Friday 2/27/00
We received a call from Angie Lorenz with Children's Miracle Network and then a letter from Marie Osmond & C.M.N. stating that Zach and his family have been chosen to represent Washington State at the C.M.N. Champions broadcast in Orlando Florida on June 3rd & 4th. It's taken the weekend but we're finally starting to get excited about it. I think we're so used to getting bad news when things seem to be going good that it took us a little bit to realize this was good news only! This should be a lot of fun and a great chance for us to help a great cause that has made our local hospitals the kind of place where miracles like Zach can happen.

Tuesday 2/28/00
Zach had a good Dr. visit with Dr. Lefond the neurologist who is in charge of overseeing Zach's seizure medications. Everything looks good. We will discontinue the Dilantin which should make the Prograf go up so we have a blood draw scheduled for tomorrow and another one for Monday. It will be nice to have Zach on one less medication and nice to hopefully need less Prograf since it is so expensive. We didn't get to see the MRI tapes but they did locate them as we were leaving so they are on the agenda for next time.

We got Zach itinerary for our CMN trip and are really starting to get excited. Going to the White house will be a fun first for all of us. Although we've met lots of other families in our many hospital stays it will be strange to be with such a large number of families all at once who understand what it means to have a special needs child.

Wednesday 3/1/00
Zach had another blood draw today. He had one yesterday but because of a miscommunication mostly on my part, Gina didn't have them check the Prograf level but rather they did the Dilantin level which we just discontinued anyway. Although Zach is getting good at having blood drawn I still feel badly that I caused him to have to get an extra blood draw.

Friday 3/3/00
Zach's Prograf level cam back a very low 5.5 (should be between 8 & 15) which scares me. Stopping the Dilantin should have made it go up not down. So we'll get another level Monday and then adjust his Prograf from there. All's great with Zach otherwise.

I spent most of today looking up the Ross procedure after receiving a nice not from a lady whose husbands case is being reviewed by Zach's transplant surgeon, Dr. Reitz. The procedure involves replacing a damaged aortic valve with the patients own pulmonary valve and then replacing the less important pulmonary valve with a transplanted one. The aortic valve keeps blood from flooding back into the powerful left ventricle which pumps blood out of the heart to the entire body. This valve is crucial to the circulatory process and survival. I wasn't aware of this procedure or that Dr. Reitz was involved in it as well. He is certainly multi-talented. Here are some links if you would like to learn more about the Ross procedure. I also found some information on the history of the heart-lung bypass machine which is necessary to every open heart and heart transplant surgery.

Heart Bypass Machine
Ross Procedure History
Ross Procedure Selection
Ross Procedure Pros and Cons
Ross Procedure Technique

Saturday 3/4/00
We just got back from the Washington State B Basketball tournament. We've taken Zach to the tournament every year but this was by far the best since thanks to Dan Hulsizer we had tickets to a luxury box and we were the only ones in it! It was perfect for Zach since he could run around plus he could always see the game without someone blocking his view. The boxes also have a nice living room area so Zach and I could wrestle during time outs.
Clapping has been Zach's biggest form of communication lately so he really enjoyed all the clapping. Zach clapped right along no matter which team scored a basket.

Monday 3/6/00
I took Zach back in for another blood draw this morning. Hopefully we'll score higher on our Prograf level this time. It was just Zach and I this morning since Gina is watching a little boy the same size as Zachary (Spencer). Spencer is a year younger than Zach but he talks great and is ahead of Zach in many respects. It reminds us how much we miss Zach talking but hopefully Spencer's talking will rub off on Zach and help catch him up. Although it's a little restricting sometimes it's great for Zach to finally have a buddy to play with since his immunosuppression has caused us to keep him so isolated. The extra money helps too.

3/9/00
Zach's Prograf level came back 10.5 (perfect). Much better than the 5.5 we got for some reason last Friday.

It was 19 years ago today that Dr. Reitz performed the first ever successful heart-lung transplant on Mary Gohlke at Stanford. My how time flies. I have a list here in front of me with the names, addresses and Emails of 120 living patients who received heart-double lung transplants at Stanford. Hopefully I can find the time this spring to try to get in touch with some of them and learn more.

Sunday 3/12/00
Zach was a handful but entertaining at Mass today. He got away once and almost made it up on the alter before I caught him.

