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I can't get over this...

SMaskSMask
in Babies: 6 - 9 Months
We took LO to his ped. on Wed. for being sick. They told us it was some virus that starts with an a and he would be better in 1-2 weeks.  I was not happy with that diagnosis, so we took him to KidMed (like a patient first for kids) today and they ran all kinds of tests and diagnosed RSV with bronchiolitis and gave him a breathing treatment, as well as sent us home with them.  I am just beside myself and not sure what to do about this doctor that mis-diagnosed him a day before.  Obviously we won't go back there... but can I report him? He was sick himself, and barely looked at my son.  After 2 breathing treatments today it is like we have a different baby! I am so angry he wasn't diagnosed correctly the first time!
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Re: I can't get over this...

  • mben1119mben1119 member
    Doctors are not perfect. Misdiagnoses do happen. I would go back to your pedi with your new diagnosis and see what he says. I think reporting him would be an overreaction.
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  • SMaskSMask

    imagemabenner1:
    Doctors are not perfect. Misdiagnoses do happen. I would go back to your pedi with your new diagnosis and see what he says. I think reporting him would be an overreaction.

    I agree with you... but he was coughing the entire time (in my sons face).  He ran 0 tests on my son.  All he did was listen to him breathe with a stethoscope.  I guess I should have spoken up right then.  I'm not really sure why I didn't.  

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  • bloverdebloverde member
    1. Knowing that it's RSV changes nothing in the treatment recommendations. The diagnosis is viral bronchiolitis, of which RSV is one of literally hundreds of types. So he wasn't "misdiagnosed."

    2. Albuterol nebulizer treatments are not the "standard of care" for RSV. Supportive care with suctioning and oxygen as needed are the standards of care.
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  • mben1119mben1119 member
    imageSMask:

    imagemabenner1:
    Doctors are not perfect. Misdiagnoses do happen. I would go back to your pedi with your new diagnosis and see what he says. I think reporting him would be an overreaction.

    I agree with you... but he was coughing the entire time (in my sons face).  He ran 0 tests on my son.  All he did was listen to him breathe with a stethoscope.  I guess I should have spoken up right then.  I'm not really sure why I didn't.  


    Well if the treatment is no different, or if your Lo worsened after his initial visit, I don't see any grounds to be upset with your pedi.
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  • SMaskSMask
    Thank you all for your input, but I am still convinced it was a mis-diagnosis.  I guess my concern is that if lo had been put on breathing treatments a day earlier, he would have started feeling better earlier.  We asked his pedi. if he had RSV and he told us "no", without running any tests.  To me, that is being mis-diagnosed.  He has clearly had this RSV (according to KidMed doc) for about 8 days now, which makes sense with his symptoms.   Now that lo has had 3 breathing treatments he is much better today.  He should have been given them yesterday.  At least we are finally on the right track and I know to find a new doctor.  I will call his pedi tomorrow to discuss my issue  with them, though. 
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  • SMaskSMask

    imagebloverde:
    1. Knowing that it's RSV changes nothing in the treatment recommendations. The diagnosis is viral bronchiolitis, of which RSV is one of literally hundreds of types. So he wasn't "misdiagnosed."2. Albuterol nebulizer treatments are not the "standard of care" for RSV. Supportive care with suctioning and oxygen as needed are the standards of care.

    I wish his Dr. could explain things like this.  It makes sense. Thanks.  If the albuterol treatments are not the "standard of care", why would LO be getting them? I am a FTM to a 9 month old who has not been sick much, so I am ignorant in this dept. I guess.  

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  • anonsouthernbellanonsouthernbell member
    The test for RSV is invasive IMO and bc it is a virus unnecessary in otherwise healthy infants.  Dd had some form of bronchilitis a few weeks ago & my ped said supportive care and to use ds nebulizer if things got worse / necessary.  They didnt.  Sorry yor LO is sick, but I have to agree that your dr did the right thing.
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  • davisas2323davisas2323

    imagebloverde:
    1. Knowing that it's RSV changes nothing in the treatment recommendations. The diagnosis is viral bronchiolitis, of which RSV is one of literally hundreds of types. So he wasn't "misdiagnosed." 2. Albuterol nebulizer treatments are not the "standard of care" for RSV. Supportive care with suctioning and oxygen as needed are the standards of care.

    I agree with this poster. My daughter was just diagnosed (but not tested) with RSV a few days ago. I asked the doctor if there was a test, just out of curiosity, and he said that there was, but they wouldn't run it unless they were telling the parents to admit their child to the hospital for treatment, in which case, an actual test would be useful during that process.

    That said, if you don't like or trust that first pediatrician, hire a new one. Find one you like and they can call the old practice and have the records sent over.

    As far as reporting the doctor, there's no malpractice situation here, but potentially an overworked and ill doctor seeing a lot of cases of RSV/colds that look very similar. Good luck and hope everyone's LO's are feeling better!  

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