Rough and tumble: A & E

It is a well-known fact that children are accident prone. More often than not they fall, bump their head, scrape their face, hands or knees... Or worse still, jump right into danger when their parent or another responsible adult takes their eyes off them for a few minutes. Lulled into a momentary false sense of ( the girls') safety, H tried to multi-task and clean his car while the girls were in the trampoline. Unwatched for a few minutes, they jumped, swung around on the nets and S promptly fell out landing on the hard paved patio. That she did not hit her head and was saved by virtue of her leg caught up in the safety net was nothing short of a lucky miracle. Being as it was, she hurt her arm and the impact made her whole wrist, palm and arm seize up in pain.

The first thing I notice when I get home from work is the frown on her tear-stained face.... She reacts to my "Hello beta, how was your day!?" with a grunt and a rough swipe. S is sitting near her sister in bed, watching a kiddie-movie. It is around 22:00 on one of the last few days of the Summer Holidays... Rani fills me in on the details of her injury. Soon, H walks into the room and we talk about it, briefly. I save my questions and concern for later.... I've learnt from my past experiences with S- if we downplay any minor injuries she is likely to quit making a big fuss over it. Alarm bells, however, ring in my head as I watch her hold her hand partly folded into a loose fist. Suddenly, It doesn't seem all that minor an injury to me. Quietly, I leave the room as H and I take our conversation into our bedroom. I ask him, seriously, if he would take us to A & E??! He says it seems to be better now, and suggests we let her rest tonight, with the possibility of taking her there in the morning. Since I was not present when she sustained the fall, I decide to take his advice and let it rest for a day...

The next morning, 01st Sept. 2012, a Saturday dawns sunny and bright. As the kids awaken and go through their morning routine, I watch S' hand closely for any tell-tale signs of swelling- the indications a fracture. Aside from some screaming and shouting at me (which is the norm, rather than an exception) when I attempt to help her change her clothes, she retains her sour mood- brightening up only around her Dad when he wakes up. I notice her pain, the way she is holding her hand.... and I feel worried, anxious and perplexed at S' behaviour towards me- best described as indifferent, with spurts of clinging shower-of-love moments. I hug her back when she demands it, feeling drained and empty inside.... worried and stressed no end.
As I reluctantly get ready for work, I tell H we should take her into A & E and get her hand examined, as she was still complaining of a lot of pain there. He finally agrees to drop us off and pick us up if we're seen before I go onto my Ward adn start work. We make it there before noon! We're seen by the Lady atthe reception, and I tell her my concerns, she notes down the history, and nature of the injury, and directs us to take a seat. S fidgets and is jumpy, but all I can see is the way her hand and arm look and feel. she does not let me touch her arm at all. After about half an hour's wait, she is shown into the Paediatric A & E area, where she is instantly absorbed by the toys and games. A young nurse with a cheerful smile calls out her name and she shuffles to her feet, smiling shyly. A senior nurse-practitioner examines her arm and hand asking her about the pain and talking to me about the nature of the injury. She asks S about the fall, the pain and where it hurts. S points out the palm of her hand and the area around her wrist. The nurse says it is probably nothing major, but agrees that an X-Ray will rule-out a hidden injury, and given S' ASD, I am relieved at her decision.
After an X-Ray request has been filed, we are shown to the Imaging Dept. via A & E Majors. S wants to touch everything and doesn't want to hold my hand at all. In a few minutes, we're standing at the Imaging Reception, looking into an unmanned reception window, waiting. I glance down at S and smile reassuringly, and she smiles back, her little face barely clearing the window base. she looks like a disembodied cherub-face, floating curiously...! A young man with thin features and blond hair shows up and asks me, " Yes, May I help you?" , and I give him our family name. " Can you spell the name for me please?". S-H-I-.... I begin, and he types it down quickly, looking for the request. " There's nothing on the system, yet," he says, " would you and S like to wait here for a few minutes?" "That's fine, " I say, when S pipes up at the young lad, surprising me. " What is your name?"... " Luke, " he says, smiling at her for the second time, " My name is Luke"... " Hello, Luke!" S says to him, as I look down at her in awe of her friendly, open alter-ego! She's full of surprises at times and sometimes oh-so-predictable... S sits down and points at a chair a little further away from the one she's occupying. I sit down in it, obediently, eyes dancing with a hidden smile. s giggles, and jumps into the seat next to me. We play the "silent-chatter" game, where S whispers loudly and I whisper back in a whisper....talking about anything that interests her. The waiting area is empty, so she does not cause me any embarrassment by asking questions about people with the inherent frankness of childhood.

About five minutes later, a Radiographer calls out her name and we make our way down to meet her. Ten more minutes and we exit the X-Ray room- S grinning from ear to ear, showing off her sticker! On our ay out to Paeds again, we walk past Luke, pushing a portable X-Ray machine in from Majors. " Bye, Luke", S pipes up, making him smile in surprise. I like the way he smiles at her, genuinely touched that she remembered his name! That's my S for you, in a nutshell. She may not remember which shoe goes on which foot, or whether or not her vest or T-shirt is on the right way around, but she never forgets people's names, things they like and how they made her feel...It took us another couple of visits to A & E to sort our her arm, but eventually, I think, I learned something from my daughter that day.

About how pain is a state of mind.
What matters is that one trusts the judgement of an expert, but also makes allowances for the little niggling 'voice' inside.
How a kid will be a kid. Always.

The second visit came on Tuesday, the 4th of Sept. This was the day she had cried a lot, screaming in pain when trying to put on her top, and jumper. Soon, her screaming escalated and became more of an angry outburst, when I tried to help her. In the evening, as soon as she returned from school, we walked over to see our GP, and he said we should go down to A & E again, as the top of her arm was tender and seemed to be causing her pain. The way she held her arm by her side also made me worried. We made our way down, H's uncle dropping us off at the entrance, and we walked in again. The nurse listened to my concern, and referred S to the Paediatrician. The good doctor examined her after a half an hour wait. S was absorbed in the games and toys, and I, in watching her. He said he was reluctant to X-Ray the upper arm cos the hand had been fine, and it was probably a sore muscle. They gave her some Ibuprofen and Paracetamol, and after another half-an-hour, they saw her again. This time, when the doctor asked her if she had any pain, she said, " No." He spoke to me about bringing her in in case the pain worsened, but sent us off with the two painkillers. S was happy enough, and when I told her to go say thank you to the nurse and doctor, she gave them both a big smile and did as she was told. The doctor took her hand and said, " you're welcome, S!" and brought her to the linen room, where they had a box full of teddy bears. He invited S to select one to take home,  and she picked one dressed in her favourite colour- green.

S outside the Hospital, waiting to be picked up.

Post Script: Excerpt from my diary- 

 Have returned from our THIRD trip to A & E... half an hour ago... Its now 2304 Hrs... girls asleep- Raj just managed to put the girls to bed... The A & E sister said it was probably nothing, and when I insisted she was in pain for a couple of days, she thought it was best to X-Ray the shoulder. It turned out to be a fractured humerus.... They gave her a sling and a morning 'fracture clinic' appt for tmrw. Thank God, its not major, but I felt like a fool cos no one would believe me. Hubby stood by me and came along, so that was good... but he also told the nurse-in-charge, about our reason for visit being  ".... my wife, here is worried about my daughter's arm now..." She will be seen by the Orthopaedic doctor tomorrow. I guess if the doc yesterday would have requested an X-ray it would have been picked up then, but its S we're talking about! She thinks everything's a lark!!
Kids fed, watered and tucked into bed. S' Painkillers given. Fast asleep now... A & E staff were brilliant!!! 100% dedicated people! ( Working round the clock, without a break on 12 hour-shifts is no mean feat! SALUT!)

One fine day...

