The ED – A Family Outing
Friday, July 28th, 2006We were supposed to go on a trip by train today, but instead we’ve decided to stay home and eat bland foods.
For the past month, my daughter Sydney has had intermittent episodes of vomiting. It started with gastroenteritis (commonly known by the misnomer “stomach flu”) which her twin also had. Then it resolved, but a few days later woke up in the night with vomiting. It would go away then come back. There were other factors, like the heat wave we’ve had and probably not drinking enough fluid. So finally, for a week, she didn’t have any problems so I thought we were done with it. Until yesterday morning.
Sydney woke up vomiting and vomited every 15-20 minutes thereafter for several hours. No urination since nine the previous night. I couldn’t get enough fluid in her to keep up with the losses and she was just like a limp noodle. I took her to the doctor who told us, as I knew she would, to take Sydney to Emanuel, the children’s emergency department. So the three of us, Sydney and Summerlyn and I, drove to Portland.
The children’s ED waiting room was empty, amazingly, and they called us within 15 minutes. Sydney, lethargic and looking old, didn’t cry or even whimper when the nurse inserted the IV needle. We waited, hour after hour, while the saline dripped in. Summerlyn was all over the place. She played nurse and doctor several times, checking Sydney’s IV, pretending to take her blood pressure and messing with the medical supplies as far as I would allow. We were in the ED for seven hours and for a five year old, she did extremely well entertaining herself and her sister. She made Sydney giggle when she placed her tummy on a stool with wheels and pushed herself across the room as fast as possible, crashing into the wall on the other side. After a couple times I told her to stop banging into things before the ED staff thought we were trashing the room.
David came right after work, which allowed Summerlyn and me to go get something to eat. I let her run down the halls to get the energy out. After one liter of IV saline, one popsicle and two juice cups, Sydney finally urinated (after 21 hours of no urination), which is astounding. Her labs showed she was only moderately dehydrated when she came in, yet she soaked up a huge amount of fluid.
Then she started passing gas, which is good since it shows the bowels are working again. ED staff walking by saw all four of us waving our hands around in an attempt to waft the odor away. David said, “they probably think it’s some strange family ritual.”
Sydney started perking up and rather enjoyed the ultrasounds. Highlights, for her, including looking at her kidneys which she thought looked like a tomato and a slice of olive bread. She also saw the fluids flowing in her intestines and thought it was cool that she got to see herself making poo.
Finally, late at night, she was discharged, although without diagnosis. The doctors were concerned and kept me well informed (since I’m an RN, David asked me to talk to the doctors, “so you guys can do your secret handshake and they’ll tell you more”). She’ll be seeing her doctor next week, who wants to rule out atypical migraines and intermittent intussuception. Her white blood count was higher than normal and her intestines were somewhat inflamed, but that was all. She looks tired today and has dark rings around her eyes, but otherwise seems back to her normal self and is cheerful and eating and drinking well — she specifically asked for “10-grain hot cereal” for breakfast!
Please keep little Syd in your prayers. It’s so hard to see my little girl so miserable and not know what is going on. Hopefully it’s nothing serious and this chapter is over.

