Showing posts with label airways. Show all posts
Showing posts with label airways. Show all posts

Saturday, March 5, 2016

nausea weight loss during pregnancy | Stay at home momma

nausea weight loss during pregnancy



Washington DC December 2011
One of the things about being a stay-at-home mom is that you never get a break. There is no "lunch hour." I cant tell my kids, "Sorry, guys, Momma is on her half." No. It is a 24/7 job. And when things are rough is when I am needed most. My husband and I were talking the other day about what it is like when he comes home and asks "So, what did you guys do all day?" or "Have you packed my lunch yet?" He said that sometimes he thinks that I think (follow that?) he can do whatever he wants when he leaves the house, that his job isnt hard. I told him flat out no way. I think his job is exceptionally challenging. I know he works hard. I know he studies hard. I know he is under a lot of pressure. The key difference between his job now (college) and my job (stay-at-home mother) is that when hes stuck on a difficult problem he can take 5, go get a cup of coffee, and approach the problem with a cleared mind. He has other bonuses as well: he has adult interactions during the day, he gets affirmation that hes doing a good job (I would love someone telling me, "A+ work today!"), and his success is measured. Honestly, I think he works harder than I do. My job is like a stream running down a mountain. It is steady, daily work that few people notice, but that stream does have a purpose. I know that my job is important and I enjoy my job. But, man, there are days when you just cant catch a break. One child wakes up in a bad mood, the other wants to spend the entire day yanking down everything in sight while the first child screams whenever you put him down, and the preschooler asks over and over again, "When will he stop crying? Can we go ride bikes? Can we go on a walk? Can you play with me? Do you want to snuggle?" Those are the days that your husband calls and says, "Did you get my PT stuff washed?" Not only is the answer "no," but your dryer is full of now-wrinkly clothes and your washer is full and probably needs to get ran again on high heat so the clothes dont smell moldy. Plus you originally planned to make something for dinner that required 10 minutes of prep work and stirring-- not happening while children are screaming and clinging on you.

The hardest days for me are the ones where I am busy non-stop. Like when we have preschool drop off and pick up, doctors appointments, grocery shopping (even when it is just an online pick up-- still gotta put the groceries away!), maybe a playdate thrown in there, and laundry. And dishes. Always those blasted dishes. The toddlers are fussy. The preschooler is grouchy. The dog is wild. Im distracted. Or just getting a little cranky with kids hanging on me crying. And I do the best that I can all day. Giving the kids hugs and smiles. Trying to involve them in my chores and errands. Singing songs with them while we work or wait. I struggle through bedtime by myself. O doesnt want to do his medicine so we sing songs together for the entire nebulizer treatment. I keep telling C to stop pulling DVDs off the shelf. D doesnt want to go to bed when Daddy isnt home. The toddlers dont want to brush teeth; they want to yank everything out of the bathroom cupboards. No one wants to calm down for stories and prayers; they want to pull my hair and argue over my lap. I finally, finally, finally get them all down to bed to come out, pour a glass of wine, and start working my way through the dishes. Then I pick up all the toys around the house. Put all the loose socks I find in the hamper. Finally, finally, finally sit down on the couch to pet the dog and put my feet up when my husband walks in the door, "Hey, would you mind packing my lunch? I have a lot to get done tonight. I have a paper due at 11:30 pm." Whenever that happens I get an image in my mind of a cartoon balloon popping and flying through the air as it deflates.

It is hard to put into words what I do as a stay-at-home mom. I met up with a girlfriend of mine at the park today. We havent seen each other in a couple weeks. She says, "How have things been going since I saw you last?" And you think... wow. Miscarriage, vacation, Os asthma, day to day life with three kids... How do you express it all? I say, "Pretty good. You?" And I know shes thinking medical stresses with one of her children, life with three kids (kindergartner plus twins), husbands work schedule, day to day life... And she says, "Pretty good." And then we fill each other in. We both know how crazy our day to day life is. We both know how weve been stressing about our kids. We both know how hectic it is managing our kids around our husbands work schedule. But it is hard to put it in words. When we left the park, she had to go get her oldest from the bus. Mine was in the back of the car yelling, "I have to pee!" One of my toddlers was pouring a juice box in between his legs onto his car seat. Unloading the van at home, both toddlers sprinted down the driveway to the road. I put them down to nap while they kicked and screamed (and strangely calmed down during prayers). When I walked into the kitchen after putting them down to nap, I found my oldest at the table with permanent markers and glue sticks. The dog found an orange stuffed inside a shoe. Our days werent over-- or any easier-- after chasing toddlers around a park for a couple hours.

