**Edit: another cool thing about the hospital, around lunchtime, a “child life specialist” came to visit kian and she brought a box (with “kian’s fun stuff” writtten on it) of toys, crayons and colouring book. she said it’s to help entertain the kids while in hospital. she also mentioned about kiddie activities for abled kids, at certain times of the day, that are available in the department. how thoughtful is that?!
**long post ahead!
i can guaranty that whenever we go on holiday, the kids will get sick (touch wood it ends soon! getting sick in general is not nice). they dont share toys all the time but the germs, they’ll share every single time! this is why a bag full of meds (paracetamol, ibuprofen, antihistamines, vicks, nasal spray, creams, bandages, eye drops – the whole shebang), otoscope and a very trusty braun ear thermometer are staples in our baggage. cant be without! our trip to orlando was no different.
a week into our holiday, cayden developed a fever. he was also sniffling and coughing but not consistently. between the boys, im always paranoid and scared when cayden gets sick. he has a history of febrile convulsions so the first sign of fever, i give him meds right away. im always vigilant, making sure i control his temp. fortunately, no episodes of that. im hoping he has outgrown it already. after all, his last episode was 2 years ago. anyhoo, to better control his temp, i alternately gave him paracetamol and ibuprofen. he was fine with meds so we were able to still go around and spend time in the parks.

however, on the 2nd day of his fever, when we got home at the end of the day, i noticed his fever wasnt going down despite giving the 2 meds. usually, his temp will go down right away but his was like stuck at 39.8. we decided to call the resort’s on call doctor. the call taker asked for the symptoms and what meds i have given him so far. that was around 9:30pm. the doctor came 2 hours later. he did another round of history taking, checked cayden out (pulse, heartbeat, chest, ears, did an abdominal exam) and gave the diagnosis of viral infection. he changed the dosage of cayden’s meds and that did the trick. he spent around 30 minutes with us and we got billed for $485. good thing we had travel insurance though we had to pay out of pocket first because it happened out of office hours.

cayden all better the next day (R) on call doctor
sure enough, 2 days later, kian developed a fever. his was more manageable and got over it 2 days later. however, on the 4th day, he woke up with lots of spots/rashes on his legs, near his bumbum and a few on his back. i thought it was just a nappy rash (i checked for signs of meningitis first!) so i put some nappy cream on him. i also put a different cream (one for insect bites that our doctor friend has prescribed) on his back. he was fine though, very active but i made sure to constantly check his spots. i also checked with doctor friends in the philippines and they somewhat put my mind at ease. but as the day progressed, i noticed his spots were getting worse. at around 8pm, he already has spots all over his face and a lot more came out on his body. he was itching all over. i knew right away that it was an allergic reaction. i’ve given him the antihistamine that our gp here has prescribed. it didnt work. we decided to call the on-call doctor again but unfortunately, he said we need to go to a hospital as they’re not equipped for such cases. around midnight, the family had our first trip to the ER.

1st ER trip
kian was seen right away. no tests were made. he was diagnosed with (unknown) allergic reaction. he was given a dose of benadryl and a dose of steroids. we were given prescriptions for the same meds for when we go home. we were discharged. our bill was $345, again out of pocket, to be reimbursed when we get back. kian was fine the whole day.
2 days later, kian woke up with slightly swollen eyes. there were spots all around his eyes, none on his body. he was itching and he was squinting his eyes. on occasions he would say his eyes were ouchy. he also complained of pain on his right foot. we went back to the ER around lunch time. when we got there, kian didnt want to walk anymore. he was dragging his right foot. upon checking, we noticed that it’s swollen. and this was when our nightmare started!
12pm – arrived in ER
12:30pm – called in
1pm – saw junior doctor. did history, symptoms. she was worried too much with kian’s foot. she ordered a foot xray. *nevermind his allergy symptoms!*. she looked in kian’s ears and because of SUPER HARD wax, she couldnt see his TM. to my annoyance, she decided to force clean his ears. kian was crying and screaming of PAIN!
2pm – kian had a foot xray
3pm – given benadryl (which i said over and over again, didnt work!). kian’s spots around his eyes were getting worse and worse, aggravated by his crying. spots appeared on his forehead and around his head. he was scratching. his foot more swollen than ever.
4pm – was told kian’s foot xray was ok so he had to have an xray of his hips, the fibula and a more detailed xray of his foot. hello! it was clearly an allergic reaction but they’re not doing anything about it. they were obsessing about his foot when there was no history of trauma! i told them that but they insist they have to look at all aspects!
5pm – doctor finally ordered a blood test
6pm – kian developed a 38.8 fever. he was given acetaminophen. kian looking like a boxed-out boxer by the minute.
7pm – we were told blood test was ok, xray ok. he was swabbed for flu test.
8pm – we were told he has the flu (but probably caught the last stages of it). he was given tamiflu. junior doctor told me to GO HOME AND COME BACK AFTER 24HOURS IF HIS CONDITION GETS WORSE. what the fudge?! he was worse than when he came in and you’re telling me that?! the hell, we’re not going home! you didnt do anything for his ALLERGIES! i found the senior doctor in charge and i argued our case. she said yes, the flu doesnt explain the rashes. it’s uncharacteristic of it. and yes, she will refer us to the paediatric hospital on the other side of town to better handle our case.
8:30pm picked up by an ambulance (which shows disney movies =D) with 3 crews (a driver, a nurse and a doctor) to be transferred to the specialist hospital.
imagine, we spent more than 8 hours in the ER and nothing vital was done. we were billed $2.7k for nothing (in my opinion)! the amount has been discounted already because again, we had to pay out of pocket because it’s out of office hours in uk. our insurer will be billed $6k+ after we have been reimbursed.
9pm we arrived at the hospital and kian was wheeled straight to his awesome room! we were met by his nurse for the night and she explained what will happen (during the night, kian will be visited by a nurse every 2 hours and during the day, every hour – to check on him). she showed me the room (own toilet with shower, sofa bed, wardrobe, how to use the tv, adjust the lights/bed, use the recliner), gave us the menu for room service (yes, you can choose your own food and can order any time!) and asked me if i needed anything. cayden and daddy just followed in our car and brought our things. they went back to disney for the night.

