tube free! His peritoneal dialysis catheter was removed today. He has no medical paraphernalia attached, implanted, tunneled, inserted or hooked up to him. That is a first in almost 9 months. Now he can have a shower for the first time in months. He doesn’t have to use any saran wrap in the shower either(to keep paraphernalia dry).

The appointment with the nephrologist went great! She said that Scott’s kidneys have been working 35-45% over the last month and they may continue to improve. We may not need her services any more. Can you believe that!?!? I am still amazed!

Because of Scott’s kidney improvement, his anti-rejection medication levels have not been very consistent. They keep changing his doses and therefore need to biopsy more often.

The biopsy for Scott is a huge pain!! Most heart transplant patients have a biopsy done through a vein in the neck. They use minimal local anesthetic and it takes about half an hour to go in and get microscopic pieces of heart tissue. It is done in the echocardiogram lab at the hospital. Scott however has unusual anatomy and veins. Due to that and other issues Scott has to have his biopsies done through the groin. Because this is a more complicated procedure he needs more anesthetic and it needs to be done in an operating room settting called the catheterization lab. He also has to lay flat for at least 2 hours after the procedure. Then he can walk around for an hour. Then they take out his IV, give us a speech about how to care for the site, and give us the spiel about the possibility of fatal bleeding. Nice. The entire process always takes about 6 hours. Not fun!

Scott is scheduled for another biopsy on Monday. He has had them every 3-5 weeks for months. The last 4 have been 1R – very mild rejection. I keep hoping for some zeros. Maybe then they can increase the time between biopsies. I guess I should be grateful that the worst thing now is biopsies. I am. But I can still hope for fewer of them, right!?

Saturday, July 18, 2009

Gratitude

Life is good! Maybe even great. The promised changes are happening. Sometimes it still stops me in my tracks – Scott has a new heart!!! This heart is healthy. I sometimes think back – especially to the year before his transplant. I always knew Scott had a heart problem but it never seemed like a big deal to me. He was just Scott. His slowing down physically was quite gradual to me. We just got used to it. Scott complained very little. He just kept on trucking. We got used to the fact that he just moved slower than most and needed frequent rests. Now I know that Scott was experiencing heart failure – his heart wasn’t providing adequately for his body. It now makes sense to me why he had such a terrible time in Las Vegas last summer. Did you ever notice as you walk around the hotels that the only place there is to sit is at gambling stations?! So when we walked around as a family Scott would become VERY tired and want to sit down. We don’t gamble and we had our kids with us so Scott wasn’t allowed to sit in any of the thousands of available chairs while walking through the enormous casinos!! He never wants to go to Vegas again!

We were able to go on a vacation already this summer. We attended the Hornberger Family Reunion in Summerland, B.C. We had a wonderful time! We had been preparing to attend while Scott was doing dialysis and we were trying to figure out how he could do dialysis there. I am so grateful that his kidneys have recovered enough that we didn’t need to transport dialysis equipment on our trip or spend time doing dialysis there! The human body really is amazing!

Scott only has one tube left in his body. He still has the peritoneal dialysis line in his abdomen. He couldn’t go in the water on our trip which was a bummer and he still can’t shower. On Monday we meet with the nephrologist again. Scott’s dream is that she will recommend removing that line. Last time we met with her she said that was a possibility. Then Scott will be totally TUBE FREE!!!! No picc line, no dialysis lines, no oxygen, no dopamine, no IVs, no chest tubes…NOTHING. Nothing to clean, maintain or possibly cause infections! I can hardly wait.

It has almost been 6 months since the transplant. One year ago I had absolutely no idea what was in store for our family. I have learned so much. I have never felt so afraid and overwhelmed as I have this year BUT I also have never felt so loved and supported. It still isn’t always easy. Scott will always have many, many medications to take and bloodwork to be drawn and biopsies and clinic appointments. He will have to be very aware of his own body and health. But it is such a small price to pay for this new opportunity.

Just one more note as I am just going on and on. I often think of the family of the person from whom Scott’s new heart came. They must still feel such pain and loss. Six months is not much time to ease the pain of loss. Yet in a time of deep anguish they chose to give us such a gift! Again I am overwhelmed with gratitude. The blessings in my life are so tremendous and numerous that I can’t begin to number them. Just know that my gratitude runs deep.

Tuesday, June 23, 2009

BIG NEWS!

Big news! We met with the nephrologist yesterday and she was very pleased with how Scott is doing from a kidney perspective. Scott is now in the “recovery phase” with regards to kidney function. I wasn’t sure this day would ever come! The doctor said that he doesn’t need dialysis right now and she’d see him in a month. His kidneys are functioning at 25-30% right now and they’re hopefully still improving. It’s only when kidneys work less than 10-15% that dialysis is needed. She did say Scott’s kidneys will never be 100% but that’s okay. The reason people can donate a kidney is that kidneys are capable of doing a lot more work than a body needs.

What an answer to prayer this is! I feel very overwhelmed knowing that so many have prayed and fasted specifically for this blessing. This is also the fulfillment of priesthood blessings. This feels almost as big as the news that there was a heart available. I am very grateful and humbled to be so blessed!

Monday, June 15, 2009

Cautiously Optimistic

Scott came home overnight on the weekend on a pass. When he is discharged he’ll be set up to get his antibiotics through the picc line with a timed pump. He won’t need a nurse to administer it every 4 hours. It really helped to get out for awhile. Hopefully he’ll be home again in a day or two.
Today Scott went into the OR again. They repositioned his Peritoneal Dialysis catheter. They didn’t have to completely replace it but they still had to go in surgically. He’ll be pretty sore tomorrow again.
Good news though. I’m trying to be cautiously optimistic but it’s hard to keep my hopes at bay. So many have been praying for months that Scott’s kidneys will recover. He’s been on dialysis for over 4 months now. Because he has had no way to do dialysis for the last 10 days he hasn’t had it. BUT…. his kidneys are starting to do some work! There certainly isn’t a full recovery but the signs are good. His frequent blood work is looking good. He is retaining a lot of fluid but his toxin levels are acceptable and not rising so far. Today he started diuretics to get rid of some fluid and they are working too. He is doing so much better than the last time he went 10 days without dialysis in March. The doctors certainly won’t say whether or not he’ll continue to need dialysis yet but they are happy with the current trend. SO AM I!!!!! I just pray that it continues.
Thank-you for all of your kind deeds, words, thoughts and prayers! It really makes a difference to us.

Thursday, June 11, 2009

Did I say it was getting easier?? oops

Still in the hospital. There are a few reasons but Scott feels fine. The antibiotics have been working and he has no symptoms of an infection now. It was confirmed that he had a staph infection on his dialysis line and it progressed to a full-blown blood infection, or sepsis. His cardiologist told him(when he was past the worst) that it was the kind of infection that “could do a person in”. So we’re lucky and grateful we caught it in time. Scott was close to being admitted to the ICU – not the CICU – worse. Thankfully it didn’t get quite that bad.
Scott has been receiving IV antibiotics and will be for the next 3 weeks. He only stayed in the CICU for one day then he was moved to unit 81 – the same room as before. They plan on putting a picc line in his arm again so he can go home on the meds. BUT the big issue is dialysis. Now he can’t have hemodialysis because they took out the catheter for access. Because he already has a PD catheter line that was put in surgically over a month ago they were just going to start PD dialysis Tuesday night. When they tried to use the PD line it didn’t work properly. They took an xray and it isn’t in the right spot. Now surgery gets involved again to make it work. But that means wait and wait and wait. So Scott feels fine and wants to come home but instead he sits in a dreary hospital room on a beautiful, sunny day waiting for a surgery that could take days to happen again. This really stinks! I try to tell myself to be grateful because it could be so much worse but it still isn’t easy.

Monday, June 8, 2009

Back in Hospital

I know I said on my last post that I wouldn't update for awhile. But when things get hard it helps me to do the updates. Yesterday(Sunday) Scott took his temperature like he does every morning. It was definately a fever at 39.2 degrees Celcius. After calling the transplant team they said to wait and see if it got better by the evening. Unfortunatley it didn't and the chills started. So they told us to go into Emergency. It was a short wait in the waiting area when the doctor calls to say you are coming. After getting a bed in the ER they did a bunch of blood work and hooked Scott up to everything (blood pressure cuff, heart monitor, IV etc.) His fever kept rising. At one point it was 41.7!!!! They told us they were going to admit him for an infection. He had a rough night with blood pressure dropping and a high heart rate, body-shaking chills and a consult with the ICU doctors. In the morning they took out the dialysis line from his neck. It looks like that was probably the source of the infection. We won't know for sure until the results come back from the tests on it.
After a night and a morning in an ER bed Scott was finally admitted to the CICU. Back to that place again. His fever is getting better but he's just plain wore out from fighting this big infection. Hopefully it's a good night tonight and the antibiotics do their job. I'm praying for a short hospital stay!

Sunday, May 31, 2009

Good is fine with me

I’ve been wondering whether or not to continue my public updates on our day to day accomplishments and struggles. I don’t mind sharing but Scott is more private than I am and doesn’t always want all of his personal health details ‘out there’ for anyone to see. It started as a way for me to answer the questions everyone was asking in a format that allowed me to spend less time on the phone and explaining the same things over and over. It turned into much more for me. It became a way to feel connected with others, share my story(Scott’s story really) , document an important series of events, and feel support from many people near and far. If it was only my story I would continue to blab away but it isn’t just me. I think Scott just wants to move on, not dwell on the past and be that ‘normal’ person he has always desired to be. He is getting tired of talking about health stuff. So this will be my last health update for a time.
So “How is Scott doing?” He would say ‘good’. It is true. As I often reflect on the past year and especially the past 4 months since his heart transplant it has been such an amazing journey! The roller coaster has leveled off dramatically and we’re coasting along nicely. There are still bumps and wobbles but the extreme ups and downs seem to be behind us. I know I sound like a broken record but I really would like those kidneys to shape up! It’s also a different life living immunosuppressed. When an immune system is deliberately held back from fighting off everyday germs, those everyday germs become a big issue! We are handwashing maniacs! Don’t be offended if you shake Scott’s hand and you soon see him pull out the hand sanitizer! It’s not just you.
Scott had a heart biopsy 2 weeks ago. It was the first that showed any sign of rejection at all. He was at a level 1 out of 4(4 being the worst). The transplant team is not worried at all about a 1. They have lowered Scott’s immunosuppressant medication so he can fight an infection he’s been slowly developing. It is such a balancing act! He has another biopsy this Friday. I hope it is still good. Scott keeps getting stronger – again slowly but surely. There are many pounds of muscle to rebuild. But it is coming.
So things are good. Not fantastic, not terrible, but good. And good is fine with me.

Thursday, May 21, 2009

Getting back to normal

I guess I haven't added to this for awhile. The truth is, no news is good news. Life is getting back to normal. Routines are being established and re-established. I'm much more relaxed without going back and forth from the hospital every day. I haven't had a conversation with a doctor in 10 days and I like it. There are still health issues that are ongoing. Scott's medications are always interesting. Blood work is being done weekly and changes to meds are made accordingly. Scott is still building up strength. He has an enormous appetite and good energy. We're just waiting for his muscles to catch up to his heart. It would also be really nice if his kidneys started to pull their weight but so far they're pretty lazy. We are scheduled for training on peritoneal dialysis near the end of June. The incision from the hernia surgery is still a big question mark complicating the new dialysis plan. It's nice to not have any big worries and concerns but it still takes patience to wait for the little things that just take time. I can be patient! At least we have a time together to work this all out. That's all I really wanted. Whenever I think things are taking too long I just have to remember the first few days after Scott's transplant. All I wanted at that time was the chance to be with Scott longer. Every day we have together is a blessing.

Friday, May 15, 2009









Our ward came together today to celebrate Scott getting out of the hospital with an ice-cream party in our backyard tonight! It was so wonderful to have so many of the people that have supported us in so many ways gather together with us. It was a time filled with sticky faces, kids everywhere, visiting with friends, laughing and just enjoying being together. Thanks to those who also worked organising, setting up and scooping! We really are blessed to have such great friends and family! I only took pictures at the beginning because my camera batteries died early on. I'm sorry I didn't get more pictures of all of the people that came to support us.
Today was a busy medical day. Scott had an echocardiogram this morning at 7:45am followed by bloodwork and a heart catheterization/biopsy. These were done to determine pressures in Scott's heart so some of his medications could be reassessed. We didn't leave the hospital until 3:30pm. The good news is Scott's pressures were normal!






Tuesday, May 12, 2009

Home

This is what I unloaded after a trip to the pharmacy.

It happened. Scott came home! It is now almost 11:00pm and I haven't taken him back to the hospital. It is really true. He missed being in the hospital for 6 months by one day! Half a year!!! Now the second half begins. It isn't all easy. We have a busy schedule returning to the hospital for dialysis, biopsies, physio, bloodwork and clinic appointments. BUT Scott can come home every night. It was a little intimidating picking up the millions of pills and other medications from the pharmacy today. Noone will monitor if and when they get taken but us. It will take some organisation and effort to keep on top of it. It's scary because if we don't manage those things well it can be the difference between life and death. But we're ready! Upward and onward!

