Summer's Here!

We have been busy enjoying summer around here! The weather has been gorgeous -- Annie even got her very first full day at the beach this week. My mother is here now keeping both girls occupied, so I have a few minutes to post.

Annie saw our NH cardiologist right before the Easter Seals Walk on June 7. It was just an office visit (no echo or EKG) to check in, and he was pleased with everything he saw. Annie looks great and seems to be doing really well. Dr. Johnson did increase Annie's digoxin levels, since we never got that done with Dr. Smoot. He also gave us a last minute donation for our walk -- thank you, Dr. Johnson!

The walk was a wonderful time with good friends. The weather held out for us and we enjoyed walking and chatting, even though we were novices and ended up at the very end of the pack. (We'll know better next year!) Thank you again to everyone who donated! We raised close to $3000 when all was said and done. Special thanks to our friends Grant and Sheila who raised several hundred dollars on their own -- all in Annie's name.

Little Annie has been doing amazing things lately. Her gross motor skills are doing great these days! She is pulling herself to a standing position in the co-sleeper and the pack-n-play, crawling (still on her belly, army-style) all over the place, and generally just doing great. We just finished meeting with the nutritionist and swallow specialist (along with Annie's regular physical therapist) and it was more good news. The nutritionist took all kinds of measurements and said that Annie's fat stores are actually quite good. That's a relief, because if we head towards any surgeries she'll need some reserves to get her through.

I had to answer questions for the nutritionist and OT in two different ways: before four days ago and for the past four days. That's because Annie has been very different for the past four days -- suddenly taking over her feeding and just guzzling her bottle when she puts her mind to it. She isn't getting that much more over the course of the day, but it is so much easier to get it into her all of a sudden. I don't know what's going on, but I'm thankful for it! I'm also hopeful that her eating better as well as the leaps she has made with her gross motor skills somehow translate into her feeling better or her heart doing better in some way. I hope, I hope, I hope.

Scott has been crazy busy for the past month, so we have been fitting in life around his work schedule. Jamie wrapped up her school year on June 15, so she is out of school now. Scott is in California this week, so Mom is here helping out (thank goodness!!). We are enjoying the first day of summer and we're on our way out the door now to go strawberry picking! Take care, everyone. Happy Summer!

(Photos are Annie playing on the floor; showing a propensity for following in her sister's footsteps and eating all the sand she can get her hands on at the beach; and crawling under her mega-saucer.)

Easter Seals Walk

(Hint: Read the onesie!)

Easter Seals Walk is Tomorrow!

It's not too late to donate! And THANK YOU to everyone who has donated so generously in Annie's name already. We have raised almost $2000! We are looking forward to walking with some friends tomorrow night and enjoying a nice night in downtown Manchester.

Annie has a bit of a cold (and I seem to have gotten it now, too -- oh, joy), but her lungs were checked today and we should all be good to go tomorrow night for the walk. Annie was just under 14 1/2 pounds on the doctor's scale yesterday, gaining just about half of a pound in the past three weeks. It doesn't seem like enough, but everyone keeps telling us that at least she is gaining. It is forward movement, even if it's at a snail's pace.

What's not at a snail's pace is ANNIE! She's really on the move, able to do the army crawl now on her belly. Strength-wise she seems to be doing really well, which is wonderful news. And have I mentioned lately how happy this kid is?? She is, honestly, the happiest baby I have ever known. She has a funny laugh that is all her own (one of these days I'll get it on video and get it up here) and very infectious! I am so grateful that she is such a happy kid and makes us laugh out loud multiple times each day.

We'll post some photos from the walk ASAP, but in the meantime here are a couple of recent pics. The first is a photo of Jamie reading to Annie. Annie has a serious paper addiction and just wants to eat anything vaguely resembling paper, including books. We leave quite a mess at the doctor's office, too, since she finds the paper on the exam table totally and completely irresistible. (Sorry, Willow Bend! I'm trying to wean her off the paper fetish.) The second photo is another "Dressed by Jamie" photo. Apparently, Annie's coronation has taken place thanks to big sister.

"Holding Her Own"

I realize that Scott and I sound like a broken record now when people ask us how Annie is doing. "She's holding her own" is our standard, oft-used response. It's so difficult to explain to everyone the waiting game that we are in right now. We are just waiting from one echo to the next, hoping upon hope that her heart will continue to improve. Cardiomyopathy in children is so complex and so little is understood about the path it will take in each individual child that no doctor -- even the wonderful ones at Children's -- can predict what the future holds for Annie.

