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Re: [IP] First Sil- No Way!

I don't know if this has already been suggested or not, but have you heard
of Emla Cream?  It is a numbing cream that you put on the skin 1 and a half
to two hours before you insert the sil.  My six yr old uses it with great
success.  We stated with the other type of sites and he hated the shooter
thing etc.  It was such an ordeal to change sites.  When his endo saw that
his numbers were still high we went to the sil and had much better results.
Best of luck to you.  ES>
----- Original Message -----
From: "Vixen" <email @ redacted>
To: <email @ redacted>; <email @ redacted>
Sent: Monday, June 11, 2001 10:58 AM
Subject: Re: [IP] First Sil- No Way!

> I first
> > had him ice the site for a long time. I'm not sure if i went too close
> the
> > skin surface or what, but it hurt like hell, Matt cried, and then after
> few
> > hours, it was causing a welt and was soar to the touch, although his
> numbers
> > remained in range. ....Or maybe i didn't do the
> > angle on a true 30 degrees?  Matt will not try Sils again, he says NO
> Mag,
> I've been pumping for close to two years, & had wonderful luck with Sils
> (Tenders, in my case)...a few things you & Matt may want to think about
> might help - if you can persuade him to give it another go:
> 1)  My trainer says that, in her experience, insertion at 30 degrees seems
> to cause pain/problems in many cases.  She advised me to go more shallow
> (about 15 degrees) from the outset.  Theoretically (& it seems to be the
> case here) that greatly reduces the chance of hitting muscle (OUCH!!) or
> filling up with blood.
> 2)  I can't remember how old Matt is - but have you thought about having
> try inserting it himself?  Very seriously - many things (injections,
> out splinters, etc.) genuinely do not hurt (or if they do, hurt far less)
> you do them yourself.  I used to think this was all "in my head", until I
> found a few years back in a medical journal that there really is a
> connection in your brain that supresses pain when you are taking an action
> on yourself...same reason you can't tickle yourself!
> 3)  Have you considered NOT icing the area - just going for it?  (Or, as
> suggested above, letting HIM go for it?)  When I started inserting sets, I
> used my abdomen because that was, for me, the easiest place to inject when
> was on MDI.  Now I also use leg & behind sites - to varying degrees of
> success!  <g>  Only once or twice in all this time have I had one hurt as
> started to put it in - & since I could tell that right as I started, I
> pulled it back out & used a different spot, same set.  I know there are a
> lot of different opinions about the value of numbing a site...the thing
> I do know people who felt it caused more pain in the long run at times -
> because if for whatever reason you hit a spot that's going to hurt (which
> can happen no matter WHAT kind of set you are using!), you don't know it
> a little while...then you get sort of "delayed reaction pain" that may be
> worse because the set has been in a potential "problem spot" for a longer
> time.  Also, ice can cause muscles to tense up because of the cold -
> creating more intense or longer-lasting pain if muscles are hit.  I'm not
> criticizing that as a practice - I know there are a lot of people who do
> this very successfully, & it works for them.  I'm just saying it might be
> worth your while to approach it with the set in his hand & no ice, & see
> that works for him.  Some people count to three & plunge - I usually just
> aim, & insert slow & steady, with no problem.
> I hope he does decide (now or at some point) to try it again...he may end
> glad that he did.  Either way - best of luck!!
> Sammi
> P.S.  On the ice thing - I think it's always stuck in my head that when my
> mom got her ears pierced (in the sixties, well before the advent of the
> pircing gun), they iced the first one, as was common practice at the time.
> She said it took forever, & hurt like nothing she'd ever felt before.  (Of
> course, she hadn't had me yet <g>)  She refused to let them ice the second
> one, said "Just do it" - it took all of about two minutes with no real
> at all.  She did mine sans ice - & I'm a MAJOR baby when it comes to
pain -
> & it didn't hurt.  Probably a YMMV thing, but ice just doesn't highly
> recommend itself for these things around here!
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