What a difference a year makes!Annie had to have chest x-rays done today. Last year we had a nightmarish experience with all things leading up to and including a chest x-ray. It was awful. The mere thought of the whole ordeal was flashback/nightmare/
PTSD kinda stuff.
Today, it was
nothin'. Annie sat very still on a little chair (rather than being strapped into a
medieval torture device), and our only issue was trying to get her to exhale sharply. It took some coaching. In fact, I sat next to her on the floor and walked her through it as the x-ray tech did her thing back behind the partition while holding Ellie for me. But really, Annie was just so happy to be wearing a Bugs Bunny hospital gown and being the receiver of a cool "I Got an X-Ray" sticker, that it was one of the highlights of our day.
Annie loved this whole trip to a new doctor. A whole new office staff to flirt with, a new doctor to impress, a new nurse to 'ooh and
ahhh' over her and her adorableness. She was the model patient, and racked up all kinds of 'what a great little patient' loot. Squeaky green frog toy. Stickers. A tongue depressor. (She was
really excited about that one. She told me we would go home and write "A-N-N-I-E on one side, and E-L-L-I-E on the other.") This was our first time taking Annie to a doctor who deals specifically with Asthma and Allergies, and I kinda regret not doing this before. He just seemed to 'get' all her symptoms, and what I was talking about as I described Annie's various issues. And as an added bonus, he was so cute with her, and she was such a little show off. Counting. Spelling. Counting in Spanish. Coaching her little sister how to play with bead toys. Singing her address. Singing her address loudly to the tune of Elmo's World.

The downside of the outing is that it is pretty much confirmed now that Annie has asthma. (The chest x-rays was to compare one small area on last year's pneumonia x-rays that the asthma doctor didn't think fit with pneumonia and made more sense as a sign of asthma . . . turns out that 'area' still shows the same a year later, so that just added to our asthma diagnosis.) Annie is being started on a twice a day preventative inhaler. And we were given a regular rescue inhaler to use as needed. Doc Taylor said we shouldn't really expect to use this much, since so far she hasn't shown 'dramatic' symptoms . . . just very regular mild symptoms. Can't believe my two year old is being treated for asthma. And
excema. And allergies. Stupid genetics.
And because the whole experience has made me think about our initial chest x-ray experience, I'm including the following for those of you who didn't live through the "Chest X-Ray Nightmare of 2008" (and, you know, everyone else who forgot about it because it wasn't their kid and it was just a really long, rambly email sent by me to you almost a year ago) I have included the chest x-ray email from last year. It is long. And rambly. That's twice you've been warned. You're under no obligation to read it, it's just here for those who want to compare and contrast the freaked-outed-ness of a mother who's kid is getting a chest x-ray for the first, then second, time.
February 12, 2008
So, Annie had what I would describe as a really bad day yesterday. It started early (really, really, really early), like 4AM type of early, with a cough that woke her up whimpering and crying. Around 5AM, as the coughing was getting worse, she couldn't get back to sleep on her own, so I went in and cuddled with her on her twin size bed in the other room (we're working on transitioning her from the crib to the bed before the new baby gets here . . . I'm thinking, at this rate, we may just end up with a second crib!) (we did end up with two cribs) with the humidifier blasting right on top of us, and me holding her more upright so she could breathe and sleep easier. It worked a little, getting her an extra hour or so of sleep, and me an extra 15 minutes. We slept cozily under the warm blanket, but in the morning found that the top of our blanket (and the carpet) were drenched from all the humidity . . . the plus side was that her hair was about the cutest, curliest I've ever seen it . . . mine on the other hand was just frighteningly frizzy.
Anyway, so Annie then spent all day coughing. And I mean ALL day, it was so relentless, she just coughed nonstop. Poor kid. She'd cough so hard it would make her throw up. Naptime didn't work out at all, she couldn't sleep for very long, and I brought her into my bed to try and get her to get back to sleep, but she'd just wake up coughing in a panic, crying and thrashing, until she'd wake up enough to calm down. We pretty soon realized a nap was futile, despite the best in humidifiers and Vicks VapoRub. And, those of you with small children know, apparently all cough and cold medicines are supposed to immediately kill your toddler upon consumption, so have been taken off the market with the advice to just suction their nose and get them in moist air. I spent a big chunk of the day trying to get a message into Annie's doctor's office, trying to get her in, and to find out which contraband cough medicine I could give her and in what dose . . . but, Annie's doctor was out of the office yesterday, and I didn't hear back from another doctor until a little later who said, "We can't get in her today in our office, so I'd get her into KidsCare as soon as they open at 5PM." (On the topic of 'no drugs', the KidsCare pediatrician told my Mom and I, "Yeah, there's no medicines for her to take, we can't recommend any of the over the counter cough suppressants, and we don't prescribe anything for a child this young . . . although, [hushed voice, check both directions for anyone who could overhear] I'd probably give her some Benadryl tonight, just so she can get some sleep.")
