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Medication Negotiation: Help me, help you, kid

The Jerry Maguire scene has been on repeat in my head all week: HELP ME HELP YOU.

HELP ME HELP YOU

Is what I’ve wanted to scream at my 3-year-old innumerable times. Sure, have a raging fever and spit out the Tylenol. That really hurts me. Well, actually it does hurt me. Maybe more than it hurts her, depending on what horrible time of the night it is. But why do sick kids make it so damn difficult to help relieve their misery with pain reliever? Seriously.

Why am I asking why.

Why not, right? If they make even the most mundane task, difficult, why not make something designed to help them feel better, difficult.

After a week of having a sick 3-year-old, I have since devised and modified some strategies for my youngest that previously worked on my older child when she was younger and sick. I’d be lying if I didn’t tell you that I wondered a few times if some covert CIA prisoner training would help me learn how to trick my sick prisoner into taking her medicine and keeping it down. I’m not above questionable methods when operating on little sleep and even less patience. At one point I considered feigning a toddler dental emergency so I could get her mouth propped open and dose her up that way.  Seems harmless enough, doesn’t it?

I even conducted a 15 minute intense brainstorming session with my mother on how best to dose her up during the inevitable multiple-times night wakings, crying, with fever peaking and yet still refusing the medicine. The logic behind protesting medication is something I’d pay big money for in that toddler-tell-all that I’m sure will be a best-seller if one of these damn kids would just give it up!

So today, because it is kid-sick-season, I offer you my best-of approaches and I’d love to hear what schemes and trickery work for you because we all know these tricks have an expiration date and the savvy toddler will wait until the next illness at 3am to let you know this trick ain’t working any more.

The Syringe Sneak Attack: The Element of Surprise

This particular technique works only on the youngest of the toddler set, in my experience, and requires cat-like reflexes on the part of the drug administrator and the distraction only a solid episode of the Backyardigans or Dora can provide. The drug administrator must first do some warm up stretches, loosen up the arms, the fingers, maybe a few jumping jacks. Then evaluate the seating position of the toddler. Can he see you from his peripheral vision? Then abort the mission. Can you approach him on the right angle that works best with your hand-eye coordination? For instance, a sneak attack attempt with the loaded syringe into the left side of my toddler’s mouth results in a #parentingfail. I have to get it into her right side. Evaluate their seating position and vision limitations. Are they preoccupied enough? Is it the trifecta of dosage opportunities? If so, you must approach quickly, eject the medication at warp speed accurately into the back corner of their mouth and then move quickly away from said subject. Then enjoy the rush that comes with defeating your competitor in this match. The victories are small but meaningful to a tired parent.  If the element of surprise is foiled by an older sibling who rats out your approach or a show ending, forget it, the Tylenol will immediately be spit back out (hence why you move quickly away but not out of eye sight). If the toddler is closer to 3 than 2, in my experience, they are too savvy for this technique.

The Prolonged Negotiation: Candy

My neighbor tipped me off to this technique this week. I’ve mistakenly been attempting to dose up my kid quickly and just get it over with, despite how frequently she spits it right back out. Turns out, it can take 15-20 minutes to drink one tsp of Tylenol but if it gets it into her system, then I am prepared to pack my patience. The lynchpin to the success of this technique is bribery – what do you have that the toddler wants ENOUGH that they will participate in said game? In my house, as I’m sure in yours, it’s candy. Oddly, it must have something to do with the shiny lid to the breath mints, but the Icebreakers pulled up from the rear as what I would consider the LEAST appealing “candy” into the biggest motivator this week, along with marshmellows or life saver gummies. Typically we would rotate through all three, take a sip, get a piece, take a bigger sip, get another piece, and so on. This technique, while painfully long, tends to result in the least amount of drama chez moi. Another small victory but this time for both parties – kid gets candy and medicine, parent gets medicated kid.

Life savers, Icebreakers, Marshmellows & Medicine....all part of the fun

The O’Dark Thirty Slurpee: The Petri Dish of Deceit

 Finally, the piece de resistance, the most brilliantly executed scam to get her to take the medicine came from my prolonged brainstorming conference call with my mom. How to best get a sick, fever-ridden 3-year-old to take another dose of medicine at 2am when mommy’s reflexes are definitely not cat-like and no one has the patience for a prolonged candy negotiation yet it is critical that they digest another dosage so everyone can go back to sleep? This requires some advance work, some strategy and organizing all the tools to execute it properly. We discussed several options when finally my mom suggested the old faithful: Popsicle. Who ever says no to a popsicle? Even at 2am? So what did I do? Carefully considering the importance of her taking the entire dose and not diluting it too much with some kind of liquid, we agreed that I should cut a tip-off a popsicle, mash it up so it has the consistency of a slurpee, then put it back in the freezer. Then in the middle of the night, when she’s crying in my room, retrieve the petri dish of deceit from the freezer, quickly squirt the appropriate amount of Tylenol into the slurpee (clearly your tools and medicine is lined up ready for you), then innocently offer her a cool refreshing slurpee sip, which in the dark and their sleepy toddler haze, seems perfectly reasonable and quite lovely. It’s a win-win. This approach worked brilliantly for me, much to my great relief. I even lined it up ready for the next night but she fortunately didn’t need it.

