We went to see the urologist today as a follow-up from Toby's last kidney ultrasound. It was a long appointment and kind of frustrating because we waited for over an hour before we saw anyone. Most of our questions were answered and we have an appointment to see the nephrologist in December. We will see what he has to say about the calcium in his kidneys. The urologist also wants to start Toby on a new medication called ditropan. This is one that kids with SB are typically on. It is supposed to increase bladder fuction, which is great, but I'm a little bit concerned about the side effects of this drug. It can dehydrate, thicken secretions, cause constipation, and increase body temperature - all of which would be really bad for Toby. I have a call into pulmonary to see what his opinion is. My greatest concern is the dehydration - this would not be good for his trach and lungs. Obviously he may have no side effects at all, so we can always try it and then take him off of it, if it's bad. We will see what the Pulmonologist says.