Sunday, June 14, 2009

Lots to update…We recently had a craniofacial team meeting at Shands. I pressed for an idea of what they expect as a plan for Wes long term. Most of the time, we only get the immediate need to know information. Of course those of you who know me, know I need to know everything. I also totally understand there are no concrete plans. At this point I also understand much of the medical lingo.
Here is the plan with a strong emphasis that there is nothing definite. Wes will need some surgeries in the future, I want him to have a team who can explain this plan with confidence after much experience. 5 to 7 years old, he may have surgery to bring his eyes closer together, build a nasal bridge, and address his midface retrusion. This may be staged, which would involve multiple surgeries and will also involve many surgeons. There are many questions to be answered before proceeding with any of these surgeries. Before kindergarten, scar revision and minor work to his nose. Around 9 years old, a bone graft from his hip to his gumline. His teenage years will follow with surgeries to revise.
During this appointment we discussed a gene mutation, MTHFR, with the genetic counselor. Turned out there was some information in his chart that had not been discussed. Follow up did not happen as it should have. It looks like this month we are going to be able to pursue a more definite genetic diagnosis. Although some may not understand this, I want to know his diagnosis. We continue to get these “isolated” diagnoses without the entire view. This was again apparent with Wes’ last x-ray to investigate a bulge on his back. Now he adds another doctor to the list to monitor scoliosis. Waiting for results and getting these surprises are heart and mind wrenching. A genetic diagnosis would give us so much information and beneficial connections.
It appears that the most pressing and immediate issue is Wes’ speech. He does have nasal emission, which means surgery to address Velopharyngeal insufficiency. He is doing well with speech therapy, but if his palate is not closing appropriately there will sounds he will not be able to make and he will continue to have nasally speech. It breaks my heart to see him get frustrated when people are not able to understand what he is saying.
He is having a videoflorscopy that I thought would determine whether he needed surgery. Instead they were ready to schedule surgery for June 25th, because it is obvious that he needs surgery. Yes, head spinning quick! It will not be happening that quickly, since Wes’ neurologist has ordered a two day EEG.
A few weeks ago, Wes had a very scary episode that appeared to be a seizure. He was running around, eating cake, and acting completely like a typical 3 year old. We went out to eat and all of the sudden his whole mode changed. First he wanted me to hold him, suddenly felt fevered, breathing changed, and then seemed very unlike himself. We quickly headed to the house. In the rear view mirror, I watched his eyes begin to flutter then roll back, rapid breathing changes, and nonresponsive. As I was unbuckling him, he began vomiting. Immediately after, he was again responsive, yet very agitated and clinging to me. After a quick bath, he went sound to sleep. The next day, Dr Curry checked him out and all was fine. Same week we headed to the neurologist. She was concerned about the way Wes stares at the ceiling and this episode, which prompted a two day EEG to monitor him for seizure activity. Concerned to see how this is going to work. Two days of his little head covered with probes and then wrapped securely with a monitor on his back and hooked to a camera when possible.
June 23rd and 24th are back to Shands for a videoflorscopy, endocrinologist, genetics, and ophthalmologist. June 26th starts the two day EEG with no results for weeks. July 16th was scheduled to be neurosurgeon appointment, but he needs clearance from the neurologist, which will be delayed now. July Wes will also be going to speech camp in Panama City Beach.
In between running to appointments, we plan on enjoying an active summer and a potty training adventure. I plan on enjoying my boys.

Thank you to everyone who made a generous donation of pop tabs possible for the Ronald McDonald House. As you can see the donation filled up an entire donation house. We were told they raise around $6000 each year for the house in Gainseville just from pop tabs. This simple donation helps make a difference for many children and families during a very difficult time. The Ronald McDonald House has provided us with so much more than just a place to rest. Keep saving your tabs. We plan on making a donation with each visit to Gainseville.