Sunday, May 10, 2009

Finally!

I've been a little cranky the last few days. It was so frustrating to wait for surgery for 4 days and Scott was only allowed to eat/drink for two 12-hour periods during that time. Again, today he fasted all last night and all day until about 4:30pm when he was finally taken to the O.R. It is finally done. The hernia repair was done with only local anesthetic and Scott was feeling fine but starving when I saw him at 9:30pm tonight. He can't feel anything yet and he was completely coherent and ate faster than I've ever seen him eat before! Hopefully he can come home tomorrow or the next day. We'll see what the transplant team says tomorrow. Maybe the end of the hospital stay is really here!? If they decide to keep him for 3 more days it will be exactly 6 months since he was admitted after his last hernia surgery. Wow, Scott could win a contest for the most scars in the most places I'll bet. If you think you could win I'm really sorry!!

Friday, May 8, 2009

Frustrated

I feel like we’re getting the runaround and conflicting information. Yesterday Scott was told he’d have surgery at 10:00am. He was then told it would be delayed. What we weren’t told is that Scott was on an “on-call” list and he would have the surgery IF they could fit him in. So Scott wasn’t allowed to eat or drink or leave because he was on the list. At 11:30pm they called him for surgery and shortly after cancelled the call. He was still on the list this morning and still wasn’t allowed to eat or drink – he’d also missed his scheduled dialysis yesterday just in case he got called. At noon today after fasting for 36 hours Scott finally saw a different surgeon with a different opinion. This one says he has 2 hernias and he willl need 2 months to recover enough to be able to do the peritoneal dialysis. The other surgeon said he could do it right away. Who do we believe? The first surgeon is now ‘out of town’. Scott was taken off the list for the rest of the day so he could eat, do dialysis and come home for the evening. He will be back on the list tomorrow – no eating again. If they don’t fit him in tomorrow they might schedule him in sometime next week. We are so frustrated because Scott could have come home last Tuesday and come back for this surgery. Instead he has sat around the hospital in limbo for the last week and it still continues. I’m really tired of the hospital and Scott is more so. It has been almost 6 months since Scott last slept in his own bed. We’re ready for him to come home.

Wednesday, May 6, 2009

Surgery Tomorrow

I kept waiting to update hoping to shout out that Scott is home for good. No such luck. We’ve been on quite an information ride this week. Last Friday, during the surgical insertion of the line for peritoneal dialysis the surgeon noticed 2 hernias that he said needed to be repaired “soon”. The frustrating part has been that the general surgeons are very busy and a hernia repair doesn’t get very prompt attention. I guess I’m used to life-threatening open heart surgeries that really get the surgeon’s attention and time. So Scott waited and waited in hospital for the surgeons to decide what “soon” meant. Should Scott stay in the hospital and get it done this week or should they discharge him from the hospital and do it at a later time??? We’ve been waiting for that answer since Friday. Scott had an ultrasound this morning to assess the hernia(s) and the doctor there said he doesn’t have any hernias!!! Every other doctor (cardiology, nephrology, endocrinology) and nurse(transplant, peritoneal dialysis), the pharmacist, and social worker all came by this morning and said “we’re waiting for the surgeons to decide what to do”. They have the only reason to keep Scott in the hospital. FRUSTRATING! Does he have a hernia or not? Can he go home or not? Come on surgeons. What’s up???
Finally, this afternoon THE surgeon came in (not the intern or med student) and said YES Scott does have one hernia and YES they will repair it tomorrow morning. Was that so hard?? At least we know the plan now. After this surgery I really hope Scott never has to see the inside of an Operating Room again!! Thank goodness this is a minor, routine surgery. If only Scott was a routine patientJ Hopefully it will take only the 30 minutes they expect and maybe Scott will come home in a few days!

Friday, May 1, 2009

Dialysis School

We’re on to a new phase of this journey. Today Scott had the peritoneal dialysis line inserted. It was done surgically into his abdomen. He was sedated and given local anesthetic for the procedure. The best part about it is that they were able to drain 2L of fluid out of that area! When the peritoneal dialysis begins it will hopefully keep that area free of fluid build-up. This new line needs to heal for at least 2 weeks before it can be used. Then Scott and I will go to train with specialized nurses for a week learning to do the dialysis and how to troubleshoot any problems. I went to the clinic today to learn how to care for the catheter(line) until the dialysis begins with it. I received a good supply of masks, soap and other supplies to keep everything sterile.

The other news is that the transplant group has tentatively planned to discharge Scott on Tuesday. I’m cautiously optimistic about this. The surgeon today noticed that Scott has 2 hernias that need to be fixed “soon”. What does that mean? We’ll see if that affects the possibility of going home next week. I think he’ll probably still go home but have yet another issue to deal with sometime in the future. For now Scott is recovering from being sedated and a new incision but is doing well. He’ll probably come home for awhile tomorrow if he’s up to it.

Thursday, April 30, 2009

Some Pictures

Here are a few pictures of Scott doing normal stuff again. After church on Sunday we celebrated Thomas' 3rd birthday. This is when Thomas was opening presents. It's really nice to have Scott home. The kids love to snuggle with him!



Monday, April 27, 2009

Getting back to normal one day at a time

Scott has come home for 5-9 hours each of the last 4 days! It has been so good to have him home. I’ve loved answering the kids requests by saying “Go ask your Dad”!!!!! It is such a blessing and relief to feel like I’m sharing the responsibility of parenting again. It feels pretty normal when Scott is home. I like normal. Scott even went to church on Sunday. It was the first time in 5 and a half months! He stayed the whole time and loved being there. I’m starting to really reflect on time. Some days have dragged on and felt like eternity. In 2 days it will be 3 months since the heart transplant. It will also be his 166th day in the hospital. My whole life has changed during this experience. Scott has changed too. We aren’t who we were. I hope we’re better. I know that I have learned to be more compassionate from all of the compassion I have received. I am still learning patience. I’ve definitely learned gratitude and humility too. I try not to ask: Why me/us. Why did we get this trial? Why did Scott make it when others don’t? Why do things take so long? I’m learning to just be grateful for each day and trying to not worry about the things I can’t control. I guess it is easier to look back and be grateful. It isn’t always easy in the tough moments. Those moments don’t seem quite so devastating now that I’ve heard Scott laugh, felt his arms around me and watched him with our children. Now I can really say that it was all worth it!

Friday, April 24, 2009

Overall it's been a good week

After four days with no escapes from the hospital they finally gave Scott a day pass so he could get out for awhile. He is doing much better. The headaches are less intense and he feels generally better. He still has a pretty bad cough but so far it hasn’t progressed to pneumonia. I sure hope it never does!!! Scott is noticeably stronger this week. When he was home last week he always needed me to hold on to when he walked or stood up. This week he only needs my help to stand up from lower chairs and getting up/down stairs. He walked up and down all 6 of our front steps today with help. He hardly ever needs my help walking anymore. Even at the hospital he has so much more independence because he can walk where he wants to go. The occupational therapist fitted Scott for a wheelchair and he uses it to push himself around or to use for balance while walking. It means he doesn’t need a person helping him to be mobile. He can leave his room without help!!! He is so much closer to coming home. The only real setback this week has been the delay in putting in the peritoneal dialysis line in his abdomen. They won’t do it until he finishes his antibiotics in about a week. After they put it in it will be at least 2 weeks until it has healed enough to use. So Scott continues with the hemodialysis and the unsightly temporary line in his neck. It still feels like baby steps some days but at least they’re in the right direction!

Tuesday, April 21, 2009

Speed Bumps

Just when I felt like we were cruising along the road to getting home at a decent pace we hit a speed bump. I’m not exactly sure what everything means or how much it is slowing the recovery down. Yesterday Scott was feeling pretty crappy in the morning. He was vomiting and could hardly stay awake. He has complained about terrible headaches at night for about a week and they kept getting worse. The cardiologist and nephrologists happened to do rounds on Scott at the same time so they consulted and ordered a CT scan. Scott had the scan and an MRI later in the afternoon. He was feeling much better by the evening. He seems to feel much better after sitting up for awhile and moving around.
This morning Scott went to dialysis and he said he slept most of the time and did not feel very well or energetic. The nephrologists gave Scott the news that he has sinusitis(inflammation of the sinuses) and that’s probably what’s causing the headaches. Scott’s blood oxygen saturation(SATs) was also down significantly and they are concerned about fluid build-up around his lungs. He’s had this for awhile now but it seems to be worse today. So Scott is on 2 new antibiotics – one in case he is developing pneumonia in his lungs and one for his sinusitis. When I saw him this evening he was doing a little better and his SATs were much better.
If it isn’t obvious, Scott didn’t come home yesterday or today. His minor surgery to insert the peritoneal dialysis line tomorrow has been put on hold until these other issues are taken care of. So I need to be patient again. I’m getting tired of speed bumps. I just want Scott to be better NOW! Hopefully these new issues don’t slow things down too much. We’ll just have to wait and see.

Sunday, April 19, 2009

Home again, home again, jiggety jig!

It has been a great weekend! Scott has left the hospital four days in a row to come home or to my parent’s house. It has been such an uplifting experience for him to be out of the institutional setting. He isn’t any more tired than he is staying in the hospital. If anything I think he feels better being out. It was also great to go out socially on Saturday night and be with so many friends at a birthday party!
Every time I drive Scott back to the hospital I’m wondering to myself “Why is Scott in the hospital again”. I have to think about it to get an answer. He still needs a lot of help. But I can do so much of it now. Stairs are still an issue. However, he is going up and down 3 stairs pretty well with help now. If I was able to be near Scott 24/7 I think he could come home today. I don’t think it’s possible to do that yet. I still have 4 kids to get here and there and groceries etc. So we might have to wait a bit yet.
It’s weird for me because I haven’t spoken with a doctor in a week. I haven’t been at the hospital much. They have seen Scott a few times though. This whole dialysis thing is still a drawn-out affair. He is still getting hemodialysis through his neck. Early this week Scott had over 3L of fluid drained from his abdomen with a needle. That helped him feel quite a bit better. They want to see how fast his abdomen fills again. If it doesn’t fill quickly they will feel better about putting the peritoneal dialysis line in his abdomen. I guess the procedure is scheduled for Wednesday but the surgeon still needs to examine Scott before there is a final go-ahead. Who knows when they’ll show up! We’ve been hearing about this for 2 weeks. Scott’s abdomen was pretty big again today so I don’t know what they will decide.
The transplant cardiologists really want the dialysis line out of Scott’s neck so they can do the biopsies in the ‘echo lab’ rather than the ‘cath lab’. I guess the echo lab is much easier and Scott can recover much quicker. If Scott can have the peritoneal dialysis line inserted he can eventually have dialysis at home during the night instead of traveling to the hospital 3 times a week. So we’re hoping to get the green light for the abdominal dialysis line this week. If the kidneys would just get to work we wouldn’t have all of these dialysis issues! If only….I shouldn’t go there. We should just do the best we can with what we’ve got right!?

Friday, April 17, 2009

Time at Home




I'm embarassed to admit that I just figured out how to put pictures in the main part of the blog this week. So I might go a little overboard putting pictures up. Yesterday Scott came home for the first time since before his transplant. We were worried about him getting into the house because stairs were an unknown challenge up until this point. We have 6 stairs to get to our front door but only 3 stairs up to the back door. Scott was able to get up those 3 stairs with some help. He isn't supposed to use his arms very much because his sternum isn't completly healed. He needs quite a bit of help standing up and going up stairs. He did do better than I thought though.
It will be the most help when Scott can get out of bed without any help. He's getting there. Sometimes I hardly support him at all and he's able to stand up. Sometimes he needs more help.
About coming home - It has been wonderful!! Scott says food tastes better at home. He has reasons to move and do things at home. It isn't nearly as cramped with 6 people in our house as it is in his hospital room. It's even nice to be in the car going back and forth. There's a reason to get dressed. The plan is to come home as often as possible. When Scott can do a few more things without help I think he'll be able to come home for good! However, I will make sure I don't lock us out of the house next time. Today we had some extra time in the backyard that wasn't planned. At least the weather was pretty good!
We watched a movie together and just enjoyed being a family. It feels great to have a bit of normal back in our life:)

Wednesday, April 15, 2009

Visiting with the kids




I take the kids to the hospital a few times per week. It is a lot of work for me but it's great for Scott and the kids. Thomas begs me to let him come to the hospital every chance he gets. I think it's because Scott's room has treats in it, he gets to ride the elevator and everyone tells him how cute he is! Today I brought 3 out of 4 kids with me. Sam was at cubs so he didn't come. Scott's nurse, Casey, let the kids listen to their hearts with his stethescope. They loved it!

Tuesday, April 14, 2009

More about kidneys - again!