Further complicating our ability to respond to questions is our history riding this roller coaster. Namely, we have been down the path of improvement before. Last summer, as we went from fetal echo to fetal echo, the news slowly got better and better until the last visit (or so we thought!) to Children's when Dr. Levine told us she didn't need to see us again before Annie was born because the thickening was virtually insignificant. So yes, we are so happy that Annie's last echo seemed to show some improvement. But, it is impossible to shout about it from the rooftops. Last summer's experience, culminating with Annie's initial diagnosis with cardiomyopathy in February and the whallop that gave us, has brought new meaning to the term "cautiously optimistic." We are more than cautious about any bit of seemingly good news we receive about Annie now.

On the other hand, I don't want to sound like we are completely down in the mouth about everything and not willing or able to accept good news when it comes our way. I don't want people to feel like they can't ask about Annie for fear that we will sound very negative or down about everything. We definitely are able to take in good news! There is no way to keep our hearts from leaping when any of Annie's doctors find something to be pleased about with her progress, whether it's heart-related or muscle related or ANYTHING at all.

Hence the phrase I recently have realized that Scott and I both cling to: "holding her own." You may have heard it from one or both of us if you have asked about Annie recently! I hope it is an acceptable middle ground that balances our optimism with the reality of what we are facing or may face in the near future.

Right now, we are celebrating our sweet girl and every healthy day we have with her. We are grateful that she is as healthy as she is and that we have not had to face heart failure, extended hospital stays, or the transplant list. The cardiomyopathy foundation's list serve is full of families who have lost children or whose children have been transplanted or spent months upon months in the hospital. Each story reminds me how lucky we are that Annie is ... holding her own.

Happy Holiday Weekend!

Just wanted to say hello because I haven't posted in a couple of weeks. Where those weeks have gone, I have no idea. We are chugging along with good days and bad days. I have a wonderful friend who is now helping with Annie and Jamie a couple of days a week, giving us some breathing room and ensuring that Annie gets fed while I get some work done or fit in a run or whatever. (Thank you, Sheila! We're so, so grateful to have you in our lives!) I've started doing some more things for BYPC (Jamie's school and where I've been working a few hours a week for the past couple of years) and it's great to see everyone in the office regularly again.

Annie is doing well and seems to be enjoying our summer weather. Or, at least she looks darn cute in her summer clothes! Not sure how she's going to handle the heat since that is an issue with cardiac kids, but we're likely to find out today with temperatures soaring into the 90s. (Me: It's going to be the hottest day all year today. Jamie: Wow. That's a lotta hot!) She seems to be getting stronger all the time, and she definitely is doing more and more. Her new favorite thing is the jumpy seat thingy (the kind that hooks over the doorframe). She jumps like crazy, laughing the whole time. The trick is keeping the dogs from kissing her the entire time!

Annie continues to give us a run for our money with eating, though. It is so frustrating! I'm guessing it's teething, but we have had a few days where it's 5 o'clock at night and she's only had 8 or 10 ounces all day. It feels like we're torturing her with food sometimes. She's gotten to the point many times throughout the day that she'll start crying if you just lay her back in your arms. She knows either food or medicine is coming, and she doth protest!

Our appointments in Boston have all been moved to July (the GI doc had to move that appointment, so Dr. Smoot moved our appointments with her as well -- no big deal since we just had an unplanned echo a couple of weeks ago). I honestly don't know what to think about a g-tube for Annie. I can't even imagine going through the surgery and all of that, but it would be such a relief to be able to get food (and now the meds that she is often spitting right back out) into her. I don't know if we're at that point though -- Annie is still on the charts and seems to be following her own curve. It seems to me that she should be eating more (hello! she weighs almost 50% more than she did at diagnosis, yet she's taking in fewer ounces), but somehow she is maintaining that curve. Hopefully, teething won't throw her off that altogether. Looking back, I think she's gained about 8 ounces in a month. She's a whopping 14 pounds 3 ounces now ....

So we'll see what everyone in Boston has to say, but not until July 6. We'll check in with Dr. Johnson here in NH one more time before that, but just for a quick office visit (no EKG or echo). In the meantime, we are planning on enjoying a nice, warm holiday weekend and wish a relaxing time to all of you, too. I hope your holiday weekend is full of friends, family, and fun!

Photos are of Annie playing on the floor and of Jamie showing off her new bike (the one that spent the first night in the bedroom with her -- she was wee bit excited, to say the least). And one of my favorites below: Pirate Baby. "Look, Mom, I dressed Annie up, too! She's a Pirate Baby and I'm the Pirate Captain." The look on Annie's face (and there's a whole series of these photos) cracks me up. I could write 10 different captions for this one!

