It's been a while since I last posted. Life gets busy, which is an understatement for this family. Most of that busy-ness is self-inflcted and keeps us out of trouble, mostly. As I am writing this, I am sitting in the Starbucks in the River section of Seattle Children's...feels so reminiscent of 7 years ago when we were living here. I "earned" my Starbucks Gold Card here because every morning we would shuffle down here for coffee and breakfast...eventually in our PJ's because who cared anymore (except that was the 1 time I saw Russell Wilson and Ciara - pj clad and unbrushed hair!).
We are here today for another surgery. Alistair is having a baclofen pump inserted into his abdomen and then a catheter fed up into his c-spine area where the medication will be dosed directly into his blood stream, targeting his upper body dystonia and spacticity. This is something he deals with as a result of the brain injury he sustained during his heart surgery 7 years ago. He has been taking oral meds since then, but has topped out. Though the medication is effective, it isn't as effective as it could be and the dose he needs is no longer safe orally. By doing this pump and inserting it directly into his blood stream, he will not get the peaks and troughs of oral medication and the room for microdosing to keep him at a comfortable and effective level is huge. Dystonia and Spacticity effects muscle movement and can cause involuntary movement, stiffness and delayed function. He gets stiff throughout his arms, hands, back and face when the meds wear off, especially if he is tired (legs too, but not as much).
Alistair had a minor surgery last December to address a tone issue in his leg. He was spending too much time walking on the ball of his right foot, not getting his heal down. We would remind him constantly, "get your heel down!" and he would stomp his whole foot on the floor and shoot us a look. Finally we went and chatted with his doctor and she agreed that having a conversation with an orthopedic surgeon may not be a bad idea. We met with Dr. Shroeder and she examined him, put him through the rigors of stretching, walking, running, etc and agreed that no matter how much stretching he did, it was never going to loosen up and that intervention was needed. He ended up having a minor procedure that included an incision in the back of his calf that would loosen up the fascia and then he was casted with his foot bent at slightly more than 90 degrees for 6 weeks while the fascia heeled. He now wears an AFO (ankle foot orthotic) all day (including for lacrosse) and a stretching boot when he sleeps. It has done wonders for his mobility. He is able to keep up with others walking and doesn't lag behind. His power to have more explosive moves in the goal has really improved his performance and he is a little quicker with a bit more speed when he runs. We are hoping this baclofen pump will provide him with even more positive results and that he will benefit from this in similar ways.
But why 6 days from Christmas you ask? Well, if you know our family and you KNOW Alistair, it all boils down to lacrosse! Season officially starts 2/28. In order for him to have the procedure, get the dosing dialed in and be completely healed to be able to participate in sports again, we had to work backwards from 2/28 and that was now. We also didn't want him to miss any school as he is taking AP US History this year and it is hard to miss multiple days of that class. Alistair was extremely clear with the surgeon that if he couldn't play lacrosse with this pump, he had no interest in doing it, at least until high school was over. The surgeon told him, "once you heal, I don't care what you do! You'll be fine!" We got him some rib pads to wear over the area, just as an additional layer of padding.
Seth is planning to stay with Alistair tonight and possibly tomorrow night, depending on how things are going. They have a very high census here with lots of sick (RSV, flu) patients, so anyone they can get out sooner and not risk them getting sick, the better. And of course there is snow falling and threatening to blizzard (or not, depending on which hour of the day you look at the forecast!), so getting everyone home and not having to worry about it would be good too. But, we don't want to rush any of that if it is better to be here and healing a bit more first.
Alistair is such an inspiration and constant source of warmth and laughter. He is an amazing kid and just continues to move forward, despite whatever obstacles life wants to throw at him. He just laughs in their general direction and just veers one way or another and then continues on in the direction he is going.




















