A day at the doctors’

Oscar and I are recovering from a full day spent meeting with way too many doctors.  I thought that it would be great to get the pediatrician, autism specialist and all three of the eye guys out of the way on one day.   We have to drive from San Francisco to Stanford University, and Oscar hates the car.  You can tell I’m a first-time mom, since I scheduled the visit to his pediatrician first. Perhaps we could have done it all in one day, but those who have BTDT already know what the fatal mistake was.  Vaccinations. 

How is it that I thought Oscar was caught up on his shots?  He is SO FAR from being caught up.  In fact, he’s so far behind still that he needed to get poked five times (seven immunizations).  Following this nightmare (the screaming started when I stripped him so he could be meaured – 31 inches and 22.5 pounds!), we went for bloodwork, since there was a little discrepancy in his last CBC.  Yeah, that just didn’t happen.  Oscar started screaming the moment we entered the lab (I guess he remembers the room).  When the three phlebologists came up to him in a pack (one was an extern, so he was completely extraneous), the wailing hit an all-time high (Kathryn, if you’re reading, the screams were very similar to those you heard through the walls of the Hotel Elegance 3 in Hanoi the first couple of nights I had Oscar).  They grabbed his arm, tied it off and tried for twelve minutes to find a vein.  Tried, I say, because they FAILED.  I had to tell them to stop when I looked down to see that there was no blood flowing into the vials.  So, off we went to the autism guy.

Luckily, we had to wait.  I was able to calm Oscar down with a bottle.  Yes, I know I shouldn’t be giving him bottles of milk anymore during the day, but the kid needed comforting.  Off we went into the office, where this guy confirmed what the pediatrician had said a few minutes before.  He just doesn’t think Oscar is autistic.  Sure, he’s got a lot of the markers that should put him “on the spectrum,” but he had good eye contact, was pretty engaged when he was reading books to him and certainly was focused on him during our appointment.  He failed the name recognition test (where the doctor calls his name while Oscar is playing a toy), but we’re now going to get his hearing tested (even though I know his hearing is fine).  None of this is to say that autism has been definitively ruled out.  There are just other possibilities that might make more sense.  So, with this success, we were off to the retinologist.

All of the eye specialists were in the same area of the hospital, so that was nice.  We were able to camp out for a while and play while we waited.  Plus, eye doctors have the coolest toys.  Lots of stuff that lights up and makes noise.  Oscar’s a big fan of this.  And, the main guy’s PA is awesome – she gives him balloons when she sees Oscar, which he loves.  Unfortunately, nothing definitive came out of all of these appointments, other than the need to return in two weeks to meet with some other guy.  I think all of this waiting is in part to get me ready for the fact that they’re going to have to put Oscar under general anesthesia for all of the tests they want to do.  It’s impossible to really assess his vision right now, so they need to do an MRI, some really long-named test (with electro in the name, so I don’t like it) and some other stuff to see what’s going on.  The eye guys don’t like that he doesn’t talk (who does?), so they need to rule out a brain tumor, but they’re not too worried about it since he’s so advanced with respect to all of the motor skill-type stuff.

That was our big day out.  He was fine the rest of the day, but last night was horrid.  He’s running a (very low) fever, threw up once, broke out in a rash and was just miserable all night long.  Here’s hoping tonight’s easier.

September 25, 2008 - Posted by | Parenting | , ,

3 Comments »

  1. Sounds like a brutal day. Glad to hear it could just be autistic tendencies (I’m sure you felt vindicated when he did the same thing with the docs on the toy test as he did for you at home!). I too have made the mistake of two appointments in one day-can’t imagine doing three. Hopefully he is feeling better today!!!
    Love
    Kelley

    Comment by kelley | September 25, 2008 | Reply

  2. I SO felt your pain in Hanoi…..and shiver a little just remembering it!! Poor Oscar….it really stinks when they can’t find the vein. So far we have been fairly lucky with that. RG did have 5 shots at her 1 year check up and of course I was not expecting that. Apparently she was behind on several because of the 3 month stint in that lovely body cast. Of course, after all she has been through w/ the castings/treatments she begins SCREAMING at the sight of white paper on a table, a white jacket or anyone wearing scrubs!!

    Although your day as a whole sounds pretty awful, it seems there may be good news ahead! I really feel so much of this w/ Oscar is fallout from the transition…not the big “A”. As for the “no talking” thing….what’s up w/ that? Smart kids know not to talk to strangers!!

    I meant to ask you if there has been any progress w/ the state Early Intervention program?? Surprisingly our services here are great and RG was able to begin PT very quickly…and they come to the house so it is not a “scary” medical/clinic environment. Thinking of you both and keeping you in our prayers. K

    Comment by kdg28 | September 25, 2008 | Reply

  3. Sorry about your brutal day at the doctor’s. It is amazing that nurses and phlebotomists just never seem to figure out when to quit! It is like a challenge for them when they can’t get a vein–by golly they will get that blood draw or put in that IV! It seems the harder the child cries, the more determined they are :) . I feel bad because I let three nurses traumatize my son for 30 minutes trying to start an IV before I said enough already! I don’t know if I was being a weenie or not thinking straight from the blood curdling cries! It seems like all the ER doctors and nurses made a visit to our exam room to see what the ruckus was all about.

    It was really hard for most people to understand my son, and at two (his diction was so off) and his pre-school director was already recommending intervention at 24 months. His pediatrician however was not worried–he said his sons did not start speaking until they were three, and they all turned out fine–they are all doctors. My son is now four and his speech is just fine and talks up a storm. I think children will decide when they will start talking! I personally believe Autism is over diagonised. There could be absolutely nothing going on with Oscar except just growing up at his own pace.

    Has TS been ruled out for Oscar? My friend’s son has TS

    Comment by waiting arms | September 26, 2008 | Reply


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