Follow-Up Conversation with Dr. Smoot

Just a quick note to follow-up on the last post and the questions raised by the cardiologist we saw last week. I spoke with Dr. Smoot the following morning and she agreed that Annie's dose of digoxin is low. She said that she is not a huge believer in digoxin, particularly in kids that are not in heart failure, so she is conservative in the dosages. She does agree that the dose has probably gone too low now that Annie has grown a bit, so she is going to increase the dose a bit. (She said it's probably less than a conservative dose and down to a homeopathic level now. If we're going to give it to her, it should at least be worth something! With nine daily doses of meds, I don't want any superfluous efforts -- and neither does Dr. Smoot.)

Dr. Smoot didn't feel that we needed to attempt a blood draw just now since she knows the digoxin dose is low and, therefore, knows the levels in her blood would be low. We agreed that we'll do bloodwork at the end of our next visit to Boston in early June, thinking that the GI might well request something at the same time and we can save Annie another poke.

Meanwhile, donations are still coming in to Easter Seals in Annie's name. Thank you, thank you, thank you!

A Post Full of Good Stuff ... Impromptu Visit to Therapy to Bottles

We had an impromptu visit to the cardiologist yesterday. Annie seemed overly tired and has had a few fevers ... all perfectly normal for a six month old baby who is working on her first teeth. We're still learning when to raise a red flag, though, and lethargy is definitely something we are supposed to be looking out for. (Doesn't she look lethargic in the photo? HA!) I called our cardiologist's office here in town and spoke with the cardiologist covering for Dr. Johnson. She wanted to see Annie, and truth be told I was fine with that. It has been a month since her last echo and we don't have another one scheduled until early June ... but I like seeing her heart on that screen and at least knowing whether or not it's getting worse!

After the echo (where we thought it looked about the same, but there's really no telling for our untrained eyes!), the doc came in and went over everything going on. We answered question after question while anxiously waiting for her to say something -- anything -- about the echo. Every time we wait for echo results it's torturous. It was made even more torturous yesterday because we were in the exam room we were in last summer after the very first fetal echo -- where we were given the most devastating news of our lives. We haven't been to see this particular doctor since that initial diagnosis, so we have not had any occasion to be back in this exam room. (Although, to be honest, the whole clinic is full of memories for me. The other doc's exam room is where we were first told about Annie's cardiomyopathy, the echo room on the left was our first fetal echo, etc., etc., etc. Every time we go, the history of all of our visits there is forefront in my mind, but I'm sure that's how it goes for anyone who goes through medical crises.)

The doc eventually stopped asking questions and wanted to take a look at Annie. I finally blurted out a question about the echo. "Anything remarkable on the echo? Anything going on since last time????" And she said nothing was worse ... that actually, her shortening fraction (or SF, one of two ways used to evaluate the left ventricle's function) was BETTER than the last time she had an echo up here. Hooray! Cautiously, cautiously ... but hooray! The last time they evaluated it, it was 14%, while normal is generally considered to be in the 25-40% range. Yesterday's echo yielded two different shortening fractions, one was 21% and the other was 27%. The doc said she didn't quite believe the 27% given the size of Annie's LV (i.e. it is still globular and markedly dilated, more so than she would expect to see in a heart with a 27% SF), but she felt that the 21% SF was probably more accurate. We'll take it -- it's still much better than last time!

The downside was the request for blood. We were okay with it and not terribly surprised since she hasn't had any bloodwork done since she was in the hospital in mid-March. The doc was interested in Annie's digoxin dose, saying it was quite low for her weight. In any event, she wanted to do a complete blood count and test the digoxin levels in her blood. Unfortunately, it was the worst experience we've had with a blood draw and the worst screaming I have ever heard Annie doing, so I pulled the plug after (actually in the middle of) the second attempt. (They were fishing, fishing around in her arm, with the needle as far in as it would go -- UGH!) I'll touch base with Dr. Smoot in Boston today to see what she thinks we should do as far as the digoxin and repeating (or I should say attempting to repeat) the blood draw.

