Spica Sleeping

Sleep is a much discussed topic among new mothers...how much sleep is your baby getting, is she sleeping thru the night yet? How many naps does she take? Is she sleeping in her crib yet? Well, this all takes a different slant when you have a baby in a body cast.

Before her closed reduction Addie and I had come to an agreement on the sleeping arrangements. Her dad and I tried for the first few weeks to have her sleep in her own crib, in her own room. However, after three weeks of poor baby waking every hour or so in need of comforting, only to get her back to sleep and try ever so gently to lay her back down in her crib to have her wake 5 minutes later crying out for comfort...well, we decided that something had to give. We would not survive the sleep deprivation this was wreaking on our lives! So, after one particularly bad night where no matter what we did Addison would not go to sleep, at 3 am in the morning I finally broke down and brought her to bed with me. Wouldn't you know it, she fell right asleep snuggling face to face with me. And so it went, until she got her spica cast.

The first night home she co-slept with us as she had done for the past two months and did not stir.  In hindsight I now realize this was due to the pain meds they had her on! For the second night was not so peaceful! She just could not settle. So that next day I decided to try an experiment. We had purchased a playard for Addie before she was born, thinking it would serve as the bassinet until she was ready to sleep in her own crib. From day 1 Addie wanted nothing to do with that playard/bassinet. We would lay her in it and she would immediately start screaming. Turns out our newborn was just a cuddle bug in need of body warmth! Prior to her surgery we did not make much of an effort to get her on any kind of schedule, we were so devastated that she was going to have to endure surgery and casting that we wanted to spoil her a little and so we let her dictate what she wanted. Being the happy baby she is, she wasn't too demanding and her needs were totally achievable so we said schedule be damned!

Just waking from her mid-morning nap in her playard

After that second night home following her surgery, I decided to give the playard another try. Sure enough, I set her down in it for a nap and she went right to sleep. She was now ready for a little independence. I think the stay in a hospital bed helped to expedite that somewhat, but we were pleased all the same. So, we moved the playard into our room, put a crib wedge in it to help prop up her head and padded it with lots and lots of blankets to help make it as soft as we could. That same night following the successful nap we put her down to sleep in the playard...and wouldn't you know it...she slept peacefully.

While I am happy to report Addison is, for the most part, a great napper...night sleeping is a bit of a challenge for her. When I chatted with my doctor about this issue, she simply told me that until Addison is out of the cast and able to reposition herself on her own Addison will likely continue to wake every 3 hours or so. Not the news or advice I had been hoping for as by mid-afternoon I am generally a zombie due to midnight, 3 am and 5 am wakings!!

Now, I mentioned earlier that before her cast went on, we were on no particular schedule but a funny thing happened on the way to the spica cast. Almost immediately following her surgery and casting, Addison started to develop her own schedule. Pretty soon, the time of day she needed her naps, her meals and her bedtime began to get more consistent. It really surprised me! It got so good that prior to her cast change, Addison had a few nights where she slept the whole night through (success, or so we thought!).

We try to socialize Addison a lot, so we take her to visit relatives and friends as often as we can but we have noticed that this does, indeed, disrupt her day to day routine. Following her cast change, sleeping has been a little more unpredictable again. She is still in her playard and continues to wake at midnight, 3 and 6 am for feedings but we are thinking that once the weather starts to cool a little, we will be moving her to her own bedroom. Our bedroom, where her current bed is situated, is in our basement so during these hot summer days it is much cooler for a baby in a cast. Her room is on our upper floor and while our house stays fairly cool, it still is likely more comfy for her to remain in the dark, cool basement for now. She is fast approaching the 6 month mark, so I am going to have to get the transition to her own room underway, we want to achieve that before then.

Adjusting to the Hippo Car Seat

Much happier in her Britax Hippo car seat

Well, I am happy to report that the days of loathing her Britax Hippo car seat are gone. Addison has become more and more accustomed to the car seat to the point where she now enjoys great naps in it on longer journeys (yay!). In hindsight I realize that it was probably her incisions that bothered her in those early days, not the car seat!

