Thursday, April 30, 2015

Ear Tubes for Toddlers.

So here's a post for any parents who are thinking about or waiting for their child to get tubes put in their ears - or a myringotomy.

Babe likely had some ear troubles as a baby and I just never figured it out. She was certainly fussy enough for it.

But when we moved up north (before Babe had turned two) and she started daycare she of course was launched into an endless barrage of classroom-caught illnesses. And when that happened the ear infections started.

One after another. After another.

That first fall/winter she had about six ear infections with not much down time in between and the emergency doctors told me at that point I might need to consider getting tubes put in her ears.

Then summer/spring came and the colds went away and so did the ear issues.

But we moved back to Vancouver, fall came around and she started preschool again and of course the ear problems returned. This time however it was clear that not only was she getting frequent painful ear infections, she also wasn't hearing well even when she was healthy.

Babe has always been super verbal but I began to notice that she was often mispronouncing new words. On top of that she just always seemed cranky, fussy...actually, down-right bitchy. I started to notice that if I called to her from another room she usually couldn't find me by following my voice. And I started to notice that she said "What?" A LOT and often only understood me when I spoke very slow and clear or when she was looking right at my mouth.

Between the constant ear infections which kept her out of school, to her constant irritability, to the risk to her development and safety I decided we really couldn't wait any longer to see if she would just outgrow the problem.

Getting the surgery done isn't easy. It usually takes a long time but I was very focussed on speeding up the process as much as possible for both Babe's sanity and mine (I was literally repeating almost everything four or five times).

The first step was getting Babe an appointment to have her hearing checked. Before this point I still thought maybe I was blowing things out of proportion and she was hearing better than I feared. I made an appointment for her at the North Shore Children's Hearing Clinic (you can refer your children yourself - HERE's THE FORM) and I don't remember how long the wait was but I think it was going to be a good couple months - actually, if I remember correctly I think she would still be waiting. But "squeaky wheel get the grease" and I was feeling desperate so I told them to put us on a cancellation list and we'd come in any time. Eventually they called with an appointment and I think in the end we only had to wait a couple weeks.

She went for the tests which were really simple. The staff were great with her and the tests were designed to be fun for kids. For example she had headphones in and every time she heard a beep she would drop a bite of plastic food into an bucket with a lion's mouth on it. She had a blast and nothing was invasive or painful at all.

When we got the results (at the same appointment) it was clear that Babe was in fact having a lot of trouble hearing.

After that I began asking Babe more direct questions about her hearing and she sometimes would say it sounded like fire in her ears or it was noisy in her head. I got my mom to stand a distance away and whisper things to see at what level it would be before Babe could repeat what was being said. She was definitely not hearing well.

So the next step was taking Babe and the hearing test results to a doctor to get a referral for an ENT. But again when when I called (two different ENT's I believe) I was told the wait lists to see them would be looong as well. And that even when we finally got in the door and were referred for surgery that we would likely have to wait six months to a year to get the tubes done. More discouragement. Not sure if it's true but one doctor's assistant told me the wait list for Children's Hospital would be about a year.

So once again I explained that my daughter was little and not only was she in pain quite often but she wasn't hearing any of the time and it was starting to become a safety concern and affecting her speech development.

The staff were great and they did find a way to squeeze her in within I think less than a week.

At the ENT appointment the doctor met with us, checked Babe's ears, listened to her history and symptoms and discussed with us the risks and benefits of the surgery. And that was it. I said I wanted to get it done as soon as possible and they gave us a surgery date for three weeks later at Lions Gate Hospital. We had the option of waiting until fall since kid's ears usually dry up in the warmer weather but I figured why put it off just to have it start to flare up again and then maybe not be able to get into surgery so quickly.

Her surgery was earlier this week. I was of course nervous about Babe being under anaesthetic but I was looking forward to getting Babe to a place where she felt better and could hear properly.

She wasn't allowed to eat or drink after bedtime the night before but her surgery time was very early the next morning so that wasn't much of an issue.

We had to arrive at the hospital at 6:30 am to check in for the 7:45 am surgery. The admitting staff were all amazing. The lady who got us settled and changed for surgery gave Babe a little teddy bear and a warm blanket. The nurse who came to fill out forms dressed her bear for surgery and made the blood pressure and pulse checks into a game.



