So, my oldest son decided that it might be fun to play with a bat (you know, not the baseball type). Unfortunately, with an unreliable historian, it is difficult to tell if he was bitten by the bat. Also, which makes it challenging, is that bat bites can be microscopic.
So, my wife panicked and requested that I get him the rabies immunoglobulin and vaccine. I’m not debating the necessity of this. Likely overkill, but the vaccine + immunoglobulin is 100% effective at preventing infection while infection is effectively 100% fatal. So, my wife wanted the shots.
Just a discussion about the vaccine here. First, the vaccine must be administered in an Emergency Department. WHY WHY WHY! Anyway, enough of side commentary. Despite my phone calls to multiple pharmacies, the ED is the only place I could get the vaccine. So, my son ended up in the ED for a procedure (injection) that my MA performs everyday in my office.
Rabies vaccine is given on day 0, 3, 7, 14, and 28. So, you should probably find the “quietest” time at the ED to go for a visit. Obviously you can’t decide the day to go, since you can’t decide the day you are exposed Weekends are busy–get used to it. But, you might find that 10 PM can be a quiet time in the ER. Since the physician has already evaluated the condition and no new evaluation needs to be had, you can go to the ER for a “nurse visit” and not incur a physician charge. This should save you some money.
Also, you might consider anti-nausea medications. My son vomited both nights that he received the vaccine. I wised up and got him some anti-nausea medication for the other days without emesis. So, that is a must have.
Now, if I only knew how to keep curious boys from playing with bats…