27/09/2024
This might be a repeat for some that have read our personal page but I realized I never updated this page and haven’t in a while. We got Westyn’s results from his Urodynamic Study. His last study showed that bladder size was normal, there was no reflux of urine back into the kidneys, and that he was emptying completely on its own, this study was the same. However, last study showed that he did have overactivity of contractions while emptying. This was not indicated on this study, and the doctor said this was the healthiest urinary system he has seen in a Spina Bifida baby. It also seems as if the mysterious hydronephrosis they saw previously has completely gone away. His kidneys are now an age appropriate size. The last scan in January indicated that his upper region of the kidneys were slightly dilated, however it confused the two doctors on his case since there was no urine backed up to indicate that it was your “true” hydronephrosis (since no fluid was detected). We will continue Urodynamic studies yearly until he is 5, and now we can move from renal ultrasounds being every 3-6 months to yearly as well!
We also saw neurosurgery two weeks ago and he is so pleased with Westyn’s progress. His soft spot is now closed which gives us and indication that the shunt is working properly and there’s not a buildup of fluid. We will no longer be having cranial ultrasounds since the soft spot is closed, and instead will be having cranial MRI’s going forward. His next one we will do when he’s two.
Second update that might be slightly new news for people that follow our personal page: it’s a few weeks after I did the neuro and urology update. This week we saw the orthopedic surgeon to determine what we were going to do about the consistent relapse of Westyn’s right foot and the frequent pressure wounds he gets because the right foot is relapsing. Without his AFOs Westyn naturally stands on his ankles, so physical therapy has kinda been at a halt since getting another pressure wound a little over a month ago. He is very eager to stand and is even trying to let go of surfaces seeing what he’s capable of trying to stand solo. But in order to walk he needs to be on the sole of his feet, which is where the AFOs come in. If he can’t be in them, he can’t stand like he needs to. Westyn is now back in a cast for a few weeks, the surgeon is testing 3-4 weeks of serial casting to see how the foot responds. If it doesn’t respond like she wants to see we will be having a second tenotomy surgery on the right side. However, even if it does respond initially, if he has one more surgery after this round of serial casting, it will just end up resulting in the tenotomy either way. Which, at this point I’m pushing for because I’d rather just have it done while he’s young than put it off and end up having it anyways and more time goes by that he’s unable to learn to walk due to the deformation. Another issue he is having is he was diagnosed this week with tibial torsion, meaning the tibia bone in the leg is turning inward basically causing him to be “pigeon toed”. So on top of not being able to properly stand on the bottom on his feet, he’s tripping over his other foot because of the torsion when trying to take steps. It’s possible with growth he could outgrow this, or that along with braces, derotation straps may have to be added with his therapies. His case isn’t extremely severe so it’s doubtful that they would do surgery on him unless it’s causing hip dysplasia in the future. But for now the main goal is getting him back into his braces with a foot that’s fully corrected! This baby is so ready to walk. Prayers for a good outcome either way this journey leads us.🙏🏼
“I can do all things through Christ who strengthens me” Philippians 4:13