Another zero biopsy! That’s 5 for 5. Can’t get better than that. I’m feeling really positive today. I know that Scott is improving. It is still uncomfortable for him to have all of this fluid retention. He is a bit frustrated because he was told that a heart transplant would resolve the annoying and sometimes painful bulging and tightness in his abdomen due to excess fluid. Now it seems like his kidney failure is keeping it going.
People keep asking how his kidneys are doing. That is a hard question. They are definitely NOT functioning as normal kidneys do. Normal kidneys clean toxins from your blood, regulate amounts of postassium and other substances in your body and get rid of extra fluid in your body.
All of the extra stuff is filtered through the kidneys and out of your bladder as urine. Since the transplant many doctors have discussed Scott’s kidneys with me. Early on they were very optimistic because Scott was still peeing a little. If kidneys don’t work at all – you don’t pee AT ALL. So they were working a little bit. They also measure creatinine and urea levels through blood tests. Your kidneys get rid of these substances from your blood. Blood tests are taken and these levels are measured. If kidneys are working these are kept at low levels. If the levels keep rising it means the kidneys aren’t clearing them out effectively.
I keep hearing that the kidneys are amazing at recovering. They sometimes don’t work for months and then, miraculously start working again. I do think that this is the exception not the rule. The more time that goes by the less chance of the kidneys recovering.
About 2 weeks ago Scott stopped peeing altogether and his creatinine jumped up suddenly. Scott had become dehydrated and his kidneys had nothing to work with. Scott was told to drink at least 2L of fluids a day to give his kidneys plenty to work with and every chance to recover. His urea levels have dropped this week and they say that the creatinine levels usually follow. He has been peeing a bit more too. That is a step in the right direction. Is it enough??? It is a waiting game just as it has been for the last 2 and half months. I’m so interested in how much Scott pees and his creatinine and urea levels and how much extra fluid he has in his body. Hopefully it won’t matter soon! I certainly continue to pray for a return of kidney function and I appreciate all of you who have done the same! Let’s keep at it!

Sunday, April 12, 2009

A Happy Easter

Scott was allowed to leave the hospital today! Not for good but for about 5 hours. I picked him up after church and brought him to my parents house. They live in a bungalow and they even have a lift so Scott didn't have to climb any stairs. Thanks Mom and Dad!!! Scott had turkey dinner on real plates at a real table in real clothes! After he sat in a nice chair surrounded by family. It was great that he wasn't in a bed for over 5 hours. To me it seems like a glimpse of what is to come - Normal!! Earlier in the week Dr. Isaac, one of the transplant cardiologists, told Scott that she would love to give him a pass from the hospital every day if he can handle it. I'm thinking he can handle it. He got in and out of the van fairly well. He did need a wheelchair from the car to the house and the hospital room to the car. He is still building stamina but it is coming.
I would put on pictures of a great day but Scott is feeling better enough to NOT like his picture taken. He doesn't look his best yet. He still has that irritating dialysis line sticking out of his neck and his face is puffy from the steroid, prednisone, and fluid retention.
Back in the ICU Scott was too drugged to mind me taking pictures. oops. Now he's getting back to himself and his vanity has returned (just kidding).
Tomorrow we meet with the peritoneal dialysis nurse for some teaching. Hopefullly the surgical consult for the abdominal line will be done soon so we can move forward there. Not much gets done on a long weekend. Tomorrow we should find out Thursday's biopsy result also - again weekend waiting.
I look forward to many more good days. It sure has been nice to take Scott outside in the wheelchair and enjoy the sunshine every day this week. I've even brought the kids along for walks to grassy areas around the hospital so we could watch them run and play. The hospital room gets pretty croweded with our family of six!

Wednesday, April 8, 2009

What's New?

What’s new with Scott the last few days? He is still in the hospital and really not liking it. With everything he’s been through I can’t blame him for getting fed up! The transplant cardiologists say that Scott WILL have the great quality of life they talked about before the transplant. It hasn’t happened yet but it will in time.

Long-term arrangements are being made for dialysis. So far Scott has had ‘prisma’ dialysis in the ICU and Hemodialysis since the transplant. The prisma was done gently all of the time. The Hemodialysis is done at the hospital 3X/week for 4 hours at a time. The concensus seems to be that Scott should have Peritoneal Dialysis now instead of the others. This dialysis can be done at home 4X/day for 20-30 min. each time. It is gentler and requires less diet restrictions. The infection risk is less, especially for a heart transplant recipient. It isn’t for sure yet. They need to assess whether Scott can have the line inserted in his abdominal cavity. That’s where peritoneal dialysis is done. Instead of taking blood out of the body to clean it, fluid is added to the abdominal cavity and filtered through the abdominal wall(peritoneam) and then drained. At least he’d be able to have the line in his neck removed!

One bit of good news is that we have planned for Scott to get out of the hospital on Sunday for Easter dinner. It helps that we’re going to my parents house which is handicapped accessible. Scott hasn’t tried to go up/down stairs yet so he’s not ready to come home quite yet.

Tomorrow Scott has another biopsy after his hemodialysis. Maybe his last hemodialysis?? It will be a very busy day.

Sunday, April 5, 2009

A Change of Seasons

Sunday, April 5/09
The days are just beginning to warm up. Winter has been hanging on here but It is finally showing signs of spring. The snow is melting and the sun is shining. I guess I feel like this long, difficult experience that Scott and I have had is finally showing signs of ending just like the winter. Scott has been in the hospital for the entire winter. He was admitted to the hospital on November 13, 2008. At least he only missed a long, cold, snowy winter. It looks like he might be able to come home and enjoy the change of the seasons - literally and figuartively!
I have asked the doctors what needs to happen before Scott can come home. He needs to be stronger, eating well and moving well. That is coming bit by bit. His immune system needs to be at acceptable levels - it's gradually getting better. It would be nice if his kidneys started working but he can come in to the hospital 3X/week for dialysis. He doesn't need to be an inpatient for that. So, without further complications, I really feel that Scott is really on the homestretch!
Today Scott was dehydrated from not drinking enough and days of stomach troubles but he really worked hard at drinking and eating better today. He also asked me to help him get up and walk yesterday and today because the physiotherapist doesn't work weekends. He did great! It is easy to measure improvements when you walk a certain distance. It is coming. The new heart is great! It will just take time now. I just wish I knew how much:)

Friday, April 3, 2009

One Step at a Time

The days keep ticking by. I can see Scott getting a little bit stronger as time goes by. He is able to move himself a little better every week that goes by. He is walking short distances with only a little support now. It is still a big effort but I can see the improvements.
Scott seems to be about the same or maybe worse as far as kidney function goes. The problem is that his stomach issues are persisting and getting rid of fluids through other avenues(not the kidneys). The dialysis is still going on. Scott went to get a permanent line for dialysis put in yesterday instead of the annoying, floppy, temporary one in his neck. Unfortunately, due to Scott's anatomy they couldn't do it where they wanted to so it didn't get done. I'm not sure yet if there are other options.
I forgot to note that last week Scott had another biopsy with ZERO rejection! Thank goodness something has gone smoothly so far. Scott's white blood cell count was up a little yesterday also, which is good. The 2 issues now are kidneys in the long term and "the runs" in the short term. There would be very little to complain about or be in the hospital for if it weren't for those 2 things. So we'll just keep praying like everything depends on the Lord and working like everything depends on us!

Wednesday, April 1, 2009

Easy Button??

Wednesday Apr.1/09
New developments the last few days. Scott has some sort of bug that's causing some stomach problems. For most of us it's a hassle and uncomfortable to have a stomach flu but it's a lot more problematic for Scott. Because of his heart failure before the transplant and the traumatic events during and after the transplant Scott's strength reserves are very low. Scott is also immunosuppressed which means that his immune system is compromised significantly. He is getting medications for the exact purpose of suppressing his immune system so that his own body doesn't attack his new heart. That means he is exremely suseptible to any bacterias, viruses and other infections. The doctors even say that Scott's immune system is lower than it should be even for a transplant patient. I hope that this 'bug' quickly runs its course and Scott isn't too compromised by it.
Yesterday afternoon Scott was put on isolation status which meant that everyone that went into his hospital room had to wear a gown, mask and rubber gloves. It was hot, uncomfortable and annoying but I did it! Then, today when the doctor came in and saw me in the surgeons getup he said "Why are you wearing a mask?" It didn't take me 2 seconds to take it off and chuck it! I still had to wear the gown and gloves though.
I guess we need to expect these setbacks. I just hope there aren't too many of them and that the steps forward are bigger and happen more frequently than the steps back.
The doctors have told Scott to eat more protein. They suggested a big steak! How do I keep a steak good to eat from home to the hospital with only a microwave at the hospital? I'm open to suggestions. Scott did say he'd rather have shrimp tomorrow so I'll work on that. I sometimes feel like a restaurant with a very extensive menu, a microwave and plastic utensils. Mmmmmm doesn't that sound easy! I know it sounds like I'm complaining a lot and maybe I am. I often have to look back and see how far Scott has come to be grateful for these new, small problems. I do think I'd like the "easy button' from the staples commercials though. It might get worn out from excessive use so I guess I'll just smile, laugh, hug my family and carry on:)

Monday, March 30, 2009

On the Upswing!

Yesterday was 2 months since the transplant. Scott has come a long way since then. The only tube that Scott has left is a catheter in his neck that hooks up to the dialysis machine. It's driving him crazy but it's nothing compared to tubes in his neck, chest, sides, mouth, nose and legs(and more). Even 1 1/2 weeks ago Scott still had 2 chest tubes.
Today Scott is feeling strong and positive. I think the end of the hospital stay is in sight. Scott was able to walk with just a little help down his hallway today. He got to his feet on his own today too. He is enjoying eating - especially hamburgers and ice-cream. His strength is gradually increasing and he's beginning to feel the difference. The fluid retention is also going down. Maybe it's the dialysis, maybe his kidneys, we're not sure yet. I think today is the best day since the transplant! I only expect it to get better from here.
If you want to visit Scott in the hospital please feel free to do so. He isn't as tired as he was and he really enjoys seeing someone other than me and hospital staff:)

Saturday, March 28, 2009

An Amazing Gift

Over 8 weeks ago someone's family made the difficult choice to donate the organs of their loved one. I can't imagine what this was like for them. Saying goodbye to someone you love. At the same time Scott was given a new opportunity and a wonderful gift. Although it has been a very difficult journey Scott's new heart is strong, free of defects and is giving Scott a second chance. Although, tragically, one life was ended prematurely(we know the donor was younger than Scott) another life is starting anew. I hope that Scott's new life allows him to see his children grow up, and his grandchildren grow up. I have great hope in the future. I also have immense reverence and gratitude for the family that gave Scott and I this gift!

Thursday, March 26, 2009

Come on kidneys!!!

It's harder to update when I'm at home because life is busier! It has been a pretty good week so far. The dialysis is time consuming but it has really helped Scott to feel better by getting rid of fluid and toxins in his body. Wow! The kidneys sure are amazing. They do a lot! I hope Scott's kidneys recover enough to not need dialysis. Today they did another dialysis and have Scott scheduled for dialysis every Tuesday, Thursday and Saturday mornings. I hope this doesn't last long. But at least he now has a schedule. If you want to visit Scott on these mornings he is in unit 27 at the Foothills, not in his regular room. He just gets to lay there while his blood is cleaned for 3-4 hours.
It has been nice to have visitors. Scott has quite a bit more energy than he did in Edmonton. He is sleeping well and he is beginning to rebuild his strength. Pretty soon he will have a regular schedule of physiotherapy and I think he will really move along then.
Scott has a phone in his room if you'd like to call him. Just email me and I'll give you his number - palmersm@shaw.ca . He is eating better but hates the hospital food. I'm trying to keep up with bringing him kidney healthy food from home that he likes. It's tough! Low potassium, low salt - sometimes low taste! If you have any ideas let me know!!!
Thanks again to everyone who continues to pray for Scott - especially those fasting for him too. This Sunday our ward is planning to fast for Scott's kidneys to recover. Feel free to join in if you'd like! I really believe it makes a difference!

Monday, March 23, 2009

Monday March 23 update

Another busy day. Dialysis again and a lung test making sure Scott doesn't have any clots in his lungs. Scott was much more energetic and positive today. The doctors might try a different anti-rejection treatment than Scott is currently taking because the Tacrolimus that he now takes is really hard on his kidneys. Maybe this is what his kidneys need to turn around. There's still hope!! Scott will have dialysis again tomorrow and maybe have the swallowing test he didn't have today. I took Scott for a walk in the wheelchair around the hospital. That was a nice change from the same room or tests. Hopefully soon Scott will be able to walk on those walks!

