Update on Nelson

We received Nelson's echocardiogram and it was reviewed by cardiology at our medical center today.  Unfortunately it shows that the replaced valve is failing.  The valve was supposed to last 10-15 years but it has only lasted 5 years.

I am planning to see Nelson this week and I'll do an exam to see how he sounds and how he feels.  

The major issue, however, is that he will need another valve replacement.  This replacement will have to be mechanical valve which is permanent, and also carries the need for chronic blood thinning (anticoagulation).  This is very challenging because I do not know how Nelson will be able to return to Haiti given those circumstances.  He would have to take a blood thinner (like Coumadin) for the rest of his life, have frequent blood work in order to make sure that his blood is not too thin (which can lead to spontaneous bleeding) or too thick (which can lead to clotting off of the valve).  

We are praying about this situation and it is quite heavy on our hearts, especially as I am going away this week to Haiti.  

Please pray for Nelson that he would remain safe, pray for wisdom in knowing how to proceed with this new issue and all that it entails.

Please pray for us as we try to discern what is needed and how best to go about it.  We could also use your prayers for strength and comfort during this difficult time.

Ben

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President, Thriving Villages International

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