Callie had her three year appointment last month and it went well. Callie is still tiny but is growing and is proportional. The doctor was quite supportive of our new plan to try Callie on blenderized food as her formula. I plan to blog on that later. While she was examining Callie, I asked her to look at Callie's tonsils because I thought they were quite large. The doctor was quite surprised with how large they are and referred us to an ENT to see what he thought. He too, thought Callie's tonsils are quite large and in her case, too large. He didn't even need a tongue depresser to see them clearly. And when she gags, they actually touch. The doctor asked if Callie sleeps well (never), if she snores (very loudly, all the time), and he already knew about her gagging issues when she cries and coughs. He thought it would make sense for Callie to have her tonsils removed. So, next week, that is what we will be doing.
On Monday evening we will head to Minneapolis for Callie's annual NICU followup appointment. She will have some OT/PT evaluations and then we will meet with one of her NICU doctors. I figure our topic of the day will be Callie's lack of eating and the possibility of doing an intensive feeding program with her. Then Tuesday we will head back home and surgery will be here in Fargo on Wednesday. This will be her first, and hopefully last, surgery in Fargo but I feel very comfortable with the doctor performing the procedure. He know's Callie's history and is going to take every precaution necessary. We will actually be spending the night in the hospital so they can watch her carefully to make sure she does well after surgery.
This is Callie's first surgery where she actually understands some of what is going on. We have watched a pre-op DVD multiple times to try to help get her ready and we talk about what is going to happen. I still figure there might be some freaking out on surgery day. Three is a difficult age to reason with.
Though we aren't excited about yet another surgery, we are hopeful that this procedure will help Callie. She is a horrible sleeper and hardly ever sleeps soundly. We are hoping that once her tonsils are removed, an unobstructed airway will help her fall into a deeper, more peaceful snore-free sleep. When Callie gets upset and cries, she often gags and depending on when she last ate, will throw up. It would be absolutely wonderful if the gagging was a result of the large tonsils and this behavior would cease after surgery. That would really help me in my daily struggle of trying to keep massive amounts of food in Callie's body.
One of the good things we have in our favor for this surgery is Callie's Mic-Key button. Kids often don't want to eat and drink after surgery so dehydration can be an issue. Luckily, we will be able to feed Callie and keep her well hydrated.