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Hi, Kim.

I think you've done a great job in preparing your son so far.

Did you explain the anesthesia to Blake? Our son was only 3 when he had his

first surgery, so he didn't know quite as much as your son (although Troy

knew more about it the older he got). I imagine they will give him the

anesthesia via the mask. The anesthesiologist will more than likely give

him a choice of flavors (such as bubble gum or strawberry). The

anesthesiologist's that we in the past were all remarkable doctors! They

made Troy feel very much at ease. Is this Blake's first surgery? If so,

than he shouldn't have any problems with them using the mask. My son used

the mask only the first couple of times. After that, he refused it! It

scared him to death. He chose the needle afterwards, much to the doctors

surprise (what a brave little boy he was). They numbed the top of his hand

first (with a special cream), then after the medicine took effect, they

inserted the needle. He never flinched once!

When is his surgery? He sounds like he is ready for this, thanks to you!

Please let us know how he does. We will keep you in our prayers.

Take care,

Terri

ds surgery friday

Well, the day is rapidly approaching. Blake (age 6) is quite

excited, actually (I guess I've done a decent job of not giving him

anything to worry about). For those of you who have had children go

thru this, do you have any suggestions for what I should tell him in

preparation for the big day? He knows about the hospital and the

operating room and the big bandage and the fact that I won't be able

to be with him the whole time, but I'm not sure what else to tell

him. Especially since he will likely have to do this again, I want

to do my part to make it as tolerable as possible. Any suggestions

would be appreciated.

We won't be able to see the surgeon on our pre-op appt on Thursday,

so I submitted questions a week or so ago. The nurse called me back

with answers, but the theme seems to be " it depends on what he finds

during surgery. " The surgeon rated Blake's case a 5 out of 10 and

said he'd have to have a second look in 9-12 months. I'm not overly

concerned about the surgery itself -- the doctor is an expert and has

done this thousands of times -- I'm more concerned about the things

that can't be predicted, like his reaction to anesthesia. Can anyone

give me any idea what to expect from kids this age? I've heard such

horror stories about kids and anest.

Nervous,

kim

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Hi Kim,

As with each adult, each child is different in how they react to the

anesthesia. I have never had any problems and they have used at least 4

different kinds on me. If he by chance has a problem this time they can use

something somewhat different next time. Sounds like you have done a good job

preparing Blake. Lots of love and pampering afterwards, which I'm sure you

were going to do anyway. We'll all be praying for you and him.

Jane

>From: " kim_wallace29 " <gig_em91@...>

>Reply-cholesteatoma

>cholesteatoma

>Subject: ds surgery friday

>Date: Tue, 05 Mar 2002 17:00:14 -0000

>

>Well, the day is rapidly approaching. Blake (age 6) is quite

>excited, actually (I guess I've done a decent job of not giving him

>anything to worry about). For those of you who have had children go

>thru this, do you have any suggestions for what I should tell him in

>preparation for the big day? He knows about the hospital and the

>operating room and the big bandage and the fact that I won't be able

>to be with him the whole time, but I'm not sure what else to tell

>him. Especially since he will likely have to do this again, I want

>to do my part to make it as tolerable as possible. Any suggestions

>would be appreciated.

>

>We won't be able to see the surgeon on our pre-op appt on Thursday,

>so I submitted questions a week or so ago. The nurse called me back

>with answers, but the theme seems to be " it depends on what he finds

>during surgery. " The surgeon rated Blake's case a 5 out of 10 and

>said he'd have to have a second look in 9-12 months. I'm not overly

>concerned about the surgery itself -- the doctor is an expert and has

>done this thousands of times -- I'm more concerned about the things

>that can't be predicted, like his reaction to anesthesia. Can anyone

>give me any idea what to expect from kids this age? I've heard such

>horror stories about kids and anest.

>

>Nervous,

>kim

>

_________________________________________________________________

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-- In cholesteatoma@y..., " kim_wallace29 " <gig_em91@y...> wrote:

> Well, the day is rapidly approaching. Blake (age 6) is quite

> excited, actually (I guess I've done a decent job of not giving him

> anything to worry about). For those of you who have had children

go

> thru this, do you have any suggestions for what I should tell him

in

> preparation for the big day? He knows about the hospital and the

> operating room and the big bandage and the fact that I won't be

able

> to be with him the whole time, but I'm not sure what else to tell

> him. Especially since he will likely have to do this again, I want

> to do my part to make it as tolerable as possible. Any suggestions

> would be appreciated.

>

Hi Kim

My son is 5 and had a polyp removed from his ear in Nov 01

(this was when the Ctoma was discovered) He now faces surgery in May

to have the Ctoma removed.

