The Thomas Crew

The Thomas Crew

Friday, May 18, 2012

Medical needs

Here is a Question I hear often :)
Q: What are his medical needs?
Gavin has one functioning kidney w/permanent catheter. He only has one kidney that functions and that kidney has hydronephrosis. As a result, he has a permanent catheter that allows the urine to go from the kidney to the bladder and then out the catheter. At this time, due to the resources available in the orphanage setting. The catheter is set up so that it empties directly in a diaper (they do not use urine bags). The catheter is changed out regularly. He will most likely require a transplant in the near future. He does not have any other medical concerns. Developmentally, Gavin is doing very well. His gross motor skills are well developed. He walks, runs, jumps, climbs and rides a tricycle. His fine motor skills are also well developed. He demonstrates an appropriate pincher grasp and is in the beginning stages of handwriting. He understands everything that is said to him. He's talking, but his articulation is not perfect. He can correctly pronounce one and two syllable words. He follows verbal directions. He's very social. He's described as a cheery and affectionate little boy. He has developed a bond with a particular caregiver and he enjoys her attention. He eats independently from a spoon and drinks from an open cup. He's not toilet trained at this time due to the current setup of the catheter to drain into a diaper. We cant wait to bring him home and get him the appropriate medical care that needs.

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