"the risk of being embroiled in a good game of ... legal football is high."
That's my personal experience as a parent, unless the pediatrician can absolutely rule out all possibility of any theoretical disease then all conversations with the pediatrician's office always end with an official recommendation to CYA by spending a day at the ER.
Two anecdotal heat exhaustion cases:
Me, like a quarter century ago, in the Army after setting a new personal record on a daytime hot summer windless humid PT test while stationed temporarily in the deep deep south; typical heat exhaustion, no energy, puke, dizzy, gray world, squadmates turned me in for "wobbling on my feet too much". PS and medic look at me, "well, you're still sweating, so ..." dump a canteen of water on my head and torso, force me to drink a canteen of water, wait to see I don't puke for a couple minutes, escorted by another soldier to sit in front of an air conditioner with him ordered to watch me drink another canteen of water for an hour. Treatment cost approx five minutes of medic labor and one hour of chaperone solder labor to observe me while I recovered, and three canteens of drinking water.
Preteen daughter gets heat exhaustion on the hottest most humid day of the year after a long day working hard outdoors despite being well hydrated, no energy, puke, dizzy, but still conscious and sweating, wife gets nervous resulting in call to pediatrician resulting in spending rest of day and most of night in the ER running EKG heart tests and blood tests and MRI the skull looking for tumors. She wasn't even dehydrated enough to need an IV, so they actually treated nothing, merely immense amounts of diagnostic screening to rule out every possible ailment that could cause dizzyness (which seems to be practically everything). Treatment cost in the five digits, paid by everyone else via insurance premiums. But, at least the pediatrician CYA from legal standpoint.
To some extent the real cost of "malpractice insurance" isn't directly paid as "malpractice insurance" but is funded by immense insurance premiums.
I looked it up for fun and the odds of a teen girl being diagnosed with a brain tumor is approximately one in ten thousand per year; the odds of a teen girl getting dizzy on the hottest sweatiest day of the year after working hard outdoors is somewhat higher, but legal CYA is very expensive.
That's my personal experience as a parent, unless the pediatrician can absolutely rule out all possibility of any theoretical disease then all conversations with the pediatrician's office always end with an official recommendation to CYA by spending a day at the ER.
Two anecdotal heat exhaustion cases:
Me, like a quarter century ago, in the Army after setting a new personal record on a daytime hot summer windless humid PT test while stationed temporarily in the deep deep south; typical heat exhaustion, no energy, puke, dizzy, gray world, squadmates turned me in for "wobbling on my feet too much". PS and medic look at me, "well, you're still sweating, so ..." dump a canteen of water on my head and torso, force me to drink a canteen of water, wait to see I don't puke for a couple minutes, escorted by another soldier to sit in front of an air conditioner with him ordered to watch me drink another canteen of water for an hour. Treatment cost approx five minutes of medic labor and one hour of chaperone solder labor to observe me while I recovered, and three canteens of drinking water.
Preteen daughter gets heat exhaustion on the hottest most humid day of the year after a long day working hard outdoors despite being well hydrated, no energy, puke, dizzy, but still conscious and sweating, wife gets nervous resulting in call to pediatrician resulting in spending rest of day and most of night in the ER running EKG heart tests and blood tests and MRI the skull looking for tumors. She wasn't even dehydrated enough to need an IV, so they actually treated nothing, merely immense amounts of diagnostic screening to rule out every possible ailment that could cause dizzyness (which seems to be practically everything). Treatment cost in the five digits, paid by everyone else via insurance premiums. But, at least the pediatrician CYA from legal standpoint.
To some extent the real cost of "malpractice insurance" isn't directly paid as "malpractice insurance" but is funded by immense insurance premiums.
I looked it up for fun and the odds of a teen girl being diagnosed with a brain tumor is approximately one in ten thousand per year; the odds of a teen girl getting dizzy on the hottest sweatiest day of the year after working hard outdoors is somewhat higher, but legal CYA is very expensive.