I think the best way to describe being a stay-at-home mom is "constant stimulation."

There is no compartmentalizing anything. You cant schedule the day and say, "Okay, kids. We are going to change diapers at 9:00 am, then breakfast from 9:15-9:30. After breakfast you can have 15 minutes of playtime while I clean up the dishes..." Even as I write this blog my oldest is saying, "Hey, Mom, look at all these stickers I have. Hey, Mom, when can I watch Dinosaur Train? Hey, Mom, does paint come out of hair? Hey, Mom, when is our dogs birthday?" And the diaper changing is constant. This morning O had a stinky diaper when he woke up. C had a stinky diaper after breakfast. O had another small stinky diaper while I was cleaning up breakfast, then another small stinky diaper before we did his breathing treatment. C went down for a short morning nap and then woke up with a stinky diaper! Including Cs wet diaper this morning and his wet diaper before morning nap, I changed 7 diapers before noon.

Picture taken by TwinBug Photography
at twinbugphotography@yahoo.com
This morning didnt go as planned. Not only did our plans fall through for this morning, but C woke up in a right little mood. He didnt want to sit in his high chair for breakfast. He didnt want to eat his breakfast after I convinced him to sit in his high chair. He didnt want me to put him down. And he didnt want to stop crying or fussing even when I was holding him. Eventually I just put him down for a nap. His eyes were closed before I finished saying prayers with him. When one child is acting this way, I still have other things I need to get done. I still need to get myself ready. I still need to make the other boys breakfast. I still need to feed the dog. I still need to get D to preschool on time (or as close to on time as possible!). Life doesnt just pause because one of the children would rather spend the morning crying in my lap.

If youve read my tab, "How do you do it?", you will have already seen this:
As much as I love my job, sometimes I feel insecure about whether or not I am "doing the right thing." There is so much going on, from supporting my husband in his career to being a full-time "domestic engineer." Sometimes I wish someone would come by the house and say, "You know how your little guy has the same tantrum everyday for the same reason? Well, you are handling it the right way. You are doing such a great job being loving, yet firm. In about two months he will grow out of that and you will have instilled a great lesson in him. And, by the way, you should wait a month or two after you get your orders before you move. Your husband can help you move then and your oldest will easily transfer kindergartens. Keep up the good work." But there is no one knocking on my door letting me know whether or not we are making the right parenting decisions.

Sometimes the hardest thing about being a stay-at-home mom is that you get no credit. Your kids dont thank you for changing their diapers; they actually fight you tooth and nail the entire diaper change. Your husband probably wont notice that you finished the laundry (unless you are like me and really behind on the laundry). In fact, most of the time, the only feedback you get is negative. I dont think my husband realizes what hes saying when he asks, "When will you get the grocery shopping done? Id really love some extra things for my lunch." I dont think he means anything when he says, "When will the laundry be done?" And I know my preschooler isnt making statements about my parenting when he begs to go outside on a beautiful day or asks me to read him a story while Im cooking dinner (always breaks my heart when he asks to do things I would love to do with him but cant for one reason or another). And I know my toddlers arent trying to make me look like a bad mom when they repeatedly yank everything off shelves or throw tantrums when I tell them no or flail in shopping carts. And all those wonderful strangers that like to give me parenting advice while we are out in public-- gotta love them. I know all of this isnt a report card on my ability to be a stay-at-home mom, but it sure is frustrating to see no progress and somehow makes me feel like Im failing on some level.

Sometimes things just dont pan out like I would like them to. Sometimes the toddlers are sick and I cant take them outside. Sometimes the day is too busy for me to get the grocery shopping done. Sometimes I start laundry and totally forget about it because my day is out of control.

Most of the time, I have a valid reason why something doesnt get done. I am, after all, one person. My to-do list is never completed. At the moment, we are going through all those dark corners in our house that junk collects so that we are prepared for our move to South Carolina (when it eventually happens). But you know what? Sometimes my to-do list doesnt get done because I need a break. I dont think that just because you stay home with the kids means you have to work like an indentured servant. There are times when I take more breaks than other times. For instance, when the kids are sick-- one or all of them-- I do no work at nap time that doesnt have to get done. I dont get the house back up to "visitor standards;" I leave the toys all over the floor and I try to rest before they wake up again. If I feel myself just losing patience or feeling exhausted, especially during this last pregnancy, I follow the same rule. On a regular day, like today, I give myself an hour or two. I pick things up so I dont have a whole days worth of mess to clean up later. I prep dinner so Im not doing all the prep work after the toddlers wake up from nap. But then, I do something I want to do, even if there is more work to be done. Our preschooler has some quiet time (right now hes doing art) and I have some "me time." Most days I read. Some days I catch up on the Bachelor. Today Im blogging.

