{"id":701,"date":"2015-05-15T20:43:09","date_gmt":"2015-05-16T00:43:09","guid":{"rendered":"http:\/\/www.calliegolden.org\/blog\/?p=701"},"modified":"2015-05-15T20:43:09","modified_gmt":"2015-05-16T00:43:09","slug":"questioning-our-decisions-again","status":"publish","type":"post","link":"https:\/\/www.calliegolden.org\/blog\/questioning-our-decisions-again\/","title":{"rendered":"Questioning our decisions…again"},"content":{"rendered":"

Callie has been doing well recently. She, of course, loves school and thoroughly enjoys her classmates, teachers and nurses. But one issue we\u2019ve been dealing with the past couple of weeks is back pain. Callie has scoliosis (an \u201cS\u201d-shaped curve in her spine) and kyphosis (another curve in her spine that results in a \u201chunchback\u201d look). This is nothing new, but it might be becoming more of a problem. Our back muscles hold our spine in place, and if the muscles weaken, the spine can\u2019t remain straight.<\/p>\n

As Callie continues to grow, the curves in her back will get worse. This affects her ability to sit, breathe and hold up her head. Callie\u2019s back pain was so constant and severe that we took her to get X-rays last week. We were concerned that she may have fractured part of her spine, simply due to bone weakness all children with SMA have. Fortunately, the X-rays came back negative and we\u2019ve been able to control her pain with medication.<\/p>\n

\"callie-in-ws\"<\/a>Although we have chosen a palliative approach to Callie\u2019s care, which focuses on comfort and quality of life over procedures that will prolong life, Callie\u2019s pain was severe enough for me to start researching surgical options, particularly rod placement, for correcting the curve in Callie\u2019s spine on the chance that it might add to her quality of life.<\/p>\n

Although I had some hope, in the end I found what I expected: Surgery isn\u2019t recommended for children Callie\u2019s age. And although rods have been placed in children Callie\u2019s age and even younger, the long-term effectiveness is still unproven. In addition, there are always risks for infections, respiratory, nutritional and orthopedic complications with this surgery. I also discovered that the non-invasive approach to scoliosis, a back brace, doesn\u2019t prevent scoliosis \u2013 it doesn\u2019t even delay the progression.<\/p>\n

Surgery would put Callie through a major procedure that has no scientifically proven benefit, cause her tremendous pain and put her at risk for developing serious complications.<\/p>\n

This disease is relentless. I wish we could save her from it, but we can\u2019t. The past few weeks have provided yet another reminder that Callie will be healed someday, but it won\u2019t be here.<\/p>\n","protected":false},"excerpt":{"rendered":"

Callie has been doing well recently. She, of course, loves school and thoroughly enjoys her classmates, teachers and nurses. But one issue we\u2019ve been dealing with the past couple of weeks is back pain. Callie has scoliosis (an \u201cS\u201d-shaped curve in her spine) and kyphosis (another curve in her spine that results in a \u201chunchback\u201d […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_s2mail":"yes","footnotes":""},"categories":[4,6],"tags":[],"class_list":["post-701","post","type-post","status-publish","format-standard","hentry","category-daily-life","category-health"],"_links":{"self":[{"href":"https:\/\/www.calliegolden.org\/blog\/wp-json\/wp\/v2\/posts\/701","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.calliegolden.org\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.calliegolden.org\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.calliegolden.org\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.calliegolden.org\/blog\/wp-json\/wp\/v2\/comments?post=701"}],"version-history":[{"count":1,"href":"https:\/\/www.calliegolden.org\/blog\/wp-json\/wp\/v2\/posts\/701\/revisions"}],"predecessor-version":[{"id":703,"href":"https:\/\/www.calliegolden.org\/blog\/wp-json\/wp\/v2\/posts\/701\/revisions\/703"}],"wp:attachment":[{"href":"https:\/\/www.calliegolden.org\/blog\/wp-json\/wp\/v2\/media?parent=701"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.calliegolden.org\/blog\/wp-json\/wp\/v2\/categories?post=701"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.calliegolden.org\/blog\/wp-json\/wp\/v2\/tags?post=701"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}