We found that tethering toys to her car seat helps her pass the time happily

One unfortunate thing about the Hippo car seat is that it does not have any place to attach car toys to...so we have used teething rings to tether toys to the Hippo seat for Addie to play with during car rides. We also bring along a few stuffed toys for her to play with in her seat and have installed a mirror that allows both her to look at herself (something that always brings a smile to her little face) and also allows us to keep an eye on her in the backseat!

We have had to customize the seat to allow Addie to fit. We have padded the back with memory foam and added a head rest for her to make it a little more snuggly.

The seat was loaned to us by the Stollery Children's Hospital, where Addison had her closed reduction, and it seems to me that it is meant for a larger child as we have had to pad the back of it with memory foam in order to position Addie far enough forward to sit properly in this car seat. We are very thankful to the hospital for loaning it to us, because we had no idea what we were going to do for a carseat for the duration of her spica-dom!

Playing away with her tethered toys

On particularly long car-rides one of us will sit in the back of the car with her as she has a tendency to lose her toys and get bored. With mom or dad beside her, she generally plays for a little while and then is able to easily fall asleep in the car seat (which is great news for her mom and dad who are no longer arriving at destinations with a tired and cranky baby!).

Now that we are 7 weeks into the spica cast and have a date set for follow up with her surgeon in mid-September...I am beginning to wonder what the next evolution of car seat will be? I am pretty sure she won't fit in her bucket seat we bought to use with her as a newborn...or maybe she will? I have heard lots of stories about babies who are quite sore following cast removal which makes me wonder if I will need a bigger car seat...and then there is the brace that she will be placed in following the cast removal which will keep her just as splayed out as in the cast. It might be time to start investigating new car seats!

Spica Logistics

Diapering. As new parents, we expected to do our share in the diapering trenches, but we were not prepared for just how involved this would become with a baby in a spica cast! When we first brought our daughter home from the hospital we quickly learned how many diapers a little sparkle can go thru! We soon became diapering pros, Addison's dad took great pride in his diapering abilities and after a few explosive situations and a lot of laughter we both had figured out that it wasn't all that bad! So when Addison went into the hospital to get her spica cast to correct her hip dysplasia we had no idea what a production diapering would become. And so we continued our diapering education!

Within an hour of her surgery, Addison had a major diaper situation going on. I had read a lot on line about how parents of kids in spicas dealt with diapering so I went into her surgery day with some information and from what I had read I fully expected the nursing staff in the recovery room to have "petaled" her cast with water-proof tape. However, as the nurses wheeled her out of the recovery room the first thing they told us was that they had administered morphine for Addie because she was inconsolable in the recovery room. As a result, they had not even put a diaper on her as she was too upset and they suspected it was a bit painful due to the incisions made in her groin during her surgery. So, there she was, spica cast on but no diaper in the cut out where the diaper was meant to be! So, while her dad and I tried to comfort her as she came off her sedative, we didn't really pay much attention to the diaper situation. As any parent knows, it is hard to see your child in pain so diapering was the last thing on our minds. It didn't even occur to us how yucky that would be if we didn't deal with it ASAP. So, of course, she had a blowout. And I mean a good one. It went up the front of the cast, up the back of the cast and all over the hospital bed. If it wasn't so difficult to see her in such pain, we would have had a really good laugh at how ridiculous it was!

Her dad and I just looked at each other in desperation and scrambled to press the nurse call button! Surely they would know what to do! How wrong we were. I don't think the nurses see many infants in spica casts. She brought us some wipes meant for sponge bathing infants and we went to work wiping down our little girl and her bright pink cast. Once we had the worst of it wiped up, we decided we needed something to help soak up the wetness. The nurse brought us some abdominal pads which we stuffed up her diaper, then we placed a smaller diaper inside the cast and a larger one over that! Over the next few days, we got more and more comfortable with the whole diapering situation. Once we were home, and with a little practice and trail and error, we got it down to a science.

