Laryngotracheobronchitis (by alaric)
Poor little Jean! She was well recovered from her past viral infection, but a few days ago she started to drool excessively, went off her food, and became generally unhappy. We thought at first that she was just having more teeth break through her gums, which would have those effects, but she then started coughing, sleeping lots, she'd lost her voice, was hardly drinking any milk or water, and some spots that had begun to appear on her lower lip (where all the drool was running down) turned into nasty big red ones.
So today we phoned NHS Direct, who said that she sounded like she had croup, so we should expose her to steamy atmospheres. They also said they would contact the local out of hours doctor (our local surgery not being open today), who would ring us back soon.
So they rang back, and said they'd like us to bring her down to them to be looked at, if we could; after all, various other things have similar symptoms to croup, that can be a lot worse.
After a short wait, she was seen by a doctor, who summoned a colleague who specialised in children, and they said that it did indeed appear to be croup, but the one thing they couldn't safely check for was Epiglottitis since, if it was that, poking around in her airway to take a look might cause it to spasm, choking her. So they sent us off to the children's unit at a bigger hospital.
After some form-filling with a nurse, having Jean weighed and her vital signs checked, we were seen by a specialist who gave her a thorough examination, and pronounced that she almost certainly just had croup. He then had to go because of a shift changeover, so after a bit more waiting, another specialist came and said that he agreed, and that the nasty spots were probably Herpes. Sarah panicked a bit at this since she'd only heard of herpes as a sexually transmitted disease, and didn't realise it was the common coldsore, but that was soon cleared up!
So after even more waiting, they gave her some steroids to help reduce the swelling in her throat, and packed us off home.
Phew.
The NHS doctors and nurses we spoke to were lovely; noticeably different from the experiences we'd had in London! From the NHS direct phone people to the out of hours doctors at Stroud Hospital (which, alas, is currently fighting potential cutbacks), and the Children's Centre at Gloucester Royal Hospital, even though we did have to wait a long time for the senior doctor to come and see us!
Sat 17th Jun 2006 11:20 pm 
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