Cast Away

Just over three weeks ago Imp had his cast removed. It wasn’t as traumatic as we expected as despite him being very nervous the staff at the Royal National Orthopaedic Hospital were once again fantastic. They reassured him about everything and talked to him about what they were going to do. Once it was done Imp flexed his knees a couple of time but decided it was too painful to move. Off to X-ray next to see the results of the surgery.

After meeting with his consultant who was delighted with the way the surgery had gone and was prepared him to be weight bearing again we were off to occupational therapy to return the large wheelchair! This was replaced with the wheelchair we already owned and a frame to support his walking once he was confident. We were told he needed to get up and about and to allow him to do as much as he could and work with his physiotherapist and hydrotherapist to build the muscles back up and begin to walk unaided.

Slowly but surely after some tough love and tears when he couldn’t see we managed to get him up and walking, one stair at bedtime became the whole flight in a matter of days. A few days after coming out of the cast Imp decided he wanted to try a few steps on his own, to be honest it was like watching a baby take his first steps and the emotions no less immersing. He took two awkward steps and fell forward into a hug with a massive grin on his face. It was a milestone. More and more steps followed but perhaps the pinnacle of his achievement to date was his taking part in a school swimming gala just three weeks out of cast.

He was determined to join in and he took part in two races, yes he came last but when he had done his width he had a massive cheer from the parents watching. He had got into the pool unaided, hadn’t needed the pole to grab onto and hadn’t touched the bottom during the race and got out by himself! This was for us massive and as I watched him come back to his chair poolside I had to swallow a huge lump in my throat.

Throughout the process of everything he has approached it with a positive attitude, he has had a smile on his face and while there have been difficult moments I have watched him, in the main, grow in maturity as he learns to manage his disease by himself. Following the swimming gala there was a school fete, he took the decision to attend in his wheelchair as he wanted to avoid being knocked over. Knowing what you can do independently and what you need to ask for help with is all part of it. We won’t know how much progress he has made in terms of the Perthes until the 12th August when we next see his consultant and he has an X-ray. Until then he will be attending physiotherapy and hydrotherapy at least twice a week as well as completing exercises at home.

To say the Perthes turned our world upside down would be an understatement but we can finally see Imp getting stronger and stronger despite his physiotherapist telling us that he is now -5 steps compared to where he was before surgery we know with his determined nature he will battle back to fitness. He wants to be able to join in with his sisters and now he is more mobile he is getting back into arguments with them and enjoying playing with his toys and relishing his own private bedroom space.

It hasn’t all been doom and gloom of course, only yesterday we had a family get together to celebrate Grandpa’s birthday. For the first time all five of his grandchildren were in the same place at the same time. Hpops was beside herself with excitement as she got to cuddle, feed and generally coo over her baby cousins. Today was the summer gymkhana and Hpops tried hard with her riding. Imp on the other hand visited the Queen Elizabeth Park to go to the F1 Fanzone. A VIP ticket had been arranged for him by a friend who had told them about his struggles and watching the video of him whizzing about in a Caterham, pedalling a cycle claiming it was physio and hearing the excitement in his voice as he recounted the events of the day fills me with joy. As we were sitting in the house yesterday listening to the children play with Meccano cars they had played and laughing their heads off we paused to consider how lucky we actually are.

Three wonderful children, a boy who gets on with what life throws at him and tackles it head on with a smile, two beautiful girls who are growing in confidence and ability in all areas of their life. Fantastic friends who have between them lifted both me, Mr T and the kids when we are down and who have gone out of their way to make Imp feel special in a good way. We have felt blessed to have people to pour our hearts out to and next week we attend the Perthes’ association charity afternoon which will enable all of us to speak to people who have been on the same journey as us. I feel this will be especially important for the girls as they have had to make adaptions to accommodate Imp. We have taken the decision to try and do things that all three children can take part in and this has meant the girls not necessarily doing all the things they would like to! Even so the family unit is beginning to bond again, and I have to say as I write I do feel happy to have such lovely people surrounding us and caring for us and hope at some point I get to return their kindnesses and lovely thoughts as all the treats they have given Imp have helped to temper the bad memories with good ones and for that I will always be grateful.

Halfway there!

Just over three weeks ago Imp had his operation on his hip, we were worried and after a prolonged stay in hospital (5 days instead of 2/3) he has made good progress.

A fortnight in we visited the nurse at the GP’s for a wound check, they were happy with his progress, removed the steri strips and for the first time I could see the actual incision. It wasn’t as red as I thought and as all of his stitches are internal there was nothing scary about it. He was also relieved to see this as a lot of his anxiety has been around fear of the unknown and a big hole in his leg!

This week is half term but last week was enrichment week at school and Imp was able to attend for three of the days. He had a great time at the Lego workshop, the zoo visit and the Sir Teachalot  Egyptian day as well as the social side of seeing his friends and engaging in conversations that didn’t revolve around having to move him, going to the toilet or eating. We have been out and about to the local shops and with the dogs as well.

We have discovered that people react to him in a few ways, they either ignore him completely, leap out of the way as if his plaster cast is contagious, bend down and talk to him as if he is an idiot, look away and fidget because they feel uncomfortable around him or, thank goodness, treat him like he is him! He may be in a wheelchair but he isn’t deaf, or contagious or invisible! Perhaps the worst habit is people talking about him as if he isn’t there. Imp has started to realise this for  himself and has on occasion interrupted and spoken for himself and whilst I don’t allow him to be rude I am glad he is assuring himself and speaking for himself, as he has such a good understanding of what is going on he actually explains things better than me, and as he says, no-one else knows exactly how I’m feeling!

Most of his peers have accepted him as he is and arguments have broken out about who will push him around! There are a few who are reluctant to approach, more for fear of hurting him, although once I have explained he is more likely to hurt them if he runs them over then they usually feel better about him. Indeed it is adults that seem to react the worst, even staring, he and I are happy to answer questions and much prefer talking to staring. It has made me admire those who cope with long term of life long disability much more, I have only had a small dose of the ignorance of some people who cannot process those who are outside the ‘normal’ mode and that has been more than enough.

From a practical point of view we are coping well, we have devised a way of getting in and out of the car, he is beginning to be able to scoot around on the floor and transferring from place to place is getting easier and easier. My initial trepidation about being able to move him and get him where he needs to be has all but evaporated. Of course it takes extra time to get him to places, we can only fit him and the girls in the car so as a family of five we need two cars to get around or we tend to walk or stay at home.  I have numerous grazes from his plaster cast and wheelchair having fought to secure him and it in the car but the smiles of achievement when he does something, gets to join in with something or even just has a few minutes out of the house make it all worthwhile.

Rain has played havoc with plans as he has anxieties about getting his cast wet after someone told him it would tun into play -do if he got it wet, but bin bags have proven to be a cost-effective way of going out in light rain and him not melting! I can’t pretend there haven’t been moments of frustration and annoyance both from him and me but each day is a day nearer to being rid of the cast, of course it isn’t a magic wand and it won’t cure his problem overnight but it will help.

Next week is his birthday and he is a bit upset about being in cast for it, we have bought lots of Lego which we hope he’ll like and a Kindle and he is off to Brands Hatch for Speedfest, something I had booked before we knew he needed his operation. I was worried when I found out about his op and thought that he wouldn’t be able to go but a quick call and his ticket was changed to allow him access to a grandstand seat with disabled access. We still don’t know if he can go to school for the next two weeks and from that point of view things have been awkward.

Imp and I both want to be as normal as possible, for me work has not been possible as i have been caring for him but I am hoping that if he returns to school I can return to work as we will both be based in the same place but we’ll see! Whilst we are not really counting down at the moment we will be once his birthday next week has been and gone and I am sure that as the day gets nearer excitement will start to build  rather than the trepidation that took over before the operation. Of course there will be a certain amount of worry, there will still be a number of hurdles to jump over, the x-ray, the removal of the cast itself and the remaining recovery time  be it on crutches, in a less cumbersome wheelchair or the physiotherapy and hydrotherapy but we are beginning to feel we are up to the challenge.

A final word has to go to the parents and supporters of the Perthes Association as the parents on there are very encouraging as well as a source of information. Imp is looking forward to the summer get together as in his words ‘I can meet people like me!’ It struck me how aware he must be of how different he is at the moment and how others are looking at him, it also struck me that while I have been suffering with cabin fever I have managed to escape for a run with Hpops and so on, he hasn’t been so lucky and so I pay tribute to his resilience and praise just how well he has coped with being so restricted. As much as I hate seeing him go through this I am also incredibly proud of him and as well as improved biceps he has shown me what a strong person he is! Well done Imp!