is that in normal healthy childre, their temp shoots up and if you leave them without tylenol to bring it down, the high temp has the effect of helping them to retain fluids at the sametime as keeping it high enough to slow a virus down.  From what I could gather high temp would mean higher bloodpressure and higher blood volume also.  they all go cap in hand with eachother and cannot are all needed in illness.  If you leave both cortisol and tylenol and do not give, you help neither.  if you just give tylenol and not raise the cortisol, you just lower the temp, and in normal healthy kids, that would have the effect of prolonging the virus--but in CAH kids it would be even longer in the system.  If however, you raise the cortisol levels and give tylenol. it not only lowers the temp, but gives a CAH child the advantage over a normal healthy child because you are rasing their cortisol levels possibly higher than a normal healthy childs would raise and therefore the actions of both increase blood pressure, blood volume and get more iller cells to where they should be and flush the whole lot through them a whole lot faster.  This means that some CAH kids can move much more quickly through a viral illness than their normal healthy friends.  If you act quickly thus, you can avoid the lengthier periods of illness.  I feel that in normal healthy children their adrenals don’t act as quickly as what we would, it is a slow gradual build up.  We double and they are better in no time.  I guess there are drawbacks in that they may initially feel sicker than a normal healthy child before we actually act---but then as soon as you know what it is they have, doubling up and giving tylenol usually means they can look and feel better than other kids with the same illness that don’t have CAH.

 

Right now I’m off...