Wednesday, June 17, 2009

Update and the ER

Well, it's happened. Lukas has had his first (and I hope only) trip to the ER due to asthma. Before I get into exactly what landed us there some small updates.

*That huge sinus infection that we've been battling since December has finally been cleared up with a six week round of Augmentin ES at 4 ml twice a day. So, thank you to the the big antibiotic that we've been on forever because IT WORKED!

*Lukas knows his left from his right. He recognizes the words: Lukas, Mommy, Daddy, and cat. He can tell you his name. He can count to 20, and visually recognizes those numbers as well (although number 3 commonly gets left out...he knows it he just doesn't say it). He will talk your ear off if you give him half a chance because he has something to say about everything...and it usually makes sense! He is 2 going on 10 because he is such a big boy and thinks he can do everything...and tries....and then tells you about it. He has his own personal symphony at home and plays every instrument daily, as well as telling others what they should play...right down to the song it should be. He remembers EVERYTHING, so when your around him be careful because while he might not repeat it but he may very well associate you with that random thing you thought no one saw. ;)

Ok, now for the ER story. He's had a cold since last week that had steadily moved into his chest. So much so that since last Thursday we've been on Albuterol treatments every 4 hrs to keep him controlled. However, we thought he was getting better, which was why we hadn't filled the oral steroid prescription his pulmonologist put on hold for us at the pharmacy (only to be used if he got worse). He woke up Sunday morning retracting (which is what his asthma does to him usually) and very lethargic. After a treatment he was not much (if any) better, so we throw ourselves together and head off to the hospital. The whole way time of course trying to keep him from falling asleep since at that point we don't know it's ok for him to go to sleep. It was truly one of the weirdest sights on him that I've ever seen. I mean he had just woken up from sleeping all night, and it was all we could do to keep him awake. Scared me to death since I had no idea exactly what was wrong! Anyway, once we got there he got another treatment and an oral steroid. They said it was ok for him to sleep and poor guy was OUT instantly. They ordered a chest x-ray to check for pnuemonia (which was negative), and had to do the whole thing while he was sleeping. I'm amazed they were able to do it because can we say awkward! We had to hold pretty much every part of his upper body in place so he didn't crumple. They sent us home with a prescription for Zithromax for the bronchitis and told us to fill the oral steroid (duh!). Later that afternoon, we noticed he wasn't making it all 4 hrs between treatments, so we called the on-call pulmonologist for advice. He told us to give him 3 back to back treatments and another dose of oral steroid to try to shock him out of his "bad breathing" cycle. It worked because he hasn't had trouble since. Today we are finally moving from 4 hr treaments to 6 hr treaments.

He's currently enjoying VBS which is throughly exhausting him since it's from 6:30-8:30 every night. Thankfully after tonight he can go back to his normal 7:30 bedtime.

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