We're Sick! The Mycoplasma Attack :(

It all began with an innocent-looking cough and a mild fever on a Friday evening.  "Nothing unusual about it, as common infections are widespread at kindergartens and nurseries ", we thought to ourselves.

A twist of event leading to a twist of outcome

Due to a certain unfavourable reason that day and being obliging, we ended up at another clinic and not the clinic that we usually go to.  

Unfortunately, Alvin's cough became worse a day after.  Went back to the same clinic the 1 1/2 day later. This time, another dr attended to us (it's a partnership clinic).  Received a neb, followed by a change of antibiotic from cephalexin to amoxycillin. That night, Alvin's cough seemed a little relieved, but returned to its violent form by the next day.

In total, it's 4 days down the line, but Alvin's cough and fever still persisted.  The cough turned so bad that Alvin continued to wheeze even after nebulization, and when he coughed, it could run for 10 minutes straight in a row.  His sleep and appetite suffered - he refused all food, and drank very little.

Went back to the same clinic, the dr referred for admission on the same day.  

A little thought as to which hospital to go to came momentarily.  Cost vs convenience, familiarity vs uncertainty.  Finally, we decided to go to where we're already quite familiar with, which is also one of the nearest from where we are.

The process of admission
The emergency department at Columbia Asia Cheras on that Monday night (near 9 pm) was surprisingly crowded for its size.  The waiting time was considered ok, the medical officer on-duty (I didn't get his name) was quite prompt in attending to us. But the waiting time to go to the ward was long, it's past 1 am on the following day.

First, the dr checked Alvin's breathing. After that,  Alvin was given a neb, followed by chest x-ray and blood test.  It's typical of children to scream when blood is drawn, likewise Alvin. 

About an hour later, pediatrician Dr Hew came, checked and asked a few questions about Alvin.  He later proceeded with branula insertion because Alvin will need IV fluid (he wasn't eating and drinking properly) and IV antibiotic.  We've seen Dr Hew a few times before, starting with Aaron about 2 years ago when he was admitted for phototherapy, and for a few vaccinations after that.  Dr Hew is a very soft-spoken doctor and explains things in pretty great details. 

I wish but I couldn't
In most cases when a young child is warded, the mother is the one who'd stay to take care of her child.  I wish I could do it, but alas!  As I am currently in my first month of employment at a new place, I am generally not allocated with  leave.

But compassionate leave, which includes hospitalisation of family members, is available.  However, I don't feel good taking it although my superior is very understanding... unless for critical causes (touch wood, I pray that nothing as bad will happen in my life anymore after one incident back in 2011 at Ipoh GH, which unfortunately had a negative outcome and I ended up utilizing my compassionate leave).

On weekdays, my mother-in-law helps out by staying with Alvin in ward every night, while my husband and my father-in-law accompany Alvin during from noon until the evening.  I only get to see Alvin after finishing work, and room-in during the weekend. 

The culprit, and oh no wonder
Yesterday was a bit fortunate as Dr Hew was around when I went to see Alvin in the late evening. Dr Hew explained a few things, inter alia that blood test shows Alvin is infected by the bacteria called Mycoplasma, or specifically Mycoplasma pneumoniae.  Oh, that's why the antibiotics he took a few days earlier from the clinic did not work at all! 

Alvin's present treatment comprises 4-hourly neb, oral medications for fever and cough, IV Zithromax and chest physio.  Hospitalisation may take between 5 to 7 days, depending on his recovery.  As of yesterday (Day 3 in ward?), he still coughed a lot, although with slightly improved appetite.  :(

Maybe Alvin is going to miss school for 2 weeks.  OMG, this is only the 2nd month in pre-school and he's already like this, I can't imagine how's it going to be like for one whole year.  I like the fact that pre-school helped him a lot in terms of development, like learning to talk and be more independent.  Yet I can't deny how fearful I am if similar illnesses were to recur, because what is ordinary URTI to many other kids, may not be the same for him.  It's likely because very preterm babies are physically not exactly the same as their full-term counterparts.

We too, are invaded by it
As M. pneumoniae easily spreads through cough droplets, it is thus very difficult to avoid getting infected especially when living within the same house and same room.

Aaron is sick now, although not to Alvin's extent (fingers-crossed).

Likewise, I couldn't escape either.  I had a fever (high, at 39 deg C) starting from Wednesday. My chest feels slightly tight when I breathe in.  So when I saw my doctor, I told him that one of my kids is currently in ward due to mycoplasma pneumonia.

Today is my 3rd day with presumed Mycoplasma infection... looking at the way I "progress" i.e. negligible improvement, maybe I shouldn't call it presumed anymore. Appetite-wise, I don't seem to get hungry, don't know why... although I still do eat. Yes, with this particular bacteria, recovery is expected to be longer  In the meantime, I think I'm heading back to the clinic when I'm free later.

Conclusion
I used to think it will be better to cut-short the number of hours that Alvin spends in school.  So that he will get more rest, and cut down a bit of exposure to what he's still not able to cope well with. Like now, his pre-school is from 8 - 12, followed by day nursery until the evening.  The only hindering factor is that no one is able to pick him back in the noon.  I also realised that once he gets used to the back-home-by-noon routine, it will be difficult to go back to the earlier route.

Lastly... Don't succumb to hearsay or nasihat tak bertauliah.  Stick to what is only known to be right, or supported by facts.   This is not insinuating that being stubborn is good, but exception is justifiable under special circumstances.  In order to be tactful, just nod yes, but sit adamantly about the execution part.