So, Annie, me and Grandma Karine, headed into KidsCare right as it opened, and were seen pretty quickly. It started out so innocent enough . . . "a little congestion's making her chest rattle, but not too badly . . . her pulse ox is good . . . I'm hearing a little wheeze, but not much . . ." I was expecting the look of, "You're wasting our time," and the "New mothers tend to overreact" speech and the "There's not anything we can do about infections, we don't just prescribe antibiotics for everything," lecture (which I've never asked for before, but they always seem to go on the defensive with what they deem 'antibiotic seeking Mothers' . . . hey, I'm anti-killer-undefeatable super bugs too! I only want to be given antibiotics if needed, I just want to rule out them being needed!) When I was surprised by, "We're just gonna go ahead and get a chest x-ray, just to check some stuff out."
Do you have any idea the horrific, medieval torture device-ness, involved in giving a 20 month old a chest x-ray?! And, top it off with the fact that because I'm pregnant, I can't be anywhere in the room, so I had to leave my little girl as she's strapped into the most evil looking contraption ever and told to hold very still. The greatest blessing of the night was that as I was leaving for the doctors, my Mom had called and asked if I wanted her to come along, since Greg was at work, so fortunately for Annie, Grandma was there (to hold Annie's arms firmly in place above her head as she was strapped in around her head and waist into a tall plastic tube, and then had her face smooshed up in the evil tube of torture . . . I wouldn't be surprised if Grandma had nightmares last night!)
Upon completing this whole x-ray thing, which we hope to NEVER have to repeat, I got really worried for the first time when the radiologist turned and looked at me as she was examining the x-rays and said, "She's only been coughing for 2 days?" in disbelief (and a little disgust, like I just hadn't been paying attention to my obviously very ill daughter. And really, the coughing had only been an issue since 4AM that morning.) My Mom and I just looked at each other with looks of, "Crap, that can't be good," and started getting anxious to see the doctor again. I should add here, that this coughing came on VERY suddenly. Annie had been getting over a cold last week, and would cough occasionally at bedtime as she was trying to go to sleep, but nothing unusual (as she's almost always congested with allergies, the congested cough at night isn't weird at all for her). Sunday morning she coughed a little more than usual, but it quickly went a way, and for the entire three hours of Church I don't remember her coughing once (and I called both of her nursery teachers, to confirm I'm not just a ditzy Mother that the radiologist seemed to deem me, and both of them said they couldn't remember her coughing a single time throughout all of nursery.) She coughed a little that evening, but nothing indistinguishable from the 'Did you eat those Cheerios too fast?' kinda coughing. Then, as I mentioned in the beginning, 4AM rolled around Monday morning, and that's when it hit.
We got back in with the doctor he reassured me that she didn't have the 'bad' kind of pneumonia, since the x-rays didn't show one big mass of infection, he did go on to talk about, 'stringy, odd wisps of white' showing up on the x-ray, and he said something about it looking like something else . . . this is where it was good that my Mom was there yet again, because I felt all reassured about it not being pneumonia, when my Mom was able to read through all of what he said and ask him outright, "So, you do think it's pneumonia then?" I was like, "Crazy woman, aren't you listening, he said it wasn't pneumonia!" And he responded to her, "Yes, I think it might be atypical pneumonia, I have another radiologist looking at it and getting back to me." Yep, totally would've missed that without my Mom. He then said he was concerned about some of the 'wheezing' he heard earlier, and again as he checked her chest for the second of approximately 100 times. Or 5 or 6, I don't quite remember. And he made some comment about asthma and family history. Um, I don't want to hear it's at all asthma related . . . she's too young for me to want to even start to deal with this . . . I especially don't want to hear it's pneumonia and asthma! So, they got out the nebulizer for a breathing treatment. While the nurse was standing right there, Annie was calmly sitting in my arms, acting as if there was nothing to get upset about as Mom held a plastic mask up to her face. The nurse commented, "Wow, she's doing so well for being so young!" Of course, the nurse left and I got to spend the next little while with Annie screaming and writhing in my arms as I'm trying to keep the mask up against her face. Good times.
