CHD, CHD Awareness, Heart Mom, life lessons, loss, Open Heart Surgery, parenting, trauma, Uncategorized

my heart.

Two years ago today, I sat in a small windowless room at The Children’s Hospital of Philadelphia as a pediatric cardiologist, a stranger, sat down and began drawing a picture of a heart. It was my daughter’s heart. It was imperfect. It was broken. I listened as she explained that at some point at the beginning of my pregnancy, my daughter’s heart never finished forming the way it was supposed to. She told me about the surgery needed to fix her little broken heart. She gave me statistics and survival rates and asked if any children in my family had suddenly and unexpectedly died. She probably talked for five minutes, but it felt like an hour. I sat there with my thighs stuck to the plastic seat, trying to take it all in. I tried to pay attention but only heard half of her words. Grace sat beside me the whole time. So there I sat, trying not to cry or scare her. Finally, the doctor explained the logistics of the surgery. She told me that the surgeon would have to saw through her sternum to get to her heart. Then, she said they would have to stop her heart to perform her surgery. This was my breaking point. Fat tears started running down my cheeks and filling up my mask. 

Grace, who had been playing a computer game while we talked, looked up at me and said, “Mommy, am I going to die?” At that point, I didn’t even know how to begin to answer her. I didn’t know what questions to ask, and I didn’t know how to explain this in a way that she would understand. A week before, we celebrated her 7th birthday. She was healthy then. She was whole. Her heart was fine. Now, she was weeks away from surgery and recovery that most adults don’t have to endure. A summer already altered because of a global pandemic would now be filled with medical tests, surgeons, doctors, and lots of time in bed, inside, away from friends. 

Somehow, despite ER visits that included chest x-rays, three bouts of pneumonia, and dozens of visits to the doctor, no one had ever noticed her murmuring heartbeat. Somehow, despite all of the extra ultrasounds due to my “geriatric pregnancy,” no one noticed the large hole in her heart. Somehow, her body, though struggling, had continued to survive. Three weeks after the appointment with the cardiologist, I was sitting in the hospital hallway waiting for the call to tell me that her heart was beating again. Then they called to tell me her sternum was pinned back together. Then, we began the healing process. 

I went through all of the motions of this like a numb machine. Worst-case scenarios swirled through my brain on a daily basis, even when she was “in the clear.” Eight or nine months after her surgery, I found myself sitting on the edge of the bed sobbing, seemingly out of nowhere. I tend to stay on the positive side of things and focus on all the good, but in reality, even though people constantly remind me that she is ok, I have spent the last two years fearing something else will go terribly wrong. The trauma of that day is still with me, and I am allowing myself to feel that trauma and sit with it.

Someone once said that having a child is like having your heart walk around outside your body. When you are told that heart may cease to exist, and she has become your whole world, it feels like a vice squeezing your chest and stealing your breath. Unfortunately, that feeling remains long after the threat is gone and your child is well again. I have learned from fellow heart moms that this is common. We worry about every rash, splinter, or blue lips when our child comes in from the cold. The slightest fever in our child can send us back to that small windowless hospital room where we learned how fragile life truly is. So, be patient with us and know that two or five years still may not be enough time for us to feel okay about what happened. Like grief, trauma is an unpredictable beast with its own timeline. 

“After all, when a stone is dropped into a pond, the water continues quivering even after the stone has sunk to the bottom.”
~Arthur GoldenMemoirs of a Geisha

The repaired sternum
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belonging, CHD, CHD Awareness, faith, Heart Mom, homeschool, imagination, kintsugi, life lessons, loss, Open Heart Surgery, shame, Uncategorized

Kintsugi

Kintsugi is the Japanese art of repairing broken pottery and filling the cracks with gold, silver, or platinum. This repair shows that the brokenness is part of the history of the piece instead of some reason to throw it away or hide it. It celebrates each crack by filling it with precious metal. The piece often looks more beautiful as a result of this process.

