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Should I Hospitalize My Son?
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<blockquote data-quote="Marguerite" data-source="post: 358066" data-attributes="member: 1991"><p>On the subject of blood draws - difficult child 3 has had HUGE problems with this. We have found (experience with difficult child 1 as well) that we need to NOT use force except where absolutely vital in the short term as immediate safety.</p><p></p><p>difficult child 3 was cooperative with blood draws - no mistake. But he would be in such a panicked state over it, that he simply couldn't handle it emotionally. One blood draw I recall with shudders; we arrived to have this done (preliminary to surgery on his wrist) and I said to the nurse, "Can he have something local? He is very anxious."</p><p>The nurse was very no-nonsense, said, "We haven't got time for that. Goodness, he's a big boy now, shouldn't need to be coddled."</p><p>I did try to quietly tell her, "He is autistic and has severe anxiety," but the woman was not hearing me.</p><p>We went into the room, difficult child 3 sat in the chair with his arm out and went white as a sheet. The nurse was an expert but it didn't help - difficult child 3 was in such a state of shock that his blood vessels clamped down and no blood could be drawn. To complicate the picture, difficult child 3 began to dry retch, and then fainted.</p><p>So we moved difficult child 3 to a couch and the nurse tried again. Other arm this time. Last chance. Time passing. Finally she got a needle in while difficult child 3 was conscious and not vomiting. We had to coach difficult child 3 to breathe, and on each exhale, a few more drops were gathered.</p><p></p><p>The whole experience only reinforced difficult child 3's fear, and it made the job even harder, to get blood for later tests.</p><p></p><p>What we have done since, on the advice of a friend who is also a doctor - we bought emla cream from the pharmacy and applied an emla patch before any blood draw. We told difficult child 3 that the emla was designed to stop the needle hurting.</p><p>Now, I've been told that blood technicians really hate it when people use emla, because it's one more thing they have to clean off. Also it can affect the blood vessels and make it easier for the technician to make a mess of it. But we've never had any problems, other than the emla not having quite taken effect. However, we've now had enough blood draws with few problems, for the very negative experience to be now a fading memory.</p><p></p><p>Whatever services you can get - go get 'em. Use whatever you have to. But do your utmost to avoid needing force, because it's ability to get results is very limited and rapidly diminishes from there. You do not want to be left with absolutely no options. Better to start now, trying to go a gentler alternative route.</p><p></p><p>Marg</p></blockquote><p></p>
[QUOTE="Marguerite, post: 358066, member: 1991"] On the subject of blood draws - difficult child 3 has had HUGE problems with this. We have found (experience with difficult child 1 as well) that we need to NOT use force except where absolutely vital in the short term as immediate safety. difficult child 3 was cooperative with blood draws - no mistake. But he would be in such a panicked state over it, that he simply couldn't handle it emotionally. One blood draw I recall with shudders; we arrived to have this done (preliminary to surgery on his wrist) and I said to the nurse, "Can he have something local? He is very anxious." The nurse was very no-nonsense, said, "We haven't got time for that. Goodness, he's a big boy now, shouldn't need to be coddled." I did try to quietly tell her, "He is autistic and has severe anxiety," but the woman was not hearing me. We went into the room, difficult child 3 sat in the chair with his arm out and went white as a sheet. The nurse was an expert but it didn't help - difficult child 3 was in such a state of shock that his blood vessels clamped down and no blood could be drawn. To complicate the picture, difficult child 3 began to dry retch, and then fainted. So we moved difficult child 3 to a couch and the nurse tried again. Other arm this time. Last chance. Time passing. Finally she got a needle in while difficult child 3 was conscious and not vomiting. We had to coach difficult child 3 to breathe, and on each exhale, a few more drops were gathered. The whole experience only reinforced difficult child 3's fear, and it made the job even harder, to get blood for later tests. What we have done since, on the advice of a friend who is also a doctor - we bought emla cream from the pharmacy and applied an emla patch before any blood draw. We told difficult child 3 that the emla was designed to stop the needle hurting. Now, I've been told that blood technicians really hate it when people use emla, because it's one more thing they have to clean off. Also it can affect the blood vessels and make it easier for the technician to make a mess of it. But we've never had any problems, other than the emla not having quite taken effect. However, we've now had enough blood draws with few problems, for the very negative experience to be now a fading memory. Whatever services you can get - go get 'em. Use whatever you have to. But do your utmost to avoid needing force, because it's ability to get results is very limited and rapidly diminishes from there. You do not want to be left with absolutely no options. Better to start now, trying to go a gentler alternative route. Marg [/QUOTE]
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