Friday, September 10, 2010

The "H": Laser Treatment Two

Today was one of those days that we thought, around 11 am, might just never end. At that point, we had been awake for roughly five-and-a-half hours, jolted from sleep in the predawn darkness by the cries of a very teething baby (one that also seems afflicted with vanishing tooth syndrome, as yesterday morning we felt a new tooth which by evening had disappeared--I kid you not), we had dropped one child off at school and had battled nauseating traffic to get to San Francisco, and we had been waiting around the doctor's office for around an hour. Afore-mentioned baby had napped briefly while nursing before we left, and stayed wide awake during the entire trip, getting progressively fussy as we approached the city. By 11 am, she was losing her mind from tiredness, and, it would be fair to say, so were we.
The second laser treatment was scheduled for 10 am, but it was not until around 11.20 am that the doctor finally walked in the laser room where Rado and I were passing Raya to each other, while singing, every two minutes to keep her from bawling her pretty eyes out. After three attempts to get her blood pressure, which had made her livid with frustration, Raya was ready to cry if someone so much as looked at her. And cry she did. They wrapped her, screaming, in the strait-jacketed "burrito," and by the time we all had put the goggles on, and she had the gauze taped over her eyes to protect her vision, she was so exhausted from crying that she just sank into quiet resignation. So, 59 hits with the laser and some weak whimpers later, she came out of the office looking like this (first picture of before and after, second of each side), and calmed down almost immediately; such a trooper--
(You can compare with pictures from the first treatment here.)
Dr. Frieden did not do the spot near her ear today, because the skin there has not healed completely from the first treatment (they called it "eczema" today, and gave us a hydrocortisone cream to apply to it) and we would have risked scarring to laser it. But she did do a number of other spots, including a bunch under her chin which had not been touched last time, and the purpura left after the procedure indicates that the results will probably be satisfying. We are set to return in two months, but Dr. Frieden suggested that Raya might not need any further treatments. If when we return there are still spots that need treating, she will do it on the spot (pun unintended). We don't expect 100% healing from the laser, but with time whatever is left of the hemangioma will disappear on its own. We've also been given the green light to drop one of two doses of propranolol, and to see if the hemangioma remains stable. We will probably do that some time in the next week or two.
So, this is the news from Pleasantville. Here's hoping for some sleep tonight.

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