26.5.18

Adventures in a Palvik Harness.

It has been eight weeks since Squeaky went into his Palvik Harness.
It has been a steep learning curve and also lessons in empathy with my mother.

We learnt early on that pee socks are important with little boys when trying avoid getting pee on a harness you are not meant to take off. We have got very good at wiping him down instead of bathing him. Although this comes more problematic when there is a nappy explosion. More so if you are getting ready to out to a party and you are in your favourite party clothes. Note if you pick up a baby have the legs their babygrow squish under your hand. Call in reinforcements and all wipes you can manage. That particular night was a two person job and taking velcro off and sponging off poo was not as fun as it sounds!
We found dresses work really well especially with the tricky nature of nappy changes, to be fair nappies have been the bigest challenge.
Squeaky himself is pretty happy, he kicks his legs like a footballer and is happy.  Holding him feels odd and you have to careful of where his legs are and we are no longer comfortable sitting in the rocking chair which is annoying.

Our first check up had been delayed a week and we arrived to a doubly busy clinic. Squeaky was scanned and it was felt that his right hip was improving but the subluxated left hip had not. This was gutting news. We took the harness of there and Squeaky was smelly, he had not had a bath for three weeks. We booked in the next consultation, feeling very sad and lots hugs given. Mr Gin and I headed home, with a smelly Squeaky, on a London bus in our own bubble of silence as we absorbed the news. On the way home one the surgeons we had spoken with rang, she had compared Squeaky's initial ultrasound with the one taken that day and said there was a small improvement. She asked that we come back in two days and get Squeaky fitted into a Harness again. We agreed.

We took him home and gave him a much needed bath. He was not all that happy as he stretched his legs out but the bath soothed his legs.  Out of the harness he felt tiny and delicate to hold.

We returned to the hospital, early in the morning, to be refitted. Squeaky was a delight, smiling and giggling and proving that he is resilient by not changing his behaviour over the next two weeks as we settled back into harness routine. We went back to the hospital in two weeks and had another check, again they felt there was minimal change but compared the ultrasounds there in the clinic.  They left in the harness and off we went, knowing that there was improvement but it was very slow and we were looking at  a possible three to five months in the harness.

We had got good at removing the harness by watching the professionals and marking the harness. This meant Squeaky got a bath once a week and when we had a poo explosion a quick wash. A little more civilised.

We went back for the seven week check last week. Again another ultrasound with minimal change. Two surgeons went off and compared the four ultrasounds. The right hip is looking like a normal hip but the left is showing minimal change. It is still subluxated. They recommended that Squeaky come out of the harness and he is booked in for a closed reduction.

The closed reduction will occur in July. They will inject a dye into the joint and manually manipulate the joint into the right position. They check if there is ligament pulling at the joint, if it is, they will cut it. Then they will put him in a spica plaster cast, that goes from his waist to the ankle on the affected side, knee on the other. This is done under general anaesthetic.

We are currently harness free and having to do another wardrobe exchange as a lot of the clothing that went over the harness swamps him now.  He is happy, chirpy self although the first night home in pain due to his legs stretching out.

It has taken me a week to write this because the escalation of Squeaky's treatment is upsetting. I am disappointed the harness didn't work, guilty that my genetics have bred so try and frightened about putting me precious little boy through this. He will be six moths old and having a general anaesthetic, scary. I really hope this works because I don't want him to end up like me and able to remember treatment because it went on so long.

Right now I am trying to focus on enjoying my delightful little boy and introducing him to his Australian grandparents. After they go, we focus on providing the best care and outcome for Squeaky, his hip and long term health.

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