I could tell Braden was nervous because his BP was kinda high, so we told him to take a deep breath cause there was nothing to worry about. Then we headed into the room for his EKG. This is the first time he has really noticed or cared about the print out of results. He thought it was cool that his heart made all kinds of 'mountains' on the paper. But then he had about a million questions of how the stickers on his skin connect to the cords to make the print out. Boy Howdy he had a lot of questions!
There is always a big 'Take the Stickers Off/ Leave them On' debate. See, they are super super sticky and kinda pull to get them off. Ultimately, we pulled them off. Just for my records, this is the first year they also put an EKG lead on his legs. Which of course Braden noticed and wondered why. It is AMAZING just how fast an EKG goes when the patient stays still. I can remember when he was a toddler this test taking 30 minutes versus the minute this years took.
After the EKG we waited and waited to be pulled back to the Echo room. This always takes some time as the Echo Tech and the doctor have to go over his anatomy, so she knows what she is looking at. He has a "normal' four chamber heart, but there are baffles and other things in there that make it look odd on an Echo.
Finally, it was or turn. As he gets older it is harder and harder to see the detail of what we could see when he was young. But we had an amazing tech, that's been there like 20 years so she was good. Braden was so calm and cooperative, not like last time when there was scratching and blood involved...
The tech took her time, looking at blood flow, an all the other mumbo jumbo heart stuff and then we were done. After the Echo we went back to our room and waited for the doctor to review the echo and come in for the exam. Of course we sat and waited and waited and waited. And then I started to get that panicky feeling I get anytime we're there. After about 45 minutes of hanging out Dr. N came in and was all smiles. I've said before this man has ZERO poker face, so we generally know right away if it is good or bad.
We love to see our peds cardio doc. He has been through it all with us. Encouraged us and supported us when we wanted to go to Stanford for B's surgery. As grateful as I am not to see him more than once a year, we miss him! So we usually spend most of the appointment chatting about non-heart related things.
During the exam he checks the pulses in Braden's feet, legs, arms and hands, check his overall health and then listens. And listens. And listens and then he listens just a little more. Braden was so quiet, answering most questions by looking at me first. The Echo showed a blood flow thing (I'm gonna use 'thing' cause I can't remember the term exactly, and you don't really care anyways) having to do with the Coronary Vessels. We've never talked about the Coronaries before. They weren't part of his diagnosis. From one view you could see a 'thing' but none of the other views showed it. So, Dr N had 3 other docs come in to decide if it was something or not. They all decided it was a not. Nothing of concern, just something to watch and be mindful of next exam.
We hadpreviously discussed having his next exam in two years but Dr N is super cautious so he wants us to come back in one year. Braden will do a treadmill test then to make sure as he is getting older, and more active in sports that his heart is able to keep pace with him. I think it will be cool to watch. We discussed Braden's limits as far as sports go. He has none per-se, but he was pleased that B was doing diving instead of swimming and baseball as opposed to football. After a few more minutes of chatting (he wants to meet our other kids sometime) we were all done! It is always so awesome to leave with the words "Magnificent" and "Miraculous" and "Amazing" being used to describe his heart health.
Braden and Dr Nowlen
We are truly grateful for our CHD kid that defied all odds and the army of people who took care of him along the way to get him to where we are now! Thanks APCC- we love you all, see you in a year!