The Amazon Warrior Princess Versus The Tooth

I woke up before dawn yesterday, and Aaron and I quickly ate breakfast before Cordy woke up. Because of her surgery, she couldn’t eat or drink anything, so having any food in sight before we left would be a problem.

When it was time to leave, we woke Cordy up, dressed her, and got out the door quickly. She protested the entire time, saying, “I don’t want to go to the doctor! I’m too nervous! I’m apprehensive!” (Thank you, Upside-Down Show, for enriching my daughter’s vocabulary.) By the time we were in the car, she was crying, begging to go home and verging on a full meltdown. Aaron managed to get her calmed down again by the time we arrived at the hospital, and she walked to the surgery center with only minor protests.

In the waiting room, there were two other children waiting for surgery. The two started playing together, but Cordy was too distressed to join in despite our attempts to encourage her to play. After about 15 minutes, we were called back to the consultation room.

We met with the doctor who would be caring for Cordy’s teeth. He was very friendly and way too cheery for 7:30 AM. He explained the entire process while Cordy tried to become one with the wall opposite him. She wanted nothing to do with this doctor, no matter how nice he was.

After we signed the consent forms he left and the anesthesiologist came in. Cordy retreated behind my chair, refusing to come out to meet this woman. We went over Cordy’s medical history, and I mentioned her unreliable metabolism of drugs. It was about this time that Cordy poked her head out from behind the chair to tell the room, “I don’t like her!” The anesthesiologist didn’t seem fazed, but I still added, “Don’t take it personally, it’s because you’re a doctor.”

Aaron had to drag Cordy out from behind the chair so the doctor could listen to her heart, although she couldn’t see into Cordy’s mouth thanks to the unwilling (and strong) Amazon. After explaining the entire process to us, she told us it was time.

Cordy walked down the short hall with us, but as we turned into the surgery room, she saw all of the people waiting for her, and all of the equipment, and tried to pull away to make a break for it. Aaron managed to keep one hand on her, pulling her to the ground, then scooped her up in his arms as she screamed and flailed. It took three or four people (I can’t remember) to hold her down on the padded table as the anesthesiologist placed the gas mask over her face. I couldn’t hide the tears in my eyes as I saw Cordy wide-eyed in fear, her screaming muffled by the mask.

It took about 20 seconds for her to start getting drowsy, her eyes rolling around and finally closing. Aaron and I each gave her a kiss and were led out to the waiting room so they could put in an IV and breathing tube and get to work.

The entire procedure took a little over a half an hour, but it felt like hours. I had my mini laptop with me, grateful for wifi access so I could distract myself with reading blogs, Twitter, and mindless web surfing. My stomach was in knots. Some of the other parents in the room were making small talk, but I couldn’t even muster that when I knew my little girl was breathing with the help of a machine while doctors fixed her tooth. (Yeah, I know – dramatic much? Now you know where Cordy gets her dramatics.)

Eventually, the doctor appeared in the waiting room and told us that everything was done and she did well. The cavity that caused the weakness was on the back of her tooth, meaning it would have been very hard for me to see. (Ha! So much for the guilt trip I got from the other doctor!) X-rays were taken and he told us that Cordy’s other teeth looked great and we were doing a good job with them.

The tooth already had an inflammed nerve, but knowing we wanted to keep the tooth at all costs, he did a root canal and capped the tooth. He also cleaned all of her teeth and put a sealant on her other molars to protect them, and he smoothed out the chip she had on one of her front teeth. The doctor then asked if we knew that Cordy had a few wobbly baby teeth already. When we said no, he told us to expect one of her top front teeth to fall out soon! I wasn’t ready to start talking about the tooth fairy yet!

We then were taken to the recovery room. Cordy was still asleep, eyes half open and mouth hanging wide open. The nurse immediately said, “This is normal – some parents are upset to find their kids looking like this.” Looking at Cordy, I smiled and replied, “Actually, this is often how she sleeps at home. Not that different.” The poor kid had been poked four times in attempts to find an IV site. She seems to have inherited my bad veins, too.

We were asked to not touch her or try to wake her. Kids normally wake up in 20-30 minutes, and waking them up too early can make them combative. While we waited, another child was brought into the recovery room and woke up very quickly. We kept waiting while the nurse went over the discharge instructions. After a half-hour, Cordy still showed no signs of waking up, so the nurse gently called to her and moved her a little. Cordy opened her eyes, tried to sit up, then shifted to her side and tried to go back to sleep.