Sunday, March 22, 2009

Dialysis - again

Today Scott went for dialysis. It is a 3-4 hour event. His kidneys aren't working enough yet. I keep saying 'yet' with the hope that they will recover. I'm trying to stay positive. It's really hard to stay positive every day. The slowness of changes is hard to take. I just want Scott to feel well, get up and walk and come home. It isn't happening that way. Scott is recovering from a traumatic event. One doctor, early on, said that the surgery that Scott went through was like standing on the road and getting hit by a car going 80km/hr. So, over 7 weeks after the surgery Scott still isn't walking. He is still having kidney problems, he still can't drink regular water/liquids and he is often discouraged. I had no idea that it would be this hard! I really appreciate all of the support we're getting though. Visitors do help lift Scott's spirits and get his mind off the harder things. Sometimes I think he is like an adult trapped in a newborn baby's body. He needs help taking care of all of his basic needs. Thankfully, he can communicate what he needs and wants. We are a long way from the breathing tube!! Scott has come a long way but sometimes the rest of the way is daunting. Tomorrow - more dialysis, swallowing assessment, teaching of anti-rejection meds, ultrasound of legs because of swelling. Maybe Scott will get a chance to eat or do phyiso sometime in there but it will be a busy day if all of that happens. We're still 'hanging in there' like Scott always says!

Friday, March 20, 2009

Busy, Busy Day

Friday, Mar.20/09

I brought the kids to the hospital today. Two at a time. It was an extremely busy day getting everyone up to speed on Scott. The cardiologist saw him twice, the transplant nurse, dietician, speech pathologist, physiotherapist, endocrinologist and nephrologist talked with us and Scott had a chest x-ray and echocardiogram. He also had some visitors which is the best part of being in Calgary! It really boosts morale to see friends and family.
I think the new ball is rolling now getting a plan for Scott here. The big issue is still kidney function. Will it come back????? I keep praying that it will. It would really help Scott's recovery to not need dialysis and/or another transplant(kidney-not heart). Working kidneys would really help Scott to feel better and make it easier to do the rehab part of his recovery. All we can do now is wait and pray.

Thursday, March 19, 2009

Home:)

It happened!!! We're home - well in Calgary. Scott arrived at the Foothills hospital by ambulance transfer at about 8:00pm tonight. What a day! We said goodbye to Edmonton and the people there. That was the hardest for me. There are so many people that have supported Scott and me through the most difficult experience we've ever had. They've helped us through some really rough spots and I'm going to miss seeing them. Everyone at the hospital that we said goodbye to wants to know how Scott progresses. He still has such a long ways to go. I expect he'll be hard for them to recognize a year from now. At least that's what I hope. If you ever need a heart transplant or major heart surgery I highly recomment the University of Alberta Hospital!
They took the last 2 chest tubes out today. Well, actually, one was accidentally pulled out. Now Scott continues to swell with fluid. I don't know what they'll do about that yet. I know his kidneys aren't helping and losing the chest tubes means on less way to drain fluid. I guess we'll see what the Calgary team does tomorrow.
It's good to be home to stay:)

Wednesday, March 18, 2009

Calgary Here We Come! - I hope

We've had one day out of the ICU. I'll list 10 of the differences that the ward has over the ICU.
1. natural light
2. leaving the room to go to the physio gym - without a nurse!
3. I don't have to phone in to visit Scott - I just walk in!
4. Scott ate real food today - pasta, potatoes, meat, cake.
5. Fewer doctor visits. That's good and bad.
6. Better sleep
7. Less comfortable chairs for me.
8. Scott has a call bell instead of just yelling.
9. Scott gets a red, heart shaped pillow he is supposed to hug while coughing. It helps him sleep.
10. I took Scott out of his room for a walk - without a nurse!

There is bigger news than being out of the ICU. The surgeon, Dr.Rebeyka, came in today and is really pushing to have Scott return to Calgary ASAP! The orders for a transfer have been received in Calgary. I spoke to the transplant nurse in Calgary and she was filing out the paperwork. It could be as soon as tomorrow! I can hardly believe it. I'm always cautious about what I'm told as I know things can change. But maybe tomorrow!!!!!!
Scott is feeling pretty good. I am really praying for his kidneys -literally. So far they aren't doing enough work. If it doesn't change he'll probably need dialysis until he can get a kidney transplant in the future. So please pray with me for those little organs to get their work done by clearning toxins and fluids from Scott's system. Right now he's extremely bloated and puffy from excess fluid retention. There is still the chance that his kidneys will recover. We'll just wait and see.

Tuesday, March 17, 2009

FINALLY!!!

Drumroll please......... Scott is out of the ICU!!!!! Finally. He is in a new room- with a window. I thnk it will be good. It is an adjustment. Scott's nurse now has 3 other patients and there is no intensivist available at all times. The plan is that we won't need a doctor for emergencies anymore. Maybe Scott can sleep better. It has been 3 nights in a row with very little sleep. We'll see if a new space makes that better. I think we are close to going back to Calgary - I'm guessing in about a week. We'll see what happens. If you want to send Scott a message he is now in unit 3G4, room 22.

Monday, March 16, 2009

Steps in the right direction

Another positive day! I can still see the progress. Today I went and had my hair done. One of Scott's doctors has a wonderful wife who does hair and came in to her salon just to do mine! I continue to be amazed at the kindness of people - even strangers!
The intensivist told Scott that the plan is to get him out of the ICU tomorrow. I will believe it when I see it but I am hopefull! Scott walked with help twice today -twice as far as last time. The rehab is happening. They're still taking the kidney issues one day at a time - still wait and see. I hope Scott will get one more chest tube out tomorrow and then he'll only have one left. More steps in the right direction.

Sunday, March 15, 2009

Day 45 Post Transplant

I went to church this morning. It's amazing how it feels like home to attend church no matter where you are! It is the 3rd time since the transplant and I'm already learning people's names in Coronation Park ward in Edmonton.
Scott had a great day! I CAN see progress. Even if it is just sitting up longer, less shaking/tremors, and more overall strength. We spoke to the doctor today and he is optimistic that Scott can be moved out of the ICU in the next few days. I sure hope so!!! The only thing Scott gets through an IV now is water for fluids. No meds. He does get a whackload of meds through his feeding tube though. Eventually he'll have to swallow them all.
We had a chance to go to the computers at the hospital. I wanted to show Scott so many things but he only wanted to look up ''homemade rootbeer'' and ''drink mixes''. He is still a little fixated on drinks but they are allowing him to have 6 small thickened drinks a day. They are the high points of the day for sure!! He thinks he is ready for Super Big Gulps. I don't think his kidneys would handle that and he has been getting insulin for high blood sugar. That might or might not go away. The trauma he has had and the prednisone he takes to prevent rejection can elevate blood sugars. I hope that gets better too. Fortunately those are managable problems for the time being.

Saturday, March 14, 2009

Sunshine!

Today started slow. Scott didn't get much sleep last night so he had a hard time keeping his eyes open this morning. He still did eat a bit of breakfast(pudding and thickened gingerale) and he stood up for a minute or two with the physiotherapist. He did sleep for about 3 hours on and off in the morning. The afternoon was much better. Scott sat in the wheelchair 3 times today and even went out of the hospital doors for a few minutes. He felt the wind and the sun. I took pictures. I'll put them on the blog tomorrow. Scott also had the arterial line taken out of his arm. One less tube! He also had more pop, yogurt and pudding. He would have more if they allowed it! So far so good. We just have to continue to be patient and take things slowly.

Friday, March 13, 2009

Drinking! - sort of

Today was very busy! Scott started out but walking with help from his bed to the door of his room. That's a big improvement! It is literally 'one step at a time'. Later in the morning Scott had was taken to the fluoroscopy room for his official swallowing test. He sits in this unique chair and is given food and drinks laced with barium to swallow while being x-rayed. I watched all of the x-rays and could see the food going down his throat. Most everything went down the right tube but a small amount of liquid was aspirated into his lungs durning swallows. SO Scott can eat and drink but it is very restricted. He can have one 'level 1' food(pureed, pudding, yogurt etc.) and one thickened liquid 3x/day. The first thing was gingerale that had a powder mixed in to thicken it like runny applesauce. He actually really liked it! He did try orange juice and milk thickened but didn't like those. When I called his nurse tonight she said he was having thickened chocolate milk. I hope that was better! It is a step forward. He still gets almost all of his calories and nutrients from the tube feed but it's closer to normal than yesterday!!! Scott had a regular dialysis run this afternoon too. I keep praying that his kidneys will do enough work but they're not there yet so dialysis it is for now. It will be done 'as needed'. There is no schedule for it right now. I am completely exhausted today. I don't remember signing up for this but I'm still here. I have faith that Scott will recover, come home, feel well and live well. That is what keeps me going. Oh! Thanks to everyone who has sent messages to the hospital for Scott. It is really helpful and encouraging to hear about you and know that you are thinking of us!

Thursday, March 12, 2009

Typical Day

Today was pretty typical. No setbacks no major strides forward. I thought I'd give an idea of all of the people involved in Scott's care. Every day Scott has 2 ICU nurses one from 7am-7pm and one from 7pm-7am. Scott is that nurse's only patient. This particular ICU(Cardiovascular Intensive Care Unit) has 2 intensivists(doctors) covering the unit at all times. They start Monday morning and work until Sunday night. They are both there all day and rotate working the nights. I think they have a place to sleep in the hospital but need to be close and available at all times. We usually talk to one of these doctors every day after they do their 'rounds' on Scott. The surgeon, Dr.Rebeyka, usually stops by and checks on Scott at least once a day. He will decide when Scott is surgically stable enough to transfer to Calgary. Probably when Scott has the chest tubes out. We usually see Dr.Buchholz, the artificial heart specialist too, when he's in town. Every weekday we see Celine, the transplant coordinator and one of the 5 transplant cardiologists. Also, on the weekdays we see Linda, the physiotherapist and one of many occupational therapists to help Scott get his strength back. There are many doctors and healthcare workers always checking on Scott throughout the week. We have met nephrologists(kindney), infectious disease doctors(infection specialists), psychiatrists(shrinks..haha), speech/language pathologists, social workers, and chaplains. I know all of them by their faces now and most of them by their names. I am very grateful for the training that went into all of these professions! Without it I don't think Scott would still be here. I'm also very grateful to live in Canada where I haven't paid for any of it out of pocket!!! I can only imagine the bill that would be coming without Alberta Health Care. I don't think we'd ever get our heads above water without it! Anyways, I do feel grateful for my blessings. I have met some amazing people. I've met many other family members in the waiting areas and made some friendships and felt support and empathy from many around me here. I don't recommend this experience but I have learned and experienced things that I wouldn't have otherwise.

Wednesday, March 11, 2009

A Busy Day

The doctor told us recently that progress will be harder to see now. The big changes are(hopefully) behind us and the smaller changes will happen consistently over time. That is how I am looking at things now. Scott is still in the ICU. The change to a ward is getting closer though. Today Scott had the intial swallowing assessment. A speech pathologist came in and felt Scott's neck and throat while he swallowed a few things. Scott had a tablespoon of applesauce, some ice chips and 3 spoonfulls of water. He loved it!! The swallowing looks good so they will move on to another test on Friday. This test will have Scott swallowing things laced with Barium so they can be seen on an x-ray. They will take an x-ray video of Scott swallowing to make sure everthing goes down his esophagus to his stomach, not his trachea to his lungs. Getting fluid in your lungs is not what Scott needs so they continue to be extremely carefull. Scott is really excited! I had some kool-aid packets in the trunk from his hospital stay before the transplant. He asked me to bring them into the room so he could look at them and hold them. He is so excited to drink. They haven't even let him have ice chips since the weekend again.
Scott continues to get a bit stronger. They are still holding off on dialysis. It has been a week without it. He is starting to swell with excess fluid but the hope is that the kidneys will pick up. They're barely hanging on at the moment but tomorrow is another day, right!? Scott was also able to go down on oxygen a bit again. More baby steps. He also had an ultrasound of his swollen arm to make sure there wasn't another blood clot and the results were good, no clot! There was a few steps taken to the wheelchair, an outing and some great visitors. Overall a very positive day. I feel like we're finally over the hump!

Tuesday, March 10, 2009

Zero Rejection!

Today wasn't too bad. Scott had another biopsy today - the 4th- and there was zero rejection again! Scott still needed a lot of oxygen but less than yesterday. No more ice chips until that gets better. We are hoping for a swallowing test tomorrow. Maybe then Scott can have a drink. Drinks are still a frequent topic of conversation and Scott's most intense desire. Maybe soon???

Monday, March 9, 2009

Ups and Downs

I went back to Edmonton today. The weekend was difficult for Scott. There were some setbacks. Scott's kidneys aren't working sufficiently yet. They had to put some large catheters in his neck to do dialysis. Scott had trouble speaking for a few days. They did a major workup looking for infection thinking that might be the reason. They didn't find any infection. So they think the problem might have been pharmaceutical - due to some of the drugs he's on. He also has tremors which are caused by his anit-rejection drugs. Last night Scott needed to go back on a lot of oxygen to keep his oxygen levels acceptable. It might be fluid in his lungs - risk of pneumonia. AHHHHHHH!!!!!!! It seems like a lot of setbacks when i write them out. There were some positives though. Scott is getting stronger. He sits up in a wheelchair for a few hours every day. We left the ICU for an hour today and went for a walk and to sit in the atrium. Scott is himself again. He makes sense and we talked the whole time i was there. He is sleeping so much better too. I hope the breathing issue gets under control and Scott can focus on the things he can work on. He is really trying to push himself and get out! He is talking about going back to Calgary. That is the current goal - get better enough to be transferred to the Foothills hospital in Calgary. That is what we will work on!

