Tuesday, September 14, 2010

Doctors and Tonsils and IV's Oh My!!!

Sorry it's been a few days since my last post.  Up until yesterday not much was going on. 

Yesterday we had to drive about an hour down to Rady's Childrens Hospital in San Diego for two appointments.  First we met with the otolaryngology doctor.  This is an ear nose throat doctor who will be doing Alex's tonsil removal surgery.  The interesting thing we learned is that the doctor had heard about some trial studies done that show children with Psoriatic Arthritis do better after they have their tonsils removed.  I explained to him that she has needed them out for over a year due to constantly getting tonsilitis/strep throat and that it had nothing to do with her PA.  I will have to look into the research though. 

Her surgery is scheduled for September 28th.  She is  excited about it because she is looking forward to no school and all the ice cream she wants!  I don't have the heart to tell her that I read in her prep paper work that ice cream is not that good for her because of the dairy and it sticking around her throat.  She loves smoothies and jello so we will try and go with those! I don't really know what her recovery will be like.  The doctor said it will feel like a bad case of strep without the fever making your body hurt too.  She can go back to school as soon as she is off the pain meds at which point she will probably feel better anyway. Best guess in 5-10 days.

Her next appointment was the MRI.  They were sooo nice!  Because MRI's take so long you are often the only patient waiting.  We had a private waiting area with a tv which made Alex happy.  It was good for me since we were 20 minutes early!  Next they brought us into this room with three nurses!  Not one, not two but three.  All being so so sweet to Alex and asking her about school and what the MRI was all about.   Next I notice one of the nurses is getting a needle out and I am thinking "what the H"....turns out she needed to have an IV to inject contrast fluid for the MRI.  Once Alex heard this she turned white and started shaking!  They put her in this cool recliner with special arms on it just for this purpose (putting in IV's).  They also gave her a warm blanket.  After she relaxed she did awesome.  They let me go in the room with her and gave me a pair of ear plugs since MRI's are sooooo loud!  She had to lay in a very awkward position on her stomach with one arm up above her head (superman) and the one with the IV straight down by her side.  They put these huge headphones on her that had a radio station playing in them which made laying with her head turned to the side even harder.   She looked so uncomfortable! The MRI took 50 minutes!  I could not belive it took so long.....I guess with the IV it takes longer. She did absolutley perfect and didn't move an inch the whole time!

We got out of there at 1:30 just in time to rush home to get Kiersten and Ryan (her sister and brother) from school.  But guess what...I got lost!  I have gps on my phone but my phone died (and hubby had the charger).  Needless to say I had to call the school and they had to wait in the office for about 15 minutes for me.  Major Fail! 

So here is what is next:
MRI results in 3 days
Tonsils out on the 28th
Eye doctor 10/4
Rheumatologist 10/5

Have you or your child had tonsils removed...if so please leave me a commnent on how it went, recovery time and what foods you suggest!  Thanks!

1 comment:

  1. Hi Pattie, wow Alex and Dutch have a lot in common. He went through his tonsillectomy at this time last year, same similarities, constantly living with strep everyday. His was related to his disease, all within the autoimmune family. Since the surgery he has had strep once in the last year....a HUGE improvement. I often wonder if the autoimmune diseases are brought on by something in our environment. I would also look beyond the PA and pay close attention to other symptoms that Alex may have had in the past several years. Also consider your options when it comes to getting her started on some therapy for the PA. We started Dutch's therapy for JRA only to learn that it caused worse issues, a lot of internal bleeding, etc. Only afterward to discover that his diagnosis wasn't JRA but that JRA was just a symptom of a bigger disease. Sometimes you have to look ahead and decide whether the benefits of the medicine far outweigh the damage of the disease or vice versa. Sometimes the treatment can be more debilitating and damaging than the actual disease itself. We now deal with liver damage with Dutch which is a result of meds. :(
    As for the tonsil recovery. People will tell you that kids bounce back quickly, don't let that fool you. It was hard for Dutch. When children have an underlying illness its more challenging and often times something as simple as a minor surgery can wreak havoc on their body's and cause other issues to surface. Not to say Alex wont do well, but just want to prepare you that your estimate for recovery is right on target. It took Dutch about 11 days, first few days he wanted nothing to eat, I had to force him to take sips of water. after a few days it was on to Jello and then on to soft foods such as noodles or mashed potato's, etc.. Their may be a period where she will seem to be getting better and then go downhill quickly including a fever and more soar throat, (around 7th day) this is normal but will still warrant a call to the doc. All different flavors of gum was useful, because it promotes saliva which helps in the healing.
    I hope all goes well. She was such a trooper on her MRI!
    Call me if you need anything!
    Michelle

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