Tuesday, April 19, 2011

Hospital Visit Round 2

The first time Jax was admitted to the hospital I was all "OMFG, holy shit, holy shit, holy shit."  Then you are there for four days and get into the swing of things.  You realize it's the best place for your kiddo to be when he can't keep up his oxygen at night so round 2 went pretty smoothly.

Last Tuesday daycare called me saying that Jax was having a hard time breathing.  Lovely.  I run over and grab him, he was just wheezing but I took him to the doctor anyway.  At this point it was just a wheeze, but much worse than the week before so he was put on oral steriods.   Chris stayed with him the next day just to make sure everything was ok and by the time I got home Jax was coughing his poor head off.  I called the nurses line and as soon as they heard him they said to take him in.

Off to Christiana we went and as soon as those nurses heard him while we were waiting in line we were pulled back and given a room.  They did neb after neb and we still could not get him to calm down.  They finally gave him a neb treatment with epinephrine and then 3 nebs of albuterol and he stopped coughing.  We were admitted at 4 am and then he was hooked up to the oximeter which read a lovely 89.  Sweet.  Jax was given oxygen while he slept and we were out 24 hours later when he could stay above 93 while he slept.  I guess the steriods just needed some time to work.

Seeing four doctors in the span of a day and a half can get annoying as they all have differing opinions on laryngomalacia and what it does to the airway.  The first doctor we saw once we were admitted didn't know he had laryngomalcia and said his admit was a "soft" one but as soon as we told her that her demeanor changed(thankfully, it was 4:30 am and I was ready to bust a cap in her rude ass).  She believes his current problem has to do with allergies and a virus which is all made worse by his reactive airway disease and the narrowing of his airway that laryngo causes.  Now before her no one ever said that laryngo causes a narrowing of the airway, I only heard that the tissue covering the vocal cord flaps around.  She also doesn't recommend giving albuterol to patients with laryngo because it just makes the tissue even flappier.

The two residents we saw didn't have an ever living loving fucking clue as to what was going on and said they didn't see any reason he was even admitted.  I was really tired so I decided that saying "if an infant can't keep his O2 above 93 they need to be hospitalized" wouldn't help this situation.  Then the head peds person agreed with doc 1 about laryngo making everything worse but disagreed with giving albuterol since it seems to help.  Yeah, so I have no idea what is going on there.  At this point he had also had the RSV test again and a chest x-ray which both came back negative.  The day after we got out the doctor called us and said his parainfluenza test came back positive.  I had no idea wtf that even was so I had to look it up and I guess that is where I got my bronchitis from:) and they must have been right about him having "a touch of croup."

He is back at daycare and we are all back at work.  I have basically pulled every muscle in my lower back and stomach from coughing so I am not the peachiest peach today.   I am so glad it is a short week as we are all in need of some r and r!

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