We went to our follow up
appointment today with the advanced heart failure/Transplant group. We expected
to walk in and get their review of the catch that was done on Friday. We
assumed they would say "well as you know Jim’s heart is much weaker, so we
really need to begin to think about a transplant sometime in the future."
That is not what happened at all. The doctor looked very concerned and said we
needed to be considered immediately for a transplant. (We began the process
within the hour) He said Jim’s heart function was not good at all. The only
detail we understood was that the average male heart pumps blood, at rest,
approximately 5 liters of blood per min. Jim’s only pumps 1.4 liters per min.
He said this number alone requires that Jim be considered for the transplant
list immediately. He went on to tell Jim not to exercise at all. As the doctor
put it “You are not to lift anything, do anything, and if you have to walk you
must walk gently.” Jim is not one to follow restrictions like these but he has
no choice. Jim even ate a salad for supper last night.
We were reminded again
that transplants carry huge risks. There is a limited life expectancy, even
after the transplant. In addition to this we will have to make arrangements to
be within two hours of Birmingham when we are put on the list. Post-transplant,
Jim will require 24/7 care for 6-8 weeks. At this point you must live within 15
minutes of UAB. So we have a lot to think about. We love Philly and the work
God has allowed us to do. The elders have truly blessed us and they are leading
the congregation in a way that is pleasing to the Lord. We pray that something
will allow us to stay and work with this great congregation for many, many
years.
We must remember “God will provide” and “All
things will work together for good” (Genesis 22:8; Romans 8:28)
We will return to
Birmingham in four weeks for the remainder of the testing. Please pray for our
upcoming decisions and that Jim may have the best quality of life possible.
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