We then met the ENT (same office, different ENT) and he went over everything that would happen again. And then the anesthesiologist came in to meet with us and reassure us that everything would be fine.



This was the only hard part: I have spoken to so many people who have taken their children to get tubes put in plus the regular doctors and our ENT and every one of them told me that the parent can stay in the operating room with their child and hold their hand until they are asleep. So right up until the anesthesiologist came in I was still under that impression. But I do remember from my own experiences that sometimes the anesthesiologist has a personal preference for putting someone under which may differ from what the doctor had said would happen. And for some reason I just had a hunch that I wouldn't be able to stay with Babe until she was asleep. Sure enough, the anesthesiologist said he preferred not to have the parent in the room when putting the child under. Because we were having the discussion in front of Babe I didn't want to make her nervous so I calmly agreed with him when really I wanted to argue and demand to be allowed to stay with my baby.

It worked out fine because I had been pumping Babe up for surgery for weeks. Telling her how lucky she was to live in a country where she can be able to have it done and how good she would feel afterwards. In the days before surgery I went over and over with her step by step what would happen and had explained it all right up to the mask going onto her face and her starting to feel sleepy.

When I found out I couldn't go in with her I was especially thankful that I had explained it all to her and made it sound like no big deal because otherwise I think my three-year-old would have been quite shocked to be taken away from me by strangers to a scary operating room.

Here is a video for prepping you child for surgery at Lions Gate Hospital. I didn't really find it helpful for Babe because she is still so little but would be good for an older child.

But I have to say all the surgery staff were great too. In fact, despite not letting me in the room the anesthesiologist was really good with Babe and continued on making the experience fun for her. He even piggy-backed her into surgery!

Then it was just waiting until she was awake. Which was nerve-wracking. But the time apart was only about an hour and most of that was just Babe sleeping it off. I believe the actual surgery was only twenty minutes.

Afterwards the ENT said her ears were so filled with a thick gluey substance that it kept clogging his sucker-thingy (he actually used a medical term for that equipment).



The rest of my notes come from Babe herself, so...you know:

Babe says when she got in the room she watched cartoons and then they put the mask on.

She says the gas smelled like doggy breath (pretty sure that was a description she heard from one of the doctors because we don't have a dog).

She says they put stickers on her arm (she did have stickers on her when I saw her next).

Babe also says the piggy back was fun and she doesn't remember feeling sleepy.


Pretty stoned after just waking up.

The nurse gave her a popsicle but at this point she's still too
high to remember what she is supposed to do with a popsicle.

When she woke up she was groggy and stoned but still seemed to be enjoying all the pampering from the hospital staff (might be a Munchausen Syndrome candidate later on if hospital trips continue to be this much fun).

The only time she cried at all was when the nurse removed the little IV tube in her hand - which they were kind enough to put in after she was asleep.

Take this popsicle and shove it!
Not liking the nurse after she took out the IV.

Has certainly perfected her Victim face.


There has been no dramatic "I can hear!" moment but I think that is because her ears were already starting to clear a little due to the weather. There have been a few times where she has commented that a sound was too loud where she never would have said that before. But she definitely isn't saying "What?" anymore.

She has antibiotic ear drops for the next few days but has felt no pain. In fact she was back to her old self a few hours later and back at preschool the next day.

As a thank-you we made a donation for new equipment to Lions Gate Hospital. And I think we'll take a card over for all the staff and her ENT. If you want to donate to Lions Gate Hospital, CLICK HERE.

Anyway, I hope our story helps if you are waiting to take your child in for a myringotomy or if it is something you are considering.

Now to invest in some good swimming ear plugs!

Happy little patient.


Tuesday, April 21, 2015

A Forest-Themed Toddler Room...it's a work in progress.









Butterflies

I ordered these butterflies from a shop on Etsy. Check out the collection HERE. Normally they come with magnets on the back, but I had the artist leave the magnets off so that I could stick them directly onto the wall. I already had the antique oval frame which created this whimsical look.










