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Thursday, 2 July 2009

Ocularist Appointment



We had Violet's new Scleral Shell colour matched this morning. She was a good girl and sat patiently on my lap while her Ocularist Jim Morphett painted away.

He still has to seal it and we go back 23rd July to pick it up.

Decided I would take some photos of him painting her shell today and post them on the blog, with his permission of course! He is just so good at his job!

Thursday, 25 June 2009

MRI Report 22.5.09


Received Violet's MRI Report in the mail today.

The report is very detailed and of course all mostly medical terminology you would need a degree for to make sense of it. Although there were alot of things reported on, the main areas of interest in this recent MRI Report are:

Pineal Cyst has now grown to 1cm in size (at birth measured 4mm)


*Right Lateral Ventricle now appears slit-like

*Thinning of the left skull vault

*Chronic Hydrocephalus

*Soft tissue enhancement in the CSF space of uncertain cause

*Microphthalmic and PHPV left eye

*Hypoplasia of the Corpus Callosum

*Thinned Cortical Mantle and White Matter

Thursday, 18 June 2009

Speech Pathology Report

On Wednesday, we had our individual appointment at The Spastic Centre with Violet's OT, Physio and Speech Pathologist.

As posted in one of my April posts, Violet had a speech assessment using the Reynell Developmental Language Scale and we finally got the results from this assessment.

Her language is doing very well, considering it was only a little while ago she started putting words together. Although her expressive language including sentence structure is still at a 2 year olds level. She also has difficulty identifying some objects and their names and at times has difficulty finding words to express herself.

She also noted that Violet's speech displays a mixed-resonance speech quality and after her assessment, the speech therapist examined her mouth to check her palate. As we already know Violet has massive tonsils and adenoids, but the speechie said she saw signs of a palatal abnormality, which she believes could be sub-mucosol cleft.


So now comes the task of getting this further investigated.

Friday, 12 June 2009

Ocularist Appointment

While I was in hospital last week, we received Violet's scleral shell to trial before we have it painted. It went very well and has now been given back to her Ocularist to be built up and painted at the end of June.

Monday, 25 May 2009

Pre-School Application

Well, if one good thing can come of me and my impending brain surgery, it's this!

As Pre-School applications for next year have to be put in by July, I thought to myself this would be something I really needed to organise before my surgery. Not only to make sure she got a placement but that I had been able to visit a few centres to make a proper decision.

We went and visited a couple of Pre-Schools last week, some of which as soon as I walked into made me feel very uneasy. Some of them appeared to have no structure or organisation at all!

But then I found one that I really felt good about! They had no idea I was visiting, so none of it could have possibly been orchestrated.

Not only did the centre look safe for Violet, it has a great structured program and as soon as we walked in we saw the children sitting in the room intently listening to a story being read. The staff were very informative and friendly and after explaining Violet's needs to them they were more than happy to look into organising her funding straight away! I took an application and thought to myself even though I was extremely happy with what I had seen, I still need some thinking time before putting the application in.

Later that night I filled it in and the next day I took it back into the Pre-School. I have decided on 2 days per week. They will be contacting me in September for an offer of placement for Violet. They will then book an appointment with the Director to organise Violet's Health Care Plan.

As I left the centre, I felt like a huge weight had been lifted from my shoulders! Something I had been dreading and even putting off for so long, I had finally done it and felt very comfortable with my choice.

Friday, 22 May 2009

MRI 22.5.09


Today Violet had her MRI under General Anesthetic and she was such a good girl! It never is easy to see her have a GA but she and I coped very well.

She also had to be intubated for the GA, so her throat is still very tender from having that done.

It was to investigate her Epilepsy and Vascular Malformations further. It also gave the opportunity to have a good look at how her Shunt is draining her excess CSF from her ventricles.

For those of you that may not know, Violet has Unilateral Hydrocephalus. So her left Ventricle is severely enlarged and even though she is viewed as Unilateral Hydro, her right ventricle has always been a little enlarged due to her having the hydro on the left.

Today the scans show some great results with her right ventricle, it's basically back to normal from what I can see of it. Her left is getting better slowly but still a long way to go yet. Her Neurosurgeon has always said her left ventricle will never completely get down to normal size, as it was so severe.

Here are a few of the scan images from her MRI at birth and also from today's MRI to compare:


← MRI from birth



MRI @ 3.5 years old →




← MRI from birth



MRI @ 3.5 years old →




← MRI @ 3.5 years old, a great scan showing her Shunt

Friday, 15 May 2009

Orthotist Appointment #6 and Serial Casting


Today we went to see Violet's Orthotist to discuss her left AFO, as I am not really happy about her wearing one on her non-hemiplegia side now. Since February she has been complaining about her left AFO and I have tried ignoring it to an extent as I know she is at a difficult age for being cooperative with therapies etc. But, it is now May and she is still not tolerating it.


When she was measured by the Physical Disability Clinic October 08, her left leg measured 2.5cm shorter than her right and they did suggest an AFO or left inner shoe orthotic. The decision by the Orthotist at that time was to make AFO's for both legs. But to me I thought what about the leg discrepancy?


He said he would like to persist with both AFO's and he took the lining out of her NIKE shoes as they were stitched in and hope this makes a difference with her tolerating her left AFO.


With the difference in her leg lengths, he said he will organise a leg x-ray at the next Physical Disability Clinic Appt, so they can measure the difference accurately and organise a raised inner shoe for the left.


We then went to see Physiotherapist at the Physcial Disability Clinic. Since her Botox injections last month, she is still very tight in her leg and as a result I am still finding it super difficult to get her AFO on her right foot. Then once it is on, her foot pops out of her shoe!


So, the next step for treatment of this contracture is serial casting, which even though I knew it was coming, have always been hesitant to use it.


I was anticipating a screaming match, but she was a dream! She sat there while they were putting the cast on and she was saying "I love you lady, best in the world" and "Violet Special". The first comment is her fave thing to say to people these days including to shop assistants!


She had the choice of blue, purple or red for it and can you believe it...she chose blue! So we are aiming to keep it on for the recommended 5 days. It is a soft cast, so she can still walk in it which is great.


She will be re-assessed by Physio on Wednesday to see if she will need re-casting. She hasn't complained yet, touch wood! I bought her a Snow White Doll for bribery!