Father and Son Need Heart Transplants

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Wednesday, January 30, 2013 - Clarence's 35th birthday - Conversations with Daddy Part 2 - Zak's One-to-One Time (Father and Son Time, One Heart Transplant patient to another):

Zak was the lucky  one to visit Clarence on this 35th birthday.  He is 8 and his questions for Daddy were different than his little brother's Sutton.  Zak has a lot going on.  He is about to listed for a heart transplant surgery once he returns from his Make-A-Wish trip and his Daddy is very ill and having surgery tomorrow for his LVAD machine (sort of artificial heart) to bridge him to heart transplant.  It is a difficult time for little Zak as he works through the many emotions, feelings, and thoughts going on. He didn't have a lot of questions for Daddy and that was fine.  You can tell he's been a heart patient and his question reflected that:

Zak:  Daddy, are you going to have tubes?
Clarence:  Yes, I"m going to have tubes.  They are going to be coming out of my chest here and here. (Clarence pointed to the various areas where the tubes would be located.)
Zak:  Are you still going to have IV's?
Clarence:  Yes, there will actually be more but as I get better they will begin to take them off.
Zak:  Can I push the buttons on the IV?
Clarence:  No, Zak, that is something only the nurse's and doctor's can do.
Zak:  Ok.
And, then, big Daddy hugs for Zak.

Tuesday, January 29, 2013 - Conversations with Daddy Part 1 - Sutton's One-to-One Time:


Sutton: Daddy, you know you are not going to die.
Clarence: The doctors here are very good and are going to do their best to take good care of me.
Sutton: Right, you are not going to die.
Sutton: You are going to have a cut from here to here (pointing to the top of this chest and bottom of his chest)
Clarence: Right, it will go from here to here. There will be a tube that comes out, too.
Sutton: Like the one you have now? (Pointing to the wires for the heart monitor connected to his chest)
Clarence: Sort of like this but it will be be a little bit bigger.
Sutton: We can't horseplay or hit it.
Clarence: Right, we will need to be careful.
Sutton: If you die, you will come back to life.
Clarence: Well, if something like that happens, they have machines that try to help fix it.
Sutton: I'm all out of words.
Clarence: Ok, if you think of any more words, you can call me or let Mommy know and she'll make sure you can ask me.
Sutton: I have some more words.
(Walks to Doug and whispers in his ear) Tell Daddy I Love Him.
Doug: You know, Sutton, I think you can say that to Daddy. It's ok.
Sutton: Daddy, I love you. (Clearly wants to hug him)
Nana: Sutton, you can hug Daddy, it's ok.
Big Daddy and Sutton hugs all around.

Sweet, sweet night that is sure to give Clarence lots of strength!

Saturday, January 26 - Clarence will have his LVAD surgery on Monday.  The surgeon said they will also have to clear all the clots from his ventricles and, because of this clotting, he'll to have a larger LVAD than what is typically used.

Wednesday, January 23rd - Clarence had another catheterization today and we are waiting for the results.  There has been talk of the LVAD surgery on Friday.  We are praying and hoping he is well enough for that.

Zak has his appointment with the Texas Children's Heart Transplant Team on February 7th.  The initial workup and process will officially begin for the transplant. 

Tuesday, January 22nd - Sad news as the doctor's have determined that Clarence is too sick for a heart transplant.  However, the doctor's have said something must be done so they will put in a LVAD, a sort of mechanical heart, and hope that it helps him get "well" enough to have a heart transplant.  The LVAD is often used as a bridge to transplant.  The care is very similar to a heart transplant.  Clarence must have three caretakers, one primary, one assistant, and one in case the other two are unable to care for him after surgery.  The first 30 days are critical to him and he will not be able to be left alone, not even for a few seconds.  He is too sick even for the LVAD but they hope to do it within 4 days to  2 weeks.

Sunday, January 20th - We were able to see Clarence at the hospital.  The most important part was that his boys were able to see him.

Here is a pic with Clarence and his sons:



 

Saturday, January 19th - Zak's Make-A-Wish kickoff was a huge success and he and the family had so much fun.  The wonderful people from Make-A-Wish, Janice and Mike, were there to award Zak his official Make-A-Wish badge. 

