And the #1 reason you know your two-year-old is sick? She looks at you imploringly at 7:45 p.m. and whines "I just want to go to sleep, Mommy."

Poor Lilly. Poor Kate, too, but she's not taking it quite as hard as her sister. It's "just" a cold, but they're also running fevers with it and feeling pretty junky and cranky. Yuk. And I am feeling like a bad Mommy right now because I didn't start Kate on her meds yet - I guess I was in denial that she really had a cold.

Officially, Kate has a diagnosis of bronchopulmonary dysplasia (BPD, which is used interchangeably with chronic lung disease - CLD - so you can choose your weapon here). This is partly because of her prematurity, and partly because of the time she spent on the ventilator after her birth. On a day-to-day level, this doesn't affect her functioning one bit. But it makes her more vulnerable to breathing problems when she gets sick. So far, she's only had one cold that got her wheezing, back in October, and she had pneumonia over Christmas. But in 2 years, we've only been to the ER once (October) and she hasn't been hospitalized at all - that's pretty damn good.

Anyway, when she gets a cold I am supposed to start her on either albuterol and Pulmicort via nebulizer, or albuterol and Flovent via aerochamber (an attachment that goes on a regular inhaler to make it effective for little kids). She was just runny all day, not coughing, so I kept putting it off and thinking she was going to be OK. So of course she starting coughing at bedtime, when it was pretty much too late to do it.

I guess if she gets worse, I can sneak in with the nebulizer, hope it doesn't wake her, and give her a treatment in her sleep. Otherwise I'll just go ahead in the morning, unless she's miraculously cured.