Well, as much as I have tried to not think about it, I have to admit to myself that Rebekah's surgery is really right around the corner. One month from today, to be exact. I've tried hard not to think "next month at this time we will be driving to Charleston," or "next month on this day we will be at MUSC for pre-op all day." We both know that Rebekah needs to have this surgery, but knowing and doing are two completely different things. It is never easy to take your child to the hospital for any type of surgery, but knowing that the outcome of this particular surgery is so questionable is difficult this time around.
Drew was finally able to catch Rebekah singing "Jesus Loves Me."
Then she promptly follows the song with an important announcement. :)
Dr. Bradley warned me that his will be a longer and more complicated surgery than Rebekah has had before. They will have to cut through a large amount of scar tissue to get to the collateral that connects Rebekah's right sub-clavian artery to her right lung. Dr. Bradley said it would be similar to chiseling a vein out of concrete - very long and very tedious. The scariest part in the procedure is that they will have to partially or completely collapse Rebekah's right lung in order to reach the collateral. Dr. Bradley is concerned about what effect that might have on the already high pressures in Rebekah's left lung. If the pressures go to high, they will have to start Rebekah on nitric oxide to relax her heart and left lung. There would be an increase in recovery time if she continued to need the nitric oxide. We are really praying that she responds well to the collapse of her right lung so we don't need to face this option.
Dr. Bradley also said that Rebekah has "hundreds, if not thousands" of collaterals branching from her aortic system and leading to her right lung. According to Dr. Bradley and Dr. L (our Greenville cardiologist), these collaterals range in size from microscopic to medium-size. The "medium-size" is the one that Dr. Bradley is going to try to connect to Rebekah's pulmonary artery. Each of these little collaterals by themselves is no big deal, but the effect is staggering on Rebekah's heart. Her heart is pumping blood through all of those little collaterals to her right lung, when it should be pumping that blood out to her body. Dr. Bradley believes this is the main reason that Rebekah's left ventricle showed some enlargement on the last echo. The plan is to coil off (block) the biggest handful (dozen or so) of these collaterals each time Rebekah has a heart catheterization, but we were told that, in effect, it will be like being covered in fire ants and picking them off one at a time with a pair of tweezers. One fire ant is no big deal, but hundreds of them can be deadly. We are really hopeful that this medium-sized collateral will provide some relief to Rebekah's tired heart, but in reality, it just may not be enough. Please pray with us that this surgery will be successful and that this collateral will continue to grow and take on more and more pulmonary blood flow.

Rebekah and Mommy went to a friend's baby shower.
It was fun to dress up and do something "girly!"
We truly, truly appreciate each one of you who has lifted Rebekah up in prayer. Your encouragement and love for our family has been such a blessing to us. Please continue to pray with us.
Nancy