Thursday, May 31, 2012

Cast Change #2 & Haircut #2!

Today we went up to Children's South for our second cast change. C's 4 weeks post-op. We had quite a wait, but he went on his first (of many to come) wagon ride today!





Dr Conklin said everything looks wonderful. The patch of irritation that was on his right foot had healed over beautifully. We talked about our next appointment - he's planning on taking the casts and buttons off, and getting some molds to send off for some professionally made AFOs. We're going to bring our old ones and see if they fit well enough to get us by until the new ones come in... but if not he may have to re-cast him in the interim.






AHHH!!!



Tongue depressors = distraction


As if we hadn't tortured him enough today... we took him to get another haircut from our favorite hairdresser, Leann! He did alot better this time... and only screamed a little bit.


We went out for Mexican after his haircut, and he was in such a good mood! He even ate some rice and beans off my plate... sorry that the video is on it's side... I always forget to turn my phone...


video

Sunday, May 13, 2012

Cast Change #1

This past Thursday we took Carter up to Children's South for a cast change with Dr. Conklin. We were in and out for this in an hour - which is AWESOME! Besides a bit of irritation on his right foot from being in a new position and rubbing a little, he said everything looked wonderful, and we could come back in 2 weeks for another check... it'll be more like 3, because he was so booked up with appointments. Here are some pictures from the event. WARNING: some of these are a tiny bit graphic... just a heads up if you're squeamish :)

C was NOT a fan of the saw and his nurse cutting his casts off


Dr C's inititals were still there


Left button
Button explanation: they moved his anterior tibial tendon (runs down the inside of the leg and connects on the inside of your ankle... this was pulled too tightly and pulled C's foot up) to the top of his foot to allow it more length. The way they do this: they drill a tiny hole through a bone in the middle of the foot (see previous post with x-ray image) and then anchor the tendon through there. They stuff the tendon through the hole with sutures, and the sutures are brought through the bottom of the foot. To ensure the tendon remains secure, the sutures are threaded through a shirt button and then tied off.


Trying to distract him by letting him play with the x-ray viewing board


Right button


His incisions were so much tinier than we expected... we were thinking they would travel up his leg... but they are all so short and precise! He has three on each foot (I think): top of foot, heel, and side of ankle... and then his buttons :)


His little sweet feet look so straight now!


Dr Conklin (far left) and our amazing ortho tech Will (middle) making new casts.


I'd never seen casting done (I've never had one!) so it was really interesting. C didn't think so.. he screamed most of the time.



Shiny, new, red casts!




Later that night this boy was WILD. He was pushing this conglomeration of toys down the hallway. He's getting sooo strong. I'm sure he's burning triple calories, too. Bye-bye weight... sheesh.


Crazy bucket head





We'll return to Children's the end of May for another cast change, and then hopefully a couple weeks after that he'll get them off! I can't wait to get this boy in the pool... and I'm sure he can't wait to play in the bathtub again. 

Sunday, May 6, 2012

An apple a day...

He didn't like the way it tasted, but he had fun biting into it!



"The Josh Look" finally caught on camera

Saturday, May 5, 2012

Post-op Update

First of all, thank you ALL for your prayers! Carter has done so much better than we anticipated with this surgery. For those of you who weren't following on facebook, I'll start from the beginning.

We had to get up super early to be at Children's by 0530 Wednesday. Carter was scheduled to be first case at 0730.

One Day Surgery waiting area - starting to get hungry!

At about 0630, they took us to the back to change him into a gown and go over all of his medical history. Dr. Conklin came by the get another look at his little feet before he got back in the OR with him. He also went over with us again everything he planned on accomplishing in the surgery.

I'm so hungry...

...and kinda sleepy.

Anesthesia came by the check in and make sure we didn't have any questions - one of the nurses was pretty sure she'd taken care of him before :) We like to hear that before a surgery. Right around 0730 his OR nurse came to walk us to the OR, and he went to her just fine (he must've thought she was taking him to food). It made it much easier on us that he walked away talking and pointing, and not crying.

