Sunday, May 8, 2011

MRI / EEG / CT Scan

WARNING: tons of boring medical info in this post.
Cade's developmental pediatrician wanted Cade to have an EEG (electroencephalogram-measures electrical activity of the brain) because of Cades history of 2 grand mal seizures. She wanted to make sure Cade wasn't having little seizures daily that would effect his development. She also wanted an MRI to look at his brain structure. He has an MRI in the NICU but none recently.
Cade also had a dentist appointment and x-rays revealed that he is growing malformed, pre-cavity clumps of teeth that are erupting bilaterally on his lower jaw where his six year molars should be. He determined that Cade should see an oral surgeon and these teeth should be surgically removed. We saw an oral surgeon and another pedi dentist. Cade of course was uncooperative for the x-ray they needed. So they ordered a CT scan to get a good look at Cade's teeth. We were already signed up for the MRI and EEG with sedation so they just tacked that one on. So here we were, NPO again for another long day of studies.Cade loves to get sympathy for his owies so he was milking this IV (that took 3 sticks) for all it was worth. Typically when Cade has sedation for procedures, they will use Michael Jackson's drug of choice, Propofol. However, Propofol happens to be an anti-seizure drug so that would make the EEG invalid. So the anesthesiologist used a different drug Cade has never had before, Precedex. During Cade's procedures, his heart went into a scary arrythmia called prolonged QT syndrome. So a stat 12 lead EKG was ordered to look into this arrythmia. The results were immediately faxed to Cade's cardiologist and Shane took Cade the next day to see the Cardiologist. His EKG in the office was normal. He thinks Cade has something called medication induced prolonged QT syndrome and gave us a list of meds to avoid. On the list is Benadryl and all of Cade's asthma medicine. Can this kid get any more complicated??? He had a very rough time and took two hours to wake up from anesthesia. He couldn't even walk to the car :( We have follow up appointments for all of these results and I will get back to you on that.

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