Before and After Surgery X-rays

Good morning to everyone! Just wanted to give a quick update this morning and share some X-rays so you can see the great improvement after Trinity's surgery. Once again her curve pre-op was 85 degrees and post-op 50 degrees. Trinity is doing well this morning with the exception of a small fever and being heavily medicated to control the pain. Thanks again for everyone's continued thoughts and prayers!

Surgery and Recovery

As days end starts to draw near Miranda and I have a lot to be thankful for. So many thoughts, feelings, and emotions run through the both of us. Of all the feelings, thankfulness is the most prevalent feeling we have.

Last night Miranda and I had an experience that we haven't felt for awhile. We gathered at the Westwood church for an anointing service for Trinity. We were accompanied by lots of friends, family, and members of the church. This was led by pastor Joel and was an extremely overwhelming feeling of support and affirmation that where two or more gather God is there. Thanks be to God for friends and family!

The day started early at 5:30 am as we all were getting ready at the Arthur residence. Out the door on time and headed for the hospital I was soon reminded that dad does not do a lot of big city driving, and " follow close behind me " could be a challenge driving across Minneapolis. We arrived on time to the hospital and got checked in. Trinity was so amazingly strong through the pre-op I couldn't believe it. Trinity brought laughter to Miranda and I as she directed the nurse where her pulse oximeter was to go on her toe not her finger, and was quick to put the blood pressure cuff on her leg and not her arm. " I guess you know how you want things " the nurse replied. Dr. Walker came in and talked us through what was going to happen and as a laid out a general time line. A few highlights were, surgery 4 to 6 hours, 7 to ten day stay after surgery, and keeping Trin intibated for one to two days was probable. We were able to pray with both Dr. Walker and Koop before they took Trin back. God was busy at work this morning! Lastly, came the long walk down the long hall to the ever so dreaded departure of Trinity to the surgery room. Miranda and I were a bit of a mess while Trinity stayed strong not to shed one tear, once again I was amazed in her unbelievable strength.

To give everyone a little background on the particulars of the surgery, we were instructed that they would be placing either one or two titanium rods on one or both sides of her spine. Prior to surgery today Trinity had a 85 degree curve to her spine. When I try to put that in perspective for people I always ask them to picture a 90 degree angle and know the Trins angle is 85. If you look at this on an X-ray it is a bit puzzling. I have a included rough picture to give you a visual of what they are doing.

At around 11:30 Dr. Koop came out to greet us with a smile and provided us a huge feeling of affirmation. Everything went very very well! Wow, what a huge feeling of relief and answered prayers. He continued by telling us that Dr. Walker had the rod placed and was working on getting Trinity closed back up. At around 1:00 Dr. Walker came out to further inform us that everything went as good as it could have and was Trinity was a trooper. A total of 20 CC's of blood was lost throughout the surgery which is less than one ounce, and is hardly anything for this type of surgery. God continues to work!

In the post-op room we greeted Trinity and the nurse and were informed that due to her strong breathing after the surgery they were able to pull her breathing tube. They also informed us that because Trins vitals were so strong we were headed for a normal hospital room instead of the PICU which we were told. God continues to work!
As it sits right now Trinity is doing very well with the exception of a little fever which has been fairly normal with previous surgeries.

The last highlight of the day that I wanted to share happened this evening about 6:00 PM as doctor Walker walked by me as I sat in one of the waiting rooms down the hall from Trinity's room. I stopped Dr. Walker and asked him what was the most people he has had ever praying for him for a surgery. His response was, I'm not sure but I assume I have had some. He then asked how many I thought were praying for him and Trinity today. I said I would say a few hundred for sure. He then shared that he and his family attended church and he was a believer. He followed that by saying that he has had some surgeries that go very well and some that have gone not so well, but today's he said went unbelievably well. He then looked at me and smiled and shook my hand. God continues to work! Thanks to everyone for all or your thoughts and prayers, God has certainly answered them today!

Surgery and Updates

Next week the 29th, Trinity will have growing rods placed at Gillette. With it only being about a week away it is definitely causing some butterflies in the stomach. This was a big decision for Shannon and I, but God has given me a peace about it and we are putting our faith and trust in Him! They are looking at it being around 5-6 hours and she will probably be in the hospital a minimum of 7 days. Last week she had many prep-visits with her pulminologist, pediatrician @ Gillette, and neurosurgeon. They changed her feeding tube from a G-Tube to a GJ-Tube with a long extension so after surgery with her having to be on her stomach this will make it easier to feed her through her tube. They added 4 extra hour of feeds through her tube a day to help with her nutrition and also hoping that she would gain some weight. We also added some protein because the bloodwork they did showed that her levels were low and this will help with her healing. They also see in some x-rays that her bowels are very backed up so they are having us do water enemas that have not been a ton of fun. But hopefully all these changes are going to prepare her little body for this big surgery and she will heal quicker and get along a lot better after surgery.

