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Old 04-02-2018, 02:34 PM
 
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Just out of curiosity, are you sure it was a doctor that she saw? All of the urgent cares around here staff PA’s though they seem to think they are doctors. Last one I saw said he went to medical school. Then he coded the visit as a “specialist visit”.
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Old 04-02-2018, 02:59 PM
 
Location: Midwest
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Docs miss a lot, so do RNPs.
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Old 04-02-2018, 04:34 PM
 
8,201 posts, read 8,473,647 times
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Quote:
Originally Posted by CGab View Post
Hi all!


My 12 yr old daughter started feeling ill late Sunday night. She was achy and had a headache. Monday same. Tuesday morning she woke me up early saying she was seeing spots and nothing else. I sat her down and got her water. I then took her temp and it was 104. I brought her right away to one of those Urgent Aid clinics and the doctor said she had Strep. He didn't swab her for it because he said her throat looked nasty. He prescribed Cefdinar (an antibiotic) for 10 days. He also stated everything else looked good and sent us on our way. Wednesday and Thursday go by and her fever stayed at about 102. It would come down with Mortrin and Tylenol, but never broke.


Today fever was still around 101, so I took her to see her pediatrician and she tested her for both Strep and the Flu. Strep came back negative and Flu was positive! She said to discontinue the antibiotics immediately (which she already took for 3 days now) and unfortunately we just need to wait it out and watch out for pneumonia (as she does have a cough now too). Had the other doctor caught it, she could have taken Tamiflu which would have helped her get over it sooner!


I'm so mad! Not only has this ruined my daughters entire Spring break this week, but the poor girl is miserable! I mean, kids are dying from the flu!! I also sent an email to the director of the Urgent Aid clinic letting them know what happened and demanding they waive whatever my bill will be and the $55 for the antibiotics! Would you have done that or would you have let it go and never gone back there?
Its a misdiagnosis that ultimately was pretty harmless. Just don't go back to this doctor again. I understand how this happens. Daughter has a fever and complains of throat pain. Upon examination the throats look red and puffy. This is generally a strep throat. It turns out it wasn't and it was the flu. Next time, you'll approach this differently.
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Old 04-02-2018, 05:29 PM
 
Location: S.W. Florida
1,607 posts, read 628,059 times
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Quote:
Originally Posted by CGab View Post
Hi all!


My 12 yr old daughter started feeling ill late Sunday night. She was achy and had a headache. Monday same. Tuesday morning she woke me up early saying she was seeing spots and nothing else. I sat her down and got her water. I then took her temp and it was 104. I brought her right away to one of those Urgent Aid clinics and the doctor said she had Strep. He didn't swab her for it because he said her throat looked nasty. He prescribed Cefdinar (an antibiotic) for 10 days. He also stated everything else looked good and sent us on our way. Wednesday and Thursday go by and her fever stayed at about 102. It would come down with Mortrin and Tylenol, but never broke.


Today fever was still around 101, so I took her to see her pediatrician and she tested her for both Strep and the Flu. Strep came back negative and Flu was positive! She said to discontinue the antibiotics immediately (which she already took for 3 days now) and unfortunately we just need to wait it out and watch out for pneumonia (as she does have a cough now too). Had the other doctor caught it, she could have taken Tamiflu which would have helped her get over it sooner!


I'm so mad! Not only has this ruined my daughters entire Spring break this week, but the poor girl is miserable! I mean, kids are dying from the flu!! I also sent an email to the director of the Urgent Aid clinic letting them know what happened and demanding they waive whatever my bill will be and the $55 for the antibiotics! Would you have done that or would you have let it go and never gone back there?
Iím sorry your daughter is so sick, and I hope she recovers quickly. As a,parent nothing hits us harder than when our children are sick. I understand your feelings about the Dr. not getting the diagnosis 100% correct.

But I also see that you, the parent need to own this as well. You were there when she was being examined yet you chose not to insist upon the Strep check. You also stated no one got their flu shot this year. Why not? So the good Dr. deserves ALL of the blame? Sorry, I donít think so.
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Old 04-02-2018, 05:37 PM
 
4,627 posts, read 1,463,573 times
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Quote:
Originally Posted by Katarina Witt View Post
Tamiflu is not controversial. It's not prescribed unless one has flu or has been exposed to it. I don't think the OP over-reacted. Actually, 50 years ago people didn't take their kids to the doctor as much because the doctors couldn't do as much.




