My 3 YO daughter"s first asthma attack

So I picked up my daughter’s medical records today from her ER visit On Nov. 27.  My wife took her — my little reserved 3-year-old — to the ER that day because of an exacerbation of asthma.  It was clear to me it was asthma, although I can tell from what the arrogant and condescending doctor wrote she didn’t necessarily agree.

Here’s what the doctor wrote on the chart::

“Child has had cough and difficulty breathing for two weeks.  Mother is RN and father Respiratory therapist and they have been giving her xopenex and albuterol every two hours at home since 0300 today.  She has not been diagnosed with asthma.  Mother states “she hates people.” Mother has called their pediatrician and report was called to ED to avoid drawing blood on the child.

“Duoneb times two and worked to get cooperation to take steroid.  After second neb still with wheeze inspiratory (scant) and full exp cycle.  CXR neg.  Solumedrol given IM and RX pediapred and atrovent for home.  Mom is RN and Dad is resp therapist.  They have home nebulizer and expressed preference to continue treatment at home.

Responds well to DuoNeb howevr still wheezing.  Added steroid and to send home on Albuterol and Atrovent neb and PO Pediapred.

I think it’s pretty clear the doctor was irritated my daughters pediatrician called with recommendations on how to treat my daughter.   It was actually more us than our pediatrician.  My wife and I are minimalists, and we know by our clinical experience that ER doctors have to order a bunch of stuff just to cover their butts. 

Figuring my daughter’s asthma is similar to mine, she didn’t need a bunch of labs and an IV.  All she needed was the steroids.  I also had this distinct feeling this doctor wanted to admit my daughter too.  The doctor was also not one of our regular doctors, which may explain the poor attitude. 

And guess what.  The steroids worked great.

Related links:  My daughter’s asthma attack and the arrogant doctor

Verbal First Aid

Author: Judith Acosta
Edition:
Binding: Kindle Edition
ISBN: B003NX7OIC

Verbal First Aid: Help Your Kids Heal from Fear and Pain–and Come Out Strong

Words as Medicine
What to say to your children to get them through the bumps, bruises, and crises of childhood. Get Verbal First Aid diet books 2013 for free.

Falling off a bike, having a bad dream, getting stitches…sometimes a kiss isn’t enough to make it all better. But what you say to your child in those first moments of pain or fear could make all the difference.

Using techniques the authors have taught to doctors, nurses, and first responders, Verbal First Aid(tm) explains how words can be used to promote healing from burns, bruises, nightmares, asthma attacks, and more. It provides scripts and tips on how to short-circuit traumatic memories, sometimes just by speaking a sentence or two.

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Verbal First Aid Download

Author: Judith Simon Prager
Edition:
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ISBN: 0425234274

Verbal First Aid: Help Your Kids Heal from Fear and Pain–and Come Out Strong

Words as Medicine
What to say to your children to get them through the bumps, bruises, and crises of childhood. Get Verbal First Aid diet books 2013 for free.

Falling off a bike, having a bad dream, getting stitches…sometimes a kiss isn’t enough to make it all better. But what you say to your child in those first moments of pain or fear could make all the difference.

Using techniques the authors have taught to doctors, nurses, and first responders, Verbal First Aid(tm) explains how words can be used to promote healing from burns, bruises, nightmares, asthma attacks, and more. It provides scripts and tips on how to short-circuit traumatic memories, sometimes just by speaking a sentence or two.

This revolutionary book gives parents the responses they Check Verbal First Aid our best diet books for 2013. All books are available in pdf format and downloadable from rapidshare, 4shared, and mediafire.

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