Wednesday, May 27, 2009

Updates...

Well, it's hard to know where to begin and how much information to share...as we are still processing all of it. Brandon and I had a rather interesting Memorial Day weekend, as it was bookended with 2 different specialist appointments for Nolan. We began with the dreaded developmental pediatrician appointment on Friday. I have to first say that we are so very thankful for the doctors down at Riley (and other places as well), as they truly are dedicated to helping families and children. I honestly didn't expect to go in and find any answers. My thought was that they would look at him and then forward us onto another specialist. However, after examining Nolan, and talking through the things our doctor noticed about Nolan, our specialist gave us his "best guesses." I say this because, since Nolan is so "unusual" with his issues, he is not an easy, clear-cut diagnosis (he has some issues, but there is still so much about him that seems "right"). He had 2 specific things he wanted to test for, and after lots of crying and discussing, we headed down to have blood work done to rule out or to prove the "guesses." We'll get those test results back within a week to 2 weeks. We were so discouraged, and even discussed canceling all plans for the weekend to just try and process all the information.

But, we decided to allow the activities of the weekend to serve as a good distraction to what was happening in our heads, and then yesterday we headed back to neurological surgery. Our original appointment with NS in April showed that the suture that runs from the bridge of Nolan's nose to the middle of the top of his head is fused. We were told that the only way they would repair this would be if optho found that his brain was putting pressure on the back of his eyes (optho did not see pressure on the back of his eyes). Instead of seeing the nurse practitioner this time, we saw the actual surgeon. After checking his weight, height and the size of his head, she informed us that repairing the suture would greatly benefit Nolan. Because of the info from the previous appointment, I asked why the change in diagnosis. She explained that when we originally came in, they had Nolan "pegged." Typically a child with a smaller head (Nolan's head is on the smaller end of normal for his age), who is experiencing developmental difficulties, has a small head for a reason... that reason being that the brain isn't growing. They were expecting to tell us that there would be no need for surgery b/c his brain isn't growing. A CT scan that day showed a very healthy brain with no6 atrophy (a finding that surprised the doctors) (thank you Jesus!). On top of that, since our last appointment, he's grown, as well as his head, plus he's making progress in therapy. Repairing that suture would not only allow his brain to continue to grow, it will also help correct the shape of his head (b/c that suture is fused, his head is shaped like a triangle), and it could possibly help with some of his eye issues. We aren't guaranteed anything, but it seems that this all makes sense. The head shape, developmental delay, and eye issues could very well be attributed to the fact that this front suture is fused and his head is growing funny. We are desperately praying for this to be true...

Now...onto considering the surgery... oh boy... I won't explain the surgery, as Brandon and I are still trying to wrap our heads around it. It's incredibly major, our NS works along with a plastic surgeon (who we have a consult with July 6th), to repair this suture, it's a 6-8 hour surgery (makes his wee-wee surgery in December seem like nothing), with a 3-5 day hospital stay. She was very comforting letting know she would never leave Nolan's side, and was very encouraging with us as she truly believes that the benefits greatly outweigh the risks. She said she feels as though Nolan would do nothing but benefit from the surgery. Please God let this be the answer...

We now wait for the NS and the PS to coordinate their schedules for a surgery date...which they thought would be September at the earliest. In the mean time, we continue with therapy, loving on him (which is sooo easy to do), and we pray. Brandon and I will be also relieved and encouraged if the blood work from Friday comes back negative. If it comes back negative, we have all the more reason to believe that the fused suture is the catalyst for Nolan's problems. Please God let this be the answer...

Because we have time, we will also be looking into getting a second opinion...

Could I ask for specific prayer requests?

1. Nolan is worth every penny we have, but, the cost of this surgery will be "nuts" (the term our surgeon used). I plan on researching assistance soon, would you pray we could find a supplement to our current insurance?

2. The girls...childcare for them while Brandon and I are away. That they can handle Brandon, Nolan and I being away for a few days. They won't have anyone to take care of with Nolan gone;)

3. I really want this surgery to be the answer to Nolan's problems. If it isn't, would you pray we can find out the answer?

4. SAFETY!!!!!!!!!!!!! Pray for Nolan's safety during surgery...pray for wisdom the doctors.

10 comments:

Laura said...

Phil and I will be praying for you guys. I only work Tues-Thurs....so if you need child care for a few days, Phil and I could haul Aub and Addie up here. :) However we can help you guys! Much love!

David Cortner said...

Kathy and I will certainly join you in praying for your specific requests. We wish we were closer but distance does not lessen our love and our care for you guys.

The McClain's said...

I will be praying for you all. My oh my, Megs, though, these stones seem huge, may you remember that as you step towards them and even onto them, God will break them up into smaller stepping stones for you to continue on the path He has planned for your family. Though at first they may be huge and awkward and uncomfortable to mount, trust in His providence and strength to break them apart for a smoother path right when you need it. Love to you from across the miles, my sweet friend.

Amber said...

Hi Megan,
I want you to know I will be praying for your family. I also wanted to share with you that my step-brother, now 24, was also born with his sutures fused. The time surrounding the surgery was difficult, but now the only thing that would tip you off that anything was ever wrong is the scar that is visible if he cuts his hair really short. Growing up,he was just a normal kid! I pray that Nolan turns out the same way. By God's grace, he will!

Melissa said...

Megan, you whole family is in our prayers. I wish we were closer to help out with the girls. I will pray that God will help you to keep your eyes on him. I can only imagine how overwhelming this is right now.

(Have you talked to Riley about them helping to point you in some directions for assistance?)

Tyler and Whitney said...

Wow, Meg, that's a lot to process. We are praying for each specific request, and for God to continue to use you throughout Nolan's journey. Will call you soon... Love to you!

Anonymous said...

Wow...and wow! Tom and I will be praying for you all and the specific requests you mentioned. Love, Angela

Anonymous said...

My, oh my, I had no idea you were going through so much with your darling little Nolan. Angela has sent me your blog so we will keep up with the latest. Max and I are only a phone call away and will be delighted to help out anyway that we can. PLEASE don't hestitate to let us do whatever. Our prayers are for discernment from Doctors and you as well.
Max and Jill

Anonymous said...

Brandon and Megan,
What a lot to digest. Sam and I will be praying for your sweet little Nolan and for you and Brandon to get through this with him. I believe that God will take care of Nolan and that He will somehow help you through this financially, physically, and emotionally. Hang in there and if I can be of help, let me know! I'm serious! Love you guys,
Aunt Di

Wani said...

Megan, I understand how hard all these doctors' appointments. It sounds like they've had more success then ours have been. While surgery is scary, not having answers can be scarier. Anyway, something to look into to help with Nolan's medical bills is Indiana's Children's Special Health Care Services. We are thankful that our little Joe was accepted and as long as we stay eligible (family size and income, etc) any medical expense related to his developmental delays is covered until he's 21yrs. Such a huge weight off of us. So... I would recommend that you get started ASAP to get as much covered as possible. There is an office at Riley you can go to or call. Your First Steps Coordinator should be able to get you info too. There is some info online.
http://www.in.gov/isdh/19613.htm
Here is a link to the brochure.
http://www.in.gov/isdh/files/SpecialNeedsBroEng.pdf
wow... that ended up being alot longer than I thought it'd be! I'd love to get together if you're ever free. We'll be at the library alot if you wanna meet there sometime. Hope to talk to you soon!