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Tuesday, June 1, 2010

Memorial Day

Monday the redness and bumps on Kaitlynn's face were gone, until we gave her a dose of Amoxicillin, so we gave her some Benadryl. We met our friends Jill, Emil and Nick at the Greek Festival for lunch. While standing in the food line, Dave and I noticed that both of Kaitlynn's arms had bumps on them (as well as redness and bumps on her cheeks). It dawned on us at that moment that she might be allergic to the Amoxicillin. Dave is allergic to Amoxicillin. We decided that there wasn't much we (or anyone) could do at that point, so we stayed for lunch (and dessert). Kaitlynn acted the same, fine most of the time but with moments of extreme irritability.

After lunch, we came home and I called the pediatrician's exchange. The nurse said that the redness and bumps is just a side effect. She said it is harmless and occurs in 5-10% of kids taking Amoxicillin. She said it typically occurs on day 3 to day 14 of taking Amoxicillin and can last anywhere from 1 to 3 days with a range of up to 6 days. It clears itself and we don't have to stop giving the Amoxicillin. It usually appears on their trunk, face and / or extremeties. She said it was not an allergic reaction. She said it could also be a viral rash. She told us to continue giving Benadryl if it is itching her. She said she needs lots of liquids and rest. She needs to be kept cool, and might want to take cool baths or use hydrocortisone cream on the bumps. She said the irritability is a side effect to taking Amoxicillin as well. She also told us that Kaitlynn could actually receive a higher dose of Benadryl than what we were giving her. She recommended calling the pediatrician in the morning to get Kaitlynn checked out.

I did read the prescription information that came with the Amoxicillin, but Kaitlynn has taken it before and not had a reaction or any side effects. It has just been such a crazy week or 2 (or few years). It has been a stressful week in regards to Kaitlynn's health. Obviously, nothing major, but it just seemed like one thing after another. As soon as we would think she is out of the woods or doing good, something else popped up.

We decided to continue with the Amoxicillin but give it with the proper dose of Benadryl. That seemed to help Kaitlynn. She was able to rest and take a nap.

Monday was also Hanna's birthday. We met Hanna, Adam and MawMaw at Red Lobster for dinner to celebrate. At the end of dinner, Kaitlynn started getting overly excited, then got extremely angry with Dave and bit him on the inside upper arm. She left a pretty good mark on him. She immediately apologized and they were able to talk it through. I can't wait until she is done with this Amoxicillin and returns back to normal. Poor baby! I know she can't be feeling too good being that irritable.

Eckert's Memorial Day Festival

Sunday, we went to church.
Kaitlynn enjoyed her class. The memory verse for the week is: "Children, obey your parents." Colossians 3:20. Their Bible story was about Jonah and the big fish / whale. Kaitlynn said Jesus got ate by a fish. We explained to her that it was Jonah that got swallowed by a whale / big fish (for not listening / obeying God).
She couldn't wait to fill the hummingbird feeder with food so we could hang it outside.
She had to take some pictures of mommy and daddy preparing lunch.
MawMaw, Kaitlynn, Dave and I went to Eckert's for their Memorial Day Festival. Kaitlynn had fun riding on the airplanes, riding 3 ponies, feeding 2 zebu, a camel and goats, playing in the sand box, riding a tricycle and taking a train ride. She loved pushing the kiddie cart around the market. We had a good dinner at the Country Restaurant and delicious frozen custard at the Custard Shop.

Kaitlynn's cheeks were red and had bumps on them for most of the day. We didn't notice any bumps on her arms. We decided to get some Benadryl, as the pediatric dentist suggested. She was still acting extremely irritable at times. However, she still wanted to go and do things. She didn't want to stay home and most of the time seemed like she was feeling well enough to go out. The Benadryl seemed to help with the redness and bumps.

