Evaluating when to go to the CF center (a novel)

A

AbbysMama

New member
I want to start this off saying I LOVE our CF center and the staff there. They are a great bunch of folks and have my child's best interest at heart. I know this.

I'm struggling though with some things.

<b>Background: </b>
Last Monday and Tuesday Abby ran a high temp (101.4 up to 103.2) off and on. Motrin and Tylenol would take care of it for 6-8 hours and then it would come back. She had a cough and a really snotty, gross nose.

I called Abby's Pedi and made an appointment on Tuesday afternoon/evening. In the process I also called the CF center to see what we needed to do from their perspective. They said to call and leave a message with what the Pedi says, the treatment, and follow-up instructions.
Went to the Pedi. Double ear infection, on Augmentin for 10 days, follow up Friday of this week or Monday of the next with the Pedi after she finishes the antibiotic. I left a message Tues night with the center.

Thursday I got a call back from the CF center nurse, that I love and adore, telling us to call them after she has been on the antibiotic for a week and let them know if her cough and/or nose drainage was any better. If it isn't, they want to see her immediately.

~~~

<b>Here's my delimma:</b>
We live 2.5 hours (168 miles one way) away from our clinic. This Tuesday night will be 1 week. We'll call on Wednesday morning.

As of tonight when I tucked her in...Her cough is worse, but sounds productive (and I know she's been coughing up junk...TMI, sorry) and her nose is still horribly gross.

We want to do what is right by our child, but with gas prices, etc., the financial COST of driving up there to get a "add in two breathing treatments and call me in the morning" sort of assessment would really aggrivate me. I'm sure some of you are thinking I'm a bad mother. I just know the wear and tear on both Abby and myself or my hubby trying to drive 5 hours for a 20-30 minute appointment. I do understand why they want to see her. They really can't rely on any other doctor to listen to her to see what's going on...UGH!!!

~~~

<b>My question to you all who live as far away or farther from your clinic...</b>

What do you do for yourself, your spouse, your child/ren in this sort of situation? Do you have a pulmonologist nearby who is familiar enough with CF and your case to communicate with the CF clinic? Do you suck-it-up and make the drive? What do you do?

~~~

<b>Finally, coordinating care between your clinic and your child/ren's, your, or your spouse's PCP?</b>
How does that happen? Abby's PCP is frustrated because he only hears what we tell him and would like something more official after each visit, not b/c he wants to treat her CF, he just doesn't want to do anything that might interefere with her CF treatment. I HATE being in the middle of things.

~~~

I would greatly appreciate your thoughts and ideas about all of this mess. I hope it makes sense. I've been stressing out about this instead of sleeping tonight. Maybe putting it out there for others to chew on a bit will allow me to get some sleep!

Sorry such a novel.
 
A

AbbysMama

New member
I want to start this off saying I LOVE our CF center and the staff there. They are a great bunch of folks and have my child's best interest at heart. I know this.

I'm struggling though with some things.

<b>Background: </b>
Last Monday and Tuesday Abby ran a high temp (101.4 up to 103.2) off and on. Motrin and Tylenol would take care of it for 6-8 hours and then it would come back. She had a cough and a really snotty, gross nose.

I called Abby's Pedi and made an appointment on Tuesday afternoon/evening. In the process I also called the CF center to see what we needed to do from their perspective. They said to call and leave a message with what the Pedi says, the treatment, and follow-up instructions.
Went to the Pedi. Double ear infection, on Augmentin for 10 days, follow up Friday of this week or Monday of the next with the Pedi after she finishes the antibiotic. I left a message Tues night with the center.

Thursday I got a call back from the CF center nurse, that I love and adore, telling us to call them after she has been on the antibiotic for a week and let them know if her cough and/or nose drainage was any better. If it isn't, they want to see her immediately.

~~~

<b>Here's my delimma:</b>
We live 2.5 hours (168 miles one way) away from our clinic. This Tuesday night will be 1 week. We'll call on Wednesday morning.

As of tonight when I tucked her in...Her cough is worse, but sounds productive (and I know she's been coughing up junk...TMI, sorry) and her nose is still horribly gross.

We want to do what is right by our child, but with gas prices, etc., the financial COST of driving up there to get a "add in two breathing treatments and call me in the morning" sort of assessment would really aggrivate me. I'm sure some of you are thinking I'm a bad mother. I just know the wear and tear on both Abby and myself or my hubby trying to drive 5 hours for a 20-30 minute appointment. I do understand why they want to see her. They really can't rely on any other doctor to listen to her to see what's going on...UGH!!!

