Snow Day!!

No school or therapy today!!  Unfortunately nobody slept in. It's mostly just been sleeting. But we're expecting 5 - 10 inches in the DC area tonight so maybe we will get to have a lazy morning tomorrow.  Sleds? Check. Ice melt? Check. Shovel? Check. Snowbibs? Check.

We went to our ENT appointment earlier this week- Lew's ears are all better!  And he is definitely a lot less fussy. Luckily his ear tubes were both in the correct spot and doing their job.  Let's hope they stay that way!

Botox is next up for LJ.  Two weeks and counting.  Here's part of my worry: muscle atrophy. That and the actual anesthesia.  But here's some commentary from a physiatrist on the topic which reassured me some.
"I'll take a look. But on the surface it makes sense. Block some of the nerve signals to the muscle and it will get smaller. Obviously in general the goal is to improve strength and function. However, if one muscle is so tight (ie. hamstrings, calves) you never get the opportunity to strengthen the opposing muscle (ie. tibialis anterior, or quads). So you do end up sacrificing a little strength in the dominant muscle to hopefully get access to the weaker ones. And yes, it makes sense that research might be able to demonstrate atrophy. What that means exactly, who knows? Our goal is functional improvement, and if evening out opposing forces can't be done just by strengthening the weaker muscles, then "weakening" (and perhaps
atrophying) the stronger muscle is part of the strategy too."
How does one make the decision? It is a tough one.  I guess in the end we do the best we can with what information we have.  Time will tell.

Note: It's been no fun for Josh.  He left work at 5pm tonight and he still hasn't made it home.  Who knows what the deal is but he and the rest of the folks in the bar that gave up at 9:00 pm have made a pact to wait until things clear up.  Then hopefully everyone makes it home safe and sound.