Pages

Monday, October 8, 2012

Great Question

I got a great question from our survey that I would like to answer.

Q: Do you know if there is a point at which you might know if Leah will be able to walk with or without assistance?

A: Right now Leah does not have feeling or movement in her legs below her hips.  When she's on her tummy, she can wiggle her butt and move her hips, but the rest of her legs don't move.  This does make it more challenging for her to walk on her own.  But moving her hips is a good sign that she'll be able to move her legs forward to walk with some sort of help, either from a walker or crutches.  When she turns 1, we'll start seeing the rehabilitation doctor and hopefully get her into a stander.  This will help her start bearing weight on her legs and getting her used to the process of walking.  We'll also start getting her fitted for braces on her legs, as she will need that support.  We will do everything we can to enable her to walk, but it's going to be up to her to decide if she wants to or not. 

In the short term, yes, I truly believe she will walk.  I think she'll need braces on her legs and a walker to help her, but I think she'll do it.  As she gets older, I think she'll prefer to be in a chair.  Walking is hard work, and she can probably get around a lot more quickly and keep up with her friends in a chair.  But that's really up to her.  Again, we'll help her be mobile in any way she wants and let her decide what works best for her. 

In the longer run, I hope to see advancements in technology and science that will allow her to walk all on her own.  I can't even imagine what is going to be available in the next 10-20 years, maybe there will be a revolutionary surgery that will reverse the effects on her spine.  Maybe there will be bionic legs or cell regeneration that will allow her to regrow her legs.  Who knows?!?!! 

Thanks for the great question.  Please feel free to ask more questions if there are other things you'd like to know!

Thursday, October 4, 2012

Meet Leah's Team

Today’s topic is introducing you to the team of doctors who helps us care for Leah.  We are extremely fortunate to have such amazing doctors, nurses, professionals here in Minneapolis.

Hospital Campus: We go to Children’s Hospital of Minnesota for Leah’s care.  When we go for her regular day of appointments, we start out at the hospital in the Radiology department.  This is where she gets her head ultrasounds, and where the MRI and/or CT-scans will be.  The hospital is just a few miles south of downtown in Minneapolis and takes us about 25-30 minutes to get there from our house.  It’s in the middle of an urban neighborhood.  If you recall, Leah was born at Abbott Northwestern, which is several blocks from Children’s and connected by an underground tunnel.  In between the 2 hospitals are many medical buildings on a large medical campus.

Team Neuro: Dr. Nagib is our neurosurgeon.  He is the one who performed Leah’s back surgery and placed her shunt.  He also consults with us when we are concerned with her shunt and it’s ultimately his decision on whether we do a shunt surgery.  His nurse practitioner is Pete, who we see for Leah’s regular neuro visits.  When we have head ultrasounds, we then follow up with Pete, and only sometimes get to see Dr. Nagib.  Pete reviews the results of the ultrasound with us and if he’s concerned, he’ll consult with Nagib.  Pete sees a lot of other SB kids too, so he is very familiar with SB.  The neuro team offices in a building right across the street from Children’s Hospital so we can just walk there after we have our ultrasounds.

Team Spina Bifida: Dr. Marker is our primary SB doctor.  He has been a doctor for a looooong time, and his specialty is actually infectious disease.  He got involved with SB because many of the conditions that come from having SB are treating and preventing infections – bladder, UTI, shunt – so his background fits very well.  Dr. Marker is an old-school doctor, so he is on call 24/7 and will return our calls within minutes of having him paged.  He and our neuro team consult with each other on their patients, so Marker and the neuro team of Pete and Nagib are fully aware of everything going on with Leah.  Dr. Marker’s regular office is about 20 blocks from the hospital, so we drive there after meeting with the neuro team.  He does have SB clinic on Tuesdays in a medical building next to Children’s, so we walk back across the street to see him when we go on Tuesdays.

Dr. Glasser is another doctor on team SB.  He is the nephrologist, which is a doctor of the kidney and bladder.  His primary concern with Leah today is keeping her kidneys healthy.  We don’t always see Dr. Glasser, just after Leah has had any kind of renal ultrasound or bladder study, which is typically done every 2-3 visits.  Once she gets to the age when we want to put together a bathroom management program, we’ll see him more often.

Dr. Privila is Leah’s eye doctor, who she sees twice a year.  His main focus is to make sure her eyes stay healthy and don’t have any residual damage from her hydrocephalus.

Leah also has to see a regular pediatrician to make sure her immunizations are up to date and that she is meeting her development milestones, just like any regular child.  Dr. Benson is her pediatrician, and though he’s not totally familiar with SB, he was strongly recommended to us by our NICU doctor when Leah was first born.  She sees him for all of her well-baby check-ups. 

Those are all the doctors she sees today.  As she gets older, she'll start seeing a rehabilitation doctor, who will help Leah with her mobility, whether that's getting braces on her legs or in a stander.  We could also see an orthopedic surgeon if she needs to have surgery on her legs.  She also will need to see a urologist if there are surgeries she'll need for her bathroom management program.  Those are things that are a few years away, though.

Monday, October 1, 2012

Welcome to SB Awareness Month

Wow, is it really October?  That's means it's Spina Bifida Awareness month!  I'm excited to share lots of information about SB, but if there's something you want me to feature, there's still time to ask your questions. 