But my time is up. The laundry needs to be moved. The dishes need to be done. Dinner needs to get in the oven. The toddlers will be up in T minus 60 minutes...

How do you deal with the challenges of being a stay at home parent?

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Tuesday, March 1, 2016

weight loss during pregnancy stories | Reactive airways

weight loss during pregnancy stories


Here we are... Asthma Management Plan in hand for one of our toddlers. Last February, O had a severe case of RSV that put him in the PICU for four days. Shortly afterwards, we were seen by an asthma/allergy doctor who told us that O has "reactive airways." We actually had not noticed his retractions, induced by simply walking around the room. She asked, "Does he always breathe like that?" She was very helpful and put him on Singulair, but I left that appointment feeling like a horrible mother. The big question running over and over again through my mind, "How did I miss that?" He stayed on Singulair for a couple months, into the summer. We-- thank the Lord!-- managed to avoid catching any summer colds. The summer passed easily and O finished his prescription on Singulair. I watched his breathing and didnt feel that it was "out of control." I still noticed those retractions, but they didnt seem that bad. Maybe he was doing fine?

September came and the weather cooled. Our boys caught their first cold of the season two weeks ago. It passed around between us, a mild cold that only caused congestion. While our preschooler and C seemed to have caught it and moved on, it settled in Os chest. He was up two nights ago coughing intensely, the next day he started wheezing, and that afternoon he started retracting. Always a good natured child, he smiled and giggled all through that night, snuggling in bed with my husband and I while we nervously watched him labor. Yesterday morning I brought him into the pediatrician for a breathing treatment. His oxygen levels were still good (the color never changed in his face and he wasnt lethargic or we would have been at the childrens ER in a heartbeat!), but his retractions were intense. The breathing treatment helped and we discussed what I should do at home. Our CPNP gave me the option of an Albuterol inhaler or the nebulizer. As an (adult) asthmatic, I know how and am comfortable administering a breathing treatment with the inhaler. I even had given my oldest breathing treatments that way when he was a toddler, thus I chose the inhaler.

That evening his wheezing became much more intense. His retractions really picked up. I gave him a breathing treatment via inhaler with a child-sized spacer and it went okay. He wasnt fond of me holding him down, but he did take the required dose. Off he toddled, wheezing less but still retracting. My forehead furrowed... what should we do? He slept fitfully through the night. I heard him cough and toss and turn. I listened and each time he managed to fall back asleep. I worried through the night. Is he in there struggling? Sleeping? Is he okay?

This morning his wheezing was back in full force. I wrestled with him through a breathing treatment. He saw the inhaler and took off running, apparently no longer curious about the bears on the side of the spacer. I made him an appointment with the pediatrician to possibly get another breathing treatment and to discuss our options. I worried about the rest of the cold season. Would we end up back in the PICU? Or continue coming to the pediatrician every time he gets a cold, like we did last season even on Singulair? Where do we go from here? I felt like Singulair wouldnt be enough, but that what we were doing (nothing) wasnt covering it. And, for a number of reasons, I wanted to see a different asthma/allergy specialist. We saw a different doctor in the practice since it was a last minute appointment and our CPNP was unavailable. However, our CPNP met with the doctor before our appointment and filled her in on everything. Our doctor walked into the appointment fully knowing Os story and had reviewed his chart. Instead of spending the appointment filling her in on his past medical history, she knew his history with RSV already and about his history of wheezing, as well yesterdays appointment. We spent time discussing family history and really listening to Os lungs. She confirmed the reactive airways diagnosis, stating that it is really difficult to say that a 17-month old definitely has asthma. Although, considering our family history and Os personal history, she would guess that this isnt something he will outgrow. Regardless, we need to treat it now. And so we wrote a treatment plan for Os reactive airways.

