Boy was the MAGIC conference interesting and insightful. It helped us through a "crash" with our 8 month old son. Our whole family went to the convention. I have a salt-wasting 8 month-old son who had never had a crisis. So we go to the MAGIC convention and what happens, he starts throwing up on Saturday and the whole chain of events began. My husband was in the hotel room with him when all this happened ,and I was downstairs enjoying a few and far between "night out" with my 4 year-old daughter.Anyway, my husband came downstairs to tell me our son had thrown up twice. I was standing at a table with several veteran parents of CAH kids and they started pitching in to help. One of the wonderful dads of a young girl with CAH came up to our room to help us through the stress dosing. Other great parents watched our daughter for us so we could take care of business. We stress dosed our son through the night until about 6:30am and then he was becoming increasingly lethargic (even 30 min after stress dose) The helpful father told us to call Cathy Kusch (head of CAH division of MAGIC). She gave us Dr. Pang's home phone number and we called her for advice. She told us to go to the ER and have them follow the ER instruction sheet that MAGIC had sent us. Cathy Kusch came with us. What a wonderful person she is!! She helped us tell the RN and MD the right things. The MD did electrolytes and a blood culture then called his findings to Dr Pang (who was actually on vacation). After bolusing our son with IV fluid and an IV dose of Solu-Cortef, he began to perk up after about an hour or so. Things learned: extra stress doses do not hurt even when you are not sure if the child is failing, dehydration aids in the downhill spiral--so get fluids in these kids, if you are unsure if the child is crashing-get them to an ER. Finally, if you are traveling to a new city, make sure you know where the nearest hospital is. To make a long story a bit shorter, we took our son back to the hotel that same day around noon. He began to have a fever and lots of nasal drainage ,so we were instructed to keep him on the triple stress doses for 24 more hours. Dr Pang called to follow up with us and we finally made it back home on Monday. Today (Wednesday), we got a call from our son's daycare that he had thrown up all his lunch and wasn't looking like himself. I went to pick him up and he had that same limp, pitiful look he had the day he was crashing. The ladies at his daycare were great. They helped me stress dose him ,took his temp. and tried to push fluids while I called his Endo and pediatrician (both of whom were not in the office). What luck! Our Endo's office paged him where he was working in a diabetes clinic, and he said to stress dose and take him to a pediatrician. We also gave him Motrin because his temp was 101.5 again. By the time we reached the on-call pediatrician's office, he was a different child. His arms and legs were moving more and he was smiling. Was he faking...No, the stress dose worked along with the Motrin. The MD said he had a horrible ear infection and that was probably the reason he was not drinking. We will continue to triple his dose (per our Endo) until he is fever free this time. I'm sorry the answer was so long but our experience was worth alot. We also got lots of hand-outs on CAH and the lectures were informative. Hope to see you there next year.