The first post today is to share an initiative that the SB mom's group is starting.  Many of us who receive the diagonis of SB are told that our babies are going to be severely disabled, may have cognitive learning challenges, will never walk, and will have no quality of life.  A lot of us are encouraged to terminate our pregnancies, and are given a very worst case scenario of what our babies' lives will be like.  I remember last year around this time I was on the SB mom's group online and one mom had just received the diagnosis at 22 weeks.  Her doctors gave her and her husband a very grim outlook and they decided to terminate.  Sadly she found our group too late and didn't realize before making their decision that SB is NOT a terrible diagnosis and can absolutely be managed with the right care. 

So this month we're trying to share accurate, up-to-date information about Spina Bifida with  obstetricians, perinatologists, maternal-fetal specialists, geneticists, and others responsible for delivering the Spina Bifida diagnosis to expectant parents.

One of our amazing moms has created 2 guides to share with the medical community.  The first is a guide for medical professionals who deliver the diagnosis to parents: http://www.spinabifidaassociation.org/atf/cf/%7B85f88192-26e1-421e-9e30-4c0ea744a7f0%7D/A%20GUIDE%20FOR%20MEDICAL%20PROFESSIONALS.PDF

The second is a guide to those expectant parents: http://www.spinabifidaassociation.org/atf/cf/%7B85f88192-26e1-421e-9e30-4c0ea744a7f0%7D/EXPECTANT%20%20PARENTS%20GUIDE%20TO%20SPINA%20BIFIDA.PDF

If you'd like to help, you can print out these info sheets and send to your OB/GYN.  If you have an appointment with an OB/GYN or maternal fetal medicine specialist or know a hospital social worker, please consider giving this to them. 

You can also join the Facebook event: https://www.facebook.com/#!/events/342153912543118/

Yes, getting a Spina Bifida diagnosis is devastating.  But it's not the end of the world.  I can't imagine my life without Leah and how much joy she brings to us.  It breaks my heart thinking that some babies never make into the world because their parents get incorrect or outdated information. 

Just look at this face.  Does this look like a baby who wouldn't bring immeasurable joy to this world? 

Sunday, September 16, 2012

Leah's On A Roll

Here is our sweet little girl figuring out how to roll around in her new chair. 

Wednesday, September 12, 2012

What do you want to know?

As mentioned in a previous post, I'm hoping to get lots of questions for us to answer during Spina Bifida Awareness Month in October.  I've only had a few questions so far, so please ask anything and make suggestions on what you'd like me to cover in October.  The survey results are anonymous, so you can be very nosy!  Ty and I have always said we want to be open about Leah's condition and SB.  And I get a lot of feedback that everyone wants to see more posts... this is your chance to get me to do lots of blogs! 

Click on this link: Leah's SB Questionnaire to repond! 

Tuesday, September 4, 2012

The Strangest Thing

Today we had our regular check-ups for Leah.  We started out in Radiology for a head ultrasound, then reviewed the results with our neuro team, and our final stop was with our SB doctor.  When we got to the neuro's office, we waited for a while, which made me really nervous that he was consulting with the neurosurgeon.  So he finally comes out and gets us, and tells us he saw the strangest thing on Leah's results.  Her ventricles are actually a lot smaller than they were last time.  He said he doesn't normally see that; it's usually the other way around.  He said he was confused and asked if we'd done a shunt revision in the last 2 months... they were so much smaller that he thought we'd had it done and he just couldn't remember!  To say we were thrilled is an understatement.  There's really no explanation for it, other than maybe her body is more able to accomodate the fluid and is finally getting used to the shunt.  We asked our SB doctor if he had any idea, and he said he didn't care!  Just as long as they look as good as they do, that's all that matters.

I think this was the last time we'll be able to do an ultrasound with Leah because her fontanelle is closing.  Once it closes, we'll no longer see her ventricles through it, so the next time we go in, they will likely need to do an MRI or CT-scan.  We don't need to go back until she's about 1 year old.  At the 1-year appointment, we'll do a full work-up of her spine as a baseline to refer back to as she gets older.  We'll also do another bladder and kidney study.  This study will determine how well her bladder empties and whether there is any reflex back up into the kidneys, which can cause frequent UTI's and long-term damage.  We did this when she was about 1 week old, and we'll want to continue these studies as she gets older to make sure her kidneys stay healthy.

Today was a huge relief for us.  We've been worried about her shunt since April, when we first saw her ventricles enlarging.  The next couple appointments showed slight increase in ventricles, and then the last 2 appointments they've been a bit smaller.  Now that they are significantly smaller, we are sooooo relieved.  I'm also extremely thankful that we never went in and replaced the shunt back in April.  This was a good day.  I like good days - hopefully we'll have lots more good days with this little girl.

Friday, August 31, 2012

Gettin' Ready for October!

October is Spina Bifida Awareness month.  Yes, I know I'm getting a little ahead of myself.  But I would like to invite our friends, family, strangers who read our blog, the chance to ask us whatever you'd like to know.  It could be anything... about Leah's health, her condition, Spina Bifida in general... whatever!  I'm sure there are things you'd like to ask us and I'll take the time during the month of October to answer. 

Here is a link where you can post your questions: Ask Anything!