Cast Change......5th May 2011

....This is the week that Maisie got her cast changed. The week started on a Bank Holiday Monday, and we had to take her to a&e because the smell from her wound area was so vile me and Alan were almost sick with it. Taking her to a&e resulted in her being admitted overnight to be monitored, with the smell getting so bad in such a short space of time. By Tuesday morning the smell had no changed at all, but Maisie's surgeon was in clinic that morning, so the nurses rang down to inform her that Maisie has been in all night and could she come up and see her. The surgeon came up around 1pm-ish, she said that she was OK for Maisie to go home and was happy for her to attend on Thursday as planned. The surgeon did say that she may need to do a surgical clean of the wound, but that would depend on what it was like once the cast was taken off and examined! If she needed a surgical clean then that would require an overnight stay, just to be observed.....

.....Thursday 5th May 2011.....

Cast Change day is here, I was up in good timing to make sure I'd packed everything needed and not missed anything,  had left myself jobs to do to keep me awake, once I had got ready, checked the bags, they were put by the front door ready to go. I didn't dare sit down in case I fell back to sleep. We left for London at 6am - which would give us enough time to get there - the journey wasn't too bad, and neither was the traffic. We arrived at the hospital for 7.20am, which wasn't too bad at all. Once we had booked in and filled in all necessary paperwork with the surgeons registrar and the anesthetist, Maisie was given a hospital gown to change into, ready for theatre. Maisie was on the first list to go down, but there was a 5 month old baby who would go down before her. Theatre called around 9.30am to say they were ready for Maisie, so we took her down to theatre with a nurse from the ward. Maisie wasn't half as bad to put to sleep as last time, she hardly wriggled or resisted, and was gone in no time. Once she was laid on the bed, we headed back to the ward, the nurse said to go for a cuppa, but to come back in around 20 mins...Sainsbury's awaits....with cheap food and cheap cuppa's, but still really nice for being cheap! Once we were back on the ward, it wasn't long before the nurse came over again to say that theatre had called and Maisie was ready to collect!!!  10.30am-ish we took the walk back to theatre to collect Maisie, when we were close we passed a nurse, who asked if we were going to collect a little girl, so yes was the answer, and the nurse said that she seems very happy. Once we walked into theatre, Maisie was there in one of the theatre staff's arms, all awake and alert, with a BRIGHT PINK cast!!!!

Once we were back on the ward, they let Maisie settle in for around half an hour, in that time she drank two cups of juice, so they offered her some toast. Maisie ate two slices of toast, had more juice and fell asleep. The surgeon came to see us and explained that, she pressed and squeezed on Maisie's wound and nothing came out of it, so there is no infection and there was no need to do a surgical clean, and that the smell was on the cast itself, urine was one of the main causes of the smell, (which can happen & is hard to prevent) the redness on the wound is Granulation Tissue, which can sometimes happen, but she cant treat it while in the Spica, but once its been removed she will treat it, even though it is only cosmetic. Maisie's hip socket hasn't grown yet, and although the ball was not fully inside the socket, it had still remained in position! We now have to use Jelonet & gauze on her wound to prevent further infection. Also the surgeon has changed Maisie's hip position, her legs are now wider apart, this is to try and force the socket to deepen on its own, if it doesn't deepen on its own then it would be another operation to scrape the socket deeper. Once the cast is off in 6 weeks time, Maisie will be going into a night-time splint only, but will be free of it throughout the daytime to learn everything again....

...We have now been home two days, Maisie's is drinking more juice than she was before, the nappy that's needed to insert into the cast is now a size 4, with a size 6 still for the outside to hold it all together. Alan is going to have to make some adjustments to her Spica Chair too, as she doesn't sit in it properly with the new cast, but we have some ideas that were going to try and do. Maisie's not too keen on moving around with the new cast, it looks like she's got a baby bump, so when she's on her tummy she rocks with the curve. I have managed to get a picture of Maisie's wound too....

....the dark redness is the Granulation Tissue, that will be treated once the cast is off! This new cast is heavier than the last, and is more awkward to pick her up and hold her, but we will get used to it!....

Steph xxxx

Cast Change coming soon....

