Showing posts with label Ponseti method. Show all posts
Showing posts with label Ponseti method. Show all posts

Head Ultrasounds and Radiology Classes


We had a full day of appointments for Tripp today. He had a head ultrasound to see how well his shunt is working and if his hydrocephalus is under control. A renal ultrasound to check his kidneys and make sure we don't have to start cathing him to empty his bladder. Then we met with Peter (Dr. Nagib's right hand man) who is with neurosurgery to go over the results of head ultrasound. Good news is his head is growing at a steady and normal rate and is also a normal shape, which is not always the case when you have extra fluid on your brain. His cognitive function is right on track for his age. Bad news is that his ventricles are bigger than last night. But there are some silver linings to that, too. We have been a cesspool of germs and seem to have caught every bug we could this winter. Tripp is still getting over a double ear infection and an RSV-like illness. Being sick can cause your ventricles to get bigger. (Not sure if this is true in adults, too, or what causes it... Is it something to do with your lymphatic system? I would be interested to find out. Any of my nurse or PA friends know?) His ventricles are bigger, but maintaining their shape, not ballooning out like they normally do if it's the hydrocephalus causing it. And he's acting well, so they are not too concerned. But we were reminded that 100% of VP shunts placed before the child is a year old will fail. (Although, they said every now and again, a kid slips through, so we are still crossing our fingers!) He will be rechecked in 4 weeks and if his ventricles are still big, or if something happens that make us concerned between now and then, he will have a shunt revision. We are praying that it's just the infection causing this and everything will go back to normal by then!

 Next, we went to see Dr. Marker. He's pleased with Tripp's progress would also like to see him back because of the extra fluid. Darn it! We had been doing so good with making it to two month appointments.

 Our last appointment of the day was at Gillette's to check on Tripp's AFOs. Now he has not been in any kind of bracing since he was hospitalized for cellulitis February 27th. We had to wait for his wounds to completely heal before we could even think of trying to put them back on. Well, Saturday, his feet were looking pretty darn good and I knew that I needed to try before our appointment today. Three hours in the AFOs on Saturday and his feet are still red today. Dr. Sundberg decided to modify them and move where the straps go across his feet since that is where the breakdown happens.  We need to start having him wear the braces again, starting in short intervals and working our way up. I am skeptical that they will work for him. I want them to sooo bad! I believe the Ponseti method works for club feet and I think this will give him the best chance at permanent correction, but I’m filled with doubt that AFOs are the right choice for him. At least these ones. His skin is so darn fragile that I think he’s just going to break down in new areas. I’ll be keeping my fingers and toes crossed, though.

Now I’m trying to study for two exams on radiology. I really don’t know if I should have taken this course. I’m beyond lost. The amount of science behind x-rays is staggering and I’m bored out of my mind reading about it. I’m like most people out there, if I’m not interested in something, I have the hardest time concentrating on it. As you can tell by me writing this, I’m very good at procrastinating. I can’t put it off any longer. The exams are going to close in a couple of hours and I need to finish them before that happens. J

So I'm sitting at my computer and tears are running down my face. I'm on empty and I still have a hundred miles to go. Tripp has been super crabby the past couple of days and yesterday when I got home from work, I noticed one of his casts has slipped. This could be what the issue is, but with all of his other health problems, you just never know. I feel like I'm constantly over reacting, but then I'm guilt riddled if I don't do something. What if this is the time it's more serious and it's his shunt? What if he ends up back in NICU? So today I called in to work and spent the morning on the phone with various people and will spend the afternoon various clinics. I have to bring Tripp to his specialist in Minneapolis and then to Gillette's to get his casts redone. Meanwhile I feel like I'm a huge disappointment to my work for always having to call in. There always seems to be some medical emergency I need to tend to. I feel guilty because this is the second time I've had to cancel meeting a person to pick up something I bought from them. I don't feel like I can make any plans farther than an hour out otherwise I'm going to end up disappointing someone. Tripp is screaming his head off and Natalie is yelling for him to be quiet so I better go.

