Archive for January, 2010

Wordless….Thursday?

so sorry. Totally forgot about Wordless Wednesday. I had a surprise CPR class, and was gone most of the day. So, you get a Wordless Thursday post instead. Or a post with few words, as it were.

Our first experience with spaghetti-o’s

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annoyed.

So, there’s a new NP (nurse practitioner) at our pediatrician’s office. I’ve talked to her on the phone twice now. The first time I called, it was the week before Christmas, when it seemed like Kennedy had a cold with a nasty cough (this ended up being diagnosed as an ear infection the next week). I called to see if there was anything I could do for the cough, because it seemed to be waking her up at night. She asked what I’d been doing, and I told her I was giving her tylenol or motrin when she seemed uncomfortable and we’d been having “tea lattes” made with roiboos tea to help boost her immune system.

NP: I’ve never heard of “tea lattes” or roiboos tea, so you probably shouldn’t be giving either of them.

Me: well, a tea latte is brewed tea with honey and milk. She loves them. Roiboos tea is a red tea that is really good for helping the immune system. It has 10x (or more) the antioxidants of green tea.

NP: Well, you definitely shouldn’t give it to her then. Green tea is high in antioxidants because it’s FULL of caffeine.

Me: No, this is caffeine free. I buy all of my tea at a local loose leaf tea shop, where the owners are VERY knowledgeable, and they have assured me it is caffeine free. (not to mention that I have been drinking it for over a year…I think I would notice if it was FULL of caffeine, KWIM??

NP: well. you can’t trust those people. you never know how much they actually know.

Me: ok. So, back to the topic on hand. Can I give her anything for the cough?

NP: No, not really. She’s too small for cough medicine. But you can try chamomile tea, it has anti-spasmodic properties.

Ok…so we’ll skip the whole “DON’T GIVE HER TEA! But, yeah, go ahead and give her chamomile tea thing”, because there is just too much goin’ on there. She was exceedingly condescending during this conversation. And the tea shoppe I go to? They know as much about tea as a cardiologist does about hearts. Not kidding, the owners are AMAZING. But, because she had me questioning myself, I looked it up again. Caffeine free? check. High in antioxidants? check. Anti-spasmodic? check. (although, that one was new to me.) Given to children all over the world? check.

The idea that I shouldn’t give my daughter something just because she’d “never heard of it” is asinine. if you don’t know what something is, ask. Don’t jump on the “there’s no way it’s safe” soap box, because you have no idea what you are talking about. So I was annoyed…but whatever, I did what I wanted because I knew it was safe.

Fast forward to today? Remember my last two posts? The Wordless Wednesday with pictures of the rash? And the visit to the pedi about said rash? Well, it’s looking like it’s quite possible that Kennedy is allergic to the azithromycin. As evidenced by the next two pictures.

That rash doesn’t *quite* look the same does it? And her face, at the time of these pictures, was a million times better than it had been in the morning.

So I called. And guess who is on call this weekend? Yep. You guessed it, the NP from above.

NP: Hi, this NP, I hear you called about Kennedy?

Me: Yes, I believe she’s having a reaction to the azithromycin she was given on Wednesday.

NP: What are the symptoms?

Me: She has a rash all over, very fine, it seems to be bothering her, and it showed up this morning.

NP: Well, I see that you brought her in for a rash on Wednesday.

Me: Yes, yes I did. However, THAT rash was not all over, it was very splotchy and concentrated in specific areas on her body. THIS rash is fine, and all over her trunk and face, and is now also on her back.

NP: Well, I believe this is still the viral rash, but I can’t make out all of Dr McCabe’s handwriting. You can stop the azithromycin if you’d like. But if it was a viral rash on Wednesday, it’s probably still just a viral rash.

Me: Ok. Well, I am stopping the azithromycin. Looking at the rash, this is not the same rash she was seen for on Wednesday. I was only really calling to see if you would want to switch the antibiotic.

