Whooping cough redux; your story?

Nurses General Nursing

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All, just got the following from a colleague (identifying details changed):

My granddaughter Sarah has had 8 visits to the doctor's office in the past couple of weeks. She was first diagnosed with and treated for croup, then chronic asthma, and then bronchospasms due to allergies. Last week I took her to the Children's Theater and at intermission I had to call 911 because she couldn't catch her breath and she was getting cyanotic. After oxygen and an albuterol treatment she improved, but just to her baseline. Seen the following day and she was finally tested for whooping cough. The test just came back positive.

It is scary because she feels so ill but never complains and we see no improvement. Now her mother and brother have been diagnosed with whooping cough and the the rest of the family is being treated. I was told today that I should also be treated since she spend a a lot of time with me and am awaiting my physician's call back. In the meantime Sarah is no better and is also having bad headaches, stomach aches, sweats, and general malaise. And we are told it can last up to three months.

And this is why people should have their kids immunized. Physicians who haven't seen a lot of whooping cough since the immunizations became available don't recognize a variant case like this; this kid has been so sick and misdiagnosed for weeks; now her whole family is in treatment. What about other children at her school? What about the kid she got it from?

If you want to start the antivax rant, there are other threads for that, and please take the trouble to go there. Anyone who has similar stories to share, though, this is the place for you.

Specializes in Case mgmt., rehab, (CRRN), LTC & psych.
No, Mayim Bialik is Blossom. BLOSSOM.
Although Mayim Bialik played the part of Blossom in the 1990s, she has been an actress on the Big Bang Theory since 2010.
Specializes in OB-Gyn/Primary Care/Ambulatory Leadership.

That was a joke. I'm just feeling old.

Specializes in Case mgmt., rehab, (CRRN), LTC & psych.
That was a joke. I'm just feeling old.
Sorry! I have some 'Aspergerian' traits, so I take things literally! :D
Specializes in OB-Gyn/Primary Care/Ambulatory Leadership.

In the same vein, I insist that Neil Patrick Harris is DOOGIE, not whatever is name is on the show he's on now (I don't watch it, obviously).

And George Clooney is Booker, not Doug Ross (or Flyman - now I'm really showing my age - 2 points for anyone who knows what I'm talking about with that last reference).

I agree, she will forever be blossom :)

Specializes in Oncology; medical specialty website.

I came down with pertussis ~6y ago. I strongly suspect I got it from a co-worker. I was so sick from the racking, non-stop cough, that I wound up crying when I was in the ED triage, and I'm not a crier.

Specializes in PACU, pre/postoperative, ortho.

Re pertussis, do many facilities require vac for peds/OB staff? I don't work those depts but I'm fairly certain it's not required at my hospital for those employees.

No, Mayim Bialik is Blossom. BLOSSOM.

Blossom is just a little before my time :bag: If you are feeling old, klone, I am feeling a tad bit young. NPH is Barney to me & George Clooney is just old... kidding! Sorry to hijack the thread.

Please go back to the pro vax conversation!

Specializes in OB-Gyn/Primary Care/Ambulatory Leadership.
Re pertussis, do many facilities require vac for peds/OB staff? I don't work those depts but I'm fairly certain it's not required at my hospital for those employees.

Not required, but strongly encouraged.

Specializes in ER / Critical Care.

This happened to my son at 7 weeks old :( after 8 trips I he doctors office, a diagnoses of "reflux", then "asthma", then a "common cold".... I took him back every.single.day and had my concerns minimized by physicians. I even asked "could it maybe be pertussis?" After seeing the sounds of pertussis commercials on TV.... The reply I got was "I really wish they wouldn't play those things-makes parents worry too much!" Ya. Ok. So the evening of the 8th doctor office visit, my son quit breathing in his sleep!! I am so lucky that I woke up and noticed- he was cyanotic and flexed with his back arched. I immediately scooped him up and started screaming for my husband and my son gasped so loudly and let out a blood curdling scream- instantly took him to the ER Which was 3 miles from our house. When I explained what had happened to the triage nurse, social services was called! Apparently they are called for every ALTE. Anyways, after a night of monitoring in the ER they tried to send us home with no rhyme or reason to what had happened. I refused to leave and after talking to the head of pediatrics, was transferred to the ped floor for continued monitoring and tests (including a spinal to rule out meningitis) everything came back negative and once again, they tried to discharge him. Once again I refused and while waiting for the head of peds to come back into my sons room, he started coughing and was getting to be cyanotic so I got on the call light and called for the nurse- just then the head of peds walks in he room hears my sons cough and starts shouting "don masks" "get gowns" etc... "He has PERTUSSIS" OMG so long story short, well not so long.... He was admitted to the PICU and we stayed for 16 days.

*** please excuse the typos/poor structure as I am on my phone ;) FYI I was not a nurse at that time and had no medical/nursing knowledge beyond the scope of the average human :)

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Not all vaccines on the schedule are necessary for all children. I see no reason for an infant who is at home with mom to get HBV.

HPV is given at the age of 11 or 12.

If you are meaning HIB, that is given at 2 months, as 4 doses are needed. And unfortunetely, the most vulnerable is newborns--prior to the time that they can get the vaccine against it.

It doesn't matter if a child is home with Mom or not. Certainly one usually doesn't stay in the house 24/7 without any contact with the outside world.

HPV is given at the age of 11 or 12.

If you are meaning HIB, that is given at 2 months, as 4 doses are needed. And unfortunetely, the most vulnerable is newborns--prior to the time that they can get the vaccine against it.

It doesn't matter if a child is home with Mom or not. Certainly one usually doesn't stay in the house 24/7 without any contact with the outside world.

Klone is referring to Hepatitis B vaccine (HBV) not HIB or HPV which is not given to infants in the hospital before they are released i.e. HBV.

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