Lots of doc appointments this week.
First, the girls' stats at 1-year and 5-year.
Elizabeth: 28.98" (21st percentile) & 20 lbs 3.6oz (46th percentile).
Carolyn: 43.78" (78th percentile) & 40lbs 5.5oz (55th percentile)
Second, Carolyn had post-op follow-up with urology. Her incisions -- inside and out -- look great. Everything appears to be healing well, and surgery appears to have fixed the reflux to her kidneys. She was taken off of daily antibiotics. She was put on a med (ditropan) that will help with the continuing bladder issues; the ultrasound showed some thickening of the bladder wall in areas that were untouched by the surgery. So, the constant leaking and bladder urgency that she is having (and has had for the past year) is probably unavoidable. Hopefully, this medicine will help her regain some control and help her bladder muscles relax and return to a normal state. Remember last summer Carolyn claimed that she was depressed because 1) she could not do a cartwheel, 2) she couldn't write her own name, and 3) she always had wet underware? Hmmm.... maybe that was the start of all this. Maybe that bladder leaking was the first signs of what was to come.
Third, Carolyn had a renal evaluation and consultation with the nephrologist. Ultrasounds of her kidneys showed that they are returning to a normal and healthy state, now that she has been infection free for about two months. The right kidney is no longer twisting or swollen. No permanent scarring is present on either kidney. Phew. All urine and blood levels (creatine) were in normal range. So the kidneys appear to be working normally again.
All in all, very good news.
-- at her 5-year well-child check up, Carolyn had to get routine immunizations. Although, before the appointment, she said she was going to be brave and was OK with getting the shots, she immediately started screaming and crying when the nurse came in with the shots. I think the past 6-months of shots and procedures have taken a toll on her. I have a feeling that she may have some lifelong fear and anxiety over needles. Or maybe she will become a "good patient" again when she realizes that she is better, finally.
-- when we were finishing up the check-up with pediatrician, she mentioned that Carolyn ranks as her number 2 sickest patient, of all time. Her number 1 patient also had pyelonephritis (kidney infections), but was an adolescent who did not treat the infections for a day or two after they appeared. I do not know how I feel about hearing that, but I am so thankful that Carolyn appears to be on the mend. I am so thankful that this string of illnesses was something that could be reversed, be fixed. I am also thankful that we have such a caring, competent, and involved pediatrician. I only hope we do not have to go through this with Elizabeth. If we do, I think we and all of our docs know what to look for.