Sunday, March 8, 2009

Messages from the kids

Mar. 8/09

Ben writing(age 11) Today I started off fine but soon after mom was not feeling to good as she had an upset stomach. As this ended up us not going to church. I could feel that me and the other kids were smirking as we realized we wouldn’t have had to go to a two hour long session about news in our church. After we get ready well be going to a delish turkey dinner from my grandma. Anyway the doctors say dad is improving.

Sam writing(age 9) I am sad because my Dad is in the hospital in Edmonton. But I know that he will come home soon. Anyway, we did miss church. When dad comes back to Calgary he won’t come straight home because he has to go to the Foothills hospital. I hope he will come home in a week.

Olivia(age 5 - dictated to mom) I miss my dad very much and I wish he could come back really soon. He is special to me. I really like him. His heart wasn’t pumping and he’s really sick in the hospital at Edmonton. I wish that his old heart was working better. He’s doing good now. When he comes home I want to play with him. Good thing his heart is working good now. Yesterday we played in the snow and after that we came inside then we went out again. I brought my stuffed bird, Skyler, outside to play with then I left her outside overnight. In the morning Ben brought her in and she was covered in snow because it snowed. I love my dad!

Thomas (age 2 – dictated to mom) I love Daddy. He had a transplant. I love mom. Hcmot8ddxxoqqaaaaaakkklmu5zjasssss

Friday, March 6, 2009

Progress

I love being home! It is really nice to have my own space again and do normal things like laundry. Yes, laundry. I'm sure that feeling won't last long! Even though I'm now spending my time being a mom and taking care of my kids(and getting a pedicure and manicure thanks to Barb)I do manage to keep in touch with the hospital. I spoke with the intensivist(ICU doctor), Scott's nurse, another specialist and Scott's mom. It seems like Scott had a good day. He is sleeping somewhat better and was able to get into a wheelchair and get out of the room for awhile. He had the trach removed today and was waiting on getting 2 chest tubes removed! Big news! His kidneys are also starting to kick in too!! These are all big steps in getting out of the ICU. If he keeps going at this rate he'll be out in a few days. If he passes a swallowing test in the next few days he'll also be allowed to drink and eat. It's easier to recognize the progress when I'm not watching it minute by minute. I know all of the prayers that are continually offered on our behalf keep making a difference. Thank-you!

Thursday, March 5, 2009

Sending Messages

Now that I'm home I want to get messages to Scott because there is no phone available to him. The UofA hospital has a service where you can send a text message and a volunteer will hand deliver it to the patient. If you would like to send him a message I'll put up the link. His legal name is Edwin Scott Palmer and he is currently in unit 3A2, bed 10. I'm sure he would love to feel connected to the outside world through messages. This is the link: http://www.capitalhealth.ca/AboutUs/OurOrganization/OurFacilities/PatientGuides/HospitalMessenger1.htm

Wednesday, March 4, 2009

Home

It feels strange today. I'm doing this update from my own computer in my own house. I came home this afternoon and plan to stay until Monday morning. I've been spending about 10 hours a day at the hospital for the last 35 days. And before that I spent 3-6 hours a day there for 11 weeks. Now that I'm home I've realised that I'm really tired. The kind of tired where I think I could sleep for a week if I could rest my mind.
I am happy to be home. I swear Olivia has grown since I last saw her. I feel like I've missed so much here. But it feels right - almost. When Scott comes home it will be perfect! I miss him already. It was really hard to leave. But his parents are there now and I really trust the doctors, nurses and others that care for him 24/7.
I was there this morning and Scott had a solid 5 hours of sleep last night. That is such an improvement! There have been some medication changes with the purpose of helping him sleep better. I think the outings and ice chips help too. He can feel more like a person again - not just a body full of tubes.
I hope that I can notice a big difference after not seeing him for 4 days. I think that will be good medicine for me too!

Tuesday, March 3, 2009

Dialysis and Sleep- need them both!

Tuesday, Mar.3/09
Phew! Today was exhausting. We are moving past the problems of breathing, heart function, bleeding and blood pressure. That is really amazing! Now on to the others. We met with the kidney specialists today. So far Scott has been on a gentle, slow dialysis called prisma. His blood pressure couldn't tolerate regular dialysis. Today they decided to stop the prisma at nights now. They will do his regular bloodwork every day and determine if he needs regular dialysis and do it "as needed". There is still hope that his kidneys will recover but only time will tell. I've never been so interested in how much urine a person makes!
The other major issue now is sleep. Scott hasn't slept in at least 5 days and 4 nights. He is becoming delerious. There are now specialists with a plan to look at the meds he has been getting and start trying to figure out why he can't sleep. It's not unusual to have such difficulty in the ICU but this is going on too long. Today Scott was too tired to do any physio and could only keep his eyes open for a little while at a time - though he never slept more than 20 minutes at a time either. It's a real catch-22 again. The less sleep Scott gets the more his health suffers...the more his health suffers the less sleep he gets... and on and on. Hopefully this can be sorted out sooner than later.
On a good note, Scott did get out of the ICU for about a half an hour. We went to the atrium where there are trees and plants and plenty of windows to the sky. Why didn't they do this sooner??? Oh yeah, they have to take about 10 pieces of equipment with them. I guess they're doing it now because he's getting desperate for a change. i really do think it helped too!

Monday, March 2, 2009

Ice Chips!!!

Today a milestone happened. Scott again begged the doctor for a drink and FINALLY he said yes to ice chips. When Scott finally ate them with a spoon he leaned his head back and said "heaven". He's allowed 1/2 cup every 2 hours. What a difference that makes for mental health!!! The doctor also ordered a daily excursion for Scott where he can go out of his room and see windows and daylight for a short while. That is supposed to start tomorrow. Now he has something to look forward to every day besides pain, discomfort, noise, needles etc. I really like this doctor! Now there seems to be a possiblity of actually leaving the ICU in the next week or two. THAT is something to look forward to:) Another step in the right direction is that Scott has been off the ventillator since yesterday morning at 9:00. That means he's getting closer to eating and drinking!

Sunday, March 1, 2009

Another Chest Tube

The last post was everything I was documenting before I started this blog. Pretty long! I can now compose updates at the hospital because the hospital computers allow blogs but not facebook. Today Scott is still exhausted. Last week the surgeons put in 5 chest tubes to drain fluid that seems to accumulate around his heart and lungs making it more difficult for them to work. Today they are putting in number 6. There is a pocket of fluid that isn't draining from the other tubes and is putting pressure on his left lung making it difficult to breathe. Last night, instead of going all night without needing the ventillator he was on it for about 9 hours. At the moment the new chest tube is going in. It should drain the fluid and make his breathing much easier. I hope it works well! Some good news is that today is the first day that Scott is completely off all meds to raise his blood pressure. Yipee!!!! He might need it back a bit when he goes on the dialysis but maybe not. When Scott first had the transplant he was on epinephrine, norepinephrine, vasopressin and milrinone. And high amounts of them too! Over the last month they've weaned these off gradually. Sometimes they had to raise them or add them back too. Maybe this part is over?!
The beginning...A lot of people have asked what happened and why Scott needs a heart transplant. I tried journalling a few weeks ago. I think I'll put myself out there and post my first few entries. They are pretty personal but answer most questions. It's pretty lengthy but don't read it if you don't want to. It was a pretty tough time. Here it goes:

Nov23/08 I am writing down my feelings hoping it will be a cathartic experience. For the past 9 days Scott has been in the hospital. He was born with a heart problem and had 3 open heart surgeries in his childhood. His last was when he was 15. Fortunately he had 21 relatively healthy years where he was able to live a pretty normal life. A little less than a year ago Scott really began to feel his health decline. The cardiologist, Dr.Prieur, tried new medications and tinkered with doses, hoping to improve Scott’s heart function. After months of trying this with little positive result, Scott and I decided a lifestyle change was the only option to us. Instead of a continuing the demanding job with 2-3 days per week of travel, Scott talked with his employer about working from home most of the time. We were so grateful that his work would allow him to do so. He began working from home in early October. In the meantime his cardiologist discussed surgical options for Scott with the heart surgeons in Edmonton. After this discussion he called us in for an appointment the next day. Scott and I were quite surprised at the quick appointment and were a little nervous. Dr. Prieur told us that a surgery to repair Scott’s heart didn’t have a good enough chance to succeed to take the huge risk. If that kind of surgery didn’t succeed it could leave Scott in much worse shape that going in. So we were disappointed to hear that we had one less option. However, Dr. Prieur told us that the next step would be to explore heart transplantation. We discussed a little about what that would mean and he sent us home with an appointment to see a heart transplant team near the end of October. At this appointment we heard more of what a heart transplant would mean. We had no answer whether this was the right option for Scott, only an appointment for the first of many tests to determine if a transplant would be the best thing to do. I had the impression that the process of getting on a transplant list would be months long. It was over 3 weeks away that the first test was scheduled. I guess I was wrong. A week after the transplant appointment Scott was scheduled for a hernia repair surgery. He was seen by a few doctors prior to this surgery to ensure his heart medications – especially blood thinners would not cause problems during or after the operation. The surgery went well with Scott coming home the same day as expected. As with any surgery he felt pretty sore and tired afterward. He slept most of the day for the next 3 days. He didn’t eat or drink much. On the Thursday night, 3 days post surgery I left Scott asleep on the couch with Ben in charge of his siblings while I went to a church meeting. When I returned home at about 9:30 my brother was at home and told me that my dad had taken Scott to the Emergency at the hospital. I rushed to the hospital where Scott was eventually taken in because of chest pains.Scott was poked and prodded and hooked up to a lot of stuff. I heard many numbers about things like blood pressure, CBCs, creatinin, blood oxygen, hemoglobin, platelets etc. They were concerned about a blood clot due to the surgery but were most concerned when his creatinin levels were very high. This has something to do with kidney function. So they gave Scott some IV medications to increase his fluid intake, raise his blood pressure and thin his blood. They decided to admit him to the Cardiac Intensive Care Unit. By Friday afternoon he was in the CCU. He was so weak and tired. He was also given a blood transfusion. I was so worried. He had so many tubes and machines around and attached to him. The next day was Saturday. Scott’s parents arrived from Utah to help with the kids so I could spend time at the hospital.It all seemed so sudden. Even though there had been a gradual decline of health it was such a dramatic change in a short period of time. I began to feel really scared. I stayed in the Emergency with Scott until 2am after they decided to admit him. I phoned the heart transplant clinic, his cardiologist, his parents and the Relief Society President first thing in the morning. Then the ball began rolling. The transplant team started the long list of tests needed before a transplant. These tests went on for days while Scott started to get better – his creatinin gradually declined to a normal level and he was taken off the IV medications. Then on Tuesday he was officially well enough to be transferred to the regular cardiology unit in the hospital.Scott continued along but was still sore and uncomfortable from the hernia sugery. He was also retaining a lot of fluid in his abdomen area. He started to look like a pregnant man. It was sometimes very painful and he needed strong pain medications to get through it. Day by day the doctors kept monitoring Scott and noticed his creatinin was steadily climbing again. On Saturday they decided he needed to go back to the CCU. I was grocery shopping and picking out the foods that Scott might want when he got home when my cell phone rang and a nurse told me Scott would be moved up to the CCU. It just felt like such a step backwards. I talked to the bishop that afternoon and he decided to start a ward fast for Scott. It was such a humbling experience to need so much help. I really just wanted Scott to come home and he just wasn’t getting better. I talked to Scott about the fast and he was really touched by the outporing of love.

Nov.25, 2008Scott is still in the CCU. He is now officially on the list for a heart transplant. He is a status 3 out of 4 – 4 being the sickest. We really hope that he can get a new heart in days or weeks. The doctors say he’ll probably be in the hospital until he gets the transplant. This is so difficult because I miss him so much. The kids really miss him too. He is confined to bed because of all the machines and tubes attached to him. He is not liking that much! He had a few really rough days on Saturday and Sunday. So did I. I felt like I was unravelling. I was so weepy and cried harder than I ever remember crying. I pleaded with Heavenly Father to let Scott stay and get better. I was more desperate than I have ever been. I felt distant from my kids, and everyone around me. I began to feel a despair that was foreign and disturbing to me. I was falling apart. The next morning when I got the news that Scott was officially listed I felt some of the weight and worry lift off my shoulders. At least something was being done.Scott could see the difficulty I was having (I cried a lot). Even though he was in the hospital he took care of me. He got a phone and called our Stake President, President Miller. He asked him to give me a blessing and asked my dad to come with me and help me. Today I met with him, received counsel and a blessing. I am starting to feel more at peace. I don’t worry every second about what I would do and feel without my husband. I didn’t cry too much today. I feel that Scott can hang on until a new heart comes. I am trying to imagine life with a new heart for Scott. We’ve told the kids that Dad might be able to beat them in a race after a transplant. Maybe we can go on family bike rides and long walks. Maybe Scott will be able to hold Thomas on his shoulders. We can hike in the mountains and maybe Dad can learn to keep up with Ben and Sam on skis! I have such high hopes for the future! I wish I could see what November 25, 2009 will look like for our family.

