this post is basically for my records, so that i can print it out and have it in wyatt's baby book to document illnesses, etc. so, bear with me. if anything, this will educate you and maybe you will learn a thing or two, as i have over the past few weeks.
in between birthday parties and the circus this weekend, we were at the urgent care with wyatt for 2 hours saturday, 4 hours sunday and at the ER monday night for 4 hours as well.
let me back up a bit.
january 18. my mom (a new PA) stayed with wyatt for a night when jack and i went out of town. she noticed that he turned grey when sleeping and had a "strider like" sound when he was excited, busy, etc. i, thought these things were our normal. palate related. his coloring.
on monday january 21 my mom showed up at my house and handed me some information on what she predicted he had. LARYNGOMALACIA. we went to the pediatrician, who sent us to the hospital, where we stayed overnight to measure his oxygen. everything was ok. suggested to see ENT for possible laryngomalacia.
call dr. matthews office to get a referral for dr. mair (pediatric ENT). takes days. they won't give me an appointment until FEB 20th. pissed. defeated.
in comes 14 day ear infection and terrible cold and cough.
thursday jan 31: mom looked in his ear, she thinks double ear infection
friday feb 1: go to dr, ears good. confused but happy that the weekend looks good for everyone!
saturday afternoon feb 2: crying uncontrollably after nap, inconsolable. they say go to the dr if they cry like that for over 30 minutes. go to urgent care. all looks good, even ears. confused.
sunday afternoon feb 3: breathing labored, wheezing. go to urgent care. taken back immediately because oxygen is 93 (needs to be over 95). get chest and throat x-ray. dr says "she has never seen a throat look like this, it looks a little twisted", (wth??) sending to CMC radiologist, who later says it's clear. feeling uneasy about all that. she says lungs sound good, but wheezing is loud. then proceeds to tell me to sleep with him and watch him. very uneasy. she never looks me in the eye and is on her computer typing away. lesson learned. will always make dr look me in the eye and explain what the hell is going on. says to come back if gets worse, ie:fever. told to see ENT. duh. diagnosed with bronchiolitis.
monday night feb 4: call dr. mairs office and leave detailed message....finally get apoointment for tomorrow. wheezing is very bad. in every breath, there is a bit of a struggle. fever of 101 at 7pm. do not want to go back to urgent care where i didn't get any answers. head to ER. big mistake. takes 1 hour to even get oxygen levels taken. immediately begin to cry. waiting room is packed, i am exhausted, don't want to be around these sick people and just frustrated about no one finding out anything.
get called back. dr doesn't know what it is. (heard that before!) calls in another dr. she says the same. xrays look good but there is narrowing in throat. duh again. respiratory dr comes in and suctions his one nostril. says fever goes with bronchiolitis. what? still NO answers. told to see ENT. thank God we are going tomorrow! go home at 11:15 pm.
tuesday feb 5: see dr. moss at charlotte ent in matthews. looks in ear, immediately says he has fluid in both ears, they look terrible. that is where fever is from!!!! ANSWER #1 (mom was right!) he says avoid ER and urgent care- they don't know what they are doing. goes down his throat with a camera, says, yes! he has larngomalacia!!ANSWER #2 he will grow out of it, it is not a threat to him, he is okay. i just lost it. finally, i can rest and ease my mind. finally, a diagnosis and again, my mom was right.
so, diagnosis: mild
larynogomalacia with minor prolapse of arytenoids. he has an omega shaped epiglottis.
In infantile laryngomalacia, the supraglottic larynx (the part above the vocal cords) is tightly curled, with a short band holding the cartilage shield in the front (the epiglottis) tightly to the mobile cartilage in the back of the larynx (the arytenoids). These bands are known as the aryepiglottic folds; they create the movements that opens and closes the vocal cords for phonation. The shortened aryepiglottic folds cause the epiglottis to be curled on itself. This is the well known "omega shaped" epiglottis in laryngomalacia.
Laryngomalacia results in partial airway obstruction, most commonly causing a characteristic high-pitched squeaking noise on inhalation (inspiratory stridor). Some infants have feeding difficulties related to this problem. Rarely, children will have significant life threatening airway obstruction. The vast majority, however, will only have stridor without other more serious symptoms such as dyspnea (difficulty breathing).
i almost hugged dr. moss and once we got into the parking lot, i lost it. i hope this educates some of you - any child can have this. it also comes along with reflux...that is another sign. i know a few of you who read this are pregnant with a child that has a cleft and please know, this might not happen, BUT if you hear those sounds, get him/her checked by an ENT because it may not be palate related, like i assumed.
being a mother is the hardest job on earth. we want our children to be healthy and happy. i have been so worried and uneasy since our hospital stay in january about these sounds. now i know he is really OK. i took long enough but you have to fight for appointments, fight for time with these doctors, fight to be understood. make them look at what you think is the problem and not brush it off. a total of 5 doctors looked in his ear and said nothing was there. it took the ENT 2 seconds to say he has terrible ears and that he would need tubes.
thank you to my friends for the texts and calls. i have been living in my own bubble of sick peeps over here. i have also not found out the exact date of wyatt's surgery which is also VERY frustrating. i know that i am lucky (he is lucky) to wait in line with dr. matthews, but again, as mothers, we have to call, call, call and keep these people on their toes. it's exhausting.
so, if you haven't heard form me in a while, this is where i'm at. i am keeping a bit to myself. soaking up every last moment with this face before it is forever changed. thank you everyone for your unconditional support for our family. we love you!