Our consultant was great and spoke to in some detail about

having an operation. He used terms like " Special Cream " and " Magic

Sleep " . We also had the advantage of being allowed to drive

an Electric Jeep down to theatre. In fact, his first words to me

when he came round were " Can I drive the Car back to Holly Ward "

Obviously he wasnt allowed to and he spent the next 20 minutes with a

frown on his face! had a canula in his hand to administer

the anestheasia but because of the " Special Cream " he didnt feel it

go in. The only complaint he made was that he didnt like the " milk "

going into his arm.By the time he had asked the aneathetist to stop

putting the milk into his arm he had gone to sleep. came out

of theatre at 10.15 and by 12.00 he had eaten a cheese sandwich, a

packet of crisps, 2 biscuits and a cup of juice. Your sons

consultant seems to be very experienced and Im sure his team will be

just as good.

The last surgery was done as day surgery but was disapointed

to find that he couldnt stay and sleep there. The next visit he is

booked to stay in over night and like your Blake he is looking

forward to his hospital visit.

It seems that you have done a great job in preparing Blake for his

stay in hospital and Im sure that things will go well for you both if

you can keep your positive attitude.

Good luck with the surgery and hope that this has helped to put some

of your fears to rest.

Regards

Caroline

> We won't be able to see the surgeon on our pre-op appt on Thursday,

> so I submitted questions a week or so ago. The nurse called me

back

> with answers, but the theme seems to be " it depends on what he

finds

> during surgery. " The surgeon rated Blake's case a 5 out of 10 and

> said he'd have to have a second look in 9-12 months. I'm not

overly

> concerned about the surgery itself -- the doctor is an expert and

has

> done this thousands of times -- I'm more concerned about the things

> that can't be predicted, like his reaction to anesthesia. Can

anyone

> give me any idea what to expect from kids this age? I've heard

such

> horror stories about kids and anest.

>

> Nervous,

> kim

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just a quick one...i wouldnt say too much about not being with him , unless

the aneasthetist wont allow you into the anaesthetic room. if you are

allowed in there, and any anaesthetist worth their salt will let you, he will

drift off to sleep whilst you are still there....if the " chuck you out to go

back to the ward and wait " whilst he is going off to sleep, then he'll

already be at a level of unconsciousness that will mean he doesnt realise

you've already left.

after the op, with modern medicines...the recovery eriod is generally a lot

quicker. immediately after surgery he'll remember very little, and its a

general rule of thumb in any paediatric surgery to call the parents to the

recovery room pretty quickly after an op. firstly, parents are brilliant

carers of their own children, secondly, the child is much happier for seeing

a known face and thirdly it makes for an infinately easier time for the staff.

barring that....be as honest as you feel your child can cope with. each

child is quite individual in this respect. the very best of luck to you and

little Blake. try and remember that kids are real resiliant and make the

most amazing of recoveries. dont read the adult stories and apply them to

kids...reaction to anaesthetic is very different in kids.

also...if youre concerned about post operative nausea or sickness ask for an

anti-emetic, some places will give this routinely as part of the anaesthetic.

thinking of you all, the very best of luck

julis and francesca

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the milk you talk about is probably a anaesthetic agent called " Diprivan " .

it is known to be painful on administration and from my own personal

experience it really isnt all that comfortable.

two things can help this, the first is to use a large vein to administer the

drug, such as the vein in the forearm or crook of the elbow, rather than a

small one on the back of the hand. the other is to mix the drug with 1 or 2

mls of lignocaine/lidocaine, this acts as an analgesic whilst it is being

administered.

perhaps you could ask about these as options if there is ever a next time

(fingers crossed that there isnt!).???

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Hi Kim,

I've read some of the responses to your question and since my son Zach

was seven when he had his first surgery, and now he has had three (in the

past year) and has at least two more to go I thought I could tell you his

experience. When we get to the hospital early in the morning he is

still very sleepy so that part is always a blur to him. As soon as

he gets his hospital gown on they do give him an elixer which makes him

quite silly as others have said. The last surgery his anesthesiologist

almost skipped it but he saw Zach was feeling very quiet and nervous so

he decided to go ahead with it--it makes it alot easier for me anyway!

At the hospital we go to, it is their policy to say goodbye before entering

the surgery area. by this time he is usually giggling and very content

so it hasn't been a problem for him. Unfortunately in Zach's first

two surgeries he had a terrible time with the anesthesia and he threw up

many times and was given many medications before he felt better--I think

because of all the medication he seemed to have a slower recovery period.

This last surgery I was amazed because he didn't get sick at all and was

hungry a few hours after waking up (the time before he didn't eat all day.

I think his last anesthesiologist just tried something different (less

drugs I think) and it worked.

Zach absolutely hates the bandage they put around his head and for

him this gets worse with each surgery because he anticipates how much it

is going to bug him for two weeks before his surgery but it does come off

the next morning and he immediately feels better. Also, the anesthesiologist

made sure that we have been by his side before he wakes up from his surgery.

