Sunday, May 2, 2010

Tympanostomy

Oliver had an unexpectedly eventful week last week with his ears. He has been having ear infections on and off since last September when he started daycare. At first, we knew when he got them because he ran a fever that got him sent home from daycare and sometimes was concurrent with other viruses or infections. His ears were completely clear at his 15-month checkup in December but were "thick," as the pediatrician described them, at his 18-month appointment. No fever, no tugging at his ears, no crying at night -- but two nasty ears -- and, as time went on, somewhat delayed language development. He did a of antibiotics, then went back to the doctor. One ear was clear and the other was not. We decided to wait a few weeks to see if the other would clear on its own (as we were reticent to give him antibiotics with no fever or pain present). We finally went back on Tuesday, with Wes in tow, and both ears were again "thick." The pediatrician did a tympanometry test, which showed that his ear drums were not moving very much, and we all agreed it was time to see an ENT.

The pediatrician recommended using the ENT practice at Vanderbilt, but said they were often hard to get an appointment with. Her nurse called the next morning and told us that the ENT clinic -- the nurse practitioner there, in fact -- could see us on June 14. She had mentioned, though, that Wes was a faculty member at Vanderbilt, and the clinic was trying to see if they could fit us in sooner. The nurse called back an hour later -- Oliver had an appointment that afternoon at 2:00pm for hearing tests, with a 2:40 appointment with the pediatric ENT himself. I had class, but fortunately Wes was able to take Oliver to his appointment. He said the hearing tests were kind of sad. They had Oliver sit in Wes's lap and played a series of tones to in different directions. When Oliver looked at the tone, he was rewarded with a picture of something he liked (Wes chose a dog as his reward picture, and Ollie spent the entire time saying "dog," "dog"). Wes said it became quickly obvious that he could hear much better than Ollie could. So the ENT, not surprisingly, suggested having tubes put in. What was surprising, though, was the timing. They would add us to the schedule any morning, so Wes took Friday to give us at least a one day lapse to get things in order.

Wes had two classes on Friday, so I was alone with Oliver. I was up at 5am and got Ollie up around 5:30am or so to head to the hospital. He wasn't allowed to eat or drink after midnight, and this was my greatest worry. Anyone who knows my kid knows he likes to eat, and I couldn't imagine him going several hours awake without food. I changed his diaper and clothes when we got up and then bustled him to the car, got to the Children's Hospital in less than 5 minutes, and parked by 5:55am. We signed in at 6am and finally were registered (confirmed that all of the information provided two days prior was correct) an hour later. People slowly trickled into the waiting room, and it quickly became full. There didn't seem to be a relationship between when you signed in and when you registered. I don't really know how that works. I assumed we went later because he had such a simple procedure and didn't have much that needed to happen pre-operatively. But who knows. I was irritated with the parents who were sitting in the waiting room with coffee and fruit under signs that said "no food or drink" (since none of the kids there could have anything to eat or drink). I just hoped that Oliver didn't notice and ask for anything, and in the end he was a real trooper. He and I played in the waiting room and read books, and he didn't really fuss at all. We went back to holding around 8:15am and waited there until probably 9:15am. He got into his hospital outfit for the procedure and got his band on (and played with it periodically). There was a glider back there, so when he seemed to get kind of crazy I would rock with him, and he'd rest his head on my shoulder and calm down, almost drift off to sleep. At least five different people asked if he was on medications or had any known allergies (also included on the sheet I filled out the night before). Two nurses carried him off at 9:10am, and I talked with the doctor post-procedure ten or fifteen minutes later. He said they cleared a lot of very thick fluid from both ears, and he has to use drops this week to get the rest cleared out. I was back with Oliver ten minutes later, a little groggy and very thirsty. They let us leave right away, and he was home having breakfast at 10am.

Unfortunately, he didn't take a nap that day. I put him down around 11:30am, thinking he would nap soundly, but 90 minutes later he was still upstairs talking to himself. So I let him get up and play. I was trying to finish a paper due at 5pm, and right around 4 he got really fussy and cranky and wanted to be held. Fortunately, Wes came home around then so that I could proofread my paper and get it submitted. I rocked with Ollie on the porch swing while Wes mowed (thank goodness, before all this rain came). He fell asleep immediately, and I moved us to the couch, where he slept soundly on my chest. We woke him up for dinner, then put him quickly to bed where he slept until almost 9am the next morning.

We don't go back to the ENT until mid-June for a repeat hearing test, but we can already tell he's hearing better. We've stood across the room and whispered his name, and he turned and looked at us. When the rain started yesterday morning, he stood gaping at it at the back door. He's certainly seen rain before (though this is a new level of rain), but it occurred to us that he's possibly never heard the sound of it coming down very clearly. It's hard to know exactly what the before and after was like for him, but it's nice to know that our boy is finally enjoying the world in full surround sound.

Sunday, April 18, 2010

Wee-wee Self

Oliver peed in his potty for the first time today!  I realized he'd drunk his entire sippy cup of cranberry juice and water in about thirty minutes and would probably soon be soaking his diaper, so I took him upstairs, put him on his potty, and got a big stack of books to read.  I kept encouraging him to go "pee-pee" so he would start to associate the word with the action.  And then, finally, he went.  There was lots of clapping on my part, but he just wanted to see how Curious George Goes to the Library turns out.

Afterward, when I got him up to put a diaper back on him, he turned around and splashed in the pee.  One battle won, one lost.  Still a victory.

Tuesday, April 13, 2010

Free Willy

Oliver is a typical little boy.  I suppose.  And he has entered what Freud would call the phallic stage.  So far, he fortunately doesn't seem to have developed an Oedipus complex, but he has begun to focus his attention, well, down there.  He plays with it when I change his diaper.  I literally have to pin his arms down to get the diaper on without a hand fastened inside.  Every time I've put him on his frog potty, he spends the whole time playing with his Wee Willie Winkie rather than peeing into the potty.  