Dinner at the Greek Festival

Saturday early, early morning Kaitlynn woke up with a 101 temperature. Children's Tylenol brought the temperature down. Kaitlynn was fine the rest of the day, again almost bouncing off the walls. We decided to go to the Greek Festival for dinner. The pediatric dentist called to check on Kaitlynn. I told him she was doing much better and wasn't running a fever anymore. We noticed that the redness on her cheeks were back and there were even some bumps on her cheeks. We assumed it was from the surgical tape and the heat. We were only in the heat a short amount of time (though). Dave saw a few bumps on her left arm, but we weren't sure what they could be from and kind of brushed it off. She seemed to be feeling fine, just a little irritable. We ate dinner, listened to music and watched some Greek children dance. Kaitlynn had fun taking pictures of Dave and me with the camera. Then Dave tried to take a picture of her and me and she got ticked. She threw her purse across the table. After talking about that and having her apologize to the people we were sitting with, we went outside. We ate dessert and then Kaitlynn said she was ready to go home. She continued to seem fine with the exception of being irritable. She was hitting and throwing much more than her typical 3 year old self. We just chalked it up to the sedation and still feeling some affects from that and / or the surgery.

Short Trip to the Zoo - Jungle Boogie

Friday at midnight, Kaitlynn woke up very warm and crying. The ear thermometer we use for her wouldn't work - dead batteries. And they are special batteries, so of course we didn't have any! I couldn't get the other thermometers to register under her arm because she was crying and they just wouldn't take her temperature. We gave her a dose of Children's Motrin and it took the possible fever away. The surgery center called to check on Kaitlynn and I told them she seemed to be doing well, but did wake up warm, but Motrin took care of it. Late that morning / early that afternoon, Kaitlynn complained of her head hurting, so she took some Children's Tylenol. It seemed to do the trick.

She was fine the rest of the day, bouncing off the walls, so we decided to pack up some sandwiches for dinner and go to the Zoo for Jungle Boogie. Kaitlynn said she wanted to see the giraffes first, so as we were headed over that way, she got distracted by the ducks. She likes to watch them in the water. When we were finally able to pull her away from duck watching, we went into the new Zootenial Exhibit. Dave and I thought it was pretty cool, but Kaitlynn did not and was ready to leave. I think this is probably when she started to feel bad, but didn't tell us. Instead she started getting cranky and we thought she was just tired and /or hot. It was a really warm day! We saw the big cats, zebras, giraffes and donkeys. When she saw the donkeys, she told Dave and me that Jesus had a donkey. We told her that Jesus did ride on a donkey. We went through the Flight Cage and she rode the carousel. Then she said she wasn't feeling good. She said her stomach and head were hurting her. Her cheeks were really red. The pediatric dentist said that her cheeks might get red / break out from the surgical tape (holding the breathing tube in place). It seemed to be a combination of that and probably more so that she was flushed. We decided to find a nice shady spot or a nice cool building to eat dinner at. Kaitlynn decided that she needed to go home. Kaitlynn wanting to leave the Zoo is a big deal. She loves the Zoo and would stay there all day and all night if she could. I immediately became worried and started thinking something must have gone wrong with the dental procedure and / or with the sedation.

We got her home and she wanted to take a shower. She stayed in the shower for about 30+ minutes, just letting the water hit her. Her tummy was a little hard. She was complaining with her stomach and head hurting. We took her temperature and it was 102.1, so we gave her some Children's Tylenol. Almost an hour later and her temperature was 102.5. I called her pediatric dentist's cell phone and told him what was going on. He said that he didn't think her symptoms had to do with the procedure, especially since she wasn't complaining of her teeth or ears hurting. He said she probably caught a virus and prescribed some Amoxicillin. Within a half an hour we had the Amoxicillin and gave Kaitlynn her first dose. Her temperature started coming down (100.5) and she was able to get some sleep.

Dental Surgery

Thursday morning was Kaitlynn's dental surgery / procedure. She had 5 cavities filled and had to be sedated because of the location of the cavities and because it would be too traumatic to do under general anesthesia.

