|Faith's stomach full of barium, with no reflux into her esophagus!|
|Lots of barium making its way through her twisty guts|
|A perfect patient, with white lips from her tasty barium "milkshake"|
Now, the bad news: Faith's VUR is not resolved, and has not improved at all over the past year, in fact they were able to see better on one side so technically the grade was increased on that side after this test. She has grade 2 reflux on one side and grade 3 on the other. We had talked to her before the test and let her know that surgery was a possibility, so she wasn't too upset, although I'm not positive she understands what exactly it entails... We've talked more about it since we found out it was going to happen, and are doing our best to prepare her. This will be the first surgery that she will be old enough to really understand what is going on, so we really want to help her know what to expect. The past few times she's had any procedures, we've gone out of our way to clearly explain what was going to happen and what she needed to do, and the medical staff has said each time that they wished all of their patients were like her, so I think that approach is working well. I think it's also given her more ownership of her body, her history, and her health, which seems to be coming at the perfect time, since other kids her age have had reasons recently to ask about her scars and why she is going to have surgery.
Her surgery will be on June 10, and will be at the "other" hospital for children in Denver. As silly as it sounds, I think I am more nervous about her having surgery at a different hospital with a doctor who hardly knows her than I am about her actually having surgery! This will be her 11th trip to the OR (not all of those were major surgeries, but all involved general anesthesia), but the last 4 or 5 of those were with Dr. Puder in Boston, and the ones before those were all with the same team of surgeons during her NICU stay...
Every hospital does things differently, so this will be a first-time experience all over again for all of us, we won't be feeling like "veteran" surgery parents this time around. Pair that with the fact that the doctor doing the surgery has met her all of twice for a grand total of about 10-15 minutes and seems to have no understanding of her complicated history... and then he told us we'd "have to remind him" that Faith is allergic to PDS sutures because those are what he usually uses... Needless to say I am feeling pretty nervous about trusting her to this doctor. It's kind of hard to explain I think, or hard for people who haven't been in our shoes to understand why it makes a difference, but the surgeons who took care of her in the NICU did every surgery she had from the very first one when she was just a few hours old to the last one the week before she got out. And Dr. Puder so obviously cares deeply about his special patients that it was incredibly easy to hand her over to him for surgery... This guy makes me feel like I need to write her list of allergies in Sharpie across her belly, since apparently they won't be listed on a hospital bracelet or else they just won't check the bracelet...
I've gotten a bit of a lesson from God through all if this, too. Last year when Faith was diagnosed with the VUR and they said they would put her on antibiotics for a year and watch her, I felt very strongly that the antibiotics were a bad idea and we should probably just do the surgery, but I brushed that feeling aside because I didn't want her to have to go through another surgery. Then, when the antibiotics did what I thought they would and totally messed up her gut flora, I thought again that we should just do the surgery and get it over with, but again I brushed it off... Now I am kicking myself for not listening to what I apparently knew all along was the solution, and praying that Faith won't have any permanent damage as a result of my stubbornness. Dave and I are afraid that she's been having kidney infections all this time, looking back now and knowing that the VUR was not resolved... A lot of her "mystery" symptoms would fit into that possibility (the random unexplained throwing up, the sudden onset of bedwetting when she NEVER wet the bed before, her complaints of pain in areas that didn't make sense for gut stuff...).
|Faith "driving" the tractor on her field trip to the dairy farm today|