At What Point Would You Require A Dr Visit?

[jenboo]

He is 6 months now, has had the cough for two months with you and mom/dad aren't worried?

According to them, he doesn't show half the symptomsfrequency he shows here.

[childcaremom]

Any of those symptoms are exclusionary for me.

Also, the fact that doctor said he needs to be monitored, to me, signals mom and dad doing the monitoring.

[jenboo]

I'm not a doc, but this is just my hunch. Doc diagnosed "mucous in lungs and a URI" because little one doesn't have a fever. I am betting if he doesn't get better, a fever will eventually spike and a diagnoses of bronchitis will be made.

Guess I'll be watching for a fever.

[childcaremom]

According to them, he doesn't show half the symptomsfrequency he shows here.

Of course not. Because then they'd have to keep him home.

[jenboo]

Any of those symptoms are exclusionary for me.

Also, the fact that doctor said he needs to be monitored, to me, signals mom and dad doing the monitoring.

Ugh. Idk what to do.
The dr doesn't seem concerned, it isn't affecting his behavior... he was just home for a week due to snow days and seems the same as he was last week.

At what point would you allow him to return?

[jenboo]

Of course not. Because then they'd have to keep him home.

Ive never had a child who was sick longer than a couple days... do parents take take weeks/months off of work? How does this typically work???

[childcaremom]

Assuming that mom and dad are telling the truth and he isn't exhibiting symptoms at home, is there anything in your environment that could be triggers for these reactions? Allergic or otherwise?

How concerned are you with this cough? Is anyone else in care getting sick? What are mom and dad response when you talk to them about it?

I send home when symptoms are present. So a barky cough? Home. Wet, chesty cough? Home. Not eating because they are too stuffy? Home. To return when symptoms are no longer present for at least 48 hours.

I do find it hard to believe that they don't notice this at home.

[jenboo]

Assuming that mom and dad are telling the truth and he isn't exhibiting symptoms at home, is there anything in your environment that could be triggers for these reactions? Allergic or otherwise?

How concerned are you with this cough? Is anyone else in care getting sick? What are mom and dad response when you talk to them about it?

I send home when symptoms are present. So a barky cough? Home. Wet, chesty cough? Home. Not eating because they are too stuffy? Home. To return when symptoms are no longer present for at least 48 hours.

I do find it hard to believe that they don't notice this at home.

I can hear him breathing and i am about 10 feet away from him. I think they just don't notice it at home. Maybe they are busy with dinner, the other kids, etc?

His cough is minimal right now, usually just when he is drinking a bottle. He drinks his bottles but usually has a couple coughing fits during it. No one else here is sick or has been sick since he started.

When i mention it, they usually say something like oh we didn't notice or he was fine all weekend or he didn't cough at all while sleeping (usually that's when most of coughing here occurs).

[daycarediva]

Do you have pets in the home that he doesn't?

Had a dcg have this reaction with a previous provider to cat dander. Her cat/daycare space was all shared so the cat would sit on everything. Here I have indoor cats but they aren't allowed in my dc space, I was a little concerned with the AC/heating vents, but since we use a good filtration system, she never exhibited symptoms.

Either that- or they are straight up lying about his symptoms or not seeing it because they aren't paying attention to him (eek).

[jenboo]

Do you have pets in the home that he doesn't?

Had a dcg have this reaction with a previous provider to cat dander. Her cat/daycare space was all shared so the cat would sit on everything. Here I have indoor cats but they aren't allowed in my dc space, I was a little concerned with the AC/heating vents, but since we use a good filtration system, she never exhibited symptoms.

Either that- or they are straight up lying about his symptoms or not seeing it because they aren't paying attention to him (eek).

Well since the dr said it's an upper respiratory infection then I'm guessing it's not environmental. I do have two noon shedding dogs that are kept away. He has pets at home.

[Baby Beluga]

Does he drink the same breast milk/formula at home that he does at your house? Or does he use the same type of bottle at both home?

Perhaps it's a milk allergy or a nipple that is too fast of a flow?

[jenboo]

Does he drink the same breast milk/formula at home that he does at your house? Or does he use the same type of bottle at both home?

Perhaps it's a milk allergy or a nipple that is too fast of a flow?

Same bottles and milk. It is a very fast flow.

[childcaremom]

Well since the dr said it's an upper respiratory infection then I'm guessing it's not environmental. I do have two noon shedding dogs that are kept away. He has pets at home.

Here's an interesting bit about upper respiratory tract infections. The symptoms of upper respiratory infection usually last between 3-14 days; if symptoms last longer than 14 days, an alternative diagnosis can be considered such as, sinusitis, allergy, pneumonia, or bronchitis.

I think it is in dcb's interest for you to keep pushing this with the parents. If that is the first time that dcb has been taken to the doctor's, then the doctor may not be aware of how long this has been going on.

If you are comfortable to continue care for him, do so. If you are going to exclude for symptoms, do so (this is what I would do). I would also be tellling parents that you expect it to be cleared up in 14 days or he will need to go back to the doctors. Or something along those lines.

[jenboo]

Here's an interesting bit about upper respiratory tract infections. The symptoms of upper respiratory infection usually last between 3-14 days; if symptoms last longer than 14 days, an alternative diagnosis can be considered such as, sinusitis, allergy, pneumonia, or bronchitis.

I think it is in dcb's interest for you to keep pushing this with the parents. If that is the first time that dcb has been taken to the doctor's, then the doctor may not be aware of how long this has been going on.

I'll mention it to then again. I wrote on the form that the dr had to fill out the symptoms i had seen and the date they started.

[Snowmom]

I find this really strange.

What did the parent's say and how did they react to the diagnosis?

Since they don't seem to be concerned, it makes me think that they think it's normal- or the child has been like this since birth, therefore "normal" to them.

Is the child underweight at all?
Does he seem to be bothered by his breathing?