Aaron picked her up and held her until she was a little more alert, and then we were free to take her home. Cordy couldn’t walk – couldn’t even sit up on her own – so Aaron carried her to the car. By the time we got home, she was talking non-stop, telling us her tooth hurt (NOW her tooth hurts?) and she wanted some juice. She was still too anesthesia-drunk to walk. We put her on the couch and gave her a little juice.

The nurse told us that Cordy would likely be drowsy the entire day due to the medication, and probably wouldn’t have much of an appetite. However, about an hour after we got home she wanted to eat everything in sight, and had more than regained her balance, bouncing around the room like Tigger on speed. She was hyperactive the entire afternoon, and ate a total of four meals before bed. Typical.

The final result? Cordy now has healthy teeth, and won’t need to see the dentist for another six months. And she’s got some bling in her mouth now with a sweet silver crown:

(Ignore the PB&J leftovers around her mouth. She was an eating machine yesterday.)

Thank you for all of the good thoughts yesterday! (And for putting up with my neurotic obsessing over a little tooth.)



Roller Coaster of Life

It’s been such a busy 36 hours here, full of ups and downs and uncertainties. I’ve barely had time to sit down long enough to process it all.

The good:
Remember that job I applied for in a local small hospital? I got it! I’ll be working in the Birth Center as a labor/delivery/postpartum nurse. I’m thrilled to be starting my nursing career in a specialty I’m interested in, and the smaller hospital size may work to my favor.

The bad:
It’ll be a long commute – over 45 minutes. And I was a little surprised to realize that the starting pay is equal to what I used to make as a technical writer five years ago. Ah well, it’ll be worth it to be working with mamas and babies.

The good:
After Mira’s well-child check when she turned two, we were told to schedule an appt. with Children’s Hospital for a speech evaluation. Mira had an evaluation with Help Me Grow last fall, but her pediatrician wanted to see a more aggressive therapy schedule. After waiting over a month, we got an appointment and Mira spent the morning with the speech pathologist today. She was amazed that Mira can speak in full 3-4 word sentences. We heard the word “gifted” again.

The bad:
Although she can speak in 3-4 word sentences, good luck trying to figure out what those words are. Mira is a smart little kid, but she was diagnosed with apraxia of speech. It means that somewhere between her brain and the muscles in her mouth, the message is getting garbled, resulting in poor muscle coordination with her mouth.

It’s nothing that therapy can’t fix, although I’m not looking forward to the fight we’ll have trying to convince the World’s Most Stubborn Toddler to cooperate in even more speech therapy.

The not-so-good:
Cordy’s had a rough week or so. She’s been extremely uncooperative, rude and had several outbursts when frustrated. The culmination was at summer camp today, when she freaked out at swimming time, refusing to go into the water, pinching another child, and then when she had a full-out meltdown, she kicked her teacher and then lost control of her bladder, peeing on her teacher. Not her best day.

The uncertain:
Tomorrow Cordy goes in for surgery. It’ll be early in the day, and as long as the hospital has wireless I’ll probably be tweeting to keep from going insane from worry. I’m sure her tooth has been hurting her – maybe it was the reason she’s been acting out so much? – but the thought of my little girl undergoing general anesthesia is hard to bear. Cordy often has strange reactions to medications, and I don’t know which way she’ll react to what they give her.

I’ve had nightmares for days about something going wrong, then waking up in a full panic attack, trying to stop the tears. Were this Mira, I would not be as worried. Don’t get me wrong – I love Mira just as much, but she’s an amazingly tough kid. She’s never seemed as medically fragile as Cordy. Ha, I can’t believe I just called Cordy fragile. My Amazon warrior princess?

So spare a thought for Cordy in the morning, and hopefully I’ll be reporting that her surgery was quick, routine, and we’ll be home in time for her to watch Word World.



Haiku Friday: Life vs. E-mail

The messages pile
up in my Inbox. Do I
owe you an e-mail?

If so, I’m sorry.
Life gets in the way at the
worst times, doesn’t it?

Cordy’s tooth, job hunts
and summer chores have taken
over my brain now.

I’ve stopped starring all of the messages I want to reply to in my Gmail inbox, because it was simply too many. I’m spending the next 24 hours playing catch-up, hoping to make a small dent in the flood of correspondence I need to respond to. And then once I’ve tackled part of that mess, I can turn my attention back to everything else taking up my time at the moment. Why must the summer months always be the busiest?

But on the bright side, I’m glad it’s all e-mail and not paper mail. Just think of what a mess that would be.

(And oh! my lame haiku today! Next week will be better!)

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REMEMBER: Do not post your link unless you have a haiku this week! I will delete any links without haiku!



