To not agree with the nurse practiser's view that my DS has asthma and to think a diagnosis should come from a doctor?

[PolkadotCircus]

Soooo my v healthy but skinny boy 9 has had a nasty winter virus that he has had problems shaking off,symptoms involve a cough that won't go away.Loads of other kids and adults have had/got it here.

The same happened last year and our fab doctor gave him temp inhalers to calm his airways down which worked a treat and were never used again.

His grandad is the same(very skinny and some times gets a chest infection in winter it takes a whole to shake off) but still cycling 16 miles a day at 80.

Anyhow dtwin 1 keeping dtwin 2 awake so tried to get an appointment with our fab GP but because he is so fab it is nigh on impossible so was offered an appointment with a nurse which I reluctantly accepted as all I wanted were temp inhalers and ds better ASAP.

Anyhow after a very lengthy appointment when his puff was measured,history looked at,records filled in,weighed etc she finally gave us some inhalers.Puff was poor(errr yes he has a virus and a temp) and we were told to come back for a follow up asthma review.I said but he doesn't have asthma only to be told well this happened last year etc,etc.

So we went to the review puff beyond normal now and very good,virus over so no surprise.Nurse then said as he had asthma she'd like to see him again,keep him in her records,how many inhalers did he have etc,to keep him topped up when tight in the chest etc etc.

I said very firmly he doesn't have asthma and never gets tight in the chest.She then asked if he had eczema or hay fever.He had eczema as a baby and gets a bit sneezy in the summer ahhhh then they are linked so he does have asthma.Me-no he doesn't he just gets a cough he can't shake some winters.
I don't want asthma on his records unnecessarily.We politely agreed to disagree.

So aibu to think a)he doesn't have asthma and b) a diagnosis should come from a doctor.

Are you worried about some kind of stigma to having asthma? My children both have it and over their childhoods have done cross-country running, lacrosse, athletics, hockey, rugby, football and played brass instruments in school bands.

But you have been told on here, by people with asthma and the parents of children with asthma, that you don't have to be out of breath, wheezy or coughing all the time, to have asthma!

Country you haven't read the thread,I asked questions,they weren't answered.

If every child needs inhalers for 2 coughs out of their 9 year old life is going to be diagnosed as asthmatic pretty soon the maj of the population will be asthmatic.

I'm not ignoring her prognosis,I did exactly as she said however I am seeking info on the questions I didn't get answers to-oh and more inhalers which she didn't give out.

Number one cause of nighttime cough in DC is asthma. Sometimes it's the only symptom.

OP you're a fruit loop.

You won't get a repeat prescription a year apart, for what could easily be a totally different condition - how irresponsible would that be?

The crux of this is that you are annoyed at not simply having your own way on all of this - that is what screams out from this thread.

She didn't answer my question as to why baby exema and 2 coughs in 9 years =asthma.

I know nothing about asthma,why would I ?The prognosis came in the second appointment.

OP - children are not diagnosed with inhalers for viruses. They aid breathing when airways are restricted - very likely due to asthma. Why are you happy to use inhalers but not to accept that your child probably has asthma? Your attitude gets more and more weird.

Partly to you, partly to another poster. Like I said completely symptom free except for the once a year I caught a cold or virus, when I''d develop a persistent cough. Never wheezy, never breathless. Ran 5 miles, four days a week, symptom free. Even during the attack last year you would only have noticed a wheeze by listening to my chest with a stethoscope. Just because there is no wheeze does not mean it is not asthma.

I did get my own way,I got the inhalers.

Prognosis? Do you mean diagnosis?

I think you're just being snobby about it being a nurse not a doctor. YABU.

Yeh op she lied your son doesn't have asthma, she just thought she'd prescribe inhalers for a laugh, she probably wasn't even a nurse, just the yts.
(yawn)

OP - you really are coming across as quite dismissive of the NP (the use of 'twas, 'tis and said are not helping) - what questions are you going to ask said GP that the nurse wouldn't be able to answer in a longer appointment?

She'd probably given up on you as a total nut job by then and just wanted you out.

I have never known a child to need temporary inhalers for a cough, who didn't have asthma...

Clay which is why on reading that. I would like to see my gp,get some more info and inhalers.Fine if he refers us back to said nurse that is great,I'll be more prepared and will request a supply.If he doesn't I'll go with that.Either way another visit is needed.

Giving up on this. OP you have some serious issues to address. Don't let your child be a casualty of your ignorance and stupidity.

Diagnosis not prognosis, at least use the correct terminology.

Your GP is not just going to do you a repeat inhaler prescription a year after the first one!

Did you even read Sidge's post about being a NP qualified to diagnose respiratory conditions?

The big well several of his friends got inhalers too.I hadn't heard of inhalers for coughs until last year either.

Which is Pobble why I went to the nurse in order to get the prescription.

YABVVU

The reason gp's in practice (not all) have no idea about asthma, inhalers, or proper history taking, is because they don't keep up to date. Yes I would be shocked too.
NP have a great deal of training and to prescribe-they have more knowledge about drugs than most drs- a consultant told me this once!
Your child is being checked etc with up to date guidelines etc,

Go and see your GP next time and ask them what the current NICE guidelines are....half don't even know, more bothered about Qof points!

Sorry for rant etc

I did read the thread properly, thank you.

If it turns out that the Nurse Practitioner is your surgery's asthma nurse, and is trusted as such by your revered GP, will you have the balls to come back here and admit that you were wrong to be so rudely dismissive of Nurse Practitioners, PolkaDot?

I would be more concerned about GPs giving out inhalers in a 'pretty relaxed fashion' for 2 episodes of a 'viral cough'.

His notes probably stated asthma as a diagnosis when he prescribed the inhalers. When you represented with your son it probably said on the receptionist's notes to refer you to the NP.

But you know best right?