There comes a point for some parents where trips to the emergency room brought on by allergic reactions are no longer the harrowing, white-knuckle experiences they once were. Tonight, we learned we have reached that point.
Pops turned 59 Wednesday, so we planned to bring the boys down for a family dinner tonight, then leave Jack and Max while Kristie and I took Charlie to our small group gathering. Just before we left, Pops broke into his birthday cashews and offered a few to each of us. Jack obviously was not an intended recipient, given his
Christmas Eve 2005 adventure. Max asked if he could have one, and Kristie and I consulted ever so briefly and agreed. Whoops.
While we were not ten minutes into our drive to Grayslake, K called and said Max's cheeks were reddening and asked how much Benadryl she could give him. We suggested a dosage and agreed to pay attention to the phone in case the situation worsened. Well, sometime after 8:30, it worsened as Max heave-hoed the contents of his stomach. Though he settled down quickly and was in good spirits, Kristie ordered a trip to the ER. We tossed Charlie in the van and met K and Max in the ER waiting room.
By the time we arrived a bit after 9 p.m., he was red almost from head to toe (except for what basically would be his mustache area, were he able to grow a mustache, which likely will not happen for at least 30 years if not 50). But he wasn't having trouble breathing and did not seem to be as itchy as you might expect for someone whose entire body was a rash. He was fairly talkative (as usual) and basically displaying the trademark resiliency he's displayed since
the day he was born. This kid is as tough
as the nails we thought he swallowed a few years ago.
The first thing we did was the initial admissions checkup at which a nurse weighed him (about 16.2 kilograms ~ 36.5 pounds) and checked his pulse (132 bpm) and temperature (no fever). Then he was taken to a pediatric ER room where they asked us the same questions as before (any medications? When did this start? Et cetera) and took some of the same readings. Shortly after, a nurse practitioner and two other ladies in scrubs came in and asked some of the same questions again. (I know this happens everywhere, but by this point two people had asked the questions and written down answers. If you're not going to read the chart, then why force someone else to do the work?)
The NP did the all-important check of his mouth and confirmed his airway was not constricted. In the world of food allergies — at least so far as we have learned based on our experiences with Jack going back almost six full years — the most important thing is to make sure the kid can breathe. I mean, no one wants to see a kid throw up a bunch, and at some point you have to worry about dehydration. But you eat a bad nut, you yak it up, you move on. If you can breathe without any problems the entire time, you're going to be OK. The NP told us Max would get some more Benadryl and, the reason we came to the ER, a steroid. By this point, Charlie was growing quite fussy (way past his bed time, of course). I decided I needed to take Charlie home to sleep. K would wait at the hospital with Max and Kristie. Jack had been with Pops the entire time, which I assume wasn't a big problem in the scheme of things.
The minor hassle was the issue of car seats. I originally planned to move Max's car seat (and Jack's booster, which can go anywhere) into K's car. However, I could not for the life of me get his car seat loose. Those friendly police officers who helped us install it correctly during an open house in August did an
amazing job. After screwing with it for maybe 10 minutes (with K holding a fussy to irate back to fussy Charlie in the parking lot the entire time, and remember this is December in the north suburbs, so even the remarkable mild weather is still a bit brisk), I decided to instead remove Charlie's car seat from its base and install it in the Rav, leaving the van at the hospital.
With that decided, Charlie and I drove home. I sent some text messages to the people from our small group, who had a decent idea why we left so abruptly but probably wanted to know as much as I could share. I got Charlie to bed and decompressed a bit and eventually started to write. I'm reasonably sure most people who are not family members don't need or want this degree of detail, but this is the kind of thing I find I need to write down when the events are fresh because not too far down the road I will want to know exactly what happened the night of December 2 and how we managed the circumstances.
What happened, to go back to the beginning, is Kristie and I decided Max could eat a cashew. And why not? The kid has undergone a full battery of allergy tests. And while he has reactions to animals, plants (including trees and grass) and perhaps even just the outdoors, he has had no problems with food. He has a robust diet, including nut products such as peanut butter or, from the tree nut family, things like pesto sauce (which is made with pine nuts) and so on. He takes a tablespoon of Zyrtec and a prescription nose spray each day to keep his body in check in relation to unavoidable allergens. I simply did not see this being a problem. Of course, as with so many other things, I was wrong. When will I learn?
As I write this, I still do not have an update from the hospital. I'm operating under the "no news is good news" clause, but I still would like to have a bit of a hint what's happening. One of our friends has already offered to hang with Jack in the morning, which might be a great plan since Max and I will need rest, while Kristie, who might need rest most of all, will have to be alert enough to feed Charlie, who has no concept of putting his own needs behind those of others. Which is understandable.
And as soon as I finished that paragraph, I got a call from K telling me they are on the way home. Apparently the lengthy delay was not related to Max's condition, which never worsened, but attributed to the overall business of the pediatric ER wing, including at least one other child who seemed to be very ill. So we can count our particular blessings. K said at one point Max needed to use the bathroom and when he came back from that his full-body hive had begun to break down with color returning to at least parts of his body, so it seems we are heading exactly in the right direction.
Nothing more to add here tonight. I'm not feeling overly poetic or sanguine (whatever that means), but I sure do feel good knowing we've been down this road before and feeling like we took exactly the right steps to make sure Max got the care he needed and also realizing there are much greater problems many other people have faced today. If you're still reading by now, thank you so much for caring about us and our family. We love you too.