This month, I began to do my first early shifts in over four years (Early Shifts start at 0700 and finish at 1515) and they went well...  I do not know if it was the summery haze, gentle breeze or the bright sunshine, but it definitely helped lift my mood as I cycled home in the afternoon.. There was the prospect of  a nice lunch n dinner for B (my husband), and a walk in the park with my two daughters featuring on my 'yet to-do' list. Returning home, I found the kids upstairs with B, enjoying a 'scary' movie. On the kitchen table, Rani, my youngest,  had left a couple of pictures she drew that morning, one for her Dad,  (image below) who she adores and obeys without question.

R's drawing for her Daddy dearest!

B has a way with them, which I try to observe, now that we have more time together as a foursome. Earlier, he would return from work exhausted, and find the kids in bed already. He would have to restrict his cuddles and loving kisses so as to not wake them up (S is a really light sleeper; R is so much better) But now that he's temporarily off work and in-between jobs, he is finally getting to spend a lot more time with the girls. B's love for them manifests in the way he looks after them, looks AT them and understands and disciplines them. (Case in point- as he cleans up/hoovers/organizes things around our home he has an army of 2 'foot-soldiers'  dusting, cleaning or helping him in his DIY activities etc.)
Now, he even has them wiping down their table after a kiddie meal/treat, much to my amazement!! As I cycled to TESCO to buy some Lunch and picnic treats (for later in the week), I thought about whether the kids really cared about 'going out and doing things' as a family, or, like B himself, they are simply content to play and stay at home?? Was it me who needed to get out, and if so, shouldn't I just go ride my bike for as long as I was tired, rather than persuade all my family to get up and get going when they'd rather not? The difficulty of the decision lies in the varying attitudes of my kids. S, like B is content to do whatever it is he's doing. If he lays down on the bed, munching crisps and watching an old film, she will be more than happy to. R, on the other hand, has inherited my restless spirit... She likes to go out to the park, meet her girlfriends for a few hours (where they hug each other gleefully as if they haven't seen each other in years while us Mums make small talk.)
I cooked, cleared the battle-zone a.k.a kitchen and summoned the girls to dinner. After dinner, I got the kids ready to go to the park. Easy enough, when it comes to R, who is compliant and 'understands' when I say, " Baby, you'll need a sun-hat and can I comb your hair ( more like a 'hornet's nest')  please??!" She sits patiently as I attempt to tame her hip-length tresses using tangle-free (which, incidentally was a great discovery, as it helps overcome the morning school-rush-time tantrums by S), a wide-toothed comb and bands...
S, on the other hand, my delightfully notorious, challenge of a daughter, predictably enough, screamed at the sight of the comb. Okay, I told myself, I can do this! I tried to reason, cajole and persuade her- following it up by an ultimatum "we're NOT going until you let me sort out your hair, dear" and "Please let me, at least, comb it out and give you a hair-band". WRONG MOVE, Ruchita, I told myself... Still, nothing worked. She dug her heels in, and I planted my feet firmly. Face-Off. big time, if you ask me. Inwardly, I was not sure she would comply, outwardly, I put on a brave face- my 'I-know-how-you-feel-but-this-is-non negotiable' face. Minutes ticked by....then she, defiantly, took her wheelie-scooter thing outside the door, and I followed her out and said "we're not going if you don't help me". some of you may be thinking, 'why all the fuss, let her go as she is' but it's not that easy to watch my beautiful, energetic autistic daughter get more than her share of 'looks' from others in the park- (kids, parents etc) simply because she looked like she'd been dragged through the hedge. Backwards.
The last straw came when she lashed out at me, verbally, shouting at me and using the f-word. I told her to go inside and wait for me to get back. I made it clear to her that she was to go "inside and stay with Daddy", who I rang up, half-a-minute later, appraising him of the new situation. He said he was fine, and did talk to her and asked her what she had done wrong? She told him she'd said the 'F' word to me.... They talked about it, and she promised him she would not do that again. After an hour and a half in the park, Rani and I came back home. S had, I hope, learned her lesson. R had a good time. I was totally miserable....  but then, that's life!

Sleep Wars...and other stories.

