Monday, October 8, 2007

UPDATE.....Ava is slowly getting better!

I just talked to Grandma Z, she and PaPa are visiting with Ava and are reporting good news!
Let's back up a bit first. This past Saturday Ava required some quite time due to some stress. Aunt Heather reported this morning that the nurses shut down the lights and played some soft music so that Ava could get her stress level down. Grandma reports that it is working! She also reports that they are taking Ava off of dialysis due to a small drop in weight. (She was put on dialysis to help her kidneys along) Ava has also been removed from one of her 10+ machines today!!! Even better than that is Ava's doctor is hoping to close her chest up tomorrow! Now for the best news of all, Grandma reports that Ava is opening her eyes and trying to move her head!!!!!!!!!!!!!!!!! First thought was that this movement was involuntary but this is NOT the case. She is definitely a fighter! So keep praying, she will be home soon!
Aunt Trace loves you Ava!

8 comments:

Molly Brawley said...

Oh Ava, what beautiful baby girl you are! So glad you have this blog to keep us all updated; it also allows us to send our warm wishes and heartfelt prayers to the family. Jamie aned Jamie--we all admire your strength for Ava--remember to hold on to each other too, as you can gain strength from knowing love will get you through.

Love you all,
Molly

Anonymous said...

Dear Jamie and family,
Thank you so much for your updates! We have been praying for your beautiful Ava day and night!! We wish you were closer, but it seems like Ava needs some quiet time! Take care of each other...we need you all!
Lots of love,
Lori Brawley

Kelly said...

What an ordeal for all of you. We are praying for Ava, she is such a strong beautiful girl, so much like her mom and Aunt Heather. Keep taking care of each other and know there are sooo many of us parying for all of you!
Love~
Kelly Gaideski

Anonymous said...

Jamie, Jamie, Brayden and Ava,
What a beautiful little girl you have. You have all been in our thoughts and prayers every day. Just wanted to say "hello" and welcome little Ava to the world. Keep fighting little one! Mom and Dad make sure you are taking care of yourselves as well. You've got a lot of people who love you and are pullin for you all!
Barb, Dana, and Heather Daniels

Anonymous said...

(First of all, thanks, "Aunt Trace" for the updates. There has not been an hour that goes by since Ava has been born that I have not thought of, wondered about, or prayed for you all. It is so nice to be able to look here to learn about Ava's recovery without having to bother anyone.)

Jamie, Jamie, Brayden, and Ava,

I was so elated to learn of Ava's latest accomplishments! How thrilled you must be. I love the pictures of you guys with her. She is absolutely beautiful.

I keep thinking of the sign hanging above Ava's closet door at home, "Miracle Baby." I guess you knew what you were doing when you hung that sign there!

Take care of yourselves and that beautiful family you have created! Know that so many care for you and are praying for you! We miss you.

Love,
Emilee

Janelle Sormin said...

Dear Jamie and Jamie,

I was so very ecstatic to hear you had a baby girl! Ava is such a beautiful and AMAZING little girl! Her thick, dark hair is so striking.

I pray throughout the day that God be with Ava Christine, and also that He grant you continual strength and faith. It is so nice that this site is up and able to share the Daily Miracles baby Ava is having!

Lots of Love & Prayers,
Janelle

Anonymous said...

Dear Jamie and Jamie,
I am so excited that you have your girl! She is so beautiful. We have her and everyone around her in our thoughts and prayers. Can't wait to see you guys soon!! Take care, Missy, Bryan, Caitlin, Kelsey and Kade. Stay strong!

Anonymous said...

Mrs. Zimmerman,

Ava is so cute! We pray every night that she will get better very soon and that God is taking care of you too. We can't wait to meet Ava and we miss you. Your kids are very lucky to have you for a mom!

Love you,
Bryce and Brayden

Ava with Mommy & Daddy

Ava with Mommy & Daddy
Isn't she beautiful!

It's A Girl!

