The saga began when the doctor we came to see called a second doctor in because she's not one who usually works with the Spina Bifida patients. Neither was the other young doctor. They decided to cast Mason with a bent/angled knee to keep the cast from slipping off. I objected, explaining that Dr. K had not casted Mason that way originally (which they knew because they took off the orange cast). The decided they knew better than Momma.
We've found multiple issues with the hard green cast setup too (two I warned the doctor about before we even left, one I didn't forsee).
- First issue, Mason hip is not in a straight position when lying down on his back. This is bad for the hip surgery healing. It needs to spend a large portion of time stretched out straight each day and all night. The doctor we saw said we should put Mason on a bed with his legs hanging off at the knee so they would go down enough to let his hip stretch straight.
- Second issue, when lying on his belly the cast is too heavy and the knee acts as a pivot. As the foot tips toward the ground due to weight the hip is flexed. Mason can't straighten it because he lacks the muscle use to do so. Again, this is bad for recovery. The doctor's solution - a thick roll of towels under his ankles to keep the legs up in the air enough to stretch the hip straight. While that is possible to do, the moment Mason stretches forward, sideways, or crawls away he loses the towel and the hip is flexed. And if you know Mason you know he is rarely still.
- Third issue was totally unexpected but is one of the most worrisome in some ways. When Mason sits up on just about any surface (which he is allowed for part of the day) the cast angle prevents him from sitting evenly on his bottom. Instead he is tilted back on the area of his butt that was split open for months and had two surgeries as attempted closures. We don't want that torn back open and 2 weeks of pressure would do it.