“Nothing Breaks Like A Heart…AKA, “[Don’t] Take Another Little Piece of My Heart Now Baby”

Waaaaaay back when I was born, my mother was told that I had a slight heart murmur that I would most likely grow out of. I did.

In college, too much stress + bad food choices + lack of sleep + tooooooo much caffeine = Cardiac Arrhythmia, which eventually resolved. Everything was juuuuuust fine….

Until it wasn’t.

In 2006, I became pregnant with my first child. As a first-time mom, my complaints of, “Hey, I really can’t breathe too well,” and “Um, Doc? I can’t get enough breath support to sing,” were written off as new-mom, “well, what do you expect? You have a human pressing on your diaphragm,” rhetoric and explained away (I’m just a woman, Mr. Doctor. What do I know?).

2 months before I was due, I started seeing double, having migraines, and throwing up. Basic science diagnosed me with severe preeclampsia, and do you know what the “cure” for preeclampsia is? Delivery. So, my daughter was delivered 6 weeks early, and I was “gonna be just fine, ma’am,” said Mr. Third-Generation-I-Know-Everything OB-GYN….

Until it wasn’t.

2 days after I delivered, I couldn’t breathe…coughing and choking on top of a C-section incision is no fun. My sister ran for help, my mother prayed in tongues at the top of her lungs, and the nurses (who were in the middle of changing shifts, as of course, I have fantastic timing) & doctors realized I was in severe congestive heart failure. Over 20 pounds of fluid were drained out of my heart and lungs in the next 24 hours, and I went in for the fight of-and-for my life….while also trying to be a new mom to a premature infant.

Peripartum cardiomyopathy with congestive heart failure and pulmonary hypertension became the noose of a diagnosis that hung around my neck for the next 6 years as I went from specialist-to-specialist, trying to find a cardiologist that would both “fix” me, and would work with me as I wanted to try to have another child.

Once the heart has been blown up in CHF (my left ventricle was three times the size of the rest of my heart. I like to call it, “Grinch Syndrome.”), it tends to sort of hang around like a balloon that’s been overstretched. It’s kinda gross, if you think about it. My heart was literally broken in every possible way….by my body, by grief, by everything.

Image result for grinch's small heart grew

So, I had a few years of echocardiograms, medications, etc., until I found a doctor at Missouri Baptist that ordered more tests and found that my heart issues, outside of blood pressure, had miraculously resolved. I didn’t have any of the long-term problems they expected me to have, and we went on to have Jericho with the help of infectious disease specialists, cardiologists, perinatologists, and a whoooooole lotta grace from God….but it wasn’t without consequences.

As expected, even with a strict regiment of really miserable medications, I went into heart failure towards the end of my pregnancy with Jericho, and was rewarded with a lengthy hospital stay. After delivery, and after promising to never try to have any other children, I have a continued medication regiment that I’ve stayed on, and will be on for the rest of my life. I have my son; I have ZERO regrets.

The meds work great! Most of them are the same ones I’ve been on since 2006, with very few side effects, and with positive results. My CHF numbers stay low (the key number is the ejection fraction for the left ventricle. I’ve been under 10% before. My current numbers are around 40-50%, which is almost normal). My weight has been a challenge (particularly in the post-thyroid world), but has stayed in the same general area since my first pregnancy (give or take 40#. I gain, I lose, I gain, etc.), and my blood pressure stays under control with medication…it’s all working, which is crucial.

SO, why am I telling this story? Why does it matter? It matters, because YOU matter. 1 in 3 women in America are dealing with some sort of heart disease–that’s more than all other cancers, combined: https://www.goredforwomen.org/en/about-heart-disease-in-women

Per the Go Red for Women campaign, “80 percent of cardiac and stroke events may be prevented with education and action.” That’s what we can do. That’s what I can do–I can share my story, and maybe help others to become aware of the resources, the signs and symptoms, and the protocols that can help them understand heart disease more clearly. Knowing is the first step of prevention, right?

Today, my heart is functioning pretty darn well. In fact, I really don’t think about it very often, which is awesome when you consider that at one point, it was ALL I thought about…I couldn’t go up the stairs in my own home without feeling like I was going to pass out! I don’t have any limitations from cardiac issues, and I don’t worry about it…but I AM very conscious of it, and of paying attention to it when something seems “off.” I had some episodes last year of almost passing out. I wanted to ignore them, but I know better, so I called my cardiologist. Turns out, my blood pressure medication needed a simple adjustment….it was nothing complicated, and a simple phone call, and listening to my body, made all of the difference.

