Michael, Cameron and Abbie

Michael, Cameron and Abbie

Links to the beginning of the journey .. and info on his siblings heart conditions

Sometimes it is easy to “forget” that Cam has a serious heart condition and obviously someone forgot to tell him as he has more energy than many of us put together & such a zest for life … I remember seeing somewhere a slogan -“ Half a heart – not half a life” and this is certainly true for Cameron.

We hope you enjoy reading his story and that it will give you some hope with the obstacles you may face …

What is Hypoplastic Left Heart Syndrome (HLHS)?

Hypoplastic Left Heart Syndrome (HLHS) is a Congenital Heart Defect where the left side of the heart has failed to develop properly. There are varying degrees of malformation in the Hypoplastic Left Heart. The left ventricle is usually very small or non-existent. The aortic valve may be narrowed or closed and the aorta itself may also be very small. The left atrium is sometimes small and the mitral valve between the left atrium and left ventricle can also be narrowed or closed. These defects put extra work on the right side of the heart, so chambers and blood vessels on this side may be enlarged or stretched larger than normal.


To see the start of Cam's (and our) journey with his heart please
follow this link ...

Cameron's Hearts of Hope web-pages
Some of the photos and story you may find graphic, just to let you know.

Cameron’s twin brother Michael

Michael was also born with a congenital heart defect (CHD) called Pulmonary Stenosis. Up until the age of 2 Michael was monitored 6 monthly by echos and Paediatric visits and then at the age of 3 he was discharged as the Stenosis had corrected to an acceptable level so that it was classified as mild.

What is Pulmonary Stenosis (PS)?

This is where the Pulmonary Valve is thickened and narrowed leading to the development of abnormally high pressure in the right ventricle. The right ventricular wall becomes thickened ("Hypertrophied"). Stenosis (narrowing) of the pulmonary valve restricts flow into the pulmonary arteries. This leads to the presence of a heart "murmur". Often the narrowing is mild and does not put significant strain on the heart

Cameron’s sister Abbie

In August 2006 Abbie was given an echo to check out her heart "as a precaution" due to the severity of Cameron's heart condition & Michael's condition. Unfortunately we were given the news that Abbie has a congenital heart defect (CHD) called Aortic Stenosis. At that stage it was classified as a mild case at this stage caused by thickened leaves of the valve but because of the nature of aortic valves and she had to have frequent echos to ensure that it doesn't get worse, and just stays the same.

Unfortunately with the last echo in 2009 the Stenosis had worsened and has become mild-moderate and she will be reviewed again before she goes to school to decide whether she will need the corrective surgery on the valve. It seems that like Cam that her valve is bicuspid (the valves should have 3 leaves but both Cam and Abbie have only 2).

Aortic Stenosis

The Aortic Valve is thickened and narrowed leading to the development of abnormally high pressure in the left ventricle. The left ventricular wall becomes thickened ("Hypertrophied").

Stenosis (narrowing) of the aortic valve restricts flow into the aorta. This leads to the presence of a heart "murmur". Often the narrowing is mild and does not put significant strain on the heart.

However the narrowing frequently worsens with growth. If the obstruction is severe, symptoms may develop, or the heart may show evidence of "strain". The valve may require treatment to open it up. This may be surgical or with the use of a "balloon catheter" procedure.

SELECTIVE MUTISM

Abbie was diagnosed with Selective Mutism in March 2011 .. following 2 years of kindergarten where she never uttered a word .. towards her going to school she was referred to Special Education and support is now given to her at school.

What is selective mutism?
Selective mutism is a severe anxiety disorder that 7 in 1000 children suffer from (the same prevalence as autism spectrum disorder). People with selective mutism have social or other anxiety so extreme that they are physically unable to speak or otherwise communicate in certain situations, usually school and other social situations, despite being perfectly able to speak and displaying normal social behavior in others, usually home and sometimes a trusted friend's house. The "talk" and "non-talk" zones are different for every sufferer -- for instance, some may speak to friends at school but not answer questions -- and some find it easy to communicate nonverbally or even whisper in no-talk situations while others are all but paralyzed. Some children grow out of their anxiety, while others begin to speak but develop social phobia and still others enter adulthood unable to speak to most people.

"Selective mutism" is far better than the former name, "elective mutism," but it unintentionally perpetuates two misconceptions: that the child can "select" which situations to speak in and that the disorder centers around mutism. In fact, people with this disorder have no control over when they can or cannot communicate (and very much wish they did), and mutism is only the most visible symptom. Most, though not all, selectively mute people have trouble nodding, pointing, smiling, writing, looking somebody in the eye, or using various other methods of communication when they are nervous. Many therapists and parents fail to realize that these anxieties must be overcome before the sufferer can even consider whispering, let alone speaking. Furthermore, "selective mutism" makes no mention of the anxiety that causes the problem, leading to confusion about treatment methods.

This disorder is not terribly rare, yet most child psychologists and speech therapists have never heard of it, do not understand what it is, or have no idea how to treat it. Some children with selective mutism are incorrectly diagnosed with autism or mental retardation. The majority of them are punished for their failure to speak, since their parents and teachers assume that they are able to do it in all situations and that they are simply being stubborn. This makes the child far more anxious about situations in which they will not be able to speak and lowers their self-esteem as it is constantly being pointed out that they are unable to do something that "should" be easy for them. Many children with selective mutism grow up to adults with multiple severe anxiety disorders, depression, eating disorders, and/or substance abuse. However, selective mutism can be cured with cognitive-behavioral and/or speech therapy, medication in some cases, and understanding and support from family, friends, and school officials. Children who had the benefit of early intervention can grow up up to be confident adults.

