Tuesday, June 9, 2009

Prayers Please! Jonathon is sick...

This has to be quick as we are awaiting a transfer out of here.

I worked last night, arrived home at 8am and Jonathon was sleeping. We decided we would do some driving around for a while so we woke him up and left. By 9:30am, he was complaining that his "belly" hurt. I thought maybe he had to pee so I told Tim to pull over to the side of the road. I got him out and he stood there, trying and pushing but no success. We buckled back up and kept driving. For the next hour, he was having what we now know were bladder spasms. He cried out in pain when you touched his lower abdomen. We went home and he asked me to carry him in the house. Once inside, I laid him on the floor and gently touched his "tummy". It was rock-hard. I looked at Tim and said "we need to take him in NOW!"

We arrived at the ER, was taken back immediately and an initial bladder scan was done. It showed 415 cc's in his little bladder. They cath'd him and sent some of the urine off for tests. They tried inserting an IV and ended up calling IV therapy. Four sticks later and an IV was in place.

The plan was to run blood work, urine tests, kidney function tests, do a kidney ultrasound, and run a bolus of fluid to see if he would urinate on his own. After an hour and a half another scan showed 67 cc's. The latest scan is showing his bladder has filled to a whopping 183 cc's.

They spoke with the urologist here and they said to see a three year old with a urinary retention issue is uncommon. Typically these issues are seen in elderly patients, especially males with enlarged prostates.

When we arrived, his scan was 415 ml. The latest scan was 183 ml (done at 2:05pm). They are concerned because an adult with 200 ml of urine will make them have to urinate. A three year old with nearly 200 ml way too high, especially when he has no need to urinate (nor can he go).

The doctor just arrived (2:10pm) and told us that there is an obvious issue as he is not able to urinate. They are now calling Sparrow to speak with a pediatric urologist. He told us that they don't have any one here at Allegiance that is able to take care of a pediatric patient with urology issues and therefore they feel he needs to be transferred to Sparrow (our request) or U of M. They should be back in a bit to share with us where he will be transferred to.

PLEASE keep us in your thoughts. I worked last night and haven't been to bed yet. I'm exhausted and it's starting to show.

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