Alison and the twins headed to Cincinnati this morning for a visit with Dr. Wong and the crew at Cincinnati Children’s. There has been a growing concern over the boy’s dexterity values in recent months. Their school’s physical therapy team, headed up by Janine Quirk, has noticed a decline with relation to their ankles and comparative analysis with the folks in the PT department at Cincinnati Children’s has confirmed the concern. Nolan and Jack will partake in an abridged visit focusing on options to this current development. Apprehension regarding the possibility of “serial casting” for both boys in order to combat their shortening ankle chords is very real. Serial casting is a treatment used to postpone the eventual ankle chord surgery which occurs with most Duchenne boys so that ambulation can be maintained for as long as possible. The process flexes the ankle in order to stretch the ankle chords to a maximum extended length while casting the joint to maintain the stretch. After 7-10 days the cast is removed and the process is restarted. Depending on the severity of the condition, these steps are repeated until an acceptable value is achieved. The thought of this whole process scares the hell out of me and I can only thank the enduring strength both Nolan and Jack have to get us through this chapter.
Your thoughts and prayers will help as well so please don’t be shy.
To Nolan, Jack, and Mom,
Have a safe and quick trip, I miss you already.
Love always,
Dad