I got o a phone call this morning from Tiffany saying she was on her way to take Kylie to the doctor and asking if I could meet them there. I told her I could most likely move some things around on my schedule and meet them at the office, and then I asked why they were going. She said that yesterday Kylie was supposed to have a hot lunch at school but when she came home she told Mommy that she didn’t eat. When asked why she didn’t eat Kylie said that the chicken fingers were to hot. Mommy told her she could have blew on them to cool them down and Kylie said she decided to just eat her carrots. Everything seemed fine and they went about their day, later that evening Mommy had plans to go out to a hockey game and while she was gone Mimi had asked Kylie how her day at school was. Kylie told her about her day and when she told Mimi she didn’t eat her lunch and Mimi asked why she was given the same response of the chicken fingers being to hot. However this time, when Mimi said she could have blown on them, Kylie responded with a slightly more expanded answer that seemed rather odd, and so Mimi told Mommy about it when she came home. It turns out that not only were the chicken nuggets hot but Kylie said she couldn’t blow on them because her “heart was beating very fast and was hurting her chest and back” so she just ate her carrots. When Mommy asked Kylie about it this morning Kylie said the same thing and that it was to hard for her to blow on them so she just ate her carrots. She said she told the “lunch teacher” as well, but didn’t say what that teacher said and nothing was said to Tiffany about it when she picked Kylie up. So Tiffany called the doctor and explained the situation to them and they said to bring her in right away because they wanted to check on her. When I met them up at the doctor’s office Kylie seemed perfectly fine, as usual, but I was still interested in what the outcome of this would be. The exam went smoothly and all seems to be well, but the doctor said there still could be an issue. He said it could be something as simple as she pulled a muscle in her chest from coughing and that is why her chest and back hurt and she relates it to her heart because it is on that side, or she could have a case of costochondritis which Mommy also has. Alternatively, he said it is possible that she had an episode of Supraventricular Tachycardia, which apparently is something that children often flip in and out of, and “means that from time to time your heart beats very fast for a reason other than exercise, high fever, or stress.” It is really difficult to diagnose in children Kylie’s age due to their inherent lack of fully understanding their bodies yet and also the limitations of their vocabulary (though Kylie’s is extensive) and how they express themselves. He said it is nothing to worry about seeing as this is the first time she has ever mentioned anything like this, but if she does mention it further that we should make note of it and depending on the frequency we may do some testing at a later date. Either way she had a clean bill of health for today’s exam; weighing in at 52 pounds and having a slight fever (99.7), but her heart sounded perfect and her lungs were clear; additionally there were no signs of ear infections and surprisingly no strep.