Ashlyn Update: One Year after Surgery

Last year Ashlyn had a Posterior Medial Release done on her left foot and a Triple Arthrodesis on her right foot at Hershey Medical Center.  This was to correct a progressive club foot deformity that wasn’t present when she was a baby but by age 13 had taken her ability to walk.  I wrote about all the details in, “Prayer Warriors Needed”.  Thank you to everyone who prayed for her!!!  Dr. Sorenson was happy with the results.

IMG_0603

He had originally said she would be in the hospital for 3 days post-op.  I was prepared to stay with her and somehow position my very pregnant self on a reclining chair for three torturous nights.

Ashlyn was doing so well after the surgery that they allowed her to go home the SAME DAY!  What a relief!  With some strong pain meds, she slept fairly well.  The biggest hassle was that she was supposed to sleep on her back with her feet elevated.  She had never slept on her back in her life, and she was very grumpy about it.  Finally after several days, I called the doctor, and he said it would be fine for her to sleep on her stomach with her knees bent and feet up on pillows.

AHHHH!!  Peaceful nights once again.  She did wonderful during the day resting on the love seat.

IMG_0608

It was a little difficult for her to crawl around the house and use the toilet, but she did it with help from older siblings.  She healed quickly and her pain was not too bad.  We stopped using the medication before the prescription ran out.  The surgery and recovery were much easier than I had anticipated.  Her teachers at school gladly worked around her casts.

Right before school let out she graduated to big black boots.  She still wasn’t weight bearing, but was healing nicely.

Finally in August she was fitted for new orthotic braces that would allow her to walk.  Slowly but surely she began to stand and walk again!  Now she walks at school with a walker all the time, and walks at home on her walking track.

DSC_0015

She grew a lot in the year that she couldn’t walk.  Her scoliosis has increased to a 70% curvature which is very significant.  She is no longer able to totally straighten up, which makes walking hard.  Also her knees buckle inward.

She has also been riding her bike with a little help.  When she first received the bike some 4 or 5 years ago, she was terrified of it and would scream through most of her ride.  Now she loves it and asks to ride often!

DSC_0032

Her feet look much better than they did before.  As you can see, they still do not rest flat on the floor.

BEFORE                                                AFTER

 

 

Now she can stand without braces which she could not do before the surgery.

 

At least now she can fit into braces and normal shoes.  Big sister Areli got Ashlyn a pair of Nike wide Fly Ease sneakers that open with a zipper.  The easiest and nicest shoes she has ever had!

DSC_0010

I noticed after the surgery that Ashlyn’s toe next to her pinky toe on each foot was slightly shorter than it was before.  In fact, the toe on her left foot was drastically shorter.  On her follow up appointment I talked to the doctor about it.  Unfortunately, our beloved Dr. Sorenson had moved to Texas.  Another doctor took over for him.  This doctor had never seen Ashlyn before.  When I told him about her toe, he took a glance at it and said, “Oh yes, that it called ‘such-and-such long technical-term’ and she has had that since birth.”

“It is a lot shorter than it used to be,” I tried to explain.

“Oh no it isn’t, you just didn’t notice it before.” he promptly replied.

Well, my trust in this new doctor just plummeted to zero, and I thanked God that we had done this important surgery before Dr. Sorenson had made his move!

Prayer Warriors Needed for Ashlyn’s Foot Surgery

DSCF0886 (2)

Ashlyn is our special 14 year old.  She was a happy and healthy baby.  We didn’t know until she was 6 weeks old that she had a chromosomal abnormality.  We couldn’t get into a pediatric geneticist until she was 3 months old.  It was then that we learned that a piece of her 6th chromosome was missing.  This was very rare with less than 25 cases in the world similar to hers and none on record just like her.  I felt amazed that God would trust me with such a special little girl.  This also meant that no one knew what the outcomes would be for her.

“Wait and see,” is what they said.  Chris and I were sure that she would be almost normal.

We were wrong.

With each passing month, each passing year it became more and more clear how wrong we were.  I asked God for wisdom.  I read What to do with Your Brain Injured Child by Glenn Doman and it became my guide.

I let Ashlyn lay on her belly all the time.  It seemed like forever until she lifted her head, but she did it!  I made a crawling track for her and eventually she started to scoot!  That is, after many excruciating months in a brace to fix a right dislocated hip.  Still, that right side didn’t seem quite right.  She would drag that leg behind her while using the left leg to move forward across the floor.

300717_240310076004371_2823406_n  It took many years and a trip to the Family Hope Center to get Ashlyn to start the cross-pattern crawling.  Learning to climb up the stairs is what did it for her.  I was overjoyed!  I was ecstatic!  I didn’t care how long she crawled.  I knew she would get up and walk eventually.

                Again, I was wrong.

She didn’t get up and bear weight on her feet.  Slowly, ever so slowly, a mysterious and invisible force inside of her body began to pull her feet inward, the right more than the left.  The legs began to become internally rotated on the hip sockets, the right more that the left.  I didn’t notice and neither did all the doctors and specialists that she went to.

Ashlyn at the Hope Center 072

Finally we recognized a progressive club foot deformity. We employed many different types of therapies and braces which allowed her to stand independently for the first time when she was almost 9 years old and take 11 steps by herself by age 10.

