Naturopathic physician Frank Ervolino of Seattle, Washington, shares his experiences treating children with fevers. The father of two young children, Dr. Ervolino received his training from Bastyr University in Seattle.
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"Fever is that mystical demon that makes one earn the right to be called a parent. Fevers almost always occur on Saturday or Sunday night, when parents are essentially on their own. I remember getting a call late one Saturday night from a neighbor whose child was suddenly very ill. There was a tone of urgency to her voice. 'Frank, Kayla is very sick and I'm very concerned. She's got a fever, I think.' To a doctor, the determination of a fever is a black-or-white issue; either you have a fever or you don't. I asked, 'Did you take her temperature?' 'No' was her sheepish reply.
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"If there is one thing a parent should have on hand, it is a formidable array of thermometers. Forget all the fancy backpacks and early child development gizmos. Get yourself a digital ear thermometer and a couple of mercury thermometers, as well as one of the new gadgets like a pacifier thermometer. Taking the temperature is the parents' responsibility, and it gives them a wealth of information they and their doctor can use.
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"I went to Kayla's house and found her lying quietly in her bed with a red face and a very hot forehead. I took her temperature, and it wasn't easy. I was using an ear thermometer, and as soon as I tried to put it in her ear for the required two seconds, she suddenly came alive, screaming and thrashing about.
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"The first thing that crossed my mind was an ear infection, and the second was delirium. The mother held her down, and I took my reading . . . 104 degrees. I told the mother, and she started to get an ashen look on her face. She asked, 'Should I take her to the emergency room?' I told her to relax. I explained that even though her daughter was very sick, her body's immune system was doing its job.
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"Then the dad arrived and expressed his concern. 'What about that temperature? Is it too high?' I told him, 'No, it's OK for a child to have a temperature as high as 105 degrees, but at 104 degrees we should be doing something like using cool compresses to help her remain comfortable.' Kayla's father applied cool compresses while I wrote instructions for Mom to take her temperature at least every half hour, and to administer some catnip tea, which would keep the fever at a more acceptable level, under 104 degrees.
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