We got to the office fairly early in the morning - with all 5 kids in tow. We got called back and shortly after Dr. B came in to see Meagan. He is one of the few doctors with whom Meagan doesn't freak out (the other being Dr. R of course). He went over her last few months with us re: her eating and her tube feeds..etc. She had finally come out of the depths of the "flatline" where she had been for over a year with her weight and actually had a rise on the chart. It was awesome! She weighed in at just under 20 pounds and Dr. B was very pleased with her progress. He said to continue her feeding plan as she seemed to tolerate it well and was gaining well and we would re-evaluate in about 3-4 months. He said her gbutton surgery for Friday was still the plan and he would see us then.
The ride home was fairly uneventful. The older girls started school the next morning so there was the usual "afternoon slump" as they realized this was the last day home for the summer. Suddenly I hear from the back "Mom pull over! Mom it's so gross!!" I knew it was Kaitlin's voice.... and I knew it must mean puke. (She does not do puke - even talking about it makes her feel sick herself). I asked her who threw up - she said "Mom Meagan just threw up everywhere!" Oh great I thought. This is NOT what we need!
As soon as we got home of course I pulled Meagan out of her seat. And ...it...was...everywhere. The poor thing had gotten sick all over herself, the seat, and managed to completely soak every crevice of her carseat and the straps. Ugh. People tell me all the time "Oh after 5 kids you must not even care about that stuff anymore.." Um, no. I do not do puke .... it is disgusting!! Nonetheless, I of course laid Meagan on a towel - cleaned out the car and her seat the best I could quickly and left them to dry while I took her straight into the bathtub. I put her in and she just sat there. "That's weird" I thought. No matter her mood, Meagan usually always splashes in the bathtub. I figured she was just tired. So I took her out. No crying. No screaming. That was weird too - if anything she always screamed and flailed when I took her out of the bath (because then she would naturally realize it was over and want back in!). Nothing. So I laid her on the bed and got a diaper out to change her... and bam. All. Over. My. Bed. No joke. Meagan has really never thrown up in almost 2 years of her life - so I knew something was up.
Of course over the next several hours as she continued to projectile vomit, I kept waiting for the fever, or the throwing up to subside... or some sign that it was the usual "tummy bug" but nothing changed and she kept vomiting extremely forcefully. With the lack of symptoms and lack of ability to keep anything down, we decided to take Meagan in to the ER to get her some fluids.
I called our Pediatrician who said of course to bring her in - that wasn't characteristic of a stomach bug to go away and then come back so badly. I was worried about Meagan becoming dehydrated again. So off to the Pediatrician we went. Of course it was a little crazy as my older girls started school that same morning (of course) but we made it to the appointment. The Pediatrician gave Meagan a quick exam and noticed her throat looked horribly gross. She checked her records from Children's and noticed they hadn't done a strep test. Of course. Maura also gets sick with strep. Within minutes, the Pediatrician came back and said her test was positive quickly. We decided to give Meagan antibiotic shots instead of liquid medication since she still wasn't holding down anything so the nurse came in and gave her the shots. I called Dr. B (GI) and informed him of the situation. He decided to move her gbutton surgery to the following Friday so her stomach had time to recover and heal from being so, so sick.
The next few days were up and down with Meagan. She seemed better, but then we had another day and night of forceful vomiting. Then she wasn't tolerating her formula as she had been so I started to mix it with pedialyte and give her little bits at a time. After only 5 days Meagan had lost 2 pounds but at least she was getting better. She started improving and getting back to her old self. Laughing, playing and being silly. Her feeds were still hit or miss, but at least "my Meagan" was back on track.
This Friday came quickly and we were excited to finally get her PEG changed to the gbutton. It would be nice to not have the tube dangling from her belly anymore. The older 3 girls were in school, but Maura (3) ended up having to come with me that day. It was a long day of waiting, watching, and sitting at Children's, but after all was said and done, Meagans gbutton surgery was finished and was a success. She did amazingly well in recovery and we got to go home right away! They sent us out the door with her bag of new supplies (her supply company isn't sending extensions until next week) and that was that!