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Hi folks,

Raphael had his tenotomy yesterday, after four

weekly casts. They put the emla cream (sp?)

on an hour ahead of time, but it's hard to say

whether it helped. He screamed during the procedure

so hard that no sound was coming out and even cried

a real tear again :-(. The lidocaine they injected

after the snip seemed to do something though, since

he eventually calmed down (after nursing really well),

and then slept until he woke up screaming about when

they said it would wear off. So we dosed him with

the tylenol with codeine they'd given us, had another

good nursing session, and he went back to sleep.

He's basically been sleeping between doses ever

since, and hardly nursing at all. I woke up totally

engorged this morning, and pumped 4oz in short order.

I switched to plain tylenol at 6am since this sleepiness

is not like him! It seems to be working almost

well enough.

I'm a bit worried about the other meds still, though.

The bottle said it had 6 doses in it, but we only

found 3 and half (and only gave him 3). Part of

the problem might be that after the first dose, the

syringe they gave us wasn't long enough to reach

the liquid, so we poured it into another container

(a sippy cup). I'm afraid that it may have evaporated

and concentrated some between the 2nd and 3rd dose,

but even so, I don't think there were really 6 doses

there. As I said, he seems to be okay with the plain

tylenol now, but I'm upset with the pharmacy (at Children's

in Seattle) for not preparing it in a way that made

it easy to dispense and possibly for not giving us the

full prescription :-(.

What was your experience with this procedure? When

did your babies stop being in so much pain? Anyone

else have a sleepy/not nursing baby afterwards?

For how long?

Thanks,

--

Toby 5/02

Raphael 9/05, lcf, tenotomy yesterday

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Hi folks,

Raphael had his tenotomy yesterday, after four

weekly casts. They put the emla cream (sp?)

on an hour ahead of time, but it's hard to say

whether it helped. He screamed during the procedure

so hard that no sound was coming out and even cried

a real tear again :-(. The lidocaine they injected

after the snip seemed to do something though, since

he eventually calmed down (after nursing really well),

and then slept until he woke up screaming about when

they said it would wear off. So we dosed him with

the tylenol with codeine they'd given us, had another

good nursing session, and he went back to sleep.

He's basically been sleeping between doses ever

since, and hardly nursing at all. I woke up totally

engorged this morning, and pumped 4oz in short order.

I switched to plain tylenol at 6am since this sleepiness

is not like him! It seems to be working almost

well enough.

I'm a bit worried about the other meds still, though.

The bottle said it had 6 doses in it, but we only

found 3 and half (and only gave him 3). Part of

the problem might be that after the first dose, the

syringe they gave us wasn't long enough to reach

the liquid, so we poured it into another container

(a sippy cup). I'm afraid that it may have evaporated

and concentrated some between the 2nd and 3rd dose,

but even so, I don't think there were really 6 doses

there. As I said, he seems to be okay with the plain

tylenol now, but I'm upset with the pharmacy (at Children's

in Seattle) for not preparing it in a way that made

it easy to dispense and possibly for not giving us the

full prescription :-(.

What was your experience with this procedure? When

did your babies stop being in so much pain? Anyone

else have a sleepy/not nursing baby afterwards?

For how long?

Thanks,

--

Toby 5/02

Raphael 9/05, lcf, tenotomy yesterday

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Share on other sites

My daughter was 12 months old when her tenotomy was

done very early one morning under general anesthesia.

She slept all day after we got her home, woke up, ate

a little and then went back to sleep all night long.

She woke up the next day and was fine, not even

requiring the regular tylenol anymore. We did not use

the codeine tylenol but they have her a big IV

injection of pain medication before we left the

hospital. I do not have experience with such a little

one and the procedure though. I do know that the

codeine has serious drowsiness effects and that may

take a little time to wear off even after you quit

giving it to him. If you are concerned, I would call

your doctor and run everything by him/her.

Jenni

--- wrote:

> Hi folks,

>

> Raphael had his tenotomy yesterday, after four

> weekly casts. They put the emla cream (sp?)