Kaitlynn couldn't eat or drink anything after midnight on Wednesday. She was still asleep when it was time for us to leave and since we were told to bring her in her pajamas, we just scooped her up and put her in her car seat. She slept in the car the whole way there. She woke up when we arrived. We got to the surgery center 10 minutes early. We were told to be there at 8AM. While waiting in the waiting area, Kaitlynn played with the camera on Dave's cell phone. She didn't ask for anything to drink or eat, which we were worried about. We were taken back to a room around 8:40 by a nurse named Angel. Kaitlynn was excited about the surgery center bed and got right in it. She said "my bed!" Angel brought her a warm blanket and she was set. Kaitlynn and Angel put stickers on (heart monitor). The anesthesiologist came in to talk to us. He told us about the procedure and why sedation was the best route and that it was a common procedure. He also had to inform us that the procedure comes with some risks. He said that she would be out of it, asleep during the whole procedure. They would give her oxygen through her nose and she would have a breathing tube inserted down her throat. He said her nose may be bloody after the procedure due to the oxygen given to her through her nose. He said that her throat maybe sore because of the breathing tube. He said that there was a small risk that she could stop breathing during the surgery, but they would be monitoring her very well and take all precautions necessary. At this point, I was trying not to loose it. I was already nervous about the procedure, but then to hear those words (aloud). To hear that she was going to be totally out, with a breathing tube and that there was a small risk that she could stop breathing was almost too much for me. I just started praying silently for God to give me strength while in front of Kaitlynn. I just kept praying over and over. The anesthesiologist said that she would wake up crying and cranky because she wouldn't have anything to compare this experience too. She has never felt this way before (to be coming out of sedation) and it would cause her to cry and be cranky out of confusion. He said that Kaitlynn should do fine since she is a healthy child.

Tam (another nurse) brought some liquid medication for Kaitlynn to take. It was to help relax her and also contained Tylenol. We changed Kaitlynn into a Looney Tunes children's gown. Angel and Tam gave Kaitlynn a pink teddy bear. Kaitlynn also brought a Barney stuffed toy that Brandon gave her a few nights before. Once the leads were put on the heart monitors, I got in bed with Kaitlynn and just held her, secretly crying behind her back. Dave reminded me that I needed to be strong for Kaitlynn, so I was able to keep my composure. We watched Sesame Street. The pediatric dentist came in to see how Kaitlynn was doing and to see if we had any questions before the procedure. Kaitlynn started talking to him about her dog and how her dog doesn't poop in the house, he poops outside. Very random! Another nurse named Kathy and the anesthesiologist nurse, Erin, came in the room to bring Kaitlynn a mask. It smelled like cherries. They asked Kaitlynn what she named her new teddy bear. Kaitlynn told them "Teddy, Teddy Bear." (Duh?!) They asked Kaitlynn if she wanted to help them blow up a big green balloon. She said she did. So they wheeled her bed down the hall. We followed the bed. Immediately after they started rolling the bed out of the room and down the hall, I was crushed. I was so scared of the unknown and felt so vulnerable. I couldn't stop crying. Kaitlynn did awesome. She didn't cry for us. In fact, one of the nurses had to pick her up from the bed to carry her into the OR and she didn't look back for us or cry. She was comfortable. Thank You God for that sweet blessing. If she would have been crying and clinging to us, I don't know what I would have done.

The other nurses kept telling me she would be OK and that they would take care of her, as we went out to the waiting room. The waiting (while the surgery was going on) made me more sick than the waiting before surgery. A nurse came out at 9:45 to tell us that they just started the procedure and it would take about an hour. She said Kaitlynn was asleep and went down well. I had to excuse myself to go to the bathroom and cry and have a talk with Jesus. I prayed that Kaitlynn would make it through the procedure and that everyone of the staff that came in contact with her would have the knowledge and skill to keep her safe. I prayed for strength to get through the waiting. I prayed and prayed. God gave me the strength to be able to calm down. I felt an almost easiness come over me and I was able to watch the news and read some of the book I brought. Dave commented that he was proud of me. I asked for what. He said for being strong and not falling apart. I appreciated his kindness. I also appreciated my friend Nikki's kindness and support. She texted me throughout the procedure to see how I was doing and for news about Kaitlynn. She reminded me of how strong I am and that I have been through a lot recently, but I would remain strong because that is what Kaitlynn needed me to do. Her words were very helpful.

