Monday, March 26, 2012

Ortho Update

Today we had an ortho appointment with Dr Conklin and also met a new resident which I liked - Grady Maddox. We did some xrays of his feet and spine... the boy can't stand to be held down, but he did really well. Dr Conklin explained that the piece of bone in the foot that they would move the tendon to is ossified enough to do the surgery this spring. He'll be doing four different procedures between the two feet: posterior tibial tendon lengthening, Achilles tendon lengthening, abductor hallucis tendon release, and anterior tibial tendon transfer. The transfer is the big deal, that will help him flatten his feet and improve his platform so he'll be able to walk. He said Carter will be the youngest patient he's ever performed the anterior tibial transfer on, but he's confident that it will be successful and improve his foot structure. Usually this surgery is done on children who had club feet that couldn't be completely corrected with the shoe and braces, and they decide to do the surgery as a last resort fix for stubborn feet - this is why the typical age is around 3. Josh and I talked about it, and we'd like to go ahead with the surgery, so that we aren't hindering Carter's mobility for too long. Surgery is set for Wednesday, May 2nd. They'll probably keep him overnight to make sure he doesn't have any issues with swelling, and then we'll have a cast change a week later. He'll be in casts over his knee for a total of 6 to 8 weeks. We're very nervous about the surgery, the care afterward, and how he will adjust to the casts, but we know God won't give us anything we can't handle! Please pray for us for peace, and for Carter's continued wellness. We recieved word today that a UA we had drawn last week was growing E. coli, but he's no longer symptomatic, so we won't be treating it. As he gets bigger, his body is fighting off more of these infections - and we are SO thankful to have been out of the hospital for going on 4 months now! We have a nephrology appointment with our beloved Mary Jane in a couple of weeks, and we really need C to gain some weight between now and then. Today he was down to 19 pounds. Please pray that this boy will have an appetite as big as his personality! :) Here are some pictures from today's visit.

Playing in the waiting room

He loved the fish tanks!

This is an x-ray of C's spine and hips. He has very slight scoliosis, but it's not changing over time, so it's not a concern right now. You can see how his vertebrae end a little higher than most - he has no tailbone! This is called sacral agensis. Also, you can see how his hips don't have a socket like most, and the ball of the femur is dislocated on both sides.

This is a lateral x-ray of Carter's foot. The two lines on either side of that small circle are measurements for the bone that they'll be anchoring his tendon into. Babie's feet are mostly cartilage, and get denser over time - this bone is just enough ossified to drill into for this surgery! God has great timing, doesn't He? :)

1000 Words

I think most of these are from February up until now... enjoy :)

Sweet cheeks

Playing with his zoo

 President's Day park trip

 Bath time

 Ready for church!

These are from this past weekend - my dad's parents came into town.

 Meemer and her boys

 Grill master

Grandpa Jim schooling Grey

Are you ready for some football?!

 Josh schooling Grey


My dad's late brother's glove - my granddad oils it every year... it's around 30 years old.

These are from tonight - puppy pjs!

Silly boy!

Sunday, March 4, 2012


Today mom, Greyson, and I took Carter to church for the first time. I've been avoiding this because I was worried about him being in the nursery and him leaking, or not eating well, or any other slew of things that could complicate his stay during church. Then, my old vice principal and math teacher told my mom about Shoal Creek (which we'd planned on visiting anyway...) and said they had a pager system for the nursery. Pager system = peace of mind. Knowing that they could page me to come get him easily if something went wrong was all I needed. So, we ventured to church this morning, and he LOVED it. He cried when I dropped him off in the nursery, as I explained the "surprise anatomy" they may encounter on him, but a friend told us he was playing in no time after we left. He was all smiles when we picked him up after the service. All in all, a very successful first time, and we'll definitely be back now that we've conquered the initial outing :)

Carter will have labs drawn again this week to make sure his potassium has leveled out. He's finishing up an antibiotic from having bronchiolitis last weekend while Josh and I were gone, and he sounds SO much better. Mom said it was amazing to see him today in such a good mood and feeling so good, since he was so miserably sick the whole time she had him. Thank God for medical and pharmaceutical advancements :) The end of this month is coming quickly, and we'll be heading to Birmingham to have another set of x-rays done to see if Carter's bones in his feet are ready for surgery. Pray for me to have peace about this surgery - it makes me hurt to think about it. Here's a cute picture of him trying his hardest to get his feet in his mouth, though his crazy hips won't allow him to do it!