Joshua currently has Influenza and Pneumonia. In honor of this…today’s memory takes us back to October 2004. Joshua is 6, in 1st grade and Matthew is 4. One of the all-time lows in our household. (Sorry for the length.) Background info…we’ve been through 4 heart surgeries between the two boys by now. Matthew has been extremely ill for a good year or two, in and out of the hospital with asthma type issues; sick all the time. I can’t remember for sure, I was in a fog all that time. We are stuck in survival mode. Joshua and Matthew become deathly ill at the same time…no exaggeration. I take them to the Pediatrician. Matthew cannot stay awake, he is so sick. The doctor says they both need steroids for trouble breathing, pulmicort and albuterol NEB treatments every 2 hours for the next 24 hours and zithromax for pneumonia. The nurse gives Matthew a shot in the butt of antibiotics. He wants to put Matthew in the hospital. I said “I can’t have one at home and one in the hospital!” He said “Fine, I’ll admit them both. Josh is sick enough.” I said “That’s not where I was going with that. I have everything at home to care for them.” He made me call Mike at work to come home and help me or else he would not let them go. It was a long 24 hours. But, things started to look up. The boys seemed to be improving. Joshua gets better enough after a week to go back to school.

Joshua sick at our Halloween party
During the next couple of weeks though, he doesn’t progress anymore and still seems pale and tired. One day I went to pick him up at school and he walked over to me and dropped on the floor and started crying…SO out of character for Joshua. I bent down and asked what was wrong and he said he had a headache all day. (He’s always described any kind of pain or illness as a headache.) I drove straight to the Pediatrician’s office and said someone needed to see him…this was not right. The doctor saw him, did a chest x-ray and said you need to have someone at Children’s Hospital look at him tomorrow. Matthew had an appointment already with his Pulmonologist so I said I would see if they could see Joshua as well. They agreed. The Pulmonologist took one look at that film and sent us downstairs to cardiology. I couldn’t believe it. In half an hour they were telling me that the pneumonia had ruined Joshua’s prosthetic mitral valve that had been put in when he was 9 months old and was supposed to last until 5th grade. He was in heart failure, the valve needed to be replaced. They put him on new meds to get rid of the pneumonia and control the heart failure. When the pneumonia cleared they would do the surgery. The doctor said he could continue at school as long as he felt able. The next morning I went to wake Joshua up for school. He was so pale and weak, he just sat on the floor by his bed. He didn’t have strength to get dressed. That really scared me. I called the Cardiologist and they said to go ahead and bring him down to Children’s to be admitted. They wanted to figure out exactly what bug we were dealing with so they could treat it as quickly and as aggressively as possible so they did a bronchoscopy where they put you to sleep and put a camera and scope down your throat into your airways to get samples. They figured it out and said we are on the right track with the meds; we just have to wait for him to get stronger.

Joshua waiting for surgery day
They took him in the following week for surgery to replace his valve. It was the week of Thanksgiving. For some reason, my kids love to be in the hospital for holidays. Some family made it into town to help with the other children. Mike and I had Thanksgiving dinner in the waiting room of the PICU without our family. Joshua got through surgery and recovery remarkably well; no complications.

after surgery in PICU

Eating an Icee after waking up in PICU
They told us this valve should last him until he hits his big growth spurt if we can keep him healthy. (So, you can understand why I get so nervous about these bugs and this pneumonia!!!)

Look how excited Matthew is that it was not him to be tortured...this time!
Two weeks after Joshua came home from the hospital Matthew was admitted. He was sick…really sick…AGAIN!!! They treated him with NEBS and antibiotics but couldn’t figure out what he actually had. After several days he was getting better though so the Pulmonologist said he was going to send him home. I had so hit my limit…it wasn’t like me to tell a doctor no but I did. I told him I’m not taking him home until you find out what is wrong with him. I’m tired! I can’t do this anymore! He ran one more test and we found our answer. Matthew’s immune system doesn’t work! That explains it! He had not built up one antibody for all of the vaccinations we had given him over the years. He has Hypogammaglobulinemia and T-cell dysfunction. We did the first IVIG infusion in the hospital and he improved SOOOO much. It’s amazing what the right diagnosis will do for you. Matthew wasn’t completely better yet…there was still work to do, but that story will come later on…right here…only in Monday’s memory at the state of zenn.
And now a message from our sponsor: The IVIG is made of antibodies from the blood of 1000 - ONE THOUSAND healthy people. That is ONE treatment. That doesn’t count the donations that may have been tested and illness or infection found so it can’t be used. Matthew receives this IV every 21 days. That is a lot of blood. If you are able, make sure you’re donating blood! And, I know we’ve all learned well that we need to share but…NOT the germs…stay home when you are sick!!! Thank you!