Although I’ve told the story of Lala’s “special need” many times to several people, I’ve never actually written it down or posted it here. I put “special need” in quotes, because, of all of things that children can be afflicted with,
Dysphagia is not that bad. In Lala’s case, she just needs an thickener in liquids.
Within a week of being placed with me, Lala began a loop of ear and upper respiratory infections. We would see the doctor, get a prescription for an antibiotic. Ten days later, the prescription would be finished. Twelve days later, we would be back in the doctor’s office, getting stronger/different antibiotic. This went on for a couple of months.
Then Lala stopped drinking. She would literally toss her bottle across the room. Remember, as an infant, she is still getting a majority of her nutrition via formula. If she won’t drink it… well, I was more than a little freaked out. Luckily her doctor has a calming personality and we came up with a plan. Ear/respiratory infections stop. She continues to cough and sputter seemingly at random. Is this a problem or just a kid learning to eat solid foods?
While this is going on, the manager of the daycare tells me a story about another child who had recurrent respiratory/ear infections. Eventually, his doctor discovers a kernel of popcorn lodged in his lungs. Apparently he had either been fed or found and ate a kernel of popcorn at his home before being placed in foster care. I started to wonder if perhaps there was a french fry particle stuck someone where inside Lala – french fries being a food she regularly ate (at 4 months!) before she was placed in foster care.
A couple of months later, Lala’s cough has gotten worse. Yet again, we visit the doctor. I tell the doctor the story from the daycare. We get a chest x-ray. This time she is diagnosed with a “tiny spot of pneumonia”. There are, however, no french fries.
Two weeks later, ear infection again. This time, in addition to the antibiotic, we get a referral to a major children’s hospital in a nearby urban city for a
“swallow test” and a pediatric ENT. Maybe she’ll need ear tubes, maybe something else is causing the recurrent infections… the story has Lala’s doctor thinking of a variety of possibilities. A week later, the ENT rules out the ear tubes, cystic fibrosis and a variety of other possibilities.
We waited a month and half for the swallow test – they were very, very busy! Finally we got in and there is a lot of muttering amongst the techs, speech pathologists and doctors. Dysphaia. When Lala drinks any liquid, she is actually aspirating/nearly aspirating the liquid nine out of ten swallows. No wonder the bottles were flying! Besides the constant illness, I imagine that drinking was painful, as well. To counteract this, we thickened all of her drinks so that they are just a hair above pudding thickness.
She hasn’t had an ear infection since!
Long story short, if the daycare manager hadn't told me the story of popcorn boy, and I hadn't told Lala's doctor, who knows how long it would have been before we discovered the cause of her illnesses? She might have even gone through surgery to put tubes in her ears and still been getting sick. We were all needed on this one.