~~~

<b>My question to you all who live as far away or farther from your clinic...</b>

What do you do for yourself, your spouse, your child/ren in this sort of situation? Do you have a pulmonologist nearby who is familiar enough with CF and your case to communicate with the CF clinic? Do you suck-it-up and make the drive? What do you do?

~~~

<b>Finally, coordinating care between your clinic and your child/ren's, your, or your spouse's PCP?</b>
How does that happen? Abby's PCP is frustrated because he only hears what we tell him and would like something more official after each visit, not b/c he wants to treat her CF, he just doesn't want to do anything that might interefere with her CF treatment. I HATE being in the middle of things.

~~~

I would greatly appreciate your thoughts and ideas about all of this mess. I hope it makes sense. I've been stressing out about this instead of sleeping tonight. Maybe putting it out there for others to chew on a bit will allow me to get some sleep!

Sorry such a novel.
 
A

AbbysMama

New member
I want to start this off saying I LOVE our CF center and the staff there. They are a great bunch of folks and have my child's best interest at heart. I know this.

I'm struggling though with some things.

<b>Background: </b>
Last Monday and Tuesday Abby ran a high temp (101.4 up to 103.2) off and on. Motrin and Tylenol would take care of it for 6-8 hours and then it would come back. She had a cough and a really snotty, gross nose.

I called Abby's Pedi and made an appointment on Tuesday afternoon/evening. In the process I also called the CF center to see what we needed to do from their perspective. They said to call and leave a message with what the Pedi says, the treatment, and follow-up instructions.
Went to the Pedi. Double ear infection, on Augmentin for 10 days, follow up Friday of this week or Monday of the next with the Pedi after she finishes the antibiotic. I left a message Tues night with the center.

Thursday I got a call back from the CF center nurse, that I love and adore, telling us to call them after she has been on the antibiotic for a week and let them know if her cough and/or nose drainage was any better. If it isn't, they want to see her immediately.

~~~

<b>Here's my delimma:</b>
We live 2.5 hours (168 miles one way) away from our clinic. This Tuesday night will be 1 week. We'll call on Wednesday morning.

As of tonight when I tucked her in...Her cough is worse, but sounds productive (and I know she's been coughing up junk...TMI, sorry) and her nose is still horribly gross.

We want to do what is right by our child, but with gas prices, etc., the financial COST of driving up there to get a "add in two breathing treatments and call me in the morning" sort of assessment would really aggrivate me. I'm sure some of you are thinking I'm a bad mother. I just know the wear and tear on both Abby and myself or my hubby trying to drive 5 hours for a 20-30 minute appointment. I do understand why they want to see her. They really can't rely on any other doctor to listen to her to see what's going on...UGH!!!

~~~

<b>My question to you all who live as far away or farther from your clinic...</b>

What do you do for yourself, your spouse, your child/ren in this sort of situation? Do you have a pulmonologist nearby who is familiar enough with CF and your case to communicate with the CF clinic? Do you suck-it-up and make the drive? What do you do?

~~~

<b>Finally, coordinating care between your clinic and your child/ren's, your, or your spouse's PCP?</b>
How does that happen? Abby's PCP is frustrated because he only hears what we tell him and would like something more official after each visit, not b/c he wants to treat her CF, he just doesn't want to do anything that might interefere with her CF treatment. I HATE being in the middle of things.

~~~

I would greatly appreciate your thoughts and ideas about all of this mess. I hope it makes sense. I've been stressing out about this instead of sleeping tonight. Maybe putting it out there for others to chew on a bit will allow me to get some sleep!

Sorry such a novel.
 
A

AbbysMama

New member
I want to start this off saying I LOVE our CF center and the staff there. They are a great bunch of folks and have my child's best interest at heart. I know this.

I'm struggling though with some things.

<b>Background: </b>
Last Monday and Tuesday Abby ran a high temp (101.4 up to 103.2) off and on. Motrin and Tylenol would take care of it for 6-8 hours and then it would come back. She had a cough and a really snotty, gross nose.