Computer, casts, and construction... Oh My!

My computer was out of commission for a few weeks while a friend of Kenny's looked at it to see why it was running so slow and kicking me off the internet for no apparent reason. Believe it or not, I had written a whole post about bringing Tripp home and adjusting to life out of the hospital. I thought I had posted it and everything when- surprise!- it wasn't here when I checked. It didn't save or anything, so I knew my computer was bugged. I'm glad to say that it is running wonderfully now and I'm so grateful to tech savvy friends!
Not only did I not have a computer, I don't have my computer room due to delayed construction on our house. Back in April, Kenny and I decided we needed to convert our deck into a four season sunroom. We found a company and contracted them to do the work. We were told they were backed up and wouldn't be able to start construction until the end of September, first week in October "at the very latest". Yeah. I can tell you how smooth that went. They finally started construction last week. The room we were using as the computer room is now Tripp's bedroom with my computer set on a card table and my desk in our dining room, next to the kitchen table. Things are crowded and cluttered at the moment, making getting back to normal with a newborn even harder.
We were discharged from the hospital October 9th at 9:30 at night. We had to wait until that late so Tripp could be circumcised before we left. After working with geriatric patients for my entire career, I knew that I would want my son circumcised. But after all he had been through, I did not want to cause him more trauma and pain. However, because of the spina bifida, there runs a (high) risk of having to catheritize to empty the bladder and not cause back flow into the kidneys. I was not aware of this as I 1. am not a male, 2. do not work with infants, and 3. did not have another son, but you can not pull the foreskin back on an infant. That would make cathing him a lot more difficult. So, we had to wait until a doctor came on that could do it and then they had to recheck him in an hour because he's a "bleeder". My poor little man. We didn't tell anyone that we were coming home that night because we wanted to surprise them but then we ended up getting out so late that we just went home and slept. It was kind of nice, though, to go home and just be. The only thing missing that first night was Natalie.
Since being home, Tripp has been doing great. We have had appointments 4 out of 5 week days since coming home. Tripp has had weekly head ultrasounds to check his shunt and overall progress and is doing so well that we have a few weeks off. From that doctor anyway. Tripp started getting casts put on his legs to begin to correct his club feet. We are doing the Ponseti Method which involves getting a new cast on each week, sometimes twice a week, for 8 weeks. The casts go up to his hips and are on both legs. It gently stretches them until they are back in normal position. After that, his achilles tendon will need to be surgically lengthened and another set of casts will be on for a full 3 weeks while it heals. Now, I say gently, but let me tell you that it still is very uncomfortable. It has been likened to getting braces tightened. Is it out right painful? No. But it does agitate and annoy him. As a parent, you put yourself in your kid's shoes. What would I like? How would I feel? I would HATE it. Not being able to bend my legs, itch them, or curl up...the thought makes me start to panic. That is where the devastation, anger, and depression comes from with all of his diagnosis. Putting myself in his onsies and knowing there is not one damn thing I can do to ease his trials. I am grateful that he's young enough that he won't remember all of this. Tripp also had to go to a pediatric eye doctor. With spina bifida, there is an increased risk of having crossed eyes and with hydrocephalus there is a higher risk of having extra pressure put on the optic nerve. He has to go back in three months because his optic nerve is not the right color. Apparently, that could be due to immaturity of the eye (normal newborn stuff) or a damaged optic nerve. Only time will tell.
I'm not sure if I'm missing something or not, but if I did, it will have to wait for another post. My babes need some cuddle time.

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Liberal Catholic. Working mom. Chronic pain warrior. Opinionated introvert. I speak fluent sarcasm. I'm married with two kids- a girl and a boy. My son was born with Spina bifida, hydrocephalus, Arnold Chiari malformation, and bilateral club feet. I may blog about food, politics, religion, medical updates, or our life in general.

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