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I Am Often Wrong

Because of my own kidney issues and coming from a family of physicians I like to think of myself as something of an amateur internist.  Give me a sympton and Google and I will diagnose.  Since Fifth's Disease was going around her school and Ava had some of the symptoms, like a red rash (but not on her cheeks which is typical) I assumed that's what she had.  Since she has had bouts with kidney problems like me and since Fifth's Disease comes from the Parvovirus and that virus can trigger some serious kidney problems according to some studies that I had not only read but one I was also in, I was in full fledge panic mode.   The problem was my Columbia insurance wouldn't let me take her to a specialist (pediatric nephrologist) before seeing her primary care physician and her amazing pediatrician was out of network.  So I ran around trying to find another pediatrician who would see us that day  to allow us to see a pediatric kidney doc right away. 

 

I found one who was actually next to the kids's school but no pediatrician was available, only a nurse.  She came in, took a quick look and asked Ava to take off her shirt.  She said it might be Fifth's but it's probably strep.  She poked that long q-tip down Ava's throat and said by the look and the smell her twenty years nursing it's almost definitely strep. Then she left to test it and returned ten minutes later and said it was definitely strep.  Oh and she checked Ava's kidneys and they were perfect.  That's especially good news because strep can attack the kidneys as well.  And did you know that the red rash from strep, "Scarlatina," is just another name for "Scarlet Fever."  I think they just changed the name so we parents would freak out a little less.

 

The thing about Fifth's is that your kid just lives with it, strep, of course gets treated with antibiotics.  So she's been out of school for the last two days so the meds can kick in and she's no longer contagious.  She's feeling pretty fine and it's actually been lovely having here with me while I write in one room and she works on her own book in the other.  It's a mystery, she tells me. She's addicted to Nancy Drew and the Babysitter's Club.

This morning she finally went back to school. It's lovely here in New York City today. Perhaps the first real day of Spring.   I took this picture last weekend on an outing in Central Park with the kids.

 

 

 



Comments

 

leahsmom said:

I'm so glad she's feeling better - and don't discount your internist skills yet; even the best docs get the occasional thing wrong. ;)  

March 26, 2008 4:47 PM
 

Tracey said:

That's wonderful news.

I've worked in a prison as a counselor, worked in a psych hospital, worked with HIV/Aids patients and now do hospice work. It is possible to know TOO much sometimes. It's easy to know a little, run to Google, and then proceed to the freaking out part.

It's also so nice to be wrong.

That aside, when you say "just a nurse" I must tell you that sometimes a good nurse is better than a too busy doctor. They have amazing intuition, experience, and enough time to really pay attention. Often, popular doctors will see a patient, give you 5 whole minutes and delegate to the nurse. So don't say "just a nurse." They are often the backbone of a popular doctor.

Anyway, I'm glad Ava is on the mend!

March 26, 2008 8:41 PM
 

AngelB said:

So happy Ava is better! I agree with Leahsmom that you shouldn't discount your internist skills! And Tracey is right ---nurses are amazing! Love the beautiful picture of Central Park. Prayers for wellness for you all!

March 26, 2008 9:49 PM
 

LogicalMama said:

Agree with all above comments.... nurses rule!

Strep can be hard to diagnose in kids without the test b/c the symptoms can be different with each case... sometimes just a headache, sometimes just a fever, too often no sore throat! WTF?

March 27, 2008 2:15 PM
 

Shirlene W. said:

My poor niece (she's 1) had strep w/ the strep rash.  It was aweful.  She was sick & moaned everytime you moved her.  Pro-Biotics work really well to help ward off some of the stuff that kids get from school.  I have my 4 year old on them & it helps.  She just started Pre-School last year & has come home w/ almost everything.  So since she's been on that, it's been WONDERFUL!  Also, when your kids get a common cold, take some Vicks Vapor Rub & put it on their feet w/ socks on while they sleep.  I used it on my daughter on her last cold & it worked.  It helped the symtoms from the cold & helped her get better.

April 1, 2008 1:11 PM

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About the Blogger

Arthur Bradford

Trey Ellis in Manhattan

The author of Bedtimes Stories: Adventures in the Land of Single-Fatherhood, Trey is busy raising his school-aged girl and boy in New York City. When he’s not shuttling them to public school, he is a novelist, screenwriter, political blogger on the HuffingtonPost and film professor. Visit his website here.

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