Tag Archives: Sick

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.

Mexican Misadventure

Sunglasses

Our Mexican misadventure is over and we’re happy to be home. We had beautiful weather, great food, sandy beaches, and spectacular cenotes to explore but it was hard to relax with all the health problems that plagued our trip.

Been Waiting Forever

Our trip got off to a rough start when Emily, Astrid, and I missed our flight to Cancun because Astrid was in the hospital with breathing problems. Luckily she got better and we were able to fly down to join the grandparents a few days later. We contemplated just staying home but we promised our house to guests from Hamilton, and Mairy and Martha were waiting for us in Mexico. When we did arrive, it was great spending time on the beach and relaxing. Astrid had a blast lounging under palm trees and exploring the suite we were staying in.

Cuban Medical Clinic

Two days into our vacation, Astrid took a misstep in a playground and hurt her right leg. It’s the same one she hurt before and we thought she would be back up and running within a day. But two days later she still wouldn’t put any weight on it, so we sought out a doctor and found one at the Centro Medico Cubano (yes, there’s a Cuban medical clinic in Puerto Morelos, Mexico). It cost us 60 pesos ($4) to see a doctor who took a look at Astrid. She didn’t speak any English, but with our limited Spanish and Google Translate we found out her foot was fine but the problem was her hip. The doctor thought it was inflammation caused by Synovitis and told us to give Astrid ibuprofen for 7 days and ensure she didn’t do any walking.

(We saw a pediatrician in Vancouver who thought Astrid’s hip injury was caused by a skeletal muscle injury of some kind and not Synovitis, but he said the treatment would have been the same. And because she was walking within 2 weeks, it likely wasn’t a bone fracture.)

Hammock Nap

Astrid’s hip slowly got better over the last week of our trip, but we still had to deal with some sleepless nights, trouble with naps, and a frustrated toddler who wanted to explore but had to be carried everywhere. To top it off, Emily picked up traveller’s diarrhea on our 2nd last day, ran a high fever of 41 C for 12 hours until she took ibuprofen, and spent the last 48 hours of our trip in bed. Luckily the pharmacy next door to our hotel had the right medication to fix her up before our flight home.

Needless to say, we were all happy to arrive safely home in Vancouver at midnight of New Year’s Eve. We crashed in our beds at 2 am and all of us had a good sleep, even Astrid in her crib.

Group Photo

The trip wasn’t a complete disaster. Astrid had plenty of new experiences, enjoyed eating Mexican food for 2 weeks, and spent lots of time with Grandma and Grammy. We got to go snorkelling, enjoy the warm weather (and avoid the snow in Vancouver), explore Mayan ruins, and swim in beautiful cenotes.

Cabinet Fun

We spent the first week in a 2-bedroom suite in Puerto Morelos, right next to the beach. We had a kitchen where we could make smoothies every morning and cook dinner when we didn’t feel like going out. There were also a few vegan and vegetarian restaurants in town. We really enjoyed Puerto Morelos and would highly recommend it for visitors to the Cancun area. It wasn’t too busy, the beach was a fine powder, and there is great snorkeling right off the coast. The barrier reef is still in good condition, but you can see some bleaching from climate change and pollution, and there is an unsettling amount of plastic washing up on the beach everyday.

Valladolid

The second week took us to Valladolid where we stayed in a vegan bed and breakfast. The town had a sense of colonial history but also everyday Yucatan life. Our highlights were hanging out in the town square, eating at a food court where the eateries competed for your business, and checking out Casa de los Venados. Our b&b was a lush sanctuary in the heart of the city with six dogs to entertain us so we didn’t mind being held up there a few days while Emily slept.

More Guacamole
Astrid would have been happy eating guacamole, bananas, and beans for every meal.

Coba Climb
Archaeologists
We enjoyed exploring the ruins at Ek Balam and Coba. We didn’t make it to Chichen Itza because of Emily’s stomach bug.

Cenote Swim
The cenotes (subterranean pools) were magical. The water was so fresh and clear and a perfect temperature for swimming.

Sunrise
Astrid enjoying the beach sunrise in Puerto Morelos.

Happy Hiker
I was obsessed with getting a photo of Astrid with the Christmas ornament that contains her photo from Christmas last year. This photo will go in a new ornament which will be featured in next year’s photo. It’s so meta.

Cool Dudes
We’re never too sick to be silly.

