I have been taking Greyson to most of the appointments and he has been so good but I have been feeling a bit bad for him because when we are done with the appointments I am ready to SIT and he just spent all that time sitting. So I don't feel like I have been doing a good job meeting his needs during the day. It doesn't appear to be slowing either so we may need to re-evaluate finding a school or an option for him. We have been talking about it for a while and we will see.
I am pretty sure I mentioned that we went to the Neuro Surgeon to get a referral to the spinal defect clinic in October. We finally went to the clinic and it went really well. The only real problem that I had with it is that all the people we saw that day required follow up appointments so I have to go to their offices for whatever anyway. I suppose it's better than two in-office appointments but this has been a bit crazy.
Here's all of the most recent appointment updates.
Urology
My impression of this doctor was meh. I didn't love him. he just walked in the door and told me I needed to start giving her a medicine to relax her bladder walls and start cathing her every four hours. I was like "back the truck up!" Then he slowed down a bit and did some explaining but sheesh... We have been cathing Dylan 3 times a day but because her diaper is wet in between the cathing it means that there is pressure which could be bad for her kidneys. I guess we assumed she could pee if she wanted to but just not go all the way? Anyway... bad. Uneven bladder wall at her last bladder study? Bad. Basically we need to relieve the pressure before it builds up and causes problems for her kidneys.
To be clear, there was no reflux before... but he is just super cautious about protecting the kidneys on going.
The medicine that we have added for her apparently makes the walls relax and she shouldn't really go until we cath her, so dry diapers in between cathing. But we had to up the amount of times we cathed her. For now it's just about four times a day but I don't know if I am supposed to be waking her up at night for their recommended four hours or whatever.
We have to follow up with them in their office next week. We will have a bladder study on that day as well. I don't know if the follow up was with the same doctor I saw at the clinic but they called me back and said there was a conflict and can I see the NP and I said YES! I like NP's better than doctor's anyway. Don't tell the doctors that. All the knowledge with less ego!
Social Worker
This lady was nice but talk about an information over load. She kept handing me all kinds of papers and information about support groups, kids activities, camps, disability services, on and on. I left with a huge envelope of papers that I've yet to wrap my brain around.
Family Doctor
I can't remember what this guy's title actually was but it was a crazy time. I mean... he basically walked in and said "Forget about Dylan, she has enough people worrying about her.... how are you?" And it ended up being some sort of very weird counseling session. I liked him and he had some great information but, odd, not at ALL what I was expecting, that's for sure!
He told me that I wouldn't want to live with my parents all my life and they wouldn't want me to, so there's a possibility that Dylan might (and should) live somewhere else when we are old and we can't take care of her any more. Which frankly sucks. when I told Matthew he said "False!" (basically) and that we would have someone come live with us before she went to live somewhere else. Sadz.
He told me that each parent needs to be spending 15 minutes of one on one time with each of the kids every week. He said it shouldn't be planned because then they get embarrassed and won't talk, but it has to be planned or it won't happen. Which was really cute. He said people try to go on larger trips once a year and that's not going to cut it. "You don't build a solid wall with large rocks, you build it with lots of little rocks" or something much more eloquent when he said it.
He also said that Matthew and I need to go out on dates. Like a lot. Wayyyy more than we do (we don't). He said something along the lines of looking at how much we love our kids, and we didn't even chose them, but there is also person that we actually CHOSE to be with and that relationship needs fostering. He said we have to leave the house and it has to be a minimum of two hours and that we can't talk about kids the entire time. He started spouting off facts about how much water Orlando is trying to take from the St. Johns river just to water golf courses and how the military could have prevented ISIS by just doing one thing, and one other very interesting one that I actually wish I could remember. His point? There is a LOT to talk about outside of kids, find those things.
I wish I could remember more of what he said. He was a good guy. Been a ped for 35 years and started in the military. I am kind of scared if him.
Orthopedics
Well this appointment was really interesting. So in January Dylan had the hemiepiphesiodesis to get her legs straightened out in the back. She stopped walking because of the surgery and the bend is actually worse. These guys basically gave me the impression that they wouldn't have done this surgery for this, they would have taken a different route. Wahhhhh! Basically the angle is so bad that she would have to grow A LOT to make up for the bend and for the surgery to make sense so it's likely we did it for no reason. :(
They wanted me to follow up in the office to get x-rays to make sure the screws are still in place and that her femurs are growing at the same rate.
