Croup. It's a pleasure we've been dealing with in this house since Joseph got his first cold when he was about 6 months old. Every cold he got, whether caused by the actual parainfluenza virus or not, got "croupy." I'd know I was in for a long night of walking Wyoming Ave or driving aimlessly around town (or not so aimlessly to the 24-hour Dunkin Donuts Drive-Thru on Route 10) when he'd sit up in bed shortly after midnight and proceed to bark like a seal. Sometimes it was really bad and he'd sort of whistle with each inhalation, a sign of more sever croup called a stridor.
We've been pretty lucky with Hannah: she has had croup only once or twice in her three years, and never anything too serious. Until this past weekend.
She'd had a little bit of a cold for a couple of days. Saturday afternoon she looked a little flushed and she sounded a little hoarse, but she'd been running around with a bunch of kids all afternoon, so I figured it was just all the activity. But, sure enough, Saturday night (into Sunday) she woke up in the middle of the night sounding mildly croupy. We opened up her windows to let in the cool night air, bundled her up, and she went back to sleep no problem. Phew.
Croup is often worse the second night, but since Hannah is not usually affected I didn't really give it much of a thought. We put the kids to bed (Hannah's windows were still opened wide), we went to bed ourselves, and everything was just fine. Until about 5 a.m.
Adam heard her first and ran into her room. I followed right behind. There was Hannah sitting up in bed, barking, and trying hard to catch her breath. We decided I'd take her out for a walk. I took her out to the porch and ran in to get some blankets, and in just the time it took me to get back to her, she had gotten worse. I decided to put her in the car.
I was hoping that she'd relax in the car and that her cough -- and the scary stridor -- would improve, but I drove in the direction of the hospital anyway. It seemed to be getting worse, and Hannah was NOT enjoying the cool breeze coming in the windows. But she couldn't even talk enough to tell me to roll the windows up.
I called the pediatrician hoping, hoping she would say that if I could get her to fall asleep I didn't need to be concerned, but no such luck. Into the ER we went.
If you've never taken a child with croup to the emergency room, you may not know that the treatment is adrenaline. You may also not be aware that once they give your child adrenaline, you have to hang around for hours because sometimes it works initially but then there's a rebound affect and the croup actually gets worse than it was before.
Hannah improved rapidly after the first dose of adrenaline, but I could tell even without looking at the monitor (she looked like E.T. with the tiny little pulse-ox meter on her finger) that she wasn't back to 100%. Her breathing still seemed a little labored, but the real clue was that she was calm.
So, at 9 o'clock the doctor gave her another does of adrenaline and said he'd be back to check on her around 11.
She was better before that.
Nothing like trying to keep a kid who's jacked up on adrenaline in one of those tiny little ER rooms -- and trying to keep the tiny little ER room intact all at the same time. She was climbing on the bed (in certain positions she thought it made a perfect sliding board), she was climbing on the big red trash can (you know, the one for things soiled with blood!), she was slinging the curtains open-closed-open-closed, turning the lights on-off-on-off ...
At 10:40, one of the nurses came and checked her and said she was sure the doctor would send us home and that she'd page him to come examine her and sign off on the paper work.
Then we waited, and waited, and waited ... The ER had been very quiet when we got there, but at least 8 kids had come in since. The doctor was nowhere to be found.
An hour-and-a-half later -- AN HOUR-AND-A-HALF!!! -- he finally made it back to us and told us we could go home. Hannah was still flying, but I was exhausted and beaten up.
So, when Tuesday morning rolled around ... you'd better bet your ass I sent her to school on Tuesday!