The majority of today was another uneventful one for Tim. He spent time doing his two favorite things, eating and playing including some time playing video games with his dad, a fun game of body part bingo that won him a cool new Lego kit and having fun with his visiting sister and brother tonight. As has been the case the entire time he's been in the hospital there was nothing remarkable about Tim's day and on the whole it was a good and fun one for him.
For mom & dad it was a little bit of a different story when we met with several of Tim's doctors this evening. After the cardiac team meeting this afternoon the resulting recommendation/decision is that Tim definitely needs a transplant. With that said some of the early lab work is going to get started straight away to be able to determine what is needed to get a match for Tim. The next big decision is if Tim will need to remain in the hospital until a donor heart is found or if he will be able to come home. We, of course, would love to have Tim at home since it simplifies everyone's life a great deal, but that could be at significant risk for Tim. To help make that decision (hopefully) a little more clear Tim is going to have a catheterization later this week once some scheduling issues get resolved. This is to test the pressures in Tim's heart and lungs to see what kind of shape they are in. After we get the results of these tests we will be able to make a decision with the transplant team about where Tim will wait for his heart.
All of this, of course, is a little hard for us to fully digest at the moment. We knew this day would be coming at some point but were comfortable with the fact that it was a day far out in the future. The most pressing concerns are about how best to manage Tim's care and who can be with him most of or all of the time. With a few more days to think things over and come up with a plan we're sure we can come up with a workable solution for everyone, but looking ahead at what could be up to a half a year in the hospital it's going to be a challenge the whole family will need to find a way to overcome.