At first we thought a maxi pad would be the perfect situation to help dam up the diaper area in the back, as we had a few incidents of explosions that went all the way up the back of the cast. Because you can't actually fasten the inner diaper closed, it is very loosely stuffed inside the opening, leaving lots of room for accidents inside the cast. So, we thought, a maxi stuck to the inside back of the cast would be the perfect solution. We started out putting that in place first, then placing the smaller diaper over that, and then the larger diaper over that. What we soon learned was that with the combination of the glue on the back of the maxi and the moistness and warmth of the diaper area in general, the glue began to make the casting very very sticky and difficult to work with. Not to mention, when we would turn Addie over to complete the diaper process, the cast began sticking to her back...not much fun for her. Back to the drawing board. We went in search of something different and found cloth diaper liners at our local drugstore. Perfect, we thought! They were very long, so we cut them in half and began putting those in the back of her cast, then the smaller diaper, then the larger diaper. Within about a day, she developed a nasty rash. Turns out when you cut those disposable diaper liners in half, the materials used to make those liners super absorbant also gave our little peanut a horrible allergic reaction. So...we decided to return to the abdominal pads we had used in the hospital.

What we also found was that Addison needed a bit of help too as she had to lay through what had now become a 5 minute diaper change job. So we adapted her change table as well. We purchased a pregnancy wedge for her change station to elevate her back during the whole process and make her a bit more comfortable. Because the changing process had become that much more involved and more time intensive we decided we also had to rig something up to entertain her while we fussed over cleaning the cast and diaper area so we got a mobile that we could hang above her as we worked on keeping her clean. These worked great.

The arsenal required for a simple diaper change these days!

We get a LOT of questions about how, exactly, we change her. So here it goes, step by step. Hopefully this will answer some questions and maybe help other parents who have babies in a spica.

1. We lay her on her back on her change table, back cozily propped up a bit on the wedge and ensure she is in reaching distance of her mobile (so she can entertain herself). We then remove the soiled inner diaper, leaving the larger diaper underneath her in case she decides to do some business in the middle of the change...which happens very frequently!

Getting ready for the diaper change

2. We wipe down the front of her diaper area with either a pre-moistened, alcohol free wipe or, if she has a rash, a washcloth with warm water. We then use a blowdryer (yup, you read that right) to dry the area completely.

3. We then flip her onto her tummy and  repeat the cleaning and drying procedure in that area.

Clean and dry!

4. Once clean and dry, we take an 8x10 kendall tendersorb abdominal pad, which we have cut in half, and stuff it up the back of her diaper, leaving just a bit overlapping on the outside diaper area.

Placing the cut in half abdominal pad

5. We then take a size 2 diaper, which we have cut the fastening tabs off of, and stuff that up the back of the diaper, over the abdominal pad. That gets the back done!

Size 2 diaper over the abdominal pad

Make sure it is tucked in well

6. We then flip her over, and stuff the front of the size 2 diaper up the front opening of the cast taking care to ensure the leg area is not bunched up by smoothing out the leg ruffles and tucking them into the legs of the cast.

Flip her over and tuck in the front of the diaper to the cast area

Make sure it is tucked in well

7. We then take a size 6 diaper and put that over the whole cast, to hold the smaller diaper and abdominal pad in place...and we're done!

Place the larger, size 6 diaper over the whole cast to hold everything in place

Now, as you can imagine...this is not an exact science and there is plenty of room for disasters! To keep the area as clean and dry as possible, we also have lined the cast opening with waterproof tape to help delay cast breakdown when the area gets wet. Because waterproof tape is plastic and we felt not all that comfortable against baby's tender skin, we also found moleskin in the foot care section of our local pharmacy and decided to put that over the water proof tape.  After trying a few different brands, we decidd that the Dr. Scholl's Moleskin Plus Padding roll is the best.
http://www.drscholls.com/drscholls/productSearch.do?method=doProductDetailsLookup&searchArg=84

It provides a nice soft surface against Addie's skin. When the moleskin gets wet or soiled, we simply peel it off and apply new moleskin as needed. It takes quite a bit of time to petal the cast opening area with waterproof tape and moleskin, but it is worth it! I find it is best to do this in the mornings when Addie is much easier to get along with in general. She is very patient in the morning. If we have to do a spot replacement of the moleskin later in the day, I get her dad to make faces at her or sing to her as I do it which helps to pass the time and calm her down a bit.

With a little patience, a lot of trial and error and even more laughter, diapering has gone from something we initially dreaded to something totally manageable. Just another interesting part of having a baby in a spica!

