Tag Archives: advair

Astrid – Why, Why, Why?

Family Day Fun

It started suddenly without warning and has been a non-stop barrage since. On February 18, Astrid asked her first “Why?” question. I don’t remember what it was about but my response was promptly followed by a follow-up “Why?”. As many parents know, “Why?” is the perfect question because no matter how thorough the answer, you can always go deeper with another “Why?”.

I like encouraging her curiosity and answer as much as I can, but after the 5th why I usually have to respond with “Why do you think?”

Snow What!?

February was an unusually snowy month in Vancouver, including a full-on Snow Day on February 12 when all the schools and daycares shut down. It was cool to see all the kids running around the neighbourhood and enjoying a rare blast of real Canadian winter.

Crazy Carpet

Too bad Astrid hated it. The snow was too ‘crunchy’ and cold and she would only watch her friends tobogganing, complaining the whole time.

Cookies

In January Astrid started on a new asthma medication, Advair, and it seems to be having a huge impact. We’ve now gone 45 days without any asthma symptoms, which is a new record. Astrid had one cold in early March and even though she was coughing she never got wheezy. It was nice just having a normal sick kid with a runny nose without worrying about when we would have to take her to the hospital.

Advair is definitely more expensive than the other medications we’ve tried (it works out to about a $1 per puff) because there is no generic version. However, after sending doctor approval to the province’s Fair Pharmacare program and our health insurance provider, we now have 80% of the costs covered.

Vomit Train

Although we’ve avoided asthma problems, we haven’t been completely healthy. Stomach bugs (probably norovirus) ripped through our family in February. Astrid and I were sick twice, with vomiting and diarrhea. Grandma got it too. Emily got mild symptoms from the first bug and somehow avoided the second one. I was just glad we weren’t all sick at the same time so there was always one person with energy to look after the rest of the family.

On a more positive note, Astrid has avoided a tooth extraction, at least for now. After she knocked her tooth out last month, her root extraction was delayed because she got really sick. By the time she was healthy again the gums had healed over. We’re now hoping her body is able to take care of it on its own, but if it gets infected she will have to have surgery to remove it.

Crokinole

Astrid has turned into a very compassionate toddler. When I get home from work she always asks “how’s your day, Daddy?” and “what did you eat at New Hippopotamus?”. When Emily was sick, she started every morning by asking her “you feeling better?”. It might be more of a routine than genuine concern, but it’s still nice.

Puzzle with Grammy

When Astrid was really sick in January we abandoned all our independent sleep practices and often slept in her room. After she was better we were still spending up to an hour in her room waiting for her to fall asleep. If we tried sneaking out early, she would just come find us a few minutes later. Now that she’s no longer sleeping in crib we had to find a new approach to sleep training.

Based on some ideas in this blog post, we decided to try confining her to her room by holding the door closed. A few minutes after we left the room, she tried to open the door. We held the door closed and asked her to go back to sleep. She tried every trick to delay bedtime. She asked for a snack, asked for another story, said she had to pee, asked for help with her blanket, and even took off her socks and asked us to put them back on. When that didn’t work she cried and got upset. Through the door, we encouraged her to sleep and sang to her. When she really got upset, we went in once to calm her down but otherwise stuck to the strategy.

It took 60 minutes the first night and 45 minutes the second, but after 4 nights she went to sleep on her own without trying to escape. Since then she’s resisted on a few occasions (especially after daylight savings time kicked in) and figured out some new tricks like pushing books under the door and turning the light on, but it’s been much better. Fingers crossed, but she hasn’t figured out she can watch youtube on the iPad we use as a white noise machine.

Mornings have also been better since we got the Gro-Clock. She always waits for the sun now (programmed for 7 am) before coming into our bedroom to wake us up.

After her sleeping improved we let her have a sleepover at Grandma’s house. She did pretty well, although she woke up at 6 am and crawled into Grandma’s bed.

Painting

Astrid loves painting and doing art. We’ve let her curate her own gallery.

Art Gallery

New skills for Astrid include putting together puzzles, identifying around 10 letters, and counting to 13.

Fairy Whale

More pictures of February and March.

Astrid – Being Sick Sucks

Sick and Sleepy

Is it summer yet? I’m not sure how much more of cold and flu season I can handle.

Ready to Roll

The new year started off well enough. We spent the first Saturday snowshoeing up on Mount Seymour. Astrid had fun playing in the snow, making snowbabies, and sliding on her bum. We had to run back when Astrid announced she had to pee (the new reality of being diaper free) and I couldn’t convince her to just pee in the snow. I was impressed she was able to hold it in with me bouncing her up and down the whole way.

