Pam Holland, I too thought of offering this mom IV abx, but if it is cancer, then she should not delay, obviously. Could this mom present herself in the ER of another facility, maybe a univ. hosp. or teaching hosp? Where are you all located? Maybe she could get a quick referral to the right MD. She may have to bear the cost, though. She could always try to get reimbursed if it turns out to be something really serious. Laurie Wheeler, Rnc, Mn, Ibclc Violet LA - outside of N.O.