Friday, June 12, 2009

Doctor Dilemmas

Well, where should I start in this somewhat long story...

To make it somewhat shorter, I will just put up a timeline for the beginning drama:

Sunday: Matthew woke up with temp 100.1. Gave him Tylenol and stayed home from church. Figured he was just getting a tooth or something.
Monday: Matthew woke up with temp 102. Gave him Tylenol and called the doctor for appt as we know it is no longer his tooth.
Monday late morning: Get in to see Dr. Sauer and told Matthew has double ear infections. Antibiotic Amoxicillin prescribed.
Tuesday: Matthew has slight rash while at grandma's but it is gone by the time Mommy gets home from work.
Wednesday morning 6 AM: Daddy changes Matthew's diaper... no rash.
Wednesday morning 7 AM: Mommy gives antibiotic.
Wednesday morning 8 AM: Matthew has rash all over trunk, neck, and face.
Wednesday morning 9 AM: Call doctor to inform that I suspect he might have had an allergic reaction to medication. Asked to describe rash and I told her it looked like a drug reaction rash (she, of course, doesn't know at this point that I am a nurse). After multiple questions regarding the rash, I am asked whether my child was having any trouble breathing. WHAT????? If my child were having trouble breathing, don't you think that should have been the first question? Told by nurse to hold medication for 24 hours and call back to report whether rash is gone or not. Was told that by that information they would be able to determine whether or not it was an allergic reaction.
Thursday morning: Rash still here. Call doctor to inform and was told by nurse that they definitely needed to change medication (so, I am assuming at this point if I would have said the rash is gone, they would have told me to try the medication again). Told she will call me back after speaking with on-call physician as Dr. Sauer is out of office on Thursdays.
Thursday late morning: Nurse calls back and says, "I am sorry if I misled you earlier, but according to on-call physician, the rash should be gone if it is an allergic reaction and she would prefer if you give your child another dose of the same medication as a challenge and see if it is a true reaction. This doctor does things a little different than Dr. Sauer."
I say, "What would Dr. Sauer do?"
Her response, "He would change the medication."
At this point, I am a bit upset and inform the nurse that I am really not comfortable challenging my 10-month old who cannot tell me how he is feeling or if his throat is closing up! I also ask her why, if Matthew's doctor would prescribe something different, than why is the on-call physcian not mirroring what his doctor would do? I can tell she wants to get me off the phone, so she says, "I will check with on-call physician again and see if she will change the medicine."
Thursday later morning: Nurse calls back and says, "On-call physician will not change medicine and recommends that you give your son Benadryl and try the medicine again."
I say, "How am I supposed to tell if something else is wrong?"
She says, "It's going to be hard to tell since he still has the rash, but if he has any trouble breathing definitely call us back." Are you kidding me?
Thursday afternoon: I give Matthew Amoxil and Benadryl at same time in tears hoping I am not making a big mistake. He takes a 3+ hour nap that I have to wake him from because of the Benadryl. When he gets up the rash is no worse.
Thursday evening: Give medication again. Rash reappears.
Friday morning 6AM: Rash almost completely gone. Think maybe he is okay and it wasn't an allergic reaction after all. Give Amoxil without Benadryl.
Friday morning 7 AM: Rash back. Ryan gives Benadryl.
Friday morning 9 AM: Call doctor to inform of rash reappearing with each dose of Amoxil and requiring Benadryl with each dose. Also tell her I am not really interested in medicating my son with Benadryl every dose for the next 2 weeks. She says, "Well, that confirms it. We will mark Penicillin allergy on his chart."
I say, "I am not opposed to trying the Amoxil again at some point down the road to see if it is a true allergy."
She says, "Oh we will, but we never give it again for at least 2-3 years following a rash." HELLO???? Why did I give it to him yesterday then? I am still awaiting a phone call back from them as to what I am supposed to do now. Pray for me to be Jesus to these lovely people.

Matthew is without fever and back to his normal self, so after all the hoopla, at least our little guy is doing better. He just looks a little like a clown!

1 comments:

Deanna said...

Am I not mistaken that you are an NP who actually prescribes meds yourself?!! Girl.... give them the "WHAT FOR".... that's crazy!!! Aaron was just diagnosed with an allergy to amoxicillin but has been okay with other penicillin.