Sleep. That one restful, peaceful, quiet place that the body needs to go, to rejuvenate and refresh itself. If I speak for myself, sleep had never been an issue, until I became a mother, that is... As a kid, I used to sleep fitfully, from the moment my Ba's (Granny's) stories began to weave a wonderful blanket of images, draping her stories over my psyche, lulling me to a dreamy, secure safe place. Sleep came wafting in, riding the waves of tiredness mingled with excitement..Of listening to another one of Ba's stories and breathing in the smell of her cotton saree as I snuggled close to her, my face pressed into her warm embrace....She had a loving, sweet way of caressing my hair which actually felt like something between a tickle and a scratch, but put me to a peaceful, heavenly sleep! The summer holidays brought us cousins together, and excitement banished all sleep from our eyes! We would spend hours, talking, telling stories and playing games like UNO... (tales-of-a-bedtime-story).
Many moons later, as a young adult at University, I realised another universal truth: Sleep was good, but, no sleep was even better! I revelled in the drawings and inking I accomplished after the rest of the family was asleep, surviving on an unhealthy dose of caffeine, crisps and rock music. Ba would worry, sometimes dropping in on me through the night, to see if I was actually awake, or had nodded-off...

 As a mother, I tried (in vain) to do the whole "Sleep , my little angel, I'll watch over you, awake.." kind of thing- as glorified in Indian films over the ages. Only too soon, I realized that a sleepy, cranky mother is no good to a toddler and promptly took some steps towards a routine, regular bedtime.After the kids came along, however, sleep has been snatchy, elusive and rather too sonorous for my own liking!  As maternal instincts kicked in, exhaustion was relegated to second place as my duties as a mother came first. As I tried to wake up and focus, I'd be telling myself- 'get up, you blob, S is crying... she's probably hungry/wet/cold or bored'.
Even as a baby, S had a way of snuggling-nuzzling a bare arm, and fell asleep holding on to us. It was all very well for as long as she were little, settling in our bed next to us, and my husband was happy as can be... Things became rather complicated when my second Daughter was born 19 months after S. So we finally got the Cot hitched up in our room, and got the little baby into it. S was 20 months old by then and slept with her grandma till we moved into our own home , a few weeks before S turned two. S hated the new-fangled idea I had about them both sleeping in one room. MiL bought a lovely bunk bed for the girls, and S could sleep in it whilst the baby slept in a cot adjacent to the bed. To us, it was obvious she was beyond tired and needed to sleep.  But S had other ideas... she was ANGRY. Soon, to my surprise (although the predominant emotion was dismay and heartache at the state she was in...) she pulled herself up to stand and cried and cried in protest. Did I mention that she never stood up before, with or without support!?
Sleep and S have always had a love-hate relationship. although she loves her sleep and hates getting up in the morning. School mornings are a real pain. as is getting her to wake up. It may be about her (She's definitely NOT a morning kiddo), or may be due to her behaviour difficulties but she equally strongly dislikes being put to sleep.
At six years old, she had progressed from sleeping only next to me/my husband/ MiL, to persuading R, her little sis, to sleep with her in the bunk-bed. Sometimes, as kids often do, R uses this leverage to get S to toe her line and do things she wants S to do for her... Now, after a few years' struggles and discipline, S manages to sleep throughout the night, on most nights, and only appears at my bedside if she is awake in the wee hours of the morning, when she has been woken up by a full bladder, or worse, a wet bed...Or, like yesterday night, finds me awake in bed, and asks me, "Mummy, can you sleep with me??!"

Rather hard to say no, if you ask me, for two reasons:
If I were to say NO, S would have a meltdown/cry/scream then and there, waking up her father in the process.
If that didn't happen, she would climb into bed with us and slowly nudge me away, thereby taking up my whole bed-space till I was forced to get up and sleep in her room, while she happily snuggled up to her Daddy.

See what I mean!!?? S is cleverer beyond my comprehension, but also stubborn beyond endurance...
Either way, I now sleep less and less, from the sheer stress of it all, only managing to nod-off properly:
A) In the early hours of the morning,
B) While I'm watching T.V,
or C) When my husband decides to give me a peaceful night, putting up with the girls in our bed, and letting me get some sleep in theirs.

