Sunday, February 7, 2010

Pulse Oximetry Screening on Newborns

Eight months pregnant with Lila Rae




this is one of the many tests that were performed on our Lila Rae. however, there are too many babies who don't get this simple screening. please take the extra measures to make sure this test is done one your little ones.

Pulse Oximetry Screening on newborns



A test that measures oxygen levels in newborns can detect "critical" congenital heart disease, but there are variables involved with the test that require more study before it is adopted for universal newborn screening, according to a new joint statement from the American Heart Association and the American Academy of Pediatrics.


A critical congenital heart defect is one a child is born with that requires surgery or catheter intervention in the first year of life, such as Tetralogy of Fallot and Coarctation of the Aorta, among others. The benefits of the oxygen test, called a pulse oximetry screening, outweigh the risks, but the best way to implement pulse oximetry screening is not well established by research.


Thus, the organizations affirm that the test can be used at a physician's discretion, and call for more research to determine whether the test should become part of the routine assessment of all newborns in the United States.


In the research reviewed, the test's ability to detect critical congenital heart disease varied widely, from zero to 100 percent. According to the statement, most studies that have analyzed pulse oximetry in newborn screening were relatively small, and screening protocols differed with respect to both age at screening and cutoff levels for an abnormal screen. A normal oxygen reading is between 97-100 percent. Because oxygen levels in healthy newborns can vary considerably in the first 24 hours of life, the authors note that testing after 24 hours would appear the best strategy. False positive rates were just .035 percent in infants screened after 24 hours. "The statement is important because there hasn't been any strong guidance so far regarding the use of pulse oximetry as a diagnostic technique in newborns," said William T. Mahle, M.D., FAAP, chair of the writing committee and associate professor of pediatrics at Emory University School of Medicine in Atlanta. "Some hospitals across the country have adopted it and others haven't, so we wanted to review the available evidence and offer a consensus opinion on the topic."


The test potentially can identify significant or life-threatening heart defects that may otherwise go unnoticed or at least unnoticed before a newborn is released from the hospital, Mahle said. Early identification of certain defects is important, and can allow doctors to begin appropriate treatment or transfer to a specialty hospital.


Pulse oximetry was developed in the early 1970s, based on the fact that red blood cells that carry oxygen absorb different wavelengths of light vs. those that don't carry oxygen. Oxygenated blood cells absorb infrared light, while deoxygenated cells absorb red light. The test measures how much oxygen is in blood that flows through the arteries. Arterial blood oxygen levels are measured by a device with a thin wire, tipped by a small red light. The wire is taped to an infant's foot for a few minutes to obtain a reading. In older children and adults, pulse oxygen is often measured by a device clipped on a finger.


The overall cost of the test is reasonable, and is about the same as the cost of other newborn screening tests.


Source: American Heart Association, 07-07-09

Then the light of my blessing will shine on you like the rising sun. I will heal you quickly. I will march out ahead of you. And my glory will follow behind you and guard you. That is because I always do what is right.
Isaiah 58:8

CHD Awareness Week



CHD Awareness Week February 7-14, 2010
For those of you who don't know this is a cause near and dear to my heart. It was three short years ago that my sweet Lila Rae was diagnosed with a CHD. Unfortunately, she had a rare CHD, Hypoplastic Left Heart Syndrome, and died at 6 weeks of age.
This week I want to share with you some things about CHDs and its victims. So please check through out the week to learn something new about these defects.
Also, Cory and I will be wearing red ribbons this week to support the awareness. Please feel free to do the same!

  • Sometimes during early pregnancy, a baby's heart fails to form properly, resulting in structural abnormalities known as Congenital Heart Defects. Although some defects are genetic, in many cases the cause is unknown.

  • It is estimated that 40,000 babies with Congenital Heart Defects (CHD) are born in the United States each year. More than 1 million American children and adults with Congenital Heart Defects and Childhood Onset Heart Disease are alive today.

  • CHD is the most frequently occurring birth defect, and is the leading cause of birth-defect related deaths.

  • Although some babies will be diagnosed at birth, newborns are not routinely screened for CHD. The consequences of a late diagnosis can have serious, lifelong implications, so it is important for the public to be aware of the signs and symptoms in newborns, and children.

  • Some CHDs may not require treatment other than periodic visits to a Pediatric Cardiologist. Others can be treated with medications or repaired with surgery and/or procedures. Complex defects may require several surgeries and are never really "cured".
    Many cases of sudden cardiac death in young athletes are caused by undiagnosed CHDs and Childhood Onset Heart Disease.