Dec.8 Scott is doing well today. He is stable, his kidneys are doing great and he's in pretty good spirits. I visited him this morning and the doctors are increasing his time off the dopamine to 3 hours/day from 2. He is doing physio off the dopamine now every afternoon. There's not much point in visiting him from about 1-2pm because he's in the basement working out. I wonder if they left his chair with pedals in his room? When Scott is off the dopamine for 4 hours in the controlled environment of the hospital and all goes well he should be able to come home for 4 hours at a time. I'm trying not to get my hopes up too much becuase i thought he'd be home weeks ago.I just hope he can be home at least for awhile at Christmas! The only thing better would be if the heart transplant happens before then. That's what I keep praying for. We're trying to be prepared for a long wait, maybe 6 months but I really want a heart to be available soon. It's not fun for Scott being in the hospital and I'd rather have him at home too.I'll try to update news every few days but it might get boring if things stay as they are so hope for more exciting news!

Dec.10/08 Not much news today. Things are still the same. I thought I would let everyone know what might happen with a transplant. When a heart is donated that is Scott's blood type and size the donor program people contact Scott's doctors and they decide if the heart is good enough. If it is, Scott will be transported from Calgary to Edmonton immediately. There is usually only hours before Scott needs to be ready for surgery. Sometimes a patient will get there and be ready and the surgeons decide the heart is not optimal. Then the surgery doesn't happen and it's called a "dry run". soomeone else from Calgary had a dry run last week. I hope we don't have to go throught that!The doctors say the surgery is pretty straightforward but Scott has a few extra complications because of his prior surgeries. They'll just try to be prepared for them. I'll go up to Edmonton when I get the call and stay until Scott comes back. They can't say for sure but we're hoping he'll be transferred back to the Foothills in Calgary about a week after the surgery and finish his hospital recovery in Calgary.Hopefully in 2 or 3 weeks post-surgery Scott will be able to come home. He's already been in the hospital for 4 weeks so that doesn't seem too bad.The recovery is difficult because Scott will be on high doses of anti-rejection medications which have some tough side effects. He will have physio and heart biopsies frequently at first but they will gradually be reduced over time. He will remain on immunosuppresant drugs for the rest of his life but the doses will be reduced as time passes with no rejection.These can be the difficult aspects of transplant but the benefits can be huge. Some patients who have had heart problems all of their lives feel better than they ever have after a heart transplant. That's what I hope for Scott! Thanks for all of the help and prayers. Scott is amazed at all of the support too. He says he never wanted to have a group detailing his medical troubles but he appreciates all those who care about him! Maybe I'll get him on facebook- he has the time:)

Dec.14/08Today was a good day! Scott has done pretty well off his IV medication for 3 hours/day this week and the doctors let him come home today for 3 hours! He put on clothes and braved the -30 temperature to do it too! It was a nice change and the kids were really happy to show Scott the Christmas decorations and play their instruments for him. Scott did pretty well but was tired and cold. Just like before he was in the hospital. Maybe if all his bloodwork shows no negative efftects from an excursion he can do it a few times a week. It's looking good for Christmas!!

Dec.17/08Yesterday and today Scott had a few awesome visitors at the hospital. We met Norm and Karen. Norm had a heart transplant 7 years ago and they had young kids during the time Norm was in the hospital. He's doing amazing now! What an inspiration. We also met Jamie who had a heart transplant 4 years ago and is playing hockey all the time. It's incredible! I don't expect Scott will play hockey but they both described the amazing difference in energy and strength before and after the transplant. I am so encouraged and can hardly wait for Scott to feel the same way! Thanks to everyone who has visited Scott! It's great to see your faces and feel your support. If you are thinking of visiting but don't know if you should - Come on over. Scott is totally himself just stuck in the hospital and really enjoys visitors - it breaks up the boring day.

Dec.22/08Time keeps passing. It feels like it's dragging but Scott put things into perspective today. He said that every day we wait is another day of life for someone else. It makes it hard to complain about waiting when I think of it that way. On Dec.24 it will be one whole month since Scott was put on the transplant list. On the 25th it will be 6 weeks in the hospital. Scott has left the hospital 4 times to go home, visit with family and see some of the kids Christmas recitals. He's known in the hospitall unit as the only patient who can walk around and the only one who can leave for awhile. It really helps for him to get out a bit. Even though we're stuck in this horrible deep freeze. We have to have a warm vehicle waiting for him. He's cold at the best of times - let alone thirty below!! The plan is to get out Christmas Eve and Christmas Day for 4 hours each time. It beats bringing the family to the hospital and kids playing on the hospital floor - YUCK!!I just want to thank everyone who has helped our family and continues to help us. I know there are many praying for us. I'm grateful for the meals, childcare, rides, goodies, snow shovelling, cards... and so much more. I feel blessed every day to be surrounded by such amazing people. I don't know how I'd do it otherwise. THANKS!

Dec.27/08Scott was out of the hospital for awhile on Christmas Eve and 8 hours on Christmas Day! It was wonderful to have him home. He was feeling good and really enjoyed being together with our family. I did get confirmation that there is a reason for Scott to be in the hospital. The main reason is to keep him on IV dopamine which raises his blood pressure so his kidneys get enough blood to function well. His heart just isn't pumping well enough on its own. One way kidney function is measured is by a blood test checking creatinine levels. Good levels for Scott are around 100. As Scott has had dopamine breaks of increasing time his creatinie kept increasing by a bit. Before he had his 8-hour break Christmas Day they'd climbed to 124 and after Christmas day they jumped up to over 150. I guess the dopamine is what he needs. The docs really want his kidneys in good shape before the transplant because the meds after the transplant are hard on the kidneys. That's the main reason he's in the hospital besides being tired and weak.I hope that he can get out for breaks again at some point. We both really liked the change of scenery from the hospital unit.I guess we'll just keep trying to be patient(I'm getting tired of that word) and take things day to day.

Jan.1/09The last couple of days have been hard. Scott is not doing as well as he had been. He is more tired, has less appetitie, and is generally weaker. His blood pressure is lower than it has been - even on the dopamine. His heart is having a harder time. The doctors have been adjusting his other medications to try and increase his blood pressure but so far had little success. He was supposed to get out for a few hours on New Years Eve and come home. Because he wasn't doing very well it was decided that that wasn't a good idea. Instead I took the kids to the hospital and we had a little party in the waiting room. It actually turned out to be fun. Not the ideal New Year's Eve but at least we were together as a family.I've enjoyed having the kids home from school and no schedule. I'm not looking forward to Monday when the schedule begins again. It makes it harder to see Scott in the hospital and harder to get everything done. My kids are actually excellent helpers around the house and I'm going to miss them. I have high hopes that 2009 will bring many positive changes for our family.

Jan.5/09The waiting continues. Unfortunatley it isn't going very well. Scott is definately not doing as well as he was. He is more tired and sleeping a lot, except when he'd like to at night. He has sleep apnea which is greatly worsened by his heart failure.He also has no appetite. He's hardly eating and he doesn't even want to. He's also getting discouraged and frustrated. The worse he feels, the harder it gets.Today the doctors increased his status on the transplant list to 3.5 from 3. Now the only people ahead of him are on life support. The problem is that he doesn't get the next heart necessarily. The heart has to be his blood type and size. That's the hard part. I guess it's good to get higher on the list but it confirms how poorly Scott is doing. A new heart is what he needs. The medicinal options aren't working as well as they were. Sooner is better!!!!Every night before I go to sleep I put the phone by my bed hoping it will ring with good news. Maybe tonight will be the night.

Jan.6/09Today is a much better day! Scott's medicines have been changed and adjusted and so far so good. His blood pressure is better, his heart rate is better and even his appetite is better. All of these things add up to a more positive attitude and outlook also. Phew! Hopefully this lasts. I suppose there is one good thing that came from this difficult week - Scott is a higher status now and more likely to get a heart sooner. I just hope there aren't any negative effects from all of the junk food I keep bringing him trying to get him to eat. Like pastries, sausage rolls, slurpees, chocolate, cheese, brownies, chips , cookies and anything else that I thought might tempt him to eat. I don't feel bad about the Costco size bag of M&Ms I brought to him. The dietician said they're good for him because he gets calories and even protein from the peanuts! No one ever told me it's okay to eat M&Ms!!I hope today isn't an anomaly but a trend!

Jan.10/09Scott is no longer on dopamine. Over the last week they gradulally decreased the dopamine and increased another drug called Millrinone. sp? Now he is only on Millrinone. Because of that he no longer has to be in the CICU. He was there because the staff had the needed training in dopamine. Now he is where the staff have the needed training in Millrinone - unit 81. The change of units is the biggest change from Scott and my perspective since he's been in the hospital. There is not a big medical change but a change of scenery and staff and restrictions is huge!Scott is no longer attached to the heart monitors on the wall. He can now get up and walk around whenever he wants without having to ask. He was originally put in a room with 3 other people but later in the day was changed to a private room. I haven't been there yet but I'll bet it's 100 times better!! Now he has his own bathroom and can rest quietly when he needs to. The only bummer is that now we have to pay for TV. It was free in the CICU.Maybe this change will be a good one. Scott was just so happy for a change of scenery. He was on the other unit for 8 weeks. Hopefully he'll spend less time on this one. There is someone else on the unit who had a heart transplant just before Christmas and is going home Monday! Maybe that will be us soon.

Jan.14/09Today it has been two months for Scott in the hospital. The last week has been a big improvement. The new unit and private room seems to be much better. It is quieter, there's more privacy and walking around is easier. Scott can now go to the kitchen and warm up his own food.He still has to take his IV pole wherever he goes but he's getting used to it. He takes his heart monitor along with him in his pocket and is monitored at the nurses station. That's much better than being attached to the bed!I've really noticed a huge change in Scott's attitude and emotional state. He's still not happy to be stuck there but feels so much better! He has had lots of great visitors which always helps too. He's gotten to know his hospital neighbour who had his heart transplant just over 3 weeks ago. He gives Scott some great pep talks and hope for the future. Their offices are really close and they are already planning lunches when they're both back to work.Scott is eating well again and I think this new medication is working well for him. He still has the issues with fluid retention and fatigue and wacky heart beats but he's otherwise comfortable and coping well.We broke down and ordered the TV and phone service. If you'd like to call Scott in his room email me and I'll give you the phone number. I hope Scott's condition stays level until the transplant. Boredom is much easier to handle than feeling terrible. We can manage much better this way!

Jan.18/09Scott has been doing pretty well the last few days. He has been getting stir crazy though. Yesterday he told the doctor that he was going nuts in the hospital and the doctor said, "Well, it's a nice day, why don't you go out for 2 hours!" We weren't expecting that but we took advantage of it!We went to Red Lobster for lunch. It was great. We sat in a sunny booth and ate hot food and felt like normal people living a normal life! Going out to eat has never been better! We look forward to a normal life again soon.

Jan.21/09The days keep passing. No big news yet. The transplant team told us that their team has only had one transplant since the summer -and they cover all of southern Alberta. They said that suitable organ donors are fewer in Canada than other developed nations due to our more strict helmet and seatbelt laws. Good in general but harder for us.This waiting and being stuck in the hospital is taking its toll. Scott is having some bad days when he's not very pleasant and pretty down. It's been a tough week for me because I've had sick kids. Scott told the doctor that the hospital is noisy, smelly and ugly and he's tired of wearing pajamas. The doctor said that his mental health is important too so he can go off his meds for 2 hours a day as long as he's up to it. That really helps because every day he can plan something to do and have something to look forward to. He came home for supper yesterday and came home this afternoon. I'm feeling it is stressful for me because I go back and forth to the hospital more and I feel like a nag reminding him he needs to go back when he has only been out for a short time. I think he might just 'lose track of time' and never go back if it was up to him!I guess I'm a bit overwhelmed right now. Thank goodness for the help I get, otherwise i think I would have cracked a long time ago!!! I try to count my blessings. Today I went to the mailbox and found some encouraging and funny cards in the mail, one package, one chequie and no bills! I'm grateful that Olivia threw up on the couch and not in the van(I think). I'm glad that I haven't gotten hives or the flu. I'm happy to know that there's a light at the end of this tunnel. I just hope the end is near!