.....Maisie is getting her cast changed on Thursday 5th May, we have to be at The Royal London Hospital for 7.30am, and is not allowed to eat anything from 2am, apart from diluted juice until 6am...this I can see now, is not going to go down very well with Maisie! I'm quite nervous about going, as I've been having some really good looks at Maisie's wound, and it doesn't look pretty at all, to try and explain; its like the scar itself has got mushed-up jelly ontop of it! There is a very distinctive smell starting to come back too, but we are unsure if it is the wound itself or the bandage on the inside - this is quite badly stained -  I am hoping that while they have her cast off during the change, aswell as all the checks the surgeon is going to be doing, I hope they will wash her right out around her wound, I have been cleaning it myself with Stei-Pod's that we got on prescription, we both think that as I am cleaning it with sterile dressing's each nappy change that this is helping to keep it at bay a little bit.  I do wonder should there be any infection still left, what the hospital will do with Maisie to get rid of it keep her in and put her on I.V antibiotics or send her home with what would be her 6th course since having the operation!..

....Other than that, Maisie is doing great, eating a little bit more than she has been doing, which as a result she is putting a little more weight on from what she lost! Sanny pads are working a treat for through the night!!! I would recommend to anybody facing this situation to "stock up" on them! The Dentinox is working a treat still, which is fab! It does feel like she's a little baby again, having to sit with her while she drinks her milk, and then winding her again! Maisie is on the move so much now its unreal, this past week she has learnt how to flip herself back and forth - only while she's on the bed or sofa - she finds it hillarious, and it keeps her entertained for ages, she was sniping along the carpet this morning, all over, this way, that way, any way she could get herself, watching her as she slides along the floor, her cast bashing into walls or any other object that is in the way, then as she drags herself the cast just slides around the object, the only down side of all the movement this morning, as she is only casted to her knee on her "good" leg, Maisie got an amazing friction/carpet burn on her knee, I have been repeatedly putting sudocream on it today to get it to heal asap!...

Steph xxxx

Tried & Testing....

....Things seem to be on the up for Maisie, she is still on the antibiotics, but is almost finished with this course. Hopefully it will be the last course she needs! Although Maisie has developed a rather nasty temper since having the operation, she is getting back to being our funny lil moo moo! Moving around is getting to be really good for her, she loves having time on her front to move around and grab things, she looks at you with such amazement and joyfulness, its really lovely to see her "enjoying" her time in her cast! Tonight was quite funny, Maisie had only been in bed around an hour and a half, she started to cry, which has become a regular occurrence, as I went into the bedroom to check on her, I found her halfway down her cot, with her back arched over the leg support blanket we put under her legs to keep her heels elevated, and her left foot was wedged in between the cot bars, but as soon as she was freed and back to how she should be laid in bed, she was fine....

....Nigh times are quite bad at the moment with Maisie, we have started putting Dentinox Colic Drops into her bottles of milk, to stop her getting trapped wind/indigestion, which so far is working really well for her. She does wake quite a few times through the night, and just around every night ends up with Maisie in the bed with me and poor Alan on the sofa! It does mean less sleep for me as I don't sleep properly with her in the bed, always conscious of her, but it doesn't bother me either! =) I was reading on the Yahoo Hip Dysplasia forum the other day, and I was reading about different ways in which to enable the rather odd nappy wearing to soak more up, as Maisie wee's a lot through the night, even changing her through the night still left her with a damp/wet nappy in the mornings....as I was reading the posts and opinions, I saw that a few people use either a sanitary pad or incontinence pad to line the size 1 nappy with, which helps with the absorption...so tonight while getting ready for bed, I used the only decent pad that I had in the house and put it in the size 1 nappy, then put the size 6 nappy over the top of it all, I do hope that it works, because Maisie's urine really stinks at the minute....off all the antibiotics!...

....Also while changing Maisie's nappy earlier this afternoon, I got her in the right mood to be able to have a really good look at her scar (with gloves on) from what I could see, it looks quite a nasty scar, and still has some form of a lump on it too, but the lump has gone down loads since last week, so I'm happy about that. Some of the stitches came off the other day too, me being me, put them in a small snap-bag with a bit of paper and took a photo....lol!!....