Take care of your heart, people. It really is the engine that drives you…and we all know that if the engine is broken, you’re not going anywhere. Love your heart….Live Fierce…and Go Red for Women!!!

Cardiology Update!!!!

So, for any of y’all that don’t know, back in 2006, I delivered my daughter Hannah via emergency C-section due to severe preeclampsia.

Long story short, my physician was a third-generation OB/GYN who had basically written off my complaints of being short of breath during my second and third trimester. My daughter was delivered at 34 weeks, and the preeclampsia was “supposed” to resolve…except it got worse. I wound up in full congestive heart failure due to peripartum cardiomyopathy and pulmonary hypertension. My left ventricle blew up like a balloon–it was 3x the size of the rest of my heart, and my lungs were full of fluid. In the first night after my diagnosis, if I remember correctly, they removed 30 pounds of fluid from my body that I had retained. Dealing with that, post C-section? Not cool.

As most of you know, my daughter passed away at 29 days of age, due to Late-Onset Group B Strep and bacterial meningitis. Her cause of death was not due to my heart failure-it was a completely unrelated issue. We were told for years that due to the extent of the damage my heart had gone through, that we should never have another child….but we did not believe them. Cardiologist after cardiologist refused to see me as a patient, until Dr. Michael Paul, perinatologist at Mo-Bap, referred me to Dr. Robert Kopitsky, who did the right tests and discovered that miraculously, my heart had recovered to running at 50-55%, which was completely normal! I had no scarring, no permanent damage, and I was cleared to get pregnant with my son. It was the best news I’d ever heard!

Through my pregnancy with Jericho, my heart was closely monitored, and I was admitted to Mo-Bap at 32 weeks along. At that point, my cardiac function was already less than 30%. It continued to decline, and the decision was made to deliver early once again. I had excellent care, and my miracle baby was born! My heart was still an issue, and remained closely monitored & medicated for the next few years.

In 2016, I had an echocardiogram performed, and my cardiologist (I’d had to find a new doctor due to insurance changes) put my estimated cardiac function at 40-45%. That’s not bad, but it’s not normal; however, my cardiologist said it was acceptable and to be happy with it, “because you’re stuck there. I don’t think you’ll see those numbers improve.'”

And you know what? I was happy with that. I mean, c’mon, I almost died–twice! I’m happy with what I can get!!!! I took my regular meds and considered myself blessed!

Last month, my new PCP said it was time to check on my heart again. I’ve had some issues with stress, headaches, and back pain, so she wanted to rule anything out. My cardiologist agreed, so last week, I went in for a new echo. I got the phone call from his nurse today, as I was getting ready to leave my office.

MY HEART FUNCTION IS AT 60%!!!!!!!!!!!!!!!!!!!!!!!!!!

I’m completely floored–the nurse said, “We just don’t see that. We don’t see those numbers with people with your history. Someone is looking out for you, for sure.” HA!!!!! Ya’ THINK?!?!?!?

My mind is blown. Like, I wasn’t even praying about it–I just accepted 40-45% and went on my way. Subconsciously, I think I was writing off even trying to exercise or anything, because why bother if I’m “stuck?” I come from a long family history of crappy hearts, so I just took it for granted that this is my life.

BUT IT’S NOT.

God takes over and answers prayers when we don’t even ask. He works miracles that we don’t expect or anticipate. David & I are in this season of struggle, where things have been extremely stressful. Yet in this, over and over again, I keep seeing little things, and big things, and random things, that remind me that God is watching. He is PRESENT. He meets needs we didn’t even know that we had. He loves us, He works in our lives unexpectedly, AND HE STILL WORKS MIRACLES!!!

Spiritually, mentally, and now physically (multiple times!), my heart has been broken and repaired in miraculous ways. I know it may sound dramatic to say, but I will shout this testimony from the ROOFTOPS, y’all, because I know my God is in the business of healing hearts.

“My heart overflows with a good theme; I address my verses to the King! My tongue is the pen of a ready writer. You are fairer than the sons of men; Grace is poured upon Your lips; Therefore, God has blessed You forever.”–Ps. 45:1-2, NASB