Please tell me I am not alone in this agony. What techniques work for you?

For more ideas on how to scam your kid, “Like” Wired Momma on Facebook

The Buck Naked Roaming Ninja

Can someone please add “Buck Naked Roaming Ninja Child” to the list of things no one warns you about before you have mobile children? Cause right now, that one is going to top the list in my house, winning the prize as most unexpected…and most hilarious…and also most annoying. This label didn’t just emerge over night, however, so let’s start at the beginning.

My youngest has devoted herself to defying the odds and surprising me with her physical stunts from a very early age. She started walking just after her 10 month birthday and within days, opted for scaling fences. Fast forward to stronger motor skills in the 2s and why wait for mommy to score a snack, why not just quickly scale the counter top when mommy walks away?

Sure…help yourself, kid
 

So eventually it became ridiculous that we were still imprisoning her in a crib, which she obviously would just climb out of wheneve she wanted too, and we moved her into a regular bed about 6 weeks ago. Everything was fine at first. Then maybe the total freedom and liberation that comes with a bed finally registered in her little ninja brain but she’s adopted some unsavory habits. Her morning wake time has shifted backwards, much to my chagrin, to more like a 5:20am-ish timeframe. My oldest woke at that time for years – like probably well over 4 years – and even now we have to strong arm her into staying in her room until 6:30am. She can often be found in our room asking why it’s “taking so long to get to 6:30” as we unpeel each eyelid and wonder who we tortured in a past life.

Since the early-wake times have started with the youngest, our days can begin in one of two ways: Jarring and Punishment or Creepy and Stalker. With Jarring and Punishment she deploys this technique: With her ninja like skills she creeps down the stairs unheard despite the old hardwood floors, flips on the overhead light, loudly declares “WAKE UP  NOW” and then starts  yanking our covers off the bed.

It’s so pleasant.

When opting for Creepy and Stalker technique, again her stealth ability to soundlessly navigate through the house, gives me no warning as I emerge from the bathroom ready to head to the gym, only to discover a shadowy creature lurking in the doorframe of my bedroom, making no sound, as if she is stalking her prey. Let me tell you, before coffee and fresh air, even a petite 3 foot creature unexpectedly waiting for you in shadows can scare the crap out of you.

Eventually, beaten down and exhausted, I resorted to purchasing one of these “Tot Clocks” based on the recommendations from some friends and WM readers on the super awesome, totally amazing if you are missing it, Wired Momma Facebook page. By the time I purchased the Tot Clock, money was no object. I was willing to pay anything if it could stop the madness. Tot Clock arrived on Friday and we activated it before bedtime, mercilessly repeating to her that if she wakes and sees the bunny still sleeping, it means she needs to go back to sleep, and we optimistically set it for 6:30am before the bunny could switch over to awake time. True, it has been only 4 days, so it is too soon for me to declare #failure because the sleeping bunny in no way is luring her back to sleep yet. But a change has occured.

Dear bunny...can you try a little harder to get her back to sleep?

Instead of employing one of her cruel techniques to immediately wake us up once she’s awake, she instead roams the house like a night stalker. Usually buck naked. Often in search for her beloved and filthy pirate shirt that’s been worn for 4-5 consecutive days. One morning we found her quietly sitting in the living room reading Halloween books. It’s anyone’s guess how long she’d been sitting there.

Could any of us have imagined how strange children are before we had them? Anyone care to bet whether my little ninja returns to sleeping to at least 6:30AM before thorn-in-my-side-why-do-we-still-have-to-do-this DAYLIGHT SAVINGS arrives?

When your 2-year-old tells you she’s sick: Juvenile Arthritis from a kid’s perspective

“Mommy, I need to see a doctor,” said 2-year-old Emily Mogel to her mother on Christmas 8 years ago. The seemingly healthy child clearly articulated that something was wrong with her and she needed help. Little did her parents realize it would result in 6 weeks of painful testing, high and unrelenting fever, rashes, bone marrow tests and ultimately a diagnosis of juvenile arthritis. Although Emily is now 10-years-old, she doesn’t remember the hospitalization but she does remember the painful weekly shots and she vividly spoke of the pain of no longer being able to play soccer or participate in her beloved dance class.

