Wednesday, March 14, 2012

Wednesday, March 14 Surgery Update

Hello to everyone. I wanted to pass along some details on Clay's most recent procedure. On Monday the 12th Clay spent nearly 10 hours in the operating room at Children's Hospital in Dallas. This was a scheduled procedure and had been planned for quite a while. We checked into the hospital at 5:30 a.m. and at 6:00 p.m. Clay had not come out of recovery. It was a long wait for Mom and Dad so I hope it went quickly for him. This will not be a short post because I will attempt to describe everything that was done while Clay was in the O.R. Clay's day started with a visit from a surgical dentist. It seems that being in a burn unit for four months plus copious amounts of antibiotics over the last three years have not been kind to Clay's baby teeth. He has the added problem of not being able to open his mouth wide enough to floss. The scar bands around his mouth will not allow it. The dentist extracted four baby teeth and capped 8 more to insure he can make it until the permanent arrive. All of this had to be done under anesthesia because the mouth had to be forced open for him to access the teeth. When he finished up our plastic surgeon took over. He placed two tissue expander's under the hair on Clays head between the skin and the skull. These will be injected with fluid to attempt to move Clays hair back far enough to cover the crown of his head. After this procedure was completed they made incisions over Clays ribs and harvested cartilage from two separate spots. They then took this harvested cartilage and started the process of building Clay a left ear. This cartilage was formed into an ear shape and placed under the skin or scalp in position to create an ear. It will be left under the skin until it has healed and grown over, at that point they will go in and separate from the skull and hopefully there will be the start of a new left ear. One interesting part of the surgery was the fact that they harvested more good tissue than they needed for this ear so they , "banked" some cartilage for later use lower down on his head. When the ear was completed they went to work on his face. Dr. Trussler opened up both side of his mouth and attempted to work around his chin and nose doing releases and shaping in both places. They also worked on Clay's right eye which was starting to pull down a bit from contracting burn scars. If you think all that I mentioned was enough you are wrong. When Dr. Trussler finished up the plastics hand specialist went to work on Clay's left hand. The burn scars and amputations on Clay's left hand were pulling down and preventing Clay's hand from growing. The palm of this hand was much smaller than his right. Initially they had planned to open up his left palm and pocket or sew it on to a patch of good skin on his abdomen. His had would have been attached to his stomach for a minimum of three weeks. We were worried about this because three weeks can be a long time for an adult and an eternity when you are eight. When they started the hand procedure they decided that Clay did not have enough unburned skin on his stomach to attach the hand to and they opted to take a full thickness skin graft from his left thigh and rebuilt his palm with it. They also put pins in his thumb and middle finger to help straighted and spread these two digits hoping to give him more range and a wider griping area. This hand was then placed in a cast and all surgeons wrapped it up for the day. After being under anesthesia for approximately eight hours our surgeon elected to place Clay in the Intensive Care Unit overnight. He said that due to the length of time and the many different procedures he wanted to use extra caution with Clay after surgery. Mom and Dad are allowed to stay in ICU and we did on Monday night. Clay was moved Tuesday morning to a room on the plastic surgery floor for an additional day of care and observation. He was released today a little before noon and he is making his way to South Texas to spend the rest of his spring break recovering at his grandparents home with his brothers, and cousins on spring break. Mom is going too just in case she is needed. There have been many people praying for Clay before, during and after this surgery, we would like to say thank you because your thoughts, kindnesses, and prayers are always needed and appreciated by the Fites.

14 comments:

  1. Bless his heart, if I had to face what Clay has been through I don't know if I could cope with it. Poor Clay, I can't help but feel so sorry for him in all his pain. One procedure is a lot to go through, but hope he realizes it will take the surgeries to get him back to being Clay. Nice he can be with family near the coast. The salt water air is good healing power. We think of you all very often. Take care, Bruce & Edna

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  2. My heart goes out to this special child! I hope that his pain is relieved with adequate meds! My heart also reaches out to his Mom and Dad...

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  3. Wow! Hadn't realized Clay was facing this monumental surgery. So glad it is over for him.... and for you waiting in the waiting area...time can drag soooo slow in that situation!! We love to think of your little inspirational family, and we often DO think of you, and now we will continue to think of you as the recovery process begins again. Thanks much for the update.

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  4. Just heard about Clay's surgeries Wed. evening. Difficult to take in all that was done at one time!Surely do hope & pray all goes well for him & that he's back to activities soon. He's such a 'little trooper' Our thoughts & prayers to all the family. Eddie & Phyllis B.

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  5. So glad for the news...wow. Way to go, Clay...you are so tough! Mom and Dad and Brothers, too! Our thoughts are with you, and hope that healing goes like it is planned, and that it won't seem too long. Progress is costly...but we are thankful to hear that it continues! Hugs to all of you!

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  6. What a trooper!! Next time I see Clay, I'm going to sing him that song, "Did you ever know that you're my hero..." :) He is one special kid ... thanks, in large part, to two very special parents & two awesome brothers!! So thankful that everything went well with the surgery ... and for Clay's awesome attitude & perspective. We could all take note!! Love y'all dearly!!!!

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  7. I am so grateful for good doctors and the miracles they can do with modern surgical technoogies. I know it is not easy but I am so proud of you all as your family coninues to do what is best for all your boys. Love and hugs to you all!

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  8. Keeping you in our thoughts and prayers. I would have never guessed how much surgery and work goes into recovering from burns. You are all handling it with so much strength and grace. You are an amazing family.
    Love, The Spence and Kellie Platt Family

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  9. Praying for all of you!!! What a tough guy!!

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  10. We still pray for Clay all the time but I think that Rusty may start praying that he can beat him next year in baseball if the they don't wind up on the same time. The Red Sox were pretty tough this year. It is amazing that Clay can go through all of this and just practically leave everyone in a trail of dust at the field day. I don't know what the future holds for Clay but I bet that he takes Olney to state in track when he gets in high school. He is one fast kid. God is good.

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  11. We are missing Clay's updates. Hope he is doing ok.

    We live in TN and we care.

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  12. Hi there... this is Amy Airhart Lacretia's cousin from the burn unit around the same time as you all... wondering how all is going? Would love an update... still think of you all often :)

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  13. The Southerland Family in Austin checking in to see how Clay is doing??
    We would love an update, and still think of your family and Clay.

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  14. Prayers to the Fite family and Clay. I've moved out of the Texas area and wish Clay nothing but the best.

    Phil Smith
    Shriners - frmrly Texas
    and " Curious George ticket guy"

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