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Was working night shift in a Naval Hospital ER a couple of years ago and had a mom bring her kid in worried he might have Pertussis. I said “ well that’s very unlikely, he is vaccinated right”. Dead silence. Then “ I don’t believe in vaccines”. At which point I said, “ so let me get this straight, you don’t vaccinate your child, and now at 3 am you are suddenly worried he has a completely preventable disease?” mom came back with “ I’m not going to discuss this now”. Checked the kid over, seemed fine, but unfortunately this small hospital did not have the ability to do any diagnostic testing, no PCR, no specialized culture media. Told her take her kid into town in the morning to the larger local local hospital for further testing.