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Thursday, September 20, 2012

Liams Surgery Details

The big day will be
September 14, 2012
at 6:30 A.M
Only 17 days away
Although it was a long day for Liam it all went well. Liam was not put in casts at his pre-operation appointment and he never had blood drawn at his appointment with the anesthesiologist. So, those two alone made it a good day lol.
After Andrew’s appointment with the ortho doctor (his foot looks like its healing and doesn’t need to be seen for a couple months) Liam had his pre-operation appointment with Dr Albanese. Liam clearly knows Dr. Albanese’s face because Liam watches him like a hawk. Andrew and I can touch and move his feet around and not fuss at all but when Dr. Albanese touches or moves them he freaks out. Which is both funny and sad lol? Dr. Albanese talked about all the stuff he wants to do and the following is what he told us

(if you need to see it better you can click on the image to make it bigger)
As you see in the picture above the red line is the direction where he will make the cut for the surgery. The cut will be around 4-5 inches in length to give him enough room to work. We were a bit surprised when Dr. Albanese told us he has to put pins in both of his feet. He has to put pins in his feet because Liam has a bad case of arthrogryposis in his ankles. If the pins weren’t placed in his feet/ankles the chances of his ankles pulling back in are pretty high. Even with the pins they still have a chance of pulling back in. But it’s better to try the pins than not to try them because he has a chance they can successfully stay in place. He still has to get both achilles tendons released and bone reconstruction on both feet. When the surgery is done he won’t sew the tendon back together. What he will do is leave the tendon cut and sew his skin back together. It is better to leave the tendon cut so it grows back together properly. He will be in casts for about 3 months and within those three months the tendons will fuse together in the proper position. I know doctors have to give you all the things that could go wrong and I don’t blame them but man being a worst case scenario girl it’s not good lol Some of the risks with this surgery are infection, excessive bleeding, nerve damage, artery damage, issues with the anesthesia, and worse case, amputation. Yes I know these don’t happen too often but they can happen. His left foot which is circled in yellow will be difficult for Dr. Albanese to cut because of the deep crease in his ankle(green line). I trust Dr. Albanese and I know he’ll be able to do it.

After his pre-operation appointment we headed up to Upstate University Hospital for his appointment with the anesthesiologist. This is what the anesthesiologist told us. We will arrive at the hospital at 6:30 a.m., register then head to Liam’s room. They will give Liam a gas mask to play with and get used to so it won’t freak him out much when they put it on his face in the operating room. When the time is ready one of us will be able to walk Liam into the operating room and place him on the operating bed (operating table freaks me out lol, I’ll just say bed). I had a great sigh of relieve when they told us they will gas Liam to make him sleep before they put the IV and breathing tube in. They do have to insert a breathing tube down his throat to help him breathe. The breathing tube will be removed even before Liam will be awake. We still are unsure if he will be an overnight. We didn’t get the chance to ask doctor Albanese if he was and the anesthesiologist said it’s all up to the surgeon and that he didn’t know. So we’ll figure that out when the time comes. We’ll plan on it and if he isn’t at least we were prepared.

We just want to thank everyone for their support. We wouldn’t have been able to do it without you guys. Liam has a long road ahead of him and I am so grateful that he has you all in his life to help carry him through his journey. Thank you for everything.

In your times of prayer we would really appreciate you praying for Liam
*Be praying that the surgery goes without any issues and to keep Liam save during it all
*That the healing process will be as pain free as possible. I feel like it might be a tough recovery due to the bone reconstruction and pins
*For his nerves and emotional health during the healing process
*for our nerves before, during and after the surgery.

Thanks again everyone.

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