Oh, and did I mention that I felt Annie's first tooth popping through her gums for the first time WHILE she was having the echo done yesterday? Yes, I really think we just had a $1300 echo for a baby who is TEETHING and nothing more! (That's what you get, insurance, for refusing to pay for everything out-of-the-ordinary. I don't feel bad at all, especially since we got some seemingly good news out of it.) I'm sure the blood draw would have been in our future one way or another, so I don't think that's a wasted effort. Ok, I'm hoping it wasn't a wasted effort and that we didn't put her through that over teething! What are we, first time parents?!? No, just first time parents of a cardiac baby ....

Anyway, on to more good news. Annie looked phenomenal during her PT appointment this week! I couldn't believe how well she did. She sat up so straight and maintained it on her own for long periods. She's also doing fun stuff with her toys now, including operating cause-and-effect toys, and not just putting them directly into her mouth. She's really figuring them out and exploring them (then they go right in the mouth!). She has been on the move for the past few weeks, too -- she can roll across the living room without any problem at all. (Watch out puppies -- another one is on the go!) She's not sitting on her own yet, but she looks like she's on her way and that is much more than I would have said two weeks ago. Kelly, her PT, was impressed with how much she has changed in the past couple of weeks and kept saying "she's doing great" or "look at that."

Yet more good news. This baby SUCKS! Yes, that is more than great news in our house!! We don't know if her lower jaw is growing and that is helping her or what else could possibly have changed, except that she can definitely suck when she wants to. She rarely shows any signs of an appetite, so we don't get to see her really sucking very often. Every once in awhile, though, watch out! This morning she sucked down a bottle all by herself. That is terrific news since she needs that skill not just now (although we still squeeze the milk into her mouth the vast majority of the time) but as she begins to eat solid food.

Last bit of good news is the continued, amazing, overwhelming, and humbling support you all have shown in donating to Easter Seals and supporting us in the Walk With Me on June 7. I am not exaggerating when I say that I will be thinking of each and every one of you while we walk. Thank you, all! To date, we have raised close to $1400 for this incredible organization that is helping Annie defy the odds and surprise everyone with her strength and spirit.

Phew! Sorry for the long post. I think I'm finding that the blog posts are therapeutic, so I tend to go straight to writing when anything not-so-good is happening. I don't need the therapy as much when it's good news to report, so I hadn't written about some of this stuff yet. With the (cautiously, cautiously) good news with the echo yesterday, I just got going and lumped all of our good news in together. And while it may not be a necessary and therapeutic outlet, delivering good news has all kinds of rewards, too! :-)

Pics are from Annie's echo yesterday, sitting in her high chair (could it be helping her with her sitting skills? we're wondering) looking oh-so-tiny still, being loved by big sister, receiving therapy from the Easter Seals therapist, and her first trip to the beach.

Six Months

Annie was six months old on Wednesday. Happy Half Birthday, Annie! Look out, kid, because we are going to throw you one heck of a first birthday party in November!

The weight is slowly getting better, thankfully. We have added a middle-of-the-night feeding back in, and that seems to be helping a bit. Once we're getting 20 or more ounces into her consistently, though, we have to add another dose of Lasix (her diuretic). Hopefully it won't affect her weight too much. She was a whopping 13 pounds, 10 ounces this morning.

I have to say another huge thank you to everyone who has donated to Easter Seals for our upcoming walk. I have gotten completely choked up every time I get an e-mail that someone has donated. Right now we have raised close to $1000! It's more than any of the corporate teams have raised so far. Wow. Thank you, everybody! You guys are amazing.

Dilated Cardiomyopathy in the News

There was a story on ABC News tonight that involved a little boy who has dilated cardiomyopathy. I have read quite a bit about the Berlin Heart and what it can do. It sounds absolutely amazing.

http://abcnews.go.com/WN/MedicineCuttingEdge/story?id=3105235&page=1

It's scary to see something your child has as part of a featured news story, however. I think the only way to describe it is sobering. Or maybe surreal.

On a much, much brighter note -- a huge THANK YOU to everyone who has donated to Easter Seals in Annie's name. We will be thinking of you all while we walk in Manchester on June 7 (my parents' 45th anniversary, BTW) and counting ourselves lucky to have such friends, family, and colleagues. And yet another reason to be thankful for Annie in our lives! She has brought us closer to so many of you.

Support Us!

Scott, Jamie, Annie and I will be walking in this year's Easter Seals Walk With Me on June 7. (Annie will probably be in this backpack, that is!) Easter Seals is responsible for Annie's physical therapy, which she receives every week at no cost to us. If we need additional services for Annie in the future, they will help us with those as well. We know we are incredibly fortunate to have this resource available to us, as are thousands and thousands of other families.

