Its taken me a few days to even be able to talk about this incident... My ds woke up Sunday with a stomach bug and full blown puking YUCK We went into sick day mode and his BG (which was fine the night before) was up around 350. Grabbed the precision blood ketone meter and was floored to see a 4.1 Per guidelines, called endo group for help. Callback got me an unconcerned endo who said not to worry about the ketones, give correction and push fluid (right, fluid pushing to a puking 14 yr old works really well). Was very put off by his lack of concern over the ketones. Luckily we had Zophran on hand and I was able to get the vomiting stopped, give fluids and insulin. Monitored BG and they lowered to around 250 but had used my last blood ketone strip and went back to urine test sticks. Never had I seen those sticks just immediately turn black like those did but I knew ketones in the urine lag 2-4 hours behind blood readings so it would take some time to see a change. Several hours later, when the urine sticks were still turning black I called every pharmacy around until I found some more blood ketone strips. Ran and got them and tested - 4.3 Gave shot with correction plus a little extra and gave it 1 more hour (had already changed site, insulin and been doing shots in addition to doubling basals). One hour later blood ketones = 4.5 I had no doubt we were in big trouble and would land in the ER. Called endo group for help and went ahead and loaded up in the van to head to the ER (40 minutes away). No callback from endo after 25 minutes so I called again. Was transferred to the doc on call that time and was the same one from the morning call. He proceeded to yell at me, talk rudely, not listen, tell me to "forget about" and "quit worrying about" ketones at all - He also informed me of his high ranking title in the group and said to me "it is Sunday night!" I pulled over and burst into tears after that call. Headed home with my mind racing trying to figure out what to do. God was truly watching over us - I had put out a facebook status earlier that said we might be headed for the ER... When I got home I thought that I would log into CWD and get some advise but when I opened my laptop, there was a comment from our original endo from dx (who we loved, but had moved away to be closer to her parents) complete with her phone number and she said to call her. I melted down when I heard her sweet voice on the phone. She was floored by what was going on and the reaction of the other endo. She then said "OK, where are we right now", started giving me directions and we talked and texted every 1-2 hours all night long until we got him to a much better place. She told me later that with numbers like he had, he would likely have been admitted to ICU... I am so thankful for that sweet precious angel endo! Now about the other one -- don't get me wrong - I love our Endo GROUP and have always got wonderful care from them. This is about 1 doctor who needs to be straightened out. I have a plan of action but wondering what other parents of CWD think - what would you do?