Yesterday when O came into the pediatrician for breathing treatments he was in the "Red zone." Today he is in the "Yellow zone." We want him to be in the "Green zone." Here are his medications for each zone, each given through a nebulizer unless stated otherwise:
  • When he is in the "Green zone," he will only take Pulmicort twice a day. Symptoms in the "Green zone:" breathing is good; no cough or wheeze; can work and play.
  • In the "Yellow zone," he may need 2 puffs of his Albuterol inhaler through the spacer. Within an hour he can take a dose every 20 minutes, up to 3 doses, if we are out of the house. If we are home, an Albuterol treatment with the nebulizer. After the hour, if his symptoms keep improving, he can continue taking puffs from his inhaler every 4-8 hours, if needed. She said that if were to come down with a cold, we could use Orapred, a corticosteroid, for 5 days. This is more effective in managing a flare-up than bursts of Albuterol, which is a bronchodilator. Symptoms in the "Yellow zone:" coughing, wheezing, tight chest, wakes up at night.
  • The "Red zone" means trouble. Starting with the symptoms: medicine is not helping, breathing is hard and fast, nose opens wide, cant walk, ribs show, cant talk well. We continue with the Albuterol and Orapred. We contact our doctor and see what she recommends, or we call 911. She said, if we follow our action plan, that usually we will be calling 911 instead of the pediatricians office because we will have followed all the steps they would recommend. We dont want to be in the "Red zone."
We had to do an Albuterol treatment this evening, our first at home. O started retracting and wheezing, his nose started flaring some, and he could not catch his breath. I whipped out the nebulizer and set everything up. At first he wasnt happy. The breathing treatments in the hospital for his RSV were very quiet. With a nebulizer, the machine is loud. He didnt like it at the pediatricians office and he didnt like it at home. I held him in a cradle hold so he couldnt turn his head away from me and sang him "Beautiful Boy," a favorite of ours. He calmed down by the end of it. The nebulizer treatment took about 10 minutes, as our pediatrician said it would. During that time, my other toddler got a fat lip and pulled every book off the bottom shelf of a bookcase. I told my mom that I kept saying, "If you take that book off the shelf, I will... okay, seriously, if you take that next book off the shelf, I really will... this time I mean it, do not touch that book... please? Please dont touch that book?" I really think C knew that Momma was busy and could not get up to wrangle him. The fat lip... he took the box the nebulizer came in, laid his blanket over top of it, and then banged his head on it. Why? Does that even make sense? He looks up and there it was-- a fat lip. For the Pulmicort treatment before bed, I put C in his crib while I gave O his treatment. Containment: a twin moms best friend.

All along this road, every doctor weve spoken to about his wheezing and reactive airways has mentioned his severe RSV back in February (see my blog post, "RSV and premature babies"). Today our pediatrician mentioned it. She said that there are many studies about whether RSV triggers reactive airways or if children with reactive airways just come down with severe cases of RSV-- what comes first? This question has really weighed on my mind. After talking with our doctor today, I dont think it matters so much. Perhaps O has reactive airways because of his severe case of RSV. Perhaps he only had such a severe case of RSV because hes always had reactive airways; remember, his identical twin brother had RSV at the same time and only had an ear infection with fevers-- not even a trip to the ER for him. My heart does break for O. Watching him retract the way he does and holding him against my chest, hearing that wheeze shake his little lungs... I want to protect him.

My mom has always joked that my kids are going to put me through all the things that I put her through. For instance, I was a breath-holder as a baby; my oldest was a breath-holder. (He was the most intense case our pediatrician had ever seen! He grew out of it at three, though he recently had breath-holding episodes in recovery after his umbilical hernia surgery.) I am exceptionally stubborn and I have two very stubborn children. However, both my mom and I agree that I do not want to experience the terror of watching your child suffer from an asthma attack. As a teenager I had a severe asthma attack; my momma was by my side in the ambulance. Right now, when I think about O and his "reactive airways" and possible future with asthma, that fear is what grips my bones.

I feel much better with our Asthma Management Plan in hand. I feel much better knowing that if these meds dont get him under control, we have other options. I feel much better knowing we have a doctor who is invested in our child, managing his asthma, and communicating with us. Im not sure why it was so hard facing an action plan or really getting the help. Perhaps I was afraid of admitting that he could have asthma and could always need to know where his inhaler is or avoid running outside when the seasons are changing or take medications twice a day for the rest of his life. Are those things so bad? Not in the scheme of things. But I didnt really want them for him and it has been hard for me to swallow that maybe... maybe he does have asthma. Right now Im much more comfortable with reactive airways.

