Thursday, March 28, 2019

Urology Follow Up


Today, Vincent got his 6 month (5 months late) follow up with Urology Clinic at CHEO.  In the blog below will explain how the appointment went.

Since Vincent is now 1 years old, there was some decisions that we needed to take.  When we started with the Urology clinic, Vincent was considered the highest risk.  The reason is because he had a fever and infection (UTI) in his first year of life.  Once he turned one years old, status move down from highest risk to high risk.  As per the ultrasound, his right kidney is normal but the left is still swollen but stable. The Urologist therefore gave us two options to choose for the next step.

Choice 1

The first choice was to stop the antibiotics for one year and see if he gets another infection.  His follow up appointment will be made in a year's time. If he gets an infection, we will call the urologist and then we will decide to either go back on antibiotics or do surgery.

Choice 2

The second choice is to do further testing.  The test is called VCUG.  Vincent got it done last year.  A VCUG is when they put a catheter in his bladder, fill it up and then take x-rays while he pees.  Because Vincent is so young, they would have to strap him to a piece of wood while I hold down his arms.  It’s very painful to watch.  It might just be a 5-10 minute procedure but it feels like forever.

Which did we choose and why?

Pat and I decided to go with the first choice.  We did think it out and feel like it’s the best choice.  The urologist asked us how he does with his meds. Was it simple to administer it? We advised her that since his January hospitalization, it’s very hard to give him meds and that he spits them out.   Also as of April 1st, OHIP+ is changing.  Kids with private insurance are no longer covered, therefore we would have to pay 20%.  I know 20% is not bad but if he spits out 3/4‘s of it then it’s not worth it.  The Urologist also explained that Vincent should be fine when it comes to UTI’s until we start potty training him.  The reason is because that’s when he needs to learn to hold in his pee and that will cause infections.  To help prevent infections, we can give him probiotics and let him eat yogurt.  Vincent loves yogurt therefore that isn’t a problem.

I hope this helps understand Vincent’s urology issue.