Tamilfu is recommended for treatment of flu in anyone of any age, and in chemprophylaxis of flu for people age 3 months and older.
https://www.cdc.gov/flu/professional...clinicians.htm

Cefdinir is not overkill for strep.
https://www.everydayhealth.com/drugs/cefdinir



Agree about the strep tests. The one my old office used was about 95% accurate for a negative reading, meaning that 5% of negative tests sent for culture were actually positive. To people who don't understand math (not you, I know) that doesn't sound like many, but it's really a lot. That why we sent them.

While I think the media coverage of this flu season has been awful, I disagree that the reporting of flu deaths in kids is "hysteria". So far there have been 137 known pediatric flu deaths and the flu season is not over yet. The 2014-15 flu season had 148 deaths, total. I would be surprised if this season doesn't at least match that. Granted this is not a large number of deaths, percentagewise, but the very vast majority are preventable. Most years, about 80% of the kids who die were not vaccinated and about 45% have no other risk factors for flu. Being under age 2 is a risk factor regardless of otherwise good health, so there's that, too.
The "very vast majority" of deaths are usually immunocompromised kids and the elderly. So no, not preventable at all.

Stop telling healthy people they are going to to die.
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Old 04-02-2018, 06:12 PM
 
Location: Foot of the Rockies
84,646 posts, read 98,111,352 times
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Quote:
Originally Posted by newtovenice View Post
The "very vast majority" of deaths are usually immunocompromised kids and the elderly. So no, not preventable at all.

Stop telling healthy people they are going to to die.
Yes, preventable, particularly for kids.

https://www.cdc.gov/flu/news/flu-death-children.htm
"Study of Flu-Related Deaths in Children Shows Healthy Children at Risk"
"February 12, 2018 – A CDC study published in the journal Pediatrics shows just how vulnerable U.S. children are to the flu each year. The study, titled “Influenza-Associated Pediatric Deaths in the United States, 2010-2016,” analyzed reported flu-related deaths in children younger than 18 over the course of six flu seasons from October 2010 through September 2016. Results showed that half of flu-related deaths occurred in otherwise healthy children, 22% of whom were fully vaccinated."

Here's the original article: Influenza-Associated Pediatric Deaths in the United States, 2010

WRT adults, many have pre-existing conditions, but that is to be expected. The highest number of deaths in adults are in the 65+ age group, and who gets to that age with no underlying conditions?
https://www.cdc.gov/flu/weekly/index.htm
"Among 3,102 hospitalized adults with information on underlying medical conditions, 2,884 (93.0%) had at least one reported underlying medical condition; the most commonly reported were cardiovascular disease, metabolic disorder, obesity, and chronic lung disease. Among 277 hospitalized children with information on underlying medical conditions, 152 (54.9%) had at least one underlying medical condition; the most commonly reported were asthma, neurologic disorder, and obesity. Among 232 hospitalized women of childbearing age (15-44 years) with information on pregnancy status, 70 (30.2%) were pregnant."

Last edited by Katarina Witt; 04-02-2018 at 07:02 PM..
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Old 04-02-2018, 07:03 PM
 
Location: Saint John, IN
10,565 posts, read 3,204,708 times
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Quote:
Originally Posted by Ron61 View Post
Iím sorry your daughter is so sick, and I hope she recovers quickly. As a,parent nothing hits us harder than when our children are sick. I understand your feelings about the Dr. not getting the diagnosis 100% correct.

But I also see that you, the parent need to own this as well. You were there when she was being examined yet you chose not to insist upon the Strep check. You also stated no one got their flu shot this year. Why not? So the good Dr. deserves ALL of the blame? Sorry, I donít think so.


Well I'm also no doctor. The person I saw WAS an M.D. and if he said "No need to swab, she has Strep", I feel like I should have been able to trust that. Obviously not! So yes, I suppose I should have insisted, but like I said in a previous post, I had my younger daughter with me as well and I just wanted to get out of there as soon as possible.


