We've been too close to losing Jonathan to ever dare second guess the Pediatric Endocrinologist. To put off a shot when they can't keep the oral medicine down just makes me shudder to think about. Do you realize how many CAH children die from even an hour's postponement of medicine? There are several that post on this message board who have lost children, I'm sure they can tell you how serious it is. You are vey lucky to still have your children.