Monday, April 5, 2010

I know, I know...

Once I get about a week behind, it just gets worse and worse! I think the easiest way to update is to break up the last few weeks into several posts. We'll call this one "The Trip to Children's Hospital"...or we could also call it "How to give a NICU Mom an Anxiety Attack."

Friday, March 12th: Sarah was sounding a bit congested and her nose was snotty - my concern? RSV. The flu. Hell, a common cold would scare me these days. What I wasn't concerned about was the tiny pimple that had popped up just underneath her right nostril.

Saturday, March 13th: Sarah's nose started to run, but overall her congestion had improved. Whew! Dodged that bullet!

Then the pimple got scratched. Over the course of several hours that afternoon Sarah's face went from perfectly fine to this:


Not good. Not at all. Especially when the on-call pediatrician almost immediately says, "Go to Children's ER. ASAP." Brandon drove, I hyperventilated most of the way. After several long hours in the ER, the diagnosis was cellulitis. Awesome. They sent us home with an antibiotic prescription and instructions to see our pediatrician the following day.

Sunday, March 14th: When we were looking for a pediatrician prior to Sarah's discharge from the NICU, one thing we REALLY liked about the one we chose was that they have sick visit office hours on the weekends. We saw the pedi on call and he...well..."expressed" the entire side of Sarah's face. The result was NOT pretty. He also took a culture as a precaution, explaining that cellulitis is most often staph related.

Um, what? Did you say STAPH? Staph as in potentially MRSA? The same MRSA that has been the bane of my existence since last July?! We were told to continue the antibiotics and to return to the ER if we felt the inflammation worsened. We were particularly concerned because the swelling was around her eye.

Later that night, Sarah woke up from her nap and you guessed it, the swelling was worse. I went ahead and packed a bag for myself, assuming she'd be admitted for IV antibiotics. We got to the ER around 7pm and by the time we'd had a consult with a facial surgeon, it was almost 2am before we were assigned a room. The surgeon didn't think that the abcess needed to be drained (thank goodness!) but they did want to start IV antibiotics. Vancomycin. The same thing she had in the NICU. Twice. The same thing I was on at home for weeks last fall. We know Vancomycin well.

Here's Sarah's room - it was nice...for a hospital room:

We spent Monday on IVs and her face was clearing up nicely.

We were set for discharge Tuesday...when our pediatrician called my cell phone. The culture was back. MRSA + and resistant to the antibiotic they were planning to send us home with. I'm pretty sure a small portion of my head exploded when I heard MRSA. The thought is that she was colonized again (or possibly STILL) in her nose...the runny nose + the open pimple = the perfect opportunity for infection.

The antibiotics cleared the abcess up, though at the same time, they did a number on her stomach. I can't tell you how many diapers we must have gone thru during those 10 days. But that's another post for another time. The follow up appointments with the pediatrician and the facial surgeon both went really well and we're all clear. For now.

One good thing to come out of our hospital stay - we finally moved Sarah from the cradle in our room to her crib in her own room. Since she came home she's been sleeping on her Nap Nanny - it keeps the upper body elevated 30* and works wonders for reflux. But lately, we'd been finding her face down in the Nap Nanny, and because of the incline, she couldn't turn herself back over. Since we made the move to the crib, Sarah has been sleeping GREAT! We've even been putting her in her crib for naps and I'm actually getting things done around the house during the day. So the hospital wasn't fun, but we did get something good out of the deal.

1 comment:

Boots said...

I'm glad she's transitioned to her room so easily. It must be a big relief to be able to get things done while she naps.

-S