KarenTx,
The shots are really easy. We use small insulin needles. I gave one to myself with saline before giving it to her, just to see how it feels. Honestly, it was a teeeeeny, tiny pinch. There are certain spots you can give the shot, usually the upper part of the arm (fatty part) and the upper part of the thighs. You aren't supposed to give it in the same spot all the time, so we just rotate. Left leg for a week, right leg for a week, etc... You wash the area with an alcohol wipe, pinch up the skin, and give the injection and hold for 5 seconds. Brigitte doesn't even feel the shot, she is more annoyed by the "pinching of the skin part." I know alot of friends whose children are on it, and they give it at night when the kids are sleeping. This isn't my personal preference, but everyone has their own way.
I don't think that Emla cream is necessary at all. I wouldn't even take the time to use ice. Really, it doesn't even hurt. We make a routine out of it, and like I said, she fusses because she knows its coming, but doesn't flinch when the inj. goes in...at all, I've watched and paid attention to her reactions. We make sure to give a good hug and read a story right afterwards. We have been told that giving it at night is better than the day, as there has been research that kids grow a bit more if its done at night. We also give it at the same time each night too.
Alot of insurance companies deny the GH. The actual pharmaceutical company which you will end up getting the solution from, will also help file the paperwork correctly after you are denied the first time.
Oh, the other thing, is that everything is delivered to the doorstep every 12 days. Each vial has to be refrigerated, and is good for 2 weeks. They will send you your GH, alcohol wipes, syringes, and a sharps container. It is very, very easy.
Good Luck. Hope this helps!!