Tuesday, November 08, 2005

tubed

David is still (again) sick (er?). Let's see if I can remember what all has happened. At the end of last week, he had a cold. The there was the barfing. A trip to the doctor revealed another infection in both ears. Then his eye swelled up and started leaking goo. So he was on antibiotics for his ears as well as an antibiotic ointment for his eye. Through the course of the week, he seemed to just get more sick. This last weekend he seemed to really feel worse. This could partially be because we also started him on an antihistamene (sp?), which makes him sleepy. He and I stayed home from church on Sunday. On Monday (yesterday), we reached the end of the antibiotic regimen with no improvement. Jaime took him to the doctor again. She scolded us.

See, the ENT recommended tubes to us over a month ago. We have seen of success with chiropractors who are able to make an adjustment that opens up the tube that runs from the ears to the throat. Drainage problems in these tubes that cause ear infections. The pat answer is that these tubes are short, flattened, and at the wrong angle in toddlers so they don't drain properly so kids get ear infections so there. But I'm not satisfied with that assumption. Could there be something else causing the problems? I wanted to investigate this. Sometimes, food allergies could be the cause, othertimes, just a little adjustment is needed.

Well, our doctor has ordered a stop to the investigating (to the degree that she is able). Tubes. Now. So, he is going to the ENT again tomorrow. But he still has a raging ear infection--two of them. Our options: 14 days of nasty-tasting oral antibiotics, or three days of shots, two of them, in the thighs.

Which did we choose?

Well, David is normally great about medicine. You see, researches waited until you and I grew up and then, when all was clear, created medicines for kids that taste really good. David equates medicine with treats. At least he used to until we tried to give him kids Robitusen (sp?) last week. They didn't get the "tastes great" memo and it was like feeding him a dead fish. Since then, all medicines have been akin to getting a cat to eat hot coals. And I mean that for David. He is just a miserable screaming thrashing beast. So we voted (which is to say Jaime decided) on the shots. They cause an equal amount of trauma, if not less, and it is only three days.

So we will be getting tubes put in David's ears. For those of you not familiar with the procedure--what cave have you been hiding in? Essentially there is a chamber in the ear behind the ear drum. It is where the ear guitars and other sound equipment is kept. Fluid gets into this chamber--I forget how, the levies break, or something. In a normal person, this fluid simply drains down a little tube into the throat where it gets hacked up with other lugie material. In David's ear, this fluid cannot drain for reasons that doctors apparently don't care about. It sits there, creating the warm, moist environment favored by germs. Germs grow and pressure builds up and the infection spreads into other chambers in the head until the pressure is so great that one of these chambers burst open, showering the brain with germs resulting in an inability to turn left. If you poke a hole in the ear drum, that fluid can drain out and everything is groovy until the ear drum heals itself. Then you start over again. So, the doctor, who has taken an oath to do no harm, pokes a hole in the ear drum and then places a little tube in that hole to prevent it from healing, leaving a hole there for swimming pool water to get to the brain. This creates a disorder called "water on the brain," which causes the patient to like movies like "Waterworld" and "Swimfan."

If that is just too technical for you, then read this.

No comments: