Thursday, 29 January 2015

Preparing your child for an MRI scan



Children under 5 mostly have their MRI's under general anaesthetic . After 5 years old they like to see if they can lie still without the need for sedation / GA.

At 21 months Joel had an MRI (head) with GA – he had no problems at all - fasting was his biggest issue because he did not understand why I refused to let him breastfeed or food. There was never a question of having it without sedation. He had already being forcibly strapped down for a few renal scans DMSA as a toddler and that was most traumatic for both of us. Me - I cried bucketfuls handing over my unconscious baby and walking out the door.

Sam had his first MRI brain at 5 1/2, the Children’s hospital staff encouraged us to visit for a mock MRI a week or so prior to the actual diagnostic procedure ; in case GA was needed. He needed an MRI to check his optic nerve pathways and brain because of his Neurofibromatosis (NF1) diagnosis*.


Having had an MRI myself , I wasn’t sure if Sam would make it through awake and STILL. As a boy he was rarely still.

The educational play therapist (I think) read Sam (& Joel) a story while they were engaged in playing with a miniature you version of an MRI machine and a tiny patient doll.



Then she explained the tunnel-like MRI machine (behind a curtain when you enter the room) It was a real life size machine without functioning magnets or scanning ability.


 Sam was allowed to explore the machine and then lie on the movable scanning bed.



The therapist played a pre recorded version of the NOISY, steady pumping sounds - loud whirring, clicking and even banging of the magnets –while Sam had a go at lying still , like a statue. 


In the real MRI – the loud noises pound as the magnets work to produce the images for 30-40 mins or longer. They had headphones and allow the children to watch a video through a mirror above them.

They told Sam everything he needed to know and more (the hurty bit with a cannula) complete with a practice drill of the entire MRI process. Though it lasted for only for about 10-15 mins.


How much did he understand ?

Sam was a trooper and he nailed it. It took about 30 - 40 mins from memory for the complete diagnostic scan.

Fast forward 3 yrs and Sam required a follow-up MRI - yesterday. We had it done locally and they will send the CD images to Westmead Children's for reporting.



I think he remembered most of the process from his first MRI adventure. As we had been holidaying and paddling the last 6 days I didn’t have time or even think about preparing him again.

On the way in the car I made the mistake of saying they used a contrast dye for the images – he heard DIE – “what DIE ?” he said worriedly ? I rephrased it. Oops.

In hindsight , I should have hit The Google machine , tonight after a reader asked a question I found dozens of you tube videos.



*NF causes mostly benign tumours to grow on nerves. NF is a lifelong medical condition and can affect many organs in the body, including the skin, eyes, bones, and nervous system. 

 Sure, Cupid's Undie Run - Australia is all about running with your pants off for a laugh. But it's also about supporting a great cause!

We run and fundraise because we believe there is a solution to end NF out there somewhere. Through the research guided by the Children's Tumour Foundation, funded in part by Cupid's Undie Run's fundraising, we will find this final piece of the NF puzzle. We will find a cure.

  Sam was so brave while I felt like crying. We won't get results until 4 weeks when he head to the Westmead Children's NF Neurogenetics clinic appointment.

Please consider a donation no matter how small - everything counts.

https://cupidsundierun2015-sydney.everydayhero.com/au/trish


  

Comments (22)

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Sam is a very brave boy and you are a fabulous mumma.
1 reply · active 530 weeks ago
Thank you Blossom.
Gosh he is so brave, just like his mumma! I bet you felt like crying seeing him like that. Big hugs x
1 reply · active 529 weeks ago
Second time round he was great too.
Okay Trish, I will be donating in about two minutes.. I'm terrified of medical tests and I can not believe how brave children are. The medical staff in hospitals all deserve medals. I've always found them to be beyond expectations. xxx
1 reply · active 529 weeks ago
As a paed nurse for many years and the bravery of some kids was astounding - now men's ward was a shocker for the cry babies.
What a trooper! Just like his mum! Sending good vibes for good results. Thinking of you xx
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1 reply · active 529 weeks ago
Thank you Sam.
You're so brave running in your undies! A great cause though. Thanks for highlighting it.
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1 reply · active 529 weeks ago
Very brave as it is so noisy and scary. My second daughter has epilepsy (not born with it just had a seizure at 6) and I requested an MRI as I wanted to rule out a few things. I planned to sit next to her, read her a book. Little did I realise how noisy it was and the courage my beautiful girl had.
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2 replies · active 529 weeks ago
hi Natalie , I hope all the results were good for your daughter.
I know I forgot how noisy it was and I wore ear plugs and have significantly hearing impairment and my hearing aid was out too.
She was fine... Needed to rule out tumours which we did... Just has epilepsy and that is something I can live with
That play therapy is such a great idea. My husband works in a research facility with MRIs and sometimes does testing with younger kids. I'm not sure if they have a toy mock-up but I'll mention it to him. I've lay in a mock-scanner for an experiment with pre-recorded noise and it's a pretty weird, freaky experience.
You guys are seriously the most supportive and beautiful parents. I have everything crossed for a good result hun. Lord knows you guys need a year off from any drama at all xx
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It's so frightening. My 4yo had an emergency MRI under GA last year. It took 4 of us to hold him down while the gas mask did its work. YouTube is brilliant if you have time to prepare. I'd used it to prepare him for a dental xray the year before. I'm so sorry about your son, I hope he's OK xxx

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Cal Stephens's avatar

Cal Stephens · 525 weeks ago

I'm an undergraduate student doing research on performing fMRI scans on children with Georgia Regents University in Augusta, Georgia. I'm giving an oral presentation on my findings at Georgia College & State University in Milledgeville, Georgia in two weeks, and currently I'm putting together my slides.

I have been looking for images of children inside of MRI scanners to use in my presentation. These pictures of your sons are some of the highest quality I have found, and I would like to use them. I would feel remiss without asking permission, first. Would it be ok if I used these pictures in my presentation?
Super and hard work Admin. I like it. Keep it up. Thanks for sharing us.
take care
Nice blog post. The information which you shared about the topic is exactly right. I keep visiting your blog. National MRI Scan makes healing simpler by providing the facility of Private MRI Scan in Newark, UK.
Those who have ever had children really understand how useful this article is. An MRI that requires the child to lie still in a quiet space away from loved ones is not easy.
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