Tonight is the first night in 7 days that I have not gone to the ER. The first 5 nights I was working the night shift. Last night, I got to go back to the ER as a concerned father.
Early in the week Amy had a runny nose but no fever. Best as we try to keep her from spreading germs, she gets up in Kate's face (which is a good thing as they are becoming better acquainted). Thursday morning, Kate had a clear runny nose. No biggie we thought. She had a cold a couple of weeks ago and got over it in a couple of days. The worse thing about it is that she hates getting her nose wiped.
Yesterday afternoon, after Marti and I returned from a late lunch, I noticed that Kate felt hot. And she wasn't acting right. She was having a worried look on her face. Her nostrils were flaring. And she was breathing twice as fast as normal with a rattle in her chest. I checked her temperature and it was 102.5. I then pulled out my stethoscope and listened to her chest; she was grunting and wheezing. I knew we had to go to the ER.
Happily, Kate did well. She had blood-work (again), fluids, X-rays, and nebulizer treatments. We were there less than 3 hours (props to my ER staff!). But I realized during her treatments that I had been rattled. That has not happened before with any of the other kids. I think it was a combination of not really knowing all of Kate's history and an understanding that you don't want to delay treating trouble breathing. As an ER doc I am always focused on the ABCs - airway, breathing, and circulation. When Kate rapidly developed troubles with "B", I became unsettled. It is one thing to have the means to deal with emergencies in the ER, another to be helpless at home.
Kate has had an uneventful last 24 hours and so I think she is going to do just fine. I hope she doesn't develop any problems like this in the future. But I also hope that I am a bit more sensitive to parents who come in with a child who is having trouble breathing. Rattling children can rattle parents.