Showing posts with label neurosurgeon. Show all posts
Showing posts with label neurosurgeon. Show all posts

11 May 2019

Trip to the Neurosurgeon

This is the latest post in the series of William, grace and Juliet's journey with hypophosphatasia. 

At our last appointment with the neurosurgeon, in January or February, I essentially told him that the kids were golden and would see him at our next usual check up.

Then, a few weeks later, just before visiting their endocrinologist, I noticed a deep ridge in Grace's skull, under her hair.  Unsurprisingly, it was also prevalent on Juliet.  Not so much on William. So, at their endocrinology appointment, I asked her to request a meeting with the neurosurgeon.  We were scheduled for the end of April.

While this doesn't sound like a long time, I was losing sleep and my thoughts constantly fixated on the worst.

At our appointment (this is the only picture I took*):

The neurosurgeon came in, felt their skull, asked about their activity levels and habits, reviewed their ophthalmology notes** and essentially told me that they are just fine.  The ridge I'm feeling is just "proof that they've had a craniotomy^."

In fact, he said that all indicators were so good that the next appointment was the one that they typically released care to the plastic surgeon, and only followed up as needed.  So, now we will only see the plastic surgeon yearly, cutting down on our appointment schedule!

I felt so much better leaving than going in.  I'm so glad it is just a healing wound, and that the medication is still performing in its silent miraculous way.

later days

*I always feel like Grace has dressed for a party that I was not invited to. = )
**They are always monitoring for intercranial pressure on their optical nerve, as well as keeping their vision in check.
^William does have one too, but his is located low on the back of his skull, since that's where his surgery was performed.

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16 December 2018

Doctor Visits

This is the latest post in the series of William, grace and Juliet's journey with hypophosphatasia. 

The snow day messed with our flow for the week, since William and the twins had appointments on both Tuesday and Wednesday.

The Tuesday appointment was just the 6 month follow up with the Neurosurgeon, and it was in Lansing, so they only missed a half day.


Don't all children pose for pictures in doctor's offices?


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The next day was a Grand Rapids trip.  We didn't have a packed day, so we saw off the big girls before heading up there.

Our first and worst stop was at the Phlebotomist office.  They had to have routine bloodwork and William was getting extra drawn for his genetic testing.

After lunch we had a bit of time to play.



Then it was back across the bridge to the ophthalmologist.


Juliet's patch wearing paid off, she improved greatly in her eye.  William not wearing his meant that he was prescribed drops.  We've only put them in once* and now he is an avid patch wearer.

We had to load up and unload once more at the ENT for William's 9 month check up.  It was quick, painless and we were back on the road in no time.


So thankful for these uneventful, stay the course, doctor visits.

later days

*So, the only day we've put them in I forgot to give his teacher a head up.  He fell on the playground, and bumped his head, but when he came into the office he had uneven pupils, so the secretary called me telling me that he likely had a concussion.  It was a scary drive, but my mom stepped up and took care of my groceries so that I could take care of him.  We were almost to the hospital ER before I connected that the drops that I put in his eyes dilate them for a longer time than the normal drops they give in the office.  Fun times.

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03 March 2018

2 Quick William Appointments

This is the latest post in series of William, Grace and Juliet's journey with Hypophosphatasia.

William has still been suffering from his headaches off and on, so we kept the appointment with the neurosurgeon in Grand Rapids during his first spring break.

The appointment was late in the day, and my mom took charge of the 4 girls so that William and I could venture alone.

He had a quick MRI done, and the technician said that he did very well.  The appointment with the neurosurgeon immediately followed.


After taking a look at his scan, he was able to dismiss all of my concerns.  He doesn't see any pressure, there is no sign of bleeding or irritation.


So, we still don't know what is causing the headaches, but the neurosurgeon found nothing concerning in the scan.

I've been encouraging him to wear his glasses more often, and the headaches seem to have eased off, at least for now.

Homework is wearing his glasses, and keeping a log any time he has a headache.  We will see the neurologist when we go up in April.

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Another appointment during his week off was with the dentist.

He was thoroughly enjoying time at home, so he already thought it unfair that his sisters were able to stay home and relax, while he had to go out.  And decidedly worse was that he had another set of robot teeth worked up, this time 2 on the top right.  He does not like the numbing at all.  poor boy.



He has one more round of robot teeth, but not until June, so a little bit of a reprieve for him.

later days

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what happened next>

11 February 2018

Another All Day Hospital Trip

This is the latest post in the series of William, Grace, and Juliet's journey with hypophosphatasia.

