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The E.R.

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(@dave-karoly)
Posts: 12001
Topic starter
 

My Grandson was sick last week; he is 2 years, 4 months. He had a low grade fever and was generally feeling poorly.

So the fever finally breaks after a couple of days in the morning.

That afternoon daughter-in-law (his mother) sends me a private text, his temp is up over 102, she is obviously concerned (she had been waiting all day for a return phone call from the regular Doc). So I replied, "take him to the E.R." I sent my son a message too, take him to the E.R. The E.R. takes his temp and the Doc says it is very close to critical, it was right to bring him here. So they rehydrate him and get his temp down plus prescribe alternating Motrin and Tylenol doses. The temp of 102 isn't terribly high but the fact it was yo-yoing up and down concerned me (I had a case of Pneumonia that did that 20 years ago).

So the regular Doc finally calls her back and says basically no big deal don't worry about it, etc.

Some of these Doctors seem to go on phone calls, at least the E.R. will take the time to examine the boy and make sure he is okay. I can't imagine trying to solve someone's boundary issue over the phone; [sir, so is there a fence between you and your neighbor? yes. what about monuments? what? monuments, pins, pipes, surveyor marks, anything like that? never seen any? Sir, it's probably okay, just an established boundary, don't worry about it.]. It's really hard to get into the regular Doc so they wind up going to the E.R. and the E.R., like I said, actually looks at the boy and takes steps to make sure he is okay.

That is all, thanks for listening.

 
Posted : October 3, 2016 12:55 pm
(@paden-cash)
Posts: 11088
 

Somewhere about 2 1/2 years old children have their last "baby teething" episode. And it's the molars which can be particularly painful. Medium grade fever (101 or so) is not uncommon with teething. Due to the accompanying slobbering and swelling it can also lead to ear or throat infections. Has he been fussy, reluctant to eat and possibly fixated with gnawing on objects?

Not to scare you but my youngest son ran a fever so high with teething he convulsed. It is a sobering thing to hold a baby that is having a seizure. I just about freaked out. Ten minutes later we had him in a tepid tub and he was giggling. Doc said it's normal. Keep the fever down with Tylenol. Some doctors are not familiar with small children maladies...maybe consult a pediatrician?

Good luck. I bet he comes out in fine shape.

 
Posted : October 3, 2016 1:05 pm
(@imaudigger)
Posts: 2958
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FYI, there is no such thing as a "private text".

My younger brother had a bad fever when he was little, doctors filled a bath tub full of cold water...then added 20 pounds of ice.
Brought his temp right down. He claims to remember that to this day, even though he was an infant at the time.

 
Posted : October 3, 2016 1:07 pm
(@andy-bruner)
Posts: 2753
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My son started walking early (~10 months old). At about 13 months we noticed him limping slightly and he was running a low grade fever. The next morning we took him to his pediatrician and he thought he thought he probably had a slight cold but was worried about the limp and referred us to a pediatric orothopedist. We were there about five minutes when he stuck HIB, Hemophluous(sp?) Influenza Type B, the same bug that causes spinal meningitis. Evidently he had sprained his ankle and the bug went to the already weakened area instead of the spine. The doctor told us that another day and he probably would have lost his foot. I don't mean this to get into religion but I don't mind telling you that I hit my knees praying while he was in the OR.
Andy

 
Posted : October 3, 2016 2:13 pm
(@arctanx-2-2)
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My daughter is 7 months old. We freak out about everything. A couple of months ago she was sleeping in my arms and I felt her whole body spasming. I freaked out and made several phone calls and apparently that kind of thing is normal. Something about their bodies getting used to being out of the womb. Hope your grandson feels better.

 
Posted : October 3, 2016 2:24 pm
(@monte)
Posts: 857
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Not to be sounding like this will probably sound, but ya'll might want to check your insurance policies. I say this because insurances and ER departments are wanting to discourage the use of ERs for illness visits. Wait, don't fry me yet!! My suggestion is to review your coverage now, when things are good, so you know if your child gets ill, or you get ill, and your regular Dr cannot/will not see you, you know which urgent care facility or "doc in a box" works with your insurance. I know when it's your child, money is no object, but for example, my insurance is $750 co-pay to go to ER, $75 to go to urgent care. Thats a lot of cash left to pay for medicine or humidifiers, or ice creams.

 
Posted : October 3, 2016 3:58 pm
(@dave-karoly)
Posts: 12001
Topic starter
 

paden cash, post: 393749, member: 20 wrote: Somewhere about 2 1/2 years old children have their last "baby teething" episode. And it's the molars which can be particularly painful. Medium grade fever (101 or so) is not uncommon with teething. Due to the accompanying slobbering and swelling it can also lead to ear or throat infections. Has he been fussy, reluctant to eat and possibly fixated with gnawing on objects?

