Fevers ... Vomitting ... Hospital

So we didn't quite make it through the weekend, but in the end it turned out to be a good thing because our pediatrician was on call today ... yah, someone who knows and understands James ... as best as James can be understood.

Last night James had as "semi-seizure", if it's possible to have such a thing. We're not really sure if it was a seizure or not. He woke around 10pm crying and when I tried to console him he did not acknowledge his surroundings or recognize us. I took him out of his room and sat with him while he continued to cry. After about 5 minutes of straight crying he began to vomit. Once he vomitted he began to realize his surroundings again, although it still took some time for him to stop crying. We eventually got him settled down, but he did continued to have a fever and laboured breathing. His breathing settled a bit and so we put him back to bed and he slept through the night.

This morning started off relatively well, he handled his morning feed, played as if nothing was wrong, (even though the fever presisted), and went down for an early nap. He did start to have a runny nose and a bit of a cough today, we're not sure where this came from. Shortly after his lunch feed he spiked a 40.2C temp and then vomitted again. We decided to stop putting it off, it was time to bring him in.

Once at hospital it did not take long to realize that they had already planned to admit him when they got our phone call letting them know we were coming, they were just going through the process of getting him to his room. If only we could always have our ped. on when we come in, it is so nice to have someone who knows him. It made it easier yet since I had talked to her several days this week so she knew exactly what had been going on and just had to pick up from where we last left off. We had to go through the routine blood work, urine test, chest x-rays, nose swap, and spent about six hours in Emerg. before we were sent up to our room. Once again we were put into isolation, once again we got our favourite room.

The initial tests that were done all came back fine. James different blood cell counts were normal, his ammonia levels were fine, and there is no intial signs of infection. His chest x-ray came back with only a tad bit more fogginess on it, which could just be a difference in how it was developed, whatever the case, it hadn't changed enough to cause the symptoms James has. James' hemmoglobin levels were low, but not worse then July. She told us it takes about 3 months of stability for them to get back into the normal level, he has had too much blood work done to allow it to stablize, but it's not so bad that he needs extra iron.

They will be extra cautious this time and will not allow James to leave until the fevers are for sure gone. He will be put onto antibiotics again. They will keep him the 48 hours it takes to get the blood cultures back. Further decisions will be made once they get the results from the blood work and are able to see how he reacts to the antibiotics. We are told to expect to stay at least 2-3 days, quite likely more. If he does indeed stabalize and they are able to squeeze it in then they may look at putting in a PORT and possibly doing the G-tube change and endoscopy. Such plans depend on many different departments and how James is doing, so at this time we're not counting on it, although it would certainly be nice to tackle all these at the same time.

Visitors are always welcomed. We do recommend coming late afternoon or evening as mornings are busy with doctors and tests and afternoons are spent napping (if no tests interrupt that time).