I came home to this email from N's doctor tonight:
I finally have some news for you all: We may do some additional imaging but the rec's have been to address her aortic arch only for now, via an entry into the chest from the side, not using the cardiopulmonary bypass and not operating on the heart itself for now. This will mean a quicker recovery, and I hope, at least delay significantly if not fend off more work with the heart itself that, yes, she may well still need someday! This is what I had felt best, and after an VERY long time getting many opinions, we are finally all in agreement.
We can talk more about this if we meet for more imaging, or if we don't need to do that, as a separate meeting. I think Dr. S will do the case here in B. and that is what I want.
Thanks for your unbelievable patience!
And then a more detailed message later on:
We need to review, in the week or 2, the MRI images and decide if they are adequate. I actually feel they are and that we are ready to go. Dr. S will need to feel the same. We can do transesophageal echo during surgery when she is anesthetized to see the outflow portion of the left ventricle, where she had surgery before.
Your next meeting may just be a pre-op session with Dr. S ; otherwise we may work with the coordinator at hospital, who's getting a copy of this, to set up a date (usually a Tuesday) when this can be done. She should be in the hospital no more, and likely less time than before.
She's older now, and this will be harder for her to understand and forget-- but we can deal with that, to help her. She's got the right stuff!
I say again that her adoption by you all was frankly lifesaving, and in that bigger picture, the week of discomfort she has for this (and frankly, there may well be more surgery down the line!) is still so very, very worth it. I know you know all this, but I just felt like saying it again. Few cases have been so overall satisfying as hers. More details soon.
Joel and I feel that this is very good news considering that we were preparing for the possibility of open heart surgery again. As always we would greatly appreciate your prayers for our girl's health, both physical and emotional. She does struggle even with minor changes in her life so anything major like this causes some emotional and behavioral regression. With help from her therapist, patience and nurturing on our part and God's tender care, she makes it through!