Saturday, July 20, 2013

Kids are suppose to feel pain!


(warning--graphic photo of her incisions farther down this post)

TingTing had 7 or so vials of blood drawn, then she had to do her pulmonary function test.  Part of that included an arterial blood gas baseline.  This involved the technician drawing blood from the artery in her wrist.  She spent about 3 minutes trying to get hit the artery on Ting's left wrist.  When that didn't work, she moved to the right wrist.  After a couple minutes, she hit it.  

TingTing did not cry, did not squirm, and did not need me to hold her AT ALL.  She sat there with her arm out.  Just sat there.

She didn't cry or fuss in the hospital. 

Today is day 4 post op and she only took 5 cc of Lortab at bedtime tonight. And she didn't really ask for it, just a simple statement that her back hurt just a little so I gave her a low dose to make sure she could sleep.

Think for a moment if your child had these things done.  Do you think he/she would cry? Need you to hold them down to get bloodwork? Lay there and let them cath her with no sound or movement and no one holding her down?

If so, why is it so brave of TingTing to not need someone?

The number of times we heard how brave she was, how tough she was, what a big girl she was...

She's not, well she may be, but more than likely this is due to 2 things:

1.  A learned response--It's not unusual for orphans to learn early on that it doesn't matter.  Crying doesn't elicit the response God created it to get.  Hey, I need someone.  No one comes.  They learn it's a waste of effort to cry.  It won't matter.

2.  It is also related to Sensory Integration Disorder (SID).  Some individuals don't register sensory input in a neurotypical fashion.  Some are hypersensitive to sensory input (loud noises, bright lights, touch, pain... send them into a tizzy).  Others are hyposensitive--they need more intense input to register what a neurotypical person registers with normal input.  This would include pain.   We did a neuro-reorganization evaluation the week before surgery and the therapist noted that she seems to have rather low response to pain.  This also shows up in being able to empathize with others.  Example when a cat has gone missing or we find a chicken dead, she smiles and laughs, and wants to keep talking about it all day.  If she can't feel pain, she can't empathize and respond appropriately.  If it doesn't hurt her, it doesn't hurt anyone.

So... all that to say.  Kids are suppose to feel pain.  It's not "normal" for them not to.   I feel God gave us pain to protect us from more serious damage.  We need to feel pain.

We've got occupational therapy, speech/language therapy, and our newest addition neuro-reorganization therapy going on to help TingTing become better regulated and function at her best.

There's so much more I want to share about TingTing, but I need to figure out how much to tell and what.... (I'd love advice on how you know how much to share about your child's issues and needs.)


Oh yeah, here's the photos I warned about:

This spine X-ray was done in December.  It had gotten SIGNIFICANTLY worse since then.  It was about 40 or so degrees here.  The most recent one was about 65 degrees curvature. (The main curve, there was a secondary above it, but it was smaller.)
Spine x-ray the day after surgery.  They believe they got it down to about 30 degrees and the upper curve is starting to straighten itself.
Here's her incision sites on Friday morning before they discharged us.


Here's a video of TingTing walking today.  Her right shoulder is so much lower... and we're noticing the leg length difference more.  When she takes a step with her left leg, she lifts her body up to where her right foot almost doesn't touch the ground.  You can't see it as much in this video... I'll try to get better tomorrow.

video

Attachment issues...

I knew being gone this week would stir up attachment issues and it didn't fail to deliver.  Grace was rotten yesterday.  Just wild, disobedient, and downright annoying.  

At dinner I passed a comment to her that it seemed like she was trying to be disobedient in order to get me to go away to prove to something to herself.   After dinner we went have a pow-wow.  She started by telling me that what I said at dinner was right.  She said her heart felt like it was half and half.  She said (with adorable hand gestures), "This half loves you and this half wants to make you go away."  She said Satan was trying to get her to feel that I didn't love her.  She knew I loved her, but he was telling her I didn't.  I was so proud of her for putting her feelings into words and being able to talk about how to handle these feelings in the future, as it will happen again.  That she is in control of her feelings, that we have to go on what we know, not what we feel.  

Btw, this is a common adoption scenario (and NOT just international either!)...  Attachment is not an "is" or "isn't" issue--it is a sliding scale that is always adjusting and changing, which is why I try to have my radar up to watch for these issues and try to parent in view of attachment.  Often times these behaviors can fly just under the radar unless you know to look for it.  It would have been so easy to just chalk it up to hunger, being tired, any number of excuses.