Note to self, do not attempt life changing things on Friday the 13th.
We are podding but it has not been without its glitches. We had to put on 3 separate pods, but it was our fault, not the Omnipod system. After much discussion with our endo and Evin, we decided to place the pod on the right side of his belly. I wanted to use Emla cream to numb the infusion site. I had gone back and forth on this, but wanted it to be as painless as possible for him. I did not anticipate the problems he would have putting on the damn cream. You have to apply the Emla fairly thick for 60 – 90 minutes before use. You then cover it with a band aid like thing that will not soak up the cream but will keep it from leaking out. Sounds good, right? But you see, my kid hates band aids – I mean really, really hates them. I have no idea why. Other kids will gladly put a whole box on their bodies for no reason and mine will refuse one even if he is bleeding profusely. The first battle already...did I make the right choice? Once on, you are not supposed to touch the band aid. Try telling a 4 year-old not to touch something... not only will he continuously touch it, but his brother, who overhears the warning, will touch it as well. But we were on our way.
Our Omnipod training was done by a woman from Insulet Corporation. She's fantastic to work with and, being a RN and CDE, knows her stuff. Once we get through all the setup, it's time to activate the pod. Evin is bit strung out by now because of the Emla battle. He is also scared. He has been lied to by medical people in the past (you know, those kind hearted people who are about to do something and say something like, “it’s ok honey, it won’t hurt” and then it does) and he is now very skittish. We distract him with a new Thomas the Train movie. The band aid is removed, Emla wiped cleaned, pod placed, activated and then…“pop”. He doesn’t feel a thing! He’s excited, I’m excited, and then the pod starts falling off. It seems the Emla was not cleaned up enough. This actually shocks me. The Omnipod has some impressive tape. After our trial run with a pod, I thought we were going to have to dynamite the thing off Evin. So we get out the alcohol swabs and clean the kid up to try again. Evin is less than happy and is scared again. It’s activated and then…“pop”. Everyone starts dancing around like fools because once again he doesn't feel a thing. Ten minutes later the thing is falling off.
Have you figured out where we are going with this? We move the pod to the other side of his belly. So the dilemma is…do we tell him it will hurt or just go for it. We just go for it. We put the pod on, activate it and then…”pop” and a huge scream. He looks at me with such shock on his face. I was certain I would hear, "Mama, mama, please don't hurt me". Less than a minute later he's fine, but my heart aches. I'm also pissed off at this shitty disease. I am tired of hurting my little boy - bone weary tired.
We had promised a bribe – I mean reward – once the pod was on, so we finish up and pile him and Donovan in Homer the Minivan. It's gone pretty well since then, but I’m sure I won’t get much sleep tonight. My first impression is that I like shot free life and the Omnipod is pretty cool. Our settings are a bit high, but I know that’s what all endos do at first, just to be cautious. Better high than low, right?
There is more to tell but its time to test the boy again.
Friday, July 13, 2007
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11 comments:
I hate the irony that we have to hurt our boys to help them.
We did away with Emla cream because of the infusion sets not sticking.
For a while we accomodated Brendon in all sorts of ways to help him cope with a set change. But now, he just lays on the couch and we do our thing...and it's done and over with for the next two days.
Hang in there. You all are doing great.
Kelli
I'm sorry this stuff is so hard and painful. It probably hurts you more than Evin, which is no consolation. I'm so thankful that I have this disease and not one of my children.
You're doing a great job. Stay the course.
We used EMLA for a long time and did not have a problem with sets falling off. I would wipe it off and let the skin dry completely before using IV prep to prep the skin to hold the tape for the Omni-Pod. If that fails, dentists use a numbing spray that takes effect instantly, which I believe you can order online. I have never used it but met someone who has recommended it. Ask your dentist. You also might try numbing the site with a frozen pack of peas for ten minutes before insertion. I think it is best to try to make the insertion as painless as possible, especially for young children.
We are a very long way away from considering a pump. I cannot imagine this as i read it on your post.
My toughest time is when test Emma in the night when she is sleeping. That part really gets me. Im choked now even writing about it as i think it.
The snapping of the lancet device is much more echoed in the middle of the night, she may even pop her head up with dissaluisionment (you will learn have terrible spelling).
With saying that, it probably doesn't compare to the pumping issues.
I feel you are going and are doing great. Just keep up what you are doing.
Take care.
Oh, poor boy. Riley still has screaming fits sometimes when I change his site. But, I changed it this morning and he didn't even flinch.
I look forward to hearing how things are going.
Are you still using, and liking, the OmniPod? This week I'm trying out a Cozmo pump. I like how it can be customized.
In a week or two I'll try out an Animas. I think I'll pass on the OmniPod for now, though maybe...
Kelli,
You seem to be blessed with two beautiful boys. Even though I am not a mother, I could imagine the pain you were feeling when you felt you were "hurting" Evin. Being a parent is tough, and I'm sure you have your hands full but from reading your blogs, you seem to be doing a great job.
Because of your blogs about Evin living with diabetes, I thought you might want to help out the International Diabetes Federation just a little bit. So here goes...
We are in the midst of our preparations for the first UN-observed World Diabetes Day (www.worlddiabetesday.org) on 14 November this year, and I wanted to ask you if you would like to help us to spread awareness of this worldwide event and the theme we have chosen for it this year - Diabetes in Children and Adolescents.
It is estimated that over 200 children develop type 1 diabetes every day and there's no question that the disease often hits disadvantaged communities the hardest, and that children in the developing world can die because their parents are unable to afford medication. In many countries diabetes is still considered an adult disease and as a result can be diagnosed late with severe consequences, including death. Even after diagnosis many children experience poor control and develop complications early.
This is why one of our key objectives for World Diabetes Day this year is to double the number of children covered by the Life for a Child Program - http://www.worlddiabetesday.org/go/wdd-2007/life-for-a-child. We also want to encourage initiatives that can help to reduce diabetic ketoacidosis (diabetic coma) and to promote the sort of healthy lifestyles which can prevent the onset of type 2 diabetes in children.
A version of the diabetes circle, the icon we used for our Unite for Diabetes campaign http://www.unitefordiabetes.org/ has now been adopted for World Diabetes Day and we have produced a number of web banners that you can view and download here http://banners.worlddiabetesday.org.
The way in which you can help us spread awareness of World Diabetes Day is to add one of the banners to your own blog, which we would really appreciate.
The UN's World Diabetes Day Resolution (61/225) was really just the first goal of an ambitious campaign that we have been leading. This is the first time a non-communicable disease has been recognised as a serious threat to global public health and we are hoping now to further raise awareness globally of the disease that is predicted to contribute to 6% of the world’s mortality in 2007.
If you would like to know more about the UN Resolution and our plans for World Diabetes Day this year, just drop me a line and I will get back to you with more information.
Thank you,
Stephanie Tanner
IDF - Communications Assistant
Kelli,
I was just wondering how it was going with the omnipod. We have a 4 year old daughter about to start on it. Do you regret your choice? I would really appreciate any advice. The thought of being shot free is appealing, but I don't want her to be in pain during insertion.
Michelle,
I would love to share our experience with the Omnipod system, but your e-mail is not public. If you happen to come back to this, send me your e-mail address.
Kelli
Hi Kelli,
Thanks for helping me out. Julia has an appt with her endo on friday to discuss the pump and of course the usual stuff. I appreciate any advice you can give me. She just turned 4 so I thought a tubeless system would be best. Actually, a cure would be best. My e-mail is MLBowhay@gmail.com.
Thanks again.
Good post.
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