> on an hour ahead of time, but it's hard to say

> whether it helped. He screamed during the procedure

> so hard that no sound was coming out and even cried

> a real tear again :-(. The lidocaine they injected

> after the snip seemed to do something though, since

> he eventually calmed down (after nursing really

> well),

> and then slept until he woke up screaming about when

> they said it would wear off. So we dosed him with

> the tylenol with codeine they'd given us, had

> another

> good nursing session, and he went back to sleep.

>

> He's basically been sleeping between doses ever

> since, and hardly nursing at all. I woke up totally

> engorged this morning, and pumped 4oz in short

> order.

> I switched to plain tylenol at 6am since this

> sleepiness

> is not like him! It seems to be working almost

> well enough.

>

> I'm a bit worried about the other meds still,

> though.

> The bottle said it had 6 doses in it, but we only

> found 3 and half (and only gave him 3). Part of

> the problem might be that after the first dose, the

> syringe they gave us wasn't long enough to reach

> the liquid, so we poured it into another container

> (a sippy cup). I'm afraid that it may have

> evaporated

> and concentrated some between the 2nd and 3rd dose,

> but even so, I don't think there were really 6 doses

> there. As I said, he seems to be okay with the

> plain

> tylenol now, but I'm upset with the pharmacy (at

> Children's

> in Seattle) for not preparing it in a way that made

> it easy to dispense and possibly for not giving us

> the

> full prescription :-(.

>

> What was your experience with this procedure? When

> did your babies stop being in so much pain? Anyone

> else have a sleepy/not nursing baby afterwards?

> For how long?

>

> Thanks,

>

> --

> Toby 5/02

> Raphael 9/05, lcf, tenotomy yesterday

>

>

>

>

>

Jenni-

Mom to (10/31/01) and Kelsey (11/7/03)happy girl in DBB nights only for

left clubfoot.

__________________________________

Yahoo! Music Unlimited

Access over 1 million songs. Try it free.

http://music.yahoo.com/unlimited/

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Share on other sites

My daughter was 12 months old when her tenotomy was

done very early one morning under general anesthesia.

She slept all day after we got her home, woke up, ate

a little and then went back to sleep all night long.

She woke up the next day and was fine, not even

requiring the regular tylenol anymore. We did not use

the codeine tylenol but they have her a big IV

injection of pain medication before we left the

hospital. I do not have experience with such a little

one and the procedure though. I do know that the

codeine has serious drowsiness effects and that may

take a little time to wear off even after you quit

giving it to him. If you are concerned, I would call

your doctor and run everything by him/her.

Jenni

--- wrote:

> Hi folks,

>

> Raphael had his tenotomy yesterday, after four

> weekly casts. They put the emla cream (sp?)

> on an hour ahead of time, but it's hard to say

> whether it helped. He screamed during the procedure

> so hard that no sound was coming out and even cried

> a real tear again :-(. The lidocaine they injected

> after the snip seemed to do something though, since

> he eventually calmed down (after nursing really

> well),

> and then slept until he woke up screaming about when

> they said it would wear off. So we dosed him with

> the tylenol with codeine they'd given us, had

> another

> good nursing session, and he went back to sleep.

>

> He's basically been sleeping between doses ever

> since, and hardly nursing at all. I woke up totally

> engorged this morning, and pumped 4oz in short

> order.

> I switched to plain tylenol at 6am since this

> sleepiness

> is not like him! It seems to be working almost

> well enough.

>

> I'm a bit worried about the other meds still,

> though.

> The bottle said it had 6 doses in it, but we only

> found 3 and half (and only gave him 3). Part of

> the problem might be that after the first dose, the

> syringe they gave us wasn't long enough to reach

> the liquid, so we poured it into another container

> (a sippy cup). I'm afraid that it may have

> evaporated

> and concentrated some between the 2nd and 3rd dose,

> but even so, I don't think there were really 6 doses

> there. As I said, he seems to be okay with the

> plain

> tylenol now, but I'm upset with the pharmacy (at

> Children's

> in Seattle) for not preparing it in a way that made

> it easy to dispense and possibly for not giving us

> the

> full prescription :-(.