Clarence received a letter from his insurance (he's covered under the pre-existing insurance plan for folks with pre-existing conditions (PCIP Federal Insurance) and his maximum out-of-pocket was raised to $6,250 effective Jan. 1, 2013.  This is more than twice what we originally thought. :(  I've adjusted the amounts here because of the change. He remains in the ICU.  He's lost 11 pounds since he's been there. :(

New News - Friday, January 18 - The official plan has been confirmed and Clarence will be listed for a new heart.  As the doctor put it, his heart is "shot."  One test today measured output.  Someone with a 2.2 output would often go into shock.  Clarence's is at 1.2.  His pulmonary results were awful, as well.  Therefore, he will remain in ICU.  He will miss his son's Make-A-Wish "kick-off" tomorrow.  The Make-A-Wish people are amazing and we feel blessed they are helping Zak.  The doctor's are now deciding whether Clarence will be put on the LVAD (see video below)  as a bridge to transplant. 
Video: http://youtu.be/YBxDhUzSrsk



Friday, January 18 - Much has happened today with Clarence at the hospital.  They've done a barrage of tests including a heart catheterization through the neck, pulmonary tests, sonograms, stress tests (not the physical one), and more.  Nausea and pneumonia continue to be a problem.  This hospital (where the heart transplants are done) is much further from where the family lives. Parking is $24 for the day and gas is outrageous as we all knowYesterday, we were able to snap a happy picture of Zak with his little cousin, Addy.  He loves her and his little brother (age 1) very much.



Thursday, January 17 - Clarence continues to undergo tests in the hospital.  He is still battling pneumonia.  Tests today showed that the blood clot that caused so much trouble in his leg last year was still in the leg.  Blood clots have caused considerable damage to Clarence who has had a kidney infarction from one, blood clot in legs, a warning stroke, and blood clots in the atrium.  He will have a heart catheterization tomorrow.




Tuesday, January 15 - Clarence's was released on January 14th so that he could go to his appointment with the heart transplant doctor. He will be readmitted tomorrow to the hospital where the heart transplant team will run a new barrage of tests. He is still struggling with pneumonia and heart failure. His ICD/Pacemaker is pacing his left ventrical at 100%. That is a huge concern and they have discussed putting in a bi-ventricular ICD/Pacemaker. His liver is becoming a more serious problem and liver transplant has now been mentioned. He used these few hours at home tonight to be with his three sons. His five-year old son, Sutton, is asking lots of difficult questions trying to understand why Daddy is so sick. We've learned his insurance changed to 70%-30% which means his deductibles and maximum out-of-pocket will be met very quickly.


 Saturday, January 12 - Clarence remains in the IMCU. He is still retaining too much fluid due to the heart failure. He is struggling with atrial flutters and has considerable pain on the side from liver complications. They are discussing whether they need to implant a new ICD/Pacemaker, a bi-ventricular model.


 Wednesday, Jan. 9 - Clarence began experiencing swelling, nausea, and liver pain along with shortness of breath so he called his doctor. His doctor requested that he go to the emergency room where he was admitted to the hospital and is now in intensive medium care unit or IMCU. Clarence currently has pneumonia and excessive fluid around his lungs. We will update as more is learned.