They sang and hymn today that I've only heard a few times since the first time I heard it; that was at my friend John's funeral. John was a few years older than me, 23 I think and I was 18. John was an average guy, not particularly outstanding at anything but a really nice guy and a lot of fun to be around. We played tennis both with and against each other in some tournaments in the summers of 1984 and 1985. In the spring of 1986 John's girl friend broke up with him and he was devastated. John hadn't slept in three days and on the way home from a drinking binge he drove his car into a concrete bridge inbuctment and died instantly. As I looked at my beautiful wife and son and can't help but grieve for John and the fact that he couldn't see far enough into the future to know that there's life out there worth fighting for and that things eventually get better if you're around to see them. Zach's living proof of it. Rest in peace John.
"And He'll Raise You Up, On Eagles Wings, Bear you on the breath of dawn, make you to shine like the sun, and hold you in the palm of his hand"

Monday 3/13/00
I received an e-mail from Erin in Ohio today. Congratulations to her sister-in-law Terri who got a new heart and lungs March 7th. We wish her luck with her recovery and with finding ways to deal the the expense of a transplant and recovering away from home.

Tuesday 3/14/00
Today was a great milestone for transplant patients. Sean Elliot returned to the San Antonio Spurs. He's the first transplant patient to play in the N.B.A. I've been a Spurs fan since way back when the drafted David Robinson so I was thrilled with Sean Elliot's heroics in the N.B.A. playoffs last year. As great as that was, especially with his game winning 3 point shot, it pales in comparison to his heroics in coming back after receiving a kidney from his brother Noel. Way to go Sean!

Monday March 20th 2000
Zach's great grandmother Dorothy had a massive stroke last night. She's alive but unresponsive and will probably remain that way. Grandma has accomplished a lot in her life and has led a very full life. She has raised 3 wonderful sons who have instilled grandma's values in all her grand kids. We were already on her way over to see her this weekend. I wish we would have got there sooner.

Tuesday March 21
It seems trivial after what's been going on with Zach's great grandma the last few days but Zach made it through an entire meal using his fork today. He ate a whole waffle with it. He's making progress all the time.

Sunday March 26 Bellingham WA
We've been here visiting Zach's great grandma and Uncle Dick's family since Friday. On Friday grandma had opened her eyes and looked right at me then reached out her hand and squeezed my hand really hard. When my mom asked her how she was she clearly mouthed "fine" even though with half her body paralyzed from the stroke and the labored breathing from her congestive heart failure it was clear that she wasn't. Several other family members have had similar experiences as grandma used every bit of energy she had to try to say all her goodbyes.
Zach has been fussy at times but mostly playful. He hangs onto the bar and looks up at Grandma in the bed. Then he slides on his back and hides under the bed and then peeks out. He also likes hiding in Grandma's closet. I wish grandma could watch him play but I'm glad he doesn't understand. That innocence is one of the best things about kids.

Monday March 27 11:00 A.M.
This is our last visit to grandma. Gina immediately recognizes the familiar whoosh of the portable oxygen pump. We slept to that sound for a couple of months before Zach had the transplant. They've giving Grandma morphine for the pain to try to keep her comfortable and even though they've sat her up in bed to try to make the breathing easier, I can hear the familiar gurgle from the congestive heart failure. Her breathing is very labored and her face is contorted. We pray time is short. My grandfather was killed in an explosion nearly 60 years ago and Grandma has waited to be with him all this time. She's been ready for years if God would only take her. Grandma's niece Jo Ellen keeps up her vigil but the labored breathing just hits to close to home with what we went through with Zach. We say our last goodbyes and start the drive home.

1:00 P.M. Heaven
Grandma just left on her second honeymoon. Somewhere in heaven grandma is restored to her youth. (See the picture below). Grandpa dressed in his best 1940's Sunday suit gives grandma a big hug and spins her around. Maybe they'll go see Niagara falls or some other honeymoon spot that's a great view from heaven but first they have some visits to make. Riding in a brand new one horse buggy they make the rounds to visit grandma's parents, her brother in-law Fred Stehr, Al Wolfe and dozens of other people grandma has missed. Grandma excitedly jabbers about all the wonderful things she's seen since 1946 from microwaves to sky scrapers to getting pictures of her great grandson E-mailed to her. Hugo just listens and smiles then finally says, "I know Dorothy, I was watching".

Wednesday March 29th
Today I spoke for a couple hours at my alma mater, Washington State University College of Pharmacy. It was a good first time talking about organ donation but I confirmed what I've been told many times, I'm a little long winded. It was a two hour class and I had enough material for about 4 hours. I hope to do this sort of thing more in the future, I'll just have to remember to pare it down...a lot! I think Zach's story can be very captivating and hopefully we'll be able mold opinions and help the organ donation shortage in the future. I received several nice E-mails from people in the class including Laina who discussed organ donation with her 12 year old daughter. If we can just get everyone to discuss it with their family just once.

