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Necrotizing fasciitis is most often contracted through a break in the skin, like a cut or insect bite, none of which Bryson had, according to his parents. In those cases, the most common cause of infection is a group of bacteria called group A streptococcus (group A strep), according to the CDC.
Bryson quickly underwent surgery during which doctors removed a part each of his small intestine and colon, as well as his appendix, because the infection had caused the tissues to die, or become necrotic, according to Megan Crenshaw.
\"All we kept hearing from every doctor was, 'Your son is the sickest kid in the hospital right now,'\" she said. \"We didn't even expect for him to make it through the first few days because of how sick he was.\"
Bryson beat the odds and made it through not just the first few days, but a total of 55 days at the Riley Hospital for Children. During that time, he was on a ventilator machine to help him breathe and underwent around a dozen surgeries, according to his mom.
In one surgery, doctors performed an above-the-knee amputation on Bryson's right leg, the leg where the infection first appeared. Because the infection was located so high in Bryson's leg, doctors were able to preserve and use some of his non-affected lower leg, which will help him be able to walk on a prosthetic later on, according to Dr. Christine Caltoum, medical director of surgical operations and division chief of pediatric orthopedic surgery at Riley Hospital.
\"Part of his lower leg was actually used to extend the length of his amputation,\" said Caltoum, who was an integral part of Bryson's care team. \"That allows for a longer part of the leg to be salvaged to make that a bit more functional leg for prosthetic use later on.\"
Bryson worked in rehab to learn how to move himself on his own and use a walker and wheelchair. Once his body heals, a custom prosthetic will be designed for him so he can get back to running after his beloved dog Ace and playing with his brother DJ.
Dr. Stefan Malin, a pediatric critical care physician at the Riley Hospital for Children who cared for Bryson, credited the Crenshaws' quick actions to get their son to their local emergency room with saving his life.
\"When I talked to Bryson's mom the first time, she shared she thought he had a stomach bug or something else, and I think she realized something was not right and she got him to a place that sent him here quick,\" Malin said, later adding, \"The important part is being aggressive early on.\"
\\\"All we kept hearing from every doctor was, 'Your son is the sickest kid in the hospital right now,'\\\" she said. \\\"We didn't even expect for him to make it through the first few days because of how sick he was.\\\"
\\\"Part of his lower leg was actually used to extend the length of his amputation,\\\" said Caltoum, who was an integral part of Bryson's care team. \\\"That allows for a longer part of the leg to be salvaged to make that a bit more functional leg for prosthetic use later on.\\\"
\\\"When I talked to Bryson's mom the first time, she shared she thought he had a stomach bug or something else, and I think she realized something was not right and she got him to a place that sent him here quick,\\\" Malin said, later adding, \\\"The important part is being aggressive early on.\\\"
A near doubling in the size of the testicles and the scrotal sac announces the advent of puberty. As the testicles continue to grow, the skin of the scrotum darkens, enlarges, thins, hangs down from the body and becomes dotted with tiny bumps. These are hair follicles. In most boys, one testicle (usually the left) hangs lower than the other.
Fueled by testosterone, the next changes of puberty come in quick succession. A few light-colored downy hairs materialize at the base of the penis. As with girls, the pubic hair soon turns darker, curlier and coarser in texture, but the pattern is more diamond-shaped than triangular. Over the next few years it covers the pubic region, then spreads toward the thighs. A thin line of hair also travels up to the navel. Roughly two years after the appearance of pubic hair, sparse hair begins to sprout on a boy's face, legs, arms and underarms, and later the chest.
A girl's physical strength virtually equals a boy's until middle adolescence, when the difference between them widens appreciably. Boys tend to look a little chubby and gangly (long arms and legs compared to the trunk) just prior to and at the onset of puberty. They start to experience a growth spurt as they progress further into puberty, with the peak occurring during the later stages of sexual maturation. Body proportions change during this spurt, as there is rapid growth of the trunk, at the legs to some extent too. Boys continue to fill out with muscle mass long after girls do, so that by the late teens a boy's body composition is only 12 percent fat, less than half that of the average girl's.
A boy may have adult-size genitals as early as age thirteen or as late as eighteen. First the penis grows in length, then in width. Teenage males seem to spend an inordinate amount of time inspecting their penis and covertly (or overtly) comparing themselves to other boys. Their number-one concern No contest: size. See Concerns Boys Have About Puberty.
Most boys don't realize that sexual function is not dependent on penis size or that the dimensions of the flaccid penis don't necessarily indicate how large it is when erect. Parents can spare their sons needless distress by anticipating these concerns rather than waiting for them to say anything, since that question is always there regardless of whether it is articulated. In the course of a conversation, you might muse aloud, \"You know, many boys your age worry that their penis is too small. That almost never turns out to be the case.\" Consider asking your son's pediatrician to reinforce this point at his next checkup. A doctor's reassurance that a teenager is \"all right\" sometimes carries more weight than a parent's.
Boys' preoccupation with their penis probably won't end there. They may notice that some of the other guys in gym have a foreskin and they do not, or vice-versa, and might come to you with questions about why they were or weren't circumcised. You can explain that the procedure is performed due to parents' choice or religious custom.
About one in three adolescent boys have penile pink pearly papules on their penis: pimple-like lesions around the crown, or corona. Although the tiny bumps are harmless, a teenager may fear he's picked up a form of sexually transmitted disease. The appropriate course of action is none at all. Though usually permanent, the papules are barely noticeable.
Boys are considered capable of procreation upon their first ejaculation, which occurs about one year after the testicles begin to enlarge. The testicles now produce sperm in addition to testosterone, while the prostate, the two seminal vesicles and another pair of glands (called Cowper's glands) secrete fluids that combine with the sperm to form semen. Each ejaculation, amounting to about one teaspoonful of semen, contains 200 million to 500 million sperm.
Just after the peak of the growth spurt, a boy's voice box (larynx) enlarges, as do the vocal cords. For a brief period of time, your son's voice may \"crack\" occasionally as it deepens. Once the larynx reaches adult size, the cracking will stop. Girls' voices lower in pitch too, but the change is not nearly as striking.
Early in puberty, most boys experience soreness or tenderness around their nipples. Three in four, if not more, will actually have some breast growth, the result of a biochemical reaction that converts some of their testosterone to the female sex hormone, estrogen. Most of the time the breast enlargement amounts to a firm breast bud of up to 2 inches in diameter under the nipples. Occasionally, this may be more extensive, resulting in profound \"gynecomastia.\" Overweight boys may have the appearance of pseudo-gynecomastia (lipomastia), due to excess fatty tissue on the chest wall.
As you might imagine, this development can be troubling for a child who is in the process of trying to establish his masculinity. If your son suddenly seems self-conscious about changing for gym or refuses to be seen without a shirt, you can reasonably assume that he's noticed some swelling in one or both breasts. (One particularly telltale sign: wearing a shirt to go swimming.) 59ce067264