Katherine G.
Yelp
I highly recommend Texas Children's North Austin over either Dell Children's North or Central.
Saturday: My 12 week old daughter had a fever that got up to 102°F at the highest, frequent runny poops, and was a little fussy. We called the pediatrician and they advised us to give her Tylenol and said it was not an emergency unless her fever did not respond to Tylenol.
Sunday: She seemed better and her fever was gone after that morning. That night around 10PM my husband took her temperature and got a reading of 95°F, which concerned him because we'd read that low temps in babies can be a sign of sepsis. (This turned out to be a bad reading - it was actually normal when we got to the hospital.) Out of caution, we took her to the ER at Dell Children's North Austin. They ran a full infectious workup: blood, urine, and stool cultures. They seemed unconcerned that it was any sort of real emergency, but said due to her age, it was a good idea, and we agreed. It took two very difficult IV attempts to get the blood - she was screaming and in pain, and we almost walked out then. But they eventually succeeded, the blood results were negative, the doctor told us it was likely viral, and we went home.
Wednesday: We got a call from a case manager letting us know that our daughter's stool culture was positive for Salmonella "and there was some bacteria in her urine" so we needed to go back to the ER and get her started on IV antibiotics. We had no direct communication with a physician and never saw the records. I asked to speak to a physician and was told it was impossible. I called in to get access to the patient portal and looked at the records myself. The "bacteria" in her urine was only trace amounts that in no way was concerning, and the salmonella was "moderate" and responded well to antibiotic treatment in culture. Because of how upsetting the first ER visit had been (and with our daughter still acting completely fine), we decided to follow up with our pediatrician instead.
Thursday: We saw our pediatrician in person. He agreed that our daughter seemed totally well and initially supported our plan to monitor at home. But later that afternoon, he called and said that after speaking with infectious disease at Dell Children's, he was changing his recommendation and wanted us to return to the ER - this time for more bloodwork and a spinal tap. We reluctantly decided to go to the Dell Children's Central ER, hoping for a better experience.
ER Visit #2 (Thursday night):
At this ER, we explained how hard the first visit had been, how many sticks she'd already endured, and our willingness to consent to treatment if it was necessary, but our concern about traumatizing her. The doctor said they wanted to repeat bloodwork and perform a spinal tap. They said even if she was completely asymptomatic and had a negative blood culture, she could technically have meningitis. They said that if they were placing an IV for labs, they'd likely just go ahead with IV antibiotics too. They assured us their nurses "were the best in the city" at IVs. Unfortunately, the IV attempt failed again, and it took 5 minutes while she screamed. The nurse said she would now call the charge nurse, but by that point, this would have been her fourth IV stick across both ER visits. Both of her hands were already bruised, and there was almost nowhere left to try. I asked them to stop. We then asked to speak to the attending doctor again - but no one came for 30 minutes. At that point, we left. It had been five hours.
Early Friday morning: We drove our daughter directly to Texas Children's Hospital North.The doctor consulted with infectious disease, who reviewed her chart and labs, told us there was no need for invasive testing as she had no signs of meningitis or sepsis, and prescribed oral azithromycin. The whole thing took about two hours.
No doctor or nurse ever called us after we walked out of Dell Children's Central. They told me I "had" to sign paperwork stating I declined treatment. I declined to sign anything. A case manager called the next day and seemed more concerned that they lost business than about the health of our child.