Jillian has had a cough since we tried rice cereal weeks ago. It has gotten better and worse over the corse of time. When she was admitted a few weeks ago they said her lungs sounded clean.
Sunday morning by around 5am, Jillian had been coughing off and on for about an hour. I was in that half asleep mode. Then Brent and I sat straight up to the sound of Jillian puking. It was a whole body, projectile puke that we had not heard in a while. Neon yellow stomach bile covered everything. We took her out of her bed to change her and she puked again, this time mucus. We decided it was time for a nebulizer treatment. We curled up and watched Jake and the Neverland Pirates and she got her neb. Once she was done she. Puked two more large amounts of mucus all over the bed.
She kept coughing but we headed to church. Instead of going into service Jillian and I hung out in the loby and I gave her a neb. She was breathing pretty rapidly but she was not crabby, not not smily either.
We went to lunch with my parents and grandparents at Applebee's. Jillian gave her daddy and grandpa a gift. She pooped everywhere! Thursday she had two small poops, Friday she did not poop and Saturday she had two smallish so she was given a little extra laxative. It all came during lunch. The boys came out of the bathroom like they were just in a battle.
After lunch mom and I stopped at a store with Jillian. She just sat dazed the whole time. We would show her things and she bairly moved. Once we got done at the store we headed to mom and dads to fill Jillian's pump and give her anouther neb.
She was coughing again and pretty lethargic at this point. She was stomach breathing.
After we finished her neb we hung out and I watched her breath. Her respiratory rate was around 70 and it should be between 25-40. Mom and I decided we would take her to the walk in.
We got there and the nurse brought us in. Jillian's pule ox was at 92. Not where they want it. The nurse was talking about sending us to the ER. She took Jillian and I out get her weighed and my mom walked into the hall and noticed the nurse practitioner. She was from the family doctors office I have gone to all of my life, as well as most members of my family.
The nurse practitioner came back in the room with us. We went over Jillian's story and then she listened to Jillian. She said she could hear wheezing. She sent us over for a chest X-ray.
We walked in the X-ray room and Jillian had a small panic attach. It looks like and IR room. She started grabbing at her tube and crying. I think she tought we were messing with her tube. We got the X-rays taken and headed back to the walk in. The nurse practitioner walked in and said she wanted anouther pulse ox done and another neb done. She had a pulse ox of 97. We then started a neb. By that time the nurse practitioner walked in with the x rays. ( less then 10min after we got them done) she said Jillian had pneumonia. She showed me the x ray. The radiologist had drawn pictures and diagrams for us showing where the problem was. She has a infiltrate of the right middle lobe. Ie, pneumonia
The doctor said that we needed to give her a shot of antibiotics. The nurse then came in and gave her a shot in each leg. She screamed.
The NP then came back and said she was going to let us go home. She and the attending had been debating and she said if it were any other set of parents and grandparents we would have been admitted however she said she knew us and knew we could handle neb treatments at home and that we are smart enough to bring her back if anything changed. They put her on antibiotics and neb treatments every 4hrs.
Where did this pneumonia come from? They think that she aspirated on the vomit of mucus Sunday morning and that caused it to get worse.
Since we got home she has been going inbetween lethargic and slightly playful. If someone was looking at her as a normal baby you would not think much was up but those of us who see her everyday can see a difference. I think Jillian is so use to health stuff that it just does not get her down.
Today we have a dr apt at 11:30 with her ped. We will see what they have to say then.
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