Emily and I have been fighting a nasty cold for about the past week. On Saturday morning at about 230a I woke up and checked on her-- she had been extremely fussy and was having a lot of difficulty breathing due to excessive congestion and a plugged up nose. When I went in her room I found her sleeping, but breathing very rapidly-- about once per second-- and very sweaty. I woke Paul up because she didn’t seem “right” to me. He looked at her briefly and decided that yes, she needed to go to the Emergency Department. All along he was thinking she would need an Albuterol breathing treatment but of course we didn’t have the Albuterol nor the spacer to administer it....so, off we hurried in the middle of the night.
When we got to the ED she was seen very quickly (thank Heavens!) Her oxygen saturation was only in the low 80s (good is 90+, great is 100%). Also, she had a fever of 102. She was breathing about 60x per minute (my previous estimate had been right on). In addition, her heart rate was between 170-190 bpm...pretty fast, even for a baby. They took her back to a room and gave her a nasal cannula with 1 liter of oxygen. She hated the cannula-- I cannot say this enough! She tried so many times to tear it off! Then she was examined by the Peds resident on call that night, who said she sounded congested and had low O2 sats and possibly had RSV. At this point, I started getting very scared. People were talking in hushed tones, Paul thought he heard the term “rapid response” which is another way of saying “intubation” and that really freaked me out. All I could think about was how much she had been out with other people recently- traveling, going to the mall, playing with other kids, etc. Last year around this time we were practically quarantined trying to NOT get RSV. The only good thing was that this year, she would be 14 months old battling RSV instead of 8 weeks.
I held her tightly and tried to console her-- anytime someone came near her she just cried and cried. She was so confused about being up in the middle of the night, being bothered with wires and weird people coming to listen to her, touch her, take her temperature rectally (she is definitely NOT fond of that...who would be?!) I kept rocking her and it seemed like she would finally fall asleep, only to have a machine start beeping, or someone come in to look at her, etc. So annoying and stressful! At one point she had to have a screening done for RSV- this involved sliding a flexible-tipped syringe up inside her nose and withdrawing a sample of mucous...I don’t have to tell you how much she hated this. Poor muffin. Also, a respiratory therapist came and gave her an albuterol breathing treatment, which, while very traumatizing for Emmy, provided instant relief. She could breathe bigger breaths, her heart rate slowed down, and her O2 sats came up to the 90+ area. Big relief.
Once the RSV and influenza screens came back (both negative, hooray!) we were admitted to the pediatrics floor of the hospital.
(We had to wait for the screening to come back so they would know if we needed to be in Isolation or not-- it turns out that there Isolation sign was hung on her doorway anyway, even though both screen came back negative). She rode in my lap in a wheelchair up to the 8th floor. We got her settled into her room at about 5am and she was seen by a few more doctors and nurses. All during this time she was eating, drinking, making wet/dirty diapers, etc.
Around 10 I left to go let the dogs out and get that poor girl some toys-- all I had grabbed before we left was her “Silky”, a small satin/velour blanket thing that she sleeps with. When I got back to the hospital she had been lowered to 1/2 liter of O2 and had pulled her cannula over to really her cheek area, not anywhere near her nose. Then the docs decided that she could try no oxygen at all, and she kept her sats up around the 94-100 mark on room air which was so relieving.
She was served a tray of Inedible Delights for lunch so Paul’s mom Jane (Granny) went down to the cafeteria and got her a grilled cheese sandwich, which she picked at. She MUCH preferred the ice cream that was on her tray, but I only gave her a few little bites (maybe 2-3 tsp total) because it was only the second time in her life to have ice cream and I was afraid she would get sick from it.
She finally took a 1 hour nap (keep in mind, we had all been up since 2am!) but was back jumping up and down in the metal crib shortly after. The nurses kept coming in and saying, “What is she doing? It must be the albuterol-- it can make them hyper” but we just laughed and said that jumping in her crib is just what she does! Albuterol had nothing to do with it!
Around 3pm I had the nurses page the on call resident again- I really didn’t see any reason for her to stay in the hospital where she obviously couldn’t rest if she was having good saturations, her heart rate had slowed, and she was eating/drinking/making dirty diapers. Luckily for us, the resident completely agreed and discharged us. At 3 the respiratory therapist returned and gave her albuterol treatment #3 and we were home by 4pm. I figured she would go right to sleep in the car and I would put her to bed very early, but when we got home she was up and ready to play again! Can you believe that? So, we played with her and kept her up until 6pm, at which time she had a quick bath, cup, and bed. She jumped in her crib until about 6:15 (seriously....I wish we could bottle up her energy and sell it!) and then I didn’t hear another peep from her room until 6:30am the NEXT morning! I went to bed at 6:30 (also exhausted from a very long day!) and, aside from going in to check on her 4-5 times during the night, slept completely uninterrupted until she got up at 6:30 Sunday. Bliss!
Today (Monday) we took her to see her regular pediatrician for a follow up visit. She said Emily looks great but still is congested. She said not to use the albuterol “just because”-- to save it for when she really does need a treatment. We had brought it with us just in case she needed it but the doctor said she was OK. We are so glad to have her home and (sort of) healthy. I don’t want to go back to the ED for a long, long time!
Definition malfunction
11 years ago