We went to that follow up appointment on Friday and it took FOREVER. The doctor was running late but Dylan was actually being very cute and fun so it is what it is.
Have you seen the commercial where the xray room is all white and they can change the color of the room and projection on the wall depending on what the kid likes? Yea, they had that. So when we went in it had soothing music and it was cycling colors of blues and green, the whole room... the room was blue... and on the wall was the ocean, like you were under water and swimming with the turtles. FANCY. I gave them a heads up and they had some Katy Perry happening which was super helpful until they tried to turn it down and stopped it and Dylan realized we were doing something not terribly fun.
The xrays came back and everything on them looked good. I wanted to take a picture of them so they just printed them for me which was so nice. The doctor told me about some other options, botox, cutting some muscles, even cutting the bone, but that we would see how things progressed with PT for two months and then follow up and see what we need to do. If it doesn't get better though... bad stuff coming.
The doctor seemed quite intent on making sure Dylan walks again (as does pretty much everyone here that knew she once walked and now doesn't...). She talked about braces that go past the knee for support when she's walking and some other things that I can't even think about. I am hoping that the therapy helps. I follow up with them again in February.
They have prosthetic guy in their office "Bob" and he was so nice I really liked him. I don't know his nationality, very dark skin, an accent, I should have asked. I was telling him about her walking and why we like the braces with the carbon fiber ankle and said her "gait was..." and he said "messed up a little bit." and started laughing and then looked at Dylan and said "mom said that! I didn't!" Though her braces still fit her fine now (and we got them a year ago... hello slow grower) she has been OBSESSED with the velcro on them and he fixed them up a bit. I will talk to him again in February.
Awesome people in the Orthopedics office. I loved all the people I saw at the spinal defect clinic and everyone I saw at the appointment. From the desk peeps to the nurses, everyone passes out their card (that I lose), their emails and their numbers in case I need anything. Crazy helpful.
Physiatrist
Do you know what this is? I didn't know... I am not sure if I still do after we have seen one. And now I have actually seen her twice. Don't tell her that though, she was very nice and she knows Mike because she worked in Salt Lake for a while. I stealthily took a picture of her and sent it to him and was like "this lady know you."
Anyway, apparently this gal coordinates all of the therapy and equipment. We need her.
Before we left Utah we tried to get a stander for Dylan and the company who ordered it got the decline letter and dropped the ball. By the time we knew it was declined we were headed off out of state, with no established care, and would have to be set back. The Physiatrist did the referral for that stander as well as a bath chair because Dylan is too long to lift over the tub these days and it's only going to get worse.
She referred us to PT and OT too. She briefly talked about in house intense therapy... but I blew that off for now.
We have been to both of those follow up appointments. PT and OT are together (I think?) and we did the evaluation this week. Dylan was in NO MOOD to be trifled with. The PT put her in this walker thing that had her suspended from the top in this harness. Dylan complained, loudly, but when the gal pushed it back Dylan did one foot in front of the other, even though she wasn't supporting her weight well. She did it forward and backward a couple times and saw stuff she was pleased with. That's good. Her recommendation is to do therapy twice a week. I set up appointments, before Thanksgiving was tricky, but after... Dylan will be going to PT twice a week. More than ever.
Both the Physiatrist and the PT mentioned knee immobilizers. The sustained added stretch over-night is supposedly the best thing ever. I can't imagine putting her in these things all night and having her be happy, but both of these gals say they are willing to put it off but it's very possible that we will need to do that if she's not getting more flexible after a few months of therapy.
We did the equipment appointment too. Apparently in the state of Florida insurances require that the therapists have ruled out the less expensive options by actually putting the person in the equipment. That's why we got the origional decline. So they take you in a room with all kinds of everything equipment related and find the best fitting thing you are looking for and submit all the required stuff. She said she didn't expect a decline but they automatically appeal if it is declined so if we get a letter ignore it and if I ever need to find out the status of her equipment I can call her.
I am excited for the stander because then we can do it at home. Mike said if you only do the stander once a day for a stretch you might as well not put her in it. You have to do it multiple times a day for brief periods of time. The report from school is that she loves the stander because it puts her at eye level with the kids. Awesome. She loved walking so this doesn't surprise me other than she's in a contraption that makes it so she can't move... okay, so it surprises me a little.