Her coughing did get better (for a little while, although, not really significantly), and the wheezing was gone, so they started her on steroids, and gave us our very own nebulizer for home, prescribed to us for a year ('which you can rent to own' the nurse informed us . . . I don't think she realized the extent of my 'it couldn't have anything to do with asthma denial,' because all I could think about was how quickly we could return this thing once she was all better and never, ever, ever needed another breathing treatment again.) We're supposed to give her breathing treatments every four hours if she's wheezing at all. Then he started to talk to us about RSV . . . and how there wasn't anything they could do about it except give oxygen and suction in the hospital if it gets that bad. I was a little confused . . . pneumonia, possible asthma problems, and RSV?! Make up your mind, doc! Unfortunately, that was his basic diagnosis in the end . . . he thinks it's pneumonia AND RSV, with some asthma thrown in for good measure, although he said, less reassuringly, that it doesn't require hospitalization "yet". We're supposed to keep an eye on her, and expect it to get worse before it gets better, and check in often with her pediatrician to make sure he breathing isn't getting worse and her oxygen is staying up. She was started on antibiotics as well, but the doctor isn't really sure what kind of pneumonia she has, so it may or may not be effective. The last thing the nurse said as we were leaving was, "Please watch her really closely tonight." So, guess how well I slept last night! I was up really often, with the monitor on high so I could hear her breathe. The good news is we had a really, really good night (compared to what we were expecting). Around midnight (about the 6 hours since the steroids were given, when they said they should take affect), her coughing really calmed down, and she was able to sleep most of the night until 6:30 this morning. I love Benadryl and steroids! Which is what time it is now. Annie's sitting here, coughing (but not as badly as last night, so here's hoping we're already on the upswing!) and watching Elmo as I type this. She's not wheezing, that I can hear, so I'm waiting a little longer, until Greg wakes up, to determine for sure if she needs a breathing treatment . . . and so he can be the one to give it to her!
Last night when we finally got home from the doctors, my Mom ran out to the pharmacy to pick up our new stash of drugs (and the Benadryl, since I didn't currently own any such contraband) and Greg's parents came over to visit Annie and bring us all kinds of nummy food so we didn't have to worry about meals for the next few days. Greg took this to heart, and rather than have oatmeal or cereal for breakfast, he had Costco's Chicken Parmesan. I don't often think of bringing food to people unless they've just had surgery or a baby or something, but oh my goodness, it is one of the single greatest things when you're stressed and tired and don't want to deal with making food! And way tastier than the frozen dinners I was planning on sending with Greg to work.
So, anyway, keep Annie in your prayers . . . and I apologize if she's been anywhere near your kid in the last few days! I really had NO idea she was sick . . . no matter what the evil radiologist who straps kids into plastic tubes seems to think!
Oh, quick update, I found out my doctor wasn't in yesterday (or today), because him and his wife are adopting a new baby, and the baby was born yesterday. So, can't be upset at all for him not being in the office . . . I can be super annoyed with the receptionist who informed me he probably couldn't get back to me for a few days, and left it at that, until I reiterated that the InstaCare doc thought my kid had RSV and pneumonia and she could get another doctor in the office to call me back TODAY!
February 13, 2008
I just wanted to send a quick update to let everyone know how Annie is doing...She's doing amazingly, remarkably, miraculously well. We received a call from the Doctor confirming that it was definitely pneumonia. But you'd hardly be able to tell by looking at her. The steriods and antibiotics they have her on are doing wonders. We are not out of the woods yet... after a frightening coughing fit she had this morning, we had to do a breathing treatment. But she seems just find 90% of the time. Thanks to everyone, for all of your concern. We are hoping to be back to normal as soon as possible.
So, there it was . . . Annie's sickest moments thus far in her life, as well as my memories of her fabled chest x-rays.
Unrelated, I just had this picture on my phone from the other day. I just liked it, thus it's appearance of my blog.
