Poor SaraGrace got a tummy ache Saturday night and was moaning and crying. I originally thought it was from the ibuprofen I had been giving her for her fever and cough she had all week. I was tired, impatient and just wanted the kids to go to sleep. When the kids are sick, we sometimes let them sleep in our room (we have a little room off of ours, but it's still our room). She was lying in there and continued to cry and moan, making sleep impossible for all of us. Being the nice mommy, I got annoyed. After trying to help her feel better with no success, finally at 1AM, I lost patience. I truly thought it was just some SaraGrace drama. I ended up moving her back to her own room. Then at 1:30 she and Jake were both crying...but he was burning up. I was trying to deal with him because he has febrile seizures when he gets fevers and I didn't want that to get started. So I rubbed SaraGrace's tummy and covered her up and told her to try to go to sleep. Sunday morning, Jeff told me that he had been up in the night with her and that she was really sick.
Oh the guilt.
I went and checked on her and she definitely seemed to be sick with more than just a flu bug (she had thrown up a few times). Jeff and I both started to wonder about an appendicitis. Of all weeks, I was supposed to teach Sunday school and I didn't want call and cancel at the last minute so I went to church while Jeff stayed home with SaraGrace and all the other sickies.
As I was leaving church, my phone rang with the news that Jeff had taken her to the local hospital. I sped through a drive-thru to get lunch for everyone, dropped the kids at home and raced to the hospital. Poor SaraGrace was lying in bed in tears. She still hadn't been given an IV or any pain meds. They had just ruled out a bladder infection and said she needed an ultrasound to see if it was her appendix. However, there wasn't anyone at the hospital who could do an ultrasound for appendix's so what to do? They decided they would do a cat scan and wanted to give her the dye to drink, telling us it would take two hours to work its way into her system and then they would do the scan.
Um...really?
Jeff had told them she had a heart condition but I'm not sure the doctor understood completely because he insisted that they could do the surgery there if she needed it. I knew that because of her heart, there was no way it could be done there and that she was going to need transfer to Children's. Thus began the battle to get her moved.
I explained to the doctor that she didn't just have a small hole or minor heart condition. She has tetrology of falot and pulmonary atresia. Ohhhhh....the light started to dawn and he paused. I handed him our cardiologist's business card and he disappeared down the hall to make some phone calls. Thank goodness! {Using medical terminology gives parents more credibility, apparently.}
In the meantime, I could tell by SaraGrace's pain and the way she responded when moved that she had an appendicitis. The memories of my own appendectomy two years ago are still fresh in my mind. From there began the saga of Mama knowing what was wrong and having to wait for the doctors to do all the 'necessary' tests to come to the same conclusion. I'm glad I didn't know how long it was going to take for them to reach a diagnosis because I was already feeling a little desperate to get her into surgery before it ruptured.
They finally got an IV in her and gave her some morphine. They arranged to transfer us via ambulance to Children's hospital, so off we went.
Four hours later....
They finally diagnosed her with appendicitis.
I was so frustrated because the doctor put her through an unnecessary x-ray for constipation and asked her to try to 'go poop.' The poor kid had to strain and push with her side in so much pain. {Any of you who have had an appendicitis will appreciate how much that hurt. ARGH. I was holding her abdomen, trying to help, but she was still really hurting, in spite of pain meds.}
The ultrasound tech told me it looked like her appendix was enlarged and then the radiologist came in to look again. He told me that it was ruptured.
Heavy sigh...
I was later told that they weren't overly concerned about a rupture because we had brought her in so early on...that most kids don't rupture until the second day and she was still under the 24 hour mark.
I guess I should have told them that SaraGrace never does anything the way everyone else does it.
Much discussion ensued over the next few hours as they tried to determine the best course of action. The surgeon wanted to take her into surgery but the cardiology fellow on duty wanted to just give antibiotics until more heart tests could be run to ensure that she could tolerate anesthesia. I was quite uncomfortable with that plan--as was Jeff. SaraGrace gets antibiotics just to go to the dentist because of bacteria in her mouth, I couldn't imagine that it would be a good idea to let ruptured appendix bacteria go coursing through her body.
Thankfully, an hour or so later, the senior cardiologist wanted her to have the surgery. Jeff had to go home because he had the older girls with him when he brought my suitcase to me, so he wasn't able to be here during her surgery. Thankfully, all went well and she came out of surgery around midnight and I was able to see her a half hour later. We were in our room by around 2AM and SaraGrace slept peacefully all night.
She will need IV antibiotics for about 10 days due to the rupture, but they are talking about putting in a pic line so that she can go home and I can give them to her. We are not sure how long they will keep her here. I've been told 5-6 days, but I have a feeling it won't be that long. We shall see...
We are so grateful for everyone's prayers. I posted on Facebook that she was having surgery and it was so comforting reading everyone's messages. I read a lot of them to SaraGrace and really seemed to like that.
In the emergency room at hospital number one.
Strapped in for the ambulance ride
My brave baby girl
Sleeping during the ride, thanks to pain medication
*Note to self...next time Kate or SaraGrace need to go to the hospital, take them directly to Children's.