We built her a walking track and she worked up to over a hundred trips a day!  She could walk independently around the house.

Capture

However, that invisible force kept on pulling, robbing her of all the progress she had made.  Now the only option left is surgery.  I hate the thought of surgery.  The pain.  The 8-12 weeks of recovery and non-weight being.  The bulky and difficult casts.  The unknown outcome.  The scar tissue and possible pain and arthritis later in life.  I asked God for wisdom and I figured that we had to give Ashlyn the chance to walk.

No surgery would mean no walking.

739947_574299335938775_1542733185_o

I decided to get two opinions on Ashlyn’s case.  The first with Dr. Sorenson at Hershey Bone and Joint Institute and the second with Dr. Herzenberg at the Rubin Institute for Advanced Orthopedics in Maryland.  We saw Dr. Sorensen first.  I like him so much!  He recommended a Posterior Medial Release for the left foot and a Talectomy for the right foot (removing of the talus bone.)  He had gotten a medial release when he was 12 years old and it has been great for him.  He thought that Ashlyn would be able to walk just fine!  I was so encouraged and left his office with hope.

I don’t ever remember leaving a doctor’s office with so much hope!

SAM_0639

I researched the two doctors online and my heart sank.  Dr. Herzenber had around 30 years more experience that Dr. Sorenson.  I didn’t want to travel all the way to Maryland to see him, but I felt like I would be a horrible mother if I didn’t.

Thankfully Chris came with me on the day of the appointment.  The drive was long.  The wait in the office was even longer – 2 ½ hours in the room!  Dr. Herzenberg sure knew his stuff!  He said he had done many talecomies over the years but came to realize that a triple arthrodesis produced better results.  A telectomy didn’t leave a joint at all, just scar tissue between two bones that didn’t fit together.  This was not good for a major weight bearing part of the body.  A triple arthrodesis would fuse three smaller joints but reform the talus bone into a working joint.

                I left that visit feeling like this surgery would be totally impossible!

I had to give Ashlyn the best surgeon and the best option, but I could never drive back and forth to Baltimore time and time again for pre and post-op visits.  I could never stay away from my family for the days that she would be in the hospital.

I decided to talk all of this over with Dr. Sorenson.  I didn’t know how he would react.  Some doctors bristle when you question their authority and opinion.  I prayed and prayed.  When I told him that I had taken Ashlyn to see Dr. Herzenberg for a second opinion he said, “Oh really!  He is wonderful.  I actually went to see him for a second opinion when I needed knee surgery.”

I showed him the report of Ashlyn’s appointment and Dr. Herzenberg’s recommendations.  He sat down and read the entire report, WORD FOR WORD!  I never expected that!  It was clear that he admired this other doctor greatly.

When he had finished, he said, “I see his point with the triple arthrodesis.”  He examined Ashlyn’s feet again and declared, “Yes, I think that would really work!  Yes, I agree.  I could do the surgery here for you or you could go see Dr. Herzenberg.  I wouldn’t be offended at all.”

I told him that I would much rather do the procedure here in Hershey with him as the doctor.  We talked about all the details; four weeks of casting prior to surgery to stretch the muscles as much as possible, three days in the hospital, 4-6 weeks in castes, 4-6 weeks in special boots.

“I am so glad you went for a second opinion,” he said at the end of the appointment.

                I was overjoyed!  I liked this doctor and the office much more than the Baltimore option, but I never dreamed that it would work out so well!  I thanked God over and over for this humble and wonderful Dr. Sorenson.  I prayed that God would make him brilliant beyond his own abilities!

Little Buffalo 2012 Areli 189

As I thought about writing this article in hopes of raising a prayer army for Ashlyn, I realized something.  I wasn’t really expecting this surgery to work, to actually give Ashlyn the ability to walk.  I was doing it because to not do it would seem like neglect.  But my expectations were of pain and suffering for Ashlyn, myself, and the entire family; not of a breakthrough. There were two reasons for my dismal outlook.

  1. There were other issues that made walking difficult, her hips and the 50% curvature of her spine that would not be addressed in this surgery.
  2. Everytime we had followed instructions that were supposed to help Ashlyn’s feet, it failed to do so. Doctors, therapist, and The Family Hope Center had prescribed 8 different therapies or equipement to use and here Ashlyn is…a 14 year old who can’t walk.

God has been coaxing me away from my expectations rooted in the past.  He is bringing me into faith.

Faith that the future could hold more healing and more promise than I can see right now.

fall-winter 2012 035

I am also asking Him for miraculous healing since I know that He is the great Physician and that He would do a perfect job with no pain or scar tissue!  I am taking Ashlyn to a healing room this Saturday and hope to take her To Randy Clark’s healing service on Good Friday.

Ashlyn goes for her first casting on March 21st.  Her second casting is April 4th.  Her surgery will be on April 19th at Hershey Med Center.  Could you please pray for God’s amazing healing to be displayed and for peace and comfort for Ashlyn and the rest of the family as well!  I am not sure how I am going to deal with showers and potty-time with Ashlyn in two casts, unable to stand or walk at all.  Pray for God’s wisdom and grace!  Thank you for standing with us and expecting wonderful things!