MORE GREAT NEWS WITH SOME CONCERN GOING FORWARD

Jonah's MRI of his left knee came back looking good- no tears!  That is great news.

The concern going forward is how to keep Jonah's kneecaps (both knees) from continuing to slip out of place.  And of course, there is always the risk that if there is a dislocation, it will cause a tear.  

So for now, here is the plan:

1. Wear knee-braces full-time.

2. Physical therapy with the hope of eventually strengthening Jonah's core and leg muscles to act like the knee brace and prevent dislocations.  

However, given Jonah's loose muscle tone and shallow grooves for both knee caps, he might not be able to get strong enough to prevent dislocations without wearing braces.  

It's kind of a bummer for him (inconvenient, uncomfortable in the heat and under clothes etc) that he might have to have braces forever.  But knee injuries would have far worse consequences for Jonah so we have to keep that perspective.

If Jonah has another serious knee injury as he did in June, we now have an orthopedic on board to help with how to handle the injury right from the start.  This 6-22-22 injury had a long road to finding answers: urgent care, visit to pediatrician for orthopedic referral, orthopedic referral for MRI, and then waiting for MRI and then waiting for the results.  Hoping to streamline this if it ever happens again.

So a stressful week in having both a renal ultrasound and knee MRI with both risking surgery if results were not good.  But we avoided surgery for both areas- we had good results!  What an answer to prayers!  

Now going forward we have to work hard to continue to keep Jonah's kidney and knees healthy.