QUILT OF LOVE

Visit Cameron's Quilt of Love ... here

CHD QUILT
Here is the link to view Cameron's square on the CHD Quilt .. (Quilt 32 Row 6 Square 4). Michael's square (Quilt # 49 Row 6 Column D) is not online .. but is made.

Blog Updates
The latest updates are at the top .. and the oldest are at the bottom.

Thursday, July 3, 2008

In the news ... again ...

Hidden to the eye, but not the heart by Kylie Malin


28.05.2008

This week is Heart Children Awareness Week and the Stratford Press spoke to a local family with three heart children about their journey. Heart conditions are often referred to as the ‘hidden disability’ because outward symptoms are minimal. This does not mean that the conditions are any less serious. The Press encourages the public to give generously to the 2008 appeal. Street collectors will be out this Friday, May 30.

ON APRIL 24, 2003, Cheryl and Chris Craig welcomed their twin sons, Michael and Cameron into the world at the National Women’s Hospital, Auckland.

For the Craig’s, this was the start of a journey, both boys were born with congenital heart defects, Cameron’s were critical.

Cameron was born with a condition called hypoplastic left heart syndrome, where the left side of the heart, including the aortic valve, left ventricle and mitral valve are underdeveloped.

Michael was born with mild pulmonary stenosis.

At only four-days-old, Cameron underwent what was to be the first of three major surgeries - an aortic valvotomy.

Unfortunately, the surgery was unsuccessful and Cameron had to undergo a second surgery. Three days later he went into complete heart failure.

Because he was so little and his heart had been under so much pressure, Cameron did not recover well from the surgery and he was placed on the highest form of life support available, ECMO.

It wasn’t until May 13, while Cameron was still connected to tubes, wires and breathing apparatus, that Cheryl and Chris got to hold their son for the second time since his birth.

Almost two weeks later, Cheryl and Chris were able to hold the twins together for the first time, but they were not out of the woods yet.

They gave Cameron a 60 percent chance of survival when he was born. Other factors, like that he was a twin, because he was premature and the degree of his heart condition, lowered the percentage even more. It was a scary time we were often told he might not even make it through by the doctors and specialists, but Cameron is a fighter, said Cheryl.

On June 13, 2003, when Cameron and Michael were nearly seven weeks old, the Craig family finally came home to Taranaki. They spent two weeks at Base Hospital ‘learning the ropes’ before returning home to Chris’ parents Pukengahu farm.

The Craig’s settled into home with both boys getting stronger each day, and tried to lead as normal life as possible.

When Cameron was three-months-old, he gave his parents another fright and again went into heart failure. Luckily, it was found that he was just ready for the next stage of surgeries. This went well and the family were home within two weeks.

There were a few more hiccups along the way with Cameron’s health, but it was not until 2006 that he needed his next major surgery - a Fontan.

In April, just before the twins turned three, the family made the trip to Auckland with the latest addition to the family, Abbie, who had been born in March, also with a mild heart condition, mild aortic stenosis.

Unfortunately, Cameron had a post-operative complication called Chylothorax, so we ended up being in Auckland for six weeks. It was devastating after he did so well during the surgery, but we just went with it. What could you do otherwise? said Cheryl.

The twins are now five-years-old and have just started school and the boisterous pair belie nothing of the struggles of their first few years.

Thankfully, Michael’s heart condition has corrected itself without the need for surgery or medication, and Abbie is being monitored and will be re-checked when she is three.

Cameron has to undergo weekly blood tests as he is on a blood thinner called Warfarin after his last surgery.

As most children who go through three-staged heart surgeries are, and despite the fact that he loves to run, he can get a bit breathless.

He will rest and off he goes again. He doesn’t like to miss out on anything, said Cheryl.

This year, the Craig’s were told he has a slight issue with Cameron’s heart skipping beats, meaning he cannot take certain medications. This is not affecting him, it is just something his parents have to be mindful of.

Because Cameron’s type of heart condition only began to be treated with surgeries in the 1990s in New Zealand, the future is uncertain.

We take things as they come, and hope in the future there will be some new medical discovery that will help Cameron reach adolescence and maybe adulthood, just like his brother, said Cheryl.

But for now, he just enjoys playing with his brother and sister, the only outward sign of his struggles are the scars on his chest.

Throughout the Craig families struggles, they have received support from Heart Children New Zealand through the local Taranaki Branch.

It was nice knowing and meeting other parents and families who had been through similar things, to draw on their experience and of course to see that kids do get through it and can do what other kids do, said Cheryl.

Heart Children Taranaki currently supports 53 families throughout the Taranaki region, with new families contacting or referred to the branch every month.

The children are aged from birth to 20-years-old. Most of the children have their congenital heart defects diagnosed antenatally, just after birth or following routine Plunket or doctor check-ups.

Some children have acquired heart defects from illnesses.

They have a family support worker, Irene Wells, who is the first point of contact for newly diagnosed families. She has a Heart Child of her own.

Her role is to support and direct families, both new families and our existing members, to ensure they get the information and support they need and of course help to make things a little less scary and help with the unknowns.

There are also a number of services available to families locally.

They provide travel packs with essentials and a few extras for the heart child and parent/caregivers, while in hospital or travelling to Starship or Waikato, library books for hire that are heart related and other relevant subjects and access to hireage and purchase of Medela breast pumps and accessories for their members.

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