Just to add to the fun!

Addison has begun, we think, to start teething! Poor baby. She just got her second cast on and now she is gumming everything she can get her hands on. She is dealing with it pretty well, but by evenings we have noticed that she has become fussier than usual! We are trying to relieve her sore gums by offering her lots of different options from cold teething rings, to frozen bagels, to ice cubes made of apple juice. I am learning to watch myself, because whatever comes near her these days is going in her mouth and getting a good gnawing.

enjoying an apple juice ice cube

We tried the baby mum mum cookies everyone has been telling me about but I am not too keen on those. They disintegrate immediately and I am so paranoid of her choking on a bit that I have discontinued using them with her until she gets the hang of big people food! I have scoured the grocery stores for a thicker teething biscuit, but alas cannot find one that I am not afraid will end up choking her to death!

Last night she was so fussy at bed time we ended up giving her a bit of tylenol and resorting to the vacuum. A trick we learned in those early sleepless nights! Seems that Addison is soothed by the sound of a vacuum cleaner, so on it went last night to lull her to sleep. I am happy and sad that she is teething. Happy because that means soon she will be chewing and we will be moving to more solid foods (other than banana, which is her favourite...well, actually the ONLY food she will eat). Sad because we love her toothless grin! It just will not be the same when a few choppers pop through! I guess that is what parenting is all about... rejoicing in their growth and learning, but lamenting the speed by which they grow up.

Cast Change Day

Addison went in for her first cast change yesterday and in some ways it was much less stressful than the original surgery day, and in some ways a little more stressful. First of all the appointment was very early in the morning as she was first on the OR slate, so we had to have her into the Stollery by 6 a.m. for a 7:20 a.m. surgery time. She did really well until around 6:30 when the hunger got the better of her. She hadn't eaten much since midnight, and she was wondering why we were holding out on her. She was also very tired which made the admission process a little tricky as they had to do some pre-surgery tests on her that she was not too fond of. After applying some numbing gel and wrapping her little hands in gauze, they led us to the waiting room where 2 surgeons, the resident and the anaestetist all came to chat with us pre-surgery. The first surgeon was doing a minor plastic surgery procedure to remove an extra bit of skin that Addison had on her right ear, he explained it would be simple and that he would apply steri strips over the dissolvable stitches and not to worry to much about it, that it wouldn't bother her at all. When we met with her orthopedic surgeon, Dr. Dulai, she explained that if her hips were not improving or were not in the socket when they cut the first cast off, that they would not be recasting her and that instead we would have to discuss the next, more invasive, steps towards correcting her hips. Her dad and I both knew that this meant more involved surgery and the possible breaking of her little bones, pinning of her hips and could even include traction of some kind so we were really hoping for a good outcome!

As the doctors were chatting with us, Addison gave into her tiredness and fell asleep in my arms, so she went into the OR blissfully unaware of where she was headed. After about an hour and a half they wheeled her back up to the hospital ward she would be staying in. As they brought her in her dad, grandma and I were anxiously searching for evidence of a cast, but she was covered in blankets so we couldn't tell. I asked the nurse if they reapplied the cast and she said yes. Such relief! We knew that this meant her hips were in place and must be getting better. She was pretty upset coming out of the OR. She had an upset tummy and was probably wondering where the heck she had woken up, and why she was in pain. After a half an hour of soothing and rocking, she calmed down enough to take a bottle. After that she returned to the happy little baby we know her to be. She was "chatting" away with her toys and giving smiles to everyone around her. Her grandma and grandpa spent the day in the hospital with us, and they were also very relieved at how well she was doing. She even settled down and had a good morning nap. The nurse let us know that the surgeon even felt that the surgery had gone so well that she wasn't concerned with doing an MRI following the procedure, another good sign! This means the chance of her hips slipping back out of joint had decreased enough not to have to go through that final check following cast application. Again...relief! Unlike the first stay in hospital, we were let out around 4 pm the same day, and went home to celebrate!

This morning we had a phone message from the surgeon who told us the surgery went great and that she was very pleased...and to come see her in 6 weeks for the next step. So...six more weeks in a spica seems much more doable now than it did 6 weeks ago. There seems to be a light at the end of the tunnel for Addison, and for us! She will need to go into a brace following the cast removal, but she is now that much closer to achieving healthy, normal hips and we are so thankful for that!

