Today I had an appointment at Texas Children's for a fetal echo for Grace with Dr. Altman. My friend Claudia was sweet to keep Jake for me so I wasn't trying to keep him still and quiet while I laid still for 45 minutes for the test. Her heart basically looks very good, but the doctor did find some leakage in her aortic valve. Most of the time that means absolutely nothing, but given our family history Dr. Altman was interested. I gave her Jake and Ty's history as well and told her about Jake's check-up last week when Dr. Reddy found the extra membrane under Jake's aortic valve. When I told her that, she pulled up Jake's echo from last week as well as all of his surgery notes and past echo results on her computer. She compared the different results and noticed Jake has leakage in his aortic valve too. Its possible that the membrane that has developed is because his mitral valve (the one fixed in surgery) tried to correct itself and formed the membrane which causes the slight leakage. All that to say, she is wondering if leaking in Grace's valve is similar.
She wants me to come back at 34 weeks (I was 27 weeks today) for another echo to see if there is still leaking. If the leaking is still there, she suggested I might have to deliver Grace down at the Med. center instead of in the Woodlands so that she could have an immediate echo after birth and appropriate doctors on standby. I'm praying that isn't the case and that I can have my regular OB, Dr. Turner, still deliver. All of this is probably nothing, but she says she prefers to be overly cautious. She spent a good 30 minutes going over all of this with me and looking over all of Jake's notes. Ty had a meeting today and couldn't come with me. I always feel quite incompetent when I go to these appointments by myself. I explained to her that I'm an English teacher and have worked hard these past few years to indoctrinate myself with all of these heart terms but still feel like a deer in the headlights at times. She laughed and said her 4th grader brings home grammar homework she doesn't understand. I told her I would be glad to help with that :)
Please just pray that the leaking in Grace's heart is nothing and goes away by the next appointment. Also, continue to pray that Jake's leaky valve slows down and doesn't get worse. She agreed we should take him back to Dr. Reddy in 6 months for another echo to evaluate his membrane issue. Hopefully all of that made sense...I'm still processing what I heard myself.