Saturday, May 1, 2010

You'd think we live in the clinic/hospital

Today, or I should say yesterday now, was a big day for both James and Elliot. We'll start with Elliot. As I'd mentioned before he has an abssess on his bottom. In early Feb they drained it with a scalpal, but it hasn't really healed yet. It's getting there but taking a long time. We've gone back in to see the general peds surgeon three times now. The first time, he lanced the absess and drained it again. That didn't help. The second time he used silver nitrate. That seemed to be helping, until one night it built up a huge pus pocket. Today I noticed a second abssess forming just a couple of centimeters away from the first. So we saw the surgeon for the third time today and he scheduled him to be sedated next week through the ambulatory surgery department and they'll take a little mesh wire kind of thing and clean out the tract where this abssess has formed. The surgeon thought the second abssess is just the other end of the abssess.
Now onto poor James. My beautiful little boy, he's so strong. He's had a cold for 2 weeks now and starting yesterday (that would be Thursday in my thoughts right now) he seemed to be getting more tired and lethargic and not eating as well. I took him into the clinic this afternoon and they admitted him to the hospital for respiratory distress. He was really working hard to breath with a low-grade fever, runny rose and cough. He was requiring oxygen to keep his oxygen saturation levels high enough (that would be the level of oxygen in your blood-most people are 97-100 most of the time. James was in the low 80s without oxygen). After a few nebulizers and couple of hours in pediatrics the attending physician decided that James had gotten worse and transferred him to Pedicatric Intensive Care Unit where he'd have a one-on-one nurse and monitored much closer. He was put on continuous nebulizers and is getting antibiotics and steroids. They swabbed him for flue and RSV but think it's a bronchiolitis and exaserbation of his Reactive Airway Disease (or asthma). This is in combination with Bronchopulmonary Dysplasia which is just kind of lung disease, caused from his prematurity. Since I've left PICU this evening James has worsened. His IV shot and he had to get a new one placed and his respiratory status got worse. James was working much harder to breath and was placed on something called vapotherm with gives more support, this failed to help him and now he's on something called Bi-pap. This is similar to something called C-PAP which he was on frequently in NICU when he was a baby. Hopefully this helps because the next step would be intubation and placed on a ventilator. We ask for your prayers at this point and may God give James the strength he needs to get through this.

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