Wednesday, December 03, 2008

Pneumonia

This morning Joey woke up- the boys slept in just a few minutes- smiling and saying, "School!" Ellora was chirruping for breakfast. Andy was giggling about being a nekkid butt. All was well with the world.

A little later, bundled up and waiting for the bus, without warning, Joey turned to me and said, "No school. Because I am coughing." My mommy sense twitched, but he wasn't feverish, he was smiling, and he was still looking out the window for the bus. So onto the bus he went with a note to his substitute teacher about my cell number, just in case. After all, he had stayed home sick yesterday.

One should not ignore a mommy sense twitch.

I got Andy off to school, finished up some stuff at the office, and picked him up. We went to lunch. We had ordered it when the call came.

Joey "wasn't breathing quite right." We paid, before the food came, and out the door we went. Poor Andy!

When I got there, it was more than "not breathing right." He had turned blue, and the nurse had measured his O2 saturation at 57! (the ER nurse was a bit skeptical about him being conscious with it that low, but the nurse actually wrote the numbers down for me- 57, 74, 94 in a 20-minute period.) They had him take many deep breaths and got it back to 94. Presented with the options available, she recommended the ER. Off to the ER we went. As I locked him in the car, he started another episode- his fingers were blue- but we got him to breathe like the nurse said and dashed to the ER (which is practically across the street). He was pinking up when we got there, no fever, saturation of 88-91, and coughing. We were put in a triage niche and waited.

Adventure one: bloodwork. We had to take him to the lab and I hugged him in the lab chair while three very patient phlebotomists got they blood they needed from him. He screamed the entire time, but held his arm still. I can't say I blame him. The lab folks always say things like "this will pinch" but I feel the $*#^$(^ needle in my arm the whole time (IV lines and shunts drive me to distraction!). I would say Joey does, too.

Adventure two: x-rays. After waiting outside the x-ray lab with a very patient Andy and Grandma at our side, we got our picture taken. He actually did a lot better than I expected, considering he clearly had no clue what the tech was asking him to do. Unlike last time, this tech was willing to set up the guards and help Joey out by holding up his hands, and keeping him in position, and giving him extra demonstration of how to hold his breath. Consequently we got each pic on the first try, and much faster.

Adventure three: nebulizer. Next we had a breathing treatment. At first Joey was OK with it, but as the few minutes wore on, he got anxious about getting the mask and mist in his eyes (which were bothering him because his temperature was starting to creep up), and it got uncomfortable for him. We had a hard time getting him to calm down and breathe instead of crying, fussing, and barking. However, it seemed to work, he was breathing better.

Adventure four: waiting. We were shown back to the waiting room to await test results. Joey's fever shot through the roof, and he fell asleep on a couple of chairs. By now, poor Andy was ravenous, so we sought out the gift shop for food (the cafeteria wasn't open yet, and we had no change for the vending machines). The child survived the afternoon on potato chips, Cheetos, and gummy worms, with apple juice. Joey took a few swallows of orange juice and a gummy shark before we were finally called back to a larger room in the ER (not just a triage chair).

Adventure five: the good news and the bad news. Dad arrived with his iPod, to the joy, relief, and distraction of the boy. He got to watch movies of himself while waiting for the doctor. The PA came to tell us it was a touch of pneumonia in his right lung, and his bloodwork indicated massive infection. The bad news: Joey was getting an antibiotic shot. The good news: by getting a shot, he could go home, because modern medicine rocks. The nurse who came in to give him the shot was the gruffest person we encountered the entire time. I suspect her demeanor had something to do with the three "code yellows" that came in while we were waiting (since something about "trauma" was mentioned, and there were three Stafford ambulances outside, I suspect there was a car accident with multiple injuries), rather than her personality or professionalism. I think we really struck a chord when Joey started really losing it (he was very upset about having to have a shot in the first place, so the actual moment we had worked ourselves into a bit of a fit) after the shot was over, because he was "broken". She got confused and asked, "what's broken?" and I explained that he's autistic and that is his way of saying he wasn't feeling well. She got the oddest look on her face, kind of like when realization smacks you hard. She fetched him a popsicle.

Adventure six: vital signs. After an antibiotic shot, you sit and make sure there will be no allergic reaction, the nurse comes to take your vital signs, then they do the release stuff. Makes sense. However, Joey was very, very, very done, and to have that blood pressure cuff squeeze his arm again, which is very uncomfortable for him, just put him over the edge. We fortunately had an excellent nurse who took good care of Joey and just kept talking and helping Joey understand he had to stay still and quiet. We finally got the stats they wanted, and I could finally take him home and get some advil in him to get the fever down.

He's tucked into bed now. His fever is down, he's feeling better, he got to watch TV in Mom's bed for a while and has five, count them, five glow sticks to play with. He ate crackers and ice cream for me, and drank some pomegranate soda (it's by 7-Up, and yes, you should try some, it's magnificent- and only around for the holidays, which kind of sucks). I got his meds filled and so we are on the road to recovery. Andy is staying with Grandma, so both boys should be getting some R&R.

8 comments:

SRR said...

Oh my goodness. Poor Joey and Poor Andy!

I am so glad you are home and that Joey is comfortable.

Marie

r.b. said...

Good description of the goings on...just in case it ever happens to me. Sounds like you handled it really well.

I am glad Joey is on the mend!

Casdok said...

So sorry to hear this, good to hear he is home.

Niksmom said...

Yikes. Hope he's on the mend soon!

Nicki Mann said...

Oh man, pneumonia sucks! Just about every year at around this time someone in my family gets it... we're all a bunch of asthmatics! This year it was Monkeyboy. Did they give Joey that disgusting-tasting medicine? We think it tastes like rust!

Club 166 said...

57. That's very impressive.

It's amazing how resilient children are.

Joe

abfh said...

I'm glad the little fellow is doing better now. That must have been very scary for him (and you!)

laurentius rex said...

Pneumonia is very serious, it nearly took me from this world at the age of 7 months, and it took my grandma to notice that I had turned blue, and pneumonia eventually took my mum from me(albeit her lung capacity was considerably diminished by chronic asthma) She was in a meeting and had not noticed herself how ill she was. (Ironic that I suppose)

I do pray that all will be well and that Joey has a strong constitution to fight it off and make a full recovery. It sounds like he is on the mend