Meet the Other Phone. Child-safe in minutes.

Meet the Other Phone.
Child-safe in minutes.

Buy now

Please or to access all these features

AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

.. to think that doctors are fobbing me off

15 replies

MummytoCSJH · 13/05/2018 00:04

And to ask for help as to where to turn next?!

My son had meningitis at 4 months old and I felt I was fobbed off because I was a young mum.. so I am prepared to be told I'm acting like a hypochondriac now but most of all I just want some advice as to where to go! This is likely to be a long post but please stick with me.

Backstory that goes with that: I was told at no less than 6 GP/Walk-in appointments over the course of a week that it was just a viral infection and that I was over-reacting until one day he suddenly went all floppy and I rushed him to hospital. They said had it been any later, he would likely have died. Luckily he didnt have much lasting damage but the infection did destroy some of his ear drum and ear canal in both ears. Due to this his hearing was terrible until they finally gave him the surgery he needed a year ago even though I told them over the 3 years that his hearing was causing many many problems and it needed to be looked into more. This has severely impacted his speech and social development.

The grommets did help for a few months and he came on leaps and bounds, but since November we have been dealing with a new problem - a recurring painful, smelly, gunky ear infection in both ears. I have heard this is common in children with grommets but nobody is offering any real solution for us. It comes back every 2-3 weeks. I have made a list of all the appointments he has had since I took him to the walk in centre for the first time - 4 GP appointments, 3 ENT appointments - and medications - 5 courses of 2 different antibiotics (which are clearly not working?). He had swabs sent to the lab but the doctors have said he can't have the only antibiotic that will work on this bug due to his grommets.. erm, okay, so what do you expect us to do? Just accept it? His nursery have even said he cannot keep going if it continues and that when he is due to start school in september he won't be able to go! I've explained it to the GP and ENT that yes, it goes for about a week after using the antibiotics, but comes back as soon as the course is over. I've also taken photos and videos of the infection when it's here. His last appointment was with ENT last week when they weren't leaking and the doctor looked into his ears and said there was some inflammation but no gunk so advised me to 'just keep them clean and dry' and sent for a review appointment - at the end of August! On Wednesday the gunk started again. Tonight they are bright red and hot to touch and he screams when I try to clean the gunk off. He's been crying all night long and I feel hopeless. What more can I do? Is there anywhere I can 'appeal' to as such?

I will try and get an emergency appointment via 111 tomorrow when I have the car and GP first thing on Monday but I feel these channels really aren't interested in addressing the problem as they just keep repeating the 'oh I can't prescribe anything further I will refer you back to ENT' which means we wait weeks for an appointment for them to either 1) prescribe the same antibiotic again or 2) say they can't see anything and he's fine. He's NOT fine!

So as not to dripfeed, I also had brain surgery to remove a tumor at the end of March. I'm close to okay now, but stress and lack of sleep does nothing for my recovery Sad

OP posts:
MummytoCSJH · 13/05/2018 00:05

Ahh mobile app. This WAS formatted in paragraphs. I'm so sorry!!

OP posts:
Helloflamingogo · 13/05/2018 00:10
Flowers

It sounds like a really difficult situation op. I could be wrong, but the antibiotic could be gentamicin - I’m not allowed it either because I’ve got a hearing impairment (incidentally caused in part by this drug).

I think you need to keep going back to ENT and GP until you get somewhere, it’s clearly not a situation either of you can cope with for long. It’s not fair to leave a kid in that much pain (on the doctors part, not yours).

I don’t know much about grommets, can they come out? Is that an option?

SockQueen · 13/05/2018 00:13

What alternative treatment did you have in mind?

MummytoCSJH · 13/05/2018 00:17

Hi Flamingo (can't tag on app!) thanks for responding. They fall out eventually, and you can have them removed via surgery, I asked if they could be the problem and they suggested it might be but they haven't offered to remove/change them. I'm not sure if his hearing would go back to the way it was before if they were removed too :(

Sock, again sorry about no tag and thanks, I'm not sure if there is any, as mentioned above if caused by the grommets then looking into removing/changing them. I'm more concerned with the fact that they just keep giving him the same antibiotic and saying keep them clean and dry when obviously that doesn't help at all. I don't want to waste their time by going back again and again but my son is in pain and they don't seem to be looking for a long term solution. If this is a common problem in children with grommets surely there must be something else they can try?

OP posts:
Allthewaves · 13/05/2018 00:30

I googled and found the below info. Next time he has oozing get them to swab again and as soon as you get the results phone ent secretary of your sons consultant to get him to prescribe the forbidden antibiotics.

