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Dear

I'm so sorry to hear of your troubles. The IV nurse should have come

sooner and I would have hoped that the nurse would have stayed to see that

the infusion went through without any problems. This may be a stupid

question, but when Chrissy was on long term IV's they either used a midline

or picline which didn't seem to blow like the short IV lines do. Is that

what the infusion people are using?

--Martha

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HI Kim (Jess's Mom)

would have been vaccinated for H. Influenza (HIB), it is a mandatory

immunization, if I am correct (at least in Michigan it is). I agree with

S., they are probably looking at her immune system's memory. I will

send you information on Dr. H in a separate email.

Autumn (Mom to Mark Cd5-Cd19 PID and )

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We had to pull out the IV today because we were having problems getting

a stable line. The first IV blew at (or before) 6 a.m. I called the

nurse who showed up by 9:30 (not my idea of prompt customer service).

He started the IV in the crook of her left arm and left. Five minutes

later when I tried to start the meds, the line was gone again. Another

nurse showed up within 45 minutes and was reluctant to try a stick in

her dominant hand.

I called the dr's office and then paged the ped. He said to " stop

torturing her " and go ahead and stop the meds. He's calling in some

oral antibiotics. If these don't work, I'm afraid we'll be back in the

hospital within 2 weeks. Let's hope not. Hospitalization is so

traumatic for her and trying for the rest of the family. We still have

our 2 nephews and no sign of their parents coming for them any time

soon.

Ray, mother to Tabitha (age 5) and Autumn, almost 3 (IgG def.,

asthma, chronic sinusitis, and allergies--unknown)

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Dear Ray,

A typical IV cathether is inserted (about a depth of 1 1/2 inches) into

a peripheral vein, that is a vein which is small and fragile because it is

close to the outside of the body. A midline catheter is longer and reaches

maybe about 3 to 4 inches ( I don't know for sure -- because this is from

memory) long and goes in deeper where the vein is slightly larger and less

fragile. A pic line I believe goes all the way nearly

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Dear Ray

Sorry, the message got sent before I could finish. The pic line we had

for lasted for a full 4 weeks (didn't have to be changed because of

infiltration or " blowing " ) The catheter is quite long and goes almost to the

heart and was threaded in from the elbow crook. The vein at this depth is

quite large and strong. The infusion nurses only had to change the Tegaderm

dressing once per week. The line stayed intact for the full 4 weeks. The IV

nurse who inserted the Pic line had to do it under sterile conditions and had

to be certified to do the procedure as it is a little more complicated than

just using the shorter catheters.

One other thing we learned about the standard IV's (short) in 3 year

old veins. The size of the catheter (diameter) is very important. If you

use a smaller diameter catheter, it is much easier to get into a child's

veins. However, for some reason, the smaller diameter catheter size seems to

blow more frequently than the larger catheter (at least for us when Chrissy

was 3). Also the kind of antibiotic you are infusing is important.

Something that is irritating to the veins will cause infiltration much sooner

than a less harsh antibiotic. I hope this is of help to you.

--Martha

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Hi ,

WHen Wade was much younger, he had to take Oxycillin & I, too remeber the

nasty taste & having to break open capsules. I suggest trying putting it

into a small amount of applesauce, yogurt, pudding or even a spoonful of

peanut butter & by all means follow it up with somehting Autumn likes... a

special treat, priviledge, prize or any favorite thing. In cases like this

I DO believe in bribery! I've also done it with milkshakes but I think

small amounts of strong flavored solid food works better...just my

experience for whatever it's worth.

You have received good explanations about the different types of IV lines,

so I won't even address that.

I, too get tired of hearing " the same answer " & yet still not having ANY

answer at all! I feel your frustration & your tiredness & I sympathize. Try

to do something nice for yourself once in a while so that you don't " wig

out " as Wade calls it. When that doesn't work, that's when I decide it must

be " time " !! :)

Hope Autumn feels better soon & I will keep you, Autumn & your family in my

prayers! Take care & give Autumn a hug for me.

Love,

Beth

At 11:17 AM 10/18/00 -0500, you wrote:

>Martha,

>I don't know what a midline or a picline is, so maybe you can help me

>with that. We're so new to infusion therapy--I hope it doesn't turn out

>to be a reoccuring event. The nurses put in a heplock for Autumn. Is

>that similar to what you're describing?

>

>They took out the IV yesterday when we had so much trouble and put her

>on oral meds. She is now taking Oxacillin. This med. is no longer

>manufactured in liquid form and we are having to break apart capsules

>and mix it into drinks for her. The result is something terrible and

>we're really fighting to get the medicine in her. I personally don't

>see the difference between the IV infusion and the trouble we're going

>through now to get her to take the new med. To me it's all traumatic.

>

> Ray, mother to Tabitha (age 5) and Autumn, 3 tomorrow (!) (IgG

>def., asthma, chronic sinusitis, and allergies--unknown)

>

>

>

>

>This forum is open to parents and caregivers of children diagnosed with a

Primary Immune Deficiency. Opinions or medical advice stated here are the

sole responsibility of the poster and should not be taken as professional

advice.

>

>

>

Beth Rathburn

Mom to Wade, 13 yrs. with CVID;Asthma;GERD,post Nissen Fundoplication &

Pylormyotomy;Chronic Sinusitis; Eczema;Neutropenia; ? Atypical Migraines

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--Our doctor recently gave us prevacid for Wesley's reflux, it was

me who diagnosed that , thanks to all th info from this group--and gave

him one of the levaquin antib, sayinng he felt that was the only chance

we had to finally clear his sinus inf. Well, the fighting aabout getting

the meds in him was huge...Took most of my energy the 2 days before this

big wa trip, i finally called desparate, pleading for different meds...

Soo he's back on keflex, it helps him hold his own, but never stomps it

out completely. Argh...the pharmacist did his best to explain why he

couldn't put those things in suspension, but i still dind't reallly get

it. He was kind enough to switch the prev. to the over the counter

chewable, he gave me a big box of 50 for my regular pres. copay.

Generous, we're hoping dr will give reglan next time. For those of you

with refluxers , does reglan work as well? Waht is your comparison of

the two? Wesley is 6 today, but i will probalby wait till he's 7 to

try a swallow pill again. ARGGHHH!!! Maurita

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Maurita - Macey started on Reglan in May and it seems to be keeping things

calm. Her reflux isn't greatly improved but it isn't out of hand either.

Macey was taking Propulsid before this and hasn't used the Prevacid. I've

taken the Prevacid and it doesn't do much for me. Had to go on something

else. Hope he's back to par soon.

Ursula Holleman uahollem@...

and Macey's mom (5 yr. old with CVID, asthma, sinus disease, GERD,

kidney reflux, Sensory Integration Disorder, Diabetes Insipidus)

http://www.pedpid.com

/group/PedPID

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