Matthew said her PT was showing her off even though she wasn't very cooperative. No big news from the other departments, nutrition said we were doing great and that we didn't need a multi-vitamin but Neuro said the anti-seizure med she is on can deplete some vitamins and to add one. I think we will go with Dr. Neuro on this one and add a vitamin back in. bummer though because vitamins are yucky.
After clinic she had a renal ultrasound to check out her bladder and kidneys and everything looked good there but we can review with Dr. Water Works next month when she has her VCMG bladder study. The cathing has been going great and no infections (knock on wood) so hopefully everything will stay the same.
A few weeks ago I noticed blood and ooze on the gauze pad around Dylan's button and took it off to see about a pea sized bubble of... I don't know, tissue? It was gross. So I took some lube and a q-tip and rolled it right on back in. I asked on a forum for Tubies and someone suggested granulation tissue built up inside, could this be our first experience with granulation tissue? Either way, everyone there said to call a doctor! I didn't get right on that. It stayed tucked in for a couple of weeks but then there it was again, it became more persistent at popping out (nast) so I called. The nurse also suspected granulation tissue, something that nurses can burn off in office, but because it seemed to be coming out of the stoma, she wanted the doctor to check it out.
So after Dylan's appointments Matthew ran her in to the surgeon. He told him it could be granulation tissue or it could be stomach lining. Uhm... Yuck? Either way he said it wasn't a problem and they can just burn it off with silver nitrate there in the office. So he tried (but it wasn't sticking out as much) and then scheduled a follow up appointment in a month so they can check it out again and hopefully it will be gone. It was gross again for a day (but it had been burned right?) but then it's looked really good for a couple of days so we shall see.
Doctor said "Basically, you have a hole in your body, stuff falls out." and shrugged. Nice!
FYI, this burning of tissue doesn't hurt her. We have had nurses do it a little, but there wasn't this much tissue. Matthew said she didn't even notice. (Dr. Ped even used it to cauterize Asher's umbilical stump, again, gross!)
We actually had PT at the bounce house again last week and it was crowded and hot! Definitely a different experience than last time. Not nearly as successful and as such, no good pics. MIke did comment on how Dylan steps up to standing, you know most toddlers bend at the waist, bend their knees and then straighten their body to stand, using their hands to push up from the floor. He suspects that she can't do this because of the braces and them not allowing movement at the ankle. He said, "I know you said she does this, and I have seen her, but that is so beyond her capability it just amazes me!" Now really, go on your knees, put one foot out and try to stand. Hard no?
Tuesday night we went to the D's preschool orientation where we just dropped off paperwork. For Dylan they had to make copies of some very important ones to make sure the state pays for her education. Really, the kids have a chance to meet their teachers and see their class room but it's a repeat of last year so nothing new there. But, little miss show off was all over the place! Walking like crazy! Maybe because she was kind of familiar with her surroundings? But it was pretty neat. She almost walked right out of the class room door. So funny. I had to sit down and complete a form I somehow misplaced and it's not like I can just set her down and expect her to stay, she went walking off and then she heard Matthew and Duncan coming out of the rest room and she set off to go find her daddy! What the...?
There's a little girl with HPE that walks but I see pictures of her family taking her places in a wheelchair and occasionally letting her out to walk. Naively I was thinking 'If she walks, why the wheel chair?' Oh I get it! I am eating my words. she can walk, but only to where SHE wants to go, not where she should go, or where we want her to! Fine as long as she fits in the stroller...
We will also have to do her IEP early October. Meh.
Ian has taken to knocking on any door he would like to have open. This is his bedroom door after naps, the pantry door... And yes, even the refrigerator door. He used to hit the fridge or the pantry for food or drink, but now I see a little fat fist form and he knocks softly.
And I leave you with a conversation between Duncan and I
"Hop out of the tub, I have a rice crispy treat with your name on it!"
"It has my name on it?"
"Welll... No, I just have one for you"
"Oh, well, you better put my name on it!"
10 minutes later
"You ready to get out?"
"You have a crispy treat with my name on it?"
"uhhh, no"
"Oh, you better put my name on it."
"How will I do that?"
"It will be easy mom, just take the thing and go like that and put my name on it."
(Me racking my brain trying to figure out what I can get away with here... I settle for making a "D" template and using green sugar sprinkles.)
"You got my name on it?" (Insert beaming smile here...)
"Not your name, but a D for Duncan!"
" A D for Duncan? Yay!"
Phew! My little sassy pants!
Duncan in time out. Whenever I send him Ian marches right over and sits right next to him. Me thinks he won't always feel that way about time outs!































