On July 21st I opened a whole new can of worms when I took Tyler for his six year check-up.
Tyler is seeing a specialist in developmental care next Wednesday. It was determined at his appointment that he needs to be tested to see if he is on the autism spectrum even though he is not autistic. This doctor will also test him for sensory processing disorder. However, the battle to get this appointment was all up hill. She has two offices and since he is now six, he has to go to the one at the hospital. It seems that one office cannot coordinate with the other or send records back and forth. I was originally sent 20 pages of paperwork from them and they wanted me to sign releases for every doctor that he has ever seen. I called back and explained that they already had that information and that he has seen over 30 doctors in his short lifetime. Then they told me that the first available appointment was in November. Finally, a nurse called me back and told me that she did not realize that Tyler was not a new patient! It took two weeks to resolve this problem.
Next, Tyler needs blood allergy testing. I am waiting to hear from insurance if they will cover that. Then he has about outgrown his double stroller so he needs a safety wheelchair for long distances. I have met a friend through Unique that has a son with a similar deletion to Tyler and he also needs a safety wheelchair. I took the information about wheelchairs that she researched to the doctor. Her staff worked on it for about a week and then they told me that they were mailing me a prescription for it and I would have to deal with the insurance agency. That is also still in process.
Then Tyler is still having issues with his feet. He still will not put weight on his left foot and he is walking on the outside of it. At the time of his appointment he had an appointment with his orthopedic doctor, but a second opinion is needed at this point. So, we now have a referral to go to the Shriner’s Hospital in St. Louis. Since then we saw his orthopedic doctor again this week. We took x-rays and it looked fine. She ordered two new nighttime braces and a new short day brace. We will see soon if all of this works.
Finally, she noticed that Tyler had an ear infection. He had not said that his ear hurt. She put him on amoxicillin for ten days. He finished it on July 30th. On Friday, August 5th Tyler woke up from a nap screaming that his ear hurt. Due to his high pain tolerance, something has to really hurt for him to feel it. It was after hours when I reached the doctor. They called out a stronger antibiotic. He took it for about 4 more days, but it was not working. On Wednesday, Aug. 10th I took Tyler to his Ear, Nose and Throat doctor. He looked in his ears and explained that he had a severe infection that was oozing. He prescribed pain medicine and ear drops to take in conjunction with the antibiotic. Then surgery was scheduled for today, two days later.
We arrived at 7 am at the surgery center. Tyler was taken back for processing as soon as we arrived. He liked putting on the Tiger hospital gown. Then he was taken to the playroom. The nurse asked if she could take him for a moment and she brought him back with a Stitch sticker and a blow up basketball. Tyler was in heaven with his new ball.
We then played in there for about 30 minutes before the anesthesiologist came in to talk to us. She asked if I had any questions. I explained that on his last ear surgeries he woke up angry, screaming and hard to control and that when he had surgeries at the local hospital, that did not happen. She ordered some Versed for him. At first I tried to hold him after he took it, but he would have none of that. Then the nurse came back in about ten minutes later and asked me to try to hold him again. He was mostly out of it. She then selected a bed for him. I carried him to the bed down the hall and one of the nurses came to talk to him. He let Tyler pick the scent of his mask for the anesthesia. Then Tyler crashed. The ENT doctor came and talked to me. He looked Tyler over and decided that his ear still looked bad. I also explained that the ear drops were pooling in the one ear and not going in. He said even if a little of it went in, it would help. He ordered Rocephin, which is an antibiotic IV to help with some of the infection since it appeared to be severe. Then he left and the anesthesiologist came back to tell me that they would need to add an IV for his medicine. Then the nurse took Tyler off to surgery.
I went and sat back in the waiting room for the twenty minute surgery to be over. Finally, after twenty-five minutes the doctor came out to talk to me. I was taken back to a small conference room. He explained that Tyler tolerated the surgery well. He explained that they were able to put the tube in the one less infected ear. He told me that the other ear was suctioned and cleaned out as best they could. He explained that due to the large infection that it might possibly be in the bone. He wanted to see Tyler back in a few days and he gave me prescription refills for his medicines. Then plan right now is to do another surgery in 3-4 weeks to put the other tube back in, but only if he does not have a bone infection.
I was sent back to the waiting room to process all of this new information. I was called back a few minutes later by a nurse to sit with Tyler. He was out cold! I tried to wake him up, but he would not wake up. About ten minutes later the nurse lifted him out of bed and handed him to me to hold in a chair. He was still groggy.
We tried to get him to drink some juice. The nurse kept coming and checking on him. Then as soon as she left he looked pale and ill. I called her back and she gave me a green bag with a hard plastic rim for him to get sick. He did and it lasted about 3-4 minutes. I felt so bad. There was nothing I could do to make him better. The nurse brought some cold wash cloths for him and said that he would feel better now. He did perk up a little. He let the nurse take his IV out and the yellow wrap with the bees on it was transferred to his Baa-Baas arm. Baa-Baa and Stitch went with him to surgery and were again were waiting in recovery.
He is now home and sleeping comfortably on the couch. I did not want to put him in an upstairs bedroom in case he would wake up and try to come down the stairs. Right now we are praying that the antibiotics work and that the infection is not in his bones.