Today Trinity got some new glasses and they make her look older and soooo cute!!! This is going to be a huge adjustment for her, but Trinity is the queen of adjusting. She also started school last week and loves it. She's in an integrated preschool class 3 days a week in the morning. She has some awesome teachers and nurses!! It has been so neat watching her interact with the other kids. She's not real crazy of gym time because of the noise, but luckily it is a big gym with lots of corners! She will be going until next Wednesday and then will be out of school around 3-4 weeks and then only going back part-time until she recovers from surgery.

The last few weeks have brought a lot of adjustments to the Arthur house. With Aubree starting kindergarten, Trinity starting preschool, many medical adjustments for Trinity, new glasses, and just the preparation of the upcoming surgery there has been a lot of stress and tears. God has blessed us with an amazing family and Shannon and I feel so blessed in so many ways! A few weeks ago we had the privilege of sharing in one of the most awesome experiences. Trinity and Trew were dedicated at Co-Line pond in Sully by Joel Schnell (Shannon's brother-in-law). The day could not have been more perfect! Since moving away from Iowa we have not felt led to join a church and since finding out about this surgery I had felt the need to get Trinity dedicated, but didn't really feel comfortable doing it without our family present. So with much prayer we asked Joel because he is someone that Shannon and I have a lot of respect for and look up to as a Godly man. We had all our family there to witness and to help in praying over our kids and family. It was AWESOME!! There are not enough words to express how amazing the day turned out and how the presence of God was all around us! (Aubree was dedicated in Iowa when she was a baby)

So as next week approaches I am going to work on replacing "fear" with "FAITH"!

Surgery?

We are having a great summer so far! We made our first trip to the beach a few weeks ago and the kids had a lot of fun! Trinity did great in the water and had so much fun army crawling on the beach. School will be here before we know it. I can't believe I will have a kindergartner and a preschooler! I am having a hard time with it. :(
A few weeks ago we were in Iowa and had an appointment with an orthopedic surgeon at the University of Iowa, Dr. Weinstein. We didn't learn anything knew regarding Trinity's scoliosis. He feels that there is no doubt that she needs the surgery and that it needs to be done soon. He said that he feels that we are in good care here and that there should be no reason a surgeon up here couldn't do the surgery. He don't feel it is necessary to do the surgery in Iowa, especially with all the follow up care that she will need and the risks is infection and her body rejecting the rods. He agrees that the brace is doing no good, but that she would definitely need to wear it for about 2 months after surgery to keep her back straight.
We are still really struggling with this surgery and the surgeons. We want the best for Trinity and making these decisions can be so hard on the both of us. The biggest hangup is Trinity's size and her age. This is not a common surgery for her age and her size. She don't have much fat on her body.
As for now surgery is scheduled for September 29th. The surgery can take anywhere between 5-6 hours, but if they have to go through the abdomen and the back it could take 9-10 hours. I don't even like to think about it. I have given this to the Lord and we are trusting in Him to guide and direct our decisions.
On Thursday we see her Urologist. This will be an interesting visit considering that Trinity has had numerous UTI's in the last 2 months. Hopefully they won't want to do anything sugically soon, but surgery has been brought up before.

Busy House!!

Wow! It has been a long time since our last post. I guess that means we are really busy with our new addition to the family. We were blessed on May 17th with our baby boy, Trew Duane Arthur. He weighed 7lbs 14oz and 19inches long. He's such a good baby and has been a huge blessing to our family! Most think that he looks like his dad, but I am hoping that might change so I could get one child that looks like me!! (not looking real promising) Trinity and Aubree love him so much and are big helpers! Trinity likes to steal his pacifier from him, but we are working on that :) Aubree is a little momma to all her siblings and this helps mom out a lot. We are very blessed to have such a wonderful family!!!

