Sunday, January 06, 2008

SARAH'S EAR

Tomorrow Sarah goes to have surgery to have a tube put in her ear. It all started at the end of September when she told me that she was having trouble hearing out of one ear. Like a good mother I ignored her the first time she told me. The second time (a couple weeks later) she told me again and I had her plug her good ear and tell me if she could hear the TV with the bad ear. She couldn't. I'm no Sherlock Holmes so it took me a day to figure out that it could be an ear infection. Last fall she had gotten an ear infection and did not have any pain until the infection was so bad the eardrum was about to burst. I know that it was about to burst because she described the pain as "throbbing" and said it felt like something in her ear was "growing." Now you would think I would be very tuned in to any sort of thing happening with her ears. So although she didn't have any pain, I decided a trip to the pediatrician was in order. Of course she did indeed have an ear infection. Quite bad actually. The course of treatment followed a similar path to last year. It took two or three rounds of progressively stronger antibiotics to cure the infection. Afterwards she had to be on six weeks of maintenance antibiotics because of residual fluid left over in the ear. Last year after the six weeks the fluid was gone but this year the fluid was still there.

Fortunately, we have an Ear, Nose and Throat specialist that we are familiar with (Tom has on going sinus problems and Erin had tubes in her ears when she was younger). I made an appointment and I wasn't surprised when he tested her hearing and she was having trouble hearing with that ear. We already knew this but hey, why not pay for an expensive test to tell us the same thing! Just joking, I'm sure its important to know just how much hearing lose there is just to compare with how much is restored after the tubes. He recommend a tube and said he would check the other ear for fluid during surgery and if some was in there he may put two tubes in. He said that it is common at this age for the adenoids to swell and sometimes block the end of the Eustachian tube so fluid can't drain. The adenoids usually go back down in a year or two. He also said in very rare cases the tube may be blocked by a tumor. He will check during surgery.

Considering Sarah is my little worry wart, she is doing outstanding. She really doesn't seem stressed much at all. I'm sure she will be a little worried tomorrow but so far so good. I am not really worried because we have been through this twice before with Erin. It gets to a point where you just want to get the tube put in so the problem can go away. I am constantly worried that the ear infection will flair up again. It just makes matters worse knowing she doesn't get the pain until its almost too late. She is off the antibiotics now for a couple of weeks so it could come back at any time. It will also be nice that she won't need those antibiotics since they really mess up her digestive system.

LUCKY ERIN

For the past couple of years Erin has complained about pains in her hips and knees. In 7th grade when she started to run cross country, she had to stop for a couple of weeks when her hip became sore. The spring of 7th grade she came home one day and told me that her knee had gotten locked in a bent position when she had tried to straighten it after sitting on her knees during class. It was so painful that she almost passed out. She ended up crying in school, something that she never does. She was finally able to get it unlocked by bending it even more and she felt her knee "slide" back into place. Then this year in 8th grade she had a similar problem where her knee would hurt when she tried to straighten it (one time after sitting with her legs bent up under her). In between these incidents she would often tell me about minor aches and pains. I decided that although I didn't think she had a serious problem, we should take her to an orthopedic doctor.

The visit was definitely worth the $15 copay. He told us that it is very common for adolescent girls to have knees that tend to slide back and forth. He showed us by putting marks on her knee and then moving it from straight to bent. Sure enough her knee slid about a half inch to the outside. Very creepy. He also told us that as her hips widen she would get pain there too. He said some girls suffer much more than she has and it can get very painful. He told us that when she sits on her legs with her knees bent that causes inflammation under the knee cap. Then when she tries to straighten them they move and because of all this inflammation it really hurts. The good thing is that her knees and hips should feel better after adolescence.

He then told her to stand and pointed out that her arch was okay until she stood and then it would collapse. He said that her feet tended to roll in because of the collapsing arch and that puts more stress on the moving knees and growing hips. He recommended that we buy "stability" running sneakers. He gave us a website to go to in order to know which sneakers to buy. When I came home, I checked the sneakers that she had used this year for running and found out that they were stability sneakers. I figured that was why she didn't have a problem while running this year. At the time I had thought it was odd that she didn't complain during the time she was running, all the problems happened at other times of the year. I think we both feel happy that all her problems are just normal things that will eventually get resolved.

FEELING BETTER

I have been feeling better for awhile now but haven't posted because I have been busy with the holidays. The new medication I was on made me get more migraines for the first week but now I have been migraine free since. It took awhile but most of my energy has come back also. I once again have a zest for life. I don't know if I'd call myself a dynamo, but at least I have enough energy to accomplish some things.

Thanksgiving was spent at home. I cooked a turkey with all the usual fixings. Christmas was also spent at home. I kept feeling thankful that I was doing so much better and realizing that I couldn't have survived all the shopping and preparing if I didn't feel so good. It really made me appreciate my health. I happily spent the last few days before Christmas sewing pajamas for the three kids to wear on Christmas Eve. I really love sewing. I was disappointed however, that my sewing kept getting interrupted by phone calls bringing bad news! I guess I was being selfish when I got to the point of wishing people would stop calling. I felt that now that I was finally feeling better, I didn't like hearing all this depressing stuff! I just wanted to enjoy the holidays. I did try to be a good person and give these people time to vent. Things seem to be calmed down now so I think I will get some peace.