One month gone

Well today officially marks the end of month 1 in the spica cast. I can't say it has gone quickly and I can't say it has gone slowly either. I can say that our whole schedule is dictated these days by Addison and her need to stay cool or have her diaper changed...being more than two feet away from her "changing station" if she has a messy diaper can lead to disaster! Poor thing! She has endured more poking and prodding and blowdrying (yes, I said it, blowdrying!) in the last month than any 4 and a half month old should have to! I, on the other hand, have been peed on more times than I can count as the diapering system is by no means leak proof! Thankfully, she is such a content and happy baby that she seems unaffected by it all and we are convinced that she thinks her cast is just another baby carrier type of thing. She is even able to move in it somewhat, she gets jiggling quite a bit when we have her laying on her back and has even figured out a way to move herself across any surface while on her back. Proof that where there is a will, there is always a way!

In anticipation of some hot summer weather, we ordered a cast cooler early into her cast-dom but have not really had to use it much yet, although August tends to be a particularly hot month so perhaps we will get some usage out of it yet! In just over two weeks Addie goes in for her cast change, and then there will be another 6 weeks of spica-dom. I have to admit I am getting eager to have her out of this cast already because there is so much we would like to do with her! Her dad and I were both bummed this past weekend when the temperatures soared and every other parent in the neighbourhood was down at the local swimming pool or spray park with their little ones and all we could do was spectate from the curb in our air conditioned vehicle! We keep saying...next summer will be different. She will be running around with the other kids and soaking up all the summer fun she can handle. Too bad I will be back at work then and won't be able to give her all my attention!

So far we have averted any major rashes and the cast, while not as pristine as it was when we left the hospital, is not too smelly as long as we wipe it down and keep it as dry as we can. We have found that petaling it with moleskin has helped tremendously but we did notice that the area around her legs is particularly tight and she does have a bit of a rash on her upper thigh that we can't do much about given we are not supposed to be putting any lotions or powders down the cast.

Her new baby bjorn carrier has been a life saver. We go for up to 4 or 5 walks a day in that ingenious invention. For any parent out there with a baby in a spica (or even without the spica) I highly reccommend the baby bjorn! It is single-handedly saving my poor back! I try to get her out early in the morning to avoid the worst of the summer heat for a walk around the neighbourhood, and then we head to one of the local malls later in the day once the temerature starts to climb. Early on she began developing heat rashes on the very top of her little head, but since changing things up to only have her outside in the mornings and keeping her in the basement or in air conditioned places the rest of the day, she seems to be quite comfortable.

First Week Behind Us

We have made it through our first week with Addison in her spica cast and it has been interesting! While she has adjusted as well as could be hoped for, the hot summer days are upon us and it is a challenge trying to keep her entertained but still keep her cool. She loves to be outside, so we are now restricted to taking walks with her in the early morning or later in the evening when it is a bit cooler. A shame, because she also loves water so we were looking forward to some outdoor pool action this summer, but that will have to wait until next year!

We have also had to make a few adjustments around the house. The day after we brought her home we did a quick scan and realized she would no longer fit her high chair or her swing that she loves so much. Before the surgery I had purchased a new baby bjorn carrier that was quite a bit bigger than her current one anticipating that she was going to be like a little brick following surgery...however, it does not fasten the same way was the old one and because of her cast, we were unable to actually get her in it...so off we went to exchange it. We found a much better one made of lightweight mesh with much needed back support and snapped that up, so now she is riding in style. This is the one we originally purchased (the comfort carrier): http://www.babybjorn.com/products/baby-carriers/comfort-carrier/comfort/.  Because of the way it fastened, we exchanged it for this one: http://www.babybjorn.com/products/baby-carriers/baby-carrier-synergy/synergy/. This one also had the added benefit of being mesh, so we thought it might be cooler during hte hot summer months!

Her favourite mode of transport these days!

