So, we thought we were keeping your sickness at bay. Well, actually Miks we did really well. We even managed to re-inflate that collapsed lobe. I found our that the last time you were really sick you actually had LOBAL pneumonia. Apparently worse because it is concentrated in one area.. Hence the collapsed lobe.
Anyway, so we thought we were doing well, and then Sunday came. And your temps started going up. By Monday morning, your temps were between 38 & 39C and you kept vomitting up your feeds, and you sounded awful. So I whisked you off to see the pediatrician. He told me you had bronchial pneumonia, and sent me home with an extremely strong antibiotic, but everything we put in you (through your peg), you vomitted up. How is medicine supposed to work if you can't keep it in your little body?! By Tuesday morning your temp was around 40C! I phoned the pediatrician, and she recommended hospital.
You know, one of the things I hate most about your condition is how the medical community can treat you without compassion and any sense of urgency. I arrived at the hospital, and they did nothing for 45 minutes, even though you had a ridiculous temp, and you were throwing everything up. I wonder if they would treat a "normal" child with such nonchalance?
To cut to the chase, you spent two nights in hospital, and once you were holding things down, they said I could take you home. You're just down the passage from me in your bed as I type this. 3 out of 4 feeds you have vomitted up. Your vomit is a strange yellow colour, even though we've put nothing yellow in you. You have had 3 really wet stools today- one so bad i just threw away the clothes you were wearing along with the nappy... This for a baby that is always constipated! Your eyes.... Your eyes... Well... They're different. You have an almost glazed look about you. You're really sleepy. I keep getting this feeling like you're giving up. Like you don't want to fight anymore. I dunno. It's something about your eyes. And no smiling, and you're barely making a sound (SO not like you!).
Daddy goes away overseas for 10 days. The timing couldn't be worse for you to be sick.
You need to fight, baby. You need to fight.
Showing posts with label bronchial pneumonia. Show all posts
Showing posts with label bronchial pneumonia. Show all posts
Thursday, August 18, 2011
Wednesday, June 22, 2011
Days 408 - 411 The Big Fright
It's been a pretty hectic week. When Mikayla was hospitalised on Saturday, she went in with temps over 40C, her heart rate was well over 180, and her O2 levels sitting around 70. She was very sick. They have had to constantly suction both her lungs and nasal passages to take out all the muck, and try keep it out of her lungs. Effectively she was diagnosed with bronchial pneumonia. Saturday was really horrible. It was really scary to see her so sick.
By Sunday morning there was a marked improvement though, and everyone was really happy with her response to the treatment she was receiving. She was obviously still weak, and unhappy, and still very sick, but certainly looked to getting better.
But then Monday arrived.
The first thing my husband noticed was the colour of her tongue. It was a very dark purple/ blue... almost black. Her jugular vein was more pronounced than normal. Her sats kept dropping, and her HR was high. They were concerned with her elevated HR because it was aggravating the fluid build up. She was also really very out of it. Every time I touched her (like trying to lift her), she would cry (a painful, sad cry). The pediatrician indicated that the tongue was a possible sign of possible cardiac failure, as was the enlarged jugular, and was very unhappy. Mikayla's upper right lobe of her right lung had also collapsed. The long and short of it, was that she felt Mikayla may not be able to fight this, and there was a chance we would have to start saying our goodbyes.
It was horrible. I think I went into mild shock, and perhaps panic too. I wasn't prepared for this day yet! It wasn't supposed to happen like this. I needed more time. I kept thinking: What if this is it? What if I don't ever see her smile again? I didn't take the time to really enjoy the last smile I DID see... to cherish it... to remember the moment! I needed that moment... and now it may be gone, and I may never get another chance! I just couldn't bear it! I mean, how do you EVER prepare yourself for that moment?
And then Tuesday arrived.
And suddenly she seemed MUCH better. Granted, the lung was still collapsed, and she was still on O2; but she started maintaining her sats around 90-100 and her HR was at normal levels around 130-140. Her colouring in her face was much better, and her tongue colour had marginally improved, and she was more alert and more comfortable. A complete 360! Today was much the same, and infact, she is even better. Granted, she is still on the O2, and her lung is still collapsed, and she is still fighting the pneumonia... but she looks like SHE is now fighting too, rather than just letting the drugs to the work. She had her hands in her mouth today, and was reaching out for her toys (the best part of this is that her left hand, which is the hand she tends to favour for reaching out, is "unusable" because it is bandaged up as that's where they have the port for the intravenous antibiotics and whatnot.. so she is using her RIGHT hand to reach out... her PT would be chuffed!). She is starting to look like our little Miks again. Not quite smiling yet- but is far more responsive, and clearly more comfortable.
It's been such a roller coaster week. We're not completely out the woods yet. Mikayla still has to be weened off the O2, and keep her levels up herself. Her tongue is also not quite it's normal colour. I'd like to up her feeds a bit- because she is currently on 50ml every 2 hours (not sustainable at home!) (she was on 125ml every 4 hours, with solids in between). And obviously the lung has to repair itself. But we have certainly turned the corner (and a big one at that!).
At the end of the day, this is Mikayla's story- and she obviously hasn't quite finished telling it. I am still convinced some days that people think I make these things up!
My little princess warrior.... you're certainly keeping things interesting!
By Sunday morning there was a marked improvement though, and everyone was really happy with her response to the treatment she was receiving. She was obviously still weak, and unhappy, and still very sick, but certainly looked to getting better.
