We are back from Grand Rapids!
Knoah’s appointment went really well, but I guess it also could depend who you asked. If you ask Knoah, I am sure he’ll claim he was some how “tortured”. The amount of screaming he did from the time we walked into the examination room till about 10 minutes before we left, was enough to scare the little 3 year old in the lobby.
Dr. Pauli’s assessment of Knoah’s progress is over-all wonderful. He does agree with the Neurosurgeon’s (Dr. M.) treatment and his approach to handling Knoah’s fluid in his head. He appreciates Dr. M’s conservative medical opinion and that Dr. M isn’t rushing to treat Knoah’s Hydrocephalus. He does agree that as soon as we get the results from the Neuro-Opthamologists that it be forwarded to him. Since shunting is pretty dire, we need to be fully prepared. If the eye doctor’s results come back negative for pressure, we could be in the home stretch that Knoah’s head is fine. If the results are inconclusive, we could opt to place a pressure monitor in his head for a few days (which means another hospital stay) to see what happens. Which if you check out the link…we would not look forward too.
We arrived home today to find out his appointment with the eye doctor is Monday, so we will find out sooner than we thought!
Dr. Pauli is impressed with Knoah’s brace. Although, it’s not the traditional brace used for children with Achondroplasia, it will work. We have found thought, there are some issues with the brace. Since adding the pad in the back, Knoah is A LOT more uncomfortable than before. Yesterday, on the way up to Grand Rapids, he did nothing but fuss. He was so uncomfortable, he didn’t sleep the whole way up there. About 20 minutes out, I had to take the brace off of him, we could stand to hear him whimper anymore.
Once we were at the appointment and we took the brace off again, it was evident something is going on. Knoah had pinch marks on either side of his body and was extremely red. Dr. Pauli thinks that the pad they inserted may be a little too aggressive right now. He says that with the additional counter-pressure, it has caused the brace to shift and it isn’t fitting as well as it was before, so it is pinching and rubbing against his skin. I have to call the Orthotist to get Knoah in so they can make the corrections.
We talked about Knoah’s “spells”. He asked about them and what I thought and I replied “He keeps breathing!” “It’s amazing, he continues to breath!”. He has a nice chuckle from that.
Knoah is very proportionate for his height and weight. His head circumference is 53.4 Cm’s, which is about 60th percentile and his length is 69 Cm’s, which is about 27 inches. He is a good weight and is growing as expected.
Dr. Pauli was VERY impressed with Knoah’s flexibility. 😉 We all know how flexible he is and Pauli can see how that hurts him with regards to walking. Because he has excessive hip flexion, it is going to be harder for Knoah to remain upright for very long. His hips and pelvis, sort of shifts on him, so he will have to work harder to keep his balance. Knoah’s tone looks good and he is very strong, which is a good sign Neurologically. There were no other concerns and we are breathing a huge sigh of relief! It seems Knoah’s complications relating to his dwarfism appear to be just about done, for now! 🙂
All in all, it was a good visit! We are very happy with the way Knoah is growing, in more ways than one! THANK YOU DR. PAULI FOR YOUR DEDICATION TO OUR KIDS!!! I CAN’T FORGET CASEY. SHE IS ALWAYS ON TOP OF THINGS!!!! THANK YOU!!!
Dr. Pauli and Knoah
While we were there, we saw an old family friend! I have known Larry for almost 20 years! He is a retired State Trooper and is now teaching. We sat and talked for over 3 hours.
Larry and Knoah
Look, the Tiger’s just got another run!
We met him at a place called Uno. I must confess…(off topic, this has NOTHING to do with dwarfism)….their Chicken Spanioccoli is TOO DIE FOR!!!
If anyone wants to make this for me every night for dinner, I would be eternally grateful!!!
Anyways, we had a GREAT time and I love seeing Larry when we have a doctor’s appointment!
Dr. Pauli wants to see Knoah in about 9 months provided nothing drastic happens with the eye doctor. So we will see him again when Knoah is 2 years old. He did provide some insight into Knoah’s walking. He said he should start walking within 6 months. Which is about the right time for the typical Achondroplastic child. So be on the look out for a little, brown haired, blue eyed toddler trying to run you down.
I think everything will be okay! The scare we had from January to July 07 may not of been related to his dwarfism. *Head shaking*, we’ll have to see.
So, here are more pictures from our trip!
Knoah killed the lemon wedge. Have I ever told you how much he LOVES lemons? Pucker.
Yes, he really does enjoy lemons….
Look at his finger grip! I am so proud!!!
It wasn’t ME!! Look at my face, I’m not lying!!