They got him to sleep with no complications, and the surgery started at 0820. Our OR nurse, Katie, was wonderful about checking in with us every hour or so. By 1100 we got a visit from the resident working with Dr Conklin, Dr Moore, and he let us know that they accomplished everything they'd planned, and that he was doing well in recovery waking up. It took him a while to wake up all the way, and they gave him some apple juice before we were taken back to PACU to see him (around 1230). Shortly after they took us back, his room was ready, so we headed up to 4West. We had great nurses, and he settled in quickly. Dr Conklin came by late to check on him and speak to us himself. Carter LOVES his doctors. As soon as he walked in the room he was smiling and watching what he was doing. Later in the evening he was a little more alert and let us play with him for a few minutes before he was ready to rest. He found his casts, finally, and was babbling about them and banging on them. He likes that stuff makes noise when he hits them.

Chillin' with his froggy friend

We had prescriptions for lortab and morphine for pain, but never had to mess with the morphine, thankfully. The lortab was strong enough to relax him and keep him comfortable but not cause him to be too drowsy or nauseous. The first night was rough... he could not get comfortable to sleep. We were trying to keep his feet elevated to reduce swelling, but he's a belly sleeper, so it wasn't happening. He was mad at his bracelets, and mad at his IV. I spent most of the night up and down with him until Josh took over at 5am-ish. Dr Conklin and Dr Moore came by early to let us know his feet looked great with minimal swelling, and told us what to watch for at home. After that they started getting our stuff together for discharge! This was by far the easiest hospital stay we've ever had. We were on the road by 0900!

Happy to be in the car - finally some good sleep!

He was much more comfortable when we got home Thursday afternoon. We were able to do his lortab less often... from every 4 hours to every 6 or more. It's hard to tell if he's actually in pain, or just irritated by the casts. We rode into town that night to get dinner, and to get him out of the house. He likes to go like his momma. Thursday night went better than expected - he slept in his bed and only woke up once at midnight, so I gave him medicine and changed his diaper, and he went right back to sleep until 7am.

Yesterday he was feeling MUCH better. He ate some oatmeal, fruit, and crackers. In the past we've had a rough time starting back on food after surgeries - but this has been a breeze. He felt like playing yesterday, so we threw the ball and played drums. He's so cute laying in the floor watching Disney Junior with his feet propped up on his monkey pillow-pet.


We went grocery shopping yesterday to get him out, stopped by Meemer's office, and later even made it to Greyson's ball game so he could see Papa and Grey.


He didn't sleep quite as well last night - he cried out a few times, but I only got him up for meds and a diaper change at 5 this morning. I put him back down and he slept until 9! He's been such a little trooper. So far today he's done really well - Josh took him running and now he's down for a nap. He figured out he can crawl with the casts... now he's unstoppable! He still gets frustrated that he can't go fast. He's figured out how to get from sitting to his belly, but hasn't figured out sitting back up yet. He'll get there soon, I have no doubt. Today's agenda includes a trip to Target, and maybe a visit to Meemer and Papa's.

Please pray that he'll continue to do well, and that he'll figure out how to maneuver with those giant casts. Pray for me, as I'll have him solo tomorrow while Josh goes to work for his last shift before he has FOUR shifts off (I'm jealous). Keep us in mind Thursday, as we go up again for cast change in clinic. I think he's going to be a booger to get those suckers off and back on while he's awake - we'll see! Enjoy this video of his first trip down the hallway post-op, and have a wonderful weekend!

video

Tuesday, May 1, 2012

Surgery #5

Tomorrow we'll be heading up to Children's bright and early! Thankfully, Carter is first case, so his surgery time is 0730. We have to be in One Day Surgery by 0530. Anesthesia called tonight and we went over his history, so we are set! C's stuff is packed, he had his last bottle until after surgery, and he's off to dream-land! I'm still working on packing, and stressing just a little bit - it's my job as a mother :) We'll be staying overnight to make sure he doesn't have any severe swelling issues, and then we should come home Thursday with two new friends - casts! I'll be updating facebook, but may be unable to update the blog as easily until we get home. Pray for peace for Josh and I, and that Carter can make it through the morning without being too hungry. Also, pray that his surgery will remain on schedule... that we don't get bumped due to an emergency. Pray for wisdom for Dr Conklin and his staff, as they've never done this tendon transfer on a child as young as Carter. Pray for C's pain to be minimal, and for us to be patient as we care for him after surgery. Pray for overall success of this surgery, and that it will allow Carter the ability to walk and continue to develop and explore the world around him.