Feb 28, 2008 - 04:06:50 CST
Jason Wald held his daughter tight Tuesday night as he watched someone else's baby being loaded into an ambulance for a trip to Fargo.Nothing could be done for the infant in Bismarck.
For the first time in decades, the pediatrics units at both hospitals were full.
"It just floored me when Isaw that," Wald said. "I couldn't believe it. It was a shock."
A virus called RSVis going around town, and is especially bad this year. The bug - its full name is respiratory syncytial virus - is particularly hard on young children. All 14 pediatrics beds at Medcenter One were full Tuesday - 90 percent of them because of RSV. The 13 pediatrics beds at St. Alexius Medical Center were also full, and doctors there were taking RSV patients in the emergency room late into the night.
"I've been here for 32 years in pediatrics, and every season this gets very busy - but this is the busiest I've ever seen it," Randi Schaeffer, manager of the children's hospital at Medcenter One, said. "It's very unusual to send someone out of town."
Wald was at the emergency room with his 18-month-old daughter, Jenna, who was having trouble breathing. It turned out she had croup and not RSV, and didn't need to be admitted.
"She sounded like a 90-year-old smoker. It was scary,"Wald said. "The first thing the doctor told us was if she needs to be admitted, all the beds are full in Bismarck and she will have to be transferred to Fargo."
Beds have since been vacated at both Bismarck hospitals, freeing up space. But on Tuesday night, both hospitals were in "diversion mode." Each hospital has a policy of sending pediatrics patients to the other if their own beds are full.
"We were so full we declared a diversion, which means we had to contact St. A's and tell them we didn't have any more beds," Schaeffer said. "One child came in after that and went to St. A's. Then St. A's called and said they were full and couldn't take any more. We got another child and St. A's said they were full, (so we sent her to MeritCare in Fargo)."
Schaeffer, a registered nurse, said the majority of children hospitalized because of RSV are younger than 6 months. Most children can recover at home in a week or two, but some need oxygen and breathing treatment at the hospital.
Linda Knodel, the senior vice president and chief nursing officer at St. Alexius, said RSV is cyclical.
"This is the year for (it)," she said Wednesday. "The cycle is in process and will probably go for another month or so."
The virus is spread through sneezing and coughing, and even by close contact with infected persons. The Centers for Disease Control and Prevention said RSV is the leading cause of pneumonia among children under 1 year old. The CDC said the illness usually begins with a fever, runny nose, cough and sometimes wheezing. Only a small number of kids require hospitalization because of it, however - between .5 percent and 2 percent.
The virus has been around town for about six weeks. Schaeffer said there is a vaccine available for really vulnerable premature babies.
"Our community has been hit hard by RSV," Schaeffer said. "We can count on it every year, but this year is more than normal."
(Reach reporter Tony Spilde at 250-8260 or tony.spilde@bismarcktribune.com.)

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