Wednesday, September 21, 2011

Cast Free!

All smiles the last morning of her spica-dom
Yesterday Addison went in to have her cast removed. Her dad and I were very much looking forward to this day, but we were also very anxious as we did not know what to expect at all. We arrived at the Stollery Children's Hospital bright and early, and the x-ray technician came out to tell us that he wasn't sure whether they were cutting the cast off prior to x-ray or leaving it on...he was just waiting on word from Dr. Dulai. About 20 minutes later they ushered us into an exam room, handed Addison and I a pair of ear muff type ear protectors and asked us to put them on.

Not sure who decided these were baby size ear protection!
They explained they would be taking the cast off and then doing an x-ray to determine next steps with respect to her hips. Addie's dad and I tried to keep the ear muffs on her, but she was not a fan of them...and as soon as they fired up the cast saw, the tears began rolling down her face.

Just after the cast had been cut with a saw, Addie was inconsolable
For those of you not familiar with cast removal, our cast was removed with a hand-held cast cutting saw that was very very loud and as they proceeded to use it to cut her cast off, it vibrated the cast a lot, which is what I think scared her the most. Once they have cut through the cast, they then take a large pair of snippers, crack the cast open and cut away the soft cotton lining. The whole cast cutting procedure probably lasted a total of 5 minutes but it felt like 5 hours because Addison was so upset by it. She was crying so furiously that her little face turned 7 shades of purple and crocodile tears were streaming down her little face. She was completely terrified.

Cutting through the thick cotton lining, trying to comfort her
Once the cast had  been cut through, they wrapped it back on her with a tensor bandage to hold it in place until it was time for the x-ray. So they sent us back out to the waiting room where we desperately tried to take Addison's mind off of the whole thing. Once back in the waiting room, she calmed down quite a bit, her face was all blotchy from crying her heart out...and she was whimpering a little.

Phew! We were both glad that was over
About 5 minutes later they ushered us into the x-ray room. Only 1 person was allowed to accompany her, so I went with her this time leaving her dad and grandma to wait out in the waiting room. They laid her down on the x-ray table and slowly began to remove the pieces of the cast. Having been in that tight fitting cast for 12 weeks, this made Addison a bit uncertain and she began to cry again. The tech asked me to put on the lead apron and hold her in place for the x-ray. She was x-rayed on her back with her legs splayed out in frog position. All in all this was much easier on her than the cast cutting itself, but she was still very scared and uncertain what all this was about. Once the x-ray had been completed, we were asked to wait back in the waiting room again, and then shortly after that were brought into another exam room and asked to wait for the doctor who would share with us the results of the x-ray. At this point, Addison was clinging to me for dear life in desperate need of some comforting. About 15 minutes later, a resident popped in and asked to examine Addison. She laid her down on the exam table and did a quick hip check. She said that Addie's hips felt good, but that the surgeon would be in soon to let us know what the x-ray looked like. When Dr. Dulai arrived, she said that the x-ray looked great and that she was very pleased. She gave us a prescription for the brace she would need to wear and indicated that in most cases what they do is double the age they were when they went into the cast to determine the duration for wearing the brace. Because Addison was about 3 months old when she went into the cast, Dr. Dulai indicated that she may be in the brace for another six months but she said that she hoped to have her out of it in time for her first birthday (hooray!).

After the x-ray we enjoyed watching her kick, kick, kick those newly free legs!
We laid Addie down on the table and put her in her first pair of pants since she was first cast so many months ago, and it was a great feeling to see and cuddle her little legs. Suprisingly her legs were in great shape too, they didn't look terribly atrophied and only had a little bit of dry skin - much better than what we had anticipated! What we were also able to notice was how tall she had gotten while in that cast. She is long and lean just like her daddy (another good thing). She is still wearing the size 2 diapers she wore when she first went into the cast, they are a little short so we still need to double diaper her with the 3 over top just to hold everything in. Her legs are so skinny that the size 3 diaper is just to big at the leg opening. Our girl is going to be a supermodel for sure with her build ;-)

Thank goodness I am all done here grandma!
After all that she was so tired out that we took her home for her first cast free nap in three months. It was great to lay her down in her crib and let her sleep comfortably with no need for extra padding or wedging or anything - something we are not used to at all! When she awoke we passed her from grandma to daddy to me for extra snuggles before heading out to get her brace fitted.

First cast-free nap in 3 months was GOOD!
When we arrived at the shop of the fellow who was going to build her brace, he knew as soon as we walked in that we had been sent for an Ilfeld brace, I guess Dr. Dulai sent us to the right man for the job! He took a few quick measurements and sent us on our way, telling us to return in about an hour and a half. When we returned he had the brace ready to go. Addison was not impressed when we laid her into her new brace, but we suspect that had more to do with the fact that another man was manhandling her and she had had her fill of strange men for the day! When he tried to do up the brace around her midsection he quickly realized he had made it too large for our skinny little girl...so off he went to adjust it. When he came back, he slipped it on her, made marks on the velcro to help us understand where to adjust it to when we are putting it on, gave us a demonstration on how to adjust it for wearing over different thicknesses of clothing and that was it. It is a brace very similar to the pavlik harness she was initially in but is much more user and baby friendly. It can be worn over her clothes, removed for changing and, the big bonus is that we can remove it for 4 hours a day (which means we get to cuddle our baby, and just our baby, for 4 glorious hours a day. What a good feeling!

Addie with her main man in her Ilfeld brace

Later that evening we ran a nice warm bath for Addie in our big whirlpool tub. Her daddy put his swim gear on, sudsed up the bath and turned the jets on and she had so much fun splashing around, it was ridiculously cute. She was so excited, she didn't want to get out of the tub and it felt so good to know that she was half way done and could go back to enjoying her bath time!

She had a blast in her first cast-free bath
Now that she has been in it for a few days, we have settled into a new routine...and it is so much better than the cast! She can now use her high chair, sit without assistance in her stroller, we have been able to remove the padding from her swing...everything just seems so much easier! She is sleeping great in it and it really does not seem to phase her at all. BIG RELIEF! She is a little more flopsy to carry around as she needs to work to build up her back and ab muscles so she is strong enough to sit on her own again, so we are giving her tummy time each day to try to help with that. All in all, we are so grateful that the surgery was a success, the cast has done its job and we are one step closer to ensuring our little girl has good hips.

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3 comments:

  1. Great Story.. all true!!

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  2. That's fantastic news! We're so glad to hear that Addison is "cast-less". What a brave girl.

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  3. Thanks Julie! We were so happy to see her little legs, once the cast was cut off she did just great...that saw just scared her so much! She is so happy to be out of her cast and the brace doesn't seem to bother her at all. Hope you guys are doing well, we'd love to see you sometime so let us know when you are in town! Maybe we can take Addie on her first trip up north real soon!

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