Archive for October, 2009

Me and Aaron

Monday, October 5th, 2009

So, Mark left this morning. I will not let the fear of being here so far away get to me. We are in the best possible place.

Tomorrow we may get the determination of the Transplant Team and yes, I mean, “team,” there are over a dozen doctors involved in this orchestration.

I look at my little boy and I admire who he is. He is only four years old, but he is so bright, he is aware of everything going on around him. I have fear for him even though I think he has none of what the future will bestow on him. He plays with his toys and asks us to change the channel to Handy Manny or Caillou, and puts in his requests for macaroni and cheese, or pizza, just like any other 4 year old.

On the inside, he is not. His doctors have called him a good actor. On the outside he is a happy little four year old, and on the inside he must have God’s hands pumping his heart for him because what they see on the echoes and MRI’S and monitors does not reflect the little boy playing on a mat on the floor of the pediatric ICU.

We have met with his transplant surgeon Dr. Lax, whom we are told patients come as far away as India and Japan to have perform these transplants. He has told us Aaron’s odds of survival, and explained to us what he must do to make this work.

If it were just a heart transplant I say that because that is how it has been told to us. It is not a normal surgery and no two could possibly be the same because his heart on the inside is only half a heart and has already been modified three times.

Where the transplant heart is going to need to be connected Aaron does not have the connections or valves. Where his lungs need to be connected he has no connection to his main artery. His IVC is interrupted - that means he does not get a good blood flow. There is not one part of his heart that is helping this come together easy, but I have so much faith; When I close my eyes I see God there with the surgeon. He has been there with us all along. He is the one that will make this whole thing come together.

We are here, so that alone is proof and Lord knows we had obstacles and I am sure there may be more. Don’t get me wrong - I have moments, a lot of them, when I am terrified and I can’t picture the day when they say okay we have the organs, we are ready, and we have to say goodbye to Aaron before surgery.

I can only do this with that blind faith that I have. We have no other option but every moment that we are together is so precious. Please cherish your moments with your children and rejoice in their health. I see moms with their children and I just long for those times when I did not have these worries.

I spend every moment thinking of the day when I don’t have to worry or listen to him breathe at night. I wish we could all be together as a family. Knowing what I know and that my boys and Mark are not with us. Oh, it just rips at my heart. When we are together I can promise it is so cherished.

I am so glad that Mark opened up and has put some of his thoughts to words. It is such a release. I think he is beginning to understand that. I lean on him a lot and he on me. We are so blessed to have each other.

I have seen him through such different eyes these past few years. We have gone through so much and we have a huge mountain ahead. I am positive that he will be by my side and we will grow old together. I just pray that all my children grow old and outlive us. I have spent many a night praying and thinking of the family that Aaron will receive the gift of organs. We have started to pray for them and I ask you to do the same. This fate will happen without any of our praying, but when we pray for Aaron’s miracle as a result we are praying for his life and for God to give him life.

The fate of the donor is happening without our prayers we just need to pray that God is with them when they are told that their Ethan passed away. We had everyone by our side at the hospital, even father Jordan somehow appeared that night at Kaiser Walnut Creek. In our lowest moment our God came to us, he came to us in our family that night and our church.

I pray that they are not alone that they have God to turn to and that He helps them up when they fall to the ground in disbelief - like we did.

I truly am so busy every moment with doctors and Aaron and trying to keep up with every detail of everything that happens with him. How much he is getting I know how much Milrinone and have they lowered it. I know how many inches his belly measured yesterday, or if his lungs always sound like that. Or the last 20 ml of fluid he had. I have to know, but why my son is covered from almost head to toe in massive scars or has so many IVs going in and out of his body that it is an orchestrated dance to get him in and out of that wagon.

