Crappy Birthday

PeterPoor Jon. In keeping with the constant pain and challenges that have marked his first ten years, his birthday was underwhelming, thanks to last Friday’s dental appointment. His tongue and lips are still swollen, and we’re pretty sure he had a cold as well, so it’s been too painful to swallow. But since he’s barely been eating, we had him checked out by his regular pediatric dentist today. She was relieved to tell us that he’s past the worst of it. Late this afternoon, he’s starting to swallow, both saliva and the occasional snack, bit of dinner and a quarter of the massive peanut butter cup mailed to Jon by Midori, Tamiko, Eduardo and Tamo.

We’re taking him out for a nice birthday dinner and proper presents when he’s recovered.

“Operation Composure”

Laura If you haven’t noticed, since May we’ve seeded this blog—well, maybe once or twice—with hints and codewords about something we’ve been planning for a while. Since the thing in question didn’t even exist yet (and wouldn’t for at least another three months) we thought it would be pretty silly to do a post about it; however, I think pretty much everyone knows our plans by now (especially after blabbing all about it to guests at our weekend party), so what’s the use in hiding it?

We’re getting a dog!

“Why a dog?” you ask. One: to get us—nay, force us—out of the house every day. Sitting at the computer all the time makes it very easy to have days where we don’t even leave the house. This is bad. Two: to give Jon an ersatz “sibling”. For a while now, but definitely since his operation in July the centre of the universe has coalesced around Master Jonathan, which is not necessarily a healthy situation. We’d like to redistribute the attention a bit. Three: we felt we needed a bit more chaos in our lives. Either that or I’ve decided I don’t like to wear black anymore. Take your pick. 😛

The breed is a miniature Australian Shepherd (AKA mini Aussie). They look just like regular Aussies, but are less than 17 inches at the shoulders (which is a fair bit smaller than the Aussies’ 18 to 23 inches) and about half the weight. They are intelligent herding dogs, and look a little like thickset border collies, but don’t have the border collies’ type-A intensity. One of the best descriptions of Aussies I’ve heard is that they’re like “border collies with an OFF switch”.

We’ve been in talks with the breeder since May. The reason we’ve been waiting so long is because there’s one particular breeding pair who are calm and mellow and who have already produced mellow pups (more mellow than most aussies, anyway). Oh goody! Pretty straightforward. Until this weekend when the breeder threw us a curveball.

She felt that one of her young (8 months old) dogs was no longer suitable for her breeding program. There’s nothing wrong with him, but she discovered some fear issues in his bloodline that she felt could pop up in any potential puppies of his, and she didn’t want to risk it. She’s sad about this, since the dog himself is a real lovebug. Another problem for the breeder is that he climbs over her 4-foot fences with aplomb—not to escape, but to simply go around the house to be where the people are!

The last few times we’ve visited, this dog has been one of her “ambassador puppies”: relatively calm and quiet, and definitely very gentle with Jon. Big plus in our books. We’ve been cogitating ever since her Friday email, and even more since our visit yesterday.

And, oh yeah, to add to the fun, the mom of the litter we are considering is in heat a month early….

Getting a young puppy
Pros:
Bond with them from newborn beginning (breeder posts pics of pups from their first day!)
Start behavioural training early; easier to mold them to what you want
Puppies are soooo cute!
Cons:
Puppies can drive you crazy!!
Housetraining
Chewing and biting
You don’t always know what temperment you’ll end up with (personalities can change)

Adopting older dog
Pros:
No surprises in size, looks or temperment
Housetraining and crate training already done (Apparently housetraining isn’t totally complete. Ugh.)
We can have a trial period and take him back if it doesn’t work out
Cons:
Miss cute puppy stage
Not much other training has been done, so we’d be training an older dog—we’re not sure what has been ingrained already or not

Jon with crazy puppy
Here’s a cutie with Jon when we last visited the breeder. Note the puppy’s expression. Note that this was on the hottest day of the year (humidex 47°C). This is NOT the energy level we’re looking for.
Laura with older dog
Here’s the older dog we’re thinking of. That’s about as big as he gets!

Vote on what we should do! (Results, needless to say, are not binding.)

Brutal

PeterSecond of two scheduled appointments at Sick Kids this week: Jon’s filling. It started here, but today was the big day.

It was awful. The young Sick Kids team did their best, but Jon turned into a beast. I was holding down all four limbs, and the dentist had him in a semi-headlock as they needled, put in the rubber dam, drilled and filled. A TV played in the background with a favourite program: nothing doing. It wasn’t even his tantrumy screams—it was a lord-of-the-flies growl, loud and mean—as he thrashed and fought. He was a creature bent entirely on survival.

We try to put a brave face on it, joking around and trying to keep things light, but every time I’ve had to hold Jon down for one of these things (I’ve had to do it for some eye exams, and ambulatory work), I lose a little piece of me.

Once he was released—and never was the term so appropriate—Jon ignored all advice not to chew and began to gnaw on his frozen cheek. By the time we got to the elevator, blood was pouring from his mouth and back we went for gauze.

He has a big fat lip forming; it’ll be a weekend of ice and Tylenol.

My Trip

Jon (First journal writing of the school year. Note that even though spelling and punctuation was a bit shaky he got “iPod” correct. That’s our logo-loving boy! —L)

I went to the x-ray room to get a x-ray do you like to take an x-ray? Yes I love to! I am about to take an x-ray the docter took a piccher I like to go lisin to the iPod I love to go out of the x-ray room when I’m dune my x-ray

More fun than you can shake a rebuilt femur at…

x-ray showing a healing right leg and a poor quality left hip

PeterAh, the Sick Kids’ orthopaedic clinic. One of those energy-sucking places where time apparently stops as you wait for your appointment. At least Jon had the iPod, so he didn’t notice. 🙂

We met with Dr. Unni, and Jon’s leg has passed muster. He may now weight bear on it. For school, that means stander and walker and for home that means crawling. (Jon started his crawling last evening, and after a short distance was puffing. It’ll take him a while to get back into shape.) All of the allowed activities don’t carry any risk of major impact; anything that risks a tumble is still out for now. When the blade plate was replaced, they were able to use two of the three old screw holes. The “empty” hole has now filled in, but it’s still a stress fracture risk for a month or two.

So, after all of the good news, our attention turned to the left hip, which clearly needs to be rebuilt. Same carpentry as five years ago: (boring medical jargon) cutting the femoral head and neck and resetting it at a right angle and corrected side angle with a blade plate, and inserting a wedge of bone from the femur into a pelvic incision to improve the socket (the pelvis will fill in with bone).

Looks like it will be this coming spring (at least this summer’s excitement has us prepped: we know the routine). Book your visits early. No, really.

The most fascinating nugget is that Dr. Unni is thinking about removing the current right-leg hardware during that surgery. The thinking goes like this:

They don’t usually take the hardware out because usually there is no reason to. In general, removing it would require a second surgery, pain management, and much recovery time, all for something that isn’t causing trouble. Jon’s case (where the plate migrates to a weak spot) is rare. But since a) since it has happened in Jon, b) by then the right femur and hip will be fully healed and c) they have the opportunity—he’ll be sedated and under epidural pain management for the other hip, and he’ll be restricting his activity for months anyway (so recovery time is a non-interfering as it can be), why not?

The only problem I can see is the first two or three weeks of sleep at home. With both hips stitched and sore, I’ll be on call to turn him over through the night. And he turns over a lot.

Ice Cream and Cake

a table full of food

PeterTo celebrate our green backyard, the end of summer, Jon’s recovery, and friends in general, we invited a few folks over to have a little ice cream and cake.

The weather had been ideal for a couple of weeks, so of course a former hurricane dropped just enough rain to keep us from enjoying the deck. That said, we still had a ball.

thumb wrapped around hand
Things get this wild at our get-togethers.

blurry image of Debbie
A blurry image of Debbie, from almost the same moment as the one of me on her blog (second photo down).

More photos (including a very nice one of Laura) at Debbie’s blog.

@#$*!!!

PeterJon’s appointment to give his leg the OK was scheduled for today, but it turned out that not only had today’s clinic been cancelled, but we went weren’t told because we had been removed from the list of patients!

The deeper I get into it, the more it appears that we are caught in a tug of war between the bureaucracies of two hospitals (Bloorview MacMillan and Sick Kids). And the scheduling person in the point position—the one person who could explain why our appointment was both altered AND cancelled without letting us know—has taken an extremely extended long weekend. Grrr. It will be at least a week before we can find out how Jon’s leg is doing.

Now I have to decide whether to start some gentle physio with Jon telling me his limits, or let it atrophy more to wait for the experts.