Not to scare you but my youngest son ran a fever so high with teething he convulsed. It is a sobering thing to hold a baby that is having a seizure. I just about freaked out. Ten minutes later we had him in a tepid tub and he was giggling. Doc said it's normal. Keep the fever down with Tylenol. Some doctors are not familiar with small children maladies...maybe consult a pediatrician?

Good luck. I bet he comes out in fine shape.

We've done molars, he just gets very cranky for a while.

 
Posted : October 3, 2016 4:00 pm
(@dave-karoly)
Posts: 12001
Topic starter
 

Monte, post: 393778, member: 11913 wrote: Not to be sounding like this will probably sound, but ya'll might want to check your insurance policies. I say this because insurances and ER departments are wanting to discourage the use of ERs for illness visits. Wait, don't fry me yet!! My suggestion is to review your coverage now, when things are good, so you know if your child gets ill, or you get ill, and your regular Dr cannot/will not see you, you know which urgent care facility or "doc in a box" works with your insurance. I know when it's your child, money is no object, but for example, my insurance is $750 co-pay to go to ER, $75 to go to urgent care. Thats a lot of cash left to pay for medicine or humidifiers, or ice creams.

I would love to have him on my insurance but can't because he is not my dependent .

 
Posted : October 3, 2016 4:09 pm
(@imaudigger)
Posts: 2958
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arctan(x), post: 393770, member: 6795 wrote: My daughter is 7 months old. We freak out about everything. A couple of months ago she was sleeping in my arms and I felt her whole body spasming. I freaked out and made several phone calls and apparently that kind of thing is normal. Something about their bodies getting used to being out of the womb. Hope your grandson feels better.

My son had what was described as "night terrors" they lasted about 6 months. Similar to a seizure, but with apparent fright and terror involved. Took him to several specialists and after much neurological testing, it was determined that his brain was developing faster than his body and nervous system. He literally had to grow into his brain. He is fine now and is VERY smart, but it was a scary period of time for us. Luckily he had no memory of the events after they happened. From my point of view, he was seeing directly into hell for a couple minutes every night.

 
Posted : October 4, 2016 7:29 am
(@arctanx-2-2)
Posts: 416
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Wow! Its good they have no memory of them. She's been screaming and crying for a few minutes every couple of nights too. I've though why would a 7 month old have nightmares? What would they be dreaming about?

Sent from my SAMSUNG-SM-N920A using Tapatalk

 
Posted : October 4, 2016 8:42 am
(@tom-adams)
Posts: 3453
Registered
 

Wow...scary. I hope he is okay.

My wife had a problem a few weeks ago and we went to the 'Urgent Care' facility. They looked @ her and recommended taking her to the hospital. If you go to the ER first they are reluctant to tell you it isn't an emergency before diagnosis (the nurse might recognize it as probably not that bad, but they would be liable if they turned you away and it turned out disastrous). If you go to Urgent Care first, they'll actually look at you and send you to ER if it appears necessary. In your case, if he needed an IV, I think they would have sent you to emergency because I think they don't do IV's. I'm surprised your doctor said to not worry about it based on a phone call....that could be a bad move on his part.

Sorry, just some non-professional observations on my part. I know you wouldn't (and shouldn't) refrain from the ER on my amateur advice.

 
Posted : October 4, 2016 8:57 am
(@imaudigger)
Posts: 2958
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arctan(x), post: 393856, member: 6795 wrote: Wow! Its good they have no memory of them. She's been screaming and crying for a few minutes every couple of nights too. I've though why would a 7 month old have nightmares? What would they be dreaming about?

Sent from my SAMSUNG-SM-N920A using Tapatalk

I think he was older when this happened - maybe 12-15 months old?
He wouldn't cry when it started, he would just sit up in bed or stand up next to the bed and wimper. He would look ahead with terror in his eyes like he was seeing something absolutely horrible.

It would wake me up and I would hold him and try to comfort him. His body would get VERY rigid and he would tremble and shake. Then after about two minutes of this, he would slowly relax and start to cry before falling back to sleep. It would happen several nights in a row, then sometimes only a couple times a week.

If he looked into a mirror during an episode, the terror would increase significantly. It was almost something straight out of a horror movie.
---------------------------
Anytime a child has anything similar to a seizure, it is very important to take them to a doctor as seizures can be very serious. We had to finally go to a sleep study clinic to determine that these were not true seizures.

 
Posted : October 4, 2016 9:23 am
(@imaudigger)
Posts: 2958
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arctan(x), post: 393856, member: 6795 wrote: I've though why would a 7 month old have nightmares? What would they be dreaming about?

BIRTH?!

 
Posted : October 4, 2016 10:15 am
(@bill93)
Posts: 9834
 

arctan(x), post: 393Probabl856, member: 6795 wrote: What would they be dreaming about?

Probably realizing what a scary, screwed up world they were born into.

