It’s like Houston … on steroids!

Yesterday, Houston had his appointment with Dr. Xu, the orthopedic specialist. We were still highly concerned about all of his persisting symptoms: minimal right-arm mobility, lethargy, recurring pain and sensitivity that would sometimes bring my non-cryer to tears, and little to no appetite. Pretty much all his old complaints remained, only the fevers had gone.

Houston’s complexion had also become shockingly pale. When I say he looked white as a sheet, I’m serious. He didn’t have any rosiness to his cheeks and his usual olive tone was completely wiped clean by his sickness. Throw on top of that my already-skinny kid has lost probably close to 10 pounds since all this madness began less than two weeks ago, and needless to say, we were all highly concerned about his lack of improved health.

Houston cheerfully hugs his favorite bud, Snoop Joon (short for Snoopy Jr.), after snacking on peanuts and laughing with Mom, and then devouring an entire hotdog!

The doc – who was the specialist on call in the ER during both our hospital visits and made the original diagnosis – said Houston doesn’t have toxic synovitis. Once he gave Houston a physical, he said that this wasn’t an infection caused by a virus, but rather tendon inflammation most likely caused by … you guessed it … a virus.

See what simply laying your eyes and hands upon a patient can do. Xu knew immediately that the previous determination was wrong once he was actually present with the patient. Wouldn’t that have made things much easier for all of us – Houston, his family, the ER nurses and doctors and other staff, the radiation and blood techs, the pharmacies, the specialist and his practice and their other patients, the data-entry and medical coders, and all the insurance and billing folks who will eventually have to sift through and theorize price tags for all of Houston’s mistaken care – if the orthopedic simply would have made a visit to see my child on his first night in the hospital?

Oh no, they say. Specialists only look at breaks. They never make an in-person visit for any other ortho issues. Well, smarty britches, they should. And I may even challenge our bills once they ALL arrive in the never-ending dribs and drabs that healthcare providers and insurance companies love to mail. But I digress.

I’m not so much mad about the money; what I’m seething about is that my child could have avoided useless and harsh meds, a second sad trip to the ER (which was certainly the clincher to my now being sick), loss of vital calories and needed energy, sleepless nights, bouts of extreme pain, limited to crippled arm movement, days without schooling and time with friends, and of course, Houston just today beginning to be himself again.

I’m angry about a system that doesn’t care two hoots about humans, limiting suffering, and improving efficiency. A system that is bursting at the seams and doesn’t seem to be going anywhere but to hell in a hand-basket. I’m sad that all that ibuprofen and hydrocodone to treat a misdiagnosis masked some of Houston’s pain, but wasn’t making him well.

What he’s on now is burst steroid therapy: 3 teaspoons of Prednisone a day for five days, 2 teaspoons for two days, and then 1 teaspoon a day to finish it out. The dosage was so intense for his rail-thin frame that the pharmacist asked me what the heck the poor kid had and why he was needing such heavy stuff.

But the meds are working, slowly but surely. In fact, it was just this evening where we started to see glimmers of our old Houston lively Houston. He’s eating, laughing, wanting to go outside and see friends, being snarky, and making all those sweet sounds of unapologetic wonderment that only a child can create. He’s regaining his spark.

He was able to hold and write with a pencil and even played a little piano. And as of his last “physical” with Mom before bed, he could move his arm (although a bit hesitantly) in most directions, with the only real challenge coming from trying to raise his hand straight above his head. I’m telling you, his improvement was a blessed sight to behold!

Please keep praying for Houston, for I doubt he’s quite out of the woods yet. I’m actually taking him to his piano lesson tomorrow. I figure it’d be good therapy for him to try to play with his teacher, although I’m sure he won’t be able to make it the whole 45-minute lesson. I guess Gabe and Zeke will just get some extra time with Miss Julie if he can’t last.

And then we go back to see Xu on Friday. I’ll be sure to update everyone after that follow-up. Thanks so much for your continued prayers, calls, texts, and thoughts for our biggest Amigo. And thank you God for answering our supplications.

“May the God of hope fill you with all joy and peace in believing, so that by the power of the Holy Spirit you may abound in hope.” – Romans 15:13

Erring on the side of caution

Just got back from round 2 at the ER, but this time we were only there 7 hours. Stephen, Granny, and I had gotten really concerned about Houston. His ibuprofen regiments hadn’t been managing his pain very well.

He was still eating like a bird and getting intermittent fevers, as well, and not improving in arm mobility, which was dramatically limited to begin with. In fact, it seemed to be getting worse!

We were told that he should start showing improvement after 48 hours, and even though we hadn’t quite reached that mark, we had grown extremely concerned. We called Kim, the amazingly compassionate MA at the Urgent Care we saw on Friday, to get her medical opinion, and she agreed with us: err on the side of caution and take poor Houston back to the ER.

We took two cars, since Stephen is sick himself and we knew he may need to leave early. Houston rode with him, so during my whole trek downtown, I kept having these visions of Houston never again being able to throw a baseball. Or write normally. Or give bear hugs. Or have full use of his right arm.

I was certain we had waited too long to get him to the doc in the first place, and that his little tendons and muscles were getting eaten away by the viral infection – or even sepsis. Thankfully, none of that was happening. (He did have to get another x-ray, but no blood work, which made him happy. Turns out, he hates having his blood drawn and has super-tiny veins just like Mommy.)

We got the exact same diagnosis: toxic synovitis caused by a viral infection. We also obtained an Rx for some heavy pain meds, which he needed by the time we got home from the hospital.

But more than anything, I guess what we really got was peace of mind. Knowing that Houston’s going to be okay – eventually. They say it’ll take a week to two to get him him back to the vivacious, funny, and smart kid we all know and love.

He’ll be seeing his pediatrician and orthopedic doc this week, and from there, it’s just baby steps and unceasing prayers on the road to good health. But God is good. So very good.

Toxic synovitis in Houston’s shoulder

Houston and I made two trips to the urgent care today, as his pediatrician opened late due to inclement weather and appointments quickly filled up. Got sent home the first time with them saying, “Because of all the snow and viruses and flu going around, today’s a very busy day, and it’s a LONG wait. We’ll text you when there’s an opening.”

Finally in, and the NP tells us that she thinks Houston may have septic arthritis in his now nearly debilitated right arm, which she says has been causing his virus-like symptoms (not him having a typical winter virus and then an achy body as a result).

Let me say first that it has been determined (even though we’re still getting a second opinion to confirm) that he does NOT have sepsis. Thank God! But it took us 10 hours – yes, you heard that right, folks – 10 hours in the ER to figure that out.

After …

  • the waiting room from hell
  • triage care
  • more hellish waiting room with everyone donning surgical masks
  • x-rays
  • a return to the now brimming-with-sickness and festering-with-anger waiting room
  • after 3 1/2 hours, an official ER bed
  • a visit from a doc (but not THE doc)
  • blood work
  • lost blood work
  • more blood work
  • a mad dash to the hospital Subway (which was supposed to be open till 1 a.m. but picked tonight to close early)
  • vending machines that don’t advertise prices and require about a dozen swipes to purchase an item
  • an unanswered security re-entry door
  • a plain-clothes man with his wife and kid and a hospital badge who snuck me in an alternate entry
  • a highly anticipated dinner of Cheetos, Snickers, and Grape Crush; hours without results
  • tons of horrid cable TV whiling away the hours ’cause we – in our all grand innocence and with my low-charged cell phone – were highly unprepared for an ER campout
  • a visit from the billing/verify-who-you-are/insurance/HIPAA lady who woke my exhausted son
  • a PA who came in, woke Houston again, got a call, and then immediately went MIA
  • and incessant moans echoing throughout the coveted minimal private-room area just for good measure …
  • we finally got the diagnosis from the now reemerged PA (yet still never saw the bigwig orthopedist): toxic synovitis.

Translation? A temporary form of arthritis that causes pain in the shoulder or hip and develops after a viral infection … they think. Treatment? 382 mg of ibuprofen every six hours.

Needless to say, we would appreciate your prayers on this journey of getting our sweet Houston Lee back to tip-top shape. And if you don’t see us around this weekend, now you’ll know why.