The Cock-Eyed Optimism Would be Refreshing, if it Weren’t So Wildly Unfounded.

At Simone’s appointment last week, her blood pressure was very high. Pediatric blood pressure is confusing, to me, but for those of you who know about these things, it was 114 over 67, otherwise known as HOLY SHIT over MEH. It has been getting progressively higher over the past several months, and as high blood pressure is the complication her nephrologist warned us to look for, this was Trouble. Trouble with a capital T that rhymes with P that stands for Pediatric Renal Failure. Or something.

It has been impressed upon me that getting an accurate blood pressure reading from a toddler is difficult, and so of course it could be a fluke. But they whisked Simone away a few days later for a renal ultrasound, with the possibility of an echocardiogram later in the week. Why an echocardiogram, you ask? So did I. Apparently it is one way to tell whether she’s really having high blood pressure, because persistent hypertension will cause thickening of the heart.

I blinked rapidly when the pediatrician explained this because…excuse me? Thickening of the WHAT, now? It is my understanding—and you medical types feel free to correct me if I am mistaken—that the heart is among the more important organs. So, I would prefer if it not “thicken,” or do anything at all except pump blood with the vim and vigor of one of those chipper women on commercials for cleaning supplies or washer/dryer sets.

Anyhow, they did the renal ultrasound, which was fairly useless, and now they have decided to skip the echo and do some labs and a renogram next Friday, since Simone’s nephrologist wanted her to have one in the spring regardless. Her pediatrician gave me a brief run down of the procedure, and after he mentioned the urinary catheter that would be in place, I said “Oh, so she’ll be sedated?” and he replied that actually…no.

Now. He is the pediatrician, but it is my opinion—though I am by no means an expert—that 20-month-olds should ALWAYS be sedated, and not just for medical procedures. Anytime they are in a public place, in fact, I feel sedation is appropriate, if not for them, then for their Handlers. But like I said, I’m no pediatrician, so I tried to be open-minded. And then I read the informational handout provided for parents whose children are undergoing renograms (I’m skipping around, to highlight the best parts):

What is a renogram?
A radioisotope (a clear liquid that allows us to see only the function of the organ we are looking at) is given into your child’s vein. It travels through the bloodstream to the kidneys. The camera detects gamma rays (invisible radiation)
(INVISIBLE RADIATION? IN MY CHILD? Do we really want to risk giving her some sort of superpower, or god forbid, making her stronger?) coming from the radioisotope and creates the images (pictures). (Thanks for that. Because “images” is such a complicated concept. Not like, say, “radiation.”)

How is the test done?
A technologist will bring you and your child into an exam room and explain the test to you both.
(Ha!) The technologist will start an IV in a vein, usually in the arm or hand. It should not bother your child once it is taped down. (HA!) Your child will lie (HaHA!) on the imaging bed. It will take about 30 minutes for the camera to make the images. (“Make the images?” Who wrote this? A time-traveler from the past?) Many children watch a movie, listen to a story read by a parent, or simply rest. (HaHaHAHaHAAA!)

Before the appointment, you and your child can:
• practice lying down and being “as still as a statue.”
(At this point, I started laughing so hard that Simone—always eager to be in on the joke—joined in. Once we’d worn ourselves out, we continued reading.)
• practice relaxing. (Again, with the tandem hysterics.)

Be sure to share your child’s wishes with the staff once you are here. (Oh, I’m pretty sure Simone will do an EXCELLENT job of “sharing her wishes” with the staff, all on her own.)

During the test:
• Praise your child often during the test. Be specific to behaviors, such as “You’re holding still. (Uh-huh.) or “You’re doing just what we asked you to do!” (Spit-take!)
• Ask open-ended questions that encourage conversation rather than those that require just a yes or no answer. For example, “Tell me what you’d like to do when we go to the pool” works better than, “We’re going to have a great time when we go swimming, aren’t we?” ( “Why is mama making the water with her eyes?” works better than “DO YOU SEE WHAT YOU’VE DONE TO ME, DEVIL CHILD?”)
• Read the books you brought, hold a toy so your child can see and play with it, play “Can you guess?” ( “Can you guess how much gin mama will require when this is over?”) and give clues about people and pets you know, things you see in the room. (“I see a pediatric radiology technician who is considering a career change!”)
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Don’t you feel prepared, now? This is going to be so much fun!