Author: neko-jin72 PM
Sequel to Smoke. sam is now 4 and dealing with the unwanted burdens of having damaged lungs. read as he faces normal challenges that a lot of kids have with asthma. rated for some swearing. **This story is under construction and will be back later.Rated: Fiction T - English - Family - John W. & Sam W. - Chapters: 2 - Words: 4,885 - Reviews: 13 - Favs: 11 - Follows: 22 - Updated: 06-25-08 - Published: 03-27-08 - id: 4160445
|A+ A- Full 3/4 1/2 Expand Tighten|
Disclaimer: I don't own the boys unfortunately, I just play with them.
A/N: ok, so here is the sequel to Smoke. Hope you guys enjoy the first chapter, I am already writing up the second so it shouldn't be long before I get that one out either. Tell me what you think.
"Hey Sammy, it's time for your nebulizer." John said holding the breathing machine, walking out of the kitchen in the run down motel over to the couch where his two boys were currently laying down watching Saturday morning cartoons.
Seeing his father walking towards them with the object in his hands, Dean noticed his brother cower slightly into him, trying to make himself smaller on the couch. He sat up and pulled Sam up with him. Nudging him, Dean looked pointedly at their father who was now sitting on a chair near the kitchen door.
Getting Sammy to use the nebulizer was always a hassle and both Dean and his father figured that today would be no different. As expected Sam shifted under his father's glance and then would look anywhere but at his father, as if that would help him from using the machine.
"Sam." John said in his no nonsense voice trying to make the young four-year-old come to him. He still wished that Sam were still an infant sometimes, that way when it came time to give his youngest his medicine for his lungs, Sam wouldn't be able to resist him, not as much as he did now anyway. All John would have to do was pick up a tiny little baby Sam into his arms and cradle him, while the nebulizer would do all the work. Now though, it was more of a battle. Sam would think of anything to get out of having the breathing machine by him.
"Sammy, now." John was getting slightly irritated, he was in the middle of research for a poltergeist in an abandoned hotel that was built in the 1900s and was in the process of being rebuilt, and reopening into a bed and breakfast, but had been closed down last week due to three unexplained deaths of workers and he really needed to get back to the hunt. He hadn't taken any hunting jobs for about a week now because Sam had gotten a really bad cold that was restricting his breathing and John had had to be extra careful with his medicine so his youngest could get better without having any major problems with his lungs.
That was one of the things that the doctors had told John that he would not forget any time soon. It was right before he was allowed to take eight month old Sammy out of the hospital after the fire. They had kept him for testing and observation after Sam had a major side affect to the medicine that they started for his lungs. Instead of helping his small lungs to clear somewhat of the mucus that had gathered in his bronchial cords, Sam had an allergic reaction to it and his glands swelled up and his air ways closed so much that he stopped breathing for two minutes. John would never forget that day, even if he tried…
A mid-aged nurse in purple was pushing him out of the room with little animals printed on her uniform.
"Sir, you need to wait out here while the doctors work on your son, I'm sorry."
"What's happening to him?! He was just fine until that idiot shoved that goddamn tube down my son's throat!" John roared, outraged. Only a few hours ago, he was sitting by Sam's side with Dean in his lap asleep, while he watched his child gurgle and a tiny laugh erupted from the baby when he looked over at his father and brother.
Two hours ago.
Hearing the door click, John turned slightly and watched a young male doctor come into the room holding the clipboard to his chest. Seeing John look at him, the young doctor offered a hand in greeting, which John took warily.
"Hello Mr. Winchester, I'm Dr. Wellman. I'm here to give little Sam over there a check up and then his dosage, we are going to try something different today if that's ok with you."
"What are you going to do?" he said with a little suspicion, something was telling him not to trust this guy. "Where is Dr. Tanaka? She usually does Sam's medications and check ups."
"Well, Dr. Tanaka had to take the morning off, but she will be back by this afternoon. I took all of her morning appointments."
With a nod, John watched the doctor's every move as he moved gracefully next to the crib that the hospital had provided. Taking the baby's temperature and checking his vitals, the doctor left the room only to come back ten minutes later with a nurse rolling a cart with objects on it that John didn't like the looks of.
Grabbing a small blue tube, Dr. Wellman turned to John and held it for him to look at. "Now, Mr. Winchester, what we are going try today is a very common treatment to helping the lungs develop stronger and more healthy that is tried on most children with asthma. I'm going to be inserting this into Sam's throat-" seeing John's horrified expression, the doctor waved his hand in the air hurriedly and tried to assure the young father.
