July 9th, 2008Our first visit with the local ortho doc was today. We learned several things.
1. The bones have separated a smidge (technical term). Still doing ok though
2. He will be re-casted weekly to check his pins
3. His shoulder now needs to be immobilized to minimize movement until the bones heal
Cast color #1- Deep blue
July 18th, 2008Cast #2
Today turned out to be a bit of a challenge for Samuel. Cast off, pins inspected, covered and off to xray. Joe (our tech) was quick and thoughtful regarding Samuel's pain. In fact he stayed with Samuel while I stood behind the shield and took the xrays. His films look good with evidence of new bone formation.
So next we pick our cast color- blue again (after 5 mins of discussion). Samuel gets his arm in position and Evelyn puts his stocking on, then the cotton wrap and suddenly Samuel keeps mentioning he is thirsty. Not a great time to get a drink but sweet Evelyn goes and gets him a cup of water. As she is getting the water I notice Samuel getting rather pale and I'm thinking he is going to throw up. Well, quickly he gets ghost white, sweaty, and then mentions he can't see anymore- yup- the boy was seconds from passing out cold!!!! We get him on his back, a cold cloth on his forehead and some sugar in his body and he recovers. They cast him while he is on his back and off we go!
Plan:
1. Continue in cast with shoulder immobilization
2. Follow-up in 1 week- more films (yes he is shielded)
3. The rest is up in the air-
4. Questions I asked that you may be interested in
-- Total casting time- ? 4-6+ weeks, distal humerus can be slow to heal
-- Pin time- Again? need evidence of good supportive new bone formation
--PT after casting- depends on elbow mobility
-- NO elective procedures- I learned this includes teeth cleaning :)
-- Fall baseball- sign up and see what happens
Do you see the trend? Time will tell us- patience (this I lack) uncertainty- (not good with this either)
July 25thCast #3
Back to the doctor today. Cast off, more xrays, cast back on. Blue again :)
What we learned.
1. The pins continue to look great
2. New bone formation is slow
3. Stay the course
August 1st, 2008
Cast #4
We saw the doc again today.
Samuel did great. His bone is not "healed" but continues to make new bone. The doc decided it was time to remove the pins- there was mild redness around the pins, nothing concerning, just don't want to push it. Samuel did very very well while the 3 pins were pulled out. He is such a tough kid.
Then time to recast again. Once again samuel nearly passed out. They casted him quickly- and off we went. Back again next week -more xrays. Cast will likely stay on 2 more weeks- but who knows.
Samuel is mentally struggling today. We had made tentative plans to go to a resort in san antonio after the cast was off in 2 weeks, but a big no by the doc for the pool- he is adjusting to life without pins- fear of making his bones worse, he is sore today and not used to hurting- that worries him.
Tonight he just sat in my lap and cried- "i don't know why mommy, i just felt i needed to cry".