The high fever, redness of eyes, irritations and rashes, it was turning into another classic case of Kawasaki to us and with prior researching books, researching on the net and the printouts the hospital gave us the last time we went through, we knew the symptoms and it all point to tell tell signs of Kawasaki and we had been told, sometimes it isn't easy to truly diagnose it early, got us jumpy.
Last time.
The horror of watching 8 months old going though that was heart wrenching experience. I rather lay on the bed and be operated without any anesthesia, then having told to hold and watch 4 specialty nurses, a teen social worker, father and mother holding and watching them butchering my son's body, arms and legs multiple times because they couldn't find the vein and having to go through that again when the needle got moved and had to be reinserted was most heart sinking experience that we went through. And worst part was first IVIG had no effect and having to restart the process again and being told that if this fails doctor told us that the process involve will be more complicated. And disease being effect the heart artery, there were known to have cause heart complications and it may have lasting side effect. There's no parents in this world that will just scuff it off if child is showing 4 of known signs.
Having to gone through above and know the possible side effect, my heart sank as I watch my son's eyes turn red with 103 degree high fever and rashes. We went to emergency room of HOMS around 6:30 the interns there seems like they had no clue and "so called" doctors. I must add that head nurse making fun of our last name was SOOOOOoooooo comforting/entertaining and shows their professionalism on their work. Mind you I used my English first name and I gave my son name that can be easily used by both English and Korean. They seriously called us ching-chang-chong as me gave them Sonny and Young as our first name. (I guess being Asian our names automatically be comes dishes and metals being hit together?) Anyway as we sat there with horrified 32 months old, all worried and try to comfort both wife and son, I heard our "new" name being called by head nurse, and told to go home and give him Acetaminophen they told me they think it's a dangue and want to have another blood test done tomorrow.
We took our son home gave him some Acetaminophen watched checked his temperature every 30 minutes. It kept going up and reached 103.5 degree and saw my son shivering. OK.... Enough we went back to emergency room around 11:30ish. And I have told the less knowledgeable the above story. And he answered "What do you want me to do?" I almost explode but I know there's no sense explaining what even interim doctor should know and do. I wasn't going to go back home with sick son with now probably 104+ fever. so I kindly said bring my son's temperature down, and I can't leave unless I see him safe. So they start give him medicine no still around 101-102. We took him cold shower cold to touch but after about 20 min. or so it still showed around 39 Celsius on their thermostat. And around so many hours passed and I guess he has told the higher ranking officer. One lady doctor came by and asked if we have doctor we see I said yes but we weren't able to see her. She was knowledgeable and went straight to the point. She is aware that it might be slight chance it can be Kawasaki but all the sign that is showing her Dangue, explained and asked many conversation and conclusion was bring temperature down go home come back in the morning and another blood test or even a Echo cardiogram if we want to be sure. She told clueless doctor to give him a medicine to take rectally
My boy and I wasn't happy but bringing down temperature was priority number 1. Waited and waited no sign of him around asked 1 nurse dosing off on the desk. NO clue. I finally saw him and he said "oh yeah" the medicine and he got it. My wife shoved it up and I cringe beside her. NO good. It all came out after short while. We gave him another dose Acetemaphen no good. After seeing the watch hitting 3AM I started the admission process.
It seems like they've gone through enough dangue here to find a good vein. One shot while me and my wife holding down my son. And it was all good to go. Got in to the room around 4ish. After my son fall asleep and us wash ours faces, someone came by and gave him medicine through the tube around 5AM and itwoke our son up. And put him back to sleep and I was just dead on the sofa and my wife kind of stayed awake and kept measuring his progress. We saw our doctora Maria Perchanco. And she said the same thing as the doctora we saw in the emergency room. So we are due another blood test. I just came back after witnessing our son's temperature is back to normal as they only had one sofa for adult to comfortably sleep on.
I learned few thing from all this...
1. Pediatric portion of HOMS emergency room here is a complete joke but still better then nothing.
2. There are knowledgeable doctors here.
3. Dangue can show same signs of Kawasaki (Still have to confirm 100% but I am going with two doctors we saw for now)
4. Dangue and Kawasaki involves similar process but administrating different medicine though kid's veins.
5. They might have IVig here!!! (As I was told)
6. Hospital room:
Good: Have individual shower in a bathroom
Bad: No windows.
Good&Bad: less nurse to watch/bother you.
I will report back after tomorrow. I feel tired now.
PS: As alway HB thanks for the info. We might have found another great one. (fingers crossed!) We started to seeing her last year, when we had to send our son to school. She had been nothing but great so far.