Eat Happy!

Eat Happy!

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Thursday, October 4, 2012

Attacks Follow-Up

Ian has had two more episodes since the three this morning like the one I posted. Before they happened, we saw the pediatrician. He watched the video, examined Ian, and looked at his pulse oxygen levels. Ian’s pulse-ox was between 88-90. He did peak at 93. They did an in-office neb albuterol treatment to help him. It brought him to 94-95.

The verdict is that he has some type of unidentified virus, most likely pneumonia or croup, which he developed from a compromised immune system from the previous cold.... on top of the fact that he is immunocompromised anyway. He also had a severe asthma attack that was most likely exacerbated by the viral symptoms. He was wheezing even after the neb treatment. Ian has had Reactive Airway Disease (RAD) in the works on his paper chart for quite some time. It has now officially been termed asthma, but is billed as RAD so that no one “freaks out” as they do on the billing/ payment end with asthma.

Ian was prescribed oral steroids since the inhaled ones are not helping enough. I am aware of the fluid retention and behavioral side effects. Thankfully, he only needs a few days of the treatment and should not have any lasting effects. We will be ceasing the Flovent, Flonase, and Singulair for this time period because the Prednisone trumps all of that. He gets the steroid “because” the others are not doing what they need for him. While on this treatment, future attacks like he had need to be treatment with the neb albuterol, so we have a script for that. The albuterol inhaler isn’t doing as much as it should. As it turns out, the Prednisone increases albuterol receptors on cells in the lungs, allowing the drug to work more efficiently when used together.

In the future, Ian’s asthma should be moderate, and manageable. When he gets sick, it may end up being severe attacks with these new treatments being necessary to help him breath. We knew as a family that asthma was coming down the pike. The age of two seems to be the magic age, and here we are.

We are still visiting the ENT this afternoon as a follow up with him on this new dilemma. We will also follow up with the pediatrician tomorrow afternoon before the weekend begins to make sure things are going well.

I scheduled Ian’s sleep study for the obstructive apnea for Sunday night of next week. We should know shortly after that, how proceedings will go for the tonsil and adenoid removal.

Thank you to everyone for all the thoughts, knowledge, advice, and prayers and hugs. I come to all of you (friends, family, support group mommies and daddies) first. Other families like ours chiming in is like having all mommy and daddy heads put together. It helps us tremendously when we arrive at appointments, and in making decisions. We love all of you and are overwhelmed by your outpouring of love.

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