As far as getting vaccinated, the CDC also stated that the flu vaccine was only 10% effective for the 2017-18 flu as they miscalculated what the strain was going to be. I vaccine my children, but I didn't get them flu shot this year. Another lesson learned and my child could have got the flu regardless, but it still doesn't change the fact that this doctor made a mistake.
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Old 04-02-2018, 07:17 PM
 
Location: Foot of the Rockies
84,646 posts, read 98,111,352 times
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Quote:
Originally Posted by CGab View Post
Well I'm also no doctor. The person I saw WAS an M.D. and if he said "No need to swab, she has Strep", I feel like I should have been able to trust that. Obviously not! So yes, I suppose I should have insisted, but like I said in a previous post, I had my younger daughter with me as well and I just wanted to get out of there as soon as possible.


As far as getting vaccinated, the CDC also stated that the flu vaccine was only 10% effective for the 2017-18 flu as they miscalculated what the strain was going to be. I vaccine my children, but I didn't get them flu shot this year. Another lesson learned and my child could have got the flu regardless, but it still doesn't change the fact that this doctor made a mistake.
Actually, the entire sentence in red bold is untrue. Here's the efficacy numbers: https://www.cdc.gov/mmwr/volumes/67/wr/mm6706a2.htm
"VE (vaccine effectiveness) against medically attended ARI (Acute Respiratory Illness) caused by all influenza virus types combined was 36% (CI = 27%–44%). VE for all ages was 25% (CI = 13% to 36%) against medically attended ARI caused by A(H3N2) virus infection, 67% (CI = 54%–76%) against influenza A(H1N1)pdm09 virus infection, and 42% (CI = 25%–56%) against influenza B virus infection."

The most common circulating flu virus this season has been A(H3N2), which antigen is in the vaccine. B is starting to pick up.

The 10% figure was from Australia, and even that wasn't accurate.
https://www.ncbi.nlm.nih.gov/pubmed/29090681
"Adjusted VE was low overall at 33% (95% confidence interval (CI): 17 to 46), 50% (95% CI: 8 to 74) for A(H1)pdm09, 10% (95% CI: -16 to 31) for A(H3) and 57% (95% CI: 41 to 69) for influenza B."
So for the A(H3) the efficacy averaged 10%, with a possibility of from -16% to 31%. Efficacy for the other strains was higher. Another thing to consider re: Australia is they only pay for the vaccine for people >65 and some with high risk conditions. Unlike the UK, they don't even provide it for kids <5. Vaccine efficacy is lower in people >65.

As I said, the reporting this season has been awful, awful.

However, that's all water over the dam at this point.

I will say, OP, your desire to get out ASAP, combined with your desire not to wait for an appointment at your doctor's, seems to have contributed to your problems. Also, it is entirely possible that the doctor's diagnosis was correct. By the time your DD was tested for strep, she'd been on antibiotics for 3 days. The test could have been negative even if she'd had strep. I do agree she should have been tested for both the first time, but I don't know if that's enough to warrant a refund. I'd guess they can defend that somehow.
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Old 04-03-2018, 04:05 AM
 
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You know what prevents sickness? A healthy immune system. A 36% efficacy is p-ss poor. If the flu was so deadly this year, more people should be dead since the vaccine was barely useful. yet ... avg year for pediatric deaths. No data for adults, becuase, well, there is no mandatory reporting. So there is never an accurate count for that.

Although I agree the reporting has been awful. Ridiculous amount of fear mongering, you'd think people were falling over dead in the grocery store every day.

(cue another cut and paste from 10 year old data that doesn't say anything of use)

OP doctors make mistakes all the time. In this case your daughter was already sick, so not much could be done.
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Old 04-03-2018, 04:25 AM
 
Location: SW Florida
9,050 posts, read 6,221,951 times
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Quote:
Originally Posted by mistyriver View Post
Just out of curiosity, are you sure it was a doctor that she saw? All of the urgent cares around here staff PAís though they seem to think they are doctors. Last one I saw said he went to medical school. Then he coded the visit as a ďspecialist visitĒ.
Unless you checked his credentials personally you really don't know.
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