To much of a liability to keep him in your care as respatory illness can turn nasty quick. It would be my first instinct to say after so many puffers in such a short space of time with no real change is a good indicator that whatever is going on with him is escelating and he needs to seek medical attention asap in order to correct this before he gets worse. I know mum is stressed due to sick days, but she needs to sit down with her employer and explain the situation to give herself some piece of mind when it comes to the security of her job. I would suggest asking her if she's done this to offer her some support. We all know at times being a mum is tough. I can appreciate that you can't stay at home every day with a child who has asthma but it does seem like today would have been a good day to be at home with him especially with the bad night he'd already had. Without knowing her financial situation, I can only imagine what it would be like for me raising 3 children if I was struggling. I'd be scared of losing my job to and people can get overwhelmed very quickly by this kind of thing so don't think clearly, even surrounding their childrens wellbeing. If it had been me, I would have gone to emergency in the night where they could have put him on a nebulizer and then sent him home with stronger meds. But is this parent a one parent family, because that may have been difficult to do if so. Not knowing this parents life circumstances makes it difficult to call her out for sending him to you for the day, but if she did have other resources or a partner able to help with this, then I'd be a bit annoyed too.
Ask her for any additional emergency contacts who can take him at a pinch in time periods when she is taking a higher amount of sick days. I feel for this mother and child. Poor folks

































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