We arrived home yesterday and have been adapting well. The Bee cries when she eats, but that is what is supposed to happen (according to the literature) because, after all, her mouth is scratchy and rough from the sutures, as well as SMALL. As one doctor put it, she used to be able to drive a train through there, and now it feels claustrophobic. Um, yeah. Okay.
The wound care is really nonexistent with this surgery–the sutures dissolve on their own, and of course there are no ointment or bandages, being in the mouth. It’s just a matter of keeping prying digits and hard food away. Last night, we had a concoction of parboiled chicken, sauteed celery, carrots, and zucchini, chicken broth and soy sauce, all dumped in the blender and churned into thinness. She seemed alternatively ravenous and dismayed, as she felt the way her mouth is going to feel from now on when she eats. This morning we had a banana, strawberry, apple, and yogurt smoothie…she finished the whole thing.
I know there are a few people adopting kids who are cleft-affected who read regularly, so I’m going to list the top five things I took along to the hospital that ended up being a Good Idea:
(1) Snuggle Wraps. I mentioned these already in a previous post, but I want to emphasize that these arm splints are far superior to the ones that the hospital will give you. All the nurses were raving about them and asking me where I’d found them. They are cooler, lighter, and more flexible (fit under clothing) than the puffy things with the strap across the back that the hospital provides.
(2) The Haberman Feeder. The Bee never used one of these before the surgery (they’re typically used for small babies with cleft issues), but it was invaluable after the surgery for squirting small amounts of liquid into the well, under her lower lip. This was how we broke the spell on Thursday afternoon that got her to start taking liquids. It is also useful to use as a cleaning agent, to swish some water around her mouth after feeding, to make sure no bits of chicken smoothie remain stuck around her sutures. Faster healing that way.
(3) This Doctor’s Kit. I gave this toy doctor’s kit to The Bee about a week before the surgery, and we practiced using all the toy instruments–the stethoscope, the blood pressure gauge, the thermometer, the syringe, the bandaid–so that when she saw the real things, I could just remind her what they were. I think it made a difference in that she was familiar with The Stuff of Doctors (and Nurses) during our stay. She was showing the nurses how to listen to their own hearts the day after surgery.
(4) I’ve said it before, but I’ll say it again: signing makes a world of difference, whether you know your child is going to have surgery or not. The Bee was able to sign her emotions, like “hurt,” “scared,” “love,” “like,” “don’t like,” as well as “stop!” and “all done,” when she wanted the nurse to leave her alone. I actually wish we had brought the DVD player and her Signing Time videos with us because she just absolutely lights up, calms down, and watches closely when they are on the TV. It is like Calm Candy to her. I will say that I didn’t think about how the arm splints would affect her signing ability–and, thus, her ability to communicate, which all of us have begun to take for granted–but, of course, they do. It’s impossible for her to bend her arms to make certain signs, although with a little imagination, I can usually figure out what she’s trying to sign to me, in her current stiff-armed fashion.
(5) For mom and dad: bring slippers, sweat pants, old shirts, and a flashlight for your overnights in the hospital room. Bring your child’s favorite blanket, a couple stuffed animals, and some of his or her favorite books. They told us to bring pajamas for The Bee, but she never wore them–it was just so much easier to keep her in diapers alone, as she was hot and stuffy most of the time and uncomfortable enough that I think changing her into clothes would have been a nightmare. Apart from being a source of comfort, the stuffed animals also became a way for the nurses to interact with The Bee about the medicine–they could pretend-feed her panda bear, and then tell her (sign to her) “your turn,” and they actually got her to participate in the dosing that way.
Okay, that’s my assvice on this subject. Although no surgery is a walk in the park, and no parent wants to see their child upset or in pain, I would do this again in a second for the opportunities it represents to these kids. It is very doable, as I have heard other parents remark. I shudder–heart-shudder–to think that these kids are ever considered disposable, by anyone, anywhere. In fact, that idea makes me so sick to my stomach that my palms started to sweat, just thinking about it. This child has been such a dream of a child. So incredibly perfect. In fact, I hate that I even have to say that out loud. It shouldn’t be necessary.
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