Our Pre-op Meeting with Dr. Neurosurg

Well, it seems to be a running fact that it takes me a week to process things before I can post them on here! Either that or I'm just a lazy slug.

We met with Dr. Neurosurg last Wednesday for an epic appointment. Epic in how long we were there. Holy cow, we should have packed a picnic because we were there for over 3 hours! We had an appointment with the surgeon at 9:15, and we waited an hour to see him. (Meanwhile, I amused J with all of my hilarious Pinterest jokes, the 3 of us had a Goldfish picnic, I may have snooped through medical supplies, etc.).

Dr. Neurosurg came in and must have known he was going to be bombarded with a notebook of questions. Yes, I had one.

He said they had spent  over an hour during their conference discussing C-Monkey's case. They actually spent so long on him that they didn't get to discuss the other kid that was on the schedule for that day. Oops! He said that Dr. Neuro really fought hard for C. They just could not justify doing anything more extensive than the Corpus Callosotomy (CC) as it was too much of a risk...at this time. His seizures are just too over the place for us to safely remove any particular area. It's not like we can go, "Oh crap that wasn't it, let's hot glue that piece back in!". He stated several times that they all agreed we needed to act quickly once this surgery was done. Their goal/hopes is to have the CC performed, give C time to heal (a couple of months?), and then do another EEG.

Their hope is that one will finally show a definitive focus. Preferably that right sided area. We'll kick THAT monster's ass when we get there.

The nitty gritty of surgery week (I feel like it should have dramatic music & graphics like Shark Week):

We will have another MRI the day before surgery (our insurance company probably hates us at this point with all of the expensive procedures we've had done recently). We will find out our surgery time at some point that day.

He said the surgery (on 4/12) should take about 4 hours. They will do a complete disconnection instead of just the front 2/3. The incision will go across his scalp (think ear to ear, but not quite that long). C will go directly from the OR to the PICU.One of us will be able to spend the night in the PICU with him. Thank God! If he is doing well, he will be transferred to a regular bed the next day. He will get up & moving and start therapy probably the day after surgery.

We will hopefully come home a few days later, as long as he is meeting the standard discharge protocol....pee, drink, pain control, vitals stable. He will not be able to go to school for several weeks due to risk of him falling and hitting his head. He cannot wear a helmet due to it pulling on the incision. Several of our school team members are nervous to walk with him without a helmet on a good day, so him going without a helmet isn't really an option.

I also need him here with me. I need to be able to challenge this new brain of his, one on one. I need to prove that he CAN learn. He needs me to advocate for him. Prove that he needs people to believe in him, and not give up when his goals aren't met. I need to find the BEST way to work with him...to prove it is possible. Anyway, sorry for the field trip on Tangent Blvd. I just felt the need to mentally "dump" that.

Back to our previously scheduled journey....The funny part of our visit was I asked the surgeon whether he was right or left handed and he said "both" (impressive) & I then made him hold his hands out to check for any crazy shaking. He was still as glass. I told him he passed the test. Yes, I'm THAT neurotic, and I own it. I'm not sending Shaky McShakerson digging into my kid's precious brain tissue! His RN had told us earlier in the visit about them visiting our town a few night's before for a Bruce Springsteen concert. I also gave him orders that there is to be no loud concerts the night before! Mommy's orders. LOL!

We then met with the anesthesia team, the child life specialist (who talked so much that I zoned out until she sounded like Charlie Brown's teacher & J focused on how much she talked with her hands....lady this ain't our first time in the hospital for christ's sake!), and then he had labs drawn. We also found out that one of us can walk with him to the OR & stay with him until he goes to sleep. We didn't get offered that option for the VNS. I figured it might be a battle, but J knew he wasn't going to win it, so he has already conceded to letting me go back with C. I knew I married a smart man. He'll be standing at the exit with my box of Kleenex.

I've been on several shopping expeditions since our visit, and I've gotten several comfort items for the hospital stay trying to make it as pleasant as possible for C. My Mom is also making him some big comfy blankets in bright colors/prints to make the room a little happier. I got him a stuffed lamb pillow that has lavender in it that he can lay on, and a little lamb that is like the pillow and plays ocean and other water/nature sounds to help him sleep, some Johnson's lavender lotion, and some comfy new PJs. (If anyone has any other suggestions, please let me know!)

It will be a stressful two weeks leading up to the 12th, but I think we have finally realized that this is our only option.

We have tried all that we can.

We just have to let it be out of our control at this point.

What I do know is: this boy is getting the stuffing hugged out of him over the next two weeks (even more than usual), and his cheeks might be chafed from all of the extra kisses. 

We are so thankful for the outpouring of love, care, and generosity we are receiving. You never truly realize how much people care.  I may not ever be able to thank you all enough, but please know we are so incredibly grateful to those of you that have supported us through all of this! xoxoxo~M