I don’t know. I can’t think God chose this life for us. We have truly suffered more than most, but I do feel so blessed and so close to God with each breath that Aaron takes. I am thankful for every moment that he smiles at me or whispers “goodnight, I love you Mommy” without being prompted. I am thankful Aaron is the biggest gift that God has given me. I will cherish every day and moment because we are here and we have just started our climb.

For all of you at home reading this; thank you for keeping us in your prayers. God hears us all.

Arrival at UCLA Ronald Reagan Medical Center

Saturday, October 3rd, 2009

We arrived at UCLA Ronald Reagan Medical Center on Monday Yippeee…

The goal was to get Aaron to UCLA, we have been told UCLA is the hospital that Aaron needs to be to perform the high risk double organ transplant. Aaron spent the majority of the summer at UCSF, in what the Tanner family calls our “home away from home”.

It is second nature that doctors, nurses and social workers refer to us by our first name and we do the same. UCSF has been good to Aaron and the balance of the family, yes we have had bumps, hick-ups, and snags along the way, although we have always been able to work through these issues keeping our vision in front of us.

Thank you all!

Before I go any further I need to thank everyone for all of your support, thoughts, prayers, and support that you all have given the Tanner family. Our ordeal has been much more difficult than we could have ever imagined and has not started out the way we thought, with the unspoken support of immediate family and taking on much of our responsibilities back home.

Our New Home

Aaron’s new “home away from home” is on the 5th floor of the UCLA Mattel PICU Wing. Although this is exactly where we need to be, Aaron still is going through a battery of tests. They are going to try to evaluate Aaron’s case with the complete transplant team on Tuesday of next week, permitting all labs, x rays, scans, MRI’s and any other reports are gathered to be presented and recommendations are given.

When and if the transplant team accepts Aaron and takes on his case the insurance company will be handed a packet for their own review and the final answer, for the lack of a better word  I refer to it as the insurance provider gets to play God for a day. Regardless of what these professionals determine with our technology of our century, there is no dollar amount in the world that would be too little or too big, if it means Elizabeth and I could spend another day or longer with Aaron. We know this all to well.

We have had a couple of very intense meetings with doctors this past week; it has been very stressful on both of us. Wednesday night, we met the surgeon that would perform the actual heart transplant if Aaron’s case is accepted. He went through each step explaining what he would have to do to a new heart to make it work for Aaron.

Aaron’s Condition

Not only would Aaron receive a new heart the surgeon actually would have to do some reconstruction on the new heart to make it work for Aaron’s anatomy, since this is a double transplant on a congenital condition lowering the chances for success. I’m intentionally not sharing the odds of success, Aaron’s case is very complex and odds are lower than we would have expected.

Just before we met the Transplant Surgeon, we asked the nurse if we could meet with a doctor to see if written orders could be changed to allow Elizabeth and I to take Aaron to the playroom unassisted since the floor was very busy.

Since the doctors were all very busy, they sent in a new medical student to speak with us. In the middle of his excuse that he was giving us, the surgeon walked in and introduced himself. Needless to say the medical student took a step back and listened in on our conversation with the surgeon, of what Aaron has gone through in his life, and what he was about to go through and the repercussions that follow.

None of this is new to Elizabeth and me. I watched the medical students facial expressions change with every word that the surgeon spoke. When the surgeon left the room the student apologized that he did not even have the authority to write orders or even allow us to accomplish what we wanted.

I think after what the student listened to he realized that the front that he tried to put on for us was pointless and possibly felt sorry that Aaron was unable to go to the playroom that night. The very next morning the student returned back to the room and referred to me as Mr. Tanner, and asked me if there was anything that he could do to help out with his nurse, so she could try and get Aaron to the playroom. I would imagine the night before was a surreal moment for him.

Staying Focused

We have been trying to focus on the positive and what the end result will be. Elizabeth can’t hide her worrying, I have seen her break down more lately than not. I think a lot of it has to do with us all being so far from home and being in a new hospital where we do not know anyone, and watching Aaron adjust to all the new faces.

