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monacks 10-19-2004 07:00 PM

has anyone ever heard this?
I have fairly severe asthma. I have a 3 year old son who has had respiratory issues, eczema, allergies etc. The dr never said he had asthma, I've asked but she's always said, its hard to diagnose when they're little. My son is very sick right now, he's got bronchitis that's turned nasty. The pediatrician finally said she thinks he has asthma. He had to be admitted to the hospital because his oxygen levels were in the mid 80's. He's back home now and doing much better. While he was in the hospital I had an interesting conversation with one of the nurses. The in-charge dr at the hospital said he didn't think my son has asthma and gave us all types of scenarios as to what the problem is. When he left, the nurse told me that doctors don't like to diagnose boys with asthma because its considered a disability, so they use all kinds of other names like bronchitis, reactive airway disease because if the boy ever wants to go into the military, he can't if he's labeled asthmatic. I can't believe that line of thinking, but I was wondering if anyone has encountered this.

quincy 10-19-2004 07:41 PM

Re: has anyone ever heard this?

He's 3. Get the right diagnosis and the correct meds if necessary. Firstly, you have asthma....secondly, he has eczema. Seems the perfect connection to assume it's asthma that your son has.

Read about pediatric asthma, find out all the info you can, and make an EDUCATED decision as to how much denial you're wanting to be fed by the doctors and how much you're willing to accept.

Asthma is a life-long chronic disease, no matter how many pediatric docs say they'll grow out of it. It always comes back if it's taken a hiatus.

I'm not surprised as to the perceived labels. To what detriment is denial....?

I'm happy to hear your son's doing better. It must be very hard on you to see him having such a tough time.

Best to you,

reader1 10-20-2004 04:57 PM

Re: has anyone ever heard this?
You need to consult a pediatric pulmonologist if you haven't already.

In our area, some pediatricians and doctors do not like to make a formal asthma diagnosis because they do not want parents to have to worry about pre-existing condition issues if insurance changes. I know of several cases where pediatricians have not diagnosed asthma in children on Medicaid because if they make a referral to a specialist, they lose money (not being able to bill for child's sick visits once child goes to specialist).

Since you are getting conflicting information, please consult a pediatric pulmonologist. If your insurance requires a referral, insist on one being made by the pediatrician or change doctors if they won't give you a referral.

children as young as three do get asthma, regardless of gender.

monacks 10-24-2004 07:13 PM

Re: has anyone ever heard this?
Thanks, yes, there's not doubt in MY mind that my son has asthma. And he is taking Flovent and Singulair. I just found it interesting that they wouldn't formally diagnose it.

I happened to be at my pulminologist after this happened. He also sees children and I talked to him about it. And he said there was no question that it was asthma and he diagnoses patients with it regardless of age or gender. But I never thought about the insurance issue. Oh well, the good thing is that I am so informed on the subject that I will be able to take care of my son and will know what to do when complications arise. The bad thing is that if some other kid out there has asthma, but is not diagnosed and the parents don't know about the condition, the poor kid could be in trouble.

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