With that we went back to the Physiatrist She basically wrote down everything we did so far. She also wrote a prescription to have Dylan in the stander at school for an hour a day, broken up... which was nice. As is it was just 15 minutes twice a week. She really wants to bump it up for the stretch which is cool. I gave that to Dylan's teacher. They want her walking just as badly as I do so I am sure they will work with her.
GI
This doctor was fine but eh... I haven't really done anything we talked about. At the risk of TMI, she suggested adding Miralax to Dylan's diet with the Senna and using a glycerin suppository every night for a clean out. You can see why I have't done it can't you?
Medically Complex Children's Pediatrician
No longer at the spinal defects clinic but as a referral from it, we went to a new pediatrician also down town in the big tall buildings. I didn't know what to think about it but I was willing to give it a shot. We went this last week and I met the doctor, the nurse and another social worker (another!). The appointment went well, the doctor was really nice, he had a thick accent and I am terrible with accents but I think I managed okay. This practice has more experience dealing with the more needy kids than any other pediatrician we have ever had. So Dylan will switch to this Pediatrician where the other kids will stay with the one I had set up for them.
We started talking about Dylan's diet and how much she eats and how do I know when she's hungry or to change the amount. I explained how and he asked me if I have ever seen a nutritionist. I was honest (probably too honest) and told him I have seen a few and I have never liked them. He asked why and I explained that all the nutritionists I have ever seen try to over-engineer their diet. Plus, we didn't mesh well, but I didn't say that. All you have to do is look at Dylan and you can see that she's doing really well, she is getting enough food, not too much and everything is going great. I have mad Dylan skills, don't question me! He recommended theirs, I told him I would agree to one time... haha. he told me I wouldn't have to go frequently and I told him that's what they all say and here I was with four appointments in one week!
Also at this appointment we addressed out home heath care issues. Since we have been here we have used Apria for medical supplies because I didn't know where to go and the doctor didn't know (because she's not used to these kids and GI would usually do it) so I found Apria which is a national company. They have been HORRIBLE. Their billing is terrible, they kept charging my card and over-billing so I finally removed my Amex because I was tired of calling and having them credit back just to bill it again. They charge over $5,000 a month for her supplies (for reference IMC charged $1800) and we have weird insurance and after our deductible we still pay 10% so we have to pay $500 a month for food for her. That's lots. The nurse at this clinic said thy don't have any kids using Apria and are going to call Apria and get the info on what she gets and change us over to a local company, they have two to chose from. What?! AMAZING. If I could figure out just that I would consider this appointment a success!
She also got a flu shot which I hadn't had time to do so yay! Also a win for the day.
This office will now be her primary care doctor and it's 30 minutes a day but guess what? They have s 24 hour number and they will attempt to diagnose over the phone and call in scripts, even antibiotics without an office visit. Also AMAZING. I love a doctors office that trusts it's parents!
Then it was the social workers turn, she mentioned the huge waiver paper work packet that the other social worker gave me. Egads, I will have to look at that at some point. The waiting list is LONG, I really should get on it.
She also asked if Dylan has ever been granted a wish. She hasn't, we haven't ever pursued it though because we didn't know what she would actually enjoy and also we can afford to go on a trip if we wanted to and some families can't. But... after seeing Dylan at Disney I have come around. And honestly, we can't give her and the other kids what a wish would. She said all the kids in that particular clinic are qualified and she will start the paper work for the referral. I have been all sort of emotional about it ever since we talked.
The appointments that we have coming up are the Nutritionist and Neurology... and I think something else that he said there was a referral out there for but I don't recall what it is... I will know when they call me to make the appointment I suppose. And then all the PT appointments.
Over all I have really liked the care that we have gotten here. I love that we have new eyes on her. I think because we've had the same specialist for 9 years they have kind of let her slide a little. Not intentionally, she's just easy. So that part has been great.
Annnnnd I'm spent!
Dylan was so patient at the long ortho appointment. We had a lot of fun while we waited. She didn't love the paper gowns though... but I held her through it which was fun for me. :)
Check out these babies with prosthetic legs!