Steph xxxx

Hard times....

....We saw our surgeon last Tuesday (12th April 2011) because the anti-biotics that were given to her for this low grade infection on her wound had not cleared it up. The surgeon took a look as best she could and did say that the wound from what she can see has healed nicely, but there's this "cluster" of skin right inside the cast, probably at the top of the wound, and stuff is still oozing out of it, so the surgeon suggested that Maisie has another blood test to check and make sure that there is no infection in her blood, she also gave her another 5 day course of anti-biotics (same ones). We explained how difficult we have found it to give these to Maisie, the surgeon explained that; a) a little is better than nothing at all, & b) to get the syringe to the very back, behind the back teeth pointing to the cheek (so she doesn't choke) well that didn't work either we still got covered in it so ended up giving it to her with Alan pinning her arms down and me putting a towel under her chin, getting bits in her mouth at a time then putting the towel over her mouth (but not covering her nose, so she could still breathe) to force her to swallow more that she spat out, although this is awkward, it worked....

....Maisie finished her anti-biotics on Sunday 17th April 2011, but there is now some funny bright green coloured stuff coming out of the wound. This morning (Mon 18th) I rang our GP's secetary to ask how I can get the results of Maisie's blood test that the surgeon requested she has, the GP's don't get a copy of this, but she did say that she would look into it for me ring me back and let me know. Anyway around 1/2 hour later the surgeon rang, apologised that she had not been in touch sooner but that the bloods had only just come back, and said that they look "normal" for Maisie's circumstances. I explained to her what was coming out of the wound, so were going to her local clinic tomorrow ( Tues 19th) so she can have another look at her and decide on what the next best course of action is! Later on this afternoon, I had a call from our GP, I explained that I had spoken with the surgeon and that we were seeing her again tomorrow, the doctor had gotten hold of Maisie's blood results, and was concerned at her Haemoglobin level being only 8.9 (Dr said it should at least be 11), she rang through to a consultant at The Royal London who said that a HB level like 8.9 is normal and is due to blood loss from the operation. Maisie was discharged from hospital with a HB of 8.8, 3 weeks later its still only 8.9, however, all this would be good apart from the fact that Maisie only lost around 14ml of blood in the operation (about a tea-spoon) so doesn't really account for a HB of 8.9, Dr has requested another blood test to check her iron stores in her blood to see what there doing...

...other than all these constant hard times were faced with each day, Maisie is progressing so well, her little spark is starting to come back fast, which is lovely to see, tonight she was on her rocking horse and she absolutely loved it, so much so that when we took her off it she cried to go back on...so we let her have a little longer on her little bright pink rocking horse! Although Maisie tires quickly she loves the tummy time, where she can just manoeuvre herself around, its really lovely to see her playing like a baby should play. We watched some video's on Alan's phone from before Maisie had the op, and just watching her, walking around and the general happiness in her voice all seems like it was a lifetime ago, yet hurts like hell to know that whilst doing something to benefit her when she's older, we have taken away one of the things that she loved most....her freedom! Life seems hard looking after an almost toddler in a Hip Spica, its one hell of an experience, and really tests you as a person, I am realising that I'm much stronger than I thought I was, but just because I'm always smiling, doesn't mean that's how I'm truly feeling, I hate seeing Maisie in this cast, you can look at her sometimes and she just looks sick of it all, many tears have been shed from us all in the short space of time that Maisie's had her Spica on, and no doubt there will be more to come. For now the only way is forward, once we have gone forward so far, that's when we can move up =)....

Steph xxxx

Moving, Playing & Medication.....