At 10:40, the pediatric dentist came out and told us that they were done and everything went fine. He said one of the cavities was worse than originally thought so they had to do a front and back filling. Damn genes! He said that she was awake but pretty cranky. I basically ran down the hall to her room, especially after hearing her cries. The nurses were attending to her. Kaitlynn was crying and trying to move while half asleep. They had padding over the bed rails to ensure she didn't hurt herself. She was kind of flailing about. They took her blood pressure and took the pads off one side of the rails so I could lay with her. I got in bed and held her and much as I could (with the monitor leads and IV). She kept crying on and off and saying "mama". It broke my heart to see her this way, but I was so thankful that she was OK. They monitored her for a bit longer and then took her off the monitors so I could hold her in the chair. Her nose was a little bloody. She kept pressing her right wrist up against my body and making the IV bleed. Tam said she could take the IV out if Kaitlynn could take a sip of juice and keep it down. Kaitlynn took a sip, so Tam took the IV out. Kaitlynn fought her while she was taking it out. She was bleeding pretty badly, so Tam and I were trying to get Kaitlynn to let us put some pressure on it. I was finally able to calm Kaitlynn down. She was just crying on and off, groggy, cranky, a little agitated and confused. Tam put some gauze and tape on it and said that there would probably be a bruise there, but not to worry about it. Tam said Kaitlynn was mad at her because she was the one to give Kaitlynn the yucky medicine. (The IV was put in after she was asleep - thankfully.) We watched Barney while the nurses kept checking in on us and monitoring her from outside the room. Erin kept talking about how cute Kaitlynn is. The anesthesiologist came by to make sure she was doing well. Tam gave Kaitlynn a Winnie the Pooh puzzle and told her when she was feeling better she could put it together. We stayed in recovery for about 45 minutes. Tam said Kaitlynn would probably feel better once she was at home. Kaitlynn had started waking up a bit and watching Barney while laying in my lap. Barney was at the beach and Kaitlynn started crying, saying that she wanted to go to the beach. I was ready to book a trip for later that day for us!! Kaitlynn said she was ready to go home, so we left (since everyone was comfortable with that decision). While in the recovery room, Dave called MawMaw to let her know Kaitlynn was OK.

In the car, Kaitlynn asked "What did the doctor do to me?" We told her that he took care of her teeth and that she didn't have to think about it anymore, just to relax. Then once we got close to home, she said "Hey, I thought we were watching Sesame Street? Where's my bracelet?" She wanted her surgery center bracelet back on. It was a little big on her and fell off. I put it back on her. We got home and I put her in our bed to rest and snuggle with. The dentist and nurses said she would probably sleep for about 2 hours when she came home and just to keep her calm and watch her if she wanted to get up and play. This kid was ready to start playing immediately! We put her new Winnie the Pooh puzzle together and she ate a popsicle while waiting for Dave to bring her a Diego DVD home. Once Dave got home with the DVD, she ate noodles and chili mac and was still ready to play. A few hours later, Dave took her to get milkshakes from Steak n Shake (we were hoping she would fall asleep in the car). Tam said it was best to give her popsicles, ice cream and milk shakes unless she wanted other things. While in the drive through, she told Dave she wanted a toy, so he got the milkshakes and then went by McDonald's to get her a Happy Meal. She ate a few bites of the hamburger and a few fries. Later they went for a walk and she fell asleep in her stroller (for 2 hours). She seemed to feel fine the rest of the day and didn't need any pain medication. Her voice was a little raspy or low (from the breathing tube). Her little voice sounded like she didn't feel well and she didn't look to well through her eyes. She looked a little puffy, too. Most of that went away by the next day.

Kaitlynn has such a wise soul! We are so proud of our big, brave girl (as we always are)! Another sort of "accomplishment" during the procedure / surgery is that she stayed dried. They said many kids urinate during the procedure.

Thank You God for our answered prayers, for Kaitlynn coming through the procedure well and not having any complications!