Ethan had an appointment with Ophthalmology at Children's on Monday (8/23/10). This was essentially the pre-op visit. They determined the dermoid was highly elevated (e.g. sticking out as opposed to flush/flat to the eyeball) and if it is changing/growing, it is growing outward and not inward. This is very welcome news as it means it can simply be shaved off and it most likely will not be too deep - though this will not be known for certain until surgery day when the doctor begins the procedure.
The surgery date has not yet been finalized. We should hear back within a week. It will most likely be in October but we were told there is an outside chance it might even happen in September.
As far as Ophthalmology is concerned, it is a simple procedure and can be done on an outpatient basis. However, since Ethan has had a history of issues regarding intubation, the anesthesiologist may want to keep him overnight for observation as a precaution. In other words, whether or not Ethan comes home the same day or not is up to Anesthesia and not Ophthalmology.
The procedure itself most likely will only take 30 minutes but they said when you also factor in the time to get Ethan sedated, get the IV's in him, etc. - it will most likely be an hour to hour and a half.
We also met with Nutrition and if Ethan continues with his current feeding pattern, we may be able to get the G-Tube removed by October.
An interesting factoid from the "Huh? Umm, OK..." Dept.: the surgical schedule for Ophthalmology at Seattle Children's is handled/maintained by Urology. Right. Go figure...
- bob
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