In March I told our story at the Ohio Senate and in April at the House. You can read that speech here. It was definitely not as easy as I expected. Despite rehearsing it several times, it was hard to stay composed when talking about the best and worst days of my life in front of state senate as my audience. I wanted to make an impact, but at the same time I hate reliving there, the darkest of days. It is not a pretty place, but I guess that is kind of the point. Without scaring people, my hope was that they realized that CHD is not uncommon and happens to normal people, and that there is real importance that pulse ox screening has on real lives. I'm a real person impacted by congenital heart disease, whose child was saved by observant nurses and pulse ox testing. Seeing Sofia's bright and smiling face that day at the Statehouse reminded me of full of life she is. A child who minutes before going to the Statehouse spilled her chocholate milk all down her shirt and skirt and tights. A girl with a sweet smile and a
Sofia goes back to the cardiologist in August and the gastroenterologist in July. I was talking with her cardiologist on the phone the other day and mentioned we are planning to go to Toronto in a few weeks and that we hadn't been there since Labor Day last year. Matter of factly, he said that she's a different child since then. Why yes, she is. Last summer was a little rough, with her surgery in May. It look her some time to become herself again, energy wise especially. She's pink almost all the time now. Sometimes I just stare at her lips, noticing how pink she is. I never dwelled on her blueness and am convinced that it was less evident to people who knew her, but in retrospect, she definitely was more blue.
With the pulse ox victory, I wonder what will be next for us. It's kind of put a little bug in me. A little voice in the back of my head wondering what I can do next. What advocacy efforts we will engage in next. I'm not sure what route we will go, whether it is for children in general or more heart related, but I want it to always be a part of who we are. Hearts will always be our thing, and we'll always be looking at the world through a different lens with such a special child. She is a gift.
To enact section 3701.5010 of the Revised Code to require a critical congenital heart defects screening for each newborn born in a hospital or freestanding birthing center.
Be it enacted by the General Assembly of the State of Ohio:
SECTION 1. That section
3701.5010 of the Revised Code be enacted to read as follows:
Sec. 3701.5010. (A) As used
in this section:
(1) "Critical congenital heart
defects screening" means the identification of a newborn that may have a
critical congenital heart defect, through the use of a physiologic test.
(2) "Freestanding birthing center"
has the same meaning as in section 3702.141 of the Revised Code.
(3) "Hospital," "maternity unit,"
"newborn," and "physician" have the same meanings as in section 3701.503 of the
Revised Code.
(4) "Pulse oximetry" means a
noninvasive test that estimates the percentage of hemoglobin in blood that is
saturated with oxygen.
(B) Except as provided in division
(C) of this section, each hospital and each freestanding birthing center shall
conduct a critical congenital heart defects screening on each newborn born in
the hospital or center, unless the newborn is being transferred to another
hospital. The screening shall be performed before discharge. If the newborn is
transferred to another hospital, that hospital shall conduct the screening when
determined to be medically appropriate. The hospital or center shall promptly
notify the newborn's parent, guardian, or custodian and attending physician of
the screening results.
(C) A hospital or freestanding
birthing center shall not conduct a critical congenital heart defects screening
if the newborn's parent objects on the grounds that the screening conflicts with
the parent's religious tenets and practices.
(D)(1) The director of health shall
adopt rules in accordance with Chapter 119. of the Revised Code establishing
standards and procedures for the screening required by this section, including
all of the following:
(a) Designating the person or
persons responsible for causing the screening to be performed;
(b) Specifying screening equipment
and methods;
(c) Identifying when the screening
should be performed;
(d) Providing notice of the required
screening to the newborn's parent, guardian, or custodian;
(e) Communicating screening results
to the newborn's parent, guardian, or custodian and attending physician;
(f) Reporting screening results to
the department of health;
(g) Referring newborns that receive
abnormal screening results to providers of follow-up services.
(2) In adopting rules under division
(D)(1)(b) of this section, the director shall specify screening equipment and
methods that include the use of pulse oximetry or other screening equipment and
methods that detect critical congenital heart defects at least as accurately as
pulse oximetry. The screening equipment and methods specified shall be
consistent with recommendations issued by nationally recognized organizations
that advocate on behalf of medical professionals or individuals with
cardiovascular conditions.