Sunday, August 08, 2010

Cardio and a cast

Seth had his yearly check with the cardiologist (who, I don't know if I mentioned this last year, I LOVE.  He is awesome.  Good doctor, great bedside manner) and everything looked good-same as last year pretty much.  They do an EKG and then an echo and he listens to his heart.  It looked good enough that he said we could wait two years to come back!  So that's good news.  His blood pressure is a little high, but it always has run on the high side.  I think we'll just see what it looks like at his physical in a couple weeks and talk to his doctor about it then.

The cast...ugh.  He fell (well, some kid pushed him) at day care on Tuesday and his foot/ankle/heel was hurting.  It didn't sound too terrible, so I didn't go get him right away, but when I went to pick him up, he still hadn't walked on it (about four hours later) and wouldn't, so I took him to ER.  They did an x-ray, which looked normal, but he still wouldn't put any weight on it, so to be safe, the doctor put him in a splint and told us to follow up with ortho in a few days.  We went to see them on Friday...they looked at the x-ray and said it looked fine, but if there was a fracture in the growth plate, it wouldn't show up on the x-ray until it started to heal, at which point there would be a "bony reaction" that would be visible on an x-ray.  The doctor thought that it probably was NOT a fracture, but since he couldn't know for sure, he had to cast it, because if he didn't and it ended up being a fracture, it would not be good.  So the plan is, cast for 10 days, then x-ray, and then *hopefully* cast off and go on our merry way.  We didn't talk about what we would do it if DID turn out to be a fracture...I figure I will worry about that if we need to.  His next ortho appointment is next week Wednesday.

Overall, he's doing fine.  They gave him a little shoe so he can walk on the cast.  We also got him a walker...at first he wouldn't walk on it at all and he was worried, and I figured it couldn't hurt to keep him that much more stable.  I am not sure he needs it as much as he thinks he does, but he thinks it's neat.  He is definitely way more excited than we are about it, that's for sure.  He also thought it was cool to ride in a wheelchair yesterday at the Air Zoo-again, way more excited about it than we were.  Of course there is the worry that if he has to be in a longer term cast, he will have a hard time getting his range of motion back...a lot of boys end up their chairs because of this very thing-they have a fracture and that's it.  I don't think that will be the case, though-he is walking on it and everything.  We'll have to see what his physical therapist thinks once the cast is off.  It's especially frustrating because at his last PT appointment, she was so excited because he had actually gained range in his ankles and legs, which is a huge accomplishment.  We'll just have to see what happens, I guess.

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