Savanna

Savanna

Friday, April 15, 2016

In Memory of Olivia "Liv" Noel Montoya

***This blog posting is in memory of Olivia "Liv" Noel Montoya***

Our family is very lucky that we found the Infantile Scoliosis Outreach Program (ISOP) when we did.  Because of ISOP, Savanna is currently receiving a life-saving treatment for her scoliosis that, to date, has used non-invasive surgical techniques.  ISOP was started by a tenacious mom, for whom the status quo of treatment for her daughter's young spine was not acceptable.  Unfortunately, as with any medical condition, there are those for which treatment did not come early enough.  I never met Liv or her mom Heather in person, but through our shared journeys, I have come to "know" Heather and respect her very much.  Heather is the reason we have Mehta casting in the United States, and she's the reason Savanna may not need surgery in the future (or at least it will be greatly delayed).  So, when a fellow "mama bear" is in pain, I feel immense pain for her too.  I feel pain for the loss of her one and only beautiful, spirited daughter, whose life was taken too early due to her medical condition.  I feel "survivor's guilt" that because of the struggles of this mother and daughter, my daughter will hopefully not know the pain they had to go through.  And, ultimately, I feel deep gratitude for them for all that they have given, and I will never forget what they have done for our family and all of the other young "scoli warriors" in the world.

Please read the article below in which Heather is interviewed about ISOP, and please send a prayer to Heather to help her cope with the loss of her daughter.  Heather, we all are mourning with you...

http://denverlifemagazine.com/2014/12/hearts-of-gold/

Heather and her daughter Liv in 2014.



Another mom captures my feelings very well in her "thank you" letter to Heather:
http://themighty.com/2016/03/to-the-grieving-mom-who-pursued-a-treatment-for-progressive-infantile-scoliosis/

Casting News Story

Here is a great news story on the Mehta casting procedure.  It shows a child on the type of traction table that is used for every one of Savanna's casts.  Please check it out to have a better idea of the procedure she undergoes every casting.  One item to note is the that news agency states there is a 90% cure rate for children for whom casting is started early enough.  That number is likely not correct.  Savanna's doctor puts the cure rate much lower, at closer to 33%.

http://wgntv.com/2016/03/03/dramatic-journey-for-4-year-old-with-scoliosis/

Cast Removal

We took off Savanna's cast on the Monday before her surgery, which was on a Friday.

Savanna keeping herself entertained while her dad removes her cast.


It's hard to tell from this photo because she's leaning a bit, but I think her spine is looking good.  Her skin looked really good too!



Savanna's 14th Casting Day

I was able to go to Savanna's casting this time!  It's the first time in a year that I was able to attend casting day, and I was so happy to be able to go.  It's been difficult to sit on the sidelines this past year.

The day started with us arriving at Shriner's by 8:30am.  First, Savanna had her pre-op appointment, which included an x-ray.  I am happy to report that her x-ray showed a curve of ONLY 13 degrees!!  This is great news!  Her last x-ray in December showed a curve of 24 degrees.  She was soooo excited to get her x-ray.  What a big girl!!


Her beautiful spine, so so close to being totally straight at 13 degrees!


Here is the x-ray from December 2015 when her curve was at 24 degrees.




After x-ray, we stopped by the Bear Cave to get a new bear, outfit, and accessories.  This is "Rocker Bear."  He is wearing Avengers jammies and Olaf slippers and carries a guitar.


Savanna also got to play some games and work on some crafts while awaiting surgery.


Next we went to the pre-op room where she and daddy played with racer cars and played some air guitar.



Finally it was time to head back to surgery.  Savanna is such a trooper through this whole process, but heading back to surgery is the scariest part for her.  She does not like the mask they put on her to administer the anesthesia gas.  I'm glad they let a parent go with her back to the OR.  Today I was able to go.