 
Posted : October 4, 2016 10:56 am
(@mkennedy)
Posts: 683
Customer
 

I've given up getting in to my doctor or getting the kids in to their pediatrician except for routine examinations. To get a same-day at the pediatrician, you have to call immediately at 8am when they open. I'm in the midst of getting them ready at that time. So we go to urgent care...all the time. It's $15/visit and so far I haven't had any other charges even if they sent me for an x-ray or give a 'breathing treatment' or an anti-nausea med to one of the boys.

 
Posted : October 4, 2016 4:32 pm
(@joe-the-surveyor)
Posts: 1948
Registered
 

Dave Karoly, post: 393745, member: 94 wrote: My Grandson was sick last week; he is 2 years, 4 months. He had a low grade fever and was generally feeling poorly.

So the fever finally breaks after a couple of days in the morning.

That afternoon daughter-in-law (his mother) sends me a private text, his temp is up over 102, she is obviously concerned (she had been waiting all day for a return phone call from the regular Doc). So I replied, "take him to the E.R." I sent my son a message too, take him to the E.R. The E.R. takes his temp and the Doc says it is very close to critical, it was right to bring him here. So they rehydrate him and get his temp down plus prescribe alternating Motrin and Tylenol doses. The temp of 102 isn't terribly high but the fact it was yo-yoing up and down concerned me (I had a case of Pneumonia that did that 20 years ago).

So the regular Doc finally calls her back and says basically no big deal don't worry about it, etc.

Some of these Doctors seem to go on phone calls, at least the E.R. will take the time to examine the boy and make sure he is okay. I can't imagine trying to solve someone's boundary issue over the phone; [sir, so is there a fence between you and your neighbor? yes. what about monuments? what? monuments, pins, pipes, surveyor marks, anything like that? never seen any? Sir, it's probably okay, just an established boundary, don't worry about it.]. It's really hard to get into the regular Doc so they wind up going to the E.R. and the E.R., like I said, actually looks at the boy and takes steps to make sure he is okay.

That is all, thanks for listening.

Just as not all surveyors are the same, not all E.R.'s are the same. If he went to a hospital with a decent reputation, then odds are he'll make out fine. As an EMT, I was always taught that kids can handle a higher temp than adults. But if they are lethargic, and not very responsive, it's time for a trip to the ER.

 
Posted : October 4, 2016 6:54 pm
(@a-harris)
Posts: 8761
 

I can remember every one of our children waking in the middle of the night with fever and being very upset and practically screaming and turning red by the time I got there.
Every time SWMBO had them wrapped in too many clothes and under a blanket.
Every time it took a lot of convincing her that the child did not need all those clothes and blanket and was simply too hot and needed them off so they could cool off.
The biggest thing to understand was that just because she was cold and wanted to keep the child warm did not apply because the child was way too hot already and their body needed to be cooled to avoid the dangers that fever and being too hot presents.
Most of the time simply taking their clothes off did the trick and a few times it took a cool wet washcloth or a short cold water bath to do the job.
After no more than 15 to 20 minutes they should be better or improving, if not it is time for the trip to seek medical care.
Very scary stuff for a little kid and parents alike.

Locally there is a Hospital about 40min away that is known for an excellent care facility and it is normal to go to their emergency care unit 24/7 for people that need any type of medical care and especially for those that can not pay.
They have grant and donated monies providing for indigent care.
Most of the time when 911 is called an EMT unit arrives within 15min to evaluate and decide the next action.

 
Posted : October 4, 2016 11:37 pm
(@imaudigger)
Posts: 2958
Registered
 

A Harris, post: 393972, member: 81 wrote: I can remember every one of our children waking in the middle of the night with fever and being very upset and practically screaming and turning red by the time I got there.
Every time SWMBO had them wrapped in too many clothes and under a blanket.
Every time it took a lot of convincing her that the child did not need all those clothes and blanket and was simply too hot and needed them off so they could cool off.
The biggest thing to understand was that just because she was cold and wanted to keep the child warm did not apply because the child was way too hot already and their body needed to be cooled to avoid the dangers that fever and being too hot presents.
Most of the time simply taking their clothes off did the trick and a few times it took a cool wet washcloth or a short cold water bath to do the job.
After no more than 15 to 20 minutes they should be better or improving, if not it is time for the trip to seek medical care.
Very scary stuff for a little kid and parents alike.

Locally there is a Hospital about 40min away that is known for an excellent care facility and it is normal to go to their emergency care unit 24/7 for people that need any type of medical care and especially for those that can not pay.
They have grant and donated monies providing for indigent care.
Most of the time when 911 is called an EMT unit arrives within 15min to evaluate and decide the next action.

I distinctly remember bleeding all over the ER floor for an hour while emergency room medics worked diligently to clean the wax out of some lady's ears.
People that cannot pay, call 911 anytime they need to see a doctor. It is a huge waste of resources as the fire department, medical, and sometimes police respond for an ear ache.

 
Posted : October 5, 2016 7:34 am