05/06/2025
6/5/2025
So here is the big update. We have known this for a bit, but have taken some time to adjust and wait for next steps to be clear.
In April, we reviewed Blaine’s venograph with her GI doctor at Texas Children’s. The results reflected that Blaine needs more than a liver transplant. Specifically, they believe there is not enough portal vein to attach a new liver to. Normally, the liver is attached via the portal and splenic vein. Blaine no longer has a splenic vein because of her splenectomy, and they think her portal vein is too “short” to safely and successfully attach a new liver.
They advised that she should have a liver AND small bowel transplant. This would “fix” the problem of there not being enough portal vain. HOWEVER, they do not perform these transplants at Texas Children’s Hospital. They are not set up/equipped to do multi-visceral transplants. They recommended two children’s hospitals for us to research to be referred to. This included Cincinnati Children’s and Children’s Hospital Philadelphia. While it would be very cool to have a small chance to possibly run into Jason or Kylie Kelce, we chose Cincinnati.
We will be traveling to Cincinnati later this month for 4-5 days of testing for Blaine. Since she is stable, she will be able to go to all appointments and procedures as an outpatient. They essentially have to collect all data to perform their own transplant evaluation. They are using as much of the data from Texas Children’s as they are able to.
We will wait to see what they think. IF they agree that Blaine needs a liver AND small bowel transplant, we will discuss timing as best we can, to wait as long as we safely can.
The recovery process for a liver and small bowel transplant is much much longer than just a liver transplant. There is a higher risk of rejection, and she would start on a much higher dose of anti rejection meds. Basically, she will be receiving a new immune system and losing her own. The time required to stay in Cincinnati after transplant is extensive. So if this is the case, our goal/hope is that we can let Blaine finish high school first.
Our ultimate hope and prayer is that they can perform a transplant that gives her what she needs but is not as extensive as the liver and small bowel. Only time and their tests will tell.
The GOOD NEWS is that they can still “fix” Blaine’s portal hypertension. The GOOD NEWS is that she is still stable right now and as healthy as she has been. The GOOD NEWS is that we have some AMAZING DOCTORS AND NURSES that keep showing up for Blaine and working to help her to get better and eventually live a “normal” life.
While this was not part of our plan, we will roll with it. None of this has been part of our plan, but we will choose to move forward with a positive attitude and trust in God’s perfect timing.
Please pray for no bleeds, no clots, no infections. That Blaine will continue to be stable and strong emotionally. Pray that we will have a plan and understanding of next steps, and for wisdom for her current and new doctors. As I said before, this is an Odyssey. While I wish this was not something we had to go through, it is shaping Blaine and our family.