While we were out we came across another godsend, the handy sitt chair http://www.minuihandysitt.com/ that basically fits on any regular chair and allows you to push her right up to the table, now she feels like a big girl sitting at the table with mum and dad. We also grabbed a jolly jumper, which she loves. She can't actually jump in it herself, but with some help from mom and dad she gets a good bounce in now and then.

Addison sitting at the big people table in her handy sitt

I don't know what we would do without this fabulous chair!

She isn't sleeping as well as she used to as I don't think she likes to lay on her back. When she wakes at night it is very difficult getting her back to sleep. We have purchased a crib wedge that elevates her back slightly and have been padding her feet with memory foam and/or rolled up blankets to provide some ankle support at night, but it doesn't seem to please her very much and she cries quite a bit when we try to put her down. Before surgery she loved to sleep on her side snuggled up to me and rarely slept on her back, so in hindsight we should have prepared her better for that prior to surgery!

The other big obstacle is that she is not too crazy about her new carseat, she was never crazy about being in the car before or being in her other carseat, but this new one is the Britax Hippo http://www.adaptivemall.com/hippocarseat.html and it really is a hippo size-wise! The benefit of it is that she fits in it and we can take her places in the car.  The Stollery hospital has loaned us one for the duration of her casting, which is fantastic! She is a little bit too small for it, so we have to pad it with memory foam behind her back in order to fit her correctly. We also purchased a head rest for it to cradle her little bean, hopefully this will help her to nod off in it while we are driving just like she used to do in her old carseat! Needless to say, until she gets used to the Hippo seat, we are doing a lot less driving these days!

All in all, we are so happy that she has retained her cheery attitude. We are still getting plenty of smiles and giggles and coos. Now we just have to work on the sleep!

So far so good!



Addison went in for her surgery on the first day of summer, June 21st...and as luck would have it, it was one of the hottest days we have had here for a while. We had to get her into the hospital for admission by 8:30 a.m. the day of her surgery and she was scheduled to go into the operating room at 10:40 which meant we had to stop feeding her that morning by no later than 6:30 a.m. For a baby who likes to snack all day long, she handled the no eating reasonably well. Once we got her to the Stollery Children's Hospital here in Edmonton, we waited with her for about a half hour before they led her back to the pre-operating area to give her a once over and prep her for her IV.



Getting ready for surgery



She was supposed to have a combined surgery - the orthopedic surgeon to fix her hips with the closed reduction, the other a plastic surgeon who was to remove a little extra bit of skin near her ear that she didn't need. When we got her into the pre-op we asked if that was still the plan as the two surgeons staff were supposed to coordinate it...needless to say there was a "clerical error" so the plastic surgeon would not be available to remove the ear tag. That was a little disappointing and not what two concerned parents wanted to hear right before surgery!

The nurses then gave her a bit of tylenol which upset her as she was getting quite hungry by this point and then they put a little bit of numbing medication on her little hands to numb the area for insertion of the IV. After all that they led us to a little waiting room outside of the OR to wait to chat with the anaesthetist and the surgeon prior to her surgery. The anaesthesiologist informed us that they would be putting her under with gas and that he would take extra special care of her while the orthopedic surgeon, Dr. Dulai, answered any last minute questions that we had. They told us that they thought it would all be done within two hours and asked us to say goodnight to our little girl before they took her into the OR. Both grandmas were there with us, and we passed her around for some final kisses before she was taken into the OR by the nurse. I'm not going to lie, it is very difficult to hand your 4 month old over to strangers for surgery!

Now we just had to wait...and wait. By 1 p.m. we still hadn't heard anything so her dad went to talk to the charge nurse about the status of the operation, after some phone calls were made down to the OR, we were informed that the surgery had been completed and that they were just moving her to the recovery room, after which they would bring her up to the ward. By 2 p.m. we were informed she was on her way up to us so we got ready to greet her. When they wheeled her over to her room, she was so pale and groggy it was a bit scary. Her colour had gone from pink to grey and she was letting out the saddest little whimpers! Her dad and I were prepared for screaming, but I think the whimpering was somehow worse! She was placed in a room with a very sick little boy, Kael, who at two months old had already undergone multiple surgeries to correct issues with his bowels and intestines which were formed outside of his body at birth. Right away we realized how trivial our little procedure had been, and how fortunate we are to have a healthy happy baby with correctable hip issues! That poor little boy was in so much pain and cried constantly for relief.

