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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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I Have A Special Needs Child (Palmister-Killian Syndrome, PKU, GERD,

I have a special needs child (Palmister-Killian syndrome, PKU, GERD, chronic constipation, G-tube fed, seizure disorder) who is 17 years old, 53 pounds. He has been sleeping for the better part of the last 3 days. On Wednesday he slept all day at school and he "kept acting like he was going to vomit." He was feverish (101.9) that night, I gave Advil; no fever since, but still sleeping. Also wasn't tolerating continuous normal feeds; refluxes, then re-swallows, but gurgle sound in throat; lungs are clear. I stopped feedings, and switched to pedialyte, 30mL/hr. Currently, I can arouse him, he even ate 5 bites of baby food for me, before falling back to sleep. He will also drink water from a straw, then back to sleep. Do we wait it out, or take him in to doctor?

Tue, 20 Sep 2016
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I Have A Special Needs Child (Palmister-Killian Syndrome, PKU, GERD,