Showing posts with label heart. Show all posts
Showing posts with label heart. Show all posts

Sunday, June 3, 2012

Be Still My Heart : Final chapter (sorry it took so long...)


Mark generally lives by this creed:  "I don't worry about things I don't have any control over".

And he doesn't.  Unless it happens to be one of his kids.  or me.  Then he can be the biggest worrier you ever met!

After we were married, it came as a bit of a surprise to me because he's so carefree, such a tease.  He likes to have fun and laugh.  He doesn't stress over much.  This is one of the things that I'm attracted to most about him.  It settles me when I worry about every detail and what should have been, what could have been or what might have been!  He seems so at ease with whatever comes at him.  He is calm and decisive and once he's made a decision he doesn't worry about the fallout, he just works as hard as he can with whatever he's responsible for.

The first time I became aware of his "hidden worrier tendencies"  was when I was pregnant with Carly.  He was so worried something was going to happen to me during childbirth.  I didn't understand at first and it upset me when he said things like "I don't care what happens to the baby, if anything goes wrong, I'm just going to tell the doctor to save you and not worry about the baby. I only care about what happens to you!"  As I was the one who was feeling this baby move and hiccup and kick inside me, I was extremely connected to this little infant that I was desperate to know and hold and cuddle and it bothered me intensely that he didn't seem to feel connected and seemed so unconcerned for our baby.

I realized at some point this was all said out of love for me and a fear of losing me and then I didn't allow it to bother me anymore. I mean, honestly, when you look at it that way, it was very sweet.   It was just his way of dealing with his fear.  He needed a plan and that was it.

 The second Carly was born, it was another story.....  Now, SHE was part of his family and his protective worry immediately extended it's little bubble around her.  He worried a lot more than I did about things that could happen to her.  Again, it was very sweet.

When Carly had the bad tachycardia episode that took us to the hospital, he didnt' say much but became very decisive and really pushed for the procedure.  He was the driving force, the confidence guy when I worried about whether we should go ahead or not.

He asked me whether he should take the day off or not.... I knew it was going to be a long day.   I knew he was going to be worried, the pacing kind of worried.  I knew I would be able to sit and read and make the time go quickly but not with him pacing and anxious.... that would just make me anxious.  I truly did think I was making the right decision for both of us by suggesting that work would keep him busy and help him get through the day easier.  Yes, it was best for me but I did think it would be best for him too so it wasn't completely selfish.

Carly was a little nervous. I think it all happened a little fast for her.  We had gone for so many years saying "there's no point in taking any risks" to "let's do it!" and so she was kind of focused on the risks even though they truly were minimal.  I felt bad I didn't realize how anxious she had been feeling and taken the opportunity to talk to her more.  She is so good at presenting her strong, capable, mature side that sometimes  I forget that within her also resides a fearful, unsure teenager.


My parents called me and told me they were planning on driving to Orem (4 hr drive) and going to the hospital with me.  I was so touched.  I was okay with being there alone, I wasn't stressed or anxious about being alone, but when they offered, it suddenly sounded so nice to have company.  My parents are good company and always make me feel strengthened and reassured.  I love spending time with them.  I am so grateful they were willing to make such a sacrifice to drive all the way here, pay for a motel room, hang out all day at a hospital, sit in uncomfortable chairs, etc.  They said "She's our girl too!"


When the hospital called the day before to go over check in procedures, they told me Carly was only allowed to have 2 adults with her.  I was freaking out.  My parents were already here and planning to go with me.  There was no way to "choose" a parent to stay home and "choose" a parent to go.  I wanted them both there with me.  We decided to just ignore protocol and all 3 go.  I wasn't sure what they would say or do but we all decided to break the rules, buck the system, do it our way!  I am not much of an anti-establishment chick so this was stressful for me but it ended up being no big deal at all.  No one said a word to us about having 3 people there and we all got our "Carly Bocanegra" nametags to show who we were with.

The following is my mom's journal keeping of the event.  She wrote it so well that I'm stealing it.  Thanks mom!

On May 2nd, 2012-
We arrived at the Primary Children's hospital at about 6:15 a.m. Wednesday morning.   As you know in the hospital there is a lot of hurry up, get there and wait stuff; so after getting her admitted, and the three of us getting 3 X6 sticky tags on our chests with Carly Bocanegra written on them; we all got to talk with the 2 doctors who perform the procedure. What lovely people.  They took Jamie's cell # to call her and let her know how things were going through out.
    They told us and showed us via pictures what needed to be done IF she really did have tachycardia.  Because she had no documentation (it always stopped before she got to the hospital or to the doctor's office)  Dr. Etheridge, the cardiologist,  was going out on a limb even trying this.  We so appreciated their honesty with us.  They told us the best scenario was if the problem was in the center of her heart, the AV node.  If it were on the left there could be all sorts of problems, too numerous to mention , but the worst was blood clots and/or stroke. 

     Carly went to the Cath lab first; where they would try to reproduce tachycardia.  If it didn't happen they would not proceed.  She was in the lab for about 2 hours, hooked up to all kinds of electrical stuff with the catheters going up both sides of her groin and one in her neck.  As soon as they proceeded with adrenaline; her heart went nuts.  Dr. Ethridge said they saw much evidence that she had had many many previous episodes of tachycardia.  They used a freezing probe (which they later gave as a present to Carly.  It was neat to see.)  They could only touch each little tiny area of the heart for a few seconds; then back off, wait, then do again.  It took 4 minutes to completely ablate any tissue they touched with the probe which had a head roughly the size of one of those sewing pins with the large colored plastic ball on the end.

     The wonderful thing about P.C. Hospital was they called after she'd been in there about 1 1/2 hours to tell us what they were doing and what they had found; which was such a blessing to our tired on her feet,completely worn out, fasting, worried Jamie.  When she was told that they found evidence of the tachycardia; she lowered her head with tears flowing in a gratitude prayer.  They called her every hour of so to let her know how it was going, where she was and how she was.  That was so wonderful.

     After recovery she had to lie flat for 4 hours which was probably the worst part for Carly, with 3 hovering; she just wanted to be left alone, I'm sure but we were all so grateful to see her sweet tired face again, and know that she was fixed that we just wanted to be close.  She had wonderful nurses and doctors who were so great.  Couldn't have had better.

   I think because Carly is a CNA she was a better patient, understanding of what they were doing, realizing that there was no sense in being embarrassed etc. Could not have been easy being exposed to the breeze and to do that as a 17 year old.

    We were in the hospital for a little over 12 hours, which isn't great but I'd do it again for any of you or our grandchildren;without a second look.  What a blessing!  Carly was told that she will have phantom tachycardia for a year; to remember that it is phantom and to not freak out, get anxiety ridden etc.  It happened to her twice in recovery.  So she knows to not worry; but to let it gradually pass and have joy in the knowledge that the real deal is past.

    Her recovery room nurse was Matt, a great guy, who felt badly that a teenager had to have a male nurse...but he was efficient, funny and put her and all of us at ease. We have been blessed as a family to witness a miracle with our Carly.  She was blessed, the doctors were guided, all the family's prayers were answered on Wednesday.  We are blessed beyond measure.  

    Carly slept on the sofa, at home that night to be close to the bathroom and not have to go up and down stairs in her weak state...kinda wobbly   She came home with kind of an electrical harness (Holter monitor) on her to record the first 24 hours after surgery; which she will send back to the hospital.    Of course her friends came;  Drew made cookies for her, the R.S. sisters brought supper and flowers for Carly and what I thought was wonderful was a flowering plant for Jamie!  That was extra thoughtful.
   
  ***********************
Back to me:
It was so thoughtful.  I have wonderful visiting teachers who brought a fabulous dinner.  It tasted so good and was so nice to get home at 7ish after being gone for over 12 hours and know my family was fed and there was even a little somethin' left for me and  to see the beautiful flowers brought to both Carly and I by another loving, thoughtful friend.

Over the next couple of days Carly also had many thoughtful visitors from her Lovely young women leaders bearing treats and hugs to kind friends from school with Jamba juice, boxes of ice cream and just coming to laugh and visit with her.  She tired quickly and sometimes we had to kick them out.

Her friend, Drew, was there pretty much every night for the few days following, watching movies with the fam, bringing flowers from his mom, talking to her and making her feel pretty special.

While we were at the hospital waiting, my mom and I visited the gift shop just to look around for something to do but like girls are prone to do... we found things to buy.  My mom picked out some cute little earrings for Carly and I found a little ceramic plate with a quirky collage of pictures and print that read "what makes your heart flutter?"  I had to get it for her, it was too perfect,  and she loved them both.

One of the things that touched Carly most was her Papa feeding her dinner while she lay flat on her back during the 4 hour recovery period.  she wasn't allowed to sit up at all or move much because of the places in her groin where they had inserted catheters.  They had heavy bandages over them and the 4 hr period of lying flat is crucial for the holes to form proper clots so she could go home.  She got a little uncomfortable but her nurse was thoughtful and helped change her position enough with pillows that she could get through it.