Then she knocked a tooth out that night and it has been all downhill from there. She was drinking water from a bottle with a hard straw when she tripped. There was lots of blood and a few tears, and then she spit out a tooth. I was distraught but Astrid was back up running around like nothing had happened within no time. I kept worrying about the implications of losing a tooth that early (compounding all my personal anxieties about teeth). Yes, it’s just a baby tooth, but one that isn’t supposed to fall out for another 5 years!

1st Lost Tooth

We saw a pediatric dentist a few days later and he assured us that it would be ok – no speech impediments or tooth spacing issues, but there was a piece of the root left that needs to be extracted – Astrid’s first dental surgery.

Dentist Visit

The dental extraction hasn’t happened yet because Astrid has been dealing with colds and asthma. We ended up in the hospital with one of the worst asthma attacks Astrid has had in a while. It hit really fast before she had any cold symptoms and we couldn’t keep it under control at home.

Normally they give Astrid a big dose of dexamethasone at the hospital to reduce inflammation, but this time they gave us a half dose of dex and a 3 day prescription for prednisone to give her more time to recover. But the prednisone came in bitter pills that we couldn’t get Astrid to take no matter how we disguised them (crushing it in yogurt, frosted sugar, chocolate pudding, ice cream). After some desperate conversations with pharmacists at 3 different pharmacies, we managed to get ahold of an emergency doctor at BCCH who switched our prescription to prednisolone – same drug but in less bitter liquid form. It was still a bit gross on its own, but she guzzled it down when we masked it with a strong ginger beer, which she luckily loves drinking.

The next few days were not fun and we almost went back to the hospital on a few occasions but after sleepless nights for everyone and lots of drugs we got through that virus, although I ended up getting sick at the end of it and still haven’t fully recovered.

Asthma Meds

Astrid was mostly healthy for a few days before she picked up a new bug that lead to nasty cough and 4 days of periodic fevers, which were usually mild but one day she was feverish for over 12 hours and her temperature hit 39.9 C before we gave her ibuprofen. Luckily this latest virus hasn’t caused any serious asthma problems, which might mean her newest medication, Advair, is working better than the Flovent she was on before, although it’s probably too soon to tell.

Emily has managed to escape all of this mostly unscathed. Astrid is almost back to full health and we’ve rescheduled the dentist for 10 days from now if she can stay healthy.

Doctor Daddy
Cellphone Oximetry Test Results

I’ve gotten really good at pretending to be Doctor Daddy. I can now calculate Astrid’s asthma PRAM score on my own using the stethoscope we have and the oximetry sensor on my Samsung phone that measures oxygen saturation. If I can’t keep the PRAM score below 4 then it’s time to go to the hospital.

All of our health concerns have us contemplating more drastic lifestyle changes – like pulling Astrid out of daycare, getting a nanny, spending our winters in Mexico, or going full hermit in rural Manitoba with my parents. If I was more confident that any of them would prevent Astrid’s asthma attacks, I would do it now.

New Bed

On the positive side, Astrid is now sleeping in a bed and is almost fully potty-trained. She still wears a pull-up at night, but wakes up dry most mornings. Moving out of the crib and into a bed was a bit of a transition. The first week worked miraculously well, but then she got sick and was waking up more at night and discovered she could just walk into our room whenever she woke up. But we bought a Gro Clock and she’s doing better about staying in bed until the “sun comes out”.

Bedtimes are still a bit of a struggle. When she got sick, one of us would often sleep next to her bed for comfort and now she wants that every night. Emily tried to go back to the ‘put down and walk out’ system when Astrid was healthy again, but that just lead to an epic sleep battle one night. Emily would put Astrid down to sleep and leave the room, and Astrid would lie down for 10 seconds before getting up to find her. They did this for 90 minutes! I eventually had to intervene and find a compromise where I sat in her room (but out of sight) until she fell asleep. That’s been our new normal for the past 2 weeks. We’ll have to slowly transition back to where we were before.

Cooking

Astrid’s imagination has really blossomed in the past month. She likes to play make believe and pretend she’s cooking or shopping. She makes up new words to songs. She changes the diapers of her dolls and pretends to flush their poopies down the toilet. Yesterday she invented a bear family that had joined us for dinner and was shooing them away so they wouldn’t eat her pizza. It’s awesome.

Rainbow Brite

More pictures.