.....Things have gotten worse with getting Maisie to taker her paracetamol and fluxocicillin antibiotic, personally I really do not blame her for not wanting the antibiotic...I got a taste of the so called "lemon flavour" antibiotic, ugh it was wrong!!!! There is not a chance on this earth anyone would call that "lemon" it tastes worse than adult paracetamol!!! As your refusing and literally spitting it back in my face, I thought maybe mix it, get some other ideas etc;: Making a game of it -resulted in more screams and anxiety. Let you do it as well - made tons of mess and stickiness for you to then launch the syringe. A spoon - nope not a chance could i get it anywhere close to her mouth without her arms wriggling free to knock it out of my hand. Mixing with food - we tried it in her bottle of milk, her cup of juice, favourite flavour yogurt etc, Maisie could tell each time when we had put in in something!! After finding that there was not a chance that Maisie was going to take these antibiotics with anything, we knew we would just have to try and force you for your own good, so we thought of holding your mouth shut to make you not have a choice in swallowing it - yes this did work, but the screams you gave out were heartbreaking, it was wrong and it felt wrong to do that! NOT AGAIN!!! We were informed by Alan's Mum that holding your nose stops you being able to spit something back up, so this is now how you are getting your antibiotics, propped on the floor (Maisie's too jumpy to be safe on the knee) Alan pins her hands down, i place a towel under the chin to catch dribbles, through the cries and the tightly shut mouth, I wait for the almighty open, close your nose and squirt some in, yes it takes around 4-5 squirts from the 5ml you should be having, but it gets most of it in the system!

Playing is getting better and better & more and more each day, I find that more time is being spent in the Spica Chair each day, as playing with toys in a new way is actually quite fun. As Maisie was in her chair today, i caught her opening her arms wide and grabbing the sides of the chair with each hand, getting a firm grip and then pulling her waist from one side to the other, in the tiniest bit of space that there is where the harness is at the each side. I am thinking that once the antibiotics have stopped, I may look into some natural kind of pain relief for Maisie, she's getting distressed having to keep taking all these different medicines, its not nice, we shall see.....

Steph xxxx

The first movement......7th April 2011

....What a day we have had today. Maisie was being how she normally is - playing, shouting etc etc. After around 2 hours kip she woke up and after a cuddle was happy again. Maisie managed to wriggle about while she was laid on me, so I asked Alan to lay the duvet on the floor and put a pillow in the middle of it, we then placed Maisie's stomach over the pillow, out of curiosity I started to make a video on my phone....Maisie really amazed us, 2 weeks post-op and she has started to commando along the floor a little, I'm so chuffed i filled up when i saw her doing it...

Steph xxxx

6th April 2011......expensive trip anyone???

....Woke up this morning and went to change Maisie's nappy. There was more of the seeping stuff from yesterday, only this time it was more blood-like looking. Rather than ring our GP we tried to get hold of the surgeon, but there was no answer, so we rang the switchboard at The Royal London and asked to be put through to an orthopaedic doctor, once they were on the phone Alan explained about the seepage yesterday and what it was like today, the lady on the phone said that she would get them to ring us back after 3.30pm. Within 10 minutes of hanging up the phone they rang back, she had spoken to the ortho and they wanted to see Maisie at 11.30am!!! the race is on to get ready, best prepare for her needing a bottle etc. We rang a cab, and he came for about 10.40am. We got to the hospital just after 11.30am, which was lucky, but they were fine with that as they knew how far we had to travel, we showed the ortho the nappy from this morning, and he was a little concerned and wanted to have a proper look at her wound. We went round to the plaster technicians room and it was the same bloke who put the cast on Maisie, he said "this is one of my casts, last time i saw you, you were asleep" together with the ortho they both looked at the cast and what they could do to enable them to see the wound without weakening the cast itself. They decided to cut just a small piece out from the front, but clipping a bigger part where the bend at the top of her leg is. Once he had cut the piece off the doctor came in and pulled the sticky dressing that was put on her after surgery, this was very damp and a little on the smelly side, there was also some fluid running from her wound which he took a swab of. Upon examining her wound he told us that he wanted to put Maisie on some antibiotics as she has a low grade infection, and he wants to get on top of it to prevent it from getting worse. Because he had pulled the dressing off, and there wasn't a chance without fully removing the cast that he could get another one in, but he did say that we would be better with some soft swab gauze folded in half to soak up the seepage, and to change it every time we change her nappy. The ortho also wanted Maisie to come back next week and see her surgeon Ms Maizen, so she can have a look at it, and go from there on how the antibiotics have worked. Maisie is to see her surgeon on 14th April 2011 at 2.15pm....

Steph xxxx