I have one big question:
Torpid, what kind of medical background do YOU have that gives any credibility, whatsoever, to your *opinion* that medical equipment and advanced training was necessary?
btw, what equipment is this that you speak of? Are you implying that every time a child bumps their head, they should have a CT scan? Are you one of the parents who, after insisting to the doctor to do a CT scan (and they will, just to cover their own butts), that "well, maybe the CT scan missed something. Do an MRI!"
Other than a CT (and in some cases, an MRI, PET scan, or transcranial dopler study to measure cerebral blood flow.), the only other "specialized equipment" is a <*> flashlight.
If the child has no signs and symptoms of any tramatic brain or head injury, there's no sense in ordering a head CT. If it was more than 24 hours after the accident, you would know if there was something wrong - there'd be signs of a brain injury if there was one.
(My RN is standing behind me, telling me what happens. Although she qualifies this with "I'm not a pediatric nurse.") From
Medical-Surgical Nursing (5th ed):
For the patient with concussion and contusion, observation and management of increased <if present> ICP are the pripary management strategies"
ICP: increased cranial pressure
Clinical manifestations of ICP: (and will differ for different parts of the brain)
- Change in level of consciousness
ocular signs
temperature may go up
decrease in motor functions
headache
vomitting
(Note: holy cow, my wife has a lot of stuff highlighted in her book)
<*>Note: I wanted to use a particular word to go for alliteration, but resisted the urge.
So, Mr. I'm not a medical expert, but I'm still going to tell people what kind of medical care they need anyway,
What I'm reading seems to contradict what you think is necessary.
"My son just puked!" Think that takes a lot of special training to recognize? Something that *you'd* forget how to recognize after 10 years?
Think its hard to recognize when your own child starts stumbling around, has a droopy eye or droopy side of the mouth, drops things from a weak grip, complains of a headache, seems feverish, complains of dizziness, ringing in the ears, (do I need to go on?)
Do you think that every time a child bumps their head or gets a bruise, they should go to the ER? No wonder the cost of medical insurance is going up so much! You're talking about $1000 in costs, or more, just so the doctor can say "well, put some ice on it and take some tylenol. Bring him back in if his symptoms change."
Read that last line again. You essentially pay (or your insurance company does) $1000 or more, simply for some reassurance from the Dr that, yes, kids fall down and get bruises. If it's serious, his symptoms are going to change from what he's now exhibiting (and in this particular case, his symptoms weren't exactly life-threatening.) And, in that case, then bring him back in.
Now, I'm not saying that I wouldn't take my own kid to the ER under these circumstances, but then again, my health insurance covers most of the costs, and since my wife is a nurse there, the hospital writes off the rest of the costs (i.e. I don't pay a dime to go to the ER.) However, if I had to pay $1000 (or more) well just for that little bit of reassurance and common sense (take some tylenol, put ice on it, call if there are changes) advice, I probably wouldn't.
edit: I am not a doctor, but at least I backed up my opinion; something you haven't done in the dozen or so posts you've had in this thread. In the end, it sounds very much like the combat veteran was right. I'll personally ask for a real doctor's opinion on this one.
edit edit: It's amazing that just a couple weeks ago, there was a thread about whether the court should have ordered that a child get a kidney transplant which had a chance of saving the kid's life.