Roger has lost many baby teeth since last year. Teeth are sprouting through the bone grafted cleft site and his orthodontist is pleased with how his teeth are coming in. Because his adult teeth are coming in, it is now time for the real thing -- braces! Little Roger has been going to the orthodontist since he was two weeks old and has had many procedures. Now he's just like the teenagers and has own set of braces. He chose blue from a palate of colors for his bands. He said they hurt, but he's mostly worried about all the foods he can't eat. He's looking good and continues to transform every year.
Here he is waiting to get braces put on:
Roger had the privilege of getting help from Grandpa for his Pinewood Derby car. It would have just been a plain old block of wood if I would have helped him.
We all enjoyed seeing all the creative entries for the race on the digital racetrack.
We were all excited see Roger win second place for the Tiger Den!
Incidentally, it's been 5 months since the bicycle crash. We went to see a dermatologist about his scar (and about my crow's feet) and he said that if the scar is not growing, it is not a keloid scar, but a hypertrophic scar -- and will probably flatten out within 3 to 5 years. Yes, years. But, this is good news, as maybe surgery won't be necessary, especially if it does not bother him.
In other news, Roger is going to be tested for the gifted and talented program for math! I am so happy about this! Even he does not qualify for the program, it shows that the school sees that there is some talent there. It seems to be running in the family, as his brother was selected for this program as well.
E-mail me at firstname.lastname@example.org if you have any comments or questions.
I sent pictures of Roger's nose as requested, which is now 10 weeks after the crash. Here are the "worm-hole" pictures I sent. Again, not the most flattering pics, but they give you an idea of the shape of his nose. The concern is the scar tissue in the right nostril, which I think is a result of the crash. There is a chance it will just settle down. Dr. Mulliken said, "The shape of Roger’s nose looks quite good. As you note, there is scarring in the floor of the right nostril. I’m afraid all you can do is allow time to settle the scar…Mederma probably won’t help.Have to wait at least 1 year for scar to mature; then decide whether another procedure is needed."
As for the Mederma, I have been trying different "potions" to try and create a miracle cure. Roger does not seem to mind.
Here are the pictures I sent Dr. Mulliken:
You can get a view of the teeth here as well. Good on the bottom. A little if-y on the top.
I swear this boy is going to give me grey hair. I have spent a lot of time comparing and contrasting photos. Photos before the surgery and after the surgery; photos after the surgery and after the crash. I am driving myself mad.
I have sent new photos to the surgeon and now we will just wait and see what he says. If he wants us to come back, we will come back.
The surgeon, being a perfectionist, and being very familiar with the work that he did, is sure to point out the flaws. But, just looking at this photo will make me rest easier tonight.
Chris took Roger on a bike ride Friday afternoon. Unfortunately, Roger wiped out on his bike scraping up his knee, elbows, and nose. Oy vey. They were a few blocks from home and couldn't bike home, so Chris called me to pick them up. I was in disbelief at the news. All this planning and traveling and waiting and revealing, and now this. When I saw Roger, his nose was all bloody, and that's all I could focus on.
I went through the first aid kit, my mind racing and my hands shaking. I honestly did not know the best way to approach the situation. I cleaned him up the best I could. His knee probably took the worst of it, but I wasn't worried about his knee.
We sent pictures of Roger to the surgeon and he said it looked like one of the incisions had been disturbed and to just keep the would clean. He could not tell if any of the 6 or 7 sutures used to hold up the cartilage in the tip of the nose. He asked us to send pictures in a week.
He is more swollen now on the right side of his nose. We are watching it closely and hoping we do not have to go back to Boston to get it fixed.
Roger looks like those people in Beverly Hills who go under the knife hoping to look better. I was thinking of having the procedure myself so I could have the same experience.
But, Roger did not choose to have this done. Part of me wonders if we should have left well enough alone. But, as a mom, I noticed the extra stares he would get because his nose was flat and wide. He also could not breathe out of one nostril. Dr. Mulliken has a stellar reputation and he did not think he should go his entire childhood being the object of stares.
It's hard to tell what he looks like under the bandage. It reminds me of that creepy Twilight Zone episode.
Today he had the stuffing taken out of his nose. It looked like a magician removing endless scarves from his sleeve. The doctor thinks the stuffing was the reason his eyes were irritated as it also blocks the tear ducts. We had been giving him medication for pink eye, but I guess we can stop that now.
Roger can now breathe and is in much better spirits.
We made another trip to Boston for surgery at Children's Hospital. We've had several consultations with Dr. Mulliken, but he has never performed surgery on him until this time. He did a septorhinoplasty -- which is basically fixing the nose. The goal was to make it more narrow and to make it project more, changing the shape of the nostrils, and lengthening the columnella. Dr. Mulliken told us it will be a noticeable difference.
The surgery was on August 15. We had to be there bright and early at 6am, with the surgery starting at 7:30. Right around 7:30, you could hear the hustle and bustle of all the different specialists, nurses, anesthetists, and surgeons consulting with each of their patients and getting them prepped for surgery. Roger happily played with Legos until it was time to go.
I went to the OR with him this time (last year it was dad) and I stood by him while he went under. I was overwhelmed at the idea of being in the room, watching him move to the operating table and seeing all the instruments that would be used to work on my son. The anesthesiologist talked to Roger about being an airplane pilot saying that I was his copilot. Then we counted some breaths, and then he was out. I gave him a kiss and found myself being tearful as I walked away.
And then we waited. Chris and I ate breakfast, read stuff on the iPhone and iPad, and slept. The nurse would update us every hour and a half. After six hours, they were finally done. Dr. Mulliken said that Roger's nose was a lot of work and joked that he was glad that he did not have to do anything else (we previously talked about revising the lip as well.)
And then, we got to see Roger. He was sitting up eating a popscicle. But as soon as he saw us, he got pretty sleepy and slept for quite a while. He's got a bandage over his nose, small sutures, and packing up his nose. He will get the packing removed tomorrow.
We sat beside him for hours. He ate some grapes and some pretzels. They thought he was well enough to leave the same day. We were all very happy to not have to stay overnight in the hospital. So now, we are resting comfortably at our friends' house.