Agh! Lots to do since it’s a certain someone’s first
birthday on Friday, and we are getting ready to celebrate!J Quick update on
appointments this week:
We met with a pediatric surgeon about putting in a
gastrostomy tube for Meghan. It will take the place of the NG tube, and allow
us to give her extra nutrition for as long as she needs it. The tube would go
from her abdomen directly into her stomach, and there will be a little “button”
or port to connect to for feedings. We had a lengthy discussion about the
risks. There is increased risk of the tube worsening her reflux and causing
vomiting. There’s also a small risk of her shunt becoming infected if stomach
contents were to leak out into her abdomen, since the end of the shunt tubing-
the end that drains the excess fluid- terminates in her abdomen. The biggest
risk though, is her neck. He wants (and so do we) to find out how unstable it
is before he will plan the surgery. He prefers to put the tube in with an endoscope
which would involve moving her neck around a lot during the procedure. Not a
safe thing to do if it is as unstable as they think. So we are (still) waiting
on the expert opinions. I am trying really hard to be patient, since surgery
and therapy decisions are on hinging on the verdict, but I also understand how
the system works.
We also saw her neurologist this week. After her MRI, we
learned that she has severe deformity of the inner ear structures on the left
including the cochlea, vestibule, and semi-circular canals, which explains why
she is deaf in her left ear. She also has severe deformities of the septum
pellucidum, corpus callosum, and the hippocampi. The doctor said that it significantly
increases her risk for seizures, on top of her risk due to the hydrocephalus. This
of course makes me worry, BUT, we are thanking God that so far she is seizure
free. He also thinks that perhaps the reason why she doesn’t like to use her
left hand as much is not due to weakness, but a sensory issue due to the way
the nerves in her neck are affected as a result of the scoliosis. He isn’t sure
why she won’t bear weight on her legs, as he said her reflexes and strength are
normal- NORMAL!!! Normal is not a word we hear often used about MeghanJ So another reason why
therapy is so important for her. He also said that cognitively she is doing “quite
well”, and has a beautiful smile. We knew thatJ
It’s funny how a little over a year ago we left his office with heavy hearts,
as he outlined the prognosis for our little girl. Monday, we left with a little
girl who had just clapped for him. I am still smiling.
"the LORD has done this, and it is marvelous in our eyes"
Psalm 118:23
Sarah she is so beautiful. Watching Meghan brought tears to my eyes, not tears of sadness, but tears of Joy. She is definitely a fighter. May God continue to Bless her and everyone involved in her care.
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