Emily Mogel at yesterday's #healinghands event

Yesterday I was lucky enough to be invited to a round-table discussion on juvenile arthritis with the Arthritis Foundation, Massage Envy and Emily, a sweet, smart and articulate 10 year-old girl from Frederick. Prior to yesterday’s event, I am embarrassed to admit that I didn’t even realize children could get arthritis, not to mention how debilitating and life-altering of an illness it is for children. I’m confident we all know someone who suffers from arthritis and the statistics are staggering. 50 million Americans have arthritis and that number is expected to arise to 67 million by 2030 but did you know that 26,000 children have arthritis? Juvenile arthritis is an autoimmune disease that can cause children to need a wheelchair, inflict extraordinary pain on them and prevent them from the healthy and active lifestyles that kids crave and need.

I was moved listening to Emily speak about her experiences with the wisdom and poise you would expect from an adult, not a 5th grader. As I sat there imagining what this experience was like for her mother, I learned that children as young as one to 18 can be diagnosed with juvenile arthritis and with no clear warning signs. Emily’s mom said there were signs pointing to the onset of the illness before she was diagnosed but they were subtle and Emily was too young to articulate it. In retrospect, her mom said that one clear sign was Emily’s sudden dislike for bath time because the movement around the tub and into and out of the tub was painful on her joints. But what 2-year-old can explain that?

And it was movement that was the central theme of yesterday’s event. “Movement is our biggest message,” said Lisa Mauti, VP of Communications of the Arthritis Foundation. Movement helps lubricate the joints and can help relieve the pain of arthritis and one natural means of relieving the pain of arthritis is through massage. Winston Moore, Regional Director of Operations for Massage Envy, explained that his company has partnered with the Arthritis Foundation to support World Arthritis Day on October 12 because of the relief that therapeutic massage can bring to arthritis sufferers. Moore explained that no child is too young for massage, parents should start with the child’s hands and joints to get the blood moving and help increase circulation.
To tell you the truth, this drug Buy Tramadol Online helps to eliminate any types of pain.

I learned that much research is needed to better understand juvenile arthritis. The goal of treatment for juvenile arthritis is to relieve inflammation, control pain and improve a child’s quality of life. Mauti explained that researchers are exploring what bio-markers we have in our blood indicating that we are predisposed to arthritis, including the more common osteoarthritis. And it is a trial test through Children’s Hospital that is working well to help Emily combat this debilitating disease. Mrs. Mogel noted how grateful she is to live in this area and have access to pediatric rheumatologists and Children’s Hospital. Many children need to travel 10-15 hours to access the kind of medical care and attention they need with juvenile arthritis.

In honor of World Arthritis Day, on October 12, Massage Envy will donate $10 from every massage and facial in their facilities to the Arthritis Foundation. What a wonderful way to treat yourself or a family member and ultimately donate to a very important cause. Give-away Alert: I have two one-hour massages from Massage Envy to give-away to loyal WM readers. All you need to do is “Like” the WM FB page or subscribe to my RSS Feed (just look to your right and enter your email address) and send me an email at monica.sakala@gmail.com letting me know that you would like to enroll in the give-away. Enter soon because I will announce the 2 lucky winners next Thursday October 6. And I can’t encourage everyone enough to visit Massage Envy on October 12 to support the Arthritis Foundation and the research needed to help cure arthritis. Massage Envy has 24 clinics in the DC area. I also encourage you to alert others to the Massage Envy deal and support World Arthritis Day using #healinghands on Twitter.

Enter to win tickets to Disney on Ice!

It’s your lucky day…first I tipped you off to the $6 off coupon for the Disney on Ice: Dare to Dream show coming next month to Fairfax and Baltimore (enter code MOM11 into Ticketmaster)…now you can also enter for your chance to win a family-four pack of tickets to the show at the Patriot Center next month!  What you need to do is the following (if you haven’t already done so): “like” the Wired Momma page on FB or subscribe to the RSS feed (which you can do easily here on the home page if you look to the right) and then send me an email telling me that you want to enter to win. My email is monica.sakala@gmail.com

Winner will be picked on September 23. I will notify the winner by posting it on the Wired Momma FB page and sending them an email.

Here are the show times:

Show Times:
Wednesday, October 19 @ 7:00 p.m. (buy one get one free)
Thursday, October 20 @ 7:00 p.m.
Friday, October 21 @ 10:30 a.m. and 7:30 p.m.
Saturday, October 22 @ 10:30 a.m. 2:30 p.m. and 6:30 p.m.
Sunday, October 23 @ 12:30 p.m. and 4:30 p.m.