There is a link on the right that will take you to our Easter Seals Walk With Me page, where you can donate and support us and this incredible organization. Thank you for your support! Anything you are able to contribute will be greatly appreciated -- it all adds up!

NH Cardiology Appointment

No news to report is usually good news! We saw Annie's NH cardiologist last Tuesday just to check in. It certainly feels like we're on autopilot since we didn't even have an EKG this time. We just discussed her meds and overall condition, with nothing new or exciting to report (thankfully). We won't go back to see him until early July (wow), as we work towards an every other month schedule -- one month in Boston, the next month up here, etc.

So, I'm happy not to have any "real" news to report -- just the ongoing battle with teething, a nice, typical baby battle. It's time to relieve Scott and see if I can get her to sleep. 'Night!

Two Week Update

Two weeks with no doctor's appointments, that's the biggest news! I don't know what we've done with ourselves ....

Well, we had the best time ever on vacation. Everything went so, so smoothly from empty planes to short security lines (anyone with kids knows that those security checkpoints can be horrible -- taking kids out of the stroller, shoes off, etc, etc) and just about everything else. We had some good weather and a little not-so-good weather while we were gone, but Jamie was just as happy in the indoor pool as she was anywhere. The hotel was fantastic with lots of kid things to do throughout the day to keep Jamie busy, but Disney and the rides were the big favorites of course! (The kid will ride any roller coaster that they'll let her on, but she hides under the table when it's time to talk to the princesses at lunch in the castle! She's a funny one.)

Mom stayed with our old friends, the Browns, but spent every day with us, helping and making our trip so, so much more enjoyable. (There are no words to thank Mom enough for this one! And special thanks to Art and Karen for the hospitality, yummy meal, and drop-off service for Mom!) Most days, Mom stayed with Annie at the hotel while Scott and I took Jamie to the parks. Annie already has had more time with her Mam than any other grandchild, I think. She's a lucky girl! Mom also got to see firsthand what a sweetheart Annie is all day long, since she was a happy, easygoing baby throughout. (Or so Mom reported ... and I have known her to gloss over some grandchild behavior ...!) Mom and Annie joined us for some of the shows and parks, too. All in all, it was a relaxing, wonderful time thanks to Mom! (And it was just fun being on vacation with her, too.)

Annie still sounded terrible for the first half of the trip or so, but her cough and congestion gradually got better. We ended up not even packing the nebulizer because I didn't think it was really doing anything for her. She just had to fight it off on her own, which she did. She wasn't interested in eating while she was sick (even less than usual, that is) and that hasn't gotten any better even though she's feeling better. She was just barely 13 pounds on our scale when we got home, but had slipped down a couple of ounces by Friday. It's so incredibly frustrating trying to get her to just EAT! She's old enough now that she can fight you actively -- batting the bottle out of her mouth and twisting her body away from you -- making it tough to just force it on her. Our appointment with the GI in Boston isn't until early June, but I'm beginning to wonder if we should wait that long. We'll see her NH cardiologist on Tuesday, and I'm sure that will be the main topic of discussion. Dr. Smoot has told us over and over again that if she could do anything for these kids, it would be to get the calories ("it's rocket fuel for them") into them. We have got to figure out a way to get them into her more efficiently, hopefully sooner than June!

In addition to the GI consult in Boston, we now have another player in the game. Annie started her PT sessions with the therapist from Easter Seals a few weeks ago. Kelly is wonderful and will be our point person for many other services related to Annie. She has been in contact with the speech pathologist with whom we met last November or December (she's a specialist in suck/swallow issues), and I think we will be seeing her again. Kelly believes that the speech pathologist will more than likely know the GI doc we'll be seeing in Boston and can work with her to keep everyone on the same page with Annie's feeding issues. I'm hoping we'll see her before early June, too, so that if she has any insights or suggestions we can get moving on them ASAP.

We'll see Dr. Smoot again on June 8 and have another echo at that point. So I guess we are on auto-pilot now (other than the feeding issues), as she said at our last appointment. We are glad to be home now that it is warm, sunny and beautiful here (we missed two more snowfalls while we were gone -- crazy April in NH!). Most of all, we are so glad we were able to go on this trip and that everything went so well. We all needed to get away, and I think it did all of us a world of good. It was great to spend so much fun time with Jamie and it was wonderful to go for a couple of weeks without any doctor's visits. THANKS AGAIN, MOM! It would have been a completely different trip without your help, that's for sure.

Outpatient Visit at Children's

We had our first outpatient visit with Dr. Smoot in Boston today. Annie's echo showed no change; in fact, they think what might have been improvement on the last echo was just a bit of variability in the tests. It's not bad news necessarily -- her heart still hasn't gotten any worse and we have been told all along that no progression of the dilation in the short term would be a victory. It was disappointing to hear, but we have to remember that we are fortunate that it hasn't progressed and that she is still mostly asymptomatic.

Despite her cold and awful-sounding cough, Dr. Smoot said Annie looks great and was happy with her overall weight gain and strength. We told her that her weight gain has plateaued and even regressed in the past 10 days though, so we discussed the implications of that. We just don't know why she is taking even fewer ounces per day than she was a couple of months ago. She weighs more, she should be getting more, not less! It's a struggle lately just to get 16 - 17 ounces into her each day. She's been sick, but this started before the cold. Teething? Maybe. Just her age? Maybe. (The PT said that some kids get to this age and start to fight eating because they have to work a bit at the suck/swallow coordination that was automatic when they were newborns.) We don't know, but the bottom line is that she needs to get more calories. Dr. Smoot has recommended that we consult with a GI at Children's. If we end up heading towards a feeding tube, they would be the ones involved in doing it so we'll just start there and see what they have to say. Meanwhile, we're going to see how she does over the next week and hope that things turn around on their own.

The good news is that we have been cleared for vacation despite Annie's cold! Dr. Smoot said there was no reason in her mind why we couldn't go ahead with our plans. She thinks Annie just has to get through the cold, so I guess she might as well do that in warm, sunny Florida. What a relief! I was prepared for anything today, but I'm glad to hear we can plan on some relaxing family time next week. Now we just have to get through tomorrow -- the day BEFORE vacation is traditionally pretty nutty around here: packing for all of us, getting the house ready for the dogsitter (thank you, Val!), and just generally running around like crazy to make sure everything is taken care of.

On that note, this week hasn't gone quite as planned (see previous post!). I owe some major thank you notes to folks -- we have received some beautiful gifts recently. From lovely homemade prayer shawls from my mother's friend Joyce to beautifully knitted hat, sweater and booties from my sister-in-law's friend Sally to Dora-ful birthday gifts for Jamie from my brother-in-law and his family ... all of you are so amazing and have been so generous! I'm taking the cards on vacation with me with the best of intentions and hope to have them out to you all soon. I just wanted to mention things here because we are just so, so grateful for everyone's kindness and generosity.

Time to start packing! The next post should be of Annie wearing her first swimsuit ever or of Jamie with Cinderella at Disney World. :-)

Photos are of the echo and a little nebulizer treatment while we were waiting at Children's. Oh, and here's some for the Texas folks (even though I heard it was snowing in north Texas today!). This was Thursday morning around our house:

Vacation Preparation

This post is not about packing and getting ready for vacation in the traditional sense, don't you worry. It is about the universe wanting to make sure I really appreciate this vacation!

What a week! Is it only Wednesday?!? I spent the weekend sick with my first cold or something all year, so I wasn't exactly ready for the week. Monday started off with a bang with Jamie sick as well and home from school. At the same time, Britain decided to listen to the Labrador side of himself, ate six food bars including wrappers, and needed an emergency trip to the vet on Monday afternoon. (He's fine now, thankfully. It was a rough deja vu, though, since we lost our sweet Golden Retriever cross two days before our last vacation. I seriously was thinking I shouldn't plan any more vacations if I valued the health of my dogs!) Jamie has chugged along and seems to be fighting whatever is going on with her. We're both coughing like crazy ...

... and Annie started coughing a tiny bit yesterday. She was a bit worse today, so I thought I'd better have her checked out. I have traditionally been pretty slow to take Jamie to the doctor, but I'm learning to jump to it with this little girlie. And, as it turns out, our primary care doctor sent us over to the hospital ER for an RSV test and chest x-rays after he listened to her. Oh, boy. I think I'd been at the hospital for an hour before they decided who was even going to do the RSV test! (This necessitated a couple of trips in and out of the ER entrance and over to the hospital's main entrance; and did I mention it began to snow pretty heavily during this adventure?!?) Four and a half hours later, we finally got the word that the RSV test was negative and that her lungs looked clear.

We got to experience the 'torture tube' as my friend Teresa calls it, sitting Annie upright for her x-rays and enclosing her in a clear plastic holder. AWFUL to look at, but she took it in stride as she does everything. Picture Annie wearing just a diaper, placed in this funny contraption with plastic forms squashing her torso, arms stretched way above her head, facing the x-ray plate and gazing around at everything with big blue eyes full of curiosity. They told me to stand in front of her so she could see me, but she wasn't big enough to see over the plate. I held onto her hands and she squeezed my fingers like crazy, but she never let out a peep. She's a champ!

I had tried to take Teresa's advice and tell them that they don't do chest x-rays that way at Children's, but they didn't go for it. As they briskly ignored my resistance in one breath, they told me that "the kids cry, but that's good for the x-ray because they take a good, long breath" with the next. I think they were shocked when Annie didn't cry, but also a bit superior as in "Why were you complaining, lady? Your kid didn't even object!" (I kind-of suspected she wouldn't object, so I have to admit that I didn't fight too hard ... especially since my rule-following husband was already putting Annie in the seat while I was still questioning!)

We're home now with a brand new nebulizer (I'm learning -- I called insurance FIRST and they're finally covering something -- hooray!) and the medication recommended by the cardiologist covering for Dr. Smoot, who still is out of the country. There had been a lot of talk on the list serve not too long ago about cold medications for kids with cardiomyopathy (there are only a few that are ok to use), so I'm glad we knew ahead of time that it wouldn't be a simple thing to treat Annie's cough and congestion. So here's hoping that Annie will be feeling better and sounding better as soon as we get a few of these treatments into her system! (I'm sure there's room in the suitcases for a nebulizer, right?!?)

I get it, universe! I'll savor every minute of vacation, I promise. But really, the four inches of snow in April was enough to accomplish that job all by itself! I could have done without three colds, a puking Weimaraner cross, and a day lost in the emergency room.

Friend, thy name is MARGARITA!

P.S. Yes, my Texas friends and family, these pictures were taken TODAY in my backyard.

Cardiology Appointment

We had an appointment with Dr. Johnson (Annie's cardiologist here in NH) today just to check in. Annie's doing well! He is pleased with her weight gain (two pounds since he saw her just over four weeks ago) and encouraged that Dr. Smoot may have seen some improvement in Annie's heart function on the last echo in Boston. As he said, she has the rest of her life for it to continue improving. We just need her to be going in the direction of improvement -- not the other direction -- and it seems like maybe, hopefully that might be happening. He said that it is very encouraging to see any improvement at all in just a matter of weeks, and it has only been about seven weeks since the diagnosis (even though it seems like much, much longer).

So, all positive news today. No blood draws, and just a slight change in one of her doses to keep up with her weight. It's hard not to get our hopes up, but we have been here before and that history weights my happiness with caution. Still, it's hard not to think ... oh please, oh please, oh please ....

Another echo next Friday with Dr. Smoot in Boston. (She is in Japan right now, so I don't expect to hear anything about the biopsy results before our appointment.) Have I mentioned we're going on vacation after that?!? And we just found out yesterday that we'll really have a chance to have some vacation time -- Mom is going to fly down and meet us to help with Annie. THANK YOU, MOM! I feel like I actually can look forward to this 'vacation' now!! We are definitely a family ready for some down time and some warm weather (in the 20s here tonight -- ugh).

Off to get an uncharacteristically fussy Annie to sleep. She's doing a very normal baby thing right now -- teething!

Holding Our Own

Just wanted to post and let everyone know that we are chugging along. Things are a bit busy because we will be spending the weekend celebrating Jamie's 4th birthday. (It's so cliche to say it, but it has to be said: I can't believe she's FOUR!) Annie seems to be doing really well. Her weight continues to inch up and she's now a little over 12 1/2 pounds. The cardiologist gave us some parameters (as did my been-there-done-that friend Teresa -- thanks!) for when to worry about blueness and what to check for, so we feel better about that now. We'll be seeing him (the NH cardiologist) next week as well as having our first PT appointment with Early Intervention.

Another photo to share -- Britain adores the newest addition. Jamie got big enough to tell him "YUCK BRITAIN. NO KISSES!" but Annie can't even squiggle away from him. (And how do I have a child who doesn't like dog kisses?!?) Annie has started to laugh spontaneously when she watches the dogs running around, too. It's very cute, as most puppy-baby combos tend to be. Britain is particularly fond of curling up behind Annie when she's in her boppy and sneaking in as many licks as he can.

Hope everyone is enjoying some spring weather as we are starting to here in NH!