I called Abby's Pedi and made an appointment on Tuesday afternoon/evening. In the process I also called the CF center to see what we needed to do from their perspective. They said to call and leave a message with what the Pedi says, the treatment, and follow-up instructions.
Went to the Pedi. Double ear infection, on Augmentin for 10 days, follow up Friday of this week or Monday of the next with the Pedi after she finishes the antibiotic. I left a message Tues night with the center.

Thursday I got a call back from the CF center nurse, that I love and adore, telling us to call them after she has been on the antibiotic for a week and let them know if her cough and/or nose drainage was any better. If it isn't, they want to see her immediately.

~~~

<b>Here's my delimma:</b>
We live 2.5 hours (168 miles one way) away from our clinic. This Tuesday night will be 1 week. We'll call on Wednesday morning.

As of tonight when I tucked her in...Her cough is worse, but sounds productive (and I know she's been coughing up junk...TMI, sorry) and her nose is still horribly gross.

We want to do what is right by our child, but with gas prices, etc., the financial COST of driving up there to get a "add in two breathing treatments and call me in the morning" sort of assessment would really aggrivate me. I'm sure some of you are thinking I'm a bad mother. I just know the wear and tear on both Abby and myself or my hubby trying to drive 5 hours for a 20-30 minute appointment. I do understand why they want to see her. They really can't rely on any other doctor to listen to her to see what's going on...UGH!!!

~~~

<b>My question to you all who live as far away or farther from your clinic...</b>

What do you do for yourself, your spouse, your child/ren in this sort of situation? Do you have a pulmonologist nearby who is familiar enough with CF and your case to communicate with the CF clinic? Do you suck-it-up and make the drive? What do you do?

~~~

<b>Finally, coordinating care between your clinic and your child/ren's, your, or your spouse's PCP?</b>
How does that happen? Abby's PCP is frustrated because he only hears what we tell him and would like something more official after each visit, not b/c he wants to treat her CF, he just doesn't want to do anything that might interefere with her CF treatment. I HATE being in the middle of things.

~~~

I would greatly appreciate your thoughts and ideas about all of this mess. I hope it makes sense. I've been stressing out about this instead of sleeping tonight. Maybe putting it out there for others to chew on a bit will allow me to get some sleep!

Sorry such a novel.
 
A

AbbysMama

New member
I want to start this off saying I LOVE our CF center and the staff there. They are a great bunch of folks and have my child's best interest at heart. I know this.
<br />
<br />I'm struggling though with some things.
<br />
<br /><b>Background: </b>
<br />Last Monday and Tuesday Abby ran a high temp (101.4 up to 103.2) off and on. Motrin and Tylenol would take care of it for 6-8 hours and then it would come back. She had a cough and a really snotty, gross nose.
<br />
<br />I called Abby's Pedi and made an appointment on Tuesday afternoon/evening. In the process I also called the CF center to see what we needed to do from their perspective. They said to call and leave a message with what the Pedi says, the treatment, and follow-up instructions.
<br />Went to the Pedi. Double ear infection, on Augmentin for 10 days, follow up Friday of this week or Monday of the next with the Pedi after she finishes the antibiotic. I left a message Tues night with the center.
<br />
<br />Thursday I got a call back from the CF center nurse, that I love and adore, telling us to call them after she has been on the antibiotic for a week and let them know if her cough and/or nose drainage was any better. If it isn't, they want to see her immediately.
<br />
<br />~~~
<br />
<br /><b>Here's my delimma:</b>
<br />We live 2.5 hours (168 miles one way) away from our clinic. This Tuesday night will be 1 week. We'll call on Wednesday morning.
<br />
<br />As of tonight when I tucked her in...Her cough is worse, but sounds productive (and I know she's been coughing up junk...TMI, sorry) and her nose is still horribly gross.
<br />
<br />We want to do what is right by our child, but with gas prices, etc., the financial COST of driving up there to get a "add in two breathing treatments and call me in the morning" sort of assessment would really aggrivate me. I'm sure some of you are thinking I'm a bad mother. I just know the wear and tear on both Abby and myself or my hubby trying to drive 5 hours for a 20-30 minute appointment. I do understand why they want to see her. They really can't rely on any other doctor to listen to her to see what's going on...UGH!!!
<br />
<br />~~~
<br />
<br /><b>My question to you all who live as far away or farther from your clinic...</b>
<br />
<br />What do you do for yourself, your spouse, your child/ren in this sort of situation? Do you have a pulmonologist nearby who is familiar enough with CF and your case to communicate with the CF clinic? Do you suck-it-up and make the drive? What do you do?
<br />
<br />~~~
<br />
<br /><b>Finally, coordinating care between your clinic and your child/ren's, your, or your spouse's PCP?</b>
<br />How does that happen? Abby's PCP is frustrated because he only hears what we tell him and would like something more official after each visit, not b/c he wants to treat her CF, he just doesn't want to do anything that might interefere with her CF treatment. I HATE being in the middle of things.
<br />
<br />~~~
<br />
<br />I would greatly appreciate your thoughts and ideas about all of this mess. I hope it makes sense. I've been stressing out about this instead of sleeping tonight. Maybe putting it out there for others to chew on a bit will allow me to get some sleep!
<br />
<br />Sorry such a novel.
<br />
<br />
 