At the end of January, the 3 little ones had back-to-back-to-back appointments.  I packed up lunches:


Records, clothes and entertainment/bribes before bed.


We were so lucky that no weather had come through, but with frozen roads, we left at 5:30.   The kids made the trip in their pjs, so that we could save some time.  They did not go back to sleep the entire drive.

The first appointment was at 7:30 with the audiologist.  This office is not at the main campus, so between the interstate exit forcing me to turn right and darkness, I was thankful for the time buffer to get there.

I helped the kids dress in the car, in the parking lot.  They were wound up by the time we entered the mostly empty building.

They did well for the audiologist, in turns, but I felt like I had to fight the two that were not in the booth the entire time.




We had a short wait back in the waiting room for the ENT.


They were still wound up during the time I was going over their history with the nurse, that I had to break out my first entertainment at 8am!  (never a good sign.)


The ENT thought the twins looked good, even though their tubes have come out.  He was a bit concerned about William's T-tubes, so we will see him when we go up for their 6 month appointment with the Endocrinologist.

Everyone was hungry, even though it was only 10am, so we ate our bananas en route to the other hospital.

We had quite a bit of time before their ophthalmology appointment, but I'd gotten a call about some missing labs from our previous visit.  So our next stop was the lab.  Luckily it was just a urine sample, and not bloodwork!  I didn't know how long it would take, so we went straight to the main campus.

A quick lab trip meant lots of time to kill before their next appointment, but we hadn't had any down time the last trip, so we spent as much time as they wanted in the video game zone.


We then ate lunch, played a bit more, and then took the long way across the bridge.


Even with all that wasted time and spent energy, we still had over an hour in the waiting room at the ophthalmologist.  We finished the second half of Inside Out, then started the first (half?) of Lego Batman. We made a couple of trips to the restroom, hung out in the hall to eat our chocolate, and took turns at the water fountain.



When it was finally time, the nurse apologized.  She said normally they have at least one cancellation a day and could bring us back early, but not this particular day.  They were on time for the appointment, so I couldn't complain.

Each of the three had several tests to complete, and so once they hopped out of the chair, they got their next bribe. = )







They also got to take a trip to the toy dispenser.  Then came the dilation.  The nurse brought in two 'friends' so that they could put in the drops simultaneously.  No one cared much for that.

We spent 30 minutes in a different waiting room, while the drops worked their magic.  Then it was back to the room and each one took a turn in the chair with the ophthalmologist.


They all walked out of the door with glasses prescriptions.  Even William, as the doctor was not content with his prescription.

She saw no pressure on the optical nerve, which is such wonderful news, but didn't help explain William's headaches.  Since they are a 'team' of doctors (which is the whole point of driving up to Grand Rapids) she sent a message to the neurosurgeon to see if he had any openings.

From there we had to rush to their DEXA scan appointments.  Grace went first, and we hung out in the best waiting area, the radiology clinic.

It is completely contained, has sections with toys for every age group, lots of books, a Movie, and big toys too.

William was the last one to go, and we were excited to leave!  We headed out to the car, got everyone buckled in, and I checked my messages.  I had one from the ophthalmology clinic.  They'd managed to get William a 5pm appointment for that afternoon with the neurosurgeon!

Sadly, I don't get any reception in the parking garage, so we had to head inside to confirm the appointment, and hang out in their lobby for the next hour.



Finally it was time to go back, and see what the neurosurgeon could tell us.



He asked for some details, and gave us some good news: William will not ever have craniosynostosis again.  But, that does not mean that his skull will grow properly, so surgery is still a possibility if problems arise.

He didn't see anything in his scans from his mishap in October, but wanted to do an quick MRI in a few weeks, and see what the scans looked like.  That appointment is actually coming up next Monday, when all the kids are out of school.

Hopefully the new glasses will help with the headaches.  He hasn't complained much lately, so there is a chance it was just allergies.  While I'm not looking forward to the trip next week, negative results would be most welcomed.


Spending the extra 2 hours in Grand Rapids meant getting something for dinner on that end, but by the time we hit the McDonald's drive thru, all 3 of them were asleep.  Since there was not a 'rush' to get home, I stopped by the Panera drive-thru for my dinner. = )

We didn't get home until after dark, but the kids were worn out enough from the day that bedtime was better than expected.

The next round of appointments for all 3 is in April.  Hopefully I won't have to fret about the weather/road conditions by then.