Hello everyone and welcome to Ava Christine's Blog.
First a little info about the new edition to our family.
This beautiful little girl comes to our family after many years of trying on her parents part as well as her being the first girl in 19 years. Yes 19 years! So to say that she is going to be a little spoiled is putting it very lightly.
Ava Christine was welcomed into this world on September 29 2007 by her mommy Jamie, Daddy Jamie, big brother Brayden, grandparents, aunts, uncles, cousins, and numerous friends. Shortly after Ava's arrival the wonderful medical staff at Memorial hospital of South Bend found what they called a murmur in Ava's heart. After some testing little Ava was transported to Motts' Children Hospital at the University of Michigan in Ann Arbor. Jamie and Jamie were informed that little Ava has a heart defect that could be life threatening and that she needed to undergo open heart surgery to fix the defects. So, on Tuesday October 2 2007 Ava was operated on by the wonderful medical staff at the U of M. What this team of doctors did to Ava is incredible. First of all Jamie explained to me over the phone today just what problems Ava's heart has endured. Ava's heart has a couple of different problems. The first is known as Interrupted Aortic Arch. The following info about interrupted aortic arch is best explained by the U of M Cardiac website, "Interrupted aortic arch is a very rare heart defect that occurs when the aorta does not develop normally while the baby is in the mother’s womb. It comprises about 1% of all congenital heart defects. It usually occurs along with other heart problems such as truncus arteriosus, ventricular septal defect, transposition of the great arteries, and aortic stenosis.The aorta is the large blood vessel that arises from the left side of the normal heart and takes red blood out to the body. The first part of the aorta, called the ascending aorta (1) arises upwards. It then curves leftward forming the aortic arch (2). The aorta then curves downward towards the lower body, and this part is called the descending aorta (3). Three blood vessels exit from the aortic arch and supply the head and arms with red blood. These vessels are called the innominate artery (4), the left carotid artery (5), and the left subclavian artery (6).In babies with interrupted aortic arch, there is a complete blockage between the ascending and the descending aorta (1). This means that there is no direct way for red blood leaving the heart to reach the body parts that are "downstream" from the blockage. The site of the defect varies (2) and may or may not involve the take-off of the head and neck vessels. In most babies with interrupted aortic arch (70-90%) there is also a large ventricular septal defect (3).In newborns with interrupted aortic arch, the only way for blood to bypass the blockage is via the patent ductus arteriosus (4). Prior to birth, this small blood vessel permits blood to by-pass the baby’s fluid-filled lungs. One or two days after birth, this vessel usually closes on its own. In a baby with interrupted aortic arch, if the duct closes, blood can no longer reach the lower body. This can cause the baby to suddenly become very ill. Therefore, after the diagnosis is made, a medicine called prostaglandin is used to keep the ductus arteriosus open until surgery". (http://www.med.umich.edu/cvc/mchc/parint.htm)
So how did the doctors fix this? "Interrupted aortic arch is a serious heart defect that requires surgery soon after birth. The goal of surgery is to create remove the blockage. This used to be done in a two-stage operation but is now done most of the time in one stage. The two ends of the aorta are sewn together (1) and the patent ductus arterious (2) is tied off. Sometimes a patch is needed to reinforce the repair. If present, a patch is sewn over the VSD (3)". (http://www.med.umich.edu/cvc/mchc/parint.htm)
In #1 of the picture below is the part of Ava' heart that was repaired.

Before surgery

Before surgery

The Next Step

The next step in repairing Ava's heart was to fix what is known as Truncus Arteriosus. Truncus arteriosus is "characterized by a large ventricular septal defect over which a large, single great vessel (truncus) arises. This single great vessel carries blood both to the body and to the lungs". (http://www.americanheart.org/presenter.jhtml?identifier=11073) Below is a picture of what Ava's heart was like before surgery.

Before Surgery

Before Surgery

After Surgery

After Surgery
The above picture shows what the surgeon did to repair Ava's heart. "Surgery is required to close the ventricular septal defect and separate blood flow to the body from blood flow to the lungs. This is generally done early in infancy to prevent high blood pressure from damaging the lungs' arteries. A patch is used to close the ventricular defect. The pulmonary arteries are then disconnected from the single great vessel and a tube (a conduit or tunnel) is placed from the right ventricle to these pulmonary arteries. This is sometimes called a Rastelli repair". (http://www.americanheart.org/presenter.jhtml?identifier=11073)