C

Cherylwithone

Guest
Does the CF center have a fund to help out with gas and parking. Ours does but then again we live in Boston. Also, I have asked all her doctors to send doctors notes to her PCP. I explained at least one person should know everything that is going on without mistakes. They all forward evertyhing to her PCP. Does your clinic have a social worker that could help? Your not being a bad mom. Your just looking at the bigger picture. Can her PCP call the clinic and talk to them direct? It's alot to packup a small child that is not feeling well for along drive. I bet some of the moms with younger children will have some great ideas to help out. Good Luck!

Cheryl mom to Malora 15yr, w/CF
 
C

Cherylwithone

Guest
Does the CF center have a fund to help out with gas and parking. Ours does but then again we live in Boston. Also, I have asked all her doctors to send doctors notes to her PCP. I explained at least one person should know everything that is going on without mistakes. They all forward evertyhing to her PCP. Does your clinic have a social worker that could help? Your not being a bad mom. Your just looking at the bigger picture. Can her PCP call the clinic and talk to them direct? It's alot to packup a small child that is not feeling well for along drive. I bet some of the moms with younger children will have some great ideas to help out. Good Luck!

Cheryl mom to Malora 15yr, w/CF
 
C

Cherylwithone

Guest
Does the CF center have a fund to help out with gas and parking. Ours does but then again we live in Boston. Also, I have asked all her doctors to send doctors notes to her PCP. I explained at least one person should know everything that is going on without mistakes. They all forward evertyhing to her PCP. Does your clinic have a social worker that could help? Your not being a bad mom. Your just looking at the bigger picture. Can her PCP call the clinic and talk to them direct? It's alot to packup a small child that is not feeling well for along drive. I bet some of the moms with younger children will have some great ideas to help out. Good Luck!

Cheryl mom to Malora 15yr, w/CF
 
C

Cherylwithone

Guest
Does the CF center have a fund to help out with gas and parking. Ours does but then again we live in Boston. Also, I have asked all her doctors to send doctors notes to her PCP. I explained at least one person should know everything that is going on without mistakes. They all forward evertyhing to her PCP. Does your clinic have a social worker that could help? Your not being a bad mom. Your just looking at the bigger picture. Can her PCP call the clinic and talk to them direct? It's alot to packup a small child that is not feeling well for along drive. I bet some of the moms with younger children will have some great ideas to help out. Good Luck!

Cheryl mom to Malora 15yr, w/CF
 
C

Cherylwithone

Guest
Does the CF center have a fund to help out with gas and parking. Ours does but then again we live in Boston. Also, I have asked all her doctors to send doctors notes to her PCP. I explained at least one person should know everything that is going on without mistakes. They all forward evertyhing to her PCP. Does your clinic have a social worker that could help? Your not being a bad mom. Your just looking at the bigger picture. Can her PCP call the clinic and talk to them direct? It's alot to packup a small child that is not feeling well for along drive. I bet some of the moms with younger children will have some great ideas to help out. Good Luck!
<br />
<br />Cheryl mom to Malora 15yr, w/CF
 
T

TonyaH

Guest
Hi Emily,

If Abby is not better by Wednesday morning, call clinic and ask to speak with your doctor. These poor nurses get caught as middleman sometimes, and it is easy for things to get lost in translation. Speak to the doctor directly about Abby's symptoms and also about your concern with the travel. I'll bet your doctor will be able to either speak with your ped to treat Abby locally or explain to you his concerns and why it is important for him to see her. Sometimes when my doctor explains the reason behind treatment it seems to sink in a little more than if it is explained by the nurse.

Also, you can certainly ask for the CF doctors transcripted report to be sent to your pediatrician every three months, or however often you go for your check ups.

Good luck and tell little Abby we hope she feels better soon!
 
T

TonyaH

Guest
Hi Emily,

If Abby is not better by Wednesday morning, call clinic and ask to speak with your doctor. These poor nurses get caught as middleman sometimes, and it is easy for things to get lost in translation. Speak to the doctor directly about Abby's symptoms and also about your concern with the travel. I'll bet your doctor will be able to either speak with your ped to treat Abby locally or explain to you his concerns and why it is important for him to see her. Sometimes when my doctor explains the reason behind treatment it seems to sink in a little more than if it is explained by the nurse.

Also, you can certainly ask for the CF doctors transcripted report to be sent to your pediatrician every three months, or however often you go for your check ups.

Good luck and tell little Abby we hope she feels better soon!
 
T

TonyaH

Guest
Hi Emily,

If Abby is not better by Wednesday morning, call clinic and ask to speak with your doctor. These poor nurses get caught as middleman sometimes, and it is easy for things to get lost in translation. Speak to the doctor directly about Abby's symptoms and also about your concern with the travel. I'll bet your doctor will be able to either speak with your ped to treat Abby locally or explain to you his concerns and why it is important for him to see her. Sometimes when my doctor explains the reason behind treatment it seems to sink in a little more than if it is explained by the nurse.

Also, you can certainly ask for the CF doctors transcripted report to be sent to your pediatrician every three months, or however often you go for your check ups.

Good luck and tell little Abby we hope she feels better soon!
 
T

TonyaH

Guest
Hi Emily,

If Abby is not better by Wednesday morning, call clinic and ask to speak with your doctor. These poor nurses get caught as middleman sometimes, and it is easy for things to get lost in translation. Speak to the doctor directly about Abby's symptoms and also about your concern with the travel. I'll bet your doctor will be able to either speak with your ped to treat Abby locally or explain to you his concerns and why it is important for him to see her. Sometimes when my doctor explains the reason behind treatment it seems to sink in a little more than if it is explained by the nurse.

Also, you can certainly ask for the CF doctors transcripted report to be sent to your pediatrician every three months, or however often you go for your check ups.

Good luck and tell little Abby we hope she feels better soon!
 
T

TonyaH

Guest
Hi Emily,
<br />
<br />If Abby is not better by Wednesday morning, call clinic and ask to speak with your doctor. These poor nurses get caught as middleman sometimes, and it is easy for things to get lost in translation. Speak to the doctor directly about Abby's symptoms and also about your concern with the travel. I'll bet your doctor will be able to either speak with your ped to treat Abby locally or explain to you his concerns and why it is important for him to see her. Sometimes when my doctor explains the reason behind treatment it seems to sink in a little more than if it is explained by the nurse.
<br />
<br />Also, you can certainly ask for the CF doctors transcripted report to be sent to your pediatrician every three months, or however often you go for your check ups.
<br />
<br />Good luck and tell little Abby we hope she feels better soon!
 
R

Ratatosk

Administrator
Staff member
Our CF doctor is 250 miles away and we go 2-4 times a year to see him and we see his pediatrician, the local CF doctor twice a year and have his labs, cultures, xrays done there and have the doctors notes and reports sent the doctor in the city afterwards. I just fill out a release of information form, which authorizes them to send it to him.

Our CF doctor is more proactive than the local ones and we're under instructions to call him should DS develop a cough, etc. and he'll prescribe something over the phone. All too often I've taken him in locally and have been told that "it's just what they -- cfers do -- they cough" Nothing like paying over $150 for an office call to be told it's normal.

And I guess worse case scenario, we feel that should something come up that we're not comfortable with the local doctors handling, we'll hop in the car and go see the doctor in the city.

I agree with asking to speak with your daughter's doctor instead of dealing with the CF clinic's receptionist or nurse. And in the past DS has had ear infections, sinus infections and augmentin would take care of it, though I seem to recall his being on it for a month on time to get rid of a nasty sinus infection once and for all. Maybe she needs to have a culture done and see if she's on the right meds.
 
