Sunday, August 18, 2013

Oscar - Your questions answered

    Oscar is interesting and people want to know why and exactly what he has.  I understand that and so, since Oscar's condition is so rare and each case of PFFD and FH is different,  it is sometimes confusing to others so I've put down the answers to the most common questions I get asked about Oscar.

1)  Where's his foot?
He still has his foot.  Sometimes seeing him wear his prothetic people think he no longer has a foot.  His foot is in the AFO (Ankle Foot Orthotic) which is above pylon with the false foot.  We have not made our decision on keeping his foot but we are leaning towards lengthening.  He will have surgery when he is two on his hip, knee, and ankle.  After that surgery we will have a better picture of what we intend to do.

2) What toe is he missing?
 I can't tell you what toe he is "missing" because nobody knows.  He is not really missing a toe as much as missing an entire ray of the foot.  A typical foot has five rays, each one ending in a toe.  Oscar has a four ray foot.  

3).  Is his leg broken?
His leg is not broken.  The bend you see is just the way his tibia formed without his fibula.  It does not hurt him to have his tibia like that.  He has was born that way.

4)  Does his leg cause him pain?
His little leg causes him no pain on a daily basis.  He cries sometimes as all kids his age do for various reasons.  It is not because of pain in his leg.   If it did cause him pain I doubt he would do all things that he does.
     I do believe he has the world's 
     strongest big toe!

5)  Did he have surgery?
He has had no surgery yet.  The mark you see on his little leg is a dimple, a trademark of fibula hemimelia, not a scar from surgery.

6) Can they fix his leg while he is young so he won't remember?
Oscar's condition cannot be fixed with one simple surgery and his leg will never be completely like his typical leg.  He will require many complex surgeries over his childhood for him to have both feet on the floor, sometimes requiring cast, fixators, wheelchair, etc.  

7) Does he have a knee?
Yes, he does, it's just a couple inches from his hip since his femur is so short.  All his joints are slightly malformed and they don't quite work like the ones on his typical leg.  We hope to have them corrected when his is age two with SUPER surgery on his hip, knee, and ankle.

8) Why was he born this way?
This is a hard one for me.  While there is no known cause for this congenital deformity, I have often wondered this.   I have since made peace with this being a random occurrence but its hard not blame yourself especially when you first find out.  You knit pick even the most minuet detail of you pregnancy.  You get angry when you see shows where people pop out "perfect" babies even though they took no care of themselves while pregnant.  You think "Why my baby?".   Will finding the reason why change the fact that your child has this?  No.  When I look at Oscar, he is not mad that is the way he is, he does not pity himself, he just deals with it.  That is one of the many lessons Oscar has taught me.  While we may never know why, in the end, it really doesn't matter. 

Friday, August 2, 2013

Superstar!

A year ago I worried that new baby wouldn't be able to run and play with his brothers and sisters, that he wouldn't meet his milestones, that he would struggle to do things that come so easily to other kids.  None of these worries have come to be and Oscar is in fact a pretty typical baby and maybe even a little bit more of a daredevil than my daughter.  Oscar just got his first helper leg and we are gradually easing him into wearing it.  He is such as good crawler that wearing his leg and trying to walk is like taking a step back for him but he does see a benefit to it.  He doesn't try to take if off like I thought he would, its like he already knows his little leg should be longer.  
I thought he got a lot of stares before he got his helper leg but his leg has brought him a lot of attention!  A lot of stares and quick glances away when I notice.  Note to people who think you can stare inconspicuously - You can't!  I notice every stare, I just don't care to point it out to you that I notice.  Oscar must think he's a little superstar with all this attention and I think I'll keep it that way!  Just smile at him if you're interested to see his little leg or even ask me about him.  I'm a typical mom who loves to talk about her kids.  Just don't say "Aww, that poor baby." Oscar is rich with love from his family and everyone who meets him.  He is persistent and determined to do what he wants and that will benefit him throughout his life.
Here's his temporary leg.  A few more modifications and it will work great!

How could you not stare at this adorable boy? - just be sure to smile back!