Storage
I wanted as many of Babe's toys as possible to be out of sight so they don't take over from the simple forest theme of the room. I started with the above unit with the pink pull out tubs from Ikea (wish it had come in plain white or green) to store most of her loose toys. I bought some pretty little labels and applied them to the front of each tote. And then I bought the shelving unit below for inside her closet to hide all her books but still keep them accessible for her. I wanted to keep her old crib rails safe in case I sell the crib later so I stashed them in the closet and am currently using them for shoe storage. I also hung hooks from her slatted closet doors for extra hanging abilities and traded out the old seventies knobs for some pretty little glass ones from Home Depot.







  




Lighting

Babe still has the old wall-mounted light that I featured in my old post on her nursery. It still fits as it has a monkeys on a vine theme. But I am loving this new squirrel lamp which was a gift from Babe's grandmother. The mushroom nightlight was purchased from Canadian Target before it closed shop and vanished from the Land of the North. It's convenient that the nightlight can plug in or run on batteries.




Here's the old lighting that we still use that was featured in the Nursery post.




Cushions

I'm still looking for the perfect forest-themed bedspread so for now we are using an inexpensive Ikea option. I might have to end up buying a fabric that I like and sewing my own. The fox and deer cushions were purchased from Home Sense.








More Forest

I have had my eye on a gorgeous, realistic forest mural wallpaper for Babe's room ever since I got pregnant. But we are always renting and I haven't wanted to commit to the cost of it or the application and eventual tear down. But last spring we grabbed this three panel forest screen at a fundraising auction. It goes great with the grass-like shag rug we got from Ikea and the adorable fawn wall decal I ordered from THIS SHOP on Etsy. The mini grand piano is from Chapters/Indigo. The carpet and screen combo create a temporary little forested corner until I can get her a room where I'm happy to commit to a full wallpaper/mural effect.








Mounted Stuffy

This was featured in our trip to Calgary post but I'm still loving it and it still fits the theme. It was purchased at the Calgary Airport.







Sky/Ceiling

Babe has one of those little stuffies that projects stars onto the ceiling at night and plays ambient noise. But I wanted a touch of nature on the ceiling in the daytime too. Enter THIS TUTORIAL VIDEO on making a cloud with lights and I thought I could do that, but with a mobile twist. It's kind of still a work in progress as I wanted to use clear fishing line instead of basic thread. But the fishing line of course has a lot of curl to it. I discovered I could get about 75 per cent of the curl out by using my hair straightener on a low heat setting and pulling the line through quickly (a hint that also works for quickly ironing your boxing hand wraps) but some of the kinks still remain. I'm hoping they will straighten out over time otherwise I guess I will re-string all the beads with plain thread. The cloud is made with paper lanterns and synthetic batting. In the video they use a glue gun to attach the batting to the lanterns but I found spray glue worked much faster. Stinks a bit though so the cloud spent a couple nights outside. The video peeps hung little curtain lights from their cloud but Babe and I wanted rain drops so I bought the blue and clear beads from Michaels. I may still put a battery-powered light inside the cloud at a later date - a nice perk to the cloud shell being made out of lanterns and not a paper mache ball or something is that you can still reach inside of it.












Sunday, April 12, 2015

"But I've Told Her A Hundred Times..."


Broken snowglobe



After daycare Babe and I stopped at the grocery store to pick up some things for dinner. Due to a naughty moment in the car she knew a toy was going in the Disappearing Box when we got home so she was her very best Big Girl Helper in the store; trying to rescue her toy from a week of hibernation up high.

We are always rushed at the end of the day - going from work to errands and home to play, make dinner and do the bedtime routine - all before 7:30.

Babe tried her best to carry a bag in from the car - without being asked. But it was too heavy and after a few stumbles in the parkade she let me carry it in.

I try to get her to watch TV while I cook dinner because I know it's not safe for her to be prancing around the hot pots and pans in the kitchen. It never works though because Babe has too much energy to sit for long in front of the TV. And by the end of the day she is just desperate for my attention. So dinner time is usually a juggling act for me. There's no extra set of hands or eyes. No one who can keep her entertained while the other parent gets dinner on.

