Tyler's Home Page

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MonthHighlights
MayMother's Day,First Homecoming-First day outside
JuneBalloon Angioplasty,Homecoming 2
JulyHanging out at Home , Wild Animal Park , Allergy
August Second Operation Scheduled
September Second Stage,Back Home Again
November
December Second Balloon Angioplasty,X-Mas Card
January Report on the altitude trip
April 98 Tyler's First Birthday!
August 1998 Fontan Operation
September 1998 Recovering from Fontan Operation
October 1998 Back Home
November 1998 Home and Doing Well
December 1998 His Second Christmas

Tyler was born on Monday April 14th, 1997 at 5:29 pm. He was 8 pounds 14 ounces and 20.5 inches long (fortunately a large baby!). For the first hour or so, he demonstrated his powerful lung capability and his redhead attitude. He then began to get into his life. Looking around the room, checking his environment, and wanting food. At 5:30 am on Wednesday, Marilyn (the wonderful night nurse at the time) noticed his color was not as good as she would want. He was 36 hours old. She wheeled him down to the NICU (Neonatal Intensive Care Unit) and our problems began. At first they thought it might be an infection that was an issue, but could be treated with antibiotics. After an hour or so, that seemed to not be the case. The second thought was a blocked artery that could be repaired with a relatively straightforward surgery. They stabilized him, then transported him to Children's Hospital in San Diego. They were then able to run an echo-cardiogram on him to get a clear picture of his heart. Unfortunately, this showed that the artery was not blocked, he actually had no left ventricle (called a hypoplastic left heart). Our options at that time were:

Since there was apparently no other organ damage in his body, we opted for choice two. The operation is called a Norwood Procedure. Several sites exist on the Internet describing this heart defect, as well as the Norwood Procedure. Some are: The operation started at 10:00 am on Monday April 21st. It lasted 9 hours. It was performed by Dr. Rick Mainwaring at Children's. I cannot say enough nice things about this man. He spent three hours with us before the procedure explaining the entire process, what might go wrong, and what we could expect. He made us feel as comfortable as he could. Once Tyler was wheeled back, the waiting began. The worst period was supposed to be the 12 hours after the procedure. Both Dr. Mainwaring and our Neonatologist, Dr. Dudell, stayed by the bed all night monitoring his progress. Dr. Dudell has also proven to be a tremendous person, as well as all of the Neonatal ICU nursing staff. One very special nurse has been Beth. She has shown great knowledge and patience with both Tyler and us. He has had a few small setbacks, just enough to keep us worrying, but his recovery has been very good. One setback was a narrowing of the distal aorta. He will be having a small operation (small is relative I guess) in about 4 weeks. This is a balloon angioplasty to enlarge this part of his aorta.

Currently, Tyler is doing very well. I am writing this on Thursday May 8th. There is a good chance that he will be able to come home before Mothers Day on Sunday! What a great present that will be for Donna and myself. He is eating well and breathing on his own.

He will be on several oral medications that Donna and I will need to administer over the next few months. Assuming all continues to go well, he will have the second procedure at age 5-6 months.

May 9th, AM: Another small setback Wed night. Apparently cardiac babies are typically 'wet' patients. This means they have a tendency to retain fluid in places they shouldn't. Tyler's lungs are a little 'wet' (no evidence of pneumonia or infection exists), so they are adjusting his medications to compensate. This is not a major problem, but it will push back his homecoming. We did have a nice time with him Thurs night. He was rather alert, and very interested in staring at Donna. Whenever she would move, he would crane his neck to watch her. Smart kid ;-)

May 10 AM: Friday was MUCH better. Grandma and Grandpa Clopine came down and Tyler responded appropriately! The medications they gave him really helped. He was very alert and wanted to visit with us. They say with his 'wet' lungs, it was like he had a cold. He was just too tired. Once they were able to 'dry' out his lungs with a diuretic, he felt much better. He was hungry, and seemed to smile a lot (probably not on purpose, but it made us feel good to see ;-). They are now talking about a Mother's Day homecoming again. We'll have to see how he is today!

May 11 AM: Friday night turned out to not be quite so good. He had little problem keeping his dinner down. Since the last weighing, he lost about 3 more ounces (6 in the last few days) so the Mothers Day homecoming is off. During the day, with the care of Beth ;-) he managed to finish, and keep down, more than his share of mom's milk. Perhaps this is a better sign of things to come. The put him on a 'feed on demand' schedule. Now, as soon as he shows signs of waking, he gets a bottle. That will probably spoil him! (but we don't care) I can hardly wait until he asks for his first Ferrari, perhaps he will let his father borrow it ;-)

May 12 AM: We had a great Mother's Day with Tyler! We spent most of the afternoon feeding and holding him. He is getting quite an appetite. Since his last weighing, he gained 135 g (4+ ounces). It looks like the new feeding routine is helping as well as a new medication list and schedule. He really seems to like to visit when we are there. He tries to keep his eyes open as long as he possibly can before going back to sleep. We were able to dress him up in a Mother's Day outfit for some great pictures with Mom. A special day...

May 13 PM: Well, it looks like the weight gain from Sunday was not exactly all true. He must have had a wet diaper or something. He has gained weight from Saturday, just not that much. His 'wet' lungs seem to be drying still, but the area around his heart is still a bit inflamed. Once that goes away, he should be in great shape. We were asked to spend more time with him now, they are hoping to have fewer different faces feeding him. That might help him eat better!!

