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Home Infusion: A Hole in One

As our son Vohn grew up, he wanted to get involved in all kinds of sports. While my husband and I allowed Vohn to participate, we were very particular about which sports he should play. Golf was the first sport he pursued. Later, we let him play basketball, believing it would be a safe sport for him. As it turns out, he got hurt anyway!

While playing basketball at about 8 years old, Vohn developed a recurring bleed in his ring finger that lasted more than six months. When the bleed still wasn’t healing, we had to make him stop playing. We had to go to the emergency room or the outpatient infusion clinic almost every day so that he could get treatment. This was not only inconvenient, but very traumatic for Vohn.

When Vohn’s finger finally healed, we realized that if we had known how to self-infuse, Vohn wouldn’t have gone through his bleed for so long and wouldn’t have suffered so much. That was the point at which I told myself, “I really need to learn how to home-infuse to make it better for Vohn.” I won’t deny that learning to infuse was very difficult and scary at first. The first time I tried to infuse Vohn, I couldn’t find his vein and had to stick him several times; we were both crying. It continued like that for a few months until I perfected the process. Eventually, I became comfortable to the extent that I would rather give him the infusion myself than allow someone else to infuse him.

Vohn’s first experience with self-infusion took place when he was about 10 years of age. We had gone to the hemophilia treatment center (HTC) for an infusion and were speaking with Vohn’s nurse, Richard, who’s always so wonderful and caring. Vohn trusts Richard because he’s so sensitive of Vohn’s feelings. He will not do anything unless Vohn is comfortable with it. He also explains the procedure and educates us all the time. In short, Richard is just very helpful.

One day, shortly after Vohn had won the CSL Behring Junior National Championship in golf (part of the Gettin’ in the GameSM program), he went to the HTC for an infusion. Richard said, “Vohn, maybe it’s time for you to start learning how to infuse yourself.” Vohn didn’t say anything at first. Then Richard said, “Well, why don’t we do it this way? Relax, close your eyes. Maybe you can imagine that you’re in the 11th hole, or teeing off, or something to do with playing golf. Then do the shot.” And Vohn did. He associated the infusion with golf—with something that he enjoys doing—and that’s when he first had the courage to self-infuse. Even after that, of course, Mom still took over. He was supposed to infuse by himself when we were home, but I still felt more comfortable doing it for him.

Later, Vohn attended hemophilia camp for the first time. For a long while we didn’t allow him to go, because we feared that something would happen to him. But it turned out well, and that’s when he really learned how to do the infusion himself with very little supervision. That really built his confidence and since then, Vohn has been doing his shots just by himself.

Now that Vohn knows how to self-infuse, it means more independence for both of us. I don’t have to worry when he travels, as long as he has his medicine with him. I feel that nothing is going to happen to him as long as he maintains treatment. Moving the infusions to our home made things less complicated. Every day is a normal day now, even though we’re still living with hemophilia. The infusions have become part of Vohn’s routine and we’re living our lives without tremendous interruption, like families without hemophilia.