Thursday, June 16, 2011

Pulmonologist Appointment

First of all, she's AWESOME. I love good docs. Dr. Pearl Yu at the UVa Medical Center. We are going to continue to follow with her even if there's someone else who is a pediatric pulmonologist and sleep doc because she's so great. And she's really familiar with PWS, so that is great!

Good news is that Dean's tonsils & adenoids look fine and so he doesn't need surgery! They're not even the slightest bit enlarged. At least not now. I'm so relieved.

But we talked about the O2 desaturations in the night when he had pneumonia and I mentioned how it was consistent with when he was first born and had desats in his sleep. She put it all together and diagnosed Dean with Peripheral Chemoreceptor Deficiency, which just means that in times of stress (like how he was in bad shape when he was born, when he's sick), the peripheral chemoreceptors are supposed to tell your body to kick in and up your oxygen levels. Dean's don't do that. The good news is that it's only mild and so it seems that it only happens when he's sleeping (when you're more vulnerable) and when he's sick (again, even more vulnerable). So she's going to give us supplemental oxygen and a pulse oximeter to monitor his O2 levels at night when he's sick and give him oxygen if he needs it. He'll likely have to be monitored about it for his whole life, but hey, what else is new!?

All in all, good appointment. Back into the waves we dive...

3 comments:

Colleen said...

Yay for an awesome appointment! So glad that everything worked out :)

Cathleen said...

We loved Dr Yu as well! Lilly had chronic asthma/pneumonia issues when she was 1-2 and Dr Yu was the only person who actually diagnosed and helped her! Her other docs just thought we were nuts and then every time, Dr Yu was right and her x-rays showed pneumonia. And, she diagnosed Lilly's mild sleep apnea from her sleep study. Love a good caring doctor!

Ali Foley Shenk said...

Cathleen, that's great! Love her.