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Saturday, February 27, 2016

weight loss during pregnancy if overweight | Follow up on reactive airways

weight loss during pregnancy if overweight


 
I wanted to post an update on how things are going with Os reactive airways. Our pediatrician is now calling it asthma. They dont officially diagnose asthma until 24-months; O has just reached 23-months and showing every sign of being an asthmatic. For several months now, weve had a routine: Pulmicort via nebulizer in the morning and at night. It takes about 12 minutes to give him his Pulmicort in the nebulizer-- each time, 12 minutes in the morning and 12 minutes at night. He only needed to go on the Orapred once last fall since starting the daily regulator, early in the fall. He was eligible for the Synagis vaccine this year (woo hoo!); hes had 4 of the 5 vaccines. Thankfully he avoided catching many colds. We had a string of runny noses starting around Thanksgiving, nothing much more than that. Knock on wood, we havent caught stomach flu yet this year either. But then O came down with a cough at the end of February. The cough wasnt too bad; his twin brother C caught it as well and was fine. Os cough hit his chest and got him wheezing. I brought him into the pediatrician since it really started sounding bad on a Friday (always a Friday, never a Monday when the pediatrician is open!). She told me what to do if his breathing started getting out of control and went over the asthma treatment plan with me again. We went into the weekend feeling pretty good, though a little nervous. Saturday O needed Albuterol about every 6 hours. Sunday he needed them more than that, every 4-5 hours. By Monday, he sounded the same after Albuterol as he did before. I called on Monday and he was started on Orapred that day. He used Albuterol Monday, every 4-5 hours, and on Tuesday, every 6 plus hours, while taking the Orapred and his daily regulator, Pulmicort. I was so nervous that he would need to go to the hospital since he was still using Albuterol. Thankfully, thankfully, thankfully he sounded much better by Wednesday; he used no Albuterol on Wednesday or on Thursday.

Even more nerve-wracking is this was the week I needed to have my D&C (read my blog post "Miscarriage") and so he was left with his baby-sitters. I hated leaving him. I knew I needed to take care of myself, but I wanted to watch him, make sure he was breathing okay. What really made me nervous was that he would have an attack. One of the big problems he was having was that his cough would make him cry; once he started crying, he couldnt catch his breath, which made him cough and cry more; he was having retractions that pulled at his collarbone. He wasnt eating or napping. He would sit in my lap and wheeze. My heart broke leaving him on Wednesday to go to the hospital. Logically, I felt good knowing that he had already had two days of Orapred and that he needed less Albuterol on Tuesday than he did on Monday. Emotionally, I thought of him sitting in my lap wheezing, knowing how quickly things can change, from my own experience with asthma and from what the doctors have told me about reactive airways in toddlers. I dont think I could have left him with the sitter, if not for the fact that our baby-sitters also have asthma. They are comfortable taking care of him and know what to watch for. I had my phone with me as long as I could; my husband had his phone on him the whole time. We got home from the hospital around noon and O was doing great.

On day #5 of the Orapred, I brought O in for a follow-up on his breathing. His oxygen levels were awesome and his lungs sounded great. We had a trip planned (ready my blog post "Let it be") and she asked if we wanted inhalers too, for travelling. So now he has Pulmicort in nebulizer and inhaler form. He already had Albuterol in nebulizer and inhaler form; we keep an Albuterol inhaler and aero chamber in our diaper bag along with his Asthma management plan. This works out great because mornings are a little difficult for us. This morning we had a lot going on and used the Pulmicort inhaler with the aero chamber. Occasionally we miss the morning Pulmicort because it is so hard to get D to preschool, get the boys dressed, and do the nebulizer. We dont miss it very often because O does well sitting with it on his face if I am in the room with him, telling him "sit" or "hold still" if he starts knocking his mask off. But now with the inhaler, we wont ever miss it.