"I'm sorry Mr. Winchester, I was not meaning to be so blunt. Sam is not going to feel any pain, maybe a slight discomfort but that is it."
With John's nod, telling him to continue, Dr. Wellman started to explain the procedure to him.
"I will be using an oral systemic corticosteroid-"
The Doctor smiled kindly at the slight confusion evident on John's face and decided to elaborate.
"It is really just the medical term for a steroid medicine that is take by the mouth that has an effect on the whole body. Inhaled steroids are preferred for long-time asthma treatment as well as it being safer, because it only acts on the airways, and not the rest of the body. Oral steroids reduce inflammation in the airways, reducing swelling and decreasing mucus, both of which make breathing easier. We are hoping that Sam will take to the medicine and it will help him in the long run. Just to let you know though, the steroids can take up to four hours to take full affect or they can start working immediately, it all just depends on Sam here."
"Alright." John had a bad feeling in his gut but he figured that it was just the thought of having a tube going through his little baby's small throat that was giving him the foreboding feelings.
Turning once again to the infant, Dr. Wellman put on gloves that the nurse in purple gave him and after prepping an anesthetic needle, handed that to the doctor as well.
"OK, right now all I'm going to do is numb his throat so that I can get the tube to go down without, hopefully, much of a problem."
After applying the needle and depositing its contents into the child's neck, the doctor made his departure with a promise of being back in a half an hour when the sedative should have taken its affect.
John heaved a wary sigh as he looked at the situation that his family was in. It was two weeks after the fire and Sammy was still in the hospital. The only difference now was that he was out of that baby incubator thing. (Don't remember what they are really called) His four year old was now sleeping, curled into his lap and has been for at least half the day seeing as how he wouldn't go to sleep when Sam kept coughing all night last night. They had officially moved into the hospital last week when the doctors and nurses found out that they were not going to leave without the last part of their broken family.
30 minutes later.
There was a knock on the door followed by Dr. Wellman and the same nurse in the purple animal print. Smiling at the father who was sitting to the left of his two sleeping sons, he put on the offered gloves once again and ventured toward the crib. Reaching down he applied slight pressure to the infant's neck and then pushed a little harder when he didn't receive any reaction the first time. Happy with the results, the doctor picked up the tube, opened Sam's tiny mouth, and carefully started pushing the tube into the tight mouth and throat, making sure to be aware of any discomfort from the baby under him.
John was at his side in an instant, setting Dean down on the chair that was next to him; when he heard his youngest whimper a quiet complaint to the foreign object in his throat. Aware of the father's hawk-like gaze oh him, the doctor turned to assure him.
"Don't worry too much Mr. Winchester, Sam is just trying to adjust to the intrusion of the tube. He should be fine in a moment."
As the doctor kept journeying downward, however, Sam whimpered harder and started coughing, the tube being too much for his little body to handle. The doctor quickly gave the medication to Sam and pulled the tube out carefully, not wanting to hurt the small child any further. Turning, he addressed John.
"Now, we wait and see how he takes to the medicine, what we are hoping is that it will help his lungs develop better and help speed the process to make more alveoli cells to make up for lost time to how many he lost with the 'fire incident'. With a nod from John the doctor and nurse walked out of the room and John approached his son, who was still whimpering slightly. Brushing his large hands against the tiny flushed cheek, John turned back to the chair to see his oldest awake, rubbing his eyes to remove the remainders of sleep that held onto his body.
"Dad, what's going on? Is Sammy ok?" looking fearfully at his little brother, his gaze returned to his father as he picked up the four year old and placed him on his lap once more.
"Sammy was just given some medicine to see if it would make him feel better. Right now he's fine." John ruffled his son's hair, loosing himself in the child smell and cinnamon that was Dean.
Fifteen minutes later, however, John was knocked out of his daydream as the whimpering of his youngest returned with volume and a coughing fit to join it. Going up to the crib with Dean still in his arms, John peered in at his youngest and his face drained in color slightly at what he saw.
Sam was flushed, his throat looked bigger and he was starting to cry loudly only to gasp and cough which was replaced with cries of misery once more.
"Shh. It's ok Sammy, Daddy and me are here. Sammy?" Dean turned his worried gaze to his father when comforting his brother with his words and running a small hand along a tiny forehead didn't work.
"Daddy? I don't think Sammy likes that medicine…"
Upon hearing his oldest son's voice, John got out of his stupor and threw himself into action. Grabbing one of the unoccupied chairs in the room, he dragged it over to the crib and placed Dean standing on it, his small chubby hands gripping the edge of the crib.
"Dean, stay here with your brother, you understand? I need to get the doctor."
"OK, Daddy…I stay with Sammy."