Our thoughts and prayers go out to Luba who was just told she needs a heart-lung transplant. It can be a tough decision. I hope the statistics I sent her are can be of use since I didn't get time to use them in my lecture. In spite of continued advancement in transplant medicine I'm sure they're not comforting. Heart-Lung transplants continue to have the worst survival rates of all major transplant types. (44.3% at 5 years post-transplant.) Even though that figure sounds low, survival rates are better every year and have improved by 10% since 1989. Technology only gets better.

Thursday 4/6/00
Dr. Garabedian was too sick to see Zach yesterday but we still managed to get his Prograf adjusted. His level was up over 13 so we are reducing it from 11ml (5.5mg) to 10ml (5mg) twice daily. I expected we would have to do this before now since we stopped the Dilantin last month. We had a fun afternoon at the park with Zach, Gina and I after work today. I'm glad it's finally starting to warm up so we can go to the park more. Zach loves ducks! Still no talking for Zach but we know he wants to. When we push him fast in the stroller, feed the ducks or lift him up to the basketball hoop we get lots of sound but it's mostly mmmmmmmmmmmmmm! I don't care if the first thing Zach says is *!@&$(*^@(@#$*@#$)(*$^&(!@ as long as he talks again.

I had an interesting visit with a customer in the pharmacy whose teenage son is undergoing kidney dialysis and may eventually need a transplant. Kidney transplants are the most common of all transplants by far. They also have the most people waiting for organs. Kidney's are interesting both because of the tissue matching they have been able to do with them and also because there is the possibility of a living donor since everybody had two. I also thing the teenage age group has the toughest time psychologically dealing with transplant.

This has been a record week for me with contacts form the website. Many requests have been for transplant statistics, most of which I find at www.unos.org. Here is a sample of one of my contacts this week.

KATHY WRITES:

hello
my name is Kathy and i have a friend who about 6 months ago found out
she had a lung disease, recently she found out that she will need a lung
transplant. what i am doing is help her find locations that give heart
transplant a list if available. she is looking for ones that might be
closed to her family .
she is single and doesn't want to through this alone. any help you can
give me is appreciated.
thanks, Kathy
p.s.
i think you need to add a list of transplant centers. my friend just
found out she has to have a lung transplant. we are looking for a list
anything in Nebraska near Lincoln,Nebraska, or Chattanooga,Tennessee.
or near Orlando ,Fla any info would be appreciated thank you Kathy

MIKE WRITES:

Kathy, your friend is right on with wanting to:
A. Be close to family. I don't know how we'd have done it if we
wouldn't have had our families for support.
B. Shop around for her transplant center since experience is a huge
asset. That's why we chose Stanford for Zach's heart-lung
transplant.

Here's some data I found entirely at www.unos.org. If it's stat's and whose
done what that you're after, that's a great place to find it. I wasn't sure
what type of transplant your friend needs so I include HEART, LUNGS &
HEART-LUNG transplants.

HEART & LUNGS TRANSPLANT

Shands Hospital, Gainsville Fl. 1 in 1997 and 2 in 1998
Baptist Memorial Hosp. Memphis TN 3 in 1997 and 0 in 1998
St. Louis University, St. Louis, MO 3 in 1997 and 3 in 1998
None were done in the state of Nebraska in 1997 or 1998.

LUNG TRANSPLANT

Barnes Jewish Hospital in St. Louis Mo did 57 in 1997 and 55 in 1998.
Shands Hospital in Gainsville did 27 in 1997 and 28 in 1998.
Vanderbilt University in Nashville, TN did 16 in 1997 and 20 in 1998.
Nebraska Health Syst. University Hosp. did 7 in 1997 and 2 in 1998.

HEART TRANSPLANT

Jackson Memorial in Miami Fl did 27 in 1997 and 33 in 1998.
Shands Hospital in Gainsville FL did 49 in 1997 and 40 in '98.
Tampa General in Tampa FL did 42 in '97 and 47 in '98.
Bryan LGH Memorial Center in East Lincoln NE did 5 in '97 and 7 in '98.
Vanderbilt U. in Nashville, TN did 26 in '97 and 28 in '98.
St. Thomas in Nashville, TN did 17 in '97 and 15 in '98.
Baptist Memorial in Memphis TN did 16 in '97 and 17 in '98.

