Josie's cardiology appointment on Monday was a very thorough exam.
It was a good appointment. 
Although we see Dr. Lacina yearly, she hadn't had a full work-up in two years. Josie has Tetralogy of Fallot and you can click
here to find out more information on this condition. Josie was incredibly tolerant of her ultrasound, EKG and anything else that was asked of her.
It didn't hurt that she was able to watch Kung Fu Panda 2 during her 40 minute ultrasound. 
After reviewing all the exams with her cardiologist, we were reminded that despite all her initial surgery, she still has an enlarged heart and that she continues to have quite a bit of back flow through the pulmonary valve back into the right ventricle because it doesn't close properly.

We talked more realistically about "when" our doctor thinks she'll need the pulmonary valve replaced. Our hope (
fingers crossed) is that she can get the majority of her growing years done before the surgery.
Optimally, we'd like to get her to age 15. We also talked realistically about sport restrictions and endurance restrictions now that she's school age. Looks like football, basketball, hockey, wrestling, competitive swimming, singles tennis, and gymnastics aren't in her future, but I'm guessing she'd make a fine softball player!
In March, we'll be celebrating our 4yr adoption anniversary.
In April, we'll be celebrating our 4 yr heart surgery anniversary.

Such a special girl
with a very special heart.

Our favorite superhero!
XOXO
♥