November 22, 2010

"Let me explain. No, there is too much. Let me sum up."

Summing up events since the last post:

  • Ayden's rash was checked out at the pediatrician's office.  The tentative diagnosis was erythema multiforme.
  • A visit to the allergist was scheduled for Monday (today).
  • Erythema multiforme is typically caused by a drug reaction.  The allergist (over the phone) thought the two most likely culprits were aspirin and enalapril (two of the three drugs Dr. K wants him on long term).
  • The rash started to go away Friday afternoon.  By bedtime, it was basically gone.
  • Ayden started getting upset overnight Friday.
  • We checked his oxygen level while he was asleep at 6am Saturday morning.  He was in the 60s.  Not good.
  • We woke him up and he was in the high 70s.
  • Over the course of the morning, the awake sats slowly dropped.  By early afternoon, they were in the 60s.
  • By early afternoon, Ayden was on his way to the ED.  He was given oxygen.  A chest x-ray was taken.  It showed pleural effusion on that right side.  Again.
  • I sat with him all afternoon in the ED until someone was available to put a chest tube in.  That was completed at around 8pm.
  • He came off oxygen yesterday and has stayed off it.
  • We have no explanation for the rash. Or for the effusion.

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