At the clinic, docs from all the disciplines that we will need for the munchkins were there to evaluate them. There were probaby 10 kids at the clinic, and we all just rotated through visiting the various docs. We saw a pediatrician (who coordinates the program), an audiologist, two orthodontists, two oral surgeons, a pediatric dentist, an ENT, a plastic surgeon, and a speech pathologist. The speech pathologist also helps coordinate the clinic, and she was the one who spent so much time on the phone with me before we traveled to get the munchkins.
The orthodontists, oral surgeons, and dentist were all in one room, as were the plastic surgeon and the ENT, so it wasn't as lengthy and overwhelming as it sounds :)
Our next step is to schedule surgeries. Here is where we're going to start:
- David will have a palate surgery. He has a very wiiiiiiiide cleft, so the surgeon said he will try to get his whole palate closed up, but we may need to do the closure in stages (i.e. multiple surgeries).
- Samuel will have a combined surgery - a lip adhesion and palate surgery. The lip adhesion means that his lips won't be completely fixed, but first the sides of his top lip will be attached to his funky lip bump (which is actually called a prolabium if you want to get technical and doctor-ish). This way his upper lip can start growing back toward a more normal position while it heals. So it will still look funky after surgery. In the same surgery, the surgeon will close Samuel's palate, which should be completed in just one surgery. (Samuel's next surgery will be about 6 months later, and his lip will be fully repaired at that time, including repositioning muscles and lining everything up.)
Pros for having surgeries on different days:
- Only one munchkin at a time will be recovering and in pain, and coming off anesthesia.
- There will be only one munchkin potentially waking us up at night due to pain/trauma/anxiety/post-surgery issues.
- Only one munchkin at a time will be uber-needy because they just had surgery. (I'm not sure how this differs from our every day uber-neediness especially a month ago when we first met them... but I'm sure it's probably worse.)
- Both munchkins will be recovering and in pain and coming off anesthesia together, rather than us doing it all once and doing it again a month later.
- We'll potentially be up anyway with pain/trauma/anxiety/post-surgery issues, so we might as well get up with both boys (i.e. we'll just be sleepy for one block of time instead of two).
- We have experience with both munchkins being uber-needy at the same time.
- Jason only needs to take off work for one short block of time instead of two.
- We're pureeing food for three weeks of the recovery time anyway, might as well make a double batch!
We're both leaning toward doing the surgeries on the same day. Please pray with us for clear direction on this decision.
(((hugs))),
chris the crazy two-fer momma
1 Chronicles 16:11 Search for the Lord and for his strength; continually seek him.