Sleep, for our lot at least, is elusive, ever-new and gratefully received! If the body is tired, it will sleep. Period. So, my aim these holidays, on the days I am not working, is to get the girls as tired as possible! We walk to the park, or they ride their scooties, and I let them loose, keeping a hawk-like eye on S so other innocent, unsuspecting kids are not put at risk by her swinging hand and swinging mood... This is not to say that she will attack random kids but with her blurring the lines of acceptable social interactions, she sometimes makes other kids feel threatened. Typically, she will pat a kid on the head, or touch their cheek, face or smile right in front of their noses. They react by telling her to leave them alone. She gets upset and takes a swipe or turns away. I always look out for her so I can help her keep social interaction as open-ended as possible... Difficult, but not impossible. Especially in the play-area is close to home. Disputes can be resolved by ultimately walking off homewards, and she follows, screaming and shouting abuses, but calms down once there is no negative reaction from my side. I just tell myself it must be 10 times harder, if not more, for her than it is for me. Keeps things in perspective, if you ask me....But, that's another story...!

Cakes, Bakes and summer Birthdays- Vol 2

B's birthday was aglow with the beauty of the summer sun, and made me smile as soon as I pulled back the curtains.  Actually, it was R who woke me up with her excited cry of " Mummyyy, we have to finish Dade's cake (she says Daddy and writes it as Dade, and, so did I.)!! So, I got up and we all wished B a very happy birthday.He was sorry he had to go to work (little knowing the surprise I had in store for him later!) and promised to try to get home soon that evening.
After the girls had their lunch, I fried some samosas added squashes for the journey and a packet of Doritos to our backpack and set off with the girls beside me in their summer hats and jumpsuits. We walked to a bus stop nearby and waited for our bus to arrive. After half-an-hour of waiting (by which time the girls had counted cars, trucks and trailers, smiled at babies in buggies and women on bicycles and swigged from their drink bottles a few times) the bus drew up level and we got inside, thankful to have escaped the heat for a bit! Then, S started her favourite 'journey' game, loudly commenting on why the bus made her fall back into her seat (at which I tried to recollect my vaguely remembered knowledge of Physics- momentum and the inertia of motion) She seemed satisfied by my answer but the answer itself, gave rise to more questions. I promised to google it later on, and show her the results. So, once more, peace prevailed in the bus! On public transport, S constantly observes people, things and views out of the window, and occasionally says, "Are we there, yet!!?" a-la- donkey in SHREK. She is fidgety, affectionate and sometimes gets upset when I tell her off for smacking her little sister out in public places. At home, she is always pushing, punching, poking or shoving her sister, which makes me sad and angry.
When we reached Hemel Hempstead, where B works as a store manager in the Town Centre, we thanked the bus driver, got down at the stop and made our way down the high street.
Inside B's store, his staff, who were in on the surprise, tried to help smuggle us upstairs to B's office. S, however, had different plans, and had started giggling, and grinned at her Dad when she caught his eye! So, we all came out of hiding, and it was so worthwhile just to see the delighted surprise on B's face as he said, "Hi!! What are you all doing here!!!?" and scooped the squealing, smiling girls up into a big, high hug!
Later, after an office-room birthday celebration with his good colleagues AB and NG, we headed home after the tills had been balanced and the store closed for the day. The ride home, in B's car was special too, as we felt part of his daily commute; something I had only imagined him doing everyday for the last few years.  the kids chatted excitedly in the back, and nibbled on the Doritos. The wind whipped through my hair as I gazed contentedly at the orange ball of fire that was the setting sun, dipping down gracefully, low on the horizon...It had been a good day!
We chatted about the loveliness of the countryside, his face and eyes bathed in the glow of the sunset. Inside, I smiled and thanked the Lord for having given me the idea and will to do this for us all. In more ways than one, it was a truly beautiful birthday!! Happy Birthday, honey! You are the sun, glowing on my horizon, guiding me home, making me fly... you are the laughter of our children, the naughty twinkle in their eyes, the gentle touch of their fingers and the trusting clasp of their tiny hands... You, my dear, are my life.
Thank you for being mine!
xxx