02/26/2025
Big Max update!! We finally went to see his wonderful cardiologist and team in OKC today for the first time in eight months - the longest we’ve gone so far. His heart function looks normal, glory, hallelujah! They feel iffy about his (lack of) weight gain but understand that he is at the prime picky-eating stage and we’ll keep working closely with his dietician to come up with some ideas. We’re going to drop his lung function med (tadalafil), see how he does, and we’ll go back in four months to do a repeat echo after he’s been off of it for a bit. The thought is that he doesn’t actually have pulmonary hypertension and his high lung pressures before his last surgery were caused by collaterals (compensatory vessels the heart grows when it’s compromised). So the tadalafil can actually make things worse in the long run if that’s the case. The rough plan is to do his sedated MRI and pre-Fontan cath in January of next year, and most likely the third and final open heart surgery, the Fontan, by summer of ‘26! AND this summer we’ll likely get to remove the g-tube AND he got the go-ahead for school and travel! We just are beaming with excitement for him and we’re so grateful. Words really can’t express it, or the sense of relief after such a good report. He really hates appointments, and we were finally able to calm him down for the echo with the help of some dad snuggles and a video call with Grandad. Our cardiologist, Dr. House, was able to get a fist-bump from him in the end, so all is well. We made sure to visit our team up in the CVICU and brought them a new Max calendar for their break room. He has a serious fan club up there and he didn’t know what to make of it, but he did soak it up. On our way out, we happened to bump into our brother-in-law’s brother (Brent’s brother) Kyle! He works there occasionally, so it wasn’t too random but it was a nice surprise! Max took to him very quickly, probably because he loves Uncle Brent and he could probably sense the familial similarities 🥰
All in all, a fantastic report, especially after the recent RSV/pneumonia nightmare. So so grateful.