Some people have a hard time explaining rock 'n' roll. I don't think anyone can.

Jun 22, 2010 15:14


Thank goodness for music to soothe nerves and the worries and keep me awake when I can't sleep for, oh what is it now, 31 hours awake?
It is what it is. I just hope one day, one of my kids work a night shift (temporary of course) to just understand the sacrifice or precious sleep I make for them.

While we're on the subject of music, American Idol has finally listed their dates for auditions....  August 3, 2010, East Rutherford, NJ, at the Izod Center. I was strongly considering trying out, but I may not due to potential probable surgery. Not for me, oh psssh if it were it, surgery wouldn't stop me.

No, it's for Ryan.

We went for our follow up sonogram at the urologist and while the left kidney has improved, the right one has worsened and now has been upgraded to a 4/5. This sonogram here is not Ryan's, but is similar in where the pyramids of the kidney are severely noticeable. And here's a drawing that demonstrates it as well, and Ryan falls in between moderate and severe. He probably has the the most common type of blockage, and its found where the ureter joins with the kidney,the ureteropelvic junction. (ureteropelvic junction obstruction.) A blockage at this juncture is usually due to an abnormal narrowing at the top of the ureter.
This next  step is to undergo a renal (kidney) scan (MAG 3 with lasix) which provides very sensitive quantitative information regarding kidney function and drainage characteristics and be able to pinpoint the obstruction.  There is still a slight chance it can resolve on its own, but the doctor highly doubts it. We will be getting this test done hopefully within a month, I'm waiting for Schneider's Children Hospital, opps I mean, Steven and Alexandra Cohen Children's Medical Center (They recently changed their name) to get back to me with an appointment for the test. After that, my guy feeling is that we'll be planning for surgery.  I'd love to be proven wrong and a worry-wart, but I'd rather be pleasantly surprised than niave. 

This part is a little lengthy so I placed it inside a cute.

This information is from Children's Hospital- Boston

Laparoscopic Pyeloplasty
When the kidney is obstructed, it may be necessary to perform an operation to correct the obstruction by removing the narrow part of the tube and re-connect the kidneys drainage system. The obstruction is usually near the kidney at what is called the ureteropelvic junction. The operation to correct this problem is called a pyeloplasty and may also be performed laparoscopically using robotic surgery equipment. The open surgery is usually performed through a cut in the side, just under the ribs, or in the back under the rib. Children usually stay in hospital for 3 days.
When a pyeloplasty is performed laparoscopically, it may take a longer time, but children usually can go home within 24 to 48 hours from surgery. The surgery is performed through three or four instrument ports and accomplishes the same thing as open surgery, which is to remove the segment of the ureter causing the obstruction and re-attach the ureter and kidney to permit more normal urine drainage. A tube called a stent may be left in place temporarily to help with healing. The stent needs to be removed with a brief cystoscopy (passing a small telescope into the bladder through the urethra) under a short general anesthesia.

Robotic-assisted laparoscopic surgery may take a longer time, but children usually can go home 24 to 48 hours after surgery.

The specific treatment for UPJ obstruction will be determined in consultation with your physician based on your child's age and overall health, the extent of the condition, your child's tolerance for specific medications, procedures or therapies, expectations for the natural history of the condition, and your opinions and preference.

This is the hospital he'll most likely go to.

So for obvious reasons, I'm doubting the possibility of me singing at Giants Stadium anytime soon.. I think I have other priorities at this point.

ryan raphael, american idol 2010, health, hydronephrosis, hospital

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