Her casting surgery went well.  However, coming out of anesthesia is not a fun experience for her.  At least we are now able to be with her in the recovery room while she recovers.  After surgery, she went back to her room to get a snack and get her cast dried.  Next it was time to head to the cast trimming room.  There's nothing like a good wagon ride to lift your spirits.


Cast flaring, trimming, and petalling.



She chose dinosaurs and purple coban for her cast this time.  She wanted dinosaurs like her buddy Lyla (see below for more on sweet Lyla), and purple because it is just one of her favorite colors.  If you ask what her favorite colors are, she'll tell you "pink, purple, and magenta."  If you say you don't know what magenta is for sure, she'll let you know very matter-of-fact that it is "a pinkish red color."  She's such a smart little cookie!

(Sorry for the purplish photo.  The camera that took this photo has seen better days.)

Because Savanna is now down to 13 degrees, her doctor recommends that we continue casting for the next six months.  However, after that, whether there has been further correction or not, he suggested that we move to a brace.  First, kids grow more slowly at this age (she's almost 4), meaning further correction is more difficult, and also apparently doctors disagree about at what measurement a patient is actually considered "cured."  A zero degree curve (i.e. no curve) is really our goal here, but I've read that generally under 10 degrees should not get worse again.  So, we'll wish for zero, but be okay with a little more.

This is really cool news about our path going forward.  We finally have a game plan with more definitive time lines than we have had this whole casting process so far.  Unfortunately, this means another summer in a cast, but only 6 more months until brace time!!

Savanna's amazing doctor, Dr. Pete:



Savanna's next casting is scheduled for June 24, 2016.

Lyla's Awesome Progress

Savanna and her buddy Lyla started casting at the same time, and I am extremely happy to report that Lyla is now nearly done with casting and will be moved to a brace in May!  Because of casting, she went from an 80 degree Cobb angle and 40 degree RVAD to now under 10 degrees Cobb angle with minimal rotation.  It's so amazing!  Her mom shared some before and after photos with me.



This is really awesome news for Lyla and her family!    Lyla's mom was interviewed about her family's experience at Shriners:

http://m.staugustine.com/news/local-news/2016-04-10/shriners-offer-help-time-need#gsc.tab=0

***Thanks for reading and keeping us and our fellow scoli warrior families in your thoughts and prayers!***

Thursday, February 18, 2016

It's Been a Big Day at Our House!

February 18, 2016

Today is a big day at our house.  First, our little sunshine received her 13th cast.  Second, our little man has just turned ONE today, as of 10:04am!  Before we get into the casting, let's chat about Emerson's birthday and some of Savanna's adventures over the last 10 weeks.

Emerson's Birthday:

He is such a sweetie and really loves his muslin bunny!  He has started saying the word "dog."  True, he says it most often when he is pointing to any kind of animal and sometimes other objects like books, but hey, it's a word!  Also, he is crawling on hands and knees, and pulling up to standing.  He has started to cruise a little bit too.  Walking won't be far behind!  Oh yeah, the most scary/exciting/crazy thing is that he can climb up our stairs to the second floor, pretty much unassisted.  He is a strong little dude!  At last check, he was 23.5 pounds and over 30 inches tall.  HAPPY 1st BIRTHDAY, SWEET EMERSON!





"Dog"



Savanna's Adventures:

Taking Mocha for a walk.


Christmas Time.


Hanging out at a brewery and dancing on the stage with Daddy.



Posing pretty with her brother's "4 months old" sticker.


Jumping in puddles, with a skirt on of course!


Playing with Emerson.


Visiting with Santa.


Playing at the park in her new Lambie towel that she got for Christmas.


Silly selfie.


Playing and sledding in the big snow!



Daddy's got his hands full!


B-I-N-G-O




She's twinsies with her Barbie.


Hanging out and dancing at another brewery on Valentine's Day.  



Cast Removal:

This cast was on for almost 11 weeks.  As the children get older, their growth slows down a bit.  Therefore, casts can stay on longer before they need to be changed.  This cast came off fairly easily.


