I said to the beloved (who is also a nurse) "I bet I see some Thanksgiving hangovers today."
First visit of the day - before school starts, before I have time to put up my stuff even - stomachache. Parent is aware. Parent sent the kid to school.
Afebrile student who isn't nauseous, doesn't need to poop, and who ate breakfast.
Me: How can I help you today?
Student: I don't know.
Me: Do you want me to call mom and tell her she was wrong?
States he was pushed down and hit his head multiple times. No mark, no witness, no clue who pushed him. Headache 8-9 out of 10, stomach ache 6/10. He is chatty, talks with friends in clinic, moves with ease. After I tell him 9/10 is awful, usually those kids cry and need the lights off. 5 mins later he is trying to make himself cry and stating the lights are bothering him. Asks me to call his mom and let him talk to her.
I know with a nosebleed we aren't supposed to have the kiddo express the clot...but this kid was in my office for ten minutes holding his nose as best he could while I helped all my regulars , so I brought him to my sink and the biggest clot I have EVER seen come out of a nose plopped into my sink. The bleeding stopped but I'm still kinda in shock. lol
States he was pushed down and hit his head multiple times. No mark, no witness, no clue who pushed him. Headache 8-9 out of 10, stomach ache 6/10. He is chatty, talks with friends in clinic, moves with ease. After I tell him 9/10 is awful, usually those kids cry and need the lights off. 5 mins later he is trying to make himself cry and stating the lights are bothering him. Asks me to call his mom and let him talk to her.
Ug. Whenever I have a kid that I suspect is trying to list of symptoms that they remember being associated with something (concussion, strep throat) I offer a list of symptoms and see if they bite on any that are not associated with whatever they are complaining of. For example: For sore throat, I'll ask when their throat hurts- all the time, when they breathe in/out, when they cough, or when they swallow? From my experience strep hurts when they swallow but (if they are exaggerating symptoms) they will pick all the time since it sounds the most severe.
2 stomach ache complaints. One has already gone home but I suspect she'll be back tomorrow considering she did THE EXACT SAME THING the week before Thanksgiving break and returned the next day. No temp. Color was fine. But call was made before I arrived today, so whatevs.
The other LD with a stomach ache now feels just fine but I SUSPECT pink eye (cause, ya know....I can't diagnose) so naturally I can't get a hold of anyone to come pick her up. Again, whatevs. She's a cool kid so I'll just hang with her in my office
I heard the wheezing before the student even got to my doorway. No inhaler, wheezes all lobes, AR 146, rescue called. They gave 2 breathing tx while here waiting for mom. She didn't want them to transport--too expensive.
She signed saying she knew the risks and drove child to ER herself.
I heard the wheezing before the student even got to my doorway. No inhaler, wheezes all lobes, AR 146, rescue called. They gave 2 breathing tx while here waiting for mom. She didn't want them to transport--too expensive.
She signed saying she knew the risks and drove child to ER herself.
Bums me out when $$ overrules good medical care, especailly when it can go so bad, so fast. Hopefully the Tx she got carried her safely to ER.
OhioBPH
281 Posts
States he was pushed down and hit his head multiple times. No mark, no witness, no clue who pushed him. Headache 8-9 out of 10, stomach ache 6/10. He is chatty, talks with friends in clinic, moves with ease. After I tell him 9/10 is awful, usually those kids cry and need the lights off. 5 mins later he is trying to make himself cry and stating the lights are bothering him. Asks me to call his mom and let him talk to her.