John briskly walked to the door and flung it open and went to get the doctor.
"You hear that Sammy? Daddy is going to get the doctor so you will feel better. SShhh. You'll be ok Sam. Daddy will make sure of it, I promise."
Sam continued to cry and that made Dean more frantic. Usually when his father or he would talk to his brother, Sam would stop fussing and look up at them with eyes full of interest. Now, though, he had his small eyes squinted shut, face red as he cried and coughed all the while gasping as if he couldn't breathe.
'Just like that night' Dean thought, panic crawling into him as parts of 'that night' replayed in his mind. Remembering how frantic his Dad was when Sam couldn't breathe. How his baby brother had actually stopped breathing and he had to breathe for him as his father drove to the hospital. Even though he was four, Dean knew that you had to breathe in order to live and if you stopped it was really bad and it made a lot of people sad.
Just as his mind settle a little he heard his brother give a particularly large gasp and waited for him to cry or cough like he had been doing so many time before while his father looked for someone to help them. What met him instead was silence and Dean knew that that was not the response he was supposed to get. He peered back into the crib and watched intently for signs of his baby brother's struggle for breath. When the baby's chest stayed still, panic settled once again in his stomach and he jumped down from the chair and raced out into the hall where people were buzzing around with their own tasks at hand. Not being able to see his Dad anywhere he did the only reasonable thing he could think of in a situation like this.
Everyone in the hall stopped what they were doing and looked at the small child, some curious, others disgusted with the interruption of the boy.
"Dean! Stop it right now!" Dean turned his head and started running to his father at the end of the hall standing with the doctor. Grabbing the child up and putting him on his hip, John looked at his son in slight disbelief.
"What are you doing out here, Dean? I told you to stay with your brother."
"Daddy! – Sammy's not breathing!!" Heads turned at the outburst and John and the doctor as well as two nurses sprinted back into Sam's room.
"Sammy! Sam!" Seeing no response from the boys who was being handled by the nurses, John turned to the doctor, accusation written all over his face.
"What the hell did you do?! What happened to him? I want answers now!"
Ignoring the irate father, the doctor turned his attention to the infant, but had to stop short as John got into his face demanding answers. Looking beyond him, Dr. Wellman addressed one of the nurses that were at the moment trying to get Sam to breathe.
"Clarissa, will you please escort Mr. Winchester and his son to the waiting room." With a nod, the nurse in purple all but shoved John out of the room while the doctor and other nurse crowded over Sam.
"Sir, you need to wait out here while the doctors work on your son, I'm sorry."
"What's happening to him?! He was just fine until that idiot shoved that goddamn tube down my son's throat!" John roared, outraged.
"The doctor will find out what happened to Sam, Sir and he will be with you as soon as he can, but right now I have to ask you to have a seat and please just wait. I am truly sorry."
With a wave of dismissal John sat on a chair heaving a sigh as Dean occupied a chair next to him.
That was two hours ago…
Different thoughts and scenarios running amuck in his head all at once, John didn't hear the footsteps that approached him.
Rising his head, John was out of the chair faster than lightning when he saw Dr. Tanaka standing before him.
"Suri, do you know what's going on with Sam? Is he ok?" During their time at the hospital, Dr. Tanaka and John had talked a lot, whether it was about the asthma situation or advice from a single mom to a now single dad. During these conversations, John found out that asthma attacks that Sam could have in the future, if ever, could be caused by the most simplest things in life like exposure to really cold weather, a common colds, allergies, to just running around, playing. He also found himself able to trust her more and more and it came to the point where she was the only one that could deal with John at times. She was also the only one in the hospital that he trusted with his kids.
"He's going to be fine, John. It seems that he had an allergic reaction to the steroid and that's what was causing all the problems."
John let out the breath that he was holding while she was explaining, preparing himself for the worst-case scenario. It was decided that Dr. Tanaka (Suri) was going to be Sam's only doctor from now on.
"Since he had a severe reaction to the steroids I suggest that we try Cromolyn and Nedocromil, to see if his body accepts this treatment instead."
"What are those exactly?"
"Although they're not effective for everyone, daily use of this inhaled drug may help prevent mild to moderate asthma attacks. They also may help prevent an asthma attack from happening triggered by exercise if he takes it an hour before when he gets old enough to run around, it works in some cases."
They had tried the new medication and had been using it ever since. Now the only difficult part was getting Sam to actually using the breathing machine.
A/N: ok, how was it? Did I draw it out too much? If I did, please tell me so that I can make it better. Sorry that the flashback was so long, it just kept coming out of my brain. Plz review so I can make the story better! Thanks.