entkent.com/glue-ear-grommets-and-adenoids/

The infection is best treated with antibiotic/steroid eardrops such as
Sofradex® or Gentisone HC®.
The manufacturers of these drugs do not recommend using them in the presence of a perforated eardrum, because of the risk that the aminoglycoside antibiotic in the drops could cause damage to the inner ear and deafness.
Despite these reservations, most ENT specialists agree that the risk of deafness from the infection is greater than the risk of using the drops, and that these combined antibiotic steroid drops are the most reliable way of treating ear infection in the presence of a grommet.
In 2007, ENT-UK published recommendations on treating patients discharging ears in the presence of a perforated eardrum or grommet. Aminoglycoside ear drops should only be used to treat obvious infection, and for no longer than 2 weeks. Whenever possible and practical, a hearing test should be done before treatment.
Another type of antibiotic drops, containing a quinolone which is does not carry any risk of damaging the inner ear, is Ciprofloxacin. At present, this is only available in the UK as Ciloxan® eye drops, and not as a combined product with steroids. Combined quinolone and steroid ear drops such as Ciflox® are in use in other countries, and have been imported into the UK by the pharmacy at Great Ormond Street Hospital, but are still not generally available. The use of a quinolone avoids the tiny risk of damaging the ear from the aminoglycoside. Since the ENT specialists preference for quinolones over aminoglycoside ear drops was clearly expressed in a British Medical Journal editorial in 2000, it is not clear why there has been such a delay in getting this combination licensed for use in the UK. Similar delays occurred in Australia until recently.
In persistent infection and especially tube granuloma where bacteria become attached to the surface of the grommet as biofilm, causing a foreign body reaction and bleeding from surrounding eardrum, the grommet may have to be removed.
Antibiotics taken by mouth are not very good in treating ear infections where there is a grommet present. Ear drops are usually more effective, but they have to be used properly.

MummytoCSJH · 13/05/2018 00:36

Hi waves - thank you for that it is very helpful - the eye drops mentioned are the ones ENT prescribe. I will note the names of the others and ask about them.

OP posts:
Shootfirstaskquestionslater · 13/05/2018 00:46

I suffered like this from being born until I was 17 I had ear infections that lasted 2 weeks would be clear for 2 weeks and come back again I had 5 operations and now I have to wear a hearing aid there really is nothing much you can do to stop the ear infections other than going back to the door to get more antibiotics when he gets another one.

MiniDoofa · 13/05/2018 00:47

OP just wanted to sympathise it sounds awful. And to add that you are right to keep fighting that doesn't sound normal at all. My DC have had loads of grommets between them. (No additional complications though) only one had the weeping of gunk but he was very small when he got the grommets and it cleared up quickly and did not recur.
You have all the evidence with the info you have written here. I'm not in the UK but I feel like you can't just change GP? Are you able to request a second GP opinion? Or go private (sorry no idea if that's prohibitively costly). Point is- you're right- keep trying and lots of luck. Flowers

Helloflamingogo · 13/05/2018 00:48

Be careful in trusting Dr google. I was given gentamicin as I was literally circling the drain thanks to a strain of pneumonia then again when i had meningitis.

Definitely talk it through, but tread carefully. If you insist how will you feel if it causes more hearing loss?

Not trying to be a dick, just think of all the implications. I would not demand drugs without having a serious conversation with consultant - not his secretary.

MummytoCSJH · 13/05/2018 00:59

Thanks flamingo and shoot, your advice has been helpful and you are both right I do have to be careful, make sure I talk everything through but keep pushing if necessary. Mini thank you, I definitely can't afford to go private and I don't think changing GPs would help as it's still all within the same NHS trust (so same ENT referral). I have had opinions from a few GPs as it's always just the emergency one on call and from different consultants within ENT but I am going to keep trying to get others opinions if possible, with my GP you never know who you're going to get! Haha. Every time I go to ENT I have to explain the situation from the beginning again which probably doesn't help as if it was consistent they would realise how big a problem it is.

OP posts:
monkeychickenpig · 13/05/2018 01:09

You can have
Gentomycin IV
Tazocyin

I know something else interferes with the hearing of babies when pregnant I couldn't be prescribed so only choices were IV drugs I can't remember name of all

Can you let me know name of germ? Is it pseudomonas

monkeychickenpig · 13/05/2018 01:12

Also I am disgusted to hear you have not been listened to re the meningitis
I was 23 when I had my son and I felt it does impact the way I was treated in my pregnancy and I was seriously unwell but not taken seriously

Evangelinee · 13/05/2018 01:23

Sorry OP, so difficult.
Can't believe they didn't listen to you regarding meningitis.

I'm 22 & pregnant with hyperemesis and they don't take me seriously either when I'm sick, I know exactly what you mean!

From my experience with my chronic illness I would keep going day after day after day and eventually they have to do something (very time consuming and frustrating though)

fairgame84 · 13/05/2018 09:40

It sounds similar to what I had when I had a perforated eardrum.
ENT consultant said oral antibiotics are useless for chronic infections and she gave me Sofradex which was brilliant. ENT would also microsuction the infection out so that the ear was clear for the Sofradex to work.
Oral antibiotics won't work.

MummytoCSJH · 13/05/2018 11:10

Thanks everyone for understanding and all of the advice. It was horrible in hospital for weeks not knowing if he was going to live or die and they'd just told me I was over-reacting. I definitely think it was because I'm young. Had anything more serious happened I would have taken it further but I decided not to on the grounds I'd never let them ignore me again - but here they are! I'm not sure of the name or the germ but I'll ask when I next see them and I'll mention the medications you've suggested and see if they think any of them might help. Thank you again. We did eventually get to sleep last night after lots of calpol and cuddles but they're just as bad this morning :(

OP posts:
New posts on this thread. Refresh page
Please create an account

To comment on this thread you need to create a Mumsnet account.

This thread is closed and is no longer accepting replies. Click here to start a new thread.

Swipe left for the next trending thread