  • It is estimated that more adults than children are living with congenital heart disease, and this population is expected to grow by 5% each year. Yet, many adults with CHD are not receiving adequate ongoing care from trained specialists. ***


* American Heart Association: Statistical Update 2001
** American College of Cardiology, 32nd Bethesda Conference: Care of the Adult With Congenital Heart Disease
***Report of the National Heart, Lung, and Blood Institute Working Group on Research in Adult Congenital Heart Disease, 2006







Saturday, February 6, 2010

Pike Place Fish Market and Seattle shopping

One of the highlights of our trip to Seattle was the Pike Place Fish Market. The first day that Cory and I were there we went to this great little restaurant in the market. Some friends from Florida Farm Bureau had told us of this place, and it was GREAT! It was probably my favorite place we went too. Cory and I sat next to the window overlooking the BeAUtIFul, snow-capped mountains. The seafood was fresh and very good! It was so peaceful and enjoyable just me, my hubby, and the beautiful scene.


This is the ugliest and scariest fish I have ever seen! The workers pulled a mean joke on me and my friend, Melissa, and pulled this hideous thing and scared the daylights out of us!


Melissa, the market guy, and me







The second day we were there, Melissa and I went shopping while the guys did their convention thing. So we went back down to the market and got some of the best chocolate covered pecans, and cherries I have ever eaten. We then made our way back to the shops......Nordstrom Attic specifically! I found a pair of Ugg Boots that are gorgeous and very comfortable! They are my new favorite thing! We had a great time shopping...even if it was in the rain.



God is good...ALL the time,

Monday, January 25, 2010

Surgery went GREAT!!!

Whitman was feeling pretty good after they gave him some more meds...he was feeding everyone

Bless his heart he was ill when he came out of surgery.



Whit was shocked at all the people who came to see him!



Little man you need to drink so you can go peepee and we can go home!



Isn't he just precious!


Whitman did a great job this morning with his surgery. We are so blessed to be home with a healthy, happy baby boy! Whit's surgery went great and all is well here at our house. Well did I mention that Whit can't wear a diaper for 48 hours.......OMGoodness!!!! Please continue to keep our household in your prayers. This is going to be a trying week but God has brought us this far! I know we can make it through this.
Thanks again for everyones thoughts and prayers. We are trully blessed to have prayer warriors like you on our side.


Thank you Lord for my healthy baby boy,





Whit Goes For Surgery



Whitman playing with the bedside remote....he thought it was his phone!




Our dear preacher came to see Whitman before surgery


Daddy and Whitman watching Mickey Mouse......his little gown is so cute






Mommy and Whit hanging out with our new bear the docs gave him before his surgery



So we got to the hospital early this morning for Whit's surgery. He is back in surgery now and doing well. The nurses are coming back and forth assuring us that everything is going well. We are so blessed! Meanwhile, Whit's room is filling up with Grandparents, uncles, preachers.....this youngin' is so loved! Not to mention everyone who is praying for my little boy! Thanks to all our facebook friends too for keeping up with today's events.
Will let everyone know when he comes out of surgery. Love to you all!



God is so good ALL the time,

























Friday, January 22, 2010

The Space Needle

Atop the Space Needle...freezing



Cory's expensive steak and crab legs


My expensive but yummy crab legs


The view from the restaurant atop the Space Needle


Our wonderful group of GA Farm Bureau representatives eating at the Space Needle



The views of downtown Seattle from our hotel room




Downtown Seattle




We went and visited so many local popular spots. One of our faves though was the Space Needle. The rotating restaurant was so AWESOME and different! I felt like an adult! Ha! It was just so nice to be some place different without having to order chicken nuggets and french fries. Haha! The food was out of this world! But the atmosphere is what I would go back for.



God is so good ALL the time,




























Wednesday, January 20, 2010

Seattle Trip

Cory and I before we went to our first Young Farmer event.
My HaNDsOMe HuBBy in our hotel

Our friend and YF National Committee Member, Leighton Cooley, interviewing Cory


There is NO telling what was going on here..haha!



The first morning in Seattle we were honored at a YF's breakfast. We got to see friends we hadn't seen in awhile, network with other farmer's and their spouses, and enjoy the food that was served.
God is so good. There is no way I could have told you, 6 months ago, that Cory and I would be were we are right now. Much less have had the opportunity like Seattle! What a joy in knowing that my GOD's plans are always grander than I can fathom.








God is good.....so good....ALL the time,