Let me start by saying that M’s weekend was normal – he was eating and drinking normal for him.
Yesterday morning he was sleeping in a bit late (which sometimes happens when he doesn’t nap the day before and Sunday he just napped for half an hour in the car which can be normal for a Sunday) so I thought he was just tired. I let him sleep an hour late and then went in his room. He didn’t wake, was out like a light, rubbed his hair and he opened his eyes. I asked him if he was ready to get up and he nodded his head yes. I left the room to go into my room and nurse Matthew and figured he’d just come out (he is in a twin bed and usually just gets out when he wakes in the morning and knocks on the door if I don’t beat him to it, which I normally do because he starts talking first). After I nursed, I went back in and he was in the same position in bed. I picked him up and brought him into my room where Matthew was. Took off his pj’s and changed his diaper. Full of pee. Norm. Full, full, full. Tried to give him breakfast and something to drink. Didn’t want a thing – not norm. Thought he was just tired and was still waking up. Did some things with Matthew and tried to get Michael to eat again. Not happening. Went into his room to open his blinds and get something I thought he’d like to read and noticed a yellow dried pile on his sheet. There was nothing on his pj’s or diaper so I knew that whatever it was it came out of his mouth or nose. No substance to it. It looked like a big spot of what dried blood would look like but it was yellow. Came out of his room and went to him he had not moved from the spot he was in. Very unusual. Is normally running around. Felt him, he felt warm. Took his temp 96. Called the pediatrician and said he wouldn’t eat/drink, felt warm and temp was 96, found this dried yellow spot and he wasn’t moving around or responding to anything I said or asked. (he was breathing and looking at me but not answering me or smiling or moving without me physically picking him up) I really at first just thought he was real tired. I thought the pediatrician was going to say come in now and I’ll squeeze him in but I could hear the nurse talking to him and he said call 911.
Called 911. They came took his vitals, things were okay, a little off but not alarming. Then they took his sugar *red flag* they said it should’ve been between 60-100 and it was 27. Yup. 27. Grabbed his car seat (I had already grabbed both M’s diaper bags and put extra things in them and in my purse) and they strapped his car seat to the stretcher. While I was on the house phone with pediatrician and then with 911, I was texting dh that he had to come home now. He pulled in right behind the ambulance. DH took Matthew in the car seat in his vehicle and drove and I rode with M in the ambulance.
In the ambulance the EMT’s wanted to get an IV line into M to give him fluids/sugar. They made 3 attempts and weren’t successful so they gave up and gave him a shot in a muscle in his thigh for sugar. (after the 2nd failed attempt I said "can we just get him to the hospital then?" I was so scared seeing him and knowing how low it was and how dangerous they said that was) We got to the ER and it took a while for them to get a line into him. Ended up having it in his foot. They needed to get blood from him but he was so dehydrated and sugar was so low that not much blood was coming so they let it drip out and pumped/squeezed the blood out of his arm with their hands. Finally they had enough to run the necessary tests. Also did a chest x-ray.
Said he needed to be admitted. Got into a room around 2pm maybe. So far blood work/urine samples were coming back within normal range for everything except sugar and showed dehydration. They were testing M’s sugar every 2 hours throughout our stay. Late in the afternoon they allowed him to start food/drinks. Already saw him perk up a bit from the sugar IV. He ate well and drank 3 cups of juice immediately. Again perked up more. His color got better and he started to talk and smile but never sat up. Until this morning the entire time he was hooked up to IV and then monitors for heart, bp and pulse. He never once yesterday tried to touch the wires he was just laying there. This morning he was feeling better and began to complain about everything attached to him. At 7:30 I asked to take a little break from the heart monitor since that had consistently been good.
We have a follow up appt with M’s pediatrician on Friday. When it came down to it they basically said that they don’t know why this happened. They told me that if it happened again to call 911 again and get him back. And that if it happened again they’d be exploring his sugar (diabetes possible) and his liver. (liver came back within normal range via blood but one of the doctors felt that his liver seemed awfully big) So this Friday he’ll be checked by his pediatrician, bloodwork will be done and we’ll see if something comes back as a red flag for diabetes or otherwise. The hospital pediatrician felt that after a couple days of him being off IV’s and in his normal routine we’d see how that blood looked.
I know this is garbled, long (too long I know) and some of it probably doesn’t make much sense (also I might be leaving something important out) but I’m exhausted so I’m not going to edit or read this over right now. I was lucky that they let M2 stay since I was nursing but I really just got a little less than 2hrs sleep. M slept from midnight -4 and when they came in at 4 to do his vitals he never fell back to sleep. I laid down at 12:30 in the room and M2 was ready to nurse at 2:20.
So basically I don’t know yet if this was just a fluke incident or if he’ll have something with sugar or liver. Time will tell. The one doc said dehydration does definitely cause low sugar but he wouldn’t expect it to be that low. They also told me it was good I called 911 when I did because as the level gets lower it could’ve been even worse. They said below 15 could’ve been life threatening.
We got home this afternoon. So now he has been without IV for about 8.5hrs. He ate a good dinner. Hopefully he sleeps well and tomorrow is more of a normal day. If he throws up, has an abnormal bm, is really fussy, fever, won’t drink or eat before his appt Friday they want him back in. Fingers crossed that won’t be necessary.
Thanks for all the hugs and support. You guys are the best. I'll be back online tomorrow to catch up on everyone else.
And, Ashley, thank you. :bighug: