Tuesday, September 6, 2011

uh uh uh, should've said...

we used to play an improv game called "should've said."
a scene would commence on stage and when the narrator said, "uh uh uh, should've said" we would reformulate our last line, which had the effect of changing the course of the scene.
i play this game by myself now.
most often saying {uh uh uh, should've said} in my head when confronted with a situation needing fixin'.

for example, a couple of weeks ago:
we took our kiddo to the emergency room {not the one where i work} for the first time ever.
he was fine {and tubing} in the morning and then had a fever of 104.2, complaining of severe neck pain after lunch.  none of it seemed to respond to ibuprofen, so off to the ER we went.
his fever finally started to break around the time the doctor(s) came in to examine him.
{of course}

the medical team asked "so why did you bring him in again?...clinically speaking, he looks in perfect health...it is probably just a virus and the swab will come back negative but we will run one anyway.  although, if it comes back positive, he is likely just a strep carrier..."
an expensive ER visit, with a side of condescension to-go.

{uh uh uh, should've said...}
"you know, with a fever that high and complaints of neck pain, you did the right thing to bring him in.
especially if it didn't seem like the medication was bringing his fever down.
given his reported history of recurrent strep throat, we would like to run a swab to rule it out but clinically speaking, we are not seeing anything at this point to indicate infection...so it is probably just a virus..."

yo! it is the same clinical outcome, just with a side of validation for the parents
{who contemplated this decision for 2 hours, skipped dinner, drove 30 minutes to get there, and are out-of-network}

i know there are many people who misuse the emergency room for medical care. 
but those patients do not represent all patients and, furthermore, our family is not one of them.
and even if we were, a medical team has no right to treat us like we are idiots.
there are ways to both validate and educate, without resorting to condescension.

{just sayin'}

p.s. 
our kiddo woke up 10 hours later with pus draining from his ear. 
it makes me wonder what "perfect health" looks like.

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