The orthopedic hand specialist said that he felt pretty sure she has Arthrogryposis. He went on to say that she is the most mobile and functional patient with Arthrogryposis he has ever seen. The therapist came in and took video of Ruthie feeding herself so she could show her students what they should look like after therapy. That cracked me up since she has had none. He recommended a series of surgeries that I am not convinced are necessary yet. We will get a 2nd opinion from Shriner's Orthopedic Hospital as soon as they are able to schedule us. The Dr. did not feel like Ruthie would gain any more motion but I have a good friend who has a daughter with the same diagnosis and her daughter has gained motion, so I don't buy that theory yet.
Here are a few recent pictures
Trent shooting of rockets with the neighbor kids