May 14 AM: He lost a bit more weight, but we have figured it all out! Last night, Tyler told me why he does not want to leave the NICU. He has a big crush on one of the nursing staff! He flirts with her as much as he can... He figures if he doesn't gain any weight, he can stay longer. His lungs continue to look better, and his heart inflammation is going to be examined again today. They think it will probably look better as well. All he needs to do now is eat. I wish I had that problem ;-)

May 15 AM: A little better on the weight last night! He's up 80 g (almost 3 oz!). That's great news. They are fortifying his breast milk with a high-powered food additive with a ton of good calories. I think the quarters I taped to his rear after yesterday's diaper change added a little to help his weight ;-). His heart inflammation (pericardial effusion) is 90% resolved, and his lungs continue to 'dry'. We were able to give him a bath yesterday (plenty of embarrassing pictures to follow) and the last of his umbilical cord came out! He loved the heat lamp, we'll probably have to buy one of those now... At this point, the dressing, all sutures, and all IV's are out. His only 'food' is mom's milk. It was a great afternoon with the little guy!

May 16 AM: Another nice day with him yesterday. He is really showing his personality more and more. He seems to smile at us, at least we are going to believe he is ;-). He is spending more time awake and alert. He gained another 30 g last night. His eating and weight seems to be about the last problem we need to face right now. They are talking about a Monday or Tuesday homecoming now! We just got a call from Tyler's ex-neighbor in NICU. He went home a few days ago. He had the same operation as Tyler, and is doing very well now.

May 17 AM: We did not get to spend as much time with him yesterday. We were getting ready for the baby shower for Tyler's girlfriend. Her name is Megan, and she lives across the street at Scott and Julie's house. A tall and thin, good looking girl (5 lbs 12 oz, 19.25 in). Tyler is still eating well, but I think the nurses are reading this page! They must have found the quarters I taped to him, he lost 40 g last night... Since he is eating well, it's not a big problem. We're now looking at a Tuesday or Wednesday homecoming.

May 18 AM: Wow, do we make cute babies (spoken like a true parent ;-). He melted our hearts again yesterday with his happy attitude. It was very hard to go home last night. He just seems to be in a better and better mood each day. It's nice for us to see. Not as many milestones to report, it's just a waiting game now. He stayed the same weight last night, but continues to eat well. He is off one more medication today! It's the med that he hates the most too! Perhaps that will help trigger a better appetite.

May 19 AM: True to form, Tyler managed to throw another curve ball at us. He is now slightly anemic. They will probably try to treat that this morning. There will be another echo-cardiogram to check on his pericardial effusion this morning as well. He did manage to gain 70 g last night, and is showing more and more attitude ;-). He was even a bit of a pill yesterday afternoon! He seemed rather calm with us last night though, perhaps just to send us home on a good note...

May 20 11:00 AM: Apparently, the anemia was not that big of a problem. The echo-cardiogram showed no pericardial effusion, and his lungs looked great. This only means one thing... We just got the call, he is scheduled to come home tomorrow

May 21 2:44 PM: He's Home!!!!!

May 22 PM: Sorry I've been so wordy during the last two days ;-). My mind has been on other things!


There's a door we've been walking through several times each day for the past five weeks into the NICU at Children's Hospital. We finally carried our son through this door. He had no tubes, wires, nor monitors. The only thing he needed was his mother and father to carry him. For the first time in his life, he saw the light of day, smelled fresh air, and felt the warmth of the sun. I wish that everyone could once feel this type of joy. Our son was finally with us.
Tyler has been a pleasure to be with for the past two days. Everything he can see, smell, and hear is a new experience. We are certainly getting used to his presence. We've already had such a wonderful time getting to know him at the hospital, now we are able to do it at home.
He loves to be held, but is a very content and happy baby sitting in his various chairs and swings. We've been on two walks with the neighborhood 'stroller gang' already. His eyes are wide open the entire way. His appetite has been great, and he didn't wake us up last night (we had to wake him for his feeding). We're even getting used to administering his various medications.
Again, we cannot express enough our thanks to the people at Children's Hospital, and the staff at the NICU. Their expertise and patience with both Tyler and ourselves was incredible. We look forward to bringing him back to visit as much as we can. We want him to know these people.

May 24 AM: Tyler had his first Cardiologist appointment yesterday (at least first outside of the NICU). He passed with flying colors! He then finally got to go back to visit his friends in the NICU. He was very happy to see them (they were happy to see him too). He still manages to throw us different things though. Yesterday, he decided to sleep and fuss most of the time, and take a snack once in a while. This morning, and last night, he is a power eater. With a fully belly, his naptime is much deeper and more useful. He is very alert and happy while awake. He smiled at his dad this morning, and melted pappa's heart even further. Grandma and Grandpa are coming over this afternoon, so were getting all cleaned up. We are attempting his first bath at home in a few minutes. Should be fun...

May 26 PM: With all the activity in this house, I could not keep up this page. Fun activity though!! The bath was a major success, until we had to remove him from the water. That didn't cut it for him. Dr. Dudell and the nurses at NICU would be proud of him, he is averaging 450 cc of mom's milk per day. He is usually most hungry at the 3:30 AM feeding (the one assigned to dad ;-). At least he does go back to sleep right away (usually). Administering meds is becoming more of a routine now, for all of us. A couple of things I have noticed as a new dad: