Sunday, April 09, 2006

The scare..


sick Posted by Picasa

It was a havoc and tiring week for me and wifey. Me coping with work and wifey with one month to her exams. We never thought that Dzaeffran would not recover from his flu which started last weekend. Being doctors; we assumed that his URTI was viral in origin , thus self limiting and with good supportive treatment , he would be ok in no time. Unfortunately, our assumption was wrong.

It became difficult to control his fever as his temperature spiked to 39-40 C especially at 2 am in the morning. Our vigorous tepid sponging did help to reduce his temperature but somehow he did not get better. On Monday evening , wifey thought she heard Dzaeff wheezing thus brought him to a nearby paediatrician. There was no nebulizers needed then but his cough was getting worse. Come Wednesday morning, he started to refuse feeds and that was not a good sign.He was breathing fast and we can sense his discomfort. His temperature spiked despite numerous suppositories of diclofenac and paracetemol.


admission Posted by Picasa


24G IV line Posted by Picasa

Mak called on Wednesday morning saying that he looked really ill and very very warm. I told her to bring baby Dzaeff to Selayang. Wifey freaked out knowing that Dzaeffran was really ill. I guess her pregnancy trauma hit her hard. I asked a friend of mine in paediatrics to examine Dzaeffran and she suggested admission.Thank you Anis !! His chest x ray looked fine but his lung findings were a bit worrying.

He was started on IV Cefuroxime and was on full drip maintainence as he still refused feeds even breast milk.He did not look dehydrated but certainly toxaemic. I was worried if his temperature remained high that he'd have fits. Alhamdulillah , with the treatment he received the temperature was controlled. His cough however became worse. His auscultation findings were terrible that he needed 4 hourly nebulizers.On top of that he needed nasal prong oxygen to help with his oxygenation. I never thought his chest recessions were serious enough for such intervention !! It was a trying time for wifey as her mind was a bit off ; having to prepare for her main exam in 4 weeks time !!


Nebulizer Posted by Picasa

Dzaeffran's initial blood investigation showed his white blood cells to be within the normal range. Aaah.. a simple RSV pneumonia we thought . However , his C Reactive Protein was sky high at 11 ( normal < 0.8 ) and the specialist was very suspicious. To our surprise , his blood grew streptococci pneumonie which means that he REALLY HAD BACTERIAL PNEUMONIA !!! Haks.. well , this can happen to anybody oo and that includes us eventhough both of us are doctors !!

Alhamdulillah , Dzaeffran recovery was swift. His usual smile came back and he became more active each day.Wifey was certainly the very glad with the progress and it showed with her enthusiasm to continue studying while in the hospital.

smirkin Posted by Picasa

Dzaeff is still in the hospital. He needs to complete 7 days of intravenous antibiotics to ensure his recovery. I had to re insert his IV access today as the old one on his left hand was swollen . haks.. Dah jadik anaes , kena pandai pasang line ahh...( though i had palpitations while inserting ! ) It was indeed a very stressful week and i hope he will be discharged as planned on wednesday..