Jan.23/09 Blah! That's how I feel today. Today Scott was moved back to the Cardiac Intensive Care unit. It's hard to describe how I feel about it. The good news is that Scott looks and feels as good as he ever has in the hospital. It seems so unnecessary. However, Scotts' creatinine levels are again getting too high so they would like to put him back on dopamine and see if that fixes the problem. There are familiar faces, places and routines there, but there are also familiar restrictions.Today Scott wasn't allowed to leave his bed as he needs to be constantly hooked up to the heart monitor while his meds are changed -AGAIN! And no more escapes from the hospital for awhile. That's the BLAH part! There is no knowing how long he'll be on that unit. If the dopamine does what they want I suspect he'll stay there. If it doesn't, I don't know what the plan is.

Jan.27/09 The dopamine is working! Scott has lost 4 kg in 4 days - all fluid. That's good. He was so bloated before. His creatinine is down to good levels again and he feels pretty good. He's eating(too much junk) and sleeping well too. Over the weekend Scott was very restricted in the CCU because he had to stay hooked up to the heart monitor on the wall. He could walk around the bed as far as the cords would reach but that's it. Now he can get off monitor whenever he wants(resaonably) and he can even go off dopamine for 30 minutes/day and have a shower with nothing attached to him! It's amazing what you are grateful for at times like this! Scott actually prefers this unit mostly because it's much warmer there. With his poor circulation he gets cold really easily. I am good at getting the warm blankets now! Sometimes I want a blanket warmer at home.It's also a good week because no one is sick(so far) except for some runny noses. The kids haven't seen Scott in a week. They are really starting to miss him. I'm hoping to take them to see him tomorrow. People ask me how the kids are dealing with their dad in the hospital. When we first discussed a possible heart transplant with the kids in early November there were mixed reactions. Ben was very interested in the facts and logistics and asked a lot of questions. Sam was grossed out and covered his ears. Olivia and Thomas didn't really understand - especially Thomas. Sam is a very emotional kid and was very concerned when we talked about where a new heart might come from. He said to me, "Mom, if the Incredible Hulk dies, tell dad not to take his heart, it's toxic!" And he was serious! He's also the one who has nightmares that we go to the hospital and the nurse tells us that Scott died. It's hard on them too. They especially miss having time with their dad. It's really hard to get one on one time in the hospital as it's against the rules to have them there without another adult and it's so hard to take them individually. Olivia has loved all of the attention from babysitters, especially the young women from the church but Thomas misses me when I leave at some point every day. But we are all managing. They all are getting opportunities to be more responsible and help each other and around the house more. I think that's a good thing. They really are good kids. I'm lucky!!

These are the massive messages i sent out On Friday, January 30,2009:
Subject: Friday morning

Last night, after after 19 hours in the operating room i iwas finally able to see Scott. he is hanging by a thread. There is a new major complication of bleeding and they're trying to get it under control. his new heart is still not working well. he is in the ICU and has 2-4 nurses working on him at any given time. Please pray for a miracle! First we need the bleeding to stop, then his heart to work and then hope that there aren't any long term effects. It will be a long and difficult road but one that I'm really hoping to take!!!!! I hope that when I go back to the hospital this morning there is some improvement.

"Subject: Friday evening update
It seems like a week since Scott was called for the transplant but it's only been 2 days. Scott is definately better today but not out of the woods yet. The bleeding is much better which is a small but very important step in the right direction. Scott had another 4 hours in the OR this morning to clean up and try to stop the massive bleeding in his chest. Thankfully it seems to have worked. Please pray that it continues to work. If the bleeding stays stopped we go on to other hurdles of whether or not the new heart will work and what to do if it doesn't. It's a very long explanation but i trust the amazing medical staff who are caring for him. They do have plan but there are many things that could still go wrong so they are very cautious about a prognosis. But he is so much better than yesterday.

"Saturday evening - Jan.31/09Today was a pretty even day. The plan was to keep Scott stable and let his body rest and recover somewhat from a very traumatic experience. They monitor everything and make changes frequently to keep many things at acceptable levels. but nothing major was done today. The bleeding is still at acceptalbe levels(normal for any surgery) and there are little glimmers of hope that the new heart might work when the artificial heart machine is stopped.Tomorrow morning Scott is scheduled to go back to the OR where they will check on the bleeding and look at the heart. After that decisions will be made whether or not this new heart can be tested or if an artificial heart should be used. it would be a much smaller version of the one he has now, probably a Berlin heart, and he could even go home with it when he recovers. if he does need an arificial heart he will eventually need another transplant. There is a long road ahead! I hope there are no other difficult complications tomorrow but i know that Scott has exceptional care here in Edmonton. I really hope the new heart just decides to work but even if it doesn't there are other options - just longer and harder ones.Scott is definately still critical but little improvements have happened.

Sunday, Feb.1/09This is Andrea, Melanie's sister.It has been a rollercoaster day and melanie asked me to update everyone.It started off as a great day. Melanie called the hospital first thing to see if Scott had gone in for surgery and he had been bumped. The nurse said that he was responding though, so we headed right to the Hospital. Melanie and Scott were able to communicate with eye blinks, hand squeezes and head nodding. It was wonderful to see them together and feel the love that they have for each other!! There were also signs that the heart may be working a little more.Scott went in to surgery around 12:30, and we settled in for a long wait. They were planning to clean him up a little as he still had some packing in his chest, and see how the heart was looking. Two hours later when Melanie was out of our "waiting room", the surgeons came in. I ran to get Mel and we got the best news! The surgery had gone better than expected. They cleaned him up and decided the heart looked good so they slowly took him off the heart machine..and the heart looked great and it did so well they took him completely off the machine and closed up his chest. We were all amazed and excited.He was back in the CICU in half an hour and he looked great with less machines!! He was groggy, but still responsive.Melanie was sotired after the good news. She decided that she would see Scott one more time then get some sleep. She tried to see him, but the nurses said to keep waiting.for an hour and a half. it turns out that he started to bleed a little bit again,and had to get some more blood. The bleeding is slowing down and it is nothing like it was. The next 24 hours they will be watching him very closely and the bleeding is slowing down. please continue to keep him and Mel in your prayers.

Monday Feb.2/09Today was good. It seemed like today was like what it should have been the day after the transplant. Scott still has a breathing tube in and stuff up his nose from when he was bleeding but he is awake. He nods his head and tries to spell things with his fingers. Poor guy. It took him 5 minutes for me to figure out that he wanted a drink - and then he wasn't allowed to have one. He's had his mouth open since Thursday morning -ugh!! He really is exhausted and it takes a lot of effort every time he tries to communicate so we try to let him rest as much as possible. I spent most of the day just sitting quietly with him holding his hand. I did see many doctors checking in on him to see how he's doing and they all seem pleased with his progress but still don't say he's out of the woods yet. He is on a machine that is similar to dialysis to give his kidneys some help as they were very traumatized by everything. But they said they were amazed at how long they went before needing some help. Other really good news is that Scott doesn't seem to have any brain damage which was a concern as they didn't know if his brain always had sufficient blood supply. All good news! One doctor said Scott could be in intensive care for a week or two but maybe it will be less. We just have to take things one day at a time now.Thanks for all of your prayers. I know they continue to make a difference!Tuesday

Feb.3/09Today was one of those bumpy days i need to expect. There was some progress and a small setback. Too long to explain but I'm confident in the medical staff. Scott is well taken care of and I have faith that he will be okay. I just wish every day could be easy.Wednesday,

Feb.4/09Another day has gone by. It feels like progress is slow. Scott still has the breathing tube in and is totally exhausted. They did some procedures and tests today that were long and wearing. Scott's new heart is still adjusting to Scott's body. The right side of the heart is not working as well as the left. Scott's heart is being supported through medications and the process of creating the right balance for him seems tedious. He has soooo many blood tests of all types over and over measuring this and that and he hardly gets a moments peace. But i know that it is necessary. That still doesn't make this easy. I can hardly wait to talk to Scott again -rather to have him talk to me. I keep wanting things to go faster than they are but I'm learning a huge lesson in patience. Maybe if i learn it faster Scott could suffer less! I'm trying!!!Thursday

Feb.5/09I guess I never posted how we got the call for the transplant so I'll do that today. Last Wednesday was the day. The head of the Calgary transplant team came to Scott in the hospital at about 5:00 pm to tell him that there was a heart available. After over 2 months of waiting it was a little surreal. Scott called me at home and I organised the kids and quickly rushed to the hospital. I was able to talk with the cardiologist and Scott and we waited quietly at the hospital for instructions. It seemed like forever!! It was 3 hours before the paramedics came to take him to the airport by ambulance. It was a pretty quiet, reflective time for us but it was very good to be together.The ambulance took Scott to the airport where he transferred to air ambulance and flew to Edmonton and tranferred again to an ambulance to go to the hospital. I think he arrived at the hospital around 11:00 pm. After Scott was put in the ambulance in Calgary I drove to my parents house where my dad was waiting to drive me to Edmonton.We arrived at the University Hospital in Edmonton at about midnight. Gratefully I was able to spend about an hour with Scott before he was wheeled into the operating room at around 1:30am.The assisting surgeon talked to me on the way to the OR and told me to be ready for 8-10 hours of surgery. Because of Scott's previous surgeries he was expected to take longer than the 4-6 hours a more routine heart transplant would take.So my dad and i settled in for the wait. The nurse directed us to a private waiting room where we could attempt sleep. There was a little sleep and some pacing and a lot of pondering. At 9:00 am I promptly left that room to wait in the area where the surgeon would come out to find us. My aunt Karen came to wait with us too. I met another family waiting for their brother who was in surgery for a double lung transplant - probably from the same donor. It was difficult staying patient as the hours ticked by. 8 hours in surgery,..9..10..11..12...13. Not a word from anyone. I finally accosted someone in scrubs heading into the surgical suites and asked them if the heart transplant was still there. All I got was that it was still going.At 2:30pm we were led into a room to talk to the surgeon. As I sat down i said "This feels like the bad news room". The surgeon told us that the dissection of the old heart and the "hooking up" of the new heart went smoothly and was done 6 hours before. Unfortunatley the new heart wasn't squeezing/pumping well enough to keep Scott going. He was still hooked up to the heart/lung machine and we would have to wait or an atificial heart might be needed. It was tough news to take. I really expected everything to go smoothly! It was such an emotional blow!We waited again because Scott was still in the OR. At 6:00 the surgeon spoke to us again and told us there was a new problem with bleeding. He said that at about 7;00 Scott would be transferred to the ICU and I would be able to see him an hour after that. So we waited again. Thankfully my dad was there because I started to crumble and time went by again. We kept asking to see him and they kept saying, "call back in and hour". Finally at 11:30pm they wheeled me in a wheelchair to see Scott. I hadn't slept, ate and I think I was in shock. Scott looked white! He was bleeding from so many tubes and they were collecting the blood, cleaning it and putting it back in as fast as they could. My dad gave Scott a blessing and told him that he would be home with his family again. It was hard to believe but i clung to that hope with everything I had. The ICU room was full of people working hard to keep Scott alive. It felt like ER but much, much worse!Wow, this is getting long and I have to go to bed. I'll try to finish tomorrow.I'm back! After I saw Scott in the ICU and the bleeding was still going we left the hospital at about midnight to sleep at my aunt's house. I had my dad sleep with the cell phone in case the hospital called. I did sleep for awhile and woke up about 5:30 anxious about what was ahead but grateful that I hadn't received any call. No news is good news, right!? It was hard to get going to the hospital because I was afraid of what might happen but I eventually got there.When I did get there I went right in while my dad found a place to park. I called the ICU and the charge nurse came out to talk to me. She said the bleeding hadn't stopped and they took Scott back into the OR. She told me to wait in the private room and that it was mine for the weekend. It's not good news to get that room. Then people started to arrive. My dad came in, my aunt, Scott's mom and aunt, and my sister, Andrea.After 4 hours in the OR Scott went back to the ICU. The surgeon talked to me and told me that the bleeding was about 10% of what it had been. He packed Scott's chest to stop the bleeding and left his sternum open but closed his skin. That was good news. Then another doctor, an artificial heart specialist came in the little room to talk to us. He told us about the machine that Scott was hooked up to. It was pumping Scott's blood and giving his heart a chance to get working. It was only a temporary solution because there are many complications associated with it the longer someone is on it. He told us that Scott might eventually have a smaller version of the artificial heart if his new heart doesn't work. It was really good to get information and know that there was a plan. They did say that Scott was very, very sick. I heard that a lot! But at least there was hope! I'm going to stop now because this is blending with my earlier posts now.Saturday,

Feb.7/09I guess it has been a few days since I really gave an update. That's because there hasn't been very much to tell. Every day is hard. Progress is excrutiatingly slow. Scott still has the breathing tube in so he can't talk. He has hardly slept in 3 days and is utterly exhausted. He has been weaned off of some of the medications helping his heart - that is good. He needs less help breathing - that is good too. Today they took him off of the dialysis machine to see how his kidneys do but they will probably put it back on tomorrow. His body has been through so much. The doctors are positive. They say that there are steps in the right direction happening. They are just so hard to see. I did leave the hospital tonight on a good note. Scott was sleeping more peacefully than he had since he came in. What a relief to see. It's funny how you become grateful for such basic things like sleep, being able to pee, to eat and to breathe! I keep hearing that one day I'll look back on this time and it will be a little foggy. I can hardly wait for that day!!