Last Monday we had an appointment with Trinity's Orthopedic Surgeons. Not great news unfortunately :( To better explain our appointment I am going to type right from the dictation of Dr. Walker.
"On examination today, Trinity was examined by Dr. Koop and myself. Inspection of her back reveals once again that she has a large left thoracolumbar prominence. She has a deep right waist crease. With traction under axilla and pressure over the lumbar spine, there is moderate flexibility and the curve can be improved. Examination of her hips reveals that she does have a mild hip flexion contracture of approximately 5 degrees on the right and 5 to 10 degrees on the left.
Her previous x-rays were reviewed including her sitting AP and lateral x-rays out of her braces on April 21, 2011, as well as the traction film. Out of the brace, her curve measures close to 85 degrees from approximately T8 to L4. Her traction film shows this improved to approximately 60 degrees.
At this time, it would be reasonable to proceed with surgery since bracing is no longer effective. If the curve is not addressed, it would likely get progressively worse and eventually lead to greater problems with regard to sitting, skin issues, and potential other longer-term issues, such as pulmonary or cardiac problems. In light of her young age and size, some form of surgery to preserve growth would be preferred. There would be options of possible single or dual growing rods versus VEPTR therapy. In specion of her skin and soft tissues show that she does not have a great deal of soft tissue coverage. Dr. Koop and I agree that some form of a "growing rod" type system would be our preferred choice. However, both types of implants have issues or concerns. First of all, there would be a potential risk such as infection, rod breakage, or loss of fixation to the spine either proximally or distally at the upper or lower parts of the spine. In addition, we would have the initial surgery and most likely be able to put in a single growing rod. This may mean that she would need to have continued use of a brace. Eventually, she would potentially have a second growing rod placed if she had adequate soft tissue coverage and size. Furthermore, the goal would be to preserve her growth. She would need to have a subsequent scheduled lengthening every six months to lengthen the implants. However, if an unscheduled problem or complication arose, such as infection, loss of fixation, or a broken implant, then she might need to have an unscheduled or unplanned procedure. Ideally, we would try to preserve her growth for at least the next three to five years. If we can preserve growth until she is age 8 or older, then she would potentially require a definitive fusion of her spine at that time. If we encountered overwhelming complications, then we many need to abandon the implants and remove them."
So there it is the plan going forward for Trinity. However, I will be back this month while Shannon is in Alaska and have scheduled an appointment with a doctor in Iowa City. We feel like something this complicated needs to have a second opinion. If anything to give us peace of mind. The surgery is scheduled for September 29th. We wanted to get it on the books since both surgeons have conflicting schedules.
This is a huge decision for our family. We would greatly appreciate your prayers as we get the second opinion, but also pray for the doctors and that they would have confidence in this surgery and that God would guide them moving forward.

Growing Rods vs. VEPTR

Trinity had her checkup last Monday with her Orthopedic Surgeon. They did some x-rays in her new brace and found that it is not helping with her scoliosis and that they feel like her spine is getting stiff and unable to be flexible. On Wednesday they had a conference with all the Spine doctors at Gillette and are requesting that they do some more x-rays and some traction x-rays. Some of these will help them determine how flexible her spine is. As of right now the plan is to do growing rods or a VEPTR in July or August. They are being considerate of the new baby coming, but also letting us know that it can't wait much longer. Her curve is about 70-80 degrees and for as young as she is and petite, this is not a real common surgery for someone like Trinity. Shannon and I could really use everyone's prayers!!! This is very hard for us to digest and to know what is right for Trinity. This would be something permanent in her body until she is old enough to do a spinal fusion. With how small she is it is hard for us to wrap our heads around her having these rods in her body and what does that mean for her; pain, breaking of her bones, etc... I have been doing a lot of research online, but nothing seems to be helping us determine what is right for her. She needs something done because this can't go much further, but it is hard to think of surgery again. If you know of someone that has a child as young as Trinity with growing rods or the VEPTR please put them in contact with me. I would love to talk to someone that has been down this road and to know what life looks like for them after the surgery.

We will be sure to let you know how the x-rays go and if there is any other decisions that the doctors make regarding her scoliosis.
Thanks for the prayers!

Many Updates!

Happy Spring!! I wish I meant that, but unfortunately it is still cold here and we still have some snow on the ground, but hopefully the fun, warm weather is just around the corner.

Lots of new things have been going on with Trinity. She had her teeth cleaned for the first time and it went great. They had to put her under for the procedure because of her vomiting, but her teeth came out looking nice and clean with no cavities or rotted teeth. This was a huge relief, we really thought her teeth were bad because of all the vomiting she does and we can never get a toothbrush in her mouth long enough to be effective.

On St. Patricks day Trinity got her new TLSO (brace). It is really uncomfortable for her, but because her scoliosis is getting so bad we have to do something to prolong any surgeries. She has done really well tolerating it.

They have also switched Trinity's formula to EleCare. This is a hypoallergenic medical food to help with the food allergy they think she has to the Pediasure. Unfortunately she will not take this through the bottle orally so without the bottle she really don't get anything orally. This has been really discouraging coming on a year of her having the G-Tube in July, we really thought we would have made some progress by now with her eating, but instead we have gone downhill. This is something we could really use some prayers on!

We had the pleasure of spending last week in Iowa with our family. It was really nice to be with them and nice to have Shannon there with us for the whole week. The weather was pretty good and the girls always love being with their grandparents! Now we are preparing for the baby to arrive in May. Hard to believe it is getting that close!