Friday, December 5, 2008

Pediatrician, are they reliable?

This incident with Hayley and the throat infection and rashes made me think twice about trusting a 'so called' child specialist. I'm going to tell you the story and you judge for yourself if you think they are reliable. Well, it wouldn't be fair for me to criticise all the pediatricians out there but at least this one deserves to be questioned. She is a Dr Wong from Klinik Pakar Kanak-Kanak Wong.

mid Sat: fever develops. Temperatur ranges from 37.6 - 39.1. Highest was 39.1 on Sunday night.
Monday evening: brought her to the clinic and first dose of Zithromax given.

Tuesday: Behaviour extremely grouchy and cranky. 2nd dose given at night. Spotted some mild rashes (that appears like red dots) around her neck and behind her ears.

Wednesday: I called the doctor in the morning to inform her that Hayley developed some mild rashes around the neck (it was still mild then), she told me to monitor the situation and let her know if the rashes spread. Come evening, the rashes spread to her face, back and vaginal area. She told me to stop giving her the antibiotic and continue to monitor the situation. She said the rashes would peak for 3 days and then they will subside. She also adds that the diarrhea would go away immediately after we stopped the antibiotic. We decided to stop giving her the last dose. Behaviour still grouchy and cranky.

Thursday: The rashes got even worst. Now her front and her legs have them too. It is as if the rashes are travelling downwards. She even had 4 bowel movements and the discharge was watery hence her buttocks were very very sore. Her face and eyes were slightly swollen too. I called the doctor at night and asked her if this was normal and if I can change her formula to Lactose Free formula until her diarrhea gets better. Guess what she said? She said this is not an allergy! This is a type of stomach flu and I should bring Hayley in for her to check on so she can prescribe some medication for the diarrhea. This caught me off guard and I didn't know how to react. I asked her if I can monitor Hayley for the night and see if she gets better with the LF formula. I asked her if this is ok and most importantly safe for Hayley. She then said yes I can monitor tonight and bring her in tomorrow morning. Her behaviour improved slightly.

It wasn't that obvious in both the photos but those patches are actually rashes
Friday: The rashes subsided and the diarrhea GONE! Her face returned to normal too. Behaviour was much better too.

What if I listened to the doctor and brought her to the clinic and gave her those unnecessary medicine? My poor girl would be traumatised yet again!

My mom was an ex nurse and I told her Hayley's symptoms. She told me they were definitely symptoms of allergy. If it was a type of stomach flu, why didn't the symptoms appear when she had those fever? Why did the symptoms only appear when the fever was gone? What was the logic behind the diagnosis - stomach flu causes rashes??

Honestly, I think I need to get another child specialist but I would like to stick to the same doctor who knows her history (if I can). We've been visiting this doctor since day 1. The papa isn't happy with her as well and I guess we need to start looking for a better one. Her next vaccination will be in February (1 years old) and I hope we'll be able to find a better one by then. If not, I definitely would not hesitate to tell her off this time if she gets impatient with her clients again!

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