Since my last blog update, I shamefully admit that Maddie has had another open reduction and 2 closed reductions. Let me break it down for you...
Open reduction #2:
November 11th
Surgery could have gone 1 of 2 ways, as told by our surgeon: we were either just getting a cast change or we were fixing the left side while we were in there. The right hip had to be very stable in order to operate on the left hip. Meaning, once he took the cast off, it had to stay in the socket--when they operate on the left side, they tilt them so there is pressure on the right side so that hip has to be stable to support the weight without dislocating. So we kept waiting for a nurse to come out and tell us that it wasn't stable. As time kept passing, we got more hopeful that the right side was stable and sure enough, nurse came out a couple of hours later and they were able to work on her left hip! We were so so happy! Hospital stay was fine, she didn't have hardly any muscle spasms this go round which was great--they were really a trouble to her the last time. We were discharged the next day, and when we got home that night, all she wanted to was to get down and play, as soon as we walked into the door. This alone made me the happiest of happy moms everywhere. She was already adjusted to having the cast so now we just needed to keep up with her pain management so we weren't chasing it all day. The rest of the week went well--Tyler and I were home that week and it was nice. She needed lots of snuggles and I was happy to give them :)
Before we left the hospital, she had a CT scan done--it showed that the ball wasn't just exactly in the socket where he needed it. If it stays in the wrong position for too long, it can wear on the socket poorly and do more damage than good. Dr decided to let the swelling go down and have us back up in 2 weeks to do a closed reduction (basically just manipulating the leg into the hip correctly). They would take the cast off, reset and put a new cast on. Outpatient procedure-there and back the same day. We were kind of bummed about this, but took it in stride like we always have. One step at a time, literally.Closed reduction #1:
November 24th
(I don't have any pics from this one, you'll read why...)
Once we got home from her last surgery, she's been uneasy. She flinches when I pick her up, like CAREFUL MOM! She doesn't sleep for anything--wakes up every hour or two through the night. Naps OK, but not great. Overall, she just seems uncomfortable. I wouldn't say she's in pain, but those who know Maddie, know that she's acting differently. Not to mention, she had A LOT of anxiety on the drive up to Riley and on the pre-op unit. She screamed, cried, took swings at me. It was painful to see. I was helpless. I apologized to her, told her we were helping her to walk and that I was right here with her. Then made a mental note to try something different next time we are going up. So, we get up to Riley to have our closed reduction and let him know what's been going on. He said he will take a look at her skin to see if she's developed any irritation under her cast, but otherwise he is not sure what would cause it. Typically DDH patients don't experience any pain, or so they say. (I can tell you now that that's incorrect, I think we are told that to ease our ever-loving minds.) Her procedure didn't take long, maybe an hour. Dr comes out: Maddie's hip was COMPLETELY re-dislocated--even while she was in the cast. He was stunned really. And he wasn't happy. This man takes his work very personally and I could tell in his demeanor that this was a blow to him. Maddie's DDH is very severe and 1 of only a few in the US that has been seen by the 2 doctors we consulted with. Fixing her makes him a ROCKSTAR, and he deserves every ounce of it. So he moved her legs around and he said it seemed to settle in correctly when her leg was out to the side, like in a squat position. So he casted her up and crossed everything crossable that this stayed. He still wanted to see us back in 2 weeks to adjust even better and to make sure it stayed put.
We went home, and by the grace of God, Maddie was AWESOME! She slept through the night for the first time in over a year, no cranky baby. She seemed comfortable. I just knew that finally, Maddie's hips were corrected. We may still have several weeks and even months ahead of us in a cast, but to have Maddie be herself was such a relief. I mean think about it, since birth she's likely had some sort of discomort, tightness, strain on her legs. But now she doesn't and it shows. She's never slept well, but now she does. What a lightbulb moment that was. Her and I sleep together and she knows I'm there--she will wriggle her little self over to me so she can feel me. And then other times she takes her little mitt and shoves me away. And I love it all :)
Closed reduction #2:
December 8th
I distracted Maddie during the drive this time, danced up to the unit and did all kinds of silly things. We read her a book called Hope the Hip Hippo which is about a hippo with DDH. It's a wonderful book and I really think she understood it. Great illustrations for little babes. She laughed, hardly any tears. We did well this time! I told our surgeon that I felt Maddie's hip was healing well and how much she has improved since he readjusted her. I just KNEW that we would get good news.
AND WE DID! He said her femoral osteotomies (where he took out notches of her femur) were completely healed and the hips were still in the sockets!!!!!! PRAAAAISE GOD!!!!! It didn't even hit me that we were finally on the uphill until I talked to my dad on the phone and told him the news. Saying it out loud made it so real and I saw the light at the end of the tunnel. Plus, I could hear the relief and pure JOY in his chuckle and lack of words. So we got Maddie a pretty light blue cast for Frozen that we will decorate with snowflakes and glitter. Got a picture by Riley's giant, gorgeous Christmas tree, and headed home. Dr wants to see us in 4 weeks for a bilateral arthrogram (x-ray with dye in the joint--the dye tells us if the ball is in the socket evenly...if there is a pool of the dye, we know it's not sitting correctly.) and cast change. Not sure what the plan is after that, he's wisely not making one because the last few times we have had a plan, it's changed. But honestly, so happy with this news, I'm OK going appointment to appointment for next steps.
I am so extremely grateful lately and I don't I relay that well. Our parents have been awesome--Mimi and Poppy didn't get to cruise this year, my mom has missed work to come up to Maddie's surgeries, they cook for us, take Maddie to calm her down when we have both had enough, watch the girls for us while we work, take Jamie and I shopping for a nice girls day/sanity check. My co-workers/friends have covered my desk for me so I don't have to worry about it when I get back, and they do a great job. We get so many calls and texts and checkups on how Mads is doing. None of it goes unnoticed. These past 6 months have been stressful for everyone, not just Tyler and I. Our lives seem like a mess and a blur on most days, I look forward to slowing down and regaining order to it. One day at a time:) So, this holiday season I'm really feeling the love and want to share it! I wish we could send you all on the vacation of your dreams to thank you all. But for now, you get our well wishes and prayers for blessings.We hope you all have a super Merry Christmas and a Happy New Year! Cheers to 2015!
Here are some pics of our holiday celebrations :)
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| Love my daddddddd |
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| Open up! |
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| Chef in training.... Aubrey, not Mimi :) |
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| <3 |
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| Dress like a Christmas decoration at school today |
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| One of the rare occasions Maddie was using her candy to decorate the house instead of eating it. |
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| This is Aubrey's Ginger-Bride, on the right. So cute! |


























