Wednesday 11 July 2012

A spanner (or k-wire) in the works

An interesting twenty-four hours has seen Katelyn's cast change which was scheduled for 23 July brought forward to the day after tomorrow.
Katelyn's now been 'in-spica' for six weeks and we were counting down the days until her mid-treatment cast change which had been booked in - albeit, late - for eight weeks' in. While we've been careful to protect her cast from spills and thrills along the way and have been fastidious about her hygiene, the fact of the matter is that spicas get smelly. Really smelly. I had heard that this is entirely normal - six weeks' worth of skin and sweat build-up (ew, gross!) ain't gonna be pretty. But, yesterday morning, when I could smell my poor princess from six feet away, I decided it might warrant further investigation.
I enlisted Grant's help when he came home from work around 5pm. Armed with a packet of wipes and a torch, he set about doing a bit of an examination of the cast and nappy area to see if he could pinpoint the cause. There, under the cast, and over the top of her sore left hip, was swelling and seepage. Her 'big wound' (the smaller, completely-healed one, is near her groin) had come open.
We rang the Hospital's E.D. but, being after-hours on a miserable Winter's night, were advised to stay at home, monitor Katelyn's condition (she was comfortable and happy with no fever) and call up to the Hospital in the morning. 
Turns out the cause of the issue is one of the two k-wires which have been inserted to hold Katelyn's hip steady. One of them has dislodged and is now protruding and opening the wound. The k-wires are apparently about 2mm each in diameter, so the smelly mess inside her cast (and the potential for infection) is not insignificant. Because of this risk, Kate's surgeons have decided that it will be best to bring the cast change forward to Friday so they can remove the pesky  k-wires and apply a new cast under a general anaesthetic. She's been taped up to protect the wound site and we're now preparing for another over-nighter on Friday. And, if I remember to ask, a bright pink cast this time. Because the purple's 'sooo six weeks' ago'. And because I hear hot pink's the colour for Spring 2012 ;-)
Kate on the move 
http://www.youtube.com/watch?v=3kcN_17sDAU&feature=youtu.be
Little Miss Giggles
http://www.youtube.com/watch?v=tpnF1NTq4a8&feature=youtu.be

2 comments:

  1. ooh poor little darling. Life in spica and with DDH never seems to run smoothly. Well done for spotting it though. Erin had two k wires aswell they are out now. Will be thinking of you over the next few days. x

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  2. Thanks Emma, yes, we're learning just to roll with the punches, lol! I'm just hoping they've been in place - properly - long enough to do what they're meant to do. I'm guessing they'll x-ray her on Friday to check? xx

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