More pictures.

Astrid: Wheezy

After the first round of drugs

It’s been a crazy past few days. We were supposed to fly to Cancun Sunday morning, but a trip to Emergency ward at BC Children’s Hospital changed those plans.

It all started with a cold in late November that turned into a little cough. We didn’t think much of it until Wednesday last week when she started having fevers at night and coughing a lot.

We saw our GP on Friday and he said it was Croup and prescribed dexamethasone. He said it should get better within 4 hours.

That night there was no improvement, so I took her to a nearby walk-in clinic Saturday morning. The doc immediately sent us to Emergency at BC Children’s Hospital. It was a stressful bike ride hauling ass up the hill to BC Children’s with a sick child in the trailer.

We had underestimated how serious Astrid’s condition was. She was definitely wheezy, but she was in a good mood and playful – how bad could it be? When we arrived at BC Children’s, we were placed at the top of the triage list and got to see the next doctor, which should have been an indication how serious it was. And yet, I still clung to this hope that we would be discharged soon and be able to catch our flight to Mexico the next day.

Astrid’s lungs were really constrained and she was having trouble breathing. They pumped her full of steroids (Atrovent to start and Ventolin every hour after) and immediately you could see the difference. She hated using the puffer mask, but it was making it easier for her to breath. In the first few hours at the hospital, her heart rate was between 130-200 bpm. Her body was working really hard to pump the limited oxygen around. After a few hours of treatment it was between 85 and 150.

At 4:30 pm Astrid was moved out of Emergency into the Critical Decision Unit (CDU) for monitoring. Emily stayed with her, while I went home to finish packing. At 9:00 pm, they did a chest x-ray to see if she had pneumonia but the only thing they found was a small section of collapsed lung (which is apparently common when you have trouble breathing for so long). They almost released us at 11:00 pm. Astrid had gone four hours between Ventolin puffs without much problems, except when she was sleeping her SpO2 (oxygen concentration in the blood) would periodically drop below 90% causing alarm bells to go off. It went as low as 87% and the doctor said she had to stay the night, sleeping with the help of extra oxygen tubes in her nose.

After nearly 24 hours of excellent treatment (I really can’t say enough good things about the nurses and doctors at BC Children’s), Astrid was discharged at 7:35 am. The final diagnosis was Reactive Airways Disease (a vague and unhelpful catchall for all breathing problems). We had to do more Ventolin at home every 4 hours for the next 3 days and monitor her condition.

We missed our flight to Cancun, but we’re just happy Astrid is feeling better. We were all packed and ready to head straight from the hospital to the airport, but the doctors told us to take a few days to rest and see how Astrid is doing. The grandparents flew to Mexico without us and hopefully we will join them in a few days.

I feel horrible for not doing something sooner. It’s tough because we had been at the hospital a few weeks earlier for something that turned out to be nothing. We didn’t want to be the overreacting first-time parents yet again. And Astrid was in such a good mood even when she was sick, it was hard to think she was in need of emergency attention. Now we know to look for trouble breathing and wheezing.

Getting Better

The Unwanted Indian Souvenir

Man Eating Beaver
I’ve been feeling fatigued, gassy, and generally shitty for the past 2 weeks. I went and saw a doctor on Tuesday and had blood and stool samples taken. The results are in – I’m anemic and I have Giardia Lamblia (aka Beaver Fever) and Blastocystis parasites living in my lower intestine. Probably one last gift from India.

I’m looking forward to getting it treated and healthy again. My iron levels are 9 µg/L (normal level are from 100-300). I haven’t been able to run or play ultimate frisbee for the past 2 weeks. Even my short 3 km bike ride to work has been a struggle.

I’m been prescribed Metronidazole antibiotics for the next 10 days. Hopefully that clears everything up.

Backpacking India: Firsts

A day of firsts here in Mamallapuram.

First morning run – I only made it 2.5 km before the heat was too much.

First long walk down a sandy beach. We walked back from the Tiger Cave. A beautiful hour long walk.

First beer – we shared a Kingfisher before dinner. Tamil Nadu is technically a dry state, but a lot of the restaurants here have alcohol if you ask.

First night spent puking my guts out. Not sure what it was. Maybe the heat, the beer, or some contaminated food. I’m feeling better this morning, but I was throwing up all night and had the chills. If any symptoms come back I’ll have to see a doctor.