Who We Want To Help:
Clarence and his 8-year old son, Zak, have hypertrophic cardiomyopathy (HCM),a genetic disease. Clarence's older son, Quest, also has HCM. Both Clarence and Zak need heart transplants this year. Over the past two years, Clarence's health has worsened quickly. Due to Zak's severe HCM, he had an ICD and Pacemaker placed in October, 2012. The surgery was a success but the test results showed that Zak's heart was restrictive and even more severe than was first realized. As his shortness of breath increased and his heart tests continued to show the effects of HCM, it was determined that he would need a heart transplant, as well.
Zak in hospital after ICD/Pacemaker surgery
Why The Help IsNeeded:
Clarence has been 100% disabled for over a year and his his entire disability check of $792 goes to support his three children and his health insurance premiums. The two are faced with copayments, deductibles, and out-of-pocket health expenses. Our hope is to raise the maximum out-of-pocket expenses that will quickly be met with the medical needs of both Clarence andZak. Clarence's out-of-pocket maximum is $6250 and Zak's is $2000. Therefore,we are hoping to raise $8250. The money will go directly to to a fund to pay these costs and will not be used for any other purpose.
Some Background:
HCM has already claimed the lives of Clarence's two sisters and Zak's aunts, Priscilla (age 33) and Janice (age 16). His mother and Zak's grandmother, Shirley, lost her fight to HCM at the age of 58. Quest is being carefully monitored and treated for his HCM, as well. I'm Carli, Zak's Aunt,and I have seen the devastation this disease has caused to this family financially and emotionally. I began this fundraiser in an effort to ease the burden and worry for Clarence and the family. I don't think there are many families who face two heart transplants in one year, and one being for an 8-year-old child. Thank you so much for your support. It is priceless.
Clarence is struggling with a lot of pain and complicationsfrom his failing heart.  His liver is englarged and painful.  He has blood clots frequently and has had a warning stroke and a kidney infarction which killed a portion of this kidney.  A blood clot to his leg last year caused severe pain and swelling.  He has been repeatedly diagnosed with pneumonia.  He lacks energy and strength and fluid buildup from the heart failure causes pain and lethargy.
Zak’s biggest struggle is with shortness of breath and loss of energy.  Since he was diagnosed at 4, his septum has thickened from 2.8 cm to 3.1 cm. His B-type Natriuretic Peptide (BNP) test was 1800 after his ICD/Pacemaker was implanted and a recent retest shows it has remained the same.  This tests the level of BNP in the blood which increases with heart failure. Hearts with no heart failure are below 100 BNP.  Anything above 900 BNP is severe heartfailure.
Facts About HypertrophicCardiomyopathy (HCM):
HCM is a form of cardiomyopathy.  Cardiomyopathy is a disease of the heartinvolving the heart muscle.  HCM is unique because it is genetic and several family members can be affected by this serious disease.  There are four types of cardiomyopathy:  hypertrophic, dilated,restrictive, and right ventricular. Sometime, with HCM, the heart also becomes dilated or restrictive, aswell.  The heart can also become so damaged that it remodels itself trying to maintain blood flow.  Clarence’s heart has remodeled itselfcompletely and actually does not even look like a heart any longer.  Zak’s heart was found to be restrictive during the ICD/Pacemaker implantation in October.  These situations increase the concern with the heart already impacted by HCM.
A main feature of HCM is that the heart muscle actually thickens (that’s what hypertrophy) means. This thickening usually occurs in the septum and weight of the heart.  The normal septum measures .08 to1.2cm.  Zak’s septum is 3.1 cm and Clarence’s is estimated (it’s hard to measure) to be near 7 cm.
There is no cure for HCM. HCM also varies among patients. In this family, the HCM is considered malignant because of the aggressiveness of the disease.  Heart transplants are only needed in about 5% of the cases.  However, the deaths of Clarence’s sisters at 16 and 33 were indicators of the aggressive nature of this familial disease.
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  • Guest
  • Donated on Jan 26, 2013
$50.00
  • Carli Stiller
  • Posted On Jan 12, 2013
  • Jules, thank you so much for your kindness. It will never be forgotten by our family and is very much appreciated!

  • Jules
  • Donated on Jan 12, 2013
  • Praying for your family!

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7 donors
  • Guest
  • Donated on Jan 26, 2013
$50.00
  • Carli Stiller
  • Posted On Jan 12, 2013
  • Jules, thank you so much for your kindness. It will never be forgotten by our family and is very much appreciated!

  • Jules
  • Donated on Jan 12, 2013
  • Praying for your family!

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  • Carli Stiller
  • Posted On Jan 10, 2013
  • RrrockL, Thank you so very much for your support! Words cannot truly express our appreciation. Donna, Thank you for your kindness. Our family is for very appreciative of your thoughtfulness.

  • RrrockL
  • Donated on Jan 10, 2013
  • Pay it forward... Only $1 will make such a difference.

$100.00
  • Donna Collom
  • Donated on Jan 10, 2013
$50.00
  • Carli Stiller
  • Posted On Jan 08, 2013
  • kisselreads: Thank you for your very kind donation. Your support and kindness is very much appreciated. Melissa: How nice of you to say. We cannot thank you enough for your generosity!

  • Melissa Montez
  • Donated on Jan 08, 2013
  • Clarence has a very special place in my heart and any little bit I can do to help him and his family is an honor.

$75.00
  • kisselreads
  • Donated on Jan 08, 2013
  • Amitor Person who respects life Amitors change lives. Antonym %96%96 Predator Animal Giraffe Butterflies %96%96 Live, love, laugh, hope.

$100.00
  • Carli Stiller
  • Posted On Jan 08, 2013
  • Thank you so very much! We appreciate your kind words and your support!! It means so much to the entire family!

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US$0.00
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