She took off her jeans because they were uncomfortable. I asked her if she wanted me to get her a pair of cozy pants but I don't think she responded. She was playing on the floor just outside the kitchen and we were chatting as I cooked.

She went to the bathroom on her own and peed on the grown up potty without help which made her proud. That's a new thing since she saw a little friend do it while they were visiting...until recently she's always used her little potty.

When she was done I asked again if she wanted cozy pants. Nothing.

I was still cooking.

I saw her fold up her bathroom stool and take it into her bedroom.

I heard her say she needed it to reach the lightswitch in her bedroom.

She pinched her fingers hard in that stool just the other day so I had a faint flash of concern that it might happen again.

She called to me from the bedroom in her growly frustrated voice because the light wasn't turning on.

It's a wall-mounted light that plugs into a socket which is controlled by the lightswitch at the doorway. But it also has a switch on the cord. Her sound machine is also plugged into the same outlet. So at night when I leave her room after tucking her in I turn the light off at the cord so the lightswitch at the wall doesn't kill the sound machine.

Usually I turn it back on in the morning but I guess I didn't this morning. So Babe couldn't figure out why flicking the lightswitch by the bedroom door wasn't working.

She was calling out, "The batteries are dead."

I put down my spatula and said "No Honey, they aren't". I went into the room and hit the switch on the cord which runs like a seam from the wall light down the wall and behind the dresser to a hidden plug. Then I went around the corner back to my cooking.

Maybe ten seconds passed.

I'm sure one of two things were going through her mind before she forgot my many, many warnings:

Her interest may have been piqued by my coming in and switching the light on at the cord, maybe she was drawn to that switch that she hadn't noticed before.

Or more likely her mind simply wandered back to my question moments before about cozy pants.

But she was still on the little stool at the lightswitch as I walked past her and back to the kitchen.

I've told her a hundred times. Over and over...

I'd only been out of the room for a few seconds.

There was a loud crash. It sounded like she'd broken her whole room in one second. Before I heard her scream I already knew exactly what it was and my stomach had already sunk.

She was screaming as I rounded the corner and into her room. I couldn't get there fast enough.

And there was my little girl buried under her heavy dresser.

She was pinned from her mid section down under the tipped frame, the three drawers and a ton of clothing. There was broken glass and sparkles in the rug from her Las Vegas snow globe.

It only took a second to get her out and into my arms but she cried in heaving sobs in my lap for a couple minutes before I could calm her just enough to really look her over. I knew she wasn't bleeding but in those moments I didn't know if there'd be a broken bone. Honestly, I didn't even care, I was just so thankful she was OK.

That dresser is so heavy. It could have been so much worse.

I had her furniture braced to the wall in our old place. I've been reminding myself over and over and over to get the guy in to do it at this place. There's not much that is tippy here anyway, just a couple of items. It's just one of those things that gets pushed down the list because everything else seems more pressing and I'm doing it all myself.

And I've told her a hundred times to never, ever open more than one drawer at a time or climb up on any furniture. I've explained, slightly graphically, what could happen if she tips heavy furniture over onto herself.

But I nannied for years so I know not to expect a three-year-old to remember any warnings. I guess part of me thought since I regularly reminded her that she would somehow remember in that split second when something catches her attention.

And Babe is usually so careful...

Someone said, "Don't blame yourself. Accidents happen".

But you know what? Ya, it was an accident. It was in the blink of an eye, it was just a stupid mistake. But it is my fault. It was negligent. It's not like I didn't know parents should brace the furniture. I know. I've known for years. I've reminded other parents to do it long before I had Babe. I kept reminding myself to do it since we moved and kept forgetting and reminding myself and forgetting. That little voice inside was telling me to get it done.

For crying out loud I just read another story about a child who was killed this way, like a week ago.

It's amazing how fast things can happen when we are juggling too many things and trusting our babies just a little too much.

Babe is perfectly fine. But when I think of what could've happened I feel sick and the tears come on.

I'm sending all my love to whatever angel was watching over my little one as her attention innocently turned to the dresser in her room.




Please anchor your furniture if your wee ones are exploring now.

Even if they are a bit older and you've told them a hundred times...

Even if they are usually so careful.