R

Ratatosk

Administrator
Staff member
Our CF doctor is 250 miles away and we go 2-4 times a year to see him and we see his pediatrician, the local CF doctor twice a year and have his labs, cultures, xrays done there and have the doctors notes and reports sent the doctor in the city afterwards. I just fill out a release of information form, which authorizes them to send it to him.

Our CF doctor is more proactive than the local ones and we're under instructions to call him should DS develop a cough, etc. and he'll prescribe something over the phone. All too often I've taken him in locally and have been told that "it's just what they -- cfers do -- they cough" Nothing like paying over $150 for an office call to be told it's normal.

And I guess worse case scenario, we feel that should something come up that we're not comfortable with the local doctors handling, we'll hop in the car and go see the doctor in the city.

I agree with asking to speak with your daughter's doctor instead of dealing with the CF clinic's receptionist or nurse. And in the past DS has had ear infections, sinus infections and augmentin would take care of it, though I seem to recall his being on it for a month on time to get rid of a nasty sinus infection once and for all. Maybe she needs to have a culture done and see if she's on the right meds.
 
R

Ratatosk

Administrator
Staff member
Our CF doctor is 250 miles away and we go 2-4 times a year to see him and we see his pediatrician, the local CF doctor twice a year and have his labs, cultures, xrays done there and have the doctors notes and reports sent the doctor in the city afterwards. I just fill out a release of information form, which authorizes them to send it to him.

Our CF doctor is more proactive than the local ones and we're under instructions to call him should DS develop a cough, etc. and he'll prescribe something over the phone. All too often I've taken him in locally and have been told that "it's just what they -- cfers do -- they cough" Nothing like paying over $150 for an office call to be told it's normal.

And I guess worse case scenario, we feel that should something come up that we're not comfortable with the local doctors handling, we'll hop in the car and go see the doctor in the city.

I agree with asking to speak with your daughter's doctor instead of dealing with the CF clinic's receptionist or nurse. And in the past DS has had ear infections, sinus infections and augmentin would take care of it, though I seem to recall his being on it for a month on time to get rid of a nasty sinus infection once and for all. Maybe she needs to have a culture done and see if she's on the right meds.
 
R

Ratatosk

Administrator
Staff member
Our CF doctor is 250 miles away and we go 2-4 times a year to see him and we see his pediatrician, the local CF doctor twice a year and have his labs, cultures, xrays done there and have the doctors notes and reports sent the doctor in the city afterwards. I just fill out a release of information form, which authorizes them to send it to him.

Our CF doctor is more proactive than the local ones and we're under instructions to call him should DS develop a cough, etc. and he'll prescribe something over the phone. All too often I've taken him in locally and have been told that "it's just what they -- cfers do -- they cough" Nothing like paying over $150 for an office call to be told it's normal.

And I guess worse case scenario, we feel that should something come up that we're not comfortable with the local doctors handling, we'll hop in the car and go see the doctor in the city.

I agree with asking to speak with your daughter's doctor instead of dealing with the CF clinic's receptionist or nurse. And in the past DS has had ear infections, sinus infections and augmentin would take care of it, though I seem to recall his being on it for a month on time to get rid of a nasty sinus infection once and for all. Maybe she needs to have a culture done and see if she's on the right meds.
 
R

Ratatosk

Administrator
Staff member
Our CF doctor is 250 miles away and we go 2-4 times a year to see him and we see his pediatrician, the local CF doctor twice a year and have his labs, cultures, xrays done there and have the doctors notes and reports sent the doctor in the city afterwards. I just fill out a release of information form, which authorizes them to send it to him.
<br />
<br />Our CF doctor is more proactive than the local ones and we're under instructions to call him should DS develop a cough, etc. and he'll prescribe something over the phone. All too often I've taken him in locally and have been told that "it's just what they -- cfers do -- they cough" Nothing like paying over $150 for an office call to be told it's normal.
<br />
<br />And I guess worse case scenario, we feel that should something come up that we're not comfortable with the local doctors handling, we'll hop in the car and go see the doctor in the city.
<br />
<br />I agree with asking to speak with your daughter's doctor instead of dealing with the CF clinic's receptionist or nurse. And in the past DS has had ear infections, sinus infections and augmentin would take care of it, though I seem to recall his being on it for a month on time to get rid of a nasty sinus infection once and for all. Maybe she needs to have a culture done and see if she's on the right meds.
 
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