Before Kelvin’s nursery opened last month, Kelvin underwent three minor surgeries in one go. I mentioned a number of times that Kelvin has glue ear that affected his speech a great deal. He took a course of antibiotics which helped a little but the persistent fluid didn’t leave his middle ears (yes, he’s got the condition in both ears).
His ENT knows we were reluctant to have the surgery and he suggested we could wait until late summer to see whether the fluid will subside then. When he reported no change in the level of fluid, we scheduled the grommet insertion. Then he also suggested we okay a submucousal diathermy (SMD) and an adenoidectomy.
They all sound ominous and of course we hesitated but the ENT assured us that these were routine procedures here in the UK & almost always done when they have glue ear cases. The grommet insertion is literally inserting tiny grommets in both ear drums. These tubes will let air flow into Kelvin’s middle ears. Most scary, what if the drums are perforated? What if the grommets fall in? or fall off? We prepared a list of questions that filled a legal paper. The ENT and the anaesthesiologist were both very welcoming (one thing that I have yet to encounter when I deal with specialists as an NHS patient! There they’re in a hurry to go & be rid of you.) .
I had SMD by NHS before so we knew what to expect. Basically they’re going to “scrape” the nasal passages to allow him to breathe properly.
And the adenoidectomy will ease his snoring. According to the ENT, the snoring problem and the breathing problems were all caused by the glue ear. I can try to explain but I’m not a medical person. But as you know the nasal cavity leads to the mouth, ear and nose so you can imagine when one area is blocked and not functioning, the others are easily affected & are forced to compensate.
Aside from losing most of the sounds in his ears (thus not hearing properly), Kelvin also tended to snore loudly. And the most obvious symptom was he’s always holding on to his breath, sometimes he doesn’t seem to breathe. The last is called apnea.
Anyway, we prepared Kelvin (as much as we could) & told him what to expect. We prayed. We tried to relax. We brought a number of toys. The hospital staff in the BUPA hospital were fantastic and brought even more toys & games.
But as soon as we left Kelvin in the theatre, tears just started to drop. I couldn’t get his slumped figure out of my head (the anaesthesist played with him & made him breathe in sleeping gas). I felt weak, hubby wasn’t speaking & I didn’t know what he was thinking. We prayed in Kelvin’s assigned room. We tried to be calm. After less than 40 minutes we were told he was out & doing well.
When we got to the Recovery Room, he was very, very upset. I laid down in the bed, hugging him, trying to calm him down & assure him that everything will be okay, that we were there. They wheeled us in his room but he still wouldn’t settle. I knew he wouldn’t sleep, he wanted the emergency access (butterfly) taken out of his foot. The head nurse concurred and after 2-3 minutes he was asleep.
I knew he wasn’t hurt. It was waking up in a strange room with strange people that got to him. I just held my tongue instead of telling them off for not calling us sooner so we could be there when he woke. It was done & he was safe.
When Kelvin woke up after 2 hours, he was his old self - smiling, playful, cheeky self. The head nurse, Jo, gave him some ice lollies then ice cream (recommended for his throat). He was so happy to have so much fruit juice and not be told off for drinking them in one go. He ate his lunch and played some more.
waiting @ the hospital lobby
before his trip to the theatre
after his post-surgery nap
the brave boy enjoying all his goodies
one very relieved mum
asking me to remove his name tag
Dr Kelvin treating Daddy before he’d let Dad treat him!
His anaesthesist, then Jo from the ward, and then his ENT all called the following week asking how the little one’s doing. We were told to use ear putty to cover his ears while in the shower. Then after 4 weeks, the ENT gave him two-thumbs up. Everything’s healed properly. Now we notice he doesn’t hold his breath, he doesn’t snore like his dad, and he doesn’t scratch his ears anymore! In fact, he doesn’t produce as much ear wax as before. We’re going to see his ENT in 6 months to have a proper hearing test to assess his progress & hearing level.
I’m really glad that we decided to keep BUPA. It was reassuring to be surrounded by people who seemed really concern about their patient. Everyone made us feel safe. Jo was an angel, she’s a true nurse always checking on Kelvin and going above & beyond her duties. In fact, she took it upon herself to save us some dough by bringing us lunch & tea so we wouldn’t be charge for it! She advised us about the take home meds (not covered by BUPA) so that we don’t buy excessive amount.
I really think on that day Kelvin’s Guardian Angels were working full time to make sure everything goes smoothly. We’re hoping now that his hearing and speech catch-up with his age.