>

> What was your experience with this procedure? When

> did your babies stop being in so much pain? Anyone

> else have a sleepy/not nursing baby afterwards?

> For how long?

>

> Thanks,

>

> --

> Toby 5/02

> Raphael 9/05, lcf, tenotomy yesterday

>

>

>

>

>

Jenni-

Mom to (10/31/01) and Kelsey (11/7/03)happy girl in DBB nights only for

left clubfoot.

__________________________________

Yahoo! Music Unlimited

Access over 1 million songs. Try it free.

http://music.yahoo.com/unlimited/

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Share on other sites

Thanks, Jenni. I have a call in to the doctor's office.

He's still pretty sleepy, but he did have a good nursing

session about an hour ago. I think the codeine's drowsiness

might be wearing off. With a little luck, he'll be

hungry again soon and I can get some relief on the other

side too!

>

> My daughter was 12 months old when her tenotomy was

> done very early one morning under general anesthesia.

> She slept all day after we got her home, woke up, ate

> a little and then went back to sleep all night long.

> She woke up the next day and was fine, not even

> requiring the regular tylenol anymore. We did not use

> the codeine tylenol but they have her a big IV

> injection of pain medication before we left the

> hospital. I do not have experience with such a little

> one and the procedure though. I do know that the

> codeine has serious drowsiness effects and that may

> take a little time to wear off even after you quit

> giving it to him. If you are concerned, I would call

> your doctor and run everything by him/her.

>

> Jenni

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Thanks, Jenni. I have a call in to the doctor's office.

He's still pretty sleepy, but he did have a good nursing

session about an hour ago. I think the codeine's drowsiness

might be wearing off. With a little luck, he'll be

hungry again soon and I can get some relief on the other

side too!

>

> My daughter was 12 months old when her tenotomy was

> done very early one morning under general anesthesia.

> She slept all day after we got her home, woke up, ate

> a little and then went back to sleep all night long.

> She woke up the next day and was fine, not even

> requiring the regular tylenol anymore. We did not use

> the codeine tylenol but they have her a big IV

> injection of pain medication before we left the

> hospital. I do not have experience with such a little

> one and the procedure though. I do know that the

> codeine has serious drowsiness effects and that may

> take a little time to wear off even after you quit

> giving it to him. If you are concerned, I would call

> your doctor and run everything by him/her.

>

> Jenni

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Hi ,

WOW, your baby is going through alot - I would check the back of his little

casts and see how they are (soft from the excess blood - the bloody show is

normal). I would also check for the toes - touch them lightly, if they go from

the color changes from pressing, they are okay; however, if the cast is on too

tight, there might be a need for concern. Also check for slipping toes. You'll

be able to see if they are slipping. If so, a change is required.

As for my experience with Lhea, she was 3 months old, she was given General

Anesthesia and pretty much as Jenni's baby, mine slept through the whole thing.

Sure, there were times that she was not comfy, and nursing and cuddling kept her

calm. However, that discomfort went away just as fast as it tried to settle.

Also, keep the leg elevated a little by using a baby pillow under his leg. That

may help whatever throbbing he may be experiencing.

Lhea went through a 2nd tenotomy; this one was with Dr. Ponseti. I must say

that I'm not certain is a local is enough for them - I sympathize with you.

Lhea cried through the whole surgery with the exception of her casting. It is

heartbreaking; but the healing and watching them develop with their corrected

feet is worth it all. They are so resilient - have faith!

Hope this helped - at least the first paragraph.

Jennipher

Mommy to Lhea, 5/28/04; BCF; 14/7

Jenni Cypher wrote:

My daughter was 12 months old when her tenotomy was

done very early one morning under general anesthesia.

She slept all day after we got her home, woke up, ate

a little and then went back to sleep all night long.

She woke up the next day and was fine, not even

requiring the regular tylenol anymore. We did not use

the codeine tylenol but they have her a big IV

injection of pain medication before we left the

hospital. I do not have experience with such a little

one and the procedure though. I do know that the

codeine has serious drowsiness effects and that may

take a little time to wear off even after you quit

giving it to him. If you are concerned, I would call

your doctor and run everything by him/her.

Jenni

--- wrote:

> Hi folks,

>

> Raphael had his tenotomy yesterday, after four

> weekly casts. They put the emla cream (sp?)

> on an hour ahead of time, but it's hard to say

> whether it helped. He screamed during the procedure

> so hard that no sound was coming out and even cried

> a real tear again :-(. The lidocaine they injected

> after the snip seemed to do something though, since

> he eventually calmed down (after nursing really

> well),

> and then slept until he woke up screaming about when

> they said it would wear off. So we dosed him with

> the tylenol with codeine they'd given us, had

> another

> good nursing session, and he went back to sleep.

>

> He's basically been sleeping between doses ever

> since, and hardly nursing at all. I woke up totally

> engorged this morning, and pumped 4oz in short

> order.

> I switched to plain tylenol at 6am since this

> sleepiness

> is not like him! It seems to be working almost

> well enough.

>

> I'm a bit worried about the other meds still,

> though.

> The bottle said it had 6 doses in it, but we only

> found 3 and half (and only gave him 3). Part of

> the problem might be that after the first dose, the

> syringe they gave us wasn't long enough to reach

> the liquid, so we poured it into another container

> (a sippy cup). I'm afraid that it may have

> evaporated

> and concentrated some between the 2nd and 3rd dose,

> but even so, I don't think there were really 6 doses

> there. As I said, he seems to be okay with the

> plain

> tylenol now, but I'm upset with the pharmacy (at

> Children's

> in Seattle) for not preparing it in a way that made

> it easy to dispense and possibly for not giving us

> the

> full prescription :-(.

>

> What was your experience with this procedure? When

> did your babies stop being in so much pain? Anyone

> else have a sleepy/not nursing baby afterwards?

> For how long?

>

> Thanks,

>

> --

> Toby 5/02

> Raphael 9/05, lcf, tenotomy yesterday

>

>

>

>

>

Jenni-

Mom to (10/31/01) and Kelsey (11/7/03)happy girl in DBB nights only for

left clubfoot.

__________________________________

Yahoo! Music Unlimited

Access over 1 million songs. Try it free.

http://music.yahoo.com/unlimited/

Link to comment
Share on other sites

Hi ,

WOW, your baby is going through alot - I would check the back of his little

casts and see how they are (soft from the excess blood - the bloody show is

normal). I would also check for the toes - touch them lightly, if they go from

the color changes from pressing, they are okay; however, if the cast is on too

tight, there might be a need for concern. Also check for slipping toes. You'll

be able to see if they are slipping. If so, a change is required.

As for my experience with Lhea, she was 3 months old, she was given General

Anesthesia and pretty much as Jenni's baby, mine slept through the whole thing.

Sure, there were times that she was not comfy, and nursing and cuddling kept her

calm. However, that discomfort went away just as fast as it tried to settle.

Also, keep the leg elevated a little by using a baby pillow under his leg. That

may help whatever throbbing he may be experiencing.

Lhea went through a 2nd tenotomy; this one was with Dr. Ponseti. I must say

that I'm not certain is a local is enough for them - I sympathize with you.

Lhea cried through the whole surgery with the exception of her casting. It is

heartbreaking; but the healing and watching them develop with their corrected

feet is worth it all. They are so resilient - have faith!

Hope this helped - at least the first paragraph.

Jennipher

Mommy to Lhea, 5/28/04; BCF; 14/7

Jenni Cypher wrote:

My daughter was 12 months old when her tenotomy was

done very early one morning under general anesthesia.

She slept all day after we got her home, woke up, ate

a little and then went back to sleep all night long.

She woke up the next day and was fine, not even

requiring the regular tylenol anymore. We did not use

the codeine tylenol but they have her a big IV

injection of pain medication before we left the

hospital. I do not have experience with such a little

one and the procedure though. I do know that the

codeine has serious drowsiness effects and that may

take a little time to wear off even after you quit

giving it to him. If you are concerned, I would call

your doctor and run everything by him/her.

Jenni

--- wrote:

> Hi folks,

>

> Raphael had his tenotomy yesterday, after four

> weekly casts. They put the emla cream (sp?)

> on an hour ahead of time, but it's hard to say

> whether it helped. He screamed during the procedure

> so hard that no sound was coming out and even cried

> a real tear again :-(. The lidocaine they injected

> after the snip seemed to do something though, since

> he eventually calmed down (after nursing really

> well),

> and then slept until he woke up screaming about when

> they said it would wear off. So we dosed him with

> the tylenol with codeine they'd given us, had

> another

> good nursing session, and he went back to sleep.

>

> He's basically been sleeping between doses ever

> since, and hardly nursing at all. I woke up totally

> engorged this morning, and pumped 4oz in short

> order.

> I switched to plain tylenol at 6am since this

> sleepiness

> is not like him! It seems to be working almost

> well enough.

>

> I'm a bit worried about the other meds still,

> though.

> The bottle said it had 6 doses in it, but we only

> found 3 and half (and only gave him 3). Part of

> the problem might be that after the first dose, the

> syringe they gave us wasn't long enough to reach

> the liquid, so we poured it into another container

> (a sippy cup). I'm afraid that it may have

> evaporated

> and concentrated some between the 2nd and 3rd dose,

> but even so, I don't think there were really 6 doses

> there. As I said, he seems to be okay with the

> plain

> tylenol now, but I'm upset with the pharmacy (at

> Children's

> in Seattle) for not preparing it in a way that made

> it easy to dispense and possibly for not giving us

> the

> full prescription :-(.

>

> What was your experience with this procedure? When

> did your babies stop being in so much pain? Anyone

> else have a sleepy/not nursing baby afterwards?

> For how long?

>

> Thanks,

>

> --

> Toby 5/02

> Raphael 9/05, lcf, tenotomy yesterday

>

>

>

>

>

Jenni-

Mom to (10/31/01) and Kelsey (11/7/03)happy girl in DBB nights only for

left clubfoot.

__________________________________

Yahoo! Music Unlimited

Access over 1 million songs. Try it free.

http://music.yahoo.com/unlimited/

Link to comment
Share on other sites

Hi Jennipher,

Thanks for the message. Raphael turned the corner around

when I posted my note. He went from hollering when the

four hours between doses were up to not needing any meds,

with no transition in between. Woke up and ate, too, so

we're much better now.

His toes look fine (though this cast has protruded further

past his toes that the previous ones, from the beginning

[not a cast slip]), and there's no sign of blood through the

cast. It's a soft fiberglass cast, so maybe that shows blood

less easily?

--

Toby 5/02

Raphael 9/05 lcf

>

> > Hi folks,

> >

> > Raphael had his tenotomy yesterday, after four

> > weekly casts. They put the emla cream (sp?)

> > on an hour ahead of time, but it's hard to say

> > whether it helped. He screamed during the procedure

> > so hard that no sound was coming out and even cried

> > a real tear again :-(. The lidocaine they injected

> > after the snip seemed to do something though, since

> > he eventually calmed down (after nursing really

> > well),

> > and then slept until he woke up screaming about when

> > they said it would wear off. So we dosed him with

> > the tylenol with codeine they'd given us, had

> > another

> > good nursing session, and he went back to sleep.

> >

> > He's basically been sleeping between doses ever

> > since, and hardly nursing at all. I woke up totally

> > engorged this morning, and pumped 4oz in short

> > order.

> > I switched to plain tylenol at 6am since this

> > sleepiness

> > is not like him! It seems to be working almost

> > well enough.

> >

> > I'm a bit worried about the other meds still,

> > though.

