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Friday, 16 October 2009

  • Tips For Treating Fevers

    Hubby & I have picked up some tips & tricks on dealing fevers between the various visits to doctors, ERs & hospitals with Matthew.  Since we are heading into flu season I figure I would share.  We may sound a little paranoid when dealing with fevers but our goals are to keep Matthew seizure-free & out of the hospitals.  So paranoid works for us!

    Medication

    There are 2 fever-reducing medicine, Motrin & Tylenol.  Hospitals & ERs prefer Tylenol for various reasons and each child will respond to Motrin & Tylenol differently.  Matthew responds better to Motrin than to Tylenol.  Also his fevers tend to have rapid ascent & descent in temperature.  His fever can go from 99 to 104 within 10 minutes.  (If you are wondering...we took his temperature every 5 minutes so we know how fast it can ascent.)  So here are a few tips & tricks about medication we picked up.  (Please consult with your doctor about giving meds to your child.  These are things that the doctors have told us it is okay to do with Matthew.)

    1.  Front-loading:  In order to jump-shot the effectiveness of the medication, you can front-load the meds.  For example, you can give Motrin to your child first.  2 hours later, give him a dosage of Tylenol.  Than every 4 hours give him Tyenol. 

    2.  Using Motrin as a Booster:  Because Matthew responds better to Motrin, if we discover that Matthew's fever has shot up again we will give him Motrin instead of Tylenol at the next scheduled dosage time.  Usually his fever will go back down after that.  If his fever is still down at the next scheduled dosage time, we will switch back to Tylenol.

    3.  Tylenol Depository as Last Resort:  We have Tylenol depository at home just in case Matthew's fever is super high & we need to bring it down ASAP.  Depository is to be inserted into the anal area.  Absorption rate is faster through the anal area vs. any oral medication.  Of course you need to super-lubicate before insert.  Your doctor can give you a prescription. 

    As a precaution, we will keep him on Tylenol for 12 to 24 hours after his fever breaks.  We've discovered that his fever can come back a few hours later.  Also fevers will dip & drop through out the day.  Fevers will usually be lower at night while your child is sleeping and will go up in the morning.  We have to be super diligent about giving Matthew his fever-reducing meds through the night because of this.  Even a slight increase in his fever can trigger febrile seizures.

    Also we write down each dosage time, what we gave him & his temperature so that we don't forget.

    Water is your Friend!

    I mean besides keeping your child hydrated.  (Hospital told us that Pedalyte and soups are a better way to keep your child hydrated because of the body's need of sodium.  Drinking too much water can actually hinder the body.)  Using water to splash on their face will help reduce their fevers quickly.  I discovered from our doctor that the evaporation of water off the skin is what lowers fevers not the coolness of the water.  So a wet (almost dripping) wash cloth should be used to wipe the face and body.

    A tub of cool water is another way to bring down a high fever quickly.  Even adding a bucket of ice if it is really high will help.  (I've seen the paramedics put my little brother into a tub of cool water w/ice to bring his super high fever down before taking him to the hospital.  Febrile seizures run in my family.)  If we have to put Matthew in the tub of water, I will be joining him to hold him just in case he goes into a seizure while in the tub.

    Taking the Temperature

    Okay, this is where I may sound slightly crazy.  We have 4 different temperature reader at home.

    ear

    The ear temperature reader

    forehead

    Another to read the forehead & neck

    armpit

    A temperature plastic to read under the armpits (Looks somthing like this.)

    anal

    Your typical temperature reader for the mouth & butt

    Hospital told us that the temperature reading from the butt is the most accurate, but we never do this at home because it is just too tramatic for Matthew.  Temperature reading from the ear is always going to be slightly higher compared to the forehead & neck.  So our usual routine will include taking the temperature in both ears, his forehead & neck.  Then we will average the four readings out & record.  Temperature reading in the ears, forehead & neck is the fastest way to read Matthew's temperature and he thinks this is normal (thank goodness) because sometimes we are taking his temperature every 5 minutes.

     

Wednesday, 09 September 2009

  • Matthew's Hospitalization & Febrile Seizures

    Matthew has febrile seizures.  Febrile seizures are pretty common among young children.  Febrile seizures are seizures that occur in the presense of fevers in young children between the ages of 6 months to 5 years old.  Most children who are prone to febrile seizures will have 1 in their lifetime.  Matthew had his 1st one in December.  (Remember our ER fisaco?  He went to the ER for the seizure & ended up with heart issues due to an ER mistake.  Thank goodness the heart issues were short-term.)  Some children might have 2 febrile seizures.  A tiny percentage will have more and can lead to developing epilesy.  When a child is experiencing a seziure, they are usually unconscious & not aware of the seizures.  Matthew's febrile seizure he had in December was typical in all aspects.  But his febrile seizures in August were different.  What was different?  He had over a dozen, he knew a seizure was coming on, he was conscious during the seizures & didn't have a fever for half of them.  Just imagine your child becoming agitated because he knew a seizure was coming on.  Then he screams out "Mommy" right before the seizure.  During the seizure he is conscious and screaming in pain.  This is what we woke up to early Saturday morning. 

    But let me back track a little.  Matthew did have a fever starting Thursday night.  We began our usual children's motrin routine as soon as we knew he had a fever.  By Friday afternoon, he was complaining about his tummy hurting so I took him to his doctor.  She checked his temperature (only 100.8) and checked for other symptons.  She determined he had the stomach flu.  So told us to go home and keep on doing what we were doing.  Friday night, I decided to sleep in his room.  As I was about to fall asleep, he had his 1st of many febrile seizures.  This seizure was a typical febril seizure and his fever had shot up to 104.  We decided not to go to the ER or call the doctor because there was nothing they could do.  So we stripped him down, put a cool pad on his neck & forehead & religiously gave him motrin every 4-6 hours.  By 6 am, his fever was gone.  But by 9 am, he had his 2nd seizure but this time his seizure was different.  It scared us so we decided to call his doctor to see if they would be willing to see us on a Saturday.  After Hubby twisted their arm a little, they told us to come in.  So we brought him in.

    By then Matthew seemed fine and his fever came back but was only about 100.  While waiting for the doctor, he had another seizure.  After his 3rd seizure, we had to bring him to the ER.  (The same ER we went to in December but this time much better.  We were on their 'treat with ultimate care because we almost filed a malpractice lawsuit & the hospital admited their error' list.) And our nightmare continues.  At the ER, he had another seizure while in triage so we were rushed to the back to stablize him.  ER did their usual urine & blood test to rule out a bacterial infection.  (No bacterial infection).  A few hours later, we were given the notice to be discharged since all his test were normal and he did not have a high fever.  As we were being discharged, Matthew had another seizure.  At this point, they would not let us leave and Matthew had to be admitted for additional tests & observations. 

    Now there were concerns that his seizures were not febrile seizures but due to something very serious.  He had a CT scan to rule out a brain tumor, brain trama, & any other physical brain deformaties.  Came back normal.  He had a MRI scan to rule out any blood flow issue to the brain & any metabolism issues.  They came back normal.  He had a spinal tap to completely rule out menagitis.  He had passed the preliminary test but now they wanted official confirmation.  It was normal.  He had a EEG scan to rule out epilesy.  Even though he had a seizure during the scan, it turned out normal.  During his 4 days in the hospital, he was put on phenobarbitual to stop the seizures.  Putting him on phenobarb has many nasty side effects ranging from extreme mood swings, hyperness, liver & kidney damage, long term learning development & severe withdrawal symptons.  But he needed to be seizure-free for 24 hours before he could be discharged. 

    In the end, what was his diagnosis?  He was discharged with atypical febrile seizures and was required to be on the phenobarb for about a month.  For the next few weeks, it was rough as we dealt with Matthew on meds.  He had extreme mood swings and was HYPER!  We had to super baby proof our place because he was having some balance issues and had lost his sense of caution.  I think the worst was his personality change while on the meds.  He was so detached from us.  Normally Matthew is a very sensitive child and very good had reacting to our feelings.  Now he didn't care.  Hubby & I struggled daily about whether to keep him on his meds.  But we decided to wait until our neurologist follow up.  After a follow up with his neurologist, he confirmed that there were no medical reasons to keep Matthew on the phenobarb.  So we began the weaning process.  

    Now Matthew is completely off the phenobarb and back to his typical happy 2-year old self.  (Thank goodness!)   But we are required to give him another anti-seizure med ANYTIME he has a fever to reduce his chances of more seizures.  In the end, we had the best case scenrio and lots of reasons to be thankful.  It could had been cancer, epilesy or something worse but it turned out that he was just very sensitive to frebile seizures.   We are thankful that he wasn't required to stay in PICU during his hospitalization.  (There was another child with eplisey who was in PICU for weeks when Matthew was admitted.)  We are thankful that our nearby hospital had 1 of the 2 only ped floors in LA county.  We are thankful that my parents hadn't left for HK and were close by.  They were able to go back to our home to take care of things, provide the emotional support that Hubby & I needcd, and provided additional familar faces for Matthew during his hospital stay.  We are thankful for the ped floor's staff who were understanding about Matthew's terror of anyone in a white coat.  (He was known as the Crying Baby by the staff.  He screamed bloody murder everytime a stranger walked into our room.  Had the nurses running frantically to our room a few times since he set the alarms off on their monitors.)  Oh heck...we are thankful that I decided to switch to PPO because that gave us the option to follow up with 2nd opinions (if needed) if his disagnois was something more serious.  I'm thankful for the support I received from my FB friends when I was drowning in fear as I watched Matthew go through 1 seizure after another.  I'm thankful for my work & boss who were supportive.  But finally, I'm truely thankful that Matthew is healthy and back to his normal self.  We were ready for significant life changes if Matthew's diagnois was worse but I'm glad that didn't become our reality.  Thank you!

Sunday, 30 August 2009

  • Quick Update

    EDIT:  Couturecraze decided to stay at her mom's place instead of my parents' place.  She was concerned about the air quality and her mom was helping her with the kids.

    Hi!

    It has been awhile.  The last few weeks have been rough for us with Matthew's hospitalization.  But in the end, we had the best case scenario.  I'm thankful it turned out so well for us.  Matthew is almost back to his normal self.  Hopefully in a few weeks, he will be 100% back.  I will blog about our ordeal later.  I'm just taking these few minutes to give a quick update.  Hopefully I will have more time to blog in more detail.

    On another note, one of the Xanga/FB moms (couturecraze) will be arriving soon to stay at my parent's apartment.   She had to evaculate due to the fires and since my parents are in HK for a few weeks, I offered her a place to stay with her 2 adorable baby girls.  Matthew's recent hospitalization made me realize how much I valued the support I received from FB.  Just the few words of encouragement I received each day, made it slightly easier to stay strong for my poor baby as he is subjected to another terrifying test.  When I saw on her FB status of how close the fires were to her, I automatically offered a place to stay.  To many this gesture doesn't sound that profound, but it is more me.  I will admit that I am not always the most compassionate individual around.  But I'm learning to be more compassionate and giving.  I guess becoming a mommy to such a wonderful child has opened my heart and my eyes.  LOL...of course now Matthew have 2 little friends to play with and I get see these 2 adorable girls for the next few days

Friday, 24 July 2009

  • Wedding Memories...

    Hubby sent me this link to a youtube video...what a fun wedding!

    http://www.youtube.com/watch?v=4-94JhLEiN0

    It sorta reminds of our wedding...not as hip but fun.  In order to save $$, we had our reception entertainment, a Frank Sintra impersonator, also sang for the processional & recessional portion of our ceremony.  I had him sing some of his more upbeat songs (e.g. I have the World by a String).  It really set the mood for the rest of the wedding...plus we really had a short ceremony...15 minutes top.  LOL...most of my friend's boyfriends came up to thank us for the short ceremony and the open bar!

    Sighhh...looking at my wedding pictures...would love to convince Hubby to do it again.   He had promised me at our 25th anniversary but that sounds so far away.  I would love to do it again sooner.  Would you want to do it again?

    peter cermony joanne cermony 2

    joannecake 2

Friday, 17 July 2009

  • Happy Friday!

    Hello!

    It has been awhile since I last updated on Xanga.  Been busy with work, school & home.  But I have been keeping up with FB...opps.  FB is so much easier to update vs. Xanga.  Oh well.

    Anyways I wanted to share these pictures from a recent Las Vegas trip.  I uploaded these from my phone to FB and then downloaded them on my laptop.  Round about way...but my work laptop doesn't have a SD memory card input so I have to wait until I get home to upload from my camera.  And by the time I'm home, I've forgotten AGAIN to upload...jeez!

    Anywhooo...enjoy!

    Trying to Entertain Matthew with Mommy's Sunglasses

     

    Matthew Vegas 6 June 2009

    Mommy!  I'm bored!

    Matthew Vegas 7 June 2009

    Matthew...turn around so Mommy can get a picture of you!

    Matthew Vegas 5 June 2009

    Too slow!

    Matthew Vegas 3 June 2009 Matthew Vegas June 09

    Matthew Vegas 4 June 2009 Matthew Vegas2 June 09

    Mommy!!! You're too slow!

    Vegas 06_29_09

    FINALLY!

     

joesee22

  • Visit joesee22's Xanga Site
    • Name: Joanne
    • Country: United States
    • State: California
    • Metro: Los Angeles
    • Gender: Female
    • Member Since: 6/21/2004

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About Me

  • Fulltime working mom trying to balance career, long commutes, family, marriage and life. (No particular order) Wonders how others are doing this crazy thing called mommy-hood.

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