So this is what we ended up with on Saturday. I felt so badly. Hayden had a cough for a couple of weeks, but didn't complain and it didn't get any worse and there was no fever. So I assumed it was viral and it would run its course. On Saturday morning, I noticed some dried blood in his ear, so off to the Walk-In. The Dr. loaded him up with antibiotics, puffers and ear drops. Poor kid. Never complained once about not feeling well. I thought this might be his first winter without puffers and that he had finally outgrown his preemie lungs :) Maybe next year.