Update from Dr. Smoot

I heard from Dr. Smoot today, just updating us on the first pass at the cardiac tissue that was taken during Annie's cath last Monday. Everything looked good under the microscope -- no ongoing cell deterioration and no storage issues (glycogen). The only thing they noted that wasn't quite normal was some fibrotic tissue between the cells. Dr. Smoot said that could indicate some scarring, so I asked about what Dr. Levine had told us last summer regarding Annie possibly having a heart attack early on in the pregnancy. It's just impossible for them to know what happened or what it meant for Annie's heart -- if anything -- but it would be hard to think the in utero diagnosis and the DCM aren't related.

Dr. Smoot also said she feels as though we are 80% there towards ruling out metabolic issues, and we have definitely ruled out some of the bigger ones.

I asked about why we aren't adding a beta blocker at this point, too. She said that there really isn't any evidence yet that beta blockers are helpful in children with DCM who are asymptomatic. The evidence is there that it helps adults with DCM who are asymptomatic, but it just hasn't been shown to do anything for young children. She says it is still there as a possibility, but at this point she would rather wait and see how Annie does with her current meds. We'll see her again on April 6th and have another echo at that point. We'll see Dr. Johnson here in NH on the 29th, but we won't have an echo done then. It will be a long wait until that next echo!

We're seeing our regular nurse practitioner tomorrow. I'm glad, because I think I noticed something this afternoon that could be worrisome. Annie seemed a bit blue around her mouth -- something we have been told to look for. But the good news is that she was 12 1/2 pounds today! And happy, chatty, and laughing as always. The photo is after her bath tonight. She was talking and laughing up a storm!

Home & Still Doing Great

We're home and trying to get back to normal life ... or at least the new normal! Annie has continued to do well and you would never know she just went through a cath. The cath sites (at the folds at the top of each leg) look great and haven't bruised much at all. Kids are amazing!

She's happy to play with her Mam and show off her rolling over skills. She's also finally reaching for and grabbing at toys, thanks to all of Mam's work with her. Mom and Dad are planning to head home sometime this weekend, so we'll be trying to get used to being on our own again (sniff).

THANK YOU!

Doing Great

Annie is doing great this morning! She has been all smiles and laughs for everyone, even while the nurse was taking her dressings off and taking out her IVs. She's back in normal baby mode with no wires and we are just waiting for our discharge orders. We are increasing her dose of Captopril and adding in some baby aspirin, but Dr. Smoot has opted not to add a beta blocker just yet. We'll see the pediatric cardiologist in NH in a couple of weeks and we'll plan to see Dr. Smoot in April, just before we leave for Disney. :-)

Thank you, EVERYONE, who has followed us through the cath journey and kept Annie in their thoughts and prayers. I'm sure she would send you each a gummy smile if she could.

P.S. Special hello to the ABC'S in St. Louis -- sorry I wasn't able to post earlier yesterday! I heard you guys were checking ... thank you so much for your concern for our girl.

NEWS FLASH

We just spoke with both Dr. Harris and Dr. Smoot. My mind is scrambled with all of the genetics-acids-short-chain-carbon-breakdown-etc. discussion with Dr. Harris, but the bottom line is that we have indeed knocked out some of the big scary metabolic issues -- and that's a plus for sure! Also, he doesn't think the B12 is going to come back deficient based upon other indicators and they held off on giving Annie a B12 shot while she was sedated. He was glad to hear they were able to get the cardiac biopsies and is interested in what tests they are running specifically -- something to duke out with Dr. Smoot.

The big news for today is about the echo they did after Annie's cath. Dr. Smoot said that the dilation is no larger and possibly even lessened. Her heart looked a bit stronger!! Although Dr. Smoot is cautious in what she is telling us and we need to be cautious in getting our hopes up, we are so happy to hear something positive. (And it feels so much like last summer as we went from one successive echo to the next. It would be so wonderful if this followed in that path!) After just writing about getting the transplant book, Dr. Smoot told us to "just file away the transplant information for now." YAHOO!!!!!!!!! That is a great pick-me-up after the downer of having it handed to us in the first place.

Annie is sleeping, sleeping, sleeping so we are definitely here for tonight as well. But my heart is a bit lighter knowing that there may be some improvement in our girl's heart. She's a fighter, this one. I'm anxious to see what life has in store for her ... or should I say what SHE has in store for LIFE! She sure has started out with a bang. Photos are when we first saw her after the cath and then a bit later, still in the recovery area. Despite all of the tape and stuff for her IV as well as a pulse ox wrap, she managed to get the tip of her thumb out and in her mouth. Too cute. (Notice she has a bit of her Bahama Mama pose going, too!)

Keep those good thoughts coming!

THANK YOU!!