My friends and family were so wonderful to Zach with big cards and

lots of hugs--it made him feel sooo special. it almost gives him

something to look forward to after the surgery and I think it helped him

alot to know how much everyone seemed to understand that he was going through

a lot.

I will be thinking of you and Blake tomorrow--I know this day is so

hard. I wish you the best.

kim_wallace29 wrote:

Well, the day is rapidly approaching.

Blake (age 6) is quite

excited, actually (I guess I've done a decent job of not giving

him

anything to worry about). For those of you who have had children

go

thru this, do you have any suggestions for what I should tell him

in

preparation for the big day? He knows about the hospital

and the

operating room and the big bandage and the fact that I won't be

able

to be with him the whole time, but I'm not sure what else to tell

him. Especially since he will likely have to do this again,

I want

to do my part to make it as tolerable as possible. Any suggestions

would be appreciated.

We won't be able to see the surgeon on our pre-op appt on Thursday,

so I submitted questions a week or so ago. The nurse called

me back

with answers, but the theme seems to be "it depends on what he

finds

during surgery." The surgeon rated Blake's case a 5 out of

10 and

said he'd have to have a second look in 9-12 months. I'm

not overly

concerned about the surgery itself -- the doctor is an expert and

has

done this thousands of times -- I'm more concerned about the things

that can't be predicted, like his reaction to anesthesia.

Can anyone

give me any idea what to expect from kids this age? I've

heard such

horror stories about kids and anest.

Nervous,

kim

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In a message dated 03/07/2002 6:05:29 PM Pacific Standard Time, gig_em91@... writes:

The main concern now is getting thru those painful hours tomorrow and finding out how bad it is in his little ear.

Kim,

Please let us know how the surgery goes and what the doctors find. I'll be thinking about Blake and saying lots of prayers tomorrow for him

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Thanks so much to everyone who has replied to my message. Blake had

all his pre-op appts today. The appointments seemed to be more for

me than for him. The surgeon's resident looked in his ear and his

anes. asked how much he weighed, and that was as involved as Blake

had to be. We confirmed that he will have the mask instead of a

needle in the hand, which is the one thing he was worried about. He's

disappointed that he can't have breakfast tomorrow, but since we have

to be there so early (6:30), I doubt he'll notice.

The main concern now is getting thru those painful hours tomorrow and

finding out how bad it is in his little ear.

Thanks again for all your notes... I appreciate them so much. I will

try to post again after this surgery #1 (can I hope for ONLY??)

Kim and Blake

> Hi Kim,

> I've read some of the responses to your question and since my son

Zach

> was seven when he had his first surgery, and now he has had three

(in

> the past year) and has at least two more to go I thought I could

tell

> you his experience. When we get to the hospital early in the

morning he

> is still very sleepy so that part is always a blur to him. As soon

as

> he gets his hospital gown on they do give him an elixer which makes

him

> quite silly as others have said. The last surgery his

anesthesiologist

> almost skipped it but he saw Zach was feeling very quiet and

nervous so

> he decided to go ahead with it--it makes it alot easier for me

anyway!

> At the hospital we go to, it is their policy to say goodbye before

> entering the surgery area. by this time he is usually giggling and

very

> content so it hasn't been a problem for him. Unfortunately in

Zach's

> first two surgeries he had a terrible time with the anesthesia and

he

> threw up many times and was given many medications before he felt

> better--I think because of all the medication he seemed to have a

slower

> recovery period. This last surgery I was amazed because he didn't

get

> sick at all and was hungry a few hours after waking up (the time

before

> he didn't eat all day. I think his last anesthesiologist just tried

> something different (less drugs I think) and it worked.

> Zach absolutely hates the bandage they put around his head and for

him

> this gets worse with each surgery because he anticipates how much

it is

> going to bug him for two weeks before his surgery but it does come

off

> the next morning and he immediately feels better. Also, the

> anesthesiologist made sure that we have been by his side before he

wakes

> up from his surgery.

> My friends and family were so wonderful to Zach with big cards and

lots

> of hugs--it made him feel sooo special. it almost gives him

something

> to look forward to after the surgery and I think it helped him alot

to

> know how much everyone seemed to understand that he was going

through a

> lot.

> I will be thinking of you and Blake tomorrow--I know this day is so

> hard. I wish you the best.

>

>

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Kim,

Good luck tomorrow with Blake. Remember, children are

resilent. My husband has had 4 surgeries for c-toma

and the only thing worse is what you are going through

- a child with this disease.

Pass the time knowing that you and your family are in

our thoughts and prayers. Update us when you can.

