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ASTHMA IN CHILDREN: QUESTIONS ABOUT DOCTORS
When should I call the doctor
Basically you should seek help any time you are worried that the treatment is not working. Hopefully, if you follow the plan, you will never have to call your GP, but never be afraid to do so. If it is during the daytime then wherever possible you should take your child to the surgery as all the equipment and facilities will be readily available there. If it is out of hours then ask for a home visit. Most doctors, if you are pleasant, will willingly come and see your child, but try to be reasonable with your request. Only last week I was called out at two in the morning to a child with asthma who had been wheezing since early evening. His parents had delayed the visit request until they had been to a party!
The other positive reason to seek help is if the peak flow readings are falling rapidly, and particularly if it reaches a level which is less than 25 per cent of normal. This usually coincides with your child developing a blue tinge to the lips and becoming exhausted. It is better to play safe than to regret it afterwards.
What if the doctor refuses to visit
Many people do not realize that they do not have a right to a home visit and it is the doctor’s decision whether to visit or not. Of course, if a visit request is refused and something happens to your child then you can sue the doctor for negligence, but that won’t bring your child back. Therefore, if your GP does decline to come out I would have no hesitation in bundling your child into the car and going to the nearest casualty department. If you haven’t your own transport, call for an ambulance. By doing this you risk your child being admitted to hospital but this would probably only be overnight and again it is better to be safe than sorry. I must stress, however, that the vast majority of doctors will gladly visit a child with an asthma attack.
Should we see a specialist
This is a difficult question to answer, as really if your child’s asthma is well controlled and not interfering with his or her life then there is no real indication to see a specialist. Some parents like the reassurance a consultant will give so if you feel you would like this yourselves then by all means ask to see one. Much will depend on how much confidence you have in your own doctor. If the asthma attacks are frequent and your GP does not take any corrective action then a visit to a specialist would seem advisable.
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