Yesterday Dan, Syd, and I had the pleasure of visiting the emergency room of Sydney’s Children’s Hospital. Before I go on, Syd is 100% fine. But we enjoyed many an adventure while sorting out what the heck was going on…
Yesterday morning, Sydney woke up and inexplicably began crawling everywhere. The night before, she was running around like her normal 2.5 year old self, but come morning, she regressed to crawling like a baby. It wasn’t just a few seconds of “Look at me, I’m a baby!” funny sort of crawling. Picture more like a creepy full-size toddler crawling on the ceiling in a bad Naomi Watts horror movie. (Is it heresy to poke fun at Naomi Watts in her native land? I’m not sure.) Dan and I kept lifting Syd up by her armpits to get her to walk, thinking this was just some early morning shtick, but Syd insistently told us she “couldn’t” walk and kept curling up her little right foot into a ball. We pressed on her little feet, which didn’t elicit any pain, and Syd was unable to pinpoint exactly where her feet hurt beyond pointing out the long-healed blisters on the insides of her foot – not the likely culprits.
Dan and I still hoped that the crawling was a cry for attention and nothing more. I brought little Syd to the neighborhood playgroup; Syd happily crawled around the room for an hour and a half, not once putting her foot down, not even to participate in her favorite activities like running under the parachute or sliding. At this point, I was thinking that if Syd was making it up, not even Meryl Streep could act this well when she was just 2.5 years old.
When I got home and got Syd down for her nap, I called my local general practitioner’s office; in Oz, general practitioners (GP’s) are jack-of-all-trades and often the first and only doctors you need to see. The receptionist – the receptionist mind you – was alarmed to hear that my 2.5-year-old daughter wasn’t walking. Somehow I permitted her concern (“Oh yes, you must get here right away!”) to stop my heart for a second. Oh no – there was really something wrong!
And then I did The Stupid Thing that Too Many Parents Have Done – I Googled Syd’s symptoms. Specifically, I Googled “My 2.5 year old suddenly won’t walk.” And I made another silly mistake by then painstakingly reading the conversation in a forum called “Wrong Diagnosis.com.” The title alone should have shouted, “Stop Mandy stop! Train wreck ahead!”
According to the conversation in Wrong Diagnosis, the best case scenario is that Syd could have some sort of gait abnormality. The sudden onset of her crawling, though, made me rule that one out. (See, I was ruling things out, pretending to be a doctor. Bad idea!) The worst case scenario was that she had a rare neurological condition called pediatric Guillain-Barre syndrome, described here:
Guillain-Barrè (ghee-yan bah-ray) syndrome is a disorder in which the body's immune system attacks part of the peripheral nervous system. The first symptoms of this disorder include varying degrees of weakness or tingling sensations in the legs. In many instances the weakness and abnormal sensations spread to the arms and upper body. These symptoms can increase in intensity until certain muscles cannot be used at all and, when severe, the patient is almost totally paralyzed.
Now I was barely breathing. Oh my gosh. You mean this is going to travel up Syd’s legs until she is paralyzed. OMG OMG. I called my poor father in the middle of the night to get his opinion. My wonderful Dad is an ob/gyn and thankfully has been getting calls in the middle of the night for over 30 years, so he didn’t miss a beat when I called. He put my mind at rest that Syd likely didn’t have Guillain-Barre Syndrome, but agreed that it was a good idea to have Syd checked out at the doctor’s. Gulp.
Off we went to the GP’s office. We love our GP – she is a sassy, no-nonsense middle-aged Aussie woman that I saw a couple times when I got whooping cough in January. (I know – who’s contracted whooping cough since the Middle Ages!? Me.). Anyhow, Syd’s neurological exam was completely normal. Huge sighs of relief. But when the doctor pressed hard on Syd’s heel, Syd winced and was in visible discomfort. The GP thought that Syd might have a bone spur in her heel. At this point Dan and I are breathing normally - a bone spur - yes, we can definitely deal what that! She made a quick call to an orthopedic surgeon friend of hers, who suggested that the most expeditious way of dealing with Syd’s injury was to go to the ER for an x-ray and to see a specialist on site.
So off we went. We collapsed the stroller, hailed a taxi, and $30 later, arrived at the Sydney Children’s Hospital’s ER. We waited in the ER less than 30 minutes (yay Aussie healthcare) before meeting with Dr. Sam, an adorable ER physician probably five years my junior. (Yes, he was adorable. I can still look, can’t I?!) He cajoled Syd with bubbles, trying to get her to run after them. His adorable antics didn't work: she giggled and tried to pop the bubbles while resting on her knees. Dr. Sam also kept pressing on her heel but couldn’t duplicate the pain that Syd’s GP elicited.
And then. The Question. Dr. Sam nonchalantly asked Dan and I, “Did you treat her foot pain today with some Panadol [Tylenol]?” Dan and I looked at each other sheepishly and shook our heads in shame. No. We never thought to do something as basic as give her Children’s Tylenol, which I had painstakingly brought over from the US. Over-the-counter pain medication – genius!
Dr. Sam didn’t think an x-ray was necessary and ultimately decided, after consultation with his boss (who I can only imagine was shaking his head and laughing at the stupid Yankees in Consultation Room 3) that Syd has a bruised heel. A “soft tissue injury,” as Syd’s discharge papers say, probably from running around too much at the zoo the day before, or maybe from a rock getting into her Crocs. Dr. Sam gave Syd some delicious cherry Panadol and off we went. A $100 payment to the ER (just $100!) and a $30 cab ride later, we were home. Today Syd is walking and running almost entirely normally on her right foot and keeps telling everyone that, “My foot doesn’t hurt anymore. The doctor fixed it!” I hold my head down in shame.
So what did we learn? Aussie healthcare rocks – efficient and affordable. Don’t ever, ever, ever Google what’s wrong with your kid: let the doctors do the diagnosing. And, most importantly, try Tylenol first.