Just out of surgery and not too happy

Once inside her new room we asked the nurses how she was doing and they said they had her in recovery longer than usual because she was quite agitated (no kidding!). She wouldn't take a bottle, she wouldn't take a soother and she was just generally unhappy so they gave her a bit of morphine for the pain. The surgeon had to make two incisions on the inside of her groin in order to place her hips correctly, so she was bruised and swollen in that area. Her cast was bright pink and there is an opening from just above her bum to just below her belly button where we are supposed to insert a smaller diaper and then place a larger diaper over the whole cast. Needless to say, diapering is a bit of trial and error! Before the next morning she had already had a major blowout which required three people to clean and disinfect her cast area! Once the morphine wore off she was in quite good spirits.

Later that afternoon, her auntie Wendy popped by and between her and the grandmas cooing at her, we were able to get a few smiles before the night was through. She was doing much better than her mum. It probably doesn't matter what age they are, it is hard to see your child in pain! Her daddy stayed with her all through the night and when I got back to the hospital at 5 a.m. the next morning I found them wandering the hallways of the stollery. Her dad had her in his arms and had tethered her IV pole to his belt and was walking her around the hospital in an effort to soothe her. They both looked incredibly exhausted but he told me that she did really good and despite her best efforts to sleep, the crying baby she was rooming with was just too much for them both to bear.

We walked her back to her room, after which her dad wandered out to the hallway to find a couch to grab some much needed sleep. Addison too only took a few minutes to drift off to sleep once I placed her in her crib and hummed a lullaby to her softly. They both got a few hours sleep before we got the news that the MRI might be a bit of a wait. Turns out that the stollery has 2 MRI machines, one of which was dedicated to emergency care, the other for inpatients. Because one of them had broken down, they just had the one for everybody and the nurses were not sure whether or not they would get us in for her MRI. The purpose of the MRI was for the surgeon to double check that her hips had stayed in place following the casting and we were not to be discharged until that MRI took place and the surgeon had the radiologists report in hand. It looked to us like it was going to be another long day! Her dad and I figured out a way to get her strapped into her stroller so we spent the majority of the day strolling her around the hospital. She was an amazing little baby, she was back to her old self and it was as if she was not even aware of the whole cast situation...despite the fact that the cast runs from her armpits to her ankles!

Good as new the day after

 Mid-afternoon we were visited by the physical therapist who gave us the lowdown on how to take care of the cast, the warning signs to watch for and answered all our lingering questions about caring for a baby in a body cast. The Stollery is a truly amazing place, the care they take of both the patients and the parents is unbelievable and we feel so lucky to have such a great hospital in our own city. Because Addison is frog-legged in her cast, she does not fit her regular car seat and the hospital provided us with one specially made for kids in spica casts, which was a big relief because we were not entirely sure how we were going to transport her! They have loaned us the "Hippo" car seat for the duration of her casting and although it is much bigger and bulkier than her regular car seat, we are so thankful to have it!


One of the amazing nursing staff at the Stollery, Ariane



By 5 p.m. we were strategizing with the unit nurses about arranging for an outpatient pass which would allow us to go home and come back the next day to wait for the MRI, but at 6 p.m. we were told they would take us now, turns out the Mazankowski Heart Institute just down the hall was letting us use their MRI machine...great news! The nurses told us that her surgeon had been harassing the MRI folks all day long trying to get us in so we could all go home. It was a bit nerve wracking as the MRI would be what told us whether the procedure had worked or not. Her dad took her down for her MRI while the nurses asked me to stay back and take care of all the discharge paperwork (assuring us that this would get us out of there faster). About an hour later, her dad brought her back to the room and when I saw she still had her cast on I thought thank goodness, that must mean it worked and we can go home as we were told that if the MRI showed that the hips had slipped out of place, they would be cutting the cast off and scheduling the open reduction, a more invasive surgery, later down the line. Her dad told me that no, we didn't know yet as we had to wait for the report....more waiting...and by the way, the surgeon was now doing rounds and wanted to see us before we left!



