So, we move on to Friday. Joshua had a rough night...so did Mike...he just couldn't sleep with all of the coughing. Since we made the executive decision that Ethan should go hang out with another family for the day, we called his Aunt and Uncle to see if he could stay with them for the day. I had a feeling the day wasn't going to be pleasant...I had no idea we'd end up in the hospital!
Joshua would just follow me around the house, sit down wherever I stopped and just moan. With every breath he would moan and cough, constantly. That and play with his ears. We've come to the conclusion that unlike his brother's attachment to a blankie and kitty, Josh is attached to his ears...literally. He plays with them to comfort himself.
I decided to help get him to sleep I would take a drive. He always falls asleep and sleeps well in the car. So, I fed and placed Rebekah in her car seat. When I turned around expecting to find Joshua behind me, I saw him in the playroom, curled up on the bean bag fast asleep.
About 45 min. later he woke up, not feeling any better, so we went for that drive.
He slept for another 15 min. but when he woke up, didn't look right. I drove over to Mike's work to get another opinion. We called the doctor because he just didn't seem right. This is when my mother's instincts kicked in. I wasn't sure he was bad enough to go to the ER, but at the same time, he wasn't looking so good. He was all one color...very ashen...and his breathing was incredibly rapid. He seemed to be struggling. Instead of waiting for the doctor to call us back, Mike took the rest of the day and drove us over to the office. I walked in with him, and with one look they brought him into the treatment room to check his stats. His oxygen levels were at 76%. They should be between 92-100%. Then they decided to listen to his breathing and when he started to cry, his O2 stats went up into the 80's. So, they put him on oxygen and then gave him a nebulizing (sp?) treatment. He practically passed out.
At this point I have to say, although we were worried, we didn't think we would need to go to the hospital. The staff at Pediatric Associates did such a great job remaining calm throughout the ordeal, that we were surprised when the doctor came in and said "You've probably guessed by now that we will be admitting him to the hospital."
My poor little guy was just struggling so hard to breath. They couldn't determine if it was asthma or if it was just a virus that had settled and caused the extreme inflammation in his lungs. Not that it really matters because the treatment for either one is the same. They don't like to diagnose asthma under the age of 2-3, so they diagnosed it viral.
Mind you, he was treated for walking pneumonia as well. We had gone in to the office on Tuesday the 6th for Rebekah's well visit, and the doctor was very concerned with his cough. She took a listen and said that he now clinically sounded like what little bit of something they saw on the xray from the previous week. She felt it would be best to put him on antibiotics for pneumonia.
The poor little guy, although weak from the endless coughing, difficulty breathing, and very little sleep, was incredibly strong when it came to fending off the respiratory nurses...his arch enemies! They were extremely nice and patient with him, even though he learned how to use his IV arm as a weapon. (That little board under his arm to keep him from bending it, hurts a lot when he bops you in the head!) He got to the point where if they even poked their heads into the room, he would bury his face and start crying. Even in a dead sleep, once they turned the nebulizing machine on, he would wake up and immediately start crying. Who new that breathing in all that oxygen and medicated steam could be so traumatizing? Apparently it was because he cried through every single treatment. (We think that may have been one of the reasons why it took so long for him to get better. When he would cry, the medication wouldn't get inhaled properly. So, that's why they decided to put him on IV steroids to see if they could attack the problem from the inside as well, and try to make his lungs less inflammed.)
1 comment:
I just wanted to take a minute to comment about using a nebulizer. You mentioned that crying inhibited how much medication went into the lungs. I have a child who has been using a nebulizer for about 6 years and used it begining aprox. 8 mos old. The pedi mentioned to us that it would be ok if there was crying because it would just cause the medication to be inhaled deeper in the lungs when the child inhaled to let out a cry. Eventually he will understand that when he takes it he feels better. The only thing my child has trouble with is the jitters after. Hang in there, at least you know that it is a viral thing and will be all better soon.
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