Tuesday, November 17, 2009

Surgeries....Again.

Nathanial, Ethan, and Noah have been in speech and development therapy for almost a year now (wow!) and so it was time for their bi-annual hearing screens to go with their evaluations for their IFSP's. Nathanial passed his, but was right on the line of a need for a medical referral. The general consensus was, though, that he is hearing well enough to be at a learning level. So he was ultimately not referred on, which was good because he just got a new set of tubes a few months ago. Noah failed his hearing test massively - completely missing entire tones. He did not hear things no matter how loud they got. Ethan failed massively, also, but heard all the tones, just at very loud levels. So they were referred back to Dr. B for an evaluation.

When we went in, it was discovered that Noah's one tube fell completely out, the other was just barely in, and there was a lot of fluid behind both eardrums. Ethan's tubes were both in place, however they were plugged completely, so no longer working. He also had a lot of fluid behind both eardrums. We decided to go ahead with surgery for both of them.

They went in today and Noah knew when we got to the floor just exactly what was going to happen and started sobbing. I was able to distract him with a new blankey and teddy eventually. (I love the hospital that we go to for this - it is very progressive and very comforting for little people, especially considering it's in a town with a population of about 9,000 people.)

Ethan went first, which was a huge help because he doesn't have the propensity for drama that Noah does and he feeds off Noah. He got right in the little wagon and said "bye-bye" to me and was off. He was done in about an hour and Dr. B came in to chat with me. He had a ton of thick mucus behind both eardrums, which was drained and his adenoids were "huge." She feels his speech and hearing should be drastically improved now. His one tube was also fairly buried in his ear, so she had to do a little more "work" to get it out. She said we will probably see more bleeding from that ear than the other three ears and just to know that was why. As soon as they took Noah back, they came and got me for Ethan in the recovery room. He was saying miserably "mommy, mommy, mommy" over and over. Once I started to hold him, he did much better. We got in a lot of cuddle time while Noah was in surgery. Ethan also had/has some breathing congestion now, but they said that should clear up in a few days. He wasn't so bad that he needed a breathing treatment (like Nathanial) which was reassuring; they just heard a lot of "gunk" in his lungs afterward.

Noah went next and because Ethan went without much fanfare, Noah got in the wagon and said "bye-bye" to me, also. Noah had a ton of pus behind both eardrums, so was given iv antibiotics while also being given fluids (Ethan also received iv fluids). Dr B is not sure if he will ever get back some of the tones he totally missed (there was indication of damaged nerves from birth on for those tones), but they are "not tones he really needs." Interesting....

Noah had some dramatics coming out of anesthesia (as always) so one nurse came to cuddle with Ethan while I went back to recovery with Noah. He did better after I got back there and was able to hold him, but still had the little sobbing-breathing problem and would just break into more sobs on occasion.

Ethan drank right away and ate an entire popsicle, but Noah refused. He was not allowed to have the IV pulled until he drank 6 oz of juice and half a popsicle so they could see that he would indeed drink and not vomit when he got home. It took him a good 45 minutes to decide he wanted to go home bad enough to drink anything. As soon as he did, we were GONE.

This afternoon, both are rather hyper and not wanting to rest or nap at all. I believe they may be ramped up on pain killers, but they need to rest. They are recovering well, though, and really don't seem to be in any pain...by now we should be almost out of the effects of the pain meds they had at the hospital!

3 comments:

Anonymous said...

I'm so glad it went as well as it did!
Love you all-
Grandma B

Anonymous said...

(((HUGS))) to all of the boys - and prayers!

LOVE,

Gina

Family Blog said...

You know we share the same family dynamics, but to add these recent medical struggles onto the already heavy loads we both have- I could not imagine. You all are in my prayers.

Jenni
Your "Twin" Family