Her back is looking really good!  Her skin also looked really good with no sores.  She kept saying it was "scratchy" though, just really itchy from the dry skin.



Casting Day - Lucky #13:

Savanna, her daddy, and Papa Billy arrived at Shriner's at 8:30am.  First she had her pre-op appointment where they take her height, weight, and other vitals.  Our little girl now weighs 30 pounds!!

Waiting to go back to the OR.




She was taken back for surgery about 10:00am and was out in recovery around 11:30am.

Recovering in her room.


Getting her moleskin and coban on.  Purple smiley faces this time!





Discharge wagon ride to the car.  Note all of her new loot...A My Little Pony comforter, Doc McStuffins book, and Dora activity set.  Plus, she got a new outfit for her Build-A-Bears.


She's such a trooper!


***In case you are wondering what a casting procedure is like, please check out the following blog posting from a fellow mama whose daughter underwent casting for a period of time.  Jackie (the mama) was given permission to watch a casting procedure and describes it really well for us.  I liked reading it because it set my mind at ease about some things that go on during the "surgery."  Savanna does not go to the same hospital as Jackie's daughter, but I am sure the procedures are very similar.

Nora's Journey With Early Onset Congenital Scoliosis


Savanna's next casting date is set for April 15, 2016.  We will do an x-ray the day before.  Fingers crossed for a straight spine!!  Thanks for reading!



Thursday, December 3, 2015

Here we are at cast #12

Savanna received cast #12 today, and what a trooper she was.  Before we get into that though, let's review some of Savanna's latest adventures...

Adventures:


Helping bake brownies.


 Jumping in muddy puddles (Peppa Pig style).


All dressed up and cruisin'.


Picking out pumpkins!



Halloween 2015 - Costume #1 - Minnie Mouse


Costume #2 - Purple Kitty Cat


Family photos!

How'd she get so precious??


Make a wish...

Too cute

At the Shriners Circus (a great fundraising event for the Shriners Hospitals)


Pony Ride!


Royalty at its best!


Cast Removal:



After her cast was off, she said "Mama, take a picture of my back!"  She knows the drill.  :-)  Her back (and skin) looks really good!  There is a small hump on the lower right though.  I had originally thought that the hump was her potential "over-correction" from casting.  Now I realize that it is actually the lower part of her double curve.  More on that below.

Pre-Op Appointment:

Savanna's pre-op went well, and she had x-rays this time.  Her doctor was pretty upbeat about her progress, which actually means he was pretty excited, considering his quiet demeanor.  Basically, her top curve is essentially gone (!!), and we are now working on her lower curve which is at 24 degrees.  The first photo below shows her most recent x-ray (yesterday) on the left and her one from 6 months ago on the right.  The second one shows her measurement of 24 degrees.




 Casting Day:

The day started with Savanna, her daddy, and grand-daddy Papa Billy arriving at the hospital at 8:30am.  Savanna got to do some fun things while she waited to be called back for surgery.  She played with the train table.


She painted herself a bird house.


Then in the pre-op room she got to pick out a new book (Doc McStuffins, of course!).


Getting ready to go back to the OR.


After surgery, eating goldfish and letting her cast dry.


Getting her cast trimmed, petalled, and cobanned.  She picked purple again!



Her doctor was pretty excited about the correction he got in this cast, a straight spine!  Now we know that she will for sure be growing straight.  Apparently, lower curves are harder to manipulate and correct because you do not have the rib cage available to help with pushing things into the right places.  Here is her in-cast x-ray.  I can't wait to see an x-ray like this withOUT a cast!


Savanna did great again, like always.  She is such a strong little girl.  She did get sick on the way home from the hospital though, likely due to the anesthesia, but she was fine after that.  That hurts my heart for her.  I never want her to feel sick, especially on big days like today.

Her next cast is scheduled for February 18, 2016, and her next x-ray will be in another 6 months or so.  So, we will continue on with casting in the meantime while we work on that lower curve.  Please keep her and a straight spine in your thoughts!  Thanks for reading!!