I'm becoming quite accumstomed to the routine, dr emails, phone calls, lab visit, leaving the room while they strap her down, more dr calls, up the elevator to another department, avoiding the mess of sick people, PARKING, waiting.. you know the drill? Well we're on it again. This time i wonder if i overreacted and could've avoided it all.. i will never know i guess. Libbi is not sick, perfectly healthy in fact. She just looks really blue to me.
On Friday we went in to get her synagis and i asked if we could get a o2 reading, she would not cooperate so i said nevermind i'm sure she's fine. Well by last night (Sunday) she was looking more and more blue, even her fingertips looked blue so instead of dealing with the drama of the ER, i called my friend, Andee, who has a baby very similiar to Libbi, and who has a monitor of her own. I went over and for 10minutes we left it on her foot. She sat quietly and nicely in her car seat while we watched and talked a bit. It never even got to 75, she was between 71-74 most the time. Her heart rate stayed consistent, about 125-130, so i felt this was a very accurate reading. Which is WAY too low. When we went in Dec to Menon, she was 75, and sick, and he was concerned. I knew that below 75 would mean oxygen. I emailed him and got an out of office reply, he's gone til the 17th. So this morning i called Dr. Rose, he asked that i take her in to the lab and get another reading, as well as her hematocrit, hemoglobin and ferritin checked. We headed up to the respiratory department where they put a probe on her forehead to check her oxygen, she was crying, squirming and not cooperating. After, O maybe 2 minutes of it going from 73-81 he says "well looks like she's at 81" I would love to think that, but i think he's wrong. Again, maybe i'm creating a problem where there is none, but it just seemed weird that after only 2 minutes and her not cooperating that he could feel good with that number. Anyway, long story, sorry but i want record of it, i am now waiting for the blood work to come back. If her hematocrit is above 50%, we will put her on oxygen, because it was 49% last March, and if it's higher now it means her o2 saturations have been going down. In the meantime, Dr. Menon emailed me back from INDIA! Yes thats right. He is the greatest i promise! He said to get an appt for next Tues with him. Acutally, here is his email..
Hi Mindi,
I am in India at present and will be back on 14th. I can see her on tuesday since Monday is a holiday.
We will schedule her for a cardiac catheterization next week to see if there is something we can do using catheter based technique to improve her saturation. In the meanwhile it will be good to start her on some oxygen to keep her sats > 75%. Take her to her pediatrician and see what he thinks, if she needs to be seen by a cardiologist sooner than that.
Stacey,
If she needs to be seen early can you ask Dr Mack or Dr Mart to see her for me.
Let me know what you decide.
Thanks,
SM
I'm still uncertain if he wants to do the cath Tues, the MRI and echo Tues or just meet Tues and decide what to do.. i will keep you posted when i know. As for now Dr Rose and I decided we will see what the hemocrit is and then go from there. We will get our own monitor at the very least, so i can watch her from home and while she sleeps, i guess it goes down while sleeping. If we do oxygen, wish us luck, not sure how that's going to fly with lil miss sassy pants :)
I will know later this afternoon of the plan.
In March 2010 her blood work was:
Hematocrit 53-54%
Ferritin 43
Hemoglobin 14.6
Update.. Sooooo.. apparantly Dr Rose's office lost their phone service this afternoon. I called every 20 minutes from 3pm to 530pm. No answering service or nothing, it just rang and rang and rang. Finally i just called up to Mckay Dee's lab and got the results myself. January 2011
Hematocrit 53.2%
Ferritin 20
Hemoglobin 18.0
(I figure this will be easier to find her old numbers than having Drs go through all her paperwork. They kept asking me what her last hematocrit was and i had no idea. This time i will know)