It was one of the
toughest and agony night for me…I woke up on hourly basis , auscultated his
breathing sound and checking his pulse rate. By 5am on the nurse morning round,
his HR had dropped to 100/min with SpO2 of 94%,
but his BP was at an uncomfortable reading of 88/60mmHg despite of his improvement
clinically. The second check was 1 + hrs later after Xian inhalation and
antibiotic medication; his SpO2 was better at 95%, and BP had increase to
94/56mmHg. I was still feeling discomfort about the reading but yet he was in
better shape.
Boss did his
Sunday round at 9:30am and we had a brief discussion, Xian SBP was over 100mmHg
by then. Both of us agreed the Xian was in bad condition on arrival but
improvement was noted. He agreed with the admission ordered and thought that we
were at the right track of management. Xian had improved later that day with no
fever but yet his tachycardic was stationary. Ving had visited us later that
evening and brought us some supplement for our stay. I had a better sleep as
Xian condition was better though his SpO2 was still at 95%. His cough was
better less sputum was noted.
D3 and D4 was a challenge
to both of us as I had to do morning shift. Ving was only able to visit us
later in the afternoon after Yun returned from school.
I left Xian alone
in the room at 7:50am. After 2 days of living with the drip he was able to go
to toilet with it and managed his own routine. His condition had improved
greatly with heart rate down to 80/min(his average was 70/min). SpO2 was
stationary at 97% and his breathing sound had greatly improved. It was a busy
day and when I grabbed a chance to check on Xian at 10am, I found him by
himself at the basement waiting for his turn for sonography. He was cool and confident
about his condition. He mixed his medication (syrup and powder)
and took it by himself after his meal. The feeling of seeing your own child
handling his own task is beyond words..
I fetched Xian lunch at noon and Ving
had brought us dinner later in the evening. The ED was busy and I could only
returned to Xian room at 8:30pm. Xian breathing sound was still noisy but
limited only to the base of his lung. The struggle at that time was to complete
a 5 days or 7 days parenteral antibiotic. I was too tired and slept throughout
the night. I woke up at 5am and Xian reading was almost normal. His heart rate
had returned to baseline and breathing sound was much better. The struggle began as his venocath was due and need to be replaced.
This time, the struggle was less.
I prepared his breakfast and left him
for ED at 8am. He was very comfortable with the environment than; he had wanted
badly to get discharge and go back to school. I had a short discussion later that
morning with boss and agreed that to discharge him tomorrow morning. It was a
busy day in ED and I rejoined him later that night. Ving had come again later
in the evening to bring us dinner. Xian was happy with our decision to discharge
him on D5. He had slept more than 12 hrs per
day during his admission; he had a very severe condition and I thank the great
one for his speedy recovery…We had a great chat and I told him that my fear
during this period. He finally realized why I brought my surface pro with me
when we leaved home 5 days ago; I had expected the worst….
On D5, after the final rocephine drip, I had
brought him home at noon…..
I slept through the afternoon when we
reached home. This was life of a patient’s family. It was not my first one and
I knew it will not be the last…..
I continued Xian on 2 more days of oral
antibiotic and was very anxious whenever he had a slight cough. He had
recovered well after the medication……
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