Hope these facts help, like I said check out the UNOS site and let me know
if I can help with anything else.

This data is interesting to me and I'm going to post it on Zach's website
along with your note. Please let me know if that's not O.K. with you. We
wish your friend luck, Mike

Friday 4/7/00
Lately there has been a lot of political wrangling over who should set transplant policy and run the transplant system (The department of health and human services or the United Network for Organ Sharing) and how organs should be disseminated. Kept locally or mandatorily shared with the sickest patients even though someone close may have a better chance of survival. I see both sides of the argument. The one thing we know for sure is that only about half of potentially transplantable organs ever get donated and if we can increase that number it will go a long ways towards easing the argument over who should get available organs.

Sunday 4/9/00
Gina & Zach are back from Yakima and although it was only a weekend away I'm glad their home. Zach is running around as happy as can be to be home. I know I'm partial but he's a pretty good looking kid!

I has a couple interesting E-mails today from Heidi an adult heart-lung recipient. She was the fourth recipient ever at Methodist Hospital in Indianapolis in 1993.

Also Debbie wrote about her 9 year old nephew Phillip who had the Fontan procedure on his heart. This procedure is to help the heart work better in someone born without a right ventricle of the heart like Phillip was. If anything were to go wrong he would become a heart transplant candidate. So far Phillip is doing well medically and is in the second grade.

Sunday 4/23/00
We had a very nice Easter at Zach's Uncle Joe & Aunt Melissa. They had about 20 relatives over including both sets of Zach's grandparents and about half a dozen kids who partook in an Easter egg hunt. It was Zach's first time hunting for Easter eggs and he did great. Gina followed him with his basket and Zach would find the eggs and fill it up. Pretty simple stuff but a thrill for us!

Tuesday 4/25/00
Zach gave us a pretty big scare today. Zach is a big Barney fan but we didn't realize how dangerous that could be. Up until today we have always kept a small TV in Zach's room. Sometimes Zach just likes to sit on his bed and watch Barney in his room. Well today he decided he was going to crawl up on the dresser and put Barney on himself. There was a huge crash and Gina and I both came running into Zach's room and found the dresser and T.V. in a pile with Zach underneath. Although a little scared Zach was fine but it sure scared us. Zach's only injury was when Gina pulled the T.V. off of Zach so fast that she dropped it and it gave Zach a bump on the head. Her adrenaline was really going, I can understand those news stories now where mothers pick up cars or other heavy items to rescue one of their children. One thing is for sure, all televisions at our house are down low now.

Thursday 4/27/00
Zach, Gina & I had a great day supporting Children's Miracle Network. We heard from local CMN supporters including Bobby Brett, The Gonzaga Bulldog Basketball Team and Drew Bledsoe via satellite. Here is roughly what I said during our chance to address the people on hand:"

Hi It's great to be here. I'm Mike Zagelow, this is my wife Gina and our son Zach. Zach got a new heart and both lungs about a year and a half ago.

Zach has spent a lot of time in both Deaconess and Sacred Heart and we have surely benefited from the wonderful work done by Children's Miracle Network. I won't go way into detail about Zach's story since it's a pretty long one but I can say that it was great to find out that Zach was going to be Washington's CMN representative. We've gotten so used to getting bad news the last couple of years that it took us a while to believe it but now that it's finally sunk in we're really excited to make the trip and represent such a good cause. We understand how busy life gets and it's really admirable how all of you have given your valuable time to such a noble cause as CMN. Thank you.

If you would like to know more about Zach's story, Children's Miracle Network or Organ Donation you can visit Zach's website at www.zacharyz.com. Thanks for taking the time to talk to your families about organ donation and thank you for supporting children's miracle network.

Sunday 4/30/2000
We continue to receive bad news about Terri, a fellow heart-double lung recipient who is now battling a serious infection. Please keep her in your prayers.

Sunday 5/7/00
So much has been going on lately. First there is the tragedy of Dr. Allen. Dr. Allen was partner's with Zach's cardiologist, Dr. Garabedian. Apparently while fishing alone Dr. Allen fell into the water while trying to untangle a fishing line from his propeller and died in the water of exposure. Dr. Allen saw us through some pretty tough times while Dr. Garabedian was in Armenia and we found him to be kind and compassionate as well as very competent. We'll miss him but the loss to his patients, especially to ones who have gone through major surgeries or transplants is unbelievable. I spoke with Brian Prawdzik who Dr. Allen saw through a heart transplant and Brian said that Dr. Allen had said that when he dies he hopes it's on his fishing boat. Another of life's ironies. Dr. Allen's memorial service will be at the opera house hear in Spokane. I've never heart of a memorial that large in this area but it makes sense with how many kids he has influenced during his long career as a pediatric cardiologist. He will be missed.