> > The bottle said it had 6 doses in it, but we only

> > found 3 and half (and only gave him 3). Part of

> > the problem might be that after the first dose, the

> > syringe they gave us wasn't long enough to reach

> > the liquid, so we poured it into another container

> > (a sippy cup). I'm afraid that it may have

> > evaporated

> > and concentrated some between the 2nd and 3rd dose,

> > but even so, I don't think there were really 6 doses

> > there. As I said, he seems to be okay with the

> > plain

> > tylenol now, but I'm upset with the pharmacy (at

> > Children's

> > in Seattle) for not preparing it in a way that made

> > it easy to dispense and possibly for not giving us

> > the

> > full prescription :-(.

> >

> > What was your experience with this procedure? When

> > did your babies stop being in so much pain? Anyone

> > else have a sleepy/not nursing baby afterwards?

> > For how long?

> >

> > Thanks,

> >

> > --

> > Toby 5/02

> > Raphael 9/05, lcf, tenotomy yesterday

> >

> >

> >

> >

> >

>

>

> Jenni-

> Mom to (10/31/01) and Kelsey (11/7/03)happy girl in DBB nights

only for left clubfoot.

>

>

>

> __________________________________

> Yahoo! Music Unlimited

> Access over 1 million songs. Try it free.

> http://music.yahoo.com/unlimited/

>

>

>

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Share on other sites

Hi Jennipher,

Thanks for the message. Raphael turned the corner around

when I posted my note. He went from hollering when the

four hours between doses were up to not needing any meds,

with no transition in between. Woke up and ate, too, so

we're much better now.

His toes look fine (though this cast has protruded further

past his toes that the previous ones, from the beginning

[not a cast slip]), and there's no sign of blood through the

cast. It's a soft fiberglass cast, so maybe that shows blood

less easily?

--

Toby 5/02

Raphael 9/05 lcf

>

> > Hi folks,

> >

> > Raphael had his tenotomy yesterday, after four

> > weekly casts. They put the emla cream (sp?)

> > on an hour ahead of time, but it's hard to say

> > whether it helped. He screamed during the procedure

> > so hard that no sound was coming out and even cried

> > a real tear again :-(. The lidocaine they injected

> > after the snip seemed to do something though, since

> > he eventually calmed down (after nursing really

> > well),

> > and then slept until he woke up screaming about when

> > they said it would wear off. So we dosed him with

> > the tylenol with codeine they'd given us, had

> > another

> > good nursing session, and he went back to sleep.

> >

> > He's basically been sleeping between doses ever

> > since, and hardly nursing at all. I woke up totally

> > engorged this morning, and pumped 4oz in short

> > order.

> > I switched to plain tylenol at 6am since this

> > sleepiness

> > is not like him! It seems to be working almost

> > well enough.

> >

> > I'm a bit worried about the other meds still,

> > though.

> > The bottle said it had 6 doses in it, but we only

> > found 3 and half (and only gave him 3). Part of

> > the problem might be that after the first dose, the

> > syringe they gave us wasn't long enough to reach

> > the liquid, so we poured it into another container

> > (a sippy cup). I'm afraid that it may have

> > evaporated

> > and concentrated some between the 2nd and 3rd dose,

> > but even so, I don't think there were really 6 doses

> > there. As I said, he seems to be okay with the

> > plain

> > tylenol now, but I'm upset with the pharmacy (at

> > Children's

> > in Seattle) for not preparing it in a way that made

> > it easy to dispense and possibly for not giving us

> > the

> > full prescription :-(.

> >

> > What was your experience with this procedure? When

> > did your babies stop being in so much pain? Anyone

> > else have a sleepy/not nursing baby afterwards?

> > For how long?

> >

> > Thanks,

> >

> > --

> > Toby 5/02

> > Raphael 9/05, lcf, tenotomy yesterday

> >

> >

> >

> >

> >

>

>

> Jenni-

> Mom to (10/31/01) and Kelsey (11/7/03)happy girl in DBB nights

only for left clubfoot.

>

>

>

> __________________________________

> Yahoo! Music Unlimited

> Access over 1 million songs. Try it free.

> http://music.yahoo.com/unlimited/

>

>

>

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