But then Monday arrived.
The first thing my husband noticed was the colour of her tongue. It was a very dark purple/ blue... almost black. Her jugular vein was more pronounced than normal. Her sats kept dropping, and her HR was high. They were concerned with her elevated HR because it was aggravating the fluid build up. She was also really very out of it. Every time I touched her (like trying to lift her), she would cry (a painful, sad cry). The pediatrician indicated that the tongue was a possible sign of possible cardiac failure, as was the enlarged jugular, and was very unhappy. Mikayla's upper right lobe of her right lung had also collapsed. The long and short of it, was that she felt Mikayla may not be able to fight this, and there was a chance we would have to start saying our goodbyes.
It was horrible. I think I went into mild shock, and perhaps panic too. I wasn't prepared for this day yet! It wasn't supposed to happen like this. I needed more time. I kept thinking: What if this is it? What if I don't ever see her smile again? I didn't take the time to really enjoy the last smile I DID see... to cherish it... to remember the moment! I needed that moment... and now it may be gone, and I may never get another chance! I just couldn't bear it! I mean, how do you EVER prepare yourself for that moment?
And then Tuesday arrived.
And suddenly she seemed MUCH better. Granted, the lung was still collapsed, and she was still on O2; but she started maintaining her sats around 90-100 and her HR was at normal levels around 130-140. Her colouring in her face was much better, and her tongue colour had marginally improved, and she was more alert and more comfortable. A complete 360! Today was much the same, and infact, she is even better. Granted, she is still on the O2, and her lung is still collapsed, and she is still fighting the pneumonia... but she looks like SHE is now fighting too, rather than just letting the drugs to the work. She had her hands in her mouth today, and was reaching out for her toys (the best part of this is that her left hand, which is the hand she tends to favour for reaching out, is "unusable" because it is bandaged up as that's where they have the port for the intravenous antibiotics and whatnot.. so she is using her RIGHT hand to reach out... her PT would be chuffed!). She is starting to look like our little Miks again. Not quite smiling yet- but is far more responsive, and clearly more comfortable.
It's been such a roller coaster week. We're not completely out the woods yet. Mikayla still has to be weened off the O2, and keep her levels up herself. Her tongue is also not quite it's normal colour. I'd like to up her feeds a bit- because she is currently on 50ml every 2 hours (not sustainable at home!) (she was on 125ml every 4 hours, with solids in between). And obviously the lung has to repair itself. But we have certainly turned the corner (and a big one at that!).
At the end of the day, this is Mikayla's story- and she obviously hasn't quite finished telling it. I am still convinced some days that people think I make these things up!
My little princess warrior.... you're certainly keeping things interesting!
Saturday, June 18, 2011
Day 407 Hospitalisation
Poor little girl is very sickI went to her this morning.. she was covered in phlegm- it was even in her hair! I bathed her, and gave her half a feed in her peg, but she vomited it all up. We tried contacting the doctors- my feeling was hospital, but I wanted to check what the doctor said. Anyway, I couldn't get hold of anyone... so I took her temperature, and it was 39.2C!!! So Russ whisked her off to the hospital this morning. Russ has been great- and has spent the whole day at the hospital- helping with feeds, helping hold her down for medication etc.
Effectively they are treating her for bronchial pneumonia. She is on 2 antibiotics and something for the fever (it was over 40C when she arrived in the hospital!!). They are suctioning her nose and lungs, as well as physio. They are also nebulising her. They have also had to give her medication for her heart, because even with them having brought her temps down, and putting her on oxygen for her sats, her heart is still beating wildly... the problem with this is that with her heart lesions, the wild heart is actually causing more fluid build up on her lungs, which is what they have to get under control.
She goes from being very distressed, to being quiet and lethargic. She is very tired, but is battling to sleep, because even on the oxygen her breathing still isn't great, and her oxygen level was dropping well below 85. Russ says she seems confused...
I haven't been able to be there, because I can't take Jude, and I obviously have to be around to feed him. The second time I went in to see her, this afternoon... I said hello to her, and her head WHIPPED around to see me... and while I didn't get a smile, she seemed to be trying to talk to me.
I am scared. Mainly because she has been so strong... and has never had to be hospitalized (except for the op for her peg)... so her rapid decline from a snotty nose to bronchial pneumonia - it was less than 48 hours from zero to hero - has been quite a shock. And because I can't be there, I feel like a bad mother. She is probably scared, and in a very unfamiliar surrounding, and of course I just hate seeing her suffer. And for her to go from a loud moaning, to a whimpering, is really an indication of how terrible she feels.
The pediatrician is doing everything possible- and covering all bases. And the nurses are of course lovely. It's going to be a tough night- cos I can't be with her. I love her, and I am trying to be positive. But it's hard. I am also trying to trust that this is all in God's hands... but really am feeling a bit like I have "ostrich syndrome".... (or would like it, in any event)
Mikayla has always been such a fighter... despite us. We've obviously treated her for stuff as and when she's needed it- but invariably she rarely ever needs anything, and has certainly never needed hospitalization. But I have noticed that every time she gets a little more sick than the last time, and takes a little longer to get better. But this is full blown. I feel so out of my depth. But she's in the right place.
I guess I can only trust that God's plan will prevail, and that he'll give us all the strength and courage to deal with what lies ahead... whether that's Mikayla, or us, or both.
I love you baby girl.
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