Tuesday, February 17, 2009

huh?

So, I realize that we have been pretty absent in the blog world. I know this because I've gotten lots of questions about my facebook statuses (or would that be stati?) Lots to tell you, so go get a drink, run to the bathroom, grad a snack... I will break this up into "Parts" - which are kinda like chapters, but this isn't a book and chapters seem to indicate that you may never navigate away from this page. Here goes.

PART 1:
Jonas' final diagnosis in the hospital was bronchiolitis...viral infection in the bronchials. Symptoms were classic of this virus. After we resumed our normal routine last Monday, I was talking to a co-worker who asked how Jonas was doing. At the end of the conversation, she asked me if we had ever had him tested for Cystic Fibrosis. Well, no, we haven't because we don't know ANYONE in either one of our families who have CF. Her husband has CF, and she was just wondering because Jonas had RSV in early December and then this bout with a respiratory issue. I think she meant well, but it put me into freak-out mode. I immediately googled CF and called Paul. We read and re-read the symptoms and saw how Jonas matched some of them...respiratory problems, low weight gain were the main ones. Jonas was to have a follow-up appointment with the Dr. that Wednesday (this is last Wed.). After the dr had listened to his chest and checked him over, she said he sounded great. I asked her about cystic fibrosis at the end of the appointment. She didn't seem too worried at first since Jonas had been sick at all the "right" times - meaning during the respiratory illness season. But, she said he did match the profile and ordered a test. To test for CF, they collect sweat and analyze the salt content. Right after the dr, Paul met us at the hospital where we had the sweat test done. There is a new pediatric pulmonologist in town (she is the only one in Lubbock) who came about a month ago and lowered the standards of the test. Therefore, what used to be normal was now borderline, etc. The new borderline started at 30, and Jonas was at 37. Since he was in the grey area, he had to have another one done. So, I took Jonas last Friday for the second sweat test. This time it came back at 42. I started getting worried. Paul was a little more calm. We finally were able to talk to the dr on Friday night (I need to tell you that this dr is filling in for our regular dr who is on maternity leave). She absolutely scared me. You see, while we were getting the first test done, the lab technician told us that in the last month 85% of the kids tested came back borderline or higher...that is a large number considering that only about 30,000 people in the entire US have CF. So, we were a little suspicious, but the dr pretty much refuted that. The dr told us that we either needed to have one more sweat test conducted or we needed to have a DNA test done. Over the weekend, Paul and I began leaning toward just getting the DNA test so that we would know for sure. We were really scared. On Sunday (after I had vowed not to look at the Internet any more), I found an article that discussed the types of sweat test that are used to detect CF. Wait a minute - types of test? I started putting the pieces of the puzzle together. Our lab report said that Jonas had been given the sweat conductivity test which has a different set of normal values. The more we researched, we realized that what it looked like was that the test given in the lab was being interpreted by the wrong set of of values - the sweat conductivity test was being interpreted by the sweat chloride values. So, Paul went to the hospital yesterday morning to find out some answers. He finally got in touch with the medical director of pathology for the hospital who was VERY concerned to say the least. He really thought that the lab report listed the right values but that maybe the test listed was wrong. The more he looked into it, he found that Jonas had in fact been given the sweat conductivity test NOT the sweat chloride test, and the numbers of 37 and 42 were sweat conductivity results. HUGE MISTAKE!!! So, Jonas is fine...we are so thankful! The medical director was so apologetic and was no doubt contacting the hospitals lawyers. There are many children who this would have affected, and we are the first to have caught the mistake. We think the pediatric pulmonologist lowered the standard based on the sweat chloride test not knowing that the lab couldn't even conduct that kind of test. What a crazy experience! Praise the Lord with us. We were pretty desperate and leaning toward devastation that Jonas may have this disease.

Part 2:
I have a new job! I have decided to leave my job as the Assistant Director of Admissions at Texas Tech to stay home with Jonas. There is a whole lot surrounding this decision. Most of the decision is because I want to be with Jonas, but there is also a certain amount of frustration that has gone unresolved with my job. I am really excited and really nervous. My last day is March 6. I will continue to work for my office as a consultant, so I will have some business contact. We are super excited to see what life looks like.

Well, you made it. Thanks for hanging in there. We are off to Houston this Thursday for some much needed rest and restoration. I am looking forward to having a Valentine's date with Paul! We'll post pictures soon - I promise!

7 comments:

lfhcreative said...

I am so sorry that you guys had to go through that scare, and so very thankful that little Jonas doesn't have CF. And so thankful you guys are bright parents who got educated quickly on the tests, hopefully other parents can have some relief now too.

And yay! You get to stay home, part of the time! Of all the scenarios of staying home, getting to work just a little is my favorite. Let us know if you need some help with childcare while you transition, we would love to have Jonas for a few days.

Lindsee said...

Wow! That is a crazy experience. So sorry you had to deal with that much anxiety for nothing. And how smart of y'all that y'all caught that mistake! Glad Jonas is okay and y'all are getting back to normal life.

And, glad y'all get to come to Houston and rest! Maybe we'll see y'all!

Unknown said...

I am praising the Lord with you that Jonas is okay and that you get to stay home!!!! You are going to love being home. You do get to see the ugly side and the fun side as a stay at home mom but you will love it! Now I can call you and chat because you won't be working!

Sara said...

Wow, Sarah! Thank you so much for putting all that out there - you guys have been through a huge ordeal these last few weeks! I'm so thankful that the Lord allowed you and Paul to see the errors and that the medical director checked into it, as well! YEA for Jonas being healthy!!!
I hope your transition to being a stay-at-home mom goes smoothly! I'm sure Jonas will love having you to himself all day long... :)
You guys enjoy your weekend away - I hope it is indeed full of rest and restoration for all three of you!!

TheLudlows said...

Part1: YIKES and PTL. I cannot believe that you were able to figure out the mystery on your own.
Part2- YEA!!!!!! I'm excited for you. It's a different job, but oh so worth it!

H Noble said...

So scary and wonderful that you found the mistake. I know you aren't the suing-type, but they definitely should have been scared and taken this seriously.

Congrats on your new job!!!! I'm so excited for you and hope that it suits you to a tee. I will say I'm a little jealous, but continue to praise God for the blessings he has given me and my family.

amelia said...

Wow Sarah! Talk about an emotional roller coaster! Praise be to the Lord for giving you wisdom to keep asking questions. I'm so glad that Jonas is okay--you really helped out a lot of other families.

And, I know staying home is a big change. I hope you enjoy it to the fullest! Woo-hoo!