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B.H. History
B.H. is a pediatric dentist and professor at Marquette University and also owns his own practice in Lake Geneva, WI. He graduated in the Marquette University School of Dentistry Class of 1987. Beside the above practices, he has worked at the Children's Hospital of Wisconsin. (I would have asked him where he attended school and his birth date if I had more time to talk to the family). -
B.H. and J.H together forever
I would liked to have discussed how A.H.'s parents met and when they got married. I also would have liked to discuss more about their family's history and medical conditions that exsist. Unfortunately, due to time restraints, I was unable to get much to construct a genogram... what a great family tho! I can tell they are close and very supportive of one another. I had no concerns in regards to family dynamics or structure. -
M.H. Joins the family
M.H. was born a healthy little boy. He enjoys playing football, basketball, and running track since he was in gradeschool. His family is important to him much like I have learned from their other family members. (I wish i could have learned more about his exact birthday, what he liked to do, and how he fit into the family dynmaics, however, i was unable to meet him or discuss in details). -
J.H.'s Prenatal Care
According to J.H. (Mrs.), she had several ultrasounds during the time she was pregnant with A.H. None of these showed any sign of congenital problems or abnormalities. J.H. also followed a strict diet, was aware of enviornmental surroundings, and took prenatal vitamins as directed. (I would have asked more details about this pregnancy and her son's pregnancy if I had more time. I would have also liked to have known more about what J.H. did as a career but did not have a chance to discuss much). -
A.H. is Born
A.H. was born a happy and healthy little girl. She grew up in a family of four, living with her married parents and older brother. A.H. also enjoys throwing shot put in track and playing in the High School volleyball team. (Here I would have asked her more about her school life and what she personally enjoyed doing growing up if I had more time to sit and talk with her before or after surgery) -
Family life at home
Dr. H and his wife discussed their traditions of family dinner together at night (when sports and other activities didn't interfere). They also told me they liked to discuss their days together at the dinner table or as a family at some point in the night. A.H. told me they are all supportive of one and others activites and attended these events. They also attend their Catholic church as a family on the weekends. -
A.H. heads to Junior year
A.H. starts her junior year after the summer of 2013. She told me about her excitement to explore colleges. She wants to attend college for either education or nursing as a major. She also is starting drivers education and will be playing volleyball and track. (If i had more time I would have asked A.H. about other extracurricular activites she was involved in and what she did outside of school) -
A.H. visits the ER
A.H. was taken to the ER by her parents after falling during volleyball practice at her high school that day. She presented with a complaint of pain in her right upper and lower quadrants. The xray preformed that day showed a mass effecting abdominal structures and a CT confirmed a 21.7cm kidney on the right side. She was instructed to follow up with Dr. Balcom for further evaluation and discussion of a course of action on 7/26/13. -
A.H. visits with Dr. Balcom
Dr. Balcom saw A.H. after her ER visit earlier in the month. A pre-visit CT showed a congenital urtereropelvice junction obstruction. She was diagnosed with a symptomatic severly hydronephrotic right kidney that was "on the boarder" of repairing vs. removing. He told A.H. and her family that it can be easily traumatized and may cause hematuria, stomes, or infection and may need to be eventually removed. -
Decisions, Decisions
A.H. decided not to play high school volleyball her junior year due to the fear she would injury her kidney more. Her family also decided to try to repair the kidney first, since Dr. Balcom told them it was functioning at 15% and a kidney on dialysis can work on 10%. (If i had more time I would ask them more about how they made their decision and what influenced the decision they concluded with). -
A.H. is getting nervous!
During our discussion about the surgery and questions she or the family may have, A.H. stated she could not sleep too well the night before and was anxious during school because of the surgery the following day and the anticipation of the pain and how the expected two day hospital stay would go. She did, however, tell me that she wasn't too upset about missing school those days and not having to do school work! -
Pyeloplasty
[pyeloplasty](<a href='http://umm.edu/programs/childrens/services/surgery/conditions/pyeloplasty-surgery)' >Pyeloplasty</a>On this day, a pyeloplasty, or "an operation to correct a blockage that has occurred between the kidney and the ureter", was preformed on A.H. She was 16 years old at the time. During the surgery, more than 1,300mL of fluid was pulled off the hydronephrotic kidney before they could advance to locate the ureter. Although I was unable to witness the whole surgery, it was determined later that they did locate the urter and were able to place a shunt to correct the blockage at least temporarily.
