tales from the derm…

Monday, December 20th, 2010

We started the first real day of Christmas break with a trip to the dermatologist this morning. YEA! Abigail has been having a couple of issues and we were due for a follow-up visit. She had some bumps on her knee removed a few weeks ago and today we were facing the removal of one on her chin.

Let me begin by telling you that Abigail does not handle shots well. It started three years ago with a flu shot…the least painful injection in the universe. Out of nowhere, Abigail wedged herself behind the exam table at the pediatrician’s office and tried to throw a chair at the nurse. My skinny little girl has a LOT of strength when someone is coming at her with a needle. I was stymied and mortified all at once. Between me and the nurse we were finally able to get the shot. Abigail’s blood pressure tanked and the nausea began. The nausea was followed by many hours of complaining, wailing, moaning and gnashing of teeth…it was a day-long ordeal.

Since then, we have had several chances to discuss ways to remain calm during doctor visits. Abigail is old enough to understand the importance of vaccinations and the like but that doesn’t mean that she is over her phobia. She has been very lucky with the invention of the flu mist. She has also reached the age where she doesn’t have to get a shot every time she goes for a check up. Nonetheless, we have worked on taking deep breaths and trying to calm her mind so she doesn’t get so worked up.

Today our practice was put to the test because bump removal requires more invasive action than a simple flu mist. To our advantage, our dermatologist also has a 4th grade daughter so she is very in tune with how Abigail thinks. She looked at the bump on Abigail’s chin and explained that it had to go. She also promised a less painful experience than the last time. Abigail was not happy about all of this but she took the news well and was using some of her new coping skills to stay in the chair and remain calm. She asked the doctor if she could see the tool she was going to use. It was a small extractor with a scalpel on one end. I was praying that Abigail wouldn’t see it. But the doctor made a deal that Abigail could see it beforehand but she couldn’t back out of having the bump removed. Abigail reluctantly agreed and it seemed like we were going to breeze through this visit. The doctor held up the tool and Abigail stared at it for a few seconds. Deep breath – all was okay. Or so I thought…

At that exact moment, Hattie, who had been quietly reading her book the whole time, looks up and announces “Boy, that sure does look SHARP!” Are you kidding me? Really? REALLY?? The doctor and I glared at Hattie like it was our job…she quickly shut her mouth and went back to her reading. Meanwhile, Abigail’s blood pressure hit rock bottom. What little color she had in her face had been replaced with a light tinge of green. The clock was ticking toward full stomach upheaval. With swift precision the doctor removed the minuscule bumps from Abigail’s chin and we began the recovery process. It took longer to get over it than the time it took to wait for and see the doctor. All of that hard work reversed in less than 2 seconds. We were so close to a perfect visit only to be sabotaged by the 7 year old.

By mid afternoon, Abigail had forgotten all about the doctors visit. She will forget until the next time she has to see a doctor. I can safely say that before the next visit we will have to practice her deep breathing just to get out of the car and into the building. I think I’ll get Hattie a babysitter….