I have to be Elizabeth’s ROCK and stay strong for her and give her a shoulder to lean on when she needs one, who is my ROCK? Every time Aaron gets medication, sedated, poked, prodded, turned twisted and bent sideways, it makes me realize that Aaron is my ROCK. Aaron has gone through more in his four years of life than most of you reading this — including myself will go through in our entire life.

The Tanner Family

Many people ask me how do you pick your head off of your pillow in the morning and function, my responsibility is I do it, for my children. Not only for what Aaron is going through but for what the rest of my children are dealing with. Nicholas is a freshman in high school this year, and his younger brother Noah started 3rd grade.

This all took place with mom and dad absent taking care of the youngest member of the family; once again we could not have done this without the support of our immediate family and our wonderful community praying for us.

Monday morning I fly back to the Bay Area and will be leaving Elizabeth and Aaron behind. My fear is that I’m leaving them behind to deal with so much more everyday. More than likely Elizabeth will get a visit from the doctors in my absence, giving her their decision if they will take on Aaron’s case. Upon arrival we were interviewed and questioned a million and half times by every doctor and social worker involved. It is a common thing – what they are doing – but the biggest issue is whether or not we can deal with what a heart and kidney transplant patient entails.

We are currently between a rock and a hard place, we don’t make enough money to afford to pay outright for Aaron’s surgeries although we are told we make too much to get the financial support we need. When and if Aaron receives his transplants it does not stop there.

Aaron will take medication for the rest of his life and have regular doctor’s appointments. The medical expenses will continue, you can imagine the stress it brings when you’re watching your child suffer.

Only one parent can stay in the PICU room with Aaron and the only other sleeping arrangements that the hospital offers is empty waiting rooms, first come first serve. You have to mark your territory early. I often go to bed late and get up early. When I get up early this is my time, to think how do I balance work, Aaron & Elizabeth, Nicholas & Noah, medical bills and anything else that comes to mind.

Our New Surroundings

UCLA is big and beautiful; I have spent time walking in the halls, stairwells, elevators, bathrooms, cafeteria, and benches outside. While I adventure through these areas the one thing that that I observed and learned is that everyone is so busy and has a agenda, I observed doctors walking in a group walking down a hall a couple of them were talking about how to sync their PDA’s to their computers others were talking about patients, the one thing they did not see was me.

I took the elevator down stairs to the cafeteria and sat outside and drank a cup of coffee and ate a bagel, I observed many things –doctors and nurses entering and exiting the hospital on their cell phones, PDA’s or talking with co-workers, maintenance workers, pushing carts — all with a mission or destination in mind.

I noticed there were flowers and the green landscaping. It just dawned on me; I took a moment as the old Clichés goes “I stopped to smell the roses.”

When I was done with my coffee I went upstairs to see if Elizabeth and Aaron had awakened. As I walked down the hall a picture on the wall caught my eye. It was a picture of penguins on an ice berg, and then I just realized something — the hallway had several pictures of penguins on both sides of the walls head to toe.

I just did something twice in the same morning that I have not done in such a long time, I took time out of my day and “I stopped and I smelled the roses.” Realizing that everyone has very busy lives, between work, grocery shopping, basketball, baseball, soccer and many other chores we all need to take time out of our life and “smell the roses.” By not doing this you do not realize what you are missing.

Once again thank you all for your acts of kindness, carpool, events, phone calls, E-mails, support, visits, reminders not to lose our faith, and the power of prayers, (Jackie thank you for keeping me on track). I have to especially thank the kids Aunt Kaylena, Uncle Scott and Grandma Sandy they all have stepped in and helped so much and are keeping home life as normal as possible for Nicholas and Noah.

Scott & Kaylena are expecting their second child, our Nephew and Godson baby Jack is going to be a big brother. This is a very special time in Scott and Kaylena’s life they all have put there lives on hold to help family.

Special thanks and prayers to you all, and God Bless

Mark and Elizabeth