On Thursday morning, Hana woke up with a fever. She wasn't acting herself - she was cranky and out of sorts, like she woke up on the wrong side of the bed. I gave her some Motrin and took her temp 2 hours later. It had gone up from 101.8 to over 102. I called the advice nurse at the pediatrician's office, who suggested switching to Tylenol, but was concerned that her fever had gone up after the Motrin. She said to take her to the doctor if her fever was still over 102 in the afternoon. I waited a couple more hours and gave her some Tylenol. Her fever continued to rise.
So we went to urgent care in DeKalb and saw Dr. Patel, who was very nice. She examined her and found no evidence of ear infection. Hana did have some cold symptoms, so Dr. Patel thought she had a virus and we just needed to let it run its course. She said to take her to the ER if it got to be 104.
By 5 pm, Hana's fever was at 104. My mom, Hana, and I got in the car and followed my aunt to the Kishwaukee Hospital ER. Hana was really not doing well at this point. She was very unhappy, hot all over, and really out of it. All she wanted to do was nurse, for comfort, which was a good thing. We waited in the waiting room for about 10 or 15 minutes and then a nurse called us back and took her temp. It was 105 and she was obviously feeling horribly. I started to be really scared at this point. The nurse then did a nasal swab to check for flu and RSV and a throat swab to test for strep. Hana hated both of these tests, and I felt so terrible that she had to endure such invasive procedures when she was feeling so sick. Then she got a big dose of Motrin. There were no rooms, so we were sent back to the waiting room with a cold pack for her neck. Hana laid on me, nursing, with the cold pack on the back of her neck for an hour. It was a terrifying hour. Her eyes were closed and she was very listless. We kept checking to see if she could be roused. She would move when we really tried to get her to, and she kept on nursing, but she was clearly not OK.
Finally a room opened up. We had to rouse her to go back to the room. By the time we got back there, she had perked up quite a bit and was talking and pointing and smiling. The nurse took her temp again and it was down to 103. The nurse said that was quite a drastic drop for such a short time after receiving the Motrin, and that it was a good sign. At some point, they told us that all her tests up to this point had come back negative.
The doctor came in shortly. It was still a mystery what was going on, and he let us know we should try to find the cause. So she had to get a urine sample to test for a urinary tract infection, a chest xray to check for pneumonia, and a blood draw to check her white count and other indicators. The first test was the easiest. They just taped a little bag on her and hung it outside her diaper until she peed - which she did, and this was a good thing, because if she hadn't, they would have had to insert a catheter. The other tests were scary for her because she had to be held down, and of course, the blood draw hurt. And at some point she got more Tylenol but hated it so much she gagged and threw some of it up. All in all, she was quite a brave little soldier. It must have been very scary and unpleasant to be poked and prodded like that. I was nervous about the chest xray and related risks, so I called her pediatrician's office, who said that the amount of radiation she would get is the same she would get from going through the metal detector at the airport. That put my mind at ease, and it seemed prudent to try to rule out pneumonia even though she didn't really have any symptoms of it.
A few hours later, her fever was gone and we learned that Hana had a urinary tract infection. That meant two shots of antibiotic - one in each leg - which meant holding her down again. It was so sad, you could just see the fear on her face. But it was quick, and as with all the the tests she endured, I nursed her afterward for comfort. I made a comment, something about "getting the boob" after each trauma, and one of the techs said the world would be better off if we all got that. :) At this point, we were just waiting for discharge papers and instructions. It was close to 10 pm, way past her bedtime, giving us the Miss Cranky Pants act, and she hadn't had any dinner. The cafeteria was closed so one of the nurses gave us some saltines. Hana ate three of them. We got a prescription for antibiotics for her to start the next day. She fell asleep in the car on the way back to my aunt and uncle's house and slept peacefully until 5:30 the next morning.
Poor Pete! He was home, having gone back to SF from St. Louis. Between my mom and I, we managed to keep him updated by phone as all of this transpired, but he felt helpless. We missed him a lot.
The next day I checked in with Hana's regular doctor who preferred her to take a different antibiotic, one less harsh for her little tummy, so we switched it out. Friday she felt much better - well enough to visit Great Grandma at her apartment. Saturday she was even better and had an absolute ball playing with all my aunts and uncles and cousins and their kids at Aunt Linda's house. On Sunday, her appetite returned and she ate and nursed and drank formula like she was making up for the past 3 days, which she was. That morning, we flew back home.
Monday we went to see her doctor for follow up. Her doc contacted the ER for the records. She wanted to see the urine culture results to make sure Hana was on the right antibiotic. Later that day, the doc called me, and she was MAD. The hospital didn't run a culture. They only tested to see if there was an infection, but not what type - so there was no way to tell which antibiotics the infection is susceptible to or if it is resistant to anything. She said it was not even a medical student type of mistake - it was a gross error on the part of the hospital. So we will have to watch Hana very carefully after she completes her antibiotic to make sure the infection does not flare up again, in case it is resistant to the Keflex she is on. The doc says not to worry too much, because she doesn't think she has ever seen any Keflex-resistant UTIs.
So that is the story. We survived her first real illness, with a trip to the ER, 2000 miles away from home. Special thanks to Aunt Linda and Uncle Herb for helping us out (and for waiting to eat pizza with us until 10:30 at night!), my cousin Sandy who is a nurse in Denver and gave us lots of phone advice, and my mom for hanging out with us in the ER for 4+ hours. And last but not least, a special shout out to Mork the cat for keeping Hana's spirits up through it all by letting her pull his tail and grab his fur.