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Friday, March 19, 2010

Tessa is Hospitalized

I have repeated this story many times to many different doctors, I will repeat it just this once again.

28 Feb - Tessa saw Dr Chin because she has been crying whenever she urinate. Daddy suspects urinary tract infection, so we decided to send her to the doctor. It was hard to collect Tessa's urine specimen, but Dr Chin prescribed a course of antibiotics (Ospamox) anyway for her UTI.

03 Mar - Tessa stopped crying whenever she urinates, but she started to develop a fever. As both Dr Chin and Dr Chong are not open for business on Wednesday nights. We had to bring her to another doctor. The doctor predicted that the fever is due to the UTI, but I had my reservations because fever usually comes together with UTI, not after it, especially Tessa is on the tier-end of her antibiotics treatment.

Tessa's fever continued throughout the week. It peaked at night and hovered between 38 to 39 degrees. We are all very concerned and did all we can to manage her fever. She was very cranky and refused to take her medicine.

By Saturday, her fever has subsided a little, although it's still high at night. We decided to keep her at home on Monday and Tuesday. On Wednesday (10 March), she was alot better, so we decided to let her go back to childcare. Who knows on Friday night (12 March), after we've went back to Sengkang, she was down with a burning fever, running nose and cough.

So on Saturday (13 March), we brought her to see Dr Tan. Dr Tan is concerned about her temperature and her cough. He said it's upper respiratory tract infection. So he prescribed another course of antibiotics (Zinnat) to get rid of the nasty bacteria.

Come Monday, Tessa is still having relatively high fever (above 38), so we decided to bring her to our regular family doctor Dr Chong. Dr Chong advised that if her fever does not subside by Wednesday, we should bring Tessa to KKH A&E for blood test and urine test.

For the next 2 days, Tessa's appetite got worse, she refused to drink milk (most likely because we've been adding medicine into her milk). Then on Wednesday late night, her fever came back very high (39.3) and we decided to rush her to NUH Children's Emergency.

At NUH, the doctor who saw her was concerned about her prolonged fever and cough (Tessa has been coughing on and off since end January). She decided to conduct a blood test, a chest Xray and a urine test.

Throughout the physical examination, blood test and chest X-ray, Tessa was very quiet and cooperative. She is such a brave girl, I'm so proud of her.



The nurse drawing her blood.
The blood test and Chest X-ray showed signs of bacteria infection. The doctor suspected a case of early pneumonia and Tessa will have to be admitted.

But there is one last test to be done - the H1N1 nose swap. It was heartwrenching to watch the nose shaft the long swap into her nostril. She cried due to the discomfort. The H1N1 results will take 12 hours so in the meantime, Tessa needs to be at an isolation ward.

The next few hours were torturous and traumatic for the little one. Numerous tests will required and many nurses and doctors came in and out of our room. Her fever is still high and they had to force feed her the fever medicine.

The senior consultant A/P Loke told us that there were white spots on her chest Xray, suggesting lung infection. But they still have to rule out UTI and therefore we have to collect her urine specimen. They pasted the urine bag on her, but it collected so little urine that they can't do a full urine test.

In the end, one of the doctors have to insert a catheter to draw urine from inside. It was a traumatic experience for all - the little girl, Yeye, Mahmah, Daddy and me. Grandma and I were crying along with Tessa.

The urine test came back negative - no UTI. So it's a lung infection causing the cough and high fever. A/P Loke prescribed a course of intra-venous antibiotics. They inserted the needle into her hand - again a traumatic experience for her and me.

Throughout the night, she drifted in and out of sleep, and was perpiring alot. Her hair was always wet with perspiration.

Now the good news is, after the antibiotics and an overnight drip to hydrate the little girl, she is now feeling much better. She is urinating normally and her appetite has improved a little. She is able to drink 120ml of milk this morning and ate a char siew bao and some rice for lunch. She is also more energetic and has started to ask to watch her favourite Barney.

As I was writing this, the nurse came to start another round of IV antibiotics drip. She discovered that there is resistance at the barrel, restricting the medicine flow. The bad news is, they'll have to insert the drip needle AGAIN on the other hand.

My poor baby! I am sorry to have put you through all these sufferings. Please let her get well soon.

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