Ok--so this is what has happened. My stepdad, G., now has an LVAD. I wish I knew how to make those link things, so I could send you to the post where I detailed what that is, but I don't. Sorry. Anyway--it is a machine that replaces part of his heart that he wears on a belt. Nice, huh?
Anyway--there were some stitches left in that should have been removed a LONG time ago. They became infected. Not good. A person cannot get a transplant when they have an infection--we thought. Turns out, that is only the case when the infection is systemic. So--they put him on antibiotics. The infection continued to get worse. At this point, he is on IV antibiotics 4 times per day. So, the other day, the IV doc determined that they cannot take him off of the antibiotics or the infection will become systemic. But, if he stays on them for a long time, it will begin to affect his liver, kidneys, etc. In fact, his renal function is slightly altered already.
So, the choices are: 1) Take out the LVAD and put in a new one or 2) do the transplant. Although it sounds nuts, the LVAD is actually a MUCH more complicated, critical procedure. It actually took about 5 1/2 months for G. to be back to a normal functioning human being after his was put in. So, the doctors determined that this situation makes him a critical need for a heart. Everything else works great, so he is an ideal transplant candidate. They don't want to put that at risk by staying on the antibiotics forever, and the alternative is to get off of them and then, basically, an infection would kill him.
So--while I always thought that anyone on the "A" list was at death's door, counting the seconds in the hospital, racing the clock (and that is usually the case) that is not what is happening here. It is a race, because he needs to be off the antibiotics soon, but for now, he is basically stable.
It is never easy to say when the transplant will come. The heart has to match, and there have to be donors available (which is not as common as you might think). But, eventually it will come. And that means that someone will die. Some family will lose their loved one. It will likely be someone young, and it will probably be an unexpected, traumatic death (auto accident or something.) It is horrible to think of. I don't pray for him to get a heart. I know that will evenutally happen. I just pray for the donor's family, because right now, this minute, they don't know it is coming. And then it will suddenly just be there. They will have to make that decision. I pray that they have discussed it, and that everyone knows the person's wishes, so it won't be something they have to decide in the middle of their shock and grief. Keep it in your prayers, please.
Also--I tell everyone I know or meet this: When I die, if you can, DONATE EVERYTHING THEY CAN TAKE. My corneas, my lungs, my skin--everything. Help as many people as you can. I don't do much to contribute to society, but I want to do this. Remind my family how important to me it was, just in case they forget. Thanks!
Saturday, October 07, 2006
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