First of all, thank you for all of the kind and insightful comments and suggestions on Tuesday’s post. As usual, it was dashed off by me in a cloud of (pretty raw) emotion, and I could see many of you sensed that. I have written down a lot of things from those comments, so thank you.
I didn’t post yesterday because we are now dealing with a scourge that was always stressful but now has become a Bigger Thing. C developed a hoarse throat and a fever (plus bilateral conjunctivitis and an odd-looking facial rash). If I was a gambling pediatrician, my bet would be on adenovirus which (per my resident who just finished an EM rotation) is going around in our community again after a long hiatus.
Normally, you’d keep your sick kid home, and they could go back when fever-free for 24 hours, right!?
I mean, I totally get why!!! And I will of course follow any rules in place (I immediately notified the school about his fever, for example). And actually it’s pretty amazing that this is our first real rodeo in dealing with a febrile illness in a very long time. But I was a bit surprised/confused when someone at the private school office yesterday told me that we needed “a negative test and 7 days” for C AND G to return, or “10 days without a test.”
Those sound like travel or exposure guidelines so I am hoping she is just confused. Anyway, I contemplated bringing him to urgent care to get a respiratory pathogen panel, since an RPP2 contains both a COVID-19 PCR and adeno, and surely if he has an alternate diagnosis that is NOT COVID and gets better . . . he could go back when no longer sick?
But then he spiked another fever rendering today a wash so I’m going to wait for some policy clarifications. I also felt guilty because clinically he doesn’t need those tests (I mean, I know that, he appeared non-toxic to me!) and I don’t want to waste time/space in the urgent care.
ANYWAY. I am so glad I have full time (and now, vaccinated!) childcare at home. I had a full day of patients yesterday and moving them all would have been disastrous.
I am going to post an article that has some controversial aspects, but I still found it interesting: here.
Our county is ALMOST ORANGE! I recognize this should not be cause for celebration (orange = still bad) but . . . it’s better than red!
Oh! And all of the patients I saw yesterday were excited about the prospect of COVID-19 vaccines for their kids! (Obviously this does not apply to every patient in the region, but it was encouraging nonetheless as our area has a lot of hesitancy that I do not see dissipating any time soon.)