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Outpatient Surgery at Children’s Hospital in St. Louis – Department of Otolaryngology Pediatric

Hailey, almost five, needed a new set of ear-tubes and her adenoids removed at the request of ENT specialist Dr. Lieu, (Department of Otolaryngology-Pediatric). Hailey has toughed out five years of constant fluid trapped in her middle ears (even with first set of tubes) and countless infections, we’re hoping the procedure will help alleviate constant pain and sensitivity issues also prevent any long term hearing loss.

Extremely kid-friendly, Children’s Hospital in St. Louis is a great facility with the best care around. Dr. Lieu’s office is located at the hospital and between Olivia and Hailey, this would make our fourth out-patient procedure, so we have frequented “Children’s” many times prior to this, but nothing in our experience would have or could have prepared us for (although we should have expected), Hailey’s difficult recovery, I’ll get to that soon.

Kim had all the paperwork completed before our arrival so checking in was a snap. We just need to show picture ID’s and insurance card at the reception desk where a concierge was waiting to take us up to the surgical center. We were immediately placed into a spacious “family” room down the hall from the operating room where we waited for Hailey to be called. We did have a couple hours to wait too, luckily the room had cable TV, DVD, and a playstation. Right outside our room was a play area loaded with games, puzzles, books and non-messy art supplies. Hailey and Kim played Guess Who? Then it was time to send Hailey to the OR.

Dr. Lieu came in to see us right before the surgery and apologized for the wait. Dr. Lieu is highly personable and genuinely interested in her paitents health. Five plus years ago when searching for an ENT, Kim and I were lucky to have found Dr. Lieu from a pool of (in my opinion) mediocre doctors that were in our (then) insurance network and we did a few interviews too.

The cartoon print scrubs gurneyed Hailey off to the operating room, bravely she went, not looking back as Kim held in a tear. Kim and I went back to the room until they called us to the recovery area which only took an hour. I had some phone calls to make so the time went by quickly.

Approaching the recovery area we could hear Hailey shouting, “The medicine made me sick! I want to go home right now!” over and over again. She was surrounded by four attendants and thrashing around when we arrived. The fact that Kim and I showed up only made her scream louder, “Take me home right now! The medicine made me sick! I want to go home now!” I’m pretty sure the nurse administered (and I wasn’t rejecting) a sedative into Hailey’s IV more than one time over the course of a thirty minute Hailey scream feast, something I am used too, but probably nothing the nurses or techs had anticipated. A few surprised passer-byers gave us the look of ‘can’t you control your child?’ a few others gave us the look of ‘been there and glad it ain’t me’.  At one point, the stubby attending nurse told Hailey that she needed to try and be quiet because she was scaring all the other children, which I didn’t appreciate her saying to Hailey at that point in time. Hailey moved from the gurney to Kim’s arms where she shrieked and wailed “I told you blueberry! The strawberry medicine made me sick! It’s in my mouth! I can’t hear! Take me home now! I don’t like this! Etc…” for another twenty minutes before she finally started to calm down enough for the recovery team to get her out of their hair. Once back in the room Hailey cuddled up with me for a few more ear splitting cry’s and the nurses shut our door on us. Kim and I half-laughed at that and I added “well we should have expected this, [from Hailey].”

Hailey crashed in my arms for an hour or so then woke up vomiting on my lap which was no surprise and normal, (well, did not expect throw-up on me). She swallowed some apple juice which made an immediate return. Slept a bit more, then woke up and stomached half a 20oz bottle of grape Power Aid for a good amount of time. At this point we were ready to go, Hailey was calm enough to say that she was feeling better and wanted to go home and sleep in mommy and daddy’s bed. Kim had signed the release paperwork and picked up a couple prescriptions from the hospital’s pharmacy earlier while Hailey slept in my arms. I Hoisted up Hailey to leave when she vomited all over me again, this time on my shoulder and inside my shirt pocket where I had stashed my ID, insurance card and validated parking pass. I took off my button down and walked her out in crew neck t-shirt. The stuff on my pants had long dried.  She also hurled waiting for the elevator, lucky for the janitors she made it to the trash can. Kim and I were about to turn around and go back to the nurses station and ask to be re-admitted waiting out any further vomiting but from past experiences, we knew that this was just part of the process, figuring she would be ok soon and we were right. Hailey fell asleep on the ride home, slept even more once we got home, had no more stomach problems and woke up the next day feeling as if nothing even happened.

Lesson Learned:
1. Have all paperwork complete and sent to hospital before the day of surgery.
2. Get the kiddo familiar with hospital prior to day of surgery (most hospitals do tours).
3. Keep photo ID and insurance card handy.
4. Get parking validated.
5. Expect your kiddo to be disoriented after surgery and expect vomit.
6. Bring extra clothes for kiddo (and self).
7. Bring work or activity to fill an hour or two for yourself and spouse.
8. Have vomit bag ready for car ride home.
9. Kiddo will sleep a lot the rest of day and next.
10. Have quiet low energy activities planned the next couple days.

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Good Sister Awards – Parenting Tip for Sibling Rivalry

If being mean spirited to your sister was an olympic sport then my girls would take the gold, silver and possibly the bronze. Expecting arguments and bickering, they aren’t immune to disagreements, but lately the hurtful things my children have been saying to each other, truthful or not, needs to be addressed and nullified. Yesterday, a Daddy Day, the teasing, squabbling and screaming eclipsed to the point where I wanted to say, “If you tell her three times to stop and she doesn’t stop then go ahead and hit her.” I’m not even sure what that specific issue was about, but I was not interested in solving every tiny argument between Olivia and Hailey, I was looking for a solution to the main problem which I might have solved or I may have made the problem worse, probably made it worse, you tell me.