NP: Well, I prefer the wait and watch method, so I won’t call in something new. Not to mention, if it WAS an allergy rash, it would be big and splotchy. Not fine. So just call if something changes, I’m on call all weekend.

Umm…what?

1) No, an allergy rash is not always big and splotchy. In fact most allergy rashes are NOT big and splotchy. Google a couple of images, and anyone can figure that out.

2) Thanks for warning me that you’re on call all weekend. If something else happens, we’ll head to urgent care.

3) You really question WHY I think it’s an allergy? Let’s see. It looks different than the rash she’d been being treated for. It appeared 2 days after her first dose of a new med. It is now bothering her and it didn’t before. I’m pretty sure that ALL of those are signs of a drug allergy.

Oh, and yes, I will be mentioning this to her regular doctor at her next appointment. Even IF you don’t agree with my thinking about it, I am not an idiot, and I do not need to be talked to as if I was one.

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update, as promised…

as you can see from yesterday’s wordless Wednesday post, Kennedy has a horrible rash. 😦 It started on Monday. Since she seemed to be feeling better post ear infection and probable rotovirus, we ventured out to playgroup. We met Jeff’s parents for lunch, and when she was eating, I noticed a few bumps on her hands, and they looked like spider bites. I figured maybe she got into one of the corners of the play area, and got bit by something.

Fast forward to bedtime…there’s the rash pictured all over her trunk, especially bad in her armpits. Her face was red too. I immediately start thinking of allergies because my nephew has a peanut allergy. I texted a couple of pictures to my sister for her opinion. I also emailed them to a friend in nursing school for hers. Using the power of google, all three of us think it looks like fifth’s disease. It’s a virus, and once the rash appears, it’s usually not contagious anymore. She woke up every hour all night on Monday, and took about half an hour to fall back asleep. I only had tylenol and motrin in the house, and they didn’t seem to be helping. I called the pedi on Tuesday, to see if they thought they needed to see her.

Her primary doctor wasn’t in, but the doctor that we saw for both the ear infection and the rotovirus was the one who called us back. Said she didn’t need to see her unless the rash started to really bother her, she had problems breathing, or if she spiked a fever. Of course, that afternoon, she spiked a temp of 103.6 :(. They said to bring her in the next day if she still had a fever, and to give her benedryl for the rash. Tuesday night, she slept better. Still woke up every 3-4 hours or so, but that was MUCH improved from Monday night. When she woke up on Wednesday morning, she was fever free, but her hands were so swollen from the rash, they looked bruised. I decided to bring her in, and they had an appointment available with her primary.

So, we saw Dr. McCabe yesterday afternoon. She thinks it’s viral, and it could be a variation of the Fifth’s virus, it could be fifth’s, or it could be a rash in reaction to the roto from last week. But, she said there was bacterial infection that can be underlying the viral rash, and she recommended antibiotics. She said there is a blood test, but it takes 5 days to come back, and if it were her kid, she’d just do the meds. She knows we like to try alternative care, and all of that, and she does some herself, so I trusted her judgement and agreed. Kennedy has been poked and prodded enough the last 3 weeks, I really didn’t want to go through the trauma of a blood draw too. She also suggested switching to Claritin or Zrytec, as I hadn’t seen the benedryl helping at all. She wants us to continue that for a week after the rash is gone.

So, from the pedi, we went to target and got the Rx filled. We wandered while we waited, and walked down the clearance toy aisle. Kennedy immediately spotted some Yo Gabba Gabba dolls on clearance. So, I bought her a Foofa doll that talks and makes silly sounds when you make her jump. It was only 6.25, and she LOVES it. I thought she deserved a little something for being such a sick peanut.

Oh, the good news is that according to the scale at this office, she hasn’t lost weight since last week’s visit for the roto. I’m not sure I believe that, and it was a different scale…so it could be off. She definitely feels like she’s lost some since last week. But, it means even if she has lost some, it’s not a lot! So, that part is VERY good!

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Wordless Wednesday (with a few words…)

Yeah, that last post? Not the end of our pedi visits…story tomorrow.

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