poor baby!
10pm – kian’s main doctor (no less than the medical director of the pediatric icu himself) came to check on him with a resident doctor. we discussed symptoms, history and course of treatment. he’s to be given IV steroids every 12hours.
12am – kian got his first dose of the iv steroid. i slept around 1am
8am the next day – met the new day nurse. met kian’s other doctors, one of which is a filipina born in the US but can understand tagalog and bisaya =D. kian’s face looked more normal though he still had a few spots around the eyes. they were also a tiny bit red, where they swelled the previous night. he can also walk with very minimal dragging of the right foot.

(L) upon admission (R) day after. kian looked unrecognisable and ER wanted us to go home! wtf!?
we were visited by the nurse every hour. aside from looking after kian, she also asked me if i needed anything (water, pillows, etc). every 2 hours (or was it 3?), kian was visited by his filipina doctor. at 12noon, he got his last dose of iv steroid. **another cool thing about the hospital, around lunchtime, a “child life specialist” came to visit kian and she brought a box (with “kian’s fun stuff” writtten on it) of toys, crayons and colouring book. she said it’s to help entertain the kids while in hospital. she also mentioned about kiddie activities for abled kids, at certain times of the day, that are available in the department. how thoughtful is that?! anyways, the doctor ordered for a urinalysis just to make sure there’s no infection. cayden and daddy came late morning and kian and kuya played the whole day. we were discharged at around 10pm, kian already jumping and running =D.
we spent 24 hours in the hospital. kian got better and better. we still dont know what triggered the reaction as we didnt feed kian anything different and he has no known allergies – he can eat peanuts and eggs with no problem (we’ve seen our doctor here and just waiting for an appointment with the allergologist). daddy was able to contact our insurer and they got in touch with the hospital directly so we didnt have to do anything or pay for anything. i wonder how much our insurer paid……

view outside our room
based on our experience, i have come to appreciate our own NHS, especially when it comes to A&E (ER department). we’re no stranger to ER trips and i have compared the quality of service. to think, NHS is free! but being admitted though is a different story. the US one was more superior! it was like you’re in a hotel (though, the department where kian was admitted is called “disney pavilion” and looks like it was sponsored by disney) and service was impeccable! that being said, nhs care is free. im scared to even think of the amount our insurer had to pay for our stay. and if you live in the US and has no insurance – what are you going to do?
anyhoo, we lost a few “fun” days, even had to give up our swimming days (one of the things the boys were looking forward to in our trip) but heck, our kids’ health is more important. we can always go back. we are so lucky that we have the means and the cover that we need for all these expensive “side trips”. remember: ALWAYS have travel insurance when you go on holiday. you’ll never know when you’ll need it. especially with young kids, who are still developing their immune systems.
special thanks to our insurer (HSBC): hassle free and straightforward. they were even going to handle rebooking our flights and extend our hotel stay, had there been a need to (they already asked for details). kian was admitted 3 days before we’re set to fly back. fortunately, it was not necessary. and we got home safe and sound.