Monday, July 23, 2012

Joey got his ears lowered

We let Joey's hair grow wild and free for 20 months, 2 weeks and 3 days.  Then it was time.

Hours before....


It was just too much in the back.  I couldn't take it anymore.

During....




Sad dad :(




He was actually quite angry/depressed after this whole ordeal.


Unkie Danny there for support.


Of course I kept it.

And after....


So handsome.

We then proceeded to try and mess his head up by asking him "Joey where'd all your hair go!?"  He responded by turning in circles, grabbing his head saying "Where'd it go!??"

Monday, July 16, 2012

Infectious Disease

Wednesday morning at 9:45 a.m. we will be meeting with Dr. Zachary Miller, an infectious disease specialist.  Read here.  And here.

We were asked to chart Joey's activities, symptoms, disposition, etc.  I added in his complete ER history since November of last year as well as any fever or sickness that didn't end in an ER visit.  Our concerns are also added in.

I was asked to do this.  This is not me going way too far and being all crazy.  They like detail!

Anyway, for those interested, here is what we have. 


History:
11/29/11
temp of 103 (104.4 in ER) - febrile seizure
slight ear infection
Joey is then on every 4 hour routine of Tylenol - fever returns rapidly if we try to miss his             dose.

12/3/11
urgent care for fever still not going down
neutropenia (low white blood cells - can't fight anything off)
Anemia
ceftriaxone
blood tests

12/4/11
urgent care follow-up
more antibiotics

12/9/11
blood test - abnormal liver function

1/24/12
office visit with ped - fussy behavior, still not acting right
ear infection - w/o fever
blood test - slightly abnormal - transaminitis (damage to liver)

03/28/12
follow up to see if Joey has finally recovered - he has
mentions Joey’s head circumference

04/17/12
fever and cough - pick up from daycare

04/23/12
conjunctivitis

05/24/12
urgent care - buckle fracture of foot

06/02/12
re-do blood test to see if still anemic - not

06/07/12
fever and barfing - pick up from daycare

06/21/12
fever - urgent care - ear infection - fever of 103

07/09/12
urgent care high fever 104.6 - pneumonia - ear infection
 
07/11/12
urgent care possible allergic reaction - throat swollen and red with white dots on top - diagnosed with possible hand, foot and mouth - dr. said ears looked fine
 
Points of concern:
Fever that goes from 98 to 103 in a matter of minutes.
No sickness symptoms and then very rapidly becomes quite ill.
He is becoming increasingly more clumsy.  Sometimes it looks like his legs just give out.
Once the fever is here we have a hard time controlling it.
We feel like the doctors are looking for the easy thing to get us out the door.  We doubt he has an            ear infection half the time and seriously doubt he had pneumonia.
Every time we have him on antibiotics he is fine. Once off antibiotics he is like a ticking time        bomb.  It usually is 1 week sick with antibiotics, 1 week recovery and getting back to   normal, 1 week normal, next week sick again.
He has always been in daycare so wouldn’t he have been sick like this his whole life?  Instead of just the past 6 or so months?
He drinks a lot of fluid - always seems thirsty.

What we need to know:
Does he have an immunodeficiency disorder?
Is he possibly allergic to something?
Is there possibly some infection inside of his body?

7/10
3 am - Tylenol 5 ml
6 am - ibuprofen 1.875 ml
10:20 - doctor apt
11:45 - get home, take temp because we skipped 9 o’clock Tylenol dose - 98 degrees
12 - notice he is shivering (we are outside and it is 70 degrees) tells me he wants to lay down - very irritable and whiny - take temp 102.7
12:05 - 5 ml Tylenol - lethargic - twitching - ice pack on back and cool rag on head
12:05 - 12:40 temp between 101 and 103
1:25 - wakes up from nap - 100
1:30 - antibiotic - won’t eat lunch
3:00 - ibuprofen 1.875 ml
4:30 - 98
5:15 - 99.1 - noticed cheeks were flushed so I took temp
6:00 - 101 - whiney - wanting to be held - panting and trying to sleep - Tylenol 5 ml
8:00 - 98.8
9:00 - 99 - ibuprofen 1.875

7/11
12 am - Tylenol 5 ml
3 am - Ibuprofen 1.875 ml
6 am - Tylenol 5 ml
9:00 - Ibuprofen - 98 degrees
12:00 - energetic and eating - Tylenol 5 ml
5:30 - notice swelling of his throat - red with white dots on roof of mouth - wont swallow and     has pain when he does - still drinking but no eating, cries whenever he drinks.
9:30 - slight fever (100) doctor diagnoses potential hand, foot and mouth - continue ibuprofen

7/12
4:49 pm - drooly and irritable give Ibuprofen 3.0 ml
2:25 am - irritable wanting to be held no fever

7/13
great day at daycare - temp was fine all day - eating normal and playing normal
 
7/14
slight decline in appetite. Normal temp.  Extremely whiney and irritable.

7/15
sweaty all day but no temp.  Extremely irritable.  Noticed weird marks on arm, possibly bug bites. Rash on lower back and on his penis and testicles, nothing really on butt.  Diarrhea.  Extreme thirst but no real appetite.


Seems a bit excessive, I know.  But this is our life.

We will keep you posted on what the doctor says on Wednesday.  I imagine there will be a variety of tests done as well as a physical examination, so we might not know much immediately. 

Friday, July 6, 2012

Pee pee

Potty training. 

Probably every parents nightmare...or at the very least something they dread from the get go.  I know for me, the sheer mention of the term makes the little hairs on the back of my neck stand up.  And I also know I've been worrying about it and trying to plan for the impending doom since Joey was about 5 months old. 

