Wednesday, March 14, 2012

Well...this is new? Toxic Synovitis

Leave it to our Evelyn to come down with something that pretty much no-one but Doctors and Google seem to have ever heard of!!!

It all started on Monday afternoon while Evelyn was at daycare. Kathy said randomly started complaining that her leg hurt and eventually it came to the point that she refused to walk.

So Jay brings her home like this and its clear she wont put weight on it and she is definitely not walking normally when she does try to walk. It was even more odd because I could bend, pull, push, twist and do whatever with both her legs while she was laying on the floor or even sitting up...but standing or walking...was not going to happen. We were completely stumped and, admittedly thought it might be more ‘diva Evelyn’ then anything actually wrong with her. We ended up calling the doctor though just to be sure and they agreed that we should wait it out through the night to see if it improved (or she forgot) by morning.

And by the next morning, she was totally fine. In fact I made her run around the house because I wanted to be truly sure she was back to our old pumpkin. I called Kathy to let her know it must have been a weird fluke and I was bringing her to daycare and heading to work…but I was going to stay home a little longer in the AM with her just to be sure…”

Sure enough, 20 minutes goes by and she is complaining her leg (knee) hurt and she begins to limp, hold onto to things to walk and then reverts to just walking around on her knees.  Clearly, I have to take her to the doctors now, which they run a clinic for from 7-8 a.m. and I show up at 7:57 and the receptionist gave me the snottiest look, rolled her eyes and said (in the tone of all b*tch tones) “the clinic closes at 8 a.m.” so I said “ok, my daughter can’t walk so should we just head to the hospital now then?” and she was taken back b/c I was just as snotty as she was (trust me…she ain’t seen nothing…this is my pumpkin…she’s lucky I didn’t reach through that freakin’ glass) so she tells me that she will have to ‘wait and see if there is a doctor in the office ‘… it’s a freakin’ doctor’s office!! I hope there is one!!!

And of course there was… (a Dr. Evelyn too…made Ev happy…lol)

So Dr. Evelyn (has a nice ring to it….hehehe) checked out my Evelyn’s legs and did all the things I had been doing. She could see that (while laying down) you could bend, pull, twist…blah blah blah. Then she asked us to take a walk… and when Evelyn tries to walk her one leg automatically inverts in and you can tell it is not comfortable for her….so we did a few steps and the doc told us to come back and have a seat.

Then the doctor said, "I see Evelyn has a runny nose here. Has she had this cold for a while?" And I’m thinking, "What? Why are we talking runny noses?!?" And really…if it’s not an ear infection or a high fever, I really don’t know ‘how long’ it’s been there??!?! But I just said yeah, she is in daycare, it's common for her to have the sniffles and what not. So, then Dr. Evelyn lays it on me...she explains that what she believes happened is that Evelyn’s cold (more or less) has spread to her….wait for it….her HIP?!?!

At this point I’m thinking that maybe they really didn’t have any doctors on staff and this woman was pulled off the streets and given a white coat. Again, I'm digesting what I'm hearing - "She has a cold…in her hip?!"

Dr. Evelyn explained that pumpkin's cold is a viral infection that has now infected her hip as well, and that it's actually possible and common in toddlers (more so boys then girls…but still leave it to Evelyn...and her Polish heritage...LOL...just kidding Tylecs!).

The technical name is ‘toxic synovitis’ which is "the most common cause of hip pain in children. It is caused by a viral infection that sometimes (but not always) settles in the hip joint. The virus causes swelling at the hip joint, which makes walking painful. Usually just one hip is affected," according to kidshealth.org
The bad news, its essentially making it impossible for Evelyn to walk....anywhere! (And pumpkin, I love ya, but you are not the light weight you used to be!) We have to carry her pretty much everywhere! The good news, it’s completely treatable and she should be just fine in a few days ( fingers crossed). Treatment includes giving her Ibuprofen every 6 hours for at least the next 4 days…since its an anti-inflammatory medicine it should reduce the swelling and she should be OK to walk soon.

The doctor also explained the reason Evelyn would point to the back of her knee for ‘where it hurt.’ This was because the nerve endings for the hip come down to the back of the knee so its actually displaced pain and Evelyn doesn’t realize its actually her hip that hurts.

She also explained while Evelyn was OK for a little bit when she woke up yesterday morning....since she slept for 8+ hours, she let it rest…aka the inflammation went down…so she felt normal… and then Mommy made her run around the house….aka – irritating it all over again… GO MOM! (sh*t!?!? I didn’t know!!)

Can't wait for my pumpkin to be back to her old self. However, this has made me realize how lucky we are to have always had her in good health (well, minus the numerous ear infections and 'daycare fevers'). But really, some children are immobilized all their lives...I find watching Evelyn scoot around the house on her knees and bum-bum to be completely heartbreaking...I can't imagine if this was her every-day life. But I do want to note, her spirits have not wained at all. She is more then ready to play, do puzzles, get tickled and jump on 'pony daddy.' This is just one of the many bumps in the road we will face as parents!

Side note - Dr. Evelyn had a few diagnosis' for Mommy while we were there....apparently, Bear Bear should not be making trips to the doctors office or anywhere out of the house for that matter. She noted if Evelyn is that dependant on him its not an absolute bad thing but, at this point, it should only be for bedtime. I tried to explain how scared Evelyn was about going to the Doctor, finding out what was wrong with her leg...expecting the worst....she needed Bear Bear's comfort and reinsurance, and right then, Dr. Evelyn gave me the look "Who's Bear Bear is it?" ... oh no...


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