For us to get to Grand Rapids, it’s suppose to take about 4 hours or so. With any other child, I would dread it. With Knoah, it’s a breeze, thank god!!
He was so good all the way there!! We made several stops along the way!
The first stop was to meet Amy, Jeff and Thomas for lunch!! We had a fantastic time!! We sat there for almost two hours just talking and laughing! Thomas is so cute! Whenever he talked about Knoah, he referred to him as “my Knoah”. My heart melted!
They got along so well! They sat at the table and played with Thomas’s cars. Thomas took a lot of pictures with Amy’s camera and we got a lot of pictures of the boys!
Lunch was just what we need before we finished the trek up.
Thanks Amy and Jeff!!!!
Once we left there, we headed up the road about 15 minutes to meet with an old friend of mine. We chatted about an hour and went on our way! It was great to see Libby!
We got to Grand Rapids about 6pm or so. We left Monroe at 9am!
Once we got to Larry’s (Libby’s dad’s) we settled down for an hour and then went out to eat. Sue and Jeff (Aidan’s mom and dad) met us at Malarkey’s. We also chatted and talked about our upcoming appointments.
Here is where I give my disclaimer:
Because things have been going so well and I thought we had missed the bullet, the following I am still trying to digest. It’s one of those head shaking moments that you don’t quite understand, but kinda knew was coming….kinda….
Meeting with Dr. Pauli and Casey is always a learning experience!! To be honest, *if* Dr. Pauli ever retires, I will be heartbroken! So, he is NEVER allowed to retire!
Knoah was actually pretty good considering we were at a doctor’s office! He fussed some, but not like last time. I had well prepared him beforehand!
The run down on Knoah goes like this:
1. His back.
He needs to be braced. His Kyphosis at this point is irreversible by 35 degrees. What this means is, when pushing on his Kyphosis, there is about a 35 degree curve that cannot be reduced. This means, even with bracing, he will always have a hump on his lower back. Not good!!
We made the decision that we are going to have Dr. Forness start following Knoah. Prior to this we were seeing Dr. Yassir. I really, really like Dr. Yassir!! He is knowledgeable and more than capable handling Achondroplastic patients!
The reason we are having Dr. Forness follow Knoah is that because Knoah’s Kyphotic curve is progressing at such a rapid rate (faster than it should), I feel we are running out of time. Knoah has not avoided surgery yet. If bracing doesn’t help, we could be forced into a Laminectomy or simple terms, removing of vertebra to straighten his spine out if complications from the Kyphosis occur.
So, in about 2 weeks, Feb 23rd, Knoah and I have to make the trek back to Grand Rapids to meet with Dr. Forness. We will get x-ray’s and get him fitted for a new brace.
Life is going to start getting real expensive with all the traveling.
2. Knoah’s PE Tubes have fallen out! OH NO!! They were just there a few weeks ago!! I knew he had an ear infection last week and I commented to Will that it’s odd he has fluid draining from one ear and not the other. His one ear is completely closed and the other is still open a bit. So, Knoah has to under go surgery again to have the tubes replaced with longer lasting PE tubes. I made the appointment with the ENT in Ann Arbor and we will see him the 24th, The day after we get back from Grand Rapids. Not Good!
3. Knoah has a chronic runny nose. This is common in children with Achondroplasia. Their nasal and sinus cavity is smaller than average height kid’s, so all that drainage has to come out. With Knoah, he also has, what I suspected was chronic sinus infections. You know, that green goopy snot that likes to hang out at the base of the nose. If you ever see me picking his nose, I am sorry. Sometimes a tissue just don’t cut it.
Well, Dr. Pauli said that it is true, Knoah is having chronic sinus infections. When I asked, how do you know, because this is the first time he has seen him in a year. I am curious, he said that one of the benefits with Knoah having so many MRI’s is that he can see the nasal cavity. On Knoah’s MRI’s he is seeing constant sinus changes. Knoah has thickening of his sinus membranes which tells us that a sinus infections are running rapid in his nose. So, he has recommended when we the ENT to see what he wants to do about Knoah’s snotty nose. He will either recommend a long coarse of
antibiotics, a nasal spray or surgery. NOT GOOD!!!
4. Knoah’s hearing. We have to have another hearing test to find out how much hearing loss he has. We know right now, there is probably fluid in his one ear and he may not be hearing so well. We have to find out what level the damage is at and start working with him to correct his punctuation. If it’s really bad, we may be looking at hearing aids. There is familial hearing loss on both sides of our family, so genetics are probably not helping him. Again, the ENT will help us sort through this. NOT GOOD!!!
His weight is at 23.5 pounds which puts him in the 25th percentile on the achon charts. This is very good!! He weighs less than the average achon child, so weight issues are not an issure for us right now!!!
His height is at 29 inches which is on at 50th percentile. He is the perfect height!!
His head size is 56 cms which puts him in the 60th percentile! This is also very good!! Dr. Pauli is not concerned with the growth. As long as Knoah doesn’t start losing skills, we are almost clear from the risk of Hydrocephalus!! YEAH!!!
Outside of that, Dr. Pauli saw Knoah’s temper. Knoah was getting mad and throwing things and Casey just loved Knoah’s pouting lip!
So on the outside, Knoah got a clean bill of health. On the inside, not so much!
I was not expecting everything that was thrown at us. I was, I’ll admit, expecting him to be great! We knew his back was a concern, but I was not expecting the issues with his nose and ears. I could have started crying right there, but held off. I was more in shock than anything.
Even though raising a child with Achondroplasia has it’s medical complications, I was thinking we were about done. I am upset that we’re not. I am not surprised, I mean this is Knoah we’re talking about and with him life is all about surprises, but, I had hoped, you know.
Oh well. It’s time to start juggling things around to do what has to be done! It comes with the territory of having such a remarkable and amazing kid! Unique in more ways than one, Knoah is worth it!