Top contender for the worst urgent care visit ever!!

 Yesterday was probably not our worst urgent care visit, all told. That honor might go to the time Coop puked blood and granola bar during a strep test while Harry was sick with another effusion and Dorothy broke her wrist in a sledding accident. I wouldn’t want to leave out my dystopian novel early 2020 pregnant COVID test visit. In terms of trauma, the visit that ended with Harry being immediately admitted to the PICU after being so sick the pediatrician wouldn’t leave our side until we were actually in the car and on the way was probably the VERY worst. (I feel bad skipping over our island urgent care trip when Coop was baby and had a terrible vacation virus and Ben heard a guy fresh from a motorcycle accident getting part of his ear sewn back on in the next room— a definite honorable mention.)

Still, even by Big Family standards and Kid with Heart Problem standards, yesterday was a doozy.

I told you all that Minnie has been sick for WEEKS and that I had a plan to bring her TODAY to see her doctor if she didn’t feel better, right? Well. I wrote that post— and sent the message to the doc— on Monday, and she really seemed completely better by lunch time. No fever since Sunday! An excellent appetite! Playing so hard! 3 nights of excellent sleep (thank God, literally)! 

I was so relieved yesterday when I sent her merrily off to preschool. 

Dorothy, though, was home sick. 

She sent me this text Monday night from dance:

And I just KNEW— that kid is NEVER exhausted and never ever tired at dance. We picked her up, and she had a fever **whomp whomp**

Since she was also complaining of a sore throat, I snagged an appointment for her at urgent care (side note: our doctor and all other pediatricians in all of our HMO clinics were totally booked for sick kid appointments by 8:24 am yesterday morning, which tells you a little bit about how things are going post-holiday gatherings in my town) because Minnie tested positive for strep, and we all watched in horror Saturday afternoon when Dorothy TOOK A BITE of Minnie’s Culver’s grilled cheese sandwich mid-tree trimming. I made the appointment for after preschool pick up, thinking we could also swing by Trader Joe’s if we wore masks and Dorothy wad strep negative because Minnie will only take cefdinir with mini peanut butter cups, and we only had 4 left— barely enough to bribe her into a single dose.

(Can we just go back to the above pic for a second? She was trying on her first costume of the season— for her mini tap small group,  and it is the very cutest— also has red gloves and fishnets over regular tights. SHE HATES IT because it is a sensory prison— tight! Itchy! Tight AND itchy booty shorts and big old rhinestones on the see-through chest part. LOOK AT HER FACE— her eyes say HELP ME)

Dorothy stayed in bed all morning, and I worked quietly until it was time to get Minnie, who had been so chipper and delightful in the morning. She picked out her outfit including a cardigan and said she was COOL MINNIE; she requested French braids, and she was thrilled to take her favorite stufffie for a snack time teddy bear picnic.

The kid I picked up? Was a sad, shivering, wilted flower of a person. She was clearly feverish just to the touch, and, alarmingly, she told me her neck hurt. I, of course, assumed she had meningitis because that is just how my brain works, and by the time we got to Dorothy’s urgent care appointment, I was internally FREAKING OUT because Minnie was a pathetic, glassy-eyed, slumped little lump in her car seat.

Urgent care was slammed, and the intake CNA told me from the exam room that I would have to CALL THE SWITCHBOARD if I wanted to talk to anyone about Minnie. I had been in conversation on her chart with our pediatrician’s nurse, whose office was STEPS AWAY from our exam room, but the intake nurse told me as she was taking Dorothy’s vitals that she didn’t know if that person was available because she worked in another clinic. Erm. But. Urgent care is one hallway away from pediatrics. 

I was on hold with the front desk (because I couldn’t leave Dorothy alone in the exam room per the nurse) when the PA-C we were set to see came in, took one look at Minnie, and said “Oh my— let’s look at her next.” THANK GOD FOR HUMANITY IN MANAGED CARE. When Minnie coughed (this has just been her cough for weeks you guys— I actually think it sounded better than it has), the provider said mildly as she felt Dorothy’s glands, “I think we’ll do a quick chest X-ray.”

She got Minnie on the table STAT and said she had swollen lymph nodes in her neck and that was probably why she said her neck hurt, but if she refused to turn her head for any reason or could not sit up on her own we needed to do straight to the ED (so I am not the only person who thinks meningitis when a kid has a stiff neck! Ha!). Minnie’s lungs did not sound crackly, but her thick, chesty cough prompted the X-ray. She was also swabbed for RSV, COVID, and flu (all negative, thank goodness).

 The icing on the cake, though, was a blood draw to check her counts and see if she had mono because that would explain the on-again, off-again fevers. (Negative! Phew!) (Also Dorothy asked “Minnie! Have you bee sharing cups at preschool?” When she heard what the test was for). Minnie’s veins are tiny and covered by so much delightful shiny chub that the draw itself was… um … how do I say it? A GODDAMN NIGHTMARE? Yes, I think that’s right. Fortunately, the lab people came to us, and the care team brought juice boxes for the girls (which Minnie refused because she doesn’t trust anything the doctor’s office offers now).

Minnie’s new and super inconvenient fear of oral meds showed up again when a nurse offered her a dose of bubble gum flavored Tylenol for her super high fever, and she lost her shit and spit it all over herself and me. Awesome.

Our provider checked her X-ray and said it looked clear and that she seemed to have another virus on top of the bacterial infections.

DO YOU THINK SHE GOT IT HERE?

And sent us on our merry way.

BUT THEN! The clinic’s radiologist read Minnie’s X-Ray and said SHE HAS PNEUMONIA.

OH MY GOD. Not a MyChart message/call I was expecting to get.

Minnie is taking another broad spectrum antibiotic (azithromycin) along with her cefdinir and we have to follow up on Friday if she is not better. WHAT EVEN IS BETTER? It has been a long time since she’s been that.

WAY BACK on the Friday after Thanksgiving, we saw a pediatrician in our practice who said that if she got totally better and then got sick again, that was a sign of pneumonia. And wow! That guy knows his stuff because that’s exactly what happened!! 24-36 hours of completely better (LOL psych) and then HORRIBLY SICK AGAIN.

So. Anyway. I have a work thing tonight that I gotta do (thank you Harry for stepping in to babysit your sick sisters), but other than that we are going to be on the couch watching Christmas shows and eating every snack Trader Joe’s has to offer (Ben swung by on his way to pick Cooper up at diving practice and take him to hockey) until at least Friday.