Tonight, we spent the evening trying to teach Luke to swallow a pill. He is on a new medication that he must have to control his increasingly violent outbursts, but getting him to take it is wreaking havoc. Our challenge is Depakote – available in happy white sprinkles or syrupy pink liquid. Both options could be presented as downright festive if consumption was based on appearance alone. Since taste matters though, we have delved into the dark art of creative culinary deception. We have made Depakote mashed potatoes with cheese, Depakote burgers, and Depakote quesadills. For a lighter treat, we introduced (with short-lived success) toast with a side of Depakote raspberry jam. With its rejection came the epic treat: vanilla-Depakote ice cream with Hershey’s chocolate syrup – the perfect solution – for about 3 weeks.
Repeated rejection of sprinkles moved us to try that enticing pink syrup in a classic Depakote smoothie and Depakote-laced Gatorade and orange juice. Now he’s onto us hard core. He knows all our tricks, and he is not having any of it. In fact, now he distrusts us so completely he will not even taste the food I give to him. If he didn’t make it, he won’t eat it.
And so it seems we have reached an impasse. If he could just swallow the stupid capsule, our dogged game of cat and mouse could end. So tonight I laid out all the options before him and explained, “Luke, you have to take your medicine, but you can choose how to take it. Here is a yummy Depakote Sunday, a Depakote- Strawberry Gatorade, a syringe of straight up syrup, a pile of happy sprinkles, or a capsule. How do you want it?”
Well, that went over a lot better in my head than it did in real life. He completely freaked out and bolted in fear at the sight of the syringe.
OK. No to the syringe of pink syrup.
With that option gone, we brought him back for further negotiations. He tried the pink drink suspiciously. Nope. That ain’t happening either.
The sunday was up next and rejected just as quickly. Finally, he decided to try the pill.
I have been saving up empty capsules just for this occasion, and we began Pill Swallowing 101 – a course which will take many lessons to master. It quickly became evident that the pills are just too big as a starting point, so I cut up tiny pill-sized chunks of banana as a more reasonable starting point. He actually swallowed three or four of these without chewing them up first. Yay! It’s a baby step!
After about an hour of waffling on how to get at least a part of the medicine down him, we dumped some sprinkles in water and he swigged down the liquid. It was important that he not see the banana “pills” as an alternative to his medicine. It was not a beautiful, eloquent lesson, but I can see that he genuinely wants to learn and was trying.
So here’s to hope! It may be a bitter pill to swallow, but it’s better than a Derpakote Sunday. Huh, who knew?