On a brighter note we received our tickets to Washington D.C. with Children's Miracle Network. The book of Champions was truly overwhelming. There are so many terrible things that can happen to a child and to see how these kids have persevered is amazing. Soon all these stories will be updated on the CMN website.

Zach is doing well and although he's still not talking he is growing fast and gradually understanding more as well. He has really been enjoying the chance to be outside with the warm spring weather.

I spent a couple hours tonight at www.adamvasser.com. Adam received a heart at Stanford a little after Zach had his transplant in 1998. Although it was difficult to see how much Adam has endured, it is nice that they share their experience for the benefit of families like ours.

Tuesday 5/9/00
Brooke Porter's mom was in the store today. Brooke is a young girl here in Spokane who is waiting for a liver. Last night they were put on alert about 11 pm and didn't find out until 6 this morning that the donor liver wouldn't work for her. I feel for the family and am so glad we never went through any false alarms.
I attended the memorial for Dr. Allen this morning. It brought back a lot of difficult memories of our time in Deaconess when Zach was on the respirator and Dr. Garabedian was gone to Armenia. We couldn't take Zach to the service since he was scheduled for his Synagis shot so Gina took Zach to get his shot and I went to the service. Here is an excerpt from KXLY, a local news station who also does the Children's Miracle Network broadcast.


Read about Tyler (the boy in the picture)
He touched the lives of so many people, and it was no surprise hundreds came to say good-bye.

A memorial service for Doctor Welzie Allen was held at the Spokane Opera House today. Doctor Allen died in a boating accident this week out by Lake Pend Orielle. You needed something as big as the Spokane Opera House to bring together all the people touched by Dr. Allen. In today's service, one of his daughter's said he touched people's heart's physically and figuratively. Hundreds poured in to say their final good-byes. And everywhere you turned, you saw faces of children Dr. Wes Allen helped save, patients he called his little frogs.

"I can hug my daughter today and she's around today because of him." "When I was littler he brought me a stuffed frog animal." They came together to look at the snapshots of a man's life. To learn more about a doctor, a husband and a father. And inside, the stories that went behind the pictures. Most knew Wes Allen's role as a healer. He traveled all over the world to help sick children with an organization called "healing the children". It's founder read a poem from a little six year old girl from Honduras he helped save. Dr. Wes had a long list of accomplishments. He helped set up a new system of air ambulance service, and a neonatal intensive care unit. To his family, Wes Allen brought love and laughter as a husband, and a father of three girls. But after the stories, the tears and the laughter, it was time to say good-bye.

"Healing the Children can only add one thing and that is, Doctor Allen...well done my friend, well done." Doctor Allen also played a key role in starting the Children's Miracle Network locally. In the service it was announced, this year's CMN Champion's broadcast will be held in honor of Doctor Allen.
KXLY NEWS 4 Spokane

Wednesday 5/10/00
I've had several questions lately on how Zach's therapy is going. Quite well from my perspective. Several times a week a teacher or therapist from district 81 here in Spokane comes to the house and works with Zach. Although Zach is still not talking he does understand well (sometimes he listens and sometimes he doesn't but I think that's true of any 3 year old). Typically most of the sessions are spent working on trying to develop communication, for instance Sandy (that's the teacher who comes the most) will give him a choice of several cards to choose from with items drawn on them that Zach can recognize such as clothes, socks and shoes, scissors, crayons, cups, etc. Zach chooses a card and then they work on what ever is on the card. For instance if Zach chooses the closes with the card then Zach and the teacher will work on Zach dressing himself. Sandy is very patient and Zach is making progress, some days are better and some days Zach is less cooperative but overall we've been very happy with the progress Zach has made and are VERY comfortable with the teachers and the job they do, which is nice since they're in our home so much. It's been about a year and 1/2 since Zach last talked besides saying mom and mouthing cut a couple of times when working with scissors. After all we've been through with Zach it hardly bothers us. Every challenge Zach faces just makes us love him more.

Just 3 weeks until our big trip with CMN. We're very excited.

Thankfully it sounds like Brian(heart) is past his rejection but Adam(heart) in SanFrancisco is dealing with it and Terri (heart-lung) from Ohio is trying to recover from a stroke suffered not long after her transplant. Transplants aren't for wimps that's for sure.

