[Verse 1] Surgeon's sketching on the chart like an architect of time, Picks the conduit wide-bore, frame built past its prime, Not for today's fix, for the sequel in the queue, Expandable skeleton so a balloon can push on through, Valve-in-valve through the vein, catheter not the saw, Skip the sternum, skip the scar, that's the lifetime law, Every stitch today's a setup for tomorrow's play, Chess move in the chest wall, thinking three moves away. [Chorus] Build it big, built to grow, plan the next step 'fore you go, Conduit's a bridge you cross — but build it so you cross it slow, WHO class, CARPREG count, dental floss and daily mile, Aspirin in the morning, lifetime lived in surgeon's style. [Verse 2] Kid outgrows the clinic like a jacket off the shelf, Pediatric hands wave goodbye, now you're managing yourself, Transfer to the grown-up wing, specialist in congenital care, Echo every year or two, somebody's always there, Lifelong surveillance ain't a sentence, it's a safety net, Catch the gradient climbing up before the trouble's set, The handoff's gotta be smooth, not a cliff you fall off of, Continuity of record is the thing that saves the love. [Chorus] Build it big, built to grow, plan the next step 'fore you go, Conduit's a bridge you cross — but build it so you cross it slow, WHO class, CARPREG count, dental floss and daily mile, Aspirin in the morning, lifetime lived in surgeon's style. [Verse 3] Now she's carrying a second heartbeat under her ribs, Bioprosthetic conduit mostly handles what pregnancy gives, But first they run the numbers, modified WHO degree, CARPREG II scoring, how the right ventricle's gonna be, Check the gradient's temper, check the rhythm's steady hum, 'Cause two hearts lean on one pump when the trimester comes, Warfarin gets benched here, embryopathy's the fear, Swap the anticoagulant, keep the little one safe and clear. [Verse 4] Scar tissue ain't just skin, it's a memory that stings, Anxious nights before round two, remembering old things, Early bypass left some fingerprints on how the mind grew, School needs extra time sometimes, workplace needs it too, Insurance forms and transition gaps can swallow a man whole, That's why counselors and support groups gotta be part of the goal, Mental health's a valve itself — don't let it calcify, Lifetime management means caring for the mind, not just the scar inside. [Chorus] Build it big, built to grow, plan the next step 'fore you go, Conduit's a bridge you cross — but build it so you cross it slow, WHO class, CARPREG count, dental floss and daily mile, Aspirin in the morning, lifetime lived in surgeon's style. [Bridge] Low-dose aspirin, everyday devotion, Brush and floss, keep the bacteria out the ocean, Move your body, don't let the right heart idle, Routine's the quiet medicine, steady not denial. [Outro] Plan it forward, live it daily, conduit's a chapter not the end, Next valve's just a catheter away, my friend.
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