As you know if you've been reading this blog for a while, Emma will have surgery on her arms at some point to straighten and strengthen the wrists. Many people with TAR Syndrome undergo this type of surgery.
Last Monday we took Emma to see Dr. Lightdale, a hand/arm surgeon at CHLA. Dr. Arkader had recommended that we see her and talk to her about surgery options. Apparently Dr. Lightdale uses a modified version of the centralization technique, with an internal pin rather than an external fixator, but she feels that it's been quite successful for her patients. She presented her own philosophy and approach to surgery, and told us that she would be happy to do the surgery on Emma's arms if we wanted her to.
Dr. Lightdale also expressed willingness to act as a local support person if we still want to go with Dr. Paley for the arm surgery; in other words, she would be happy to adjust the fixators, etc., during Emma's recovery period.
Dr. Paley has been our first choice for a long time now, but lately we've been wondering if it will be economically feasible to use a doctor who is 3000 miles away! I thought we would be able to afford it, but that was before I developed so many health problems of my own and ended up in a wheelchair.
We are praying for guidance in this matter...we want the best for Emma in every area.