Shortly after her seventh birthday, we found out that a part of my daughter, her most precious part, was broken. To repair it, the surgeons would have to further damage her tiny body by breaking through her sternum and stopping her heart, cutting out a part of her pericardium, and using it to repair a large hole. Much like a broken piece of pottery, she would forever have a crack down the center of her chest.

Shortly after her diagnosis, a friend sent us a Kintsugi kit. We opened it and looked at it, but my daughter wasn’t ready to do anything with it. Today, as part of our homeschooling, we watched a video about the art of Kintsugi and talked about how we are like that broken pottery. We opened the kit and pulled out the two beautiful whole bowls. Using a piece of cloth, we smashed the pottery with a hammer. We took time to look at each piece and see how each one fit into the other to create a new bowl. We glued the bowls back together and sealed them with gold.

Through this process, we talked about times when we felt broken. We talked about how sometimes we feel like all those broken pieces just lying there on a cloth. We talked about things in our life that make us feel new or better. We talked about how music, art, family, our dog, cuddling, and our hammock are our gold paint.  These things help us feel whole again. I told my daughter that we could look at these broken times as part of our history and recognize that they are not weaknesses, but the things that make us stronger. She said her surgeon made her stronger with stitches. She said she’s lucky because she only has one crack and the bowls have cracks all over.

This discussion led to us eventually painting her scar gold like the cracks in the pottery. She looked at it and smiled. She loves her scar. She asked if it could always be gold and I replied, “It is even if you don’t see it.”

My daughter is seven. Deep discussions don’t happen much. Even today, we only touched on the significance of the art we did. My wish for her is to remember it. I want her to see gold beaming through her skin like sun rays bursting out of her chest every time she looks down at her scar.  When she gets hurt or fails or life just knocks her down, I hope she finds her gold paint, puts herself back together with it, and realizes she is stronger and more brilliant every time. I hope she never feels shame when things go wrong, but instead sees the lesson that comes from breaking.

“The wound is the place where the light enters you.” 
~ Rumi

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Bad Ass, CHD, faith, Going Solo: Single Parenthood, Heart Mom, Open Heart Surgery, parenting, Uncategorized

the surgery.

“I wish God would let me be born again so I could be born with a whole heart and be a normal kid. I wouldn’t have to get this surgery and I could just play tomorrow.”

 

This is what my 7-year old daughter said to me the night before her open-heart surgery. It was, as my dad would’ve put it, a preachable moment. As instructed, we had just washed all of my bedding in hot water and dried it extra long to remove any germs so she could sleep in my bed that night. We then scrubbed her down with prescription pink foam soap, cleaned her nose out with a prescription gel, and swished a strong yucky mouthwash in her mouth. It felt like I was preparing her for the slaughter. 

Isabella asked me if she could sleep in my bed that night. I usually encourage her to sleep in her bed, but all I could think that night was whether it would be the last night I would have with her or not. The “what ifs” were screaming in my brain and the complications and survival rates the doctor had discussed with us were on a continuous loop. You hear about people having successful open-heart surgery all the time. When it is your seven-year-old child, however, it is hard to remain optimistic. 

That night we both laid in my bed looking at the moonlight coming in our window. Neither one of us got much sleep. The 5 am alarm came fast. We packed our car and drove to the hospital. Bella was silent on the drive in except to say how beautiful the city looked during the sunrise. When we arrived in the parking garage of the hospital, Bella asked if we could just sit in the car for a little longer. She told me that she was scared she might wake up during the surgery. She was scared that it would hurt. I held her tight knowing I may not be able to do that for a while. 

We went up to the cardiology floor of CHOP and went into the reception area. There was a huge fish tank there and Bella went running over to it. She laughed at the fish and described each one to me. After I registered and told her it was time to go in, Bella said, “I just want a little more time looking at the fish. I’m not ready.” The nurse told her it was time and she cried, “I’m not ready. I need more time.” I assured her that we would still have time before the surgery and convinced her to go back with us to the pre-op room. I wasn’t ready either. 

