I took the babies to the doctor. Noah has middle ear infection in both ears, both have perforated and Ivy has middle ear infection in both ears with perforation in the left ear and pneumonia. The doctor thinks that she aspirated some vomit with her reflux and add that to the terribe virus that she has had...well, you know the rest.
We are home but she has not kept down any of her antibiotics, so if we don't get some into her we will have to go to hospital.