This post is a long time coming. It's been a busy month of trying to get Seth back on his feet from a surgery that should have been routine, but ended up with us in the hospital for four days. While I would have gladly skipped all the pain he had, I am glad for the lessons learned and the emotional progress that was made.
A month ago, Seth went in to have tubes put in his ears for recurring ear infections, and came out less a set of tonsils and adenoids. During the surgery, the doctor came out and said his tonsils and adenoids were very enlarged and showed signs of continual infection. This was no surprise to any of us. His advice was to go ahead and remove them. Seth woke up from anesthesia weirdly and wildly, in a complete panic and in huge amounts of pain, striking out, hitting, screaming. Brutal. They were unable to administer pain medication post surgery because he would have spit it out. We were told to wait til we got home, in order to let him calm down and to allow the anesthesia to completely wear off. I had a bad feeling about this.
We got home and he flat out refused to take any pain medication in any form. We tried liquids (which he's always done in the past). We tried chewables. We tried quick dissolves. Nothing worked. We resorted to a little bit (okay, a lot) of coersion and that resulted in him spitting it out and hysterics.... on everyone's part. We tried to hide the medication in his food and drink. He was on to us and wouldn't eat or drink it. As he felt more pain, he started to refuse food and drink altogether because to eat or drink would require him to swallow, and that wasn't happening. By Thursday, he was dehydrated and in a great deal of pain. We called his doctor who told us to get him to the ER to be admitted.
We got to the hospital and Seth was a nervous wreck. Long hallways that resemble institutions do this to him. He has no frame of reference for the word "hospital" and he didn't want to hear what I had to say anyway. He just wanted me to hold him and he wanted the pain to go away. Once they had him back to a room, they needed to draw blood for labs and put in an IV to begin rehydration. At this point, his tongue was so dry there was no moisture at all on it. He was beginning to fall apart emotionally. He didn't know where he was or what was going on and he was in significant pain. The lab tech came in and wonders upon wonders, she spoke Russian. I asked her to tell him that he's in a hospital, that we were going to help him feel better and that he would be going home with me when it was over. You could see him visably relax as she talked to him. Poor baby. :(
Amidst wimpers and pitiful cries, blood was drawn and after two unsuccessful attempts, an IV line was put in. They ran the bloodwork and learned he was definitely dehydrated and needed to be admitted. We were taken upstairs to pediatrics for IV pain medication and hydration.
Over the next 24 hours, he got better. We were able to go to a playroom and paint, to walk the halls, to play in the play area. He still wasn't eating or drinking, but because of the IV and good medication, he felt better. That was Friday morning.
By Friday afternoon, he was spiraling downhill again. I told the nurse and we tried to figure out why. He had no energy and refused everything I tried to give him. He slept a lot. He didn't want to leave his room. He couldn't seem to get past the pain. We added in morphine and he needed it every two hours, like clockwork. That's not normal for someone three days post op. Friday dragged into Saturday with no real change, and then it was Sunday. They couldn't send us home because he still wouldn't eat, drink or take oral pain medications. We were stumped. He just wasn't getting better.
One of the low points for me came as we took a walk together through the halls. He wouldn't allow me to even put him down, so I carried him in my arms. We passed by a row of cribs, and Seth absolutely scrambled to get into one. I allowed him to, partially because I was curious. Sure enough, he instantly curled into a ball and put his thumb in his mouth. To him, a crib still represented security. Break. My. Heart.
Sunday morning, I asked the doctor to take a look in his throat. We had avoided it up til that point because we knew his throat was messy due to surgery and we knew it would hurt him to allow us to take a look. The doctor agreed it was necessary and grabbed a tongue depressor, took a look and announced that on top of everything else, he had strep. No wonder he wouldn't eat, drink or do anything else that required swallowing. IV antibiotics were started immediately and by Monday afternoon, he was doing reasonably better, not eating much but drinking steadily. We began coaxing oral meds down him and while it was met with great resistance, I felt I could handle it. It was time to go home.
He recovered fairly quickly once home, adding more food and drink as the infection went away. Two weeks post op, he was eating his body weight in food and trying hard to make up the FIVE POUNDS he lost in less than a week. That's a lot of weight when you only weigh 40 pounds to begin with. After a couple days home, he began to take his medication orally again and now, a month later, has gained a whopping NINE POUNDS!
Aside from a lot of angst and anxiety, Seth's time in the hospital actually came with some up sides. He likes me to cuddle and hold him, but on his terms, and because he's a busy 7 year old boy, never for very long. While in the hospital, he wanted me to lay with him, read to him, and hold him a lot. He allowed me to comfort him.
He also learned to communicate pain, something that he's never done before. He did not know to let us know when he hurts. Why communicate if no one is listening? He learned that we are listening and that if he lets us know, we will help him, that I, as well as the scary nurses and doctors, was there to make him better. He would reach up to me, take my hand and wimper. When he did that, I knew his pain was getting unbearable.
For four days, he watched me like a hawk. If I walked out the door, he had to know I'd come back. One time, early on, I forgot to tell him where I was going and I could hear him crying down the hall. From then on, I made sure I told him where I was going and that I'd be right back. It kept him from crying, but he continued to watch me. He learned I always come back.
We made big progress in trust while we were in the hospital. He had to give up control and rely on me and a team of medical professionals, to help him, in a situation that clearly made him nervous. He had to let us know what was wrong and trust that we would make it better. He had to figure out a non verbal way to communicate pain. He had to set aside his anxiety every time I walked out the door, trusting me to come back. And I did.
As the doctor and I talked on Monday and decided that we could go home, the doctor looked over at Seth. Seth was laying there, listening to every word. He was delighted to hear the word "home".
The doctor said Seth is amazing, that he's very smart and that he has a will of iron.
Tell me something I don't know.
Seth is stubborn. Seth is strong. Seth is resiliant. Seth is a survivor.
Seth. Is. Amazing!