Monday 5/15/00
Zach was in for one of his many blood draws today. After two tries they couldn't get a vein and Zach is getting strong enough that Gina can't hold him for long anymore. They'll go back and try again tomorrow. The numerous blood draws to check medication levels are a pain for every transplant patient but for the one's that don't yet understand that they're for their own good they can be a real terror.

Sunday 5/21/00
Zach's appointment went well with Dr. Garabedian last week. Zach's lungs sound clear and his blood pressure was good. Also the echo looked o.k. Zach's creatinine continues to creep up. That is the measure of his kidney function. One of the problems with immunosuppressants like Prograf is that it can be nephrotoxic (toxic to the kidneys). Zach's Prograf was a little high so we're going to reduce his dose from 5 mg twice daily to 4.75mg twice daily. Hopefully this will be a little easier on the kidneys.

Question: One of Zach's medications is Magnesium. Magnesium tastes bad and often causes diarrhea. Why does Zach need to take it?

Answer: Magnesium is an essential nutrient required for more than 300 enzyme reactions that affect critical body functions, including cardiovascular, metabolic and musculoskeletal systems. Despite its presence in many whole foods, magnesium levels may be too low in 50 to 75% of the U.S.* population because of the preponderance of highly processed foods that make up the average American diet. Deficiency can be caused by a number of prescription drugs, chronic alcoholism, chronic illness. Magnesium deficiency is associated with cardiovascular disease, diabetes, osteoporosis and PMS as well as other conditions. Severe deficiencies has been associated with arrhythmia and sudden death. 99% of the body's magnesium is stored in the cells and in bone. By the time blood magnesium levels are obviously low the deficiency is often advanced. Zach's main immunosuppressant, Prograf, can deplete magnesium and the steroids he must take to help prevent rejection of the lungs can cause osteoporosis that magnesium can help prevent.
*Pharm/alert Tips sponsored by Blaine Pharmaceuticals.

Zach had a great time today at Max Axtell's (the son of one of my pharmacists) fourth birthday party. Zach ran around with other kids and played and jumped on the trampoline. That's the kind of day that makes the whole transplant thing worthwhile.

Here's a letter from the mother of one of Dr. Allen's patients.

Mike and Gina,
Your records of your experiences are painfully familiar. Our son was born
with 7 heart defects as well as no spleen. Dr. Allen said that Tyler's
heart had the most defects and complications of any kid he's ever seen in
30 yrs. of cardiology.....never a good thing to hear. Early on, a transplant
consideration was thrown out because of his compromised immune system.
Three surgeries and eight years later, heart-lung transplant will eventually
be our next step (we are told). Dr. Allen was Tyler's cardiologist. We
feel so much about him like you feel about Dr. G. He was like family,
having held our hands through the darkest days of our lives. We feel so
lost without him. Dr. G has seen our son when Dr. Allen was out of town,
and we are scheduled to see him next month. We are certain he will be
awesome. The picture on your web-site of Dr. Allen is with our son after
his second surgery.

Reading about your "roller-coaster ride" brings back the "he's going to
live", "he's going to die" process and everything in between. Our first 4
years with Tyler were similar to your experience of ER rooms (un-equipped
to deal with the complexity of Ty's case), to the surprises at routine appt.s,
hospital stays, infection fears.....my heart immediately goes out to your wife.

Our past four years have been miraculously smooth.....which we have grown
to LOVE, but are always wondering what lurks around the corner.

Thank you for all the work you have invested in this web-site. My husband
is out of town now, but I know he will enjoy reading your story. We will
definitely keep your Zach in our prayers.

Thanks again,
Amy Jo LeLaCheur

Monday May 29th 11:00 P.M.
We're ready and all packed and very excited. We leave for the airport at 5:30 A.M. Pacific time for Washington D.C. Meds, stroller, tickets, suitcases, check, check, check!

Dr. Garabedian has been working hard to have Zach's Prograf level adjusted before we go. We reduced it a little at our last visit and our follow up level last week was over 17! They like the level to be about 9. Because of the holiday weekend we had to go get a level in the E.R. and somehow they messed it up so we were in for another lab this morning. While the draw went good again today the level came back at 12.6 so still too high. We're going to reduce the dose again and get another level as soon as we get back but at least we won't have to try to find away to get a level on our trip. We'll be sure to take lots of pictures so check in next week. We'll be on ABC on June 3rd and 4th. See you then!

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