Finally, after days of back and forth with Logan's Neurologist's nurse, he agreed to work us in on Wednesday. I have been praying all week that we would have a peace and know what to do once Logan was examined again by Dr. Marks.
Our faith was restored! He made us feel so comfortable, he was extremely apologetic for all the confusion and lack of communication with the therapists, and could not have been more sympathetic about our situation. He was very patient , he answered all our questions, and he took his time examining Logan. This time he did exercises with him, watched him crawl, and took more time to watch Logan's movements.
Our faith was restored! He made us feel so comfortable, he was extremely apologetic for all the confusion and lack of communication with the therapists, and could not have been more sympathetic about our situation. He was very patient , he answered all our questions, and he took his time examining Logan. This time he did exercises with him, watched him crawl, and took more time to watch Logan's movements.
Dr. Marks stands by his diagnosis of Hemiplegic Cerebral Palsy. While he does see some dystonic movements, he is not convinced that Logan has anything other than CP. He feels that it may be that he has Bi-plegic CP rather than Hemiplegic CP, but it is too early to tell and there is not a "code" for a Bi-plegic diagnosis. Logan does favor his right side slightly, but he also does have dystonic movements in all four extremities. Logan's case is mild and this makes it hard to diagnose because the symptoms are not always apparent this young.
The only other possible explanation for his symptoms might be what is called DRD (Dopa Responsive Dystonia). However, Dr. Marks thinks it is highly unlikely and does not feel that Logan needs to be tested at this time. DRD is caused by low dopamine levels and can be treated with medication. The only way to test for this is to do a spinal tap and Logan would have to be put under anesthesia to do the procedure. Even if Logan does have DRD, Dr. Marks would not put him on any medication at this young age. He said he would do the spinal tap if we wanted him to, but Cliff and I decided against the test.
I was very encouraged that Dr Marks feels Logan's symptoms are not interfering with his ability to function on a daily basis and there is no need to medicate him. Some doctors are so quick to medicate even when it is not needed, but he feels it is important to let Logan do things naturally at his own pace.
Dr. Marks thinks Logan will be walking in the next few months and does not feel it is necessary to brace him at this time. He decided against both braces and encouraged us to just keep working with Logan at home every day. This is where his opinion differs from Our Children's House (the therapists). We have decided to go with his opinion and at least let Logan try to walk on his own and strengthen his ankles before putting braces on his feet. If he struggles and we see that he needs them, then we will revisit the issue.
I asked him about the ECI (early childhood intervention) and he highly recommends the program. His opinion is that it will help Logan to have a therapist come to the house and work with him in his own environment. I tend to agree with him and I am going to switch him from Our Children's House (Outpatient Program) to the ECI program next week.
In 6 months, after Logan is walking, we will go to the Spasticity Clinic. There the Neurologist, Speech Therapist, Occupational Therapist, and Physical Therapist will all examine Logan and review his progress to make a final diagnosis. At that time, they will determine if it will be necessary to do a MRI or a spinal tap.
We are extremely grateful that everyone will be on the same page and working together to help Logan! God is good! He knows exactly what Logan needs and exactly what we needed to hear. We have an extreme peace about the future and we are so thankful that we went back to the same Neurologist.
We are extremely grateful that everyone will be on the same page and working together to help Logan! God is good! He knows exactly what Logan needs and exactly what we needed to hear. We have an extreme peace about the future and we are so thankful that we went back to the same Neurologist.









