Thank you for all who have written and all who are praying.
Zane is on day 3 of quinine pills. He's doing about the same as he has been doing. Playing, laughing, fussy at times. Not real sick, but not 100% either. I think his fevers are getting better. He feels less hot anyways. He's more clingy that usual and has less appetite. Sometimes I think he just doesn't like what I fix for him to eat, but I'll give him a break I guess this time. At least mango season is picking up. You can't beat blended mangos and bananas for a meal!
He fell last week and busted his lip, so he looks more sickly just because of his little busted lip that's healing.
love Danae
Thank you for posting updates on Zane. We are checking for them each day. We have never prayed harder for anything than we have been for little Zane and your family. We hope you can feel our arms around you in spirit!
ReplyDeleteThanks for the update. I am praying for you and your family.
ReplyDeleteMalcolm & Fiona (and their parents!) have been praying for him - and now Miriam too. Hugs and courage - thanks for the updates!
ReplyDeleteKristi
Glad to hear he maybe getting better. More praying will continue.
ReplyDeletePraying for Zane. I have 2 young boys, can only imagine (and probably not quite successfully) . I know that God has good for your family, He has the best. Love you guys!
ReplyDeleteHey Danae and Olen!!! So sorry to hear that Zane is sick :( He's just too cute to have malaria. Anyways, I'll be keeping him and your family in my prayers! Tell everyone I say hi!
ReplyDeleteIt doesn't sound like malaria.
ReplyDeleteWhat prophylaxis are your kids on? Our kids got night terrors with Mefloquine so we have them on chloroquine which is officially resistant in Malawi but since it hasn't been used in the country for 18yrs it is now unofficially usable again.
Could the fevers and wt loss be from teething?
Typhoid? Can you do an FA titer?
Worms? Give albendazole for the heck of it.
I'm praying for you guys, when is your annual leave? We'll be inSoCal for May & June.
If IV Quinine is scary due to the possible hypoglycemia (always dilute it out in a D5%w or D5%LR), IM Quinine has been shown to be as effective and safer than IV quinine.
I know, i'm bordering on offending by offering unwanted advise. I hate treating my own kids. I'm lucky to have Cristy here to take care of them. I always feel I loose all objectivity with my own kids.
-Ryan
Drs. Netterburg,
ReplyDeleteHave you considered "Relapsing Fever" in your differential DX,(synonym: typhinia) caused by spirochetes in the genus Borrelia. It is vector-borne, transmitted through bites of lice or soft-bodied ticks. Per Sanford: ERY is alternative to TCN for 2-3 y/o. TX: usually induces Jarisch-Hexheimer reaction that is NOT prevented by pre TX with steroids. DX: Examine periph. blood smear, during fever, for spirochetes, as in Treponema pallidum. Presumptive post-exposure, pre-emptive TX with DOXY/ERY is highly effective.
You and Bere are in our prayers. Hold fast to HIM who is our refuge and strength.
Donald D. Fletcher, D.O., F.A.C.E.P.
Auburn, WA
sageddf@msn.com
P.S.: Do you have any monitor/defibrillator with external pacing capability?