We can't say enough lovely things about Primary children's hospital and the Dr.s and nurses that helped us that day.  Carly says she wants to work there someday when she gets her nursing degree.  They were all such amazing, lovely people and so considerate and thoughtful and positive.  We were given SO much information and told so often what was happening.  I even have good things to say about the cafeteria and gift-shop.  The little gifts we bought in the gift-shop were very affordable, not over priced.  The cafeteria was very reasonable and the food was really good.  Carly got a kick out of it when they brought her a menu in recovery and told her she was allowed to order whatever she wanted and how much she wanted.  There were no limits at all!  The menu guy said "we work with kids here so we're pretty much like your parents... we just want you to eat something so we do whatever it takes!"  She ordered a ham, cheese, egg english muffin sandwich, a side of sausage and hash browns, orange juice and a butterfinger shake.  yum!

I called Mark while he worked  and Carly's wonderful Grandma Donna in California to check in with them as I got new information throughout the day.  My mom took care of texting my brothers and sisters with updates since I don't have texting.  It was so beautiful to know there were so many people worrying about Carly and praying for Carly and loving Carly through this day.  Rachel and Mason chose to fast.  I knew about Rachel but I didn't know about Mason until I got home.  He told me when he found out Rachel was, he decided to do it too.  so sweet.

Poor Mark-  He said "I am never going to work again if we have to go through something like this" He said he just couldn't focus on his route and drove many, many extra miles because of mistakes he made.  I don't know if it was better or worse for him to have been working-  He did say he was able to keep his mind off things because of work some so who knows what the right answer is.  I think it would have been bad either way.  He just couldn't live by his usual motto that day "I don't worry about things I don't have any control over".  It was his little girl in the hospital that day with people probing at her heart, deciding what to freeze and destroy.

As I have pondered and prepared to write about this experience I have been thinking about how much of life is out of our control.

I read a friend's blog recently and just cried as she related her anxiety about her disease that was interfering with the way she wanted to live her life and be a mother.  Her health is something she can not fix and can not change no matter how much she wants to and she is frustrated with having to accept these limitations.   I thought about  my family &  friends that I love and the things that are out of our control; financial problems, loneliness, pain, health problems, fertility, changes in people we love that we can't do anything about, chronic disease, consequences of other people's unrighteous behavior, etc.

I know that this is a HUGE issue in my life... fear about things I can't control.  Too often I let it bring me to my knees in defeat but I am learning that I need to let it bring me to my knees in faith because faith is all  we have to combat the things that are out of our control.  I wonder why I have wasted so much time being afraid when faith is the opposite of fear.  I dont' have it down yet but I hope I am on the right track.  I hope I have learned a few things in the last few years that will ensure that I will not spend so much time in defeat and fear but that I will spend more time in prayer and faith that all will work out as I apply the enabling atonement of my Savior, Jesus Christ.

May 2nd was a good day.  We were able to fix a heart beating wildly out of control.  Carly doesn't have to be afraid to exercise, to move away for her college adventure, to have children.  These were worries we had before.  This is a limitation we have fixed but I am also painfully aware  that there will be things I can not fix for her, limitations I can do nothing about, pain I can not remove from her heart.  I hope she will learn faster than I have about faith's power to sustain, to heal, to bind up broken things.

We are so blessed to have a Heavenly Father who loves us as he does, who yearns to lead us.  I am so grateful for Him and to my Savior for being the bridge to Him.  I want to be more faithful. I want to be able to, in the midst of fear and confusion and pain-

Be Still and Know Him.



  

Wednesday, May 9, 2012

Be Still My Heart: Part 2

Carly's SVT started to become more of an issue this school year.  We started to notice she was having episodes more frequently than the past couple of years but they still seemed manageable, they didn't last too long and weren't interfering too much into her life until  the spring semester began in January.

She has a weight training/kickboxing class every other day.  She likes to push hard in that class and began having a lot more episodes at school and at home, and they became a little more intense. In late Feb/early march, she had 2 episodes following her exercise class one week apart that lasted for a really long time.  She has choir after so that helped as she could sit and rest without getting into trouble or being asked a lot of questions.  She hates to make a big deal out of it and tries to get through them without anyone noticing.  She does not like drawing attention to herself.  The first episode was about an hour and she was feeling really lightheaded and tired but she got through it and told me about it afterwards.

The next week I got a phone call from one of her good friends.   "Jamie.... Carly doesn't want me to call you but I think you need to know.... she's having one of her heart episodes and she looks really bad.  It's been going on for almost an hour"  She said  "I'll drive her to your house"  I agreed to meet her at my house.  I figured it would be faster to have Savannah bring her home and meet them there than for me to drive to the school and back.  I figured I'd be able to see her and decide if it was something more than her usual episodes and if we needed to go to the doctor at that point.  Savannah was supposed to call me when she was almost to my house since I only work around the corner.  I waited and waited and it seemed to take longer than I expected.  I was just pulling my phone out to call her back when it rang and this time it was the school nurse.  I could tell she was worried and wanted to know if she should call the ambulance.  I told her no, and that I was on my way.

I'm not sure how she ended up in the nurse's office exactly because I never really got that part of the story but I think it was because Carly hadn't been able to walk out of the classroom under her own strength and so her friends had gone to get a wheelchair and they had her come to the nurse's office.  The nurse was pretty concerned.  She couldn't even count her heart rate.  I drove there as quickly as I legally and safely could and when I saw her I was quite shocked.  I kind of thought people were overreacting as I'd seen her in some long episodes before and she does get tired and wan looking but this was something new.  She was barely coherent, you had to talk to her over and over "Carly, Carly, talk to me, it's mom" and she'd barely flutter her eyes and look at you and moan, it hurts to breathe, it hurts" before she'd close her eyes again.  I had never seen her look as if she might pass out before but this time, she didn't  look good.  I'd never seen her in pain because of it before either.  Her chest hurt and she said she felt fuzzy all over her body.  At this point the episode had lasted about 60-75 minutes.  I loaded her in the car to go to the hospital and her friend Savannah offered to come with us.  At first, I said "if you want to come, just follow us in your car" because I didn't want to be responsible for her being out of school and didn't know how long everything would take, etc.  She said "well, that's fine- I'll do what you want but the nurse had suggested I go with you so I can watch Carly while you drive and let you know how she's doing."

That suddenly made a lot of sense as I was trying to get her to respond to me and back out of the parking space at the same time and it was very distracting.  So Savannah climbed into the car with me and sat behind Carly who was in the front passenger seat.  She would rub her arm and talk to her and get her to respond so I wouldn't worry and that made it so much easier to focus on driving!   The last thing we needed was to get in an accident because I was preoccupied.  These episodes were not supposed to cause damage but this one had been going on for over an hour and she was so incoherent and speaking of being in pain that I was quite worried.


I called her pediatrician to ask if I should go to their office or the ER and they suggested the AF hospital ER as it is a bigger hospital than the closer Orem ER and more likely to have a cardiologist on duty.  We were almost to the hospital, literally 2 blocks away when the episode stopped.  Her heart will kind of pause and then resume a normal rhythm.  I have felt it before with my hand on her chest and it's kind of trippy.  At this point the episode had lasted about 1 hr 45 minutes

She, who had been barely conscious for over an hour, opened her eyes, looked around at us,  and said "it's over.  It stopped"  and snapped her chair up.  I pulled over and parked for a minute to evaluate her.  She was tired and worn out but feeling normal otherwise.  We turned around and dropped Savannah off at school and went home.  I was disappointed that we didnt' get the episode recorded on a heart monitor but there was no point in going to the hospital now.  She stayed home from school and called her boss to beg off work.  She really needed to rest.

That episode was a turning point for us.  Things had changed and I felt like SVT was interfering in her life now.  She was afraid to push it in her kickboxing class and exercise as hard as she'd like to.  All I could think of that day was her going off to college and having one of these awful episodes and not being able to be there to help her and the people around her not knowing what to do....  I also didn't want her to be afraid to exercise which I knew would be an important part of her physical, emotional and mental health when she goes to school.

I called Mark and he said "Let's see if Dr. Etheridge will do the procedure"

I called and made an appointment that day.  We were able to get an appointment a few weeks out  on March 20 and waited to see what would happen.

About a week after she had this bad episode she was leaving for 5 days to california for her school's choir tour.  I was nervous she'd have an episode while she was gone.  She had a great time and didn't have any more bad episodes.

March 20th finally came and we saw Dr. Eheridge.  We explained what had been going on and had a good discussion with her.  We told her we were very interested in the cardiac ablation.   She said she didn't usually like to move forward without catching an episode on record but she was willing to in our case.  She said with the history of her visits over the last few year combined with  Carly's explanation of her symptoms and description of the episode, it was very convincing and she felt like there was enough to move forward with.  We were grateful and surprised.  We got a phone call the next day scheduling the procedure at Primary children's hospital for May 2nd.