Future Uncertain-Crystal Ball, Please!
April 7, 1999


Dear Heart Friends,

I have been keeping up with all the procedures our heart children have been going through and revelling in their successes. It has been a joy to see so many children making it through so many different procedures.

But I have also been in touch with some friends whose heart children are not doing so well. And I felt compelled to write a note to all of you.

On Easter I was given a few minutes during the adult education class and then during the service to talk about organ and tissue donation week (thanks again, Kim!) Any time I speak publicly about Alexander I am once again reminded of how far he has come and how far we have to go. But, worse than that, I am forced to admit that I don't have a clue about Alexander's future. During my speech about organ donation I had to admit that a heart transplant could be in Alex's future. It's tough to come out of denial for a while and publicly admit that.

Recently two of my friends have had to face issues with their heart children. Both of these friends have enjoyed many healthy years with their children -- years free from surgery, free from procedures (except routine ultrasounds and X-rays) and free from the daily worry that comes from living between surgeries. Now these friends are back to the daily routine of wondering what each day will bring. It's a horrible way to live--something I wouldn't wish on my worst enemy.

I wrote a post before moving to Florida about my last visit with my son's PC--I was very disappointed with the way things had gone. At that time I told you how I hated it when the doctors would say that they couldn't really give a prognosis for Alex's future because they didn't have a crystal ball. Well, I don't have one either--and I really wish I did!

These problems my friends' children are experiencing have taken me back to where we were when Alex was first diagnosed. My friend today said she felt that her son was a "timebomb" and she was so afraid he would die of Sudden Death (an arrhythmia which ends in death) and she so desperately wanted the doctors to do something BEFORE that happened. That brought back a feeling of dread to my heart and a remembrance of the doctors talking to me at the hospital after Alex was diagnosed with HLHS.

Our conference was in a classroom where diagrams of Alex's heart and a normal heart were drawn on the board and words were said that I could hardly hear for the fear in my heart and the strong urgency I felt to be with Alex. We were told that the Norwood was Alex's only hope. He was too sick to wait for a transplant. Our choices were compassionate care or the Norwood. After we quickly chose the Norwood we were given more bad news: he might or might not survive that operation, but then there were more to come. And these doctors could not guarantee that Alex would make it through them either. And as if the surgeries were not enough to worry about, the shunt used to keep Alex alive (the B-T shunt) was very tiny and if it got a clot in it, even if Alex were in the hospital and on a table in front of the surgeon, he could not open Alex up fast enough to save him. In other words--Alex could die even if he survived the surgery, even if he seemed to be doing fine (this was the first time I heard "a walking timebomb" used with regard to my son). And I have seen how those words have rung true, when dear friends of mine have lost their babies after the Norwood. Every time it happens, the words of the surgeon and PC echo in my head. And I cry for those mothers because it very well could have been my baby.

Recently I have been feeling on top of the world. Alex is almost four years post-op the fenestrated Fontan and doing great! He looks and acts like any other healthy four year old. He is bright, funny and endearing. And although a mother never truly "forgets" about her child's heart defect, I can honestly say that I don't awaken and fall asleep at night with that feeling of dread and fear on my heart that I did so many months ago. We have been given a reprieve and I am so thankful for it. Life has been good. Yesterday and the day before, we had company (another heart family--with a 12 year old girl with pulmonary atresia, hypoplastic right ventricle and ASD, who is doing great, too!) and we spent the better part of our two days together at the beach. It was so delightful to watch these two heart children running around with their siblings, screeching as the cold water touched their bodies, building drip castles and getting buried in the sand. It did my heart good to see these two special kids acting like any other normal kids. This is the picture I prayed for when I was wondering what kind of life Alex was in store for after we found out he had a severe, congenital defect.

What a bittersweet time for me! Here I am thrilling at the sight of these two "normal" children even while my heart is aching for the friends who I know are struggling everyday to bear the burden of uncertainty with regard to their children's future.

I have a plea for all of you--please live each day to the fullest. Today may be wonderful! Enjoy it. Savor it. Remember it. Tomorrow may be full of uncertainty and concern, but that goes with the territory when you are the parent of a heart child. And all our children's futures are uncertain anyway--as are any person's for that matter.

Just the other day Joey was telling me what he would do if he found a magic lamp with a genie inside willing to grant him three wishes. I would wish for a crystal ball so that I could see into the future--but only if I also had the power to change it if the picture was not as I would like! Or maybe that would be a foolish wish and a better wish would be to have what I pray for all the time--the strength to deal with whatever happens. Maybe it's better not knowing too much because then we can live life like a "normal" person for a while. Maybe it gives us the chance to give our children what all children need--time to be kids, time to be loved, time to just goof off if they want to. We might feel compelled to pack unnecessary things in our days if we knew exactly how much time we had--when the things we tend to remember most are the little things like snuggling up with a book on our mother's lap, playing 'I Spy' in the car during a long (or short!) car trip, singing songs and dancing to the radio, the smell of freshly-baked cookies, the feeling of the sea breeze on our skin during a day at the beach.

Take time, my friends, to enjoy today. Treasure the little things, but set goals for the future. Please remember to pray for all the children everywhere who face daily lives of uncertainty and remember to pray for strength for the families and friends who love those dear children. I will be praying for you all.

Peace and joy,

Anna Jaworski
mom to Joey (7) and Alex (4; HLHS)
check out my new website! www.babyheartspress.com

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