Our First Visit to a Pedia EENT Specialist

We were advised by our pedia that the twins’ left ears—yes, both twins, but only the left ear—have a build up of earwax and would need cleaning by an ear, eye, nose and throat (EENT) specialist. Apparently the ear drops that she first advised us to try was not enough and at least in one twin’s case, the earwax has become impacted.

“Normal ear wax will find its way out of the ear canal and fall out naturally…Ear wax can become impacted if it is firmly lodged in the ear canal. When wax builds-up and hardens, it can block the ear canal and cause sharp ear pain, ringing in the ear, and partial hearing loss.” (Source)

Ugh. That doesn’t sound good. Fortunately, it didn’t look like the twins were bothered by the earwax, so before things could get any worse, we decided to have the twins’ ears checked out by a specialist.

Preparing for our first pedia EENT visit

The twins had just recovered from several days’ hospitalization, and I was worried that they’d be further stressed or even traumatized by another medical procedure. So I was determined to make their first EENT visit as hassle-free as possible by taking the following measures:

I researched and made sure that we would go to a pedia EENT.

Sure, any EENT specialist can perform the simple procedure of ear cleaning, but I wanted someone who’s really used to working with tiny ears attached to little people prone to literally jerking around and throwing their bodies up the air like one possessed when provoked, you know what I mean? I also needed to research for a specialist who’s accredited by our health card. There were a few options, but because of convenience/proximity, we chose one who holds clinic at The Medical City Gateway.

(Also, I found that it’s useless to look under EENT in the doctors’ directory–the EENT specialty is called Otolaryngology, as I eventually discovered. You learn something new each day, eh?)

thankfully no lines at 5 p.m. Wednesday

thankfully no lines at 5 p.m. Wednesday

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A Conversation I Did Not Want, But Actually Needed

This past week has been a tough one. What started as a cough for one twin quickly escalated to pneumonia for both of them. I kept getting jarred by one development after another. First was the worry at having to be admitted to the hospital at all, then the shock at finding out from xray results that both twins had pneumonia. Then, as one twin started getting better, the other one who didn’t seem much affected at first and was not even put on IV started getting worse! So what happened was the first one who got sick was also the first one to be discharged, while the other one had to stay longer for added treatment and observation. Every day I would be hoping to be sent home, wishing it would only be a couple of days, but we ended up spending five days in the hospital. Every day I would nervously think about the twins’ progress, the work that I was not able to do, the medical expenses that were piling up, the logistical difficulties of taking care of the twins and shuttling from home to hospital to pick up supplies and needed paperwork. It also didn’t help that Don was on travel and we were less one person in the rotation.

So last night, when I was finally able to sleep in my own bed, I could only be grateful.

Grateful, and a little bit chastened—because of a few minutes of conversation with a hospital staff who was then doing chest physiotherapy on Dahon while I was holding her in my arms. Continue reading

At 21 months, worried and yet not worried

We brought the twins to the pedia today to have their third and last Prevenar shot, and man am I glad to have put that vaccine behind us. It’s the most expensive! Then of course the cost is times two for the twins!

twins at the clinic

waiting for the doctor. it’s like they knew what awaited them, ha ha!

Still, I can’t help but be thankful. We were after all able to pay for the vaccine. The doctor said she has a lot of patients sick these days, but the twins are healthy. They’re just the right weight for their age. They had a bout of cough and cold a couple of weeks ago but the symptoms were slight and were over in a few days. And yes, one twin’s teeth need a bit more brushing and the other twin’s left ear need some drops, but otherwise everything is okay.

We discussed the need to wean them from their bottles and introduce sippy cups for their milk, along with increasing solids and decreasing milk intake. “Kareerin mo ang solids,” our pedia told me. Gulp. Really need to pay more attention to the menu to really whet their appetite. These days they’re all about sabaw, but I also want them to be more adventurous and eat all sorts of healthy food. And because we’re cutting down on the night feedings, we need to have healthy breakfasts ready for them regularly, not just pan de sal or scrambled eggs or whatever leftovers are hanging around. I’ve never been much for cooking, and the maid knows basically just the typical sinigang, nilaga, ginisang gulay type of dishes, so we’ve got our work cut out for us. Recommendations for easy, healthy dishes for toddlers will be most appreciated!

And I realized, not for the first time, that this is yet another way that having children forces us to change for the better. We now have to eat better, cook better, wake up earlier. Not relishing the latter, but really, we have to do better.

“Oh, the things they tell you!” – Superstitions and unusual beliefs

I was on the phone with my mother-in-law yesterday and I told her that I would be bringing the twins to the pedia later to have their cold and cough checked. She immediately said to keep her posted and to not let the twins drink cold water. My antennae twitched a little bit at that last one, as it sometimes does when I encounter traditional beliefs that can possibly be myths.

So later on I asked our pedia if it’s true that the kids shouldn’t drink cold water while they’re sick. No, she very definitely said. In fact, in cases like sore throat, cold water can even be helpful and soothing. And it makes sense, right, because what causes the common cold is the common cold virus, and not cold weather or cold drinks or whatever.

O, ano pa?” my pedia asked me after she finished explaining, clasping her hands in front of her and all but saying, “okay let’s demolish these myths one by one once and for all.” And that’s one of the many things I like about her—her willingness to answer our questions lengthily no matter how seemingly insignificant they may be (and if it’s health-related nothing is insignificant anyway).

Of course, I didn’t monopolize all of her time by thinking up one question after another, and not a lot of things were coming to mind at the moment anyway. I just asked if it’s true that we shouldn’t give the twins baths when they have a fever. And her answer is yes, and no. While the fever is raging, a bath can be really uncomfortable to the skin. But sometimes there are short spells when the fever would abate, then a bath won’t be at all amiss.

When the twins were born, and even while I was pregnant, a lot of these superstitions or traditional practices came out of the woodwork. People tell you all sorts of stuff. They mean well, of course, and I’m grateful they care enough to give advice. One has to be discerning, though, and my usual reaction to such advice is usually polite acknowledgment, while mentally saying to myself, “I wonder if there’s a scientific rationale for that?” I did a lot of Googling, and the usual answer is no, there isn’t.

some possible reactions to superstitions: a) polite dedma, b) ha ha that's funny, and c) the heck did you just say?

some possible reactions to superstitions: A) polite dedma, B) ha ha that’s funny, and C) the heck did you just say?

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