We are continuously surprised by how well Magnolia is doing. Because we had the WHS diagnosis during pregnancy we had time to read and research everything we could find on WHS. We told people that we were preparing for the worst and hoping for the best for Magnolia. The doctors told us the same. When we left the hospital after only 18 days we were thrilled but shocked. Of course we knew we had 7 follow up appointments and a long road ahead, but we were taking it day by day and grateful for how well she was doing. Now we are starting to have her follow up appointments.
We had our pediatric cardiology appointment last week. I had just read a great post from another mom about how many doctors are not aware of the broken hearts of parents and oh how appropriate of a post it was. The cardiologist that we saw was so straight forward and matter of fact that he literally took my breath away. We went to see him because Magnolia still had an open PDA. Nothing of great concern. Or so we thought. As he was doing the echo I noticed his facial expressions and got concerned. When I asked if the PDA was closed he said no and we have other issues going on as well. My heart started racing. He told me to go back to the exam room, get her dressed and wait while he looked up some numbers. He came in to inform me that Magnolia's PDA is still open and she also has an ASD and pulmonary stenosis. He then said, "You know all about WHS. It's a horrible syndrome and has a lot of really bad stuff associated with it. This is to be expected. I'm sure that's why you are here. We all have a limited number of days so you should cherish each one you have with her."
It doesn't matter how true all of the things he said are. It doesn't matter if I did know there was a huge chance that Magnolia would have heart issues. It doesn't matter if we all do have a limited number of days regardless of a syndrome or not. Did he need to say it like he was telling me he was going golfing that afternoon?? I'm aware that as a pediatric cardiologist he sees some very scary and extremely life threatening things on a daily basis. I'm also aware "in his world" this is not that surprising. I'm also aware that he did ask if I knew she had WHS before birth and if I knew about the syndrome to which I responded yes. I did NOT know that by my responding yes that somehow gave him the go ahead to flippantly inform me of my daughter's heart issues and tell me I could lose her any day. Please do not get me wrong I'm fully aware that Magnolia could be doing so much worse, she could still be in the hospital or getting ready for surgery or something even more dire. We are so grateful and thankful that she is doing so well. I guess I was just spoiled by the NICU doctors, nurses and staff. They treated OUR hearts with warm soft hands. They didn't casually tell us of any of her health problems. Every time they spoke to us it was with care and compassion. Apparently those days are over. I really should have printed out the post about broken hearts and given it to the cardiologist, though I doubt it would have changed his demeanor. It was a rude awakening to the world of which we are entering. Again, I knew we would have to get thick skin, fight and be an advocate for our daughter, but I was hoping it wouldn't start so soon. We have a kidney follow up appointment this week, hopefully this one goes better.
I was hoping that I might soon get comfortable enough to quit checking every ten seconds to make sure Magnolia is still breathing but this appointment just ruined that.
So sorry Hilary...sometimes things we see everday seem not so scary to us although they are terrifying to you. This does NOT excuse the cardiologist in the least...did he recommend any additional cares? I think you hit the nail right on the head with the going golfing comment. If I could wrap you up in my caring hands and continue to spoil you everyday I would! Until then, just know my heart,my mind, my email, my blog and my connections(when needed of course) are always open to you. I hope the next appts. go better! Magnolia is such a joy and I know that there are great things planned for her!
ReplyDeleteI am so sorry you had to deal with a doctor with such a lack of compassion. They need to screen all medical students before they graduate for certain qualities and this is one of the most important ones. Riley also has an ASD and you can see that she is doing great despite it. We had no idea she had a heart defect, we were sent to the cardiologist just to put a check in that box. But all of these conditions are treatable. Our babies will live on and on with fulfilling lives and prove every one of these doctors wrong. I'm so glad to hear how well Magnolia is doing. Keep seeing her as the perfect angel she is.
ReplyDeleteOh Hilary, I am so sorry you had to go through that appointment. I just wanted to share with you Dylan's first cardiology follow up appointment - it was very similar to Magnolia's. We knew when we left the NICU that he had a PDA and scheduled a follow up when he was 6 wks old. During that appointment we found he not only had a PDA but a VSA and a small ASD as well as pulmonary stenosis! I was so scared and didn't know what to think. I left the appointment in tears. The doc was also very cold and very straight forward. He had never heard of WHS but said he "read a paragraph about it before our arrival." After that news I felt like Dylan was given a death sentence and I was afraid to take my eyes off of him in case he stopped breathing. Fast forward 6 months - different Cardiologist, ECHO showed a closed PDA, and a closed VSD and a closing ASD and mild pulomary stenosis. Fast forward to March 2010 and his ASD is closing on its own and the pulmonary stenosis is no longer a concern and he only needs to be followed yearly! Those first appointments were all so scary for me, it always seemed like they were finding something new with Dylan and now I look at him and see a very healthy, happy and thriving little boy. I know that Magnolia is going to do great and thrive too. Hang in there. Hugs to you guys. :)
ReplyDeleteIts funny how some doctors are so empathetic and others just seem to be in their own little world! My daughter has this one specialist that is a great doctor, at first I didn't like him because he always just blurted things out with no empathy, but now that I know he does his job better than any other specialist in his field and has taken great care of my daughter, I truly am greatfull he is in her life! I just wish that he would approach things a little more different with a bit of empathy too!
ReplyDeleteHilary, I am speechless and saddened after reading about your experience with the cardiologist. I, too, wish he had shown more empathy and better bedside manner when sharing his 'finding' about Magnolia's heart. She is a fighter-- she fought to be here with you, she fought to leave the NICU after 18 days, and she will continue to fight for her life and will prove that doctor wrong. I will continue to pray for Magnolia...and you; I'm sending you hugs across the miles. xo
ReplyDeletebe strong my friend! i know u are...
ReplyDeleteI have felt your pain many, many times and it does not get any easier each time you meet someone who has no idea how to speak to a human being. But like you said, your skin will get thicker and eventually the public tears will subside. Keep writing, researching, and contacting other parent's about Magnolia's care. The most important lesson Amelia has taught me is that doctors know nothing when it comes to WHS. If you can, post this to the WHS blog.
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