Last week, on a nice afternoon when Oliver was in nothing but a t-shirt and diaper (which he kept taking off), I decided to let him run around the backyard without it on.  This is, I imagine, how he will spend parts of the summer in what I hope will be the first stages of potty training.  The thing is, I don't know if he'll use it if he keeps holding on to it.  (And I only hope that there's no phallus meets brick patio incidents that leave me without grandchildren.)

So tonight after his bath, I went to lotion Ollie up.  He likes to help, of course, and so I gave him little bit in his hand.  And what did he do -- well, he lathered it up, of course.

I know it's a stage.  I know it's normal.  But dude.  I guess this is just part of having a boy.

Sunday, April 11, 2010

Here's the thing(s)

A former colleague posted on Facebook today asking about the "things you couldn't live without" as a new mother.  I can't believe I've never posted about this, though I'm sure I sent such an email to a friend during her pregnancy, so now I will blog it here in response to anyone else who cares to know down the road.  I'll pick five:

1. A wrap/baby carrier.  There are lots of warning out there against using slings (though many women love them and don't deem them at all unsafe if used correctly), but I opted for a Moby wrap and the Ergo Baby Carrier.  I used the Moby more when he was really little as, even with the infant insert, I didn't feel as secure with him the carrier.  Once he could be upright in the carrier, I used that all the time.  I would put him in it to take the dog out to the park, to carry him on the bus or the El, or even around the house if he was fussy and I wanted to do dishes or fold laundry.  Once he got bigger, I started using it on my back and found that useful, too, though it took some work to get the hang of putting him on by myself on back.  We have one of the backpacks that can be used with still larger kids for hiking and the like, but for the money, I liked these.

2.  An Exersaucer.  I didn't get a bouncy seat or a swing or any of those types of contraptions (though I used them gladly as a nanny and babysitter for some kids who loved them).  I did get a play mat that he used for maybe 4-6 weeks and a doorway jumper (I know, I know) that he never got the hang of.  But the thing that he seemed to love and really saved me was the Exersaucer.  I probably put him in it too early (his toes hardly touched the bottom), but he was even then happy to be upright, able to spin some to watch the dog, and interested in the toys and mirror.  As he grew, he loved to be in it to watch everything going on, and he interacted with the toys more and more.  I was able to get household chores done or even a little schoolwork while he played happily in it.  We definitely used it for months.  It is big and very much a kid item that takes up space in your grown-up room, but it was worth it for us.

3. A jogging stroller.  I looked and shopped a lot for our stroller, but we eventually decided to shell out the money for a Bob with the smaller wheels.  We used it mostly with his car seat when he was smaller, but he continues to fit in it really well now as a big kid and has room to grow.  I might not have liked it as much if I'd been living in the suburbs and always got in the car to go places, and I did and do use a $15 umbrella stroller now if I'm shopping (only because it's easier to navigate through aisles in store), but it's really nice if you're someone who likes to walk.  Now I use it to push Oliver to daycare on campus and walk him and/or the dog to the playground down the street or up near campus. 

4.  Sleeping sacks.  I remember putting some of my charges in Halo sacks when they were little.  I don't know how, but when Ollie was a newborn I discovered these and got two because it was, well, winter in Chicago.  We only stopped using them when he outgrew the smallest size around 6-7 months, and it was summer and we were moving south, so we didn't get the bigger size.  Oliver never kept a blanket on him, so these kept him warm enough and were still easy to change his diaper in when he was up several times a night.  I've given them since as gifts, and people seem to like them.

5.  A hands-free breast pump.  I wanted to breast feed for a year (and did!), but I knew I was going to work and wanted to be able to give him a bottle if I wanted or needed to, so a breast pump was a necessity for me.  Once again, I shopped around, and this was one of the things I spent some money on.  I got the Medela Freestyle pump, which can be rigged up so you can pump hands-free.  And I did -- while I returned emails, did dishes, or read in the book closet attached to my classroom (hoping people would heed the sign on the door and knock before entering).  I used this thing a lot and never had any problems.  I could attach a nipple straight to the bottle I pumped into or put it in a bottle or freezer bag (stockpile!).  This thing, for all women gripe about it and talk about how it's not actually breastfeeding, made that one-year goal reachable for me and Oliver.

Bonus Item (Hey, I made the rules): Co-sleeper.  I used this thing a lot.  I got it more to be able to nurse and soothe without getting out of bed, since I was working when Oliver was a newborn, but I ended up loving that he was in the room with us.  I would probably leave another kid in it a little longer (we ended up having to revert to it when he hit his four-month sleep regression), and now that we have a downstairs master, it would make a big difference.  I'm all for putting kids in the crib to nap, learning to let themselves self-soothe a little (which you tend not to do when they're bedside), and transitioning them sooner than later, but I enjoyed co-sleeping and would never have done it had it meant having the baby in bed with us.

The small things: Baby Bjorn bibs (for once baby's eating solids), Tiny Love mobile, Aveda bottles

Saturday, April 10, 2010

Peekaboo!

Oliver has taken to playing peekabo a lot recently, and always unprompted.  He plays like an ostrich, though -- I can't see you, so you can't see me.  He covers his eyes with his hands, holds them there for a few seconds, then removes them quickly and shrieks with joy.  This usually repeats several times before he tires of the game.  In the later rounds, he leaves cracks between his fingers and peeks at us to make sure we're paying attention.  One time earlier this week, we waited for him to cover his eyes, then hid behind the kitchen counter.  That, of course, led to two rounds of giggles.