During the long wait for the MRI we entertained ourselves by strolling around the hospital



At 8 p.m. we finally got a visit from Dr. Dulai. She said that the surgery went better than she had anticipated so she was a little concerned following casting that this might mean her hips are a little loose and may have slipped out. She told us that she did not have the radiologists report yet, but she had looked at the MRI scan herself and seemed to think that it looked good, but that she could not give us official word until she had the radiologists report in hand. So, we breathed a little easier after that! She said that once she had the report she would call us if there were any concerns, but that if we didn't hear from her by Monday...then that would most likely mean it was A-O-K. So, although we are not quite out of the woods yet, we are so pleased that things are looking good at this point. We packed up our stuff as fast as we could and we sprinted, yes sprinted, out of that hospital...as wonderful as the staff are at the Stollery, we couldn't wait to get home and get some rest.

After a quick stop for some diapering and sleeping supplies, we got Addie home at 9 p.m. and she was so cute...she was so happy to be home that as we walked her around the house she was cooing and oohing over everthing she saw...clearly as relieved as her mom and dad to be back at home sweet home. Her first night home we had purchased a wedge and a memory foam pillow to help her sleep better. The wedge just elevates her back a little and the  memory foam pillow we slip under her ankles to help support them when she is on her back as her legs are casted a few inches off the mattress when she is on her back and need to be supported in order to ensure a comfy sleep. She slept really well, only waking twice during the night in need of some soothing. She is a little fussier when she wakes in the night, but all in all, not as bad as we had anticipated as I had heard stories of kids not sleeping at all when they are casted. How lucky are we to have such a good baby?

The big day is upon us

Can't believe that the surgery day is here already. Seems like the time has just rushed by us! Addison turned 4 months old over the weekend and she has developed such a little personality. She delights us every day with her giggles and smiles and her quirky little personality. Her dad and I have been snuggling her like crazy in the days leading up to her surgery. She has been getting spoiled this week with a bath in the big people tub with her daddy every night, which she just loves. I think she is definitely going to be a water lover like her dad. Her closed reduction is happening at the Stollery Children's Hospital here in Edmonton tomorrow morning at 10:30 am, they have indicated that the surgery will take us about an hour and a half if all goes well. They will be putting her under, injecting dye into her hip joints and then will be trying to place them back in their respective sockets manually. If her ligaments are tight, the surgeon has indicated that they may need to make a few minor incisions in her groin area to get her hips placed correctly. Following all that she will be put in a spica cast (basically a body cast with a little cut-out area for diapering) for up to three months. The morning following the surgery they will be doing an MRI to see if her hips remained in place, if so, the cast will stay on, if not they will remove it and she will undergo actual surgery once she is 6 months old and have to endure the spica cast at that point. We are really hoping that this procedure works as it will not interfere with her crawling development. Overall, we are just so happy that she is healthy and thriving in every other way. She is just a delight...fingers crossed that tomorrow's surgery will be better than we anticipate!

Spring has Sprung

It's been a busy few weeks but on the upside it looks as though we may finally be in for spring in Alberta. The weather has been double digits all week, the spring rains are threatening to come but it is a nice change to have the snow finally gone! Last week Addie and I visited the plastic surgeon about what we were told was a skin tag on her right ear, only to learn from the surgeon that it is just an extra bit of skin. He informed us that when we are formed in the womb the ear is formed by 6 little bits of skin and Addie just has one extra piece she did not need that will be easily removed. He was very friendly and reassured us that he will try to coordinate that surgery with her hip surgery. He said it should not cause any discomfort and will leave a tiny white scar where he removes the bit of skin. Good news! We also finally received our surgery date, they originally booked it for June 14th, but a few days later rescheduled for June 21st. As that date draws closer I am getting more and more worried about how Addison will deal with the cast. In the past few weeks she has really started trying to move! She is kicking her legs like crazy and has even started rolling to one side. I am afriad that the more mobile she gets, the more difficult it will be for her to put up with the cast! I just keep telling myself that it could be much worse and at least this is something they can fix...and that she really won't remember a thing once all is said and done! Hoping to get her outside more and more in the coming weeks, she took her first stroll in the stroller without crying all the way through it last week...I am going to make her an outdoor babe yet!