Which emergency room would you prefer?

When I got back to the room, Avery and Kyle were up. Apparently she had JUST (as I was walking in) puked. No crying, no acting odd before, just puked in her sleep. Random GI bug? Too much Mac & Cheese? Or, however unlikely, something related to her bonking her head on the wooden couch arm earlier in the evening? The “injury” was not even noteworthy – from the bed over to the couch, about 1.5 feet. NOTHING a toddler head isn’t made to handle. But then the vomiting continued. Five separate times in an hour, 7 times in 90 minutes. Increasing, not decreasing, in frequency. She was otherwise acting fine, which truthfully was more concerning. She didn’t even appear to have any nausea, as she’d just be half asleep (or eventually awake, as she kept getting interrupted by her own illness) and barf. Violently. No matter what the events of the evening would have looked like, this was concerning and something we wanted checked out.

You have to realize that we put ourselves in weird predicaments as healthcare professionals. We so don’t freak out easily, which is nice. We would probably rock in a trauma (and of course freak out after, hopefully we’ll never have to know). But this in between stuff is so frustrating. Instead of worrying easily, we sometimes tend to assume things can’t be as bad as they seem. This was bad, but SO frustrating because it just didn’t make sense. Still, we love our children and aren’t stupid – so we called to get information about emergency rooms.
I have known several people who have visited Celebration Hospital (practically on WDW property), and have raved about it. It’s a community hospital and not a pediatric hospital, but let’s be honest – they see their fair share of kids in a given year! Still, if she needed a scan, they’d ship her to Arnold Palmer Children’s Hospital (in Orlando, about 40 minutes away) anyway… so what to do, what to do? Obviously only one of us would be going, the other staying with Elise. This was a logistical nightmare, since Avery wouldn’t stop vomiting. But we know the difference in pediatric care among various types of hospitals (and were growing increasingly concerned as things got worse), so the decision was made for Kyle to take her to Orlando.
At the hospital, the resident and attending obviously had a nice rapport with Kyle, which was helpful I’m sure. They both agreed that they would have brought Avery in, however unlikely any injury would be, just because of the nature, onset, and frequency of the vomiting. Long story (slightly) shorter, when Zofran helped her keep Pedialyte down, they were comfortable just monitoring her for another hour or so without doing a CT scan. If the Zofran hadn’t helped completely, it would have likely been something more serious. Since it did, they sent Kyle out with obvious instructions on what to watch for, and everyone parted ways equally baffled as to what in the world she was dealing with. It ultimately didn’t matter though, so long as it wasn’t more threatening! 😉
They got home around 4:15am, so you know that 3/4 of our family didn’t sleep much that night. Ironically, of course, Elise had THE quietest night she had had in months, including at home. We would have all been able to sleep as soundly as ever. Go figure!
Oh – and after the weirdest conversation ever with a Cast Member at about 2:30am (who I think really might have had special needs? at least one can hope), I had received a late check-out of 1pm. I wasn’t sure we’d need it, but didn’t want to be rushing to pack and leave by 10am with no sleep and potentially 1 or 2 violently ill children.
I’ll say one thing anyway, the idea of “vacation ending” was a little less nostalgic and a little more matter-of-fact. At that point (and the next day or so), our focus was just on doing whatever needed done to get where we needed to go. Far from a magical departure…. good thing our vacation was so wonderful overall, up to that point!
Due Up: A nightmare of a day, but with a magical Disney ending!