Showing posts with label AFOs. Show all posts
Showing posts with label AFOs. Show all posts

Yesterday was a full day. We had PT for T at home, done by the school district. I don't know if I ever explained this, but we have a team of sorts, provided from the school district we live in. When you have a child that is declared disabled or is born under special circumstances, such as prematurely or under distress and they are put in the NICU, their name gets passed along to the county to be placed in a birth to 3 program. At least in Minnesota and I'm sure I'm explaining it in the crudest of terms. The county follows up with you once you are discharged from the hospital and offers to send a nurse out to help with well checks. Once they do that, they can assess for all different kinds of services, like physical therapy, occupation therapy, nursing services, etc. It has been both a HUGE blessing and a pain in the ass. Don't get me wrong, I would not trade it for the world. The resources these people have, the work they do, it's invaluable. The stress of trying to fit in another appointment, making sure the house is clean, putting on a bra and getting dressed... it can be overwhelming at times.:)

Then we were finally able to get him into the physical therapist's office here in town. We waited 3 weeks for this appointment. We have been trying to get a walker for him since February when he was evaluated at the spina bifida clinic by both his specialist and the physiologist for one. They gave us a prescription for a reverse walker and viola! We get a walker. Right? Nope. We went to Gillettes and they wouldn't measure him for one without evaluating him. We went to the rehab place in our town and the same thing. We couldn't get one from a medical supply store without a physical therapist ordering it. So we went to this appointment, waited over an hour for them to evaluate him, and we're told they weren't "comfortable" letting him walk because of how his legs turn in. My son has already had two surgeries on his feet. He wears AFOs and twister cables to (help) keep his legs and feet in correct alignment. They don't always keep them facing forward. That's why he needs more PT. The physical therapist recommended higher bracing, a gait trainer, and some other things. Mama bear came out. I asked how many children they see with SB. Well, he's our first. (I hear that A LOT around here.) "Okay... I'm going to call his specialist. And his orthopedist. We'll get back to you." I'm livid. Not because I don't believe what she's saying. Some of it actually did make sense. Not because she doesn't have experience with my child's condition. Everyone has a first person that "opened" their eyes to the unique challenges of a condition, so to speak. I think looking at something with fresh eyes and breaking from "it's what we do with everyone" can be helpful. I'm livid because I had my hopes up that we would have a walker ordered when we left. It's that next step to independence and normalcy for him and for us. It may not be degrading for him to crawl on a dirty floor at Target, but it will be. And the sooner we get him used to using a walker and building the muscles to walk, the better and longer he will be able to do it. So I was disappointed. I have calls out to both his specialist and his orthopedist. We will see where we go from here.

We celebrate my daughter's 6th birthday this month. She wants to go to a painting class, just me and her and paint a unicorn! I can't wait. ;)

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

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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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