Jonah had his follow-up appointment today along with a renal ultrasound and xray.
GOOD NEWS:
1. Stent is still properly in place in the left kidney/ureter and bladder.
2. Right kidney is reduced in size and looking good!
3. Jonah's urine looks clear and good! No sign of infection.
4. We can start turning off the catheter and letting Jonah try to void on his own. Then as a extra precaution, we will turn on the catheter to ensure bladder is completely empty. This will also give us an idea of how efficiently Jonah is voiding on his own. This process is called "cycling".
5. Jonah can try school starting on Thurs or Friday. I am leaning towards Friday to give him the next 2 days to get use to "cycling".
6. Jonah can start horse riding lessons again. I didn't expect that!
7. Jonah has seemed very tired the past few days, but doctor is not concerned about that. As long as there is no fever or vomiting, he thinks we are ok.
BAD NEWS
Left kidney is still significantly enlarged. On 8-31, pre-surgery, it measured 17 cm. Normal should be around 9 cm. Today it was only down to 15 cm. So there is progress, but the doctor was hoping for more improvement at this point after surgery.
He is very concerned there is damage to the left kidney from the hydronephrosis, but it is too soon to do a renal scan which would check the kidney function.
PLAN OF ACTION
Monitor Jonah's urine output for the next 30 days, and another ultrasound on 10-20 to check on left kidney size. Hopefully more improvement in next 30 days!
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