Not Your Typical Milestone

Thanks to the broken tooth, Cordy had to break her string of only visiting the doctor once a year in order to get a pre-surgery physical. I’ll admit that I was nervous, expecting a meltdown or at least a lot of non-compliance from my doctor-phobic daughter. She’s never liked going to the doctor, and has never let them do a full exam without a lot of screaming and being held down. We still don’t know her blood pressure, as a cuff has never made it around her arm yet.

But yesterday was a new milestone. She was mostly agreeable. When the nurse asked her to step on the scale, she did it without argument – a task she refused to do at the hospital over a week ago. I’d like to think that part of it was my different approach this time: instead of asking her to see how big she was (which she always replies “I’m four and a half big!”), I instead told her to step on the scale so we could make number appear. Ah-ha! Appeal to her love of numbers! Why didn’t I think of that before?

After the scale was out of the way, and my eyes came back into my head after seeing she weighs 50 lbs. (before you think it, she’s not fat. 50 lbs is reasonable for a 4 year old who is getting very close to 4 ft. tall), we then went into an exam room. The nurse wanted to get Cordy’s pulse, but Cordy did not like this woman touching her wrist and holding it for a long period of time. We tried asking Cordy to count to 15, count the fish painted on the wall, etc., but we never got past 8 seconds. The nurse gave up at that point.

When Cordy and I were alone in the room, she scanned the room quickly and found a magnetic drawing board. Suddenly she was happy as she drew pictures of grandma, complete with her trademark circled X, H, and an outline of her hand. We didn’t wait long before the doctor came in.

This was our first time seeing this doctor, so I didn’t know what to expect. But she was soft spoken, young, and seemed to understand Cordy well. She asked me several questions first, not directly confronting Cordy so that Cordy could get used to her in the room. Then she started off with simple questions for Cordy, asking what she was drawing, how old she was, does she have a sister, etc.

When it came time for the exam, I was prepared for the worst. However, Cordy willingly let the doctor put her stethoscope on her chest and back, even taking deep breaths when asked. She opened her mouth and said “Ah” on command, and didn’t complain too much when the doctor looked in her ears. She even laid down when asked so the doctor could feel her belly. I sat there the entire time, grinning like a fool in amazement, and at the end told the doctor that this was the first time Cordy has ever let someone examine her willingly. She was pleased to hear that.

The verdict: Cordy is fit for surgery. Other than low muscle tone (which we already knew about, and seems to be common in kids with autism spectrum disorders), Cordy has no medical issues.

I was so thrilled with Cordy’s performance, I agreed to get ice cream afterward. The two of us enjoyed our ice cream together, until about half-way through when Cordy bit down into an M&M and got that worried look on her face. “Does your tooth hurt?” I asked her.

“No, it’s OK!” she tried to reassure me, but the worried look remained.

“Your tooth hurts, doesn’t it? It’s OK, you can be honest.”

She shook her head yes for a moment, then shook it no. “No, my tooth is OK. It doesn’t hurt. But can you pick out the M&Ms from my ice cream, mommy?”

So her tooth still hurts. Next week is her surgery.



A Lot of Nothing, With a Side of Frustration

I spent all of last night trying to psych myself up for today, prepared for Cordy to endure dental torture and probably some kind of sedating agent to allow tooth professionals to perform said dental torture.

No one told me the torture would be all mine today.

We arrived at the dental clinic at Children’s Hospital at 12:15pm. The emergency clinic opened at 1:00, so we took a number (#3 at 45 min. early!) and waited. Cordy was a little unsure of the waiting room, made worse minute by minute as more and more people filled the tiny room, eventually taking up every seat. It became loud and chaotic quickly. I silently hoped that, as #3 in line, we’d quickly be whisked away from the din of that waiting room.

The clock struck one and the registration window opened. #3 was called five minutes later and I approached the window, only to be turned away with a clipboard full of paperwork and instructions to return when I had filled it all out. Meanwhile, other numbers were called and other children were shuffled back into the office. I used my best speed penmanship to complete the forms and rush back to the window. I was again told to have a seat and they would let me know when they needed me again.

45 minutes later, we still waited. The room was still loud, Cordy was begging to go home and complaining of hunger. My head was pounding. When our name was called again, we went to the window only to be given an ID sticker to put on Cordy’s shirt, with the message to sit down and wait more.

Half an hour later, it was time to see the doctor.

