Saturday, April 19, 2008

back from Atl

We (Sara, Samuel and I) made the trip down to and back from Atlanta yesterday while some friends had a 'jammy day', played in a creek, went to the Library, and had lots of other kinds of fun with Anna Catherine and Colin back here in TR. The trip to Children's Hospital of Atlanta at Scottish Rite went well. We had a good visit with the two doctors who will be involved in fixing Samuel's cleft lip & palate. Dr Joseph Williams (Plastic Surgery) and Dr Michael Granger (Craniofacial Orthodontist) both felt like the NAM appliance would be a big help in treating Samuel's clefting pre-operatively. As well, they were very willing to work with us in the frequency of necessary trips to Atl for adjustments.

Where we go from here: In the next week or two we will head back to Atl to get the impression of Samuel's palate. Two weeks after that, they will 'deliver' the NAM to us (install it basically). After that, we will begin to get it adjusted weekly or every other week. The goal of the NAM is to actually bring together the two sides of Samuel's cleft. At this point, I can get the whole tip of my pinky finger in the front of his cleft so it seems like there is a long way to go. However, the Drs have said that in a few weeks with the NAM, it is likely that the gap will be closed. After that point, they will install an additional piece to the NAM that is designed to raise his left nostril over time - helping that repair also. After the delivery of the NAM, it is typically 12 weeks till the lip surgery. So it looks like July/August for Samuel's initial lip repair. At which point the NAM comes out. They will also want to do his palate before 1 year of age. So there are at least two more surgeries before Samuel turns a year of age.

Over all, we're doing fairly well. It can be a little overwhelming every time we get back into the hospital setting. We just get used to doing life here at home and sort of forget that Samuel has a very long road ahead full of more Doctors' offices and 'procedures.' It seems like we should know this by now on this road we've been traveling - that we can only allow ourselves to fight today's battles and not get caught up in all of the possible difficulties of the future. Alas ... one day at a time. One Doctor's appt at a time. One thing at a time. For us, it's an 'easier said than done' proposition. But, so it goes. And so we seek to walk. One day a time.

Thank you for your continued prayers for us. We need them. Pressing on ~ grant