Thekla was running another fever this morning. So we kept her home and Bryan took her into the doctor again.
It is easiest to just paste the update Bryan sent me in email:
What Dr. Fillipo said:
Thekla has upper respiratory inflammation (URI). If it happens more than once, they start calling it “asthma”. In children her age, it’s caused by a respiratory infection causing irritation of the lung tissue, and the body responding with an allergic reaction which just adds to the irritation and inflammation.
Treatment is a short-term muscle relaxer called Albuterol that gets the muscles that line the bronchial passages to unclench, making it easier to breathe — but that’s just treating the symptom. The other simultaneous treatment is basically a liquid form of Prednisone that gets at the underlying inflammation. Five one-a-day doses of that plus every-4-hours of the albuterol and she should be fine.
He wasn’t really clear on the persistent fever, but said we should stop the antibiotic as it probably wasn’t a bacterial infection at all. My suspicion is that if she’s able to get a good night’s sleep without constant coughing, she’ll be able to fight off the virus. We should bring her back in in two weeks to see if it’s cleared up completely, or if we need to start thinking about long-term asthma management.
He said that she’s not infectious, and that if we wanted to we could put her back in day care, with the caveat that if she starts coughing like crazy they’ll certainly call us to bring her home.
This has just been going on for so long, I just want my little girl better.