The sibling rivalry between Olivia and Hailey is severe. Nothing Hailey does measures up to Olivia’s expectations. Hailey’s artwork is “worthless scribble scrabble.” Or, Hailey “doesn’t even know that.” Or “Hailey’s not even good at that.” Attempting to belittle Hailey’s accomplishments, Olivia feels more important and smarter about herself. I have tried to explain to her that this is a bad thing, “Making her feel bad doesn’t make you feel good.” It drives me crazy because among many things Hailey is quick minded and anticipates what is expected of her. And god forbid, if I ever try to praise Hailey for something, without Olivia whining, “What about me!? I am too!? or I did that too!? or I’m good too!?” And Olivia gets plenty of credit and praise when it is deserved. She just can’t stand to see Hailey succeed at anything.

Don’t get me wrong, it is not all Olivia, because Hailey can be just as mean to her sisters too, “I’m never going to play with you!” is her signature threat when she doesn’t get her way. Or storming off to her room to sulk when she doesn’t win or is losing at a game. Or screaming point blank in Elizabeth’s or Olivia’s face not to take her stuff. Or Hailey shaking her tooshie and teasing Olivia, to the tune of naner-naner boo-boo’s, “I have a play-date and you are a poopy-head.” Hailey’s raspberry song has been rattling around up there for a day or so.

Elizabeth is competing with her two older sisters too. For instance she jockey’s for a seat in Kim’s lap during story time throwing elbows to get the most comfortable spot. She complains at the dinner table feeling left out of conversations and tonight swiped the last pear slice from Olivia gloating as she gobbled it up. She can’t share or take turns with any of her six or seven prized baby dolls. But I guess this is all normal for a one year old.

After a busy daddy day morning of refereeing I had devised a rudimentary plan; use my princess’s competitive nature to enlighten them in good sisterhood skills. My bright idea: ‘Good Sister Awards’ and the timing could not have been better because as I was hashing out PB&Js for lunch Olivia noticed an Elmo cup at the top of her place setting. A simple mistake on my part really, because for the past year anything sesame street has been unacceptable, “that’s for babies” I should have known by the disdain for sesame street, except for when the show is actually playing, not to set the Elmo cup anywhere near Olivia and she whined and complained about the cup. I told her, “it is a cup with your water in it” she persisted and I replied, “you git what you git, and you don’t throw a fit.” Hailey joining chorus on the last part.

Olivia kept going on and on about the Elmo cup. I repeated “no” a half a dozen times, each “no” pushing me closer to going Alec Baldwin on her. I considered that for a split second before deciding to cave-in and offer her the opportunity to pick her own cup when suddenly Hailey volunteered to switch cups. The parenting gods had chosen this moment to merit the first “Good sister Award” right there on the spot to Hailey for her unselfishness and she was proud of herself. And what does Olivia do? She fusses, “What about me… I’m a good sister too?”

“Show me, don’t tell me.” I replied to Olivia which spurred her to break her string cheese precisely in half to share with Hailey. “That deserves a good sister award” I said finally pleasing her. During lunch we discussed how we were going to track the awards and came up with a plan to fill decorated plastic jars with ‘good sister award chips’. Then those chips could be cashed in for special prizes.

Good idea?  I’m not so sure yet myself, it may be a bit too competitive in nature, I’ll let you know how this one turns out.

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Mirror Mirror on the Wall

For every hundred failures one successful idea will prevail. About a year ago I had one of those successes. It is a great parenting tip and I want to share.

Contained within a dryly PhD written child development book which I can’t remember the title, I found an interesting factoid that stood out; three out of every four teenage girls has an unsatisfactory self image. When I read this I could see truth in that. Of course the professional child psychiatrist who recorded that fact had no solution to combat the ugly trend, pointing to external cultural influences as the cause.

That gloomy stat slowly began to creep up on my girls, In photographs Olivia would mimic cover model’s expressions that she’d seen from Glamour mags while waiting in line at the supermarket, Hailey started using words like “fat” or “ugly” to describe other people and Olivia desired to wear clothing emulating teenyboppers. Pop culture was stealing my children’s innocence. It was only a matter of time before Olivia’s and Hailey’s own inadequacies bound them into a suffocating comma of self doubt and uncertainty. I had to find a solid method to instill confidence in my young princesses and repel the damaging tide of filth spewing from every direction. That method came from another book. A book that I do remember: Get Real Get Rich by Farrah Gray, an inspirational read about a south-side Chicago kid who grew out of poverty to become wealthy in more ways than monetarily. Somewhere in that book I came across a confidence builder that worked for the author; looking in the mirror and reciting self affirmations. Yup, the perfect remedy to instill self-confidence in my girls.

Close to a year ago I got my girls into the habit of saying something nice about themselves or something that they are good at when they stood in front of the mirror while getting ready for preschool. Now, anytime they step in front of a mirror they automatically have something positive to say (or think) about themselves and both Olivia and Hailey appear to be more self assured, upbeat and less hypnotized by our glamified culture.

I can tell them a bazillion times (and I do) that they are beautiful or intelligent or good at something not making a dent in their psyche. However when they have convinced themselves that they are good or pretty or smart, a noticeable internal foundation of confidence is clearly evident. In three or five or ten or twenty years will my girls turn out to be overly confident even conceited? Maybe, but it’s better than the alternative.

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