I'm not that big a fan of pee and poop any place but in a diaper or toilet. Quite frankly, I don't want to deal with the in between stage.  I don't want to deal with the guaranteed 371 "accidents."  The thought of all the laundry and embarrassment (for him and me) and just the grossness of it all makes me nuts.

I want it to just happen.  I also know that is never ever ever going to happen.  (another solid argument for the "lets just have one kid" debate).

Luckily Joey's daycare doesn't give a shit about what I want and has started putting him on the potty every 2 hours.  And, shockingly (or not so shockingly, because he is a freaking genius), he goes.  Only pee pee for now, but that pee pee is pee pee that doesn't waste a diaper. 

I can of course try and tie this back to all the times I would sit him on the potty and make funny high pitched "go potty!" noises at him.  But I am not any where near consistent enough with that to take any sort of credit. 

It's daycare and the repetition.  Damn it.  It's the routine they have him on and the association they make to the pee pee and the potty and what all that business is about. 

So I guess what this means is, whether I like it or not, potty training is slapping me across the face.  Joey seems ready.  He kinda gets it.  I just wish I could psych myself up for it.  But how do you get psyched for every hour take the diaper off, sit on potty, make funny noises, get excited, clap, give m&m, wave bye bye to potty and wash hands!?  EVERY HOUR!!

Suck it up, right.  Stop bitching and be thankful, right!?

Right.

BUT THE LAUNDRY!!!!!!


Tuesday, June 26, 2012

Remember us!?

It's been a while, I know.  

I've been busy.  The normal mom of a 19 month old busy mixed in with do two people's jobs at once kind of busy.  (The stupid girl I was covering for while she was on maternity leave decided she wasn't going to come back, so I got stuck with her awful job for wayyyy too long).  It's the sucky kind of busy that has me in bed by 8:30 and being 5 months past due for a haircut kind of busy.  Fun stuff!

We've been trucking along.  I don't know if we were too tired to notice the child for a couple months, or if the child was actually chilled out.  I know we had bed time issues for a bit and then we didn't.  And then we got some more teeth and then that was over.  None of it really registers because none of it was that traumatizing. 

We did have a fractured foot about a month ago.  Also, actually, not that traumatizing.  For us anyway.  We are getting better at this pack everything and go to the urgent care thing.  Which for us is now a totally normal aspect of our life.  We are there at least once every month and a half.

Our new normal.

So now that the fog has cleared, plan on me being back.  Probably part time and mostly to post pictures.  I am planning on getting rid of our facebook - so this might be it for the Armondo clan.  We'll see.  I might be too busy at urgent care to actually accomplish anything.





Wednesday, March 28, 2012

16 month check up

Today we went in for our 16 month check up.  This was a very bittersweet appointment because we had to say goodbye to Joey's doctor.  Dr. Richter has a young family and I think in an effort to save his marriage, agreed to take a different job that would allow him to be home at a reasonable hour.  So as soon as we got the letter saying he was changing jobs, we scheduled Joey's check up.

Everything with Joe is great.  He is still in the 99-100th percentile for height...coming in at a whopping 2 feet 10 inches.  Weight is good, 26 pounds, eyesight, ears, lungs, everything great.  There were some awkward moments when they had to measure Joey's head twice and have a little meeting in the hallway to "discuss."  Apparently Joey's head is also in the 99-100th percentile.  What that means...who the hell knows.  But it means enough to have a discussion, repeatedly measure and tell me he thinks it is pretty proportionate, but that we should keep an eye on it.  What.does.that.mean!?  I know Joey has a huge head, believe me, I am WELL aware of his head, but what does having a big head mean?!

Anyway...

Dr. Richter said he was impressed with all the words Joey knows and said it was amazing that he was even piecing together little sentences.  (This convo happened as Joey was waving his shoes at me saying shoe, bye bye.  Apparently Joey was over it).

We also talked about the baba.  The babaaaa....it's time to take the baba because it will only get harder and harder as he gets older.  He did see however that it was his comfort thing and said we should do it when we are ready.  I liked that. 

The end of the appointment is why I love Dr. Richter soooo much.  We are really behind on vaccines and have open communication with Dr. Richter about what we want, when we want it and all our reasons surrounding that situation.  So we discussed all the shots Joey would be getting and would need very soon and we talked about the possible fever side effect.  Dr. Richter knows we don't do fevers with Joe.  He saw us through that ordeal and knows we have to wait until Joey is at least 5 to take any normal approach to anything involving fever as a side effect.  So he formulated a vaccination plan that I felt comfortable with and he felt comfortable with.  He went so far as to include specific instructions for the next years worth of vaccines so his successor will have all the necessary information.  I love that.  I love that Dr. Richter knows Joey so well, knows me and Rick and knows the wants and needs of our family.  I AM SO SAD to see him go.

We go back in July to meet the new doc, discuss more vaccinations and redo Joey's blood work to make absolutely god damn sure his liver function and iron levels has finally recovered from the worst virus of all time. 

Oh and we also have to recheck his head circumference...whatever.the.hell.that.means.

Monday, March 5, 2012

Rawr

First family trip to the zoo!!!  Yay!!!  Included was lots of rawrs, lots of ooo ooo ooooos and pointing and clapping.  Success.

First stop, Giraffe.





This boy loves himself a lion.  He made rawr noises for close to 10 minutes.



Oooo ooo oooo ooo ooooOOOoo



Speechless. 



Then we took a little break and went into Zoomasium.  It's so weird to see Joey in an atmosphere where he is a real toddler doing toddler things.  He plays on toys now and tries to make other little friends.  The burrito is a real boy now.



This was oddly enough one of the highlights of his day, the ducks.  We're at the zoo and Joey is obsessed with ducks.  Why are ducks even at a zoo!?