Sofie had yearly follow-ups at Children's Mercy today. She saw Dr. S.P. at surgery clinic and was cleared from their care unless we have problems or concerns. Her risk of recurrence at this point is fairly low. Our main concern is her risk of small bowel obstruction, due to all the scar tissue inside her abdomen as a result of having 4 major diaphragm repair surgeries. This will be a lifelong risk, something we'll monitor closely.
She also had her yearly hearing screen with speech pathology and audiology, which she passed with flying colors. She did really well at following the instructions of the audiologist, and performed perfectly. No concerns there, just plan to continue yearly screens all throughout childhood, as CDH kiddos, particularly those who were on ECMO, are at a high risk of late onset sensorineural progressive hearing loss.
We had one new appointment with ortho this year. Many CDH kiddos also have scoliosis, some quite severe, requiring surgery. So I requested a baseline spinal film and assessment by ortho in case she has issues in the future. As you can see below, she cooperated quite well for this. ;-) She does, in fact, have very mild scoliosis right now, a 14% curve. Any curve less than 12% is considered normal, so for now it's just something to watch, and we will follow up again in one year. Dr. S., her ortho doc, is just phenomenal. He also treats my best friend's son, who has a very complex condition, and has just provided outstanding care for him. He definitely lived up to the hype. I was very impressed! We're so lucky to have the fantastic physicians we have taking care of Sofie!