On most days, I do the first Pulmicort nebulizer treatment after dropping D off at school. Some days we have to do it before D goes to school; those days are rough. We do the second treatment at night, before bed. We try to have it finished 10-15 minutes before they go to bed so we have time for teeth brushing at prayers. During the nightly Pulmicort we read stories and watch Jeopardy or Wheel of Fortune. The days that he needs Albuterol, I do my best to time the treatments. They make him jittery, wired. I try to do them 45 minutes before he goes to sleep or eat. Sometimes he will still nap immediately after doing an Albuterol treatment. Some days he will still eat after doing a treatment. Most of the time, he just wants to run in circles or rock back and forth in his high chair after doing Albuterol. I try to give him some time to get the "sillies" out, as we call them. The bad times are when the Albuterol doesnt affect him much and he still wants to sit afterwards. That is when he is really struggling, like this last time he went on Orapred. He still just wanted to sit in my lap after the Albuterol. The Orapred can upset his stomach. I try to give that to him an hour or so after hes eaten, so he has a full tummy and it has had time to settle. I dont know how much this all helps. I dont know if I time things in a way that helps him. Maybe it makes me feel that Im helping.

Since the first time he went on Orapred was right when he started his daily regulator, Pulmicort, and he only had to go on Orapred once after that, our doctor wants to keep him on the Pulmicort. She says if he has another episode like this, we may need to think of changing his medications. Obviously we are praying that doesnt happen, not now. But, for now, we are doing well.

Previous blog posts about Os reactive airways:
  • "Reactive airways"
  • "Life still goes on"
  • "Homemade medical IDs"
  • "2012-2013 RSV season"


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Thursday, February 25, 2016

baby losing weight while sick | Homemade medical IDs

baby losing weight while sick


Our toddler has reactive airway disease. I did some online research and was unsure as to what kind of medical ID I should buy for a 17-month old (see my blog "Life still goes on"). We knew that we wanted all of his information to be available in whatever situation arises (drop-in childcare, baby-sitter, or even an accident) if one of us could not provide the information when needed. My husband came up with this wonderful idea: clear ID badges. We ran with it.

Today we stopped at Office Depot and bought the Office Depot brand adhesive name badges with the red label 100 count (compare to Avery self adhesive name badges item number 5143), Office Depot brand plastic badge holders 12 pack, a 10 pack of Office Depot brand black lanyards, and an Office Depot brand credential holder. (The credential holder hung with all the other name badge accessories; I just cant find a link online. The item number is 313-412.) All of this cost around $25.

Our first decision was what we wanted to put on the ID. While our toddler does not have an asthma diagnosis, we felt that "asthma" would be easier for a caregiver to recognize than "reactive airway disease." We also rationalized that our doctors do feel that our toddler is an asthmatic. So we went with "asthma." We also decided to include his name, date of birth, allergies, daily medications, emergency contacts, and his pediatricians name and phone number. With that decided, I got to work.

I formatted a table with one cell in Word to fit the ID badge. The cell is 3.5" x 3.3". I then copied and pasted the entire cell until I had three rows of two. I found the graphic by Googling "medical alert symbol" and then copied and pasted it into a cell.


I then cut out a row...


...folded it in half...
?
...and slid it into the clear badge holder. On one side you see the graphic and the word "Asthma;" on the other side you see the medical information. I took the clip off the lanyard and put it on one of the badges. I could clip this to his clothing or jacket. I could attach a lanyard to one and hang it on the stroller. This ID is very versatile in its uses.


For the labels, I went to the website on the instruction sheet: www.officedepot.com/papertemplates. Click on "Name badges" and upload the doc. I copied and pasted the same graphic and printed off 10 or so of the adhesive name labels. I plan on sticking these to his back when we use drop-in childcare or at the church nursery.


?The credential holder, as it was called on the packaging, is going to be kept in our diaper bag. The diaper bag is with us whenever we leave the house and this is where I am going to keep all his information. I again used Word. I created the one cell table (3.3" x 3"), copying and pasting the medical alert symbol and his medical information. I put all of this visible in the window. At the bottom, I wrote, "Pull out for Albuterol inhaler instructions." In a childcare situation outside the home, the caregiver would need to know how to use the Albuterol inhaler until help arrives. On the other cell, I wrote instructions on how to administer the Albuterol.


I cut the table out...


...folded the paper in half...?


...and slipped it into the holder.


Flipping the holder over, I slipped the adhesive labels into the back pocket.?


I made a photo copy of our Asthma Management Plan and folded it up, sliding that in the zip pocket. Now, in an emergency, all of his information is right there with him.


The best part of our homemade medical ID is that I have all the documents for these tables saved on our computer. I actually already typed up and saved the table for if he goes on Orapred. I could print that off and slide the new table in our badge, then the EMTs would know that he is taking Pulmicort and Opapred daily. Or, if his prescriptions get totally changed, I could enter in his new medications.


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