Against my better judgement we saw the PA, Spencer likes her and I am confident she would notice if he had anything life threatening. We told he about the cough lasting 6 weeks and that he wakes up all night long with coughing, stridor and wheezing and that it's worse if we forget his singulair before bed. She said "i think it's either allergies or asthma causing his cough, I don't think he's choking on a foreign object". He's had this cough on and off for more than two years did she think that no one would notice that for 2 years?!?!
She decided the best course was to put him on a steroid nebulizer every night and see if that helps. She left the room to write the prescriptions and when her nurse came back with the scripts this it the conversation that happened:
Me: She said she was writing for a steroid.
Nurse: She did, see? (holding out the script)
Me: that says albuterol.
Nurse: Yeah that's a steroid.
Me: No it isn't.
Nurse: While it has a steroid in it.
Me: No it doesn't.
Nurse (getting mad at me): Yeah I think it does.
Will and I together: We're pharmacists. It doesn't.
Nurse: I'll go ask her about that, she's with another patient.
Sure enough...she found out that the PA talked to the doctor who thought that steroids shouldn't be first line treatment for asthma and her had he write for albuterol.
So we got the albuterol and another antibiotic (dosed wrong) for ear infection #4 this season.
This is Spencer getting his first dose of albuterol. At first he was scared but after wasting a dose playing with the mist he was willing to try the elephant mask.
The good news is that Spencer slept all night and neither of us heard him cough, not even once.
So here's my question.
We all see this doctor and really like him but we've been stuck seeing the PA the last few times we've been in and I really really don't like her. Is this worth finding a new doctor for all 4 of us over? Would it be out of line to refuse to see the PA?
She really thought albuterol was a steriod??? WOW...I dunno if I would be seeing her again. :(
ReplyDeleteI say find a new doctor!!
ReplyDeleteWe take Carson to Dr. Rogers with Deaconess Pediatric Group. We've been very happy with them so far. I know others that use that group and are pleased as well.
ReplyDeleteGood thing you guys are pharmacists. I would definitely not see the PA again. Too bad the doctor's so busy. It's probably because nobody else wants to see the PA, either.
ReplyDelete