Monday, Feb.9/09I'm feeling positive today. A few small positive changes for Scott. He was definately better than he has been for the last 2-3 days. I have hope that tomorrow might be the day they finally remove the breathing tube. But I've had that hope dashed more than a few times already. We'll see. Hopefully when that happens Scott will start to regain some strength and move forward steadily.It seems like every day there is a new concern or worry and the resulting tests and medications make it feel like going backwards. I just pray that tomorrow there won't be any reasons NOT to take out the tube. I have been so lucky to have such support here. It's really hard to be away from home, family and friends. I feel like I have this new, difficult life in the hospital. I have been lucky enough to have my aunt and uncle here supporting me and especially my sisters - Andrea last week and Carla this week. I had 2 days without a sister here and that was enough! Well, until Scott gets much better. Thanks girls!!!!I have hope for tomorrow and that gets me through today.

Tuesday, Feb.10/09They took out the breathing tube today. It lasted about 4 hours. Scott was exhausted breathing on his own so they put it back in:( Plan B is to put in a tracheostomy(sp?) and then Scott can have his mouth free but gradually improve his breathing strenghth over about a week. The plan is to do it tomorrow but for now he still has a breathing tube. The good news is that Scott's heart function is improving - especially with the breathing tube out. Unfortunately Scott is just so weak that it is going to take a LONG time for him to regain his former strength. It is going to be an effort for every step forward. Just having the strength to breath, then to swallow, then to sit up etc. etc. It will be a long haul.

Friday, Feb.13/09I'm updating today from a room at the Fantasyland hotel in Edmonton. Yesterday my dad and brother brought the kids up from Calgary to see Scott and I and to have some fun during Teacher's Convention. I was worried about how the kids would do seeing Scott but they did surprisingly well. Yesterday was the first day Scott could actually talk. They put the trach in on Wednesday and plugged it for the first time yesterday. He can only talk when it is plugged and he is breathing on his own. They are starting slowly but hopefully he will be breathing mostly on his own in about a week.He unfortunately developed a blood clot which has caused his left arm and hand to swell and will take months to get better. They did some tests to find the clot and it has something to do with his surgery. He is starting on blood thinners again and will be on them for at least a few months.I haven't been to see him yet today but I am bringing the kids again this afternoon before they go home tonight. It has done a lot to improve my spirits to see and hug a talk with Ben, Sam, Olivia and Thomas....still Friday...Well, it's been a very full day. I was able to be with the kids again today. They saw Scott twice and they really dealt with all of the stuff on and around Scott well. They noticed some of the bruises he had but were happy to talk with him a little. We went back to West Edmonton Mall this afternoon and spoiled the kids a little. It really was soooo good to see them - for Scott too. The hardest part was to say goodbye to them late this afternoon. I had to tell them that the doctor told me that Scott will probably be in the hospital for another 4-6 weeks at least. That was hard to say and hard for them to take. We'll see what the future holds. Ben asked if they could come again in 2 weeks and go to Galaxyland this time. I said we'll see. I guess we'll see.Saturday, Feb.14/09Wow. It's Valentine's Day. Today wasn't the ideal, romantic version some think it should be but it was still a good day. Scott has the ventillator turned off periodically during the day to strengthen his lungs and allow him to talk. Every time they do it it's like a strenuous workout for Scott. He's exhausted each time but his breathing is improving bit by bit. He had help sitting up for a few minutes today too. That is another step forward. He has been off the dialysis machine for 2 days and his kidneys are functioning with some medication help. Hopefully that will last! Again, baby steps! Thanks again for all of your prayers and help!Monday, Feb.16/09The last couple of days have been really hard but very encouraging. Scott is being "plugged" on his trach 3 times/day and has been sitting up with help a few times/day. Each of these activities takes a tremendous amount of energy and effort from Scott. He is completely exhausted each time. The encouraging part is that it is working. Scott is building up his strength again. It will still take a long time but the progress is evident. I feel like Scott's personal trainer (along with the nurses) because he needs to be pushed harder than he thinks he can go. He is often frustrated and angry. But it is so much better than him just laying there getting weaker.

Tuesday, Feb.17/09Today was not so good. Scott didn't wake up all day. I'm not sure if it was the drugs, all of the exertion or what but he slept all night and all day and hadn't woken up when i left at 7:00pm. The surgeon came in today too and told me he's going to take Scott into the OR tomorrow afternoon because his surgical incision is leaking a lot. The plan is to figure out why and fix it. I get really nervous about the OR now - even though it's not a big deal. I hope it goes easily and quickly tomorrow and that there's no bleeding. Why can't we just keep moving forward?! I really hope we can stop having these setbacks and just move forward steadily.

Wednesday, Feb.18/09Today Scott finally woke up. He was pretty mellow this morning. They didn't let him do anything because he was going into surgery in the afternoon. The surgery went well and they fixed his sutures because they were pulling apart due to fluid retention and swelling. It only took about an hour. Tonight Scott is going back on the dialysis machine to help his kidneys out. The doctors think his kidneys just need time to recover but there are signs that they will. Hopefully Scott will have a good rest tonight and be ready for physio tomorrow.

Thursday Feb.19/09Today has been three weeks since the transplant. I have seen many other families come and go from the hospital having bypass surgeries, heart and lung transplants and other heart surgeries. Today I'm feeling sorry for myself that Scott and I are still here and will still be here for weeks. Scott had a heart biopsy today which is mandatory every week after a transplant. Last week's showed no sign of rejection. Hopefully today's result will be the same. Scott really is very tired again. Just before I left they gave him 3 units of blood. Maybe that will perk him up. Sometimes it's really hard to stay positive. I have days when I feel so strong like I can keep going as long as necessary. But I also have days when everything feels overwhelming and I feel like bursting into tears and giving up. I try to hang on to the blessing my dad gave Scott when he was barely hanging on - Scott will come home and be with his family again!! It sure seems like a long shot today though. It helps to think of all of the prayers offered on our behalf by so many wonderful people- they can't be ignored! Somehow we'll get through this. Somehow.

Friday, Feb.20Yesterday was emotionally tough for me. Thankfully today was much better. Scott didn't jump out of bed and run around but there were small improvements. He was making jokes and asking for soda and toast. Actually I had to lipread all of this and it took forever but he wasn't only sleeping today - that's better than the last few days. I certainly have a lot to be thankful for though. I am so well taken care of by my aunt and uncle here in Edmonton. I haven't had to do laundry, clean, drive or do any sort of work other than support Scott. I have a wonderful lunch made for me every day and a good dinner after I leave the hospital. There are many family members I've met here who aren't so lucky. Although i miss my kids and home I'm not worried about them. They are well taken care of by Scott's mom, my mom and many other family members and friends. It could be so much worse! I really am blessed.

Saturday, Feb.21/09Thankfully today was another good day. No tests, no setbacks just working on getting better. Scott could talk a lot and did talk a lot. He was joking a lot too. We both laughed together. Laughter really is a good medicine. Scott's voice is still pretty weak and he's pretty drugged so it takes him awhile to say what he wants. He laughed at his own voice and said he sounds like Mr.Deeds. It was true too! He breathed well on his own for awhile and sat up twice. Better than the last few days! Now we need his kidneys to do their job and it will really feel like progress!

Sunday, Feb.22/09Wow, is that the date already??!! Today was much like yesterday. Still working, getting a little stronger. Scott stood on his own two feet for a very short bit, with help today. Scott is starting to seem more like himself again. I recently asked him if he could feel the new heart in him. He nodded and I asked him what it felt like. He mouthed back "drums". I forgot to note yesterday that the last biopsy showed no rejection again. There are still a lot of biopsies ahead but we're two for two!

Monday, Feb.23/09Unfortunately today there was another setback. Scott had a really bad morning and his blood pressure went dangerously low and his heart function deteriorated. I guess I'm glad he's in the ICU when these things happen because there is always at least one doctor there and they have everything needed to help things quickly. I don't think they're sure why he had these problems but they are guessing he had some blood buildup around his heart and lungs that was putting pressure there and decreasing function. They put another chest tube in to drain out the blood and fluid. And it had drained a lot before I left tonight. He did improve in how he looked after that too. Overall it was a pretty crappy day but at least it ended better than it started for a change. There was no physio, not sitting up - just managing the new problem. Because of the blood clot Scott developed there's the catch 22 of being on blood thinner for the clot but trying to keep him from bleeding too much. AHHHH!!!! It's been back and forth - on and off the blood thinners. It may be like this for awhile.

Tuesday, Feb.24/09I'll put the good news first. Scott was off the ventillator the entire 10 hours I was at the hospital and was still off when I left! He'll probably be put back on for the night but that is huge! They did a CT scan of Scott's chest to get a better idea of the fluid built up there. They found a lot of fluid around his heart becasue there is a big space there where his old, enlarged heart used to be. They think there might be a lot of blood there. They're pretty sure he was bleeding internally and that's why he was doing so poorly yesterday morning. So no more blood thinners - at least for awhile. Tomorrow Dr.Rebeyka, the surgeon, is going into Scott's chest for the 5th time to drain the excess blood/fluid. I asked Scott how he felt about this new development and he said "confident". I'm really hopefull that with this problem solved the other blood pressure issues and lung pressure issues can be fixed. That's my new hope. I don't like the idea of surgery again but Scott has such high quality people working on and around him that if they can't help him I don't think that anyone can!

Wednesday, Feb.25/09Scott did go back to the OR today. It took longer than i expected but it also went better than I expected. The surgeons cleaned up the blood around his heart and they were also able to take out the blood clot near his heart. The good news is that he won't need to have blood thinners with that gone. That should help the continuing problem of bleeding. They said his heart looks really good. I asked what the biggest concern is and they said infection. They will continue to be extremely vigilant looking for the slightest signs of infection and treating any aggressively. Scott is still in the right place. It isn't comfortable, quiet or easy but it is temporary. I only know of one person left in the unit who was here before Scott. I certainly don't want to set any records!!! Scott asks/begs/pleads and offers bribes for pop. He hasn't had a sip to drink or a bite to eat since the transplant 4 weeks ago. I think that might be one of the hardest things for him at this point. There is also the problem of never seeing the light of day and the constant hum and beeps of the machines and people moving about and poking and prodding at all hours of the day and night. But there are the advantages of having the best possible care immediately when needed.I want to let everyone know that I really appreciate the messages and comments of encouragement and support. It helps me to feel connected to home and normalcy. I don't always reply because sometimes I'm just worn out but I always read them! Don't stop because I don't always reply. Thanks

Thursday, Feb.26/09Today Scott was doing pretty well. He is recovering all over again from surgery but much faster this time. His incision is really sore but he is otherwise pretty good. He has been breathing on his own all day today - 7am-10pm and is only on the ventillator during the night. Tonight they will leave the dialysis off and see how his kidneys do on their own. I hope they recover!

Friday, Feb.27/09Another day gone by. Scott is getting stronger again. His physiotherapist said he's stronger today and doing more of the exercises on his own without help. But along with getting stronger comes noticing the discomforts of the hospital more. Scott was actually quite cranky and miserable. Everything bothered him today. There is a common problem in an ICU setting of going a little crazy after being there awhile. It comes and goes. Today it came full blast. Scott was hallucinating and had all sorts of strong emotions and wasn't afraid to let anyone in hearing distance know. They gave him oxycodone which makes all of that worse. I asked them to please not give it to him anymore - so did Scott. Hopefully he'll get it out of his system today. With his kidneys not cleaning stuff out of his blood very well it's hard for his body to get things out. tonight they are putting the dialysis back on. i hope that helps.I was lucky enough to have 2 good days! Yesterday a wonderful friend came up from Calgary and we went to the temple and out for dinner together. It was such a nice break! Today Dwayne Lonsdale stopped by to visit. Thanks Dwayne! He dropped off a bag of thoughful gifts and cards for me from the amazing ladies in my ward at home! That really did help make a difficult day better. Thanks ladies!!! I hope Scott gets a good night sleep. I think that will make tomorrow a better day.


Saturday, Feb.28/09Today was better than yesterday. Scott was able to do his physio pretty well. He wasn't crazy like yesterday either. He was, however, completely exhausted. His sleep cycle is so out of whack! He hasn't slept for more than an hour at a time in 2 days and 2 nights. I keep praying that tonight he will sleep. It is much harder to recover when you are sleep deprived! Scott is starting to set goals for himself. He asked me to write down some of the things he wants to do when he gets home. I have no idea how long that will be yet. He stilll has a long way to go. Tonight they are going to try to keep him off the ventillator all night! If he goes 2 or 3 days off with no problems they will do a swallowing test on him. If he does okay with that he will start to get drinks and eventually food. I know it won't be steak or onion rings for awhile but maybe it will be the pop he soooooo desires:) A few weeks ago Scott offered the doctor $500 for a gingerale! It didn't work. He has to be extremely patient! This is a very difficult journey but I know it will be worth it!