We were brought back into a tiny room, where I explained what I knew: Cordy’s lower right back molar was broken, she may be in pain but we can never be sure, and she’s a difficult patient. The doctor coaxed Cordy into showing her the tooth (thanks to my offer to let Cordy cook tonight if she cooperated). The doctor then immediately launched into a lecture on cavities that made me feel about two inches tall. She seemed to assume I fed Cordy a steady diet of Mountain Dew and pixie sticks.

“Wait,” I interrupted, “How does she have a cavity? She doesn’t eat a lot of sweets, we brush her teeth, and I check her teeth weekly. I’ve never noticed even a darkish spot on that tooth. And she never eats hard candy or anything harder than a Goldfish cracker.”

The doctor paused, then told me how fluoride toothpaste can mask a cavity, effectively covering it up with a fluoride shell. I’ll admit, that made no sense to me at all. But then as she continued on, I again felt like she was somehow saying this was all my fault.

She then confirmed what I suspected: Cordy would need general anesthesia to repair the tooth. The better news? As long as it isn’t infected, they will be able to cap the tooth and not need to pull it. Then she told me, “The wait time for dental surgery right now is about 8-10 weeks.”

I stared at her hard for a moment, not sure if I heard her correctly. “You mean for routine stuff, right?”

“No, I mean for any dental surgery.”

As you know, I am nearly-a-nurse. I understand that a parent’s sense of urgency isn’t always the same as a medical sense of urgency. In that moment, however? I was ready to call the doctor a quack.

“8-10 weeks? But what if she’s in pain? We’re supposed to let her be in pain for 8-10 weeks?” I then explained Cordy’s odd pain reception, and how we don’t know if she’s hurting or not. She now won’t let me brush the tooth, so I can only assume she’s hurting. “There’s no way I can let her hurt for 8-10 weeks.”

The doctor nodded. “Well, since she is special needs, and has unique sensory issues, we can then consider that she is in pain and find an earlier surgery date. I believe there might be some spots available in 2-3 weeks.”

Again, a look of stupor had to show on my face. “2-3 weeks is considered acceptable for a child in pain?”

The doctor then tried to explain to me that there was acute pain and chronic pain, and how this is likely chronic pain, which a child can “get used to.” Ah. Well, that explains everything. She can just get used to hurting. No prob.

The entire procedure was explained to me, and I agreed that it sounded like the best possible procedure. General anesthesia gives them a chance to check for any other problems, correct them if needed, and give her teeth a good cleaning while she’s there.

So now we’re waiting to get a surgery date sometime in the next 2-3 weeks. And Cordy has to get a physical, also, to rule out anything that could prevent her from having surgery. (Including “malignant hyperthermia” according to the doctor, which I know can’t be determined from a simple physical.)

I am completely on-board with the procedure. It’s what Cordy needs. I also know that not everyone can walk-in and have dental surgery, despite what the ER led me to believe. I’m frustrated by the long wait, however. If Cordy’s tooth doesn’t become infected, we can save it. But if it does, the tooth will be pulled, which could throw off the spacing in her mouth. As someone who had braces for 5 years, I’d rather not screw up the good spacing she currently has. And the longer it takes to get this done, the greater the chance of infection, not to mention being in pain for longer than I would like.

The entire time the doctor and I talked, Cordy was miserable, sitting near the door, pulling on the doorknob begging to go home. She was scared by the medical equipment in the room, and the doctor often got right in her face, which is good for many kids, but completely intimidates Cordy. I hate that I had to put her through that today, and will have to put her through it again, along with a trip to her pediatrician, too.

We left Children’s Hospital exhausted: Cordy still with a broken tooth, and me with a killer headache and a lot of frustration. Cordy winced tonight when I brushed her teeth, denying that it hurt but showing signs that it did. The prescription painkiller (hydrocodone) did nothing to make it better, and in typical Cordy response, actually made her more alert and awake instead of drowsy.

This is one of those times when I can’t make everything better for her, and it really upsets me. I feel helpless, stuck in the system. I’m not asking for any kind of special treatment, either. In some ways, the special treatment we need is causing this to take longer – if Cordy could sit still and be a compliant patient, everything would have been fixed today in the dentist’s chair.

But as her mom, with all nearly-a-nurse knowledge put aside, I think it’s unfair to make her endure more pain because a condition she can’t control keeps her from being a model patient. I want to rage about how insane this all is to someone who can do something, but it wouldn’t help. It’s not rational, but isn’t that part of what being a parent is all about? We want to protect our children against anything, against all enemies, even if those enemies are reason and logic. Mama bear instinct is strong.

So now, we wait. And I make every effort to relax, while watching Cordy closely for signs of infection and hoping she isn’t hurting.

I hate this.

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