After Effects

Wow!  Got one sick puppy on our hands.  It was definitely a long weekend and Amanda struggled with controlling her nausea.  She went home from her treatment with Dexamethasone and Ondansetron (Zofran) 2x a day and was given Domperidone as a rescue (useless).  Nausea is tolerable, but not really controlled.  She basically is off food and getting water down her is a struggle...apparently it tastes bad!

We ended up calling the triage nurse on Friday evening, and she was helpful in giving some hints but suggested that if things were not controlled in the next day or so to call back and they could prescribe something different.  She did not recognize the Domperidone and though that Metoclopramide (Maxeran) would be more effective.  Told her that Amanda has used this drug in the past to abort bad migraines and she really has bad reactions to it - I honestly think that she would rather be vomiting constantly rather than go through the "weird" restless feelings she gets on that stuff.  She suggested that there were other options - especially for rescue drugs.  As suggested, we called back today because she really was not coping very well at all.  

Lesson for the day: They put the bottom of the barrel on the phone on Sunday.  Never call then!

I was out of the house when Amber called.  The nurse she talked to was unbelievable!  She actually had the audacity to suggest we feed her chicken soup, jello, etc.  Well DUH!!  What parent does not know about the kinds of foods you try and feed someone that is nauseated - only there are levels of nausea, and Amanda was not eating anything!  Then next ridiculous comment was "you are just going to have to stop babying her".  UNBELIEVABLE!  We have a kid that is feeling the worst she has ever felt, is going through an experience that no one should have to, and she has the gall to tell use to stop babying her...Wrong Statement!  Amanda is going to be babied like she has never been before and that is not stopping until this is done. 

I walked in the house shortly after the conversation and Amber was somewhere between tears and being insane with anger...kinda scary if you ask me!  After calming down a bit, we talked a bit more and realized that it might be that Amanda was also fighting a migraine.  I CALLED back this time (same nurse).  First thing out of her mouth was"I just talked with your wife".  I told her I realized that, but I was wondering if there might be any issues with Amanda's abortives and the drugs she was currently on.  Told me she could not comment on that and to call our pharmacy...OK...now I'm mad.  Reiterated to her what our conversation with the nurse on Friday was about and was there an on-call physician that she could contact so that Amanda could get some relief.  And here comes the meanest thing I have ever heard out of anyone's mouth.  "Yes we do have a doctor I can contact, but I am not going to bother him with this"...I hung up the phone.