In the pre-op area, I was instructed to cover Bella once again in pink foam, wipe her down, and dress her in a hospital gown. My hands shook as I coated her body with the stuff and I worked hard to hold back tears. We found a movie for Bella to watch as we waited. My mom joined us here and arrived before the surgeon came in to speak to us. 45 minutes before the surgery, they gave Bella a medicine to calm her down. It quickly took effect and she began laughing and yelled out, “I think I can do this! I’ll be asleep the whole time. Hahaha!” She then quickly fell fast asleep. This was before anesthesia was ever administered. 

Isabella’s surgeon came in and introduced herself. She was kind and gentle. She talked about loving animals and hearing that Bella loved animals too. She described what she would be doing and about how long everything would take. She assured us that a nurse would check in with us every hour to give us updates. Meeting her put me at ease. She was the right one to do this. I sent up a little “thank you.” 

When it was time, the anesthesiologist came to introduce herself(another woman, hoorah!) and let us go with her as she wheeled Bella to the OR. Though Bella was already asleep, my mom and I gave her kisses through our masks and watched as they wheeled her off. My heart pounded and my chest hurt as I watched her go. 

Due to COVID, the regular surgical waiting rooms were closed. My mom and I sat on a bridge that connected two parts of the hospital and looked out on the street from the sixth floor. It connected the CICU where Bella would be after her surgery and the CCU where she would be after her time in the ICU. As promised, the nurse called every hour with updates. The first call came to tell us that the surgery had begun. The second call was the hardest. They stopped her heart and put her on the bypass machine. While I appreciate and marvel at modern medicine, nothing is reassuring about the fact that the heartbeat you’ve heard since it was in the womb, that heartbeat that sounded like a symphony, was stopped. 

I thought about that first time when I was only a couple months pregnant and my OBGYN turned the monitor on my belly; that moment I heard Isabella’s heartbeat and realized my new purpose in life was to protect it against all odds. The cardiologist told me that this defect happens in the 4th or 5th week of pregnancy. As the surgeon was repairing the defect, I tried to remember what I was doing during those early weeks of my pregnancy. Did I even know I was pregnant yet? Did I do something that caused this? My entire pregnancy and for the last 7 years of Bella’s life, they’ve told me her heart was good. How did everyone miss this? It just didn’t make sense to me. And when you’re child’s heart is stopped, these are the thoughts going through your head. There is a desperate plea for answers. 

Isabella’s heart was stopped for just over an hour. It seemed like forever. I eventually turned my headphones on and began listening to Kirk Franklin’s “My Life is in His Hands.” The lyrics start, “You don’t have to worry, and don’t you be afraid. Joy comes in the morning, troubles they don’t last always.” Admittedly, my faith has taken a beating since my dad died. It is nearly numb and nonexistent if I am being completely honest. However, when your child is having open heart surgery, that faith returns fast. It is quite possibly the only thing that held me together that afternoon. And for some reason on this day, it was old Kirk Franklin and Fred Hammond albums that got me through. 

The next call I got was to tell me she was off bypass and they were finishing up. Her heart was beating again. She was breathing on her own. I took a huge breath. It felt like the first breath I took in days. After another two hours and two phone calls from the nurse, we got a call saying Bella was in her room and asking for me. I took another huge breath. She was done. I looked at my mom who broke into tears of relief. 

As we entered Bella’s ICU room, I saw her tiny 42-pound body in the huge bed with what looked like dozens of tubes and wires coming out of her. It was like I was seeing my baby for the first time. She looked so helpless and frail. She kept trying to open her eyes but she couldn’t open them. She let out little moans and asked for me. I took her hand, crouched beside her bed, and, through tears, sang her favorite, “His Eye Is on the Sparrow.” We had a long way to go, but she was still with us and she was more beautiful than I ever remembered. It was at that moment that she became my hero and a true heart warrior. IMG_4874

Stay tuned for her recovery story……

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