Guest guest Posted April 22, 2006 Report Share Posted April 22, 2006 Missy: No, the syringes are not prefilled. It all comes in a little kit, there are four different little packets per box of Enbrel. Each comes with a syringe with liquid mixing agent (can't remember what it is exactly), and you attach a little piece to the end of the syringe, put the small bottle of Enbrel powder onto it, and then inject the liquid, just shake or swirl it around, and it mixes up very easily. There are a couple of premoistened alcohol pads. Then you take the bottle and piece off, place the needle (and it is very delicate so I would call it small) on the top of the syringe, and wellah! your Enbrel is ready for inecting. Think I answered that in pretty understandable language even with my fibrofog lol, but if you have any other question about it, just ask. My son was born 3 months premature, had heart defects and we knew he needed open heart surgery to repair them, and, because of his stridor or wheeze when he breathed, the doctors wanted to find out the reason for it before his surgery. However, the procedure caused his windpipe to swell so much that he had to have an emergency trach done. He was 3 years old. It is hole made into the windpipe into into which a plastic tube was placed, attached by two ties around his neck, and his air would then go in and out of the trach. They did not find out at that time what the problem was, but later we did. It was a very scary procedure, and when my very talkative toddler woke up, he could not talk because the air goes out of the trach. Boy, he still was able to show us how mad he was, though! He had to learn to breathe out, place his finger over the trach hole, and talk quickly. He learned very fast - lol - he pretty much told us the day after the sugery that the whole thing was a very bad idea in his opinion! As it turned out, when we went to a specialist for respiratory problems when he was 6 years old, after his heart surgery, he was found to have a narrowing in his windpipe just above the vocal chords (one of which is paralyzed - probably from being intubated and extubated so many times as a tiny preemie) and this was what had caused the wheezing. When he was 6 years old he had the open heart surgery and a year after that had surgery to repair the tracheostomy. The doctor took grafts from one of his ribs and placed them on the front and back of his windpipe, basically making him a new windpipe. It was one of the first of these sorts of procedures to be done, and the only chance he had to be rid of the trach forever. He was also medically put into a coma for a week, so the repair to his trach could heal. It was a very stressful time, to say the least, but it worked, and he was talking normally again within a few days, and has not stopped since lol. He has never been at a loss for words. When he had the trach, for two years, I needed to suction him often for secretions that would build up in his trach tube - he hated that because while the suctioning was going on, he could not breathe. Just quick little suctionings, but obviously stressful to him. I also had to remove the tube from the trach hole, clean the hole area because it would get very irritated by the secretions, exchange the trach tube it for a fresh one, and then wash and sterilze the used one so that it could be exchanged the next trach change. It had to be changed pretty much daily. He was also on a machine at night, attached to the trach, that pushed air into his windpipe to keep the trach tube open and help him to breathe. He also hated that. But with time, he came to understand that it had to be done, and stopped fighting so much, but he never liked it, and I didn't blame him! It was a nasty two years, and I was more of a nurse than his mom at times, but you do what you have to do - you know what I mean. Yes, we have all been through a lot with my son's medical problems, but what we went through paled in comparison to what our little guy went through, and was such a trooper throughout. It is the hardest thing to have a sick child, as you know all too well. We could understand what was going on, he couldn't, and it was very hard. You wish you could take their place, and spare them, but you can only comfort and love, and try to get them through what they have to have done. Chip is now 22, teaching in an elementary school, in a classrooom with autistic children 6 and 7 years old, helping them to learn to socialize and go forth in their education, and he absolutely loves it. He is so good with kids, and especially with kids who have special needs. He helped out in high school with the special needs classes too, and some of those kids are now in the same college as he is and run and hug him when they see him. I think because of all he has gone through, he is more sensitive to the needs of others, and instictively the children understand that he understands, you know? He went and still goes through a lot of teasing about his voice (kind of raspy and more quiet than normal), his scars, his height (he's only 5'3 " , but we are not all that tall anyway), and he knows what it's like to be the one who is different. He is going for a degree in education and psychology, and wants to be a child psychologist or school psychologist. He is a very caring young man, and I am so very proud of him. Your is the younger of your girls, with an older sister of 8 years, right? That must be very hard on you, and also hard on the older sister. With us, Chip was our first baby, and so we could totally focus on him during those first 3 years until his sister was born. I don't know how I could have done it if I had had another child at home who needed me too. When Kasey was born 3 years later, she never knew any different of her brother. He was sick, he took meds, but was her brother and she idolized him. When she was only 1 year old, he had the trach done, and did not even notice the trach first time she saw him after surgery, just hugged and kissed him, and was so happy to see him. She never saw him as different, he was just her brother and that was the way he was. I was very lucky in that my parents lived nearby, and when Chip needed to be in the hospital, Kasey stayed with her grandma and grandpa. Kasey was kind of shuffled around at times, but she was so little she just kind of flowed with it. She was only a year old when he got his trach, and then 4 years old and 5 years old when he had his open heart and trach repair surgeries, so she did not really know any different. Our constant medical stuff was her " normal " - it just was the way it was. Yes, as she got into the toddler stage she did get jealous of her brother seeming to have mommy and daddy all to himself in the hospital, or getting more attention because of his illness, but she had her grandparents to herself more, so he was jealous of that lol. He was also jealous that she did not have any medical problems and was healthy. We raised them as equals, he was not " babied " even though more attention had to be given him at times because of the medical stuff, I tried to be totally fair with them, and he and his sister both got their spanks. It is very hard to juggle an ill child and a healthy one. You always feel like one is going to feel left out, you are spending too much time with the sick one, and the other child needs you too - such a balancing act, to try and ensure yourself that both are taken care of and given special time alone with you. As a parent you do the best you can with the circumstances you are given. All siblings are jealous of each other for different reasons, it happens in " normal " families too, sibling rivalry is not a new thing lol. I did not try to make time with them " equal " or the same, I responded to their needs as they came along, and think I did a pretty good job of it, if I do say so myself. I have to say something that my mom always told me when Chip was small and things were so hard, she said that God does not give people more than they can handle, and that He knew that we would be okay with a more difficult road, and, although I thought many a time that He had surely knocked on the wrong door, and that I could not handle any more, I did, and I know that you will too. I believe that these special children get special parents (not to pat myself on the back or anything), and we are blessed to have them, and they us, that somehow in the greater scheme of things it was meant to be. I am sorry that this is soooooooo long LOL. I kind of ramble at times, but hope that it all makes some kind of sense to you, Missy! The Make A Wish Foundation is wonderful - I am so happy that your family got that trip! What great memories! and the chance of a lifetime! You and are always in my prayers - Kathe in CA Kathe " To ride a horse is to borrow freedom. 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