Michele

--- kim_wallace29 <gig_em91@...> wrote:

> Thanks so much to everyone who has replied to my

> message. Blake had

> all his pre-op appts today. The appointments seemed

> to be more for

> me than for him. The surgeon's resident looked in

> his ear and his

> anes. asked how much he weighed, and that was as

> involved as Blake

> had to be. We confirmed that he will have the mask

> instead of a

> needle in the hand, which is the one thing he was

> worried about. He's

> disappointed that he can't have breakfast tomorrow,

> but since we have

> to be there so early (6:30), I doubt he'll notice.

>

> The main concern now is getting thru those painful

> hours tomorrow and

> finding out how bad it is in his little ear.

>

> Thanks again for all your notes... I appreciate them

> so much. I will

> try to post again after this surgery #1 (can I hope

> for ONLY??)

> Kim and Blake

>

>

>

> > Hi Kim,

> > I've read some of the responses to your question

> and since my son

> Zach

> > was seven when he had his first surgery, and now

> he has had three

> (in

> > the past year) and has at least two more to go I

> thought I could

> tell

> > you his experience. When we get to the hospital

> early in the

> morning he

> > is still very sleepy so that part is always a blur

> to him. As soon

> as

> > he gets his hospital gown on they do give him an

> elixer which makes

> him

> > quite silly as others have said. The last surgery

> his

> anesthesiologist

> > almost skipped it but he saw Zach was feeling very

> quiet and

> nervous so

> > he decided to go ahead with it--it makes it alot

> easier for me

> anyway!

> > At the hospital we go to, it is their policy to

> say goodbye before

> > entering the surgery area. by this time he is

> usually giggling and

> very

> > content so it hasn't been a problem for him.

> Unfortunately in

> Zach's

> > first two surgeries he had a terrible time with

> the anesthesia and

> he

> > threw up many times and was given many medications

> before he felt

> > better--I think because of all the medication he

> seemed to have a

> slower

> > recovery period. This last surgery I was amazed

> because he didn't

> get

> > sick at all and was hungry a few hours after

> waking up (the time

> before

> > he didn't eat all day. I think his last

> anesthesiologist just tried

> > something different (less drugs I think) and it

> worked.

> > Zach absolutely hates the bandage they put around

> his head and for

> him

> > this gets worse with each surgery because he

> anticipates how much

> it is

> > going to bug him for two weeks before his surgery

> but it does come

> off

> > the next morning and he immediately feels better.

> Also, the

> > anesthesiologist made sure that we have been by

> his side before he

> wakes

> > up from his surgery.

> > My friends and family were so wonderful to Zach

> with big cards and

> lots

> > of hugs--it made him feel sooo special. it almost

> gives him

> something

> > to look forward to after the surgery and I think

> it helped him alot

> to

> > know how much everyone seemed to understand that

> he was going

> through a

> > lot.

> > I will be thinking of you and Blake tomorrow--I

> know this day is so

> > hard. I wish you the best.

> >

> >

>

>

__________________________________________________

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Our thoughts and prayers go out to you today. Please let us know how

he does!

Terri

> > Hi Kim,

> > I've read some of the responses to your question and since my son

> Zach

> > was seven when he had his first surgery, and now he has had three

> (in

> > the past year) and has at least two more to go I thought I could

> tell

> > you his experience. When we get to the hospital early in the

> morning he

> > is still very sleepy so that part is always a blur to him. As

soon

> as

> > he gets his hospital gown on they do give him an elixer which

makes

> him

> > quite silly as others have said. The last surgery his

> anesthesiologist

> > almost skipped it but he saw Zach was feeling very quiet and

> nervous so

> > he decided to go ahead with it--it makes it alot easier for me

> anyway!

> > At the hospital we go to, it is their policy to say goodbye before

> > entering the surgery area. by this time he is usually giggling

and

> very

> > content so it hasn't been a problem for him. Unfortunately in

> Zach's

> > first two surgeries he had a terrible time with the anesthesia and

> he

> > threw up many times and was given many medications before he felt

> > better--I think because of all the medication he seemed to have a

> slower

> > recovery period. This last surgery I was amazed because he didn't

> get

> > sick at all and was hungry a few hours after waking up (the time

> before

> > he didn't eat all day. I think his last anesthesiologist just

tried

> > something different (less drugs I think) and it worked.

> > Zach absolutely hates the bandage they put around his head and for

> him

> > this gets worse with each surgery because he anticipates how much

> it is

> > going to bug him for two weeks before his surgery but it does come

> off

> > the next morning and he immediately feels better. Also, the

> > anesthesiologist made sure that we have been by his side before he

> wakes

> > up from his surgery.

> > My friends and family were so wonderful to Zach with big cards and

> lots

> > of hugs--it made him feel sooo special. it almost gives him

> something

> > to look forward to after the surgery and I think it helped him

alot

> to

> > know how much everyone seemed to understand that he was going

> through a

> > lot.

> > I will be thinking of you and Blake tomorrow--I know this day is

so

> > hard. I wish you the best.

> >

> >

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