Tag: medicine

  • Another day at the hospital

    Another day at the hospital

    Another Wednesday, another trip to the hospital. Our first since the big Cerebral Palsy clinic day, which had gone far less dramatic than we had been hyped up to believe.

    On the positive side, the session for speech therapy went well, with the therapist giving us several ideas on encouraging speech that ranged from toy choices and interaction styles to massage of his cheeks and mouth area. Lots of ideas with potential.

    The time spent in Room 106 with its various balancing apparatus was very useful again, like last time. We tried out a few more pieces of equipment including a rocking horse kind of thing, which Nisarga enjoyed tremendously.

    The two physiotherapy departments continue to be a pain. We have been prescribed certain exercises for him, that we must make him do, but Nisarga remains true to his history of not liking repetitive and regimented movement as well as becoming stiffer after doing it. Frankly, I agree with him, as logically, they do not appear to be headed in a direction that will contribute to his movement choices. I don’t anticipate much good to be resulting from these and am, in fact having to work harder to combat increased rigidity, both in him, and in my mind, as forcing a crying child to do exercises he is trying to escape just does not fit my view of humane.

    I also think it is dangerous, as crying is the only way he can indicate if he is in pain or other discomfort, so it may be possible to injure him by forcing him to do something he is resisting with everything he has in him. And he is not like that. Nisarga is one cooperative and cheerful guy. Uncontrolled crying is so not him at all. So I am very disturbed by these therapy sessions, particularly the one on the first floor, where the therapist is extremely uncompromising in the movements she wants him to make and Nisarga dislikes that so much that he simply refuses to have anything to do with her.

    I need to find a way to select the therapies that are helping and opt out of the ones that aren’t, in order to maximise the useful impact on him, and reduce stuff that wastes his energy with stress or adds resistance to an already difficult reality. Or at least ask the therapists to not force him and simply show us the movements, which I can try and weave into our Feldenkrais sessions. This is not going to be easy, as the husband is usually inclined to think I am a fool and don’t care about Nisarga’s well being and etc, so apart from resisting the considerable pressure from doctors to “do this if you want your son to get well”, there is the home front too. Why would I be happy to cooperate with one therapy and not another? What vendetta would I have for some therapists over others when they are all new to me? If I was resisting for the sake of it, I’d do it for the whole gig and save time traveling 4 hours every Wednesday in insane rush, no? Procrastinating. Who knows, maybe against the odds, the exercises help and I don’t have to do this battle?

    Anyway, I am noting the movements those therapists see as desirable and trying to achieve them in more respectful ways at home. Hopefully that will help. Or at least not harm.

    In other good news, the medicine Nisarga had been prescribed at the Cerebral Palsy clinic had been very difficult to find, and we had almost given up, when a short tempered nurse told (an even more short tempered) Raka something that led to me suggesting yet another attempt to find it. While Nisarga and I had a great time in the room with the balance equipment, Raka went out searching for it again and chanced to find some lane of medical wholesalers, where he finally got the medicine.

    This is very good, as my internet searches had shown me that it helps decrease spasms, which is very urgent for Nisarga, as he is not able to do a lot of actions he knows how to do, simply because of involuntary movements fouling everything. If the medicine helps dial the spasms down, that one chance search in some godforsaken lane will probably do more to help him than 10 therapists.

    Yeah, so that is that. So far, so good.

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  • Using the dropper to give medicine – correct method?

    Infant drops rarely make that extra effort to make make administration easier
    Infant drops rarely make that extra effort to make make administration easier

    This is a new experience in life. Using a dropper to give medicine. I always keep second guessing myself, and my methods of delivery. I guess it doesn’t matter so much if you are giving something like Bonnisan, for example, but if you are giving a medicine where you don’t want an overdose because of side effects, or underdose because you want it to be effective, like my recent experience with Atarax, it becomes important to be very exact about how much you are giving your little baby. With them having such tiny bodies, I guess the scope for getting out of the margin of the dose for their weight is quite narrow.

    Also notice how life has a way to see that the most inexperienced mothers naturally have babies who need to be dosed in small and careful quantities. By the time your child is big enough for it not to matter much whether you give a dropper or half a desert spoon, you already are an expert.

    Here are the ways I tried, and the problems/difficulties I faced with them…..

    1. The obvious – drops from the dropper straight into the mouth. This clearly is the best way to go about doing it, and works wonderfully with stuff that tastes good. Particularly when Nisarga happily opens his mouth when told or when he sees a spoon or dropper coming near. When it comes to medicine that Nisarga doesn’t like, there is no way he will voluntarily open his mouth for more drops. Then it comes down to a struggle to force his mouth open, which if you’ve been reading this blog for any length of time, you know I hate to do. I will, if I must, but I prefer hunting around for better ways. Not to mention that Nisarga loses patience with this method quickly even when he likes the taste.
    2. Using the dropper to put the correct number of drops into a spoon (+1 drop) and then giving him the whole dose in one go. Works best so far, but kind of negates the convenience of the dropper. I add that one drop because when I give Nisarga the medicine, I’ve seen that a small amount remains in the spoon, which looks about as much as one drop.
    3. Seeing how much the desired number of drops fill the dropper by filling it and dropping the medicine back into the bottle, and then simply filling the dropper to the exact level and squirting the lot in at one go. This is time consuming, but works fairly well. And once I know how much it is, I don’t need to repeat the experimentation every time (though I do “recheck” once in a while to make sure that things are indeed as I remember them)
    4. Buying a separate dropper with quantities marked on it and converting number of drops to ml that can be measured directly with the dropper. Now, this is a proper set up and not as simple as it sounds, because it immediately means that I have to clean that dropper regularly, store it correctly, and remove the plastic dropper plugs on some medicines (like Bonnisan and Atarax, for example) to enable me to be quick when it comes to giving them to him. This means, that if I lose those plastic plugs, I can’t go back to dropping straight from the bottle. However, this is the best in ensuring that he gets absolutely the correct dose.

    Dang, maybe I’m over-thinking this.

    What about you? Do you wonder about these things? What do you do to ensure that your baby gets the medicine exactly as prescribed?