Waiting
We’re sitting in the waiting area amongst other parents whose children are having day surgery. Instead of my blue staff badge, today I have on the orange visitor badge. Today, I am all parent.
I have tried not to think about this day for years– ever since an X-ray confirmed that she did indeed have all four of those pesky wisdom teeth and that they’d eventually need to come out. Why do we even have them anymore? Haven’t we evolved further than this?
We have been through many things with her that have caused us high anxiety- so this is not new- but it is never easy. It is however easier because we have learned to trust. To trust the people in whose hands we place our precious child, to trust the process that has been successful with many before us, to trust ourselves that we have prepared as best we can, and to trust her that she will do her part as best she can.
Not every teen/young adult with special needs will need oral surgery and/or to be in a hospital to have wisdom teeth taken out. Your dentist and other providers will help you decide what is best for your child. Her dentists at the Center for Pediatric Dentistry are the best. Dr. Travis Nelson has a “clinic within a clinic” for our kids with autism. Learn more from one of our heroes.
For those of you who will one day sit where I am now sitting, I offer the following tips:
Plan ahead
I planned time off from work in order to give her and me the time and attention needed for this. I didn’t want to feel pulled in different directions so I made sure nothing of importance was scheduled close to her surgery.
Some people prefer not to know exactly what a procedure entails but I am not one of those people. I wanted to know every detail. I asked myriad questions about what our team was going to do so I could think through how to best accomplish them with her. I sought the input of other providers who also know her well so we could try and anticipate her reaction to various approaches.
Our biggest concerns were about sedation, being in recovery after surgery, and post-surgery pain management and oral care. We figured out a plan head of time and as it has played out, we made changes as needed. So far, it has gone remarkably well. I can breathe now.
Your team will lead you through each step. Keep in mind that this is what they do so well every day. They have done this with many, many children. They truly care about you and your child. That is so evident.
Read and carefully follow directions
Papers, lots of papers have come our way about today and more will come about home care. Read them! I almost forgot the directions about medication prior to surgery. You don’t want to have to reschedule at the last minute so read at least a week ahead of time to make sure you are taking necessary steps in preparation for the day ahead. And if there is anything you don’t understand, ask. I have received several different pieces of information that offer somewhat different advice so I am asking right now!
Recall past experiences
This is likely not the first challenging thing you’ve had to do with your child. Remember that you got through them and you will get through this. Will you be anxious? Yes, but that’s to be expected. Call to mind a previous experience that went well. Hold on to that feeling of confidence as you go into this new one.
Expect that you will forget things
I’m pretty detail-oriented and have a good memory but when I’m anxious and in a new situation, I forget things. If providers only knew how very much we forget what they tell us and how hard it is for us to have to ask to have it repeated. Write things down even if you think you will remember it. If possible, have someone there with you to help keep track of what you’ve been told. Ask if you don’t remember. No one will think you any less competent if you do. I already have asked twice what the plan is for after she wakes up.
Our pager just went off. She is waking up in recovery now. Time for me to stop blogging and be mama. My girl is waiting and oh, how she dislikes waiting!
We’re home now so better write this down before it is all a blur . . .
Expect that there might be glitches
Even with all our preparation, we had a couple glitches. Not big ones, mostly miscommunication, but it did cause me some stress. Remember what I said about asking for clarification? I thought I understood one step but I didn’t. In retrospect, it would have helped if I’d asked for a point person (there were so many people involved in her care today) to go to with questions. When I was unsure where to go when the pager went off, I got different answers from different people. A shift change led to some of the confusion.
Speak up
Staff were wonderful about asking us what we think would work best for her. They accommodated us as much as possible always keeping her safety and comfort as priorities. It might feel a bit strange in a room full of experts to take a lead role in handling your child but you are the expert in knowing your child. Ask for what you think will work. Be open to trying something different. Your team has the benefit of having done this with many other children – none exactly like yours – but similar to be sure.
Be patient. Be gentle. Be proud.
You are a great parent. You have a great kid. You have a great team. You have gotten through so much and this is one more thing you can handle. It won’t be the easiest thing you’ve ever done but there isn’t much about parenting that seems to come easy, except the unconditional love part, that is. Tuck this success away for future reference. It will come in handy.
Post Script
She was such a trooper! She did better than we could have ever imagined – and so did we. Her pain was minimal and she healed quickly. In fact, she was ready to eat that same evening. The hardest part was convincing her she had to go easy for a few days. She did though and we can breathe a sigh of relief that this is now done. Whew!
Great information Lynn, and very timely, my son has an oral surgery consult tomorrow regarding removal of his wisdom teeth : ) The article helped to put me more at ease that it all works out in the end (but always best to go in prepared).
Thanks, Sammie. I wish you the best!
Thanks for sharing this wonderful information with us. My sister has also gone through with wisdom tooth removal in Miami by Cmr Dentistry and she is ok now.
Thank you for sharing this information, I’m glad your child’s wisdom tooth extraction went well. I hope I could say the same for mine. I hated dentists when I was a kid, and I still feel anxious about going to dental check-ups even now. I don’t want to be the one to cause my daughter stress when her surgery day comes, which is why I’m trying to prepare myself for it. I typically get somewhat stressed when something doesn’t go according to plan, so I might as well ask for a point person, as you have mentioned. I’ve also learned that I could tell my husband all the details regarding pre-surgery and home care, so there’s two of us to remember all of those. He will also take the day off work on the day of my daughter’s surgery.
Hi Matilda,
Good job thinking it through ahead of time, realizing your anxiety isn’t going to help her, and asking others to help. If you leave some “space” in your plan for the small things that may change the plan a bit, you might feel less stressed than if you have a concrete, iron-clad plan in your head. We parents have to practice flexibility the same way we ask our kids to! Keep in mind that her team has lots of experience and so what may feel like a big thing to you isn’t likely to be for them. Keep taking deep breaths and remind yourself that you and she will be okay. My best to you!
Lynn
How did they decide what anesthetic to use since kids with autism usually have underlying detoxification issues? Have you had genetic or metabolic testing done to see which biologic pathways aren’t working before having the procedure done so as to not further impair your teen?
Many questions…
Diana
Hi Diana,
Thanks for your questions. I asked a pediatric dentist colleague about the decision for anesthesia and here’s what he had to say: Autism is a very common reason that children receive sedation and anesthesia for dental procedures. For that reason most anesthesiologists have a lot of experience and a good understanding of specifics of care for children with autism. Typically metabolic testing is unnecessary, but if a family has had any testing done that would be good information to share with the anesthesia provider. Also, every child is different. Doctors individualize and titrate anesthesia to achieve the necessary effect for each patient.
In our case, I trusted that this was a procedure they had done with scores of others and that we were in good hands. I do understand your question and concern though! As she has gotten older and we’ve done more things successfully, I worry less and trust more. I hope that helps.
Lynn