Within 24 hours of the first nose wipe, our home interventions were failing. Though he didn’t seem quite ill enough for an ER visit, we decided that going in before his vital signs necessitated so had the potential to shorten the length of his admission. Convincing the ER doctor to admit him was more challenging than in times past. Regardless of how convincing my arguments were, the doctor was struggling to find clinical evidence to warrant an admission. That’s when I left it up to Zacchaio. There have been numerous times in Zacchaio’s life where Aidan and I have had to pause whatever chaos we find ourselves in, get serious, and tell Zacchaio to do whatever it takes to get himself what he needs. It was only 10 minutes later that his oxygen saturations dropped, he started breathing rapidly, and his heart rate and his temperature both spiked.
By morning of day 6 he finally made a turnaround. He snapped the nurse's face mask on and off her nose, he stood in his hospital crib and cruised around the outer reaches on a treasure hunt for EKG leads, SpO2 cords, and a resuscitation mask. After a week without smiles, his first was certainly worth the wait.