My son had a large granuloma. The doctor painted with silver nitrate once, but it was still large and oozy. The next time she dug around a lot with the silver nitrate stick and we ended up admitted to the hospital at midnight for umbilical infection (despite no fever or sick affect) because it was so red and swollen and the swelling kept getting larger. Then they said they had to do an ultrasound of his belly and not to feed him from 2 am on. They said the ultrasound would be at 6 am, then 7, then they said they had to wait until the doctor came, which was 8:30 or so. So my 5 week old son went without nursing from 2 am to 9, and I was out of town without DH and alone in the hospital so no one to hold him who didn't reek of milk and a more justifiably miserable baby I've never held. It was torture. They gave me a pacifier and sugar water (occured to me later that I should have asked if I could dip it in expressed milk instead) and did NOT offer me a pump. He got several doses of two different intravenous antibiotics, including one really strong one.
The best part? He did not have an infection. The pediatric specialist said the doctor had been overzealous with the silver nitrate and my son was chemically burned. Even before we left the hospital, the irritated skin turned brown and by the next week was starting to flake off. He sent me home wiht a packet of silver nitrate and instructions on how to apply it myself twice a week until the granuloma shrunk significantly.
We had to go back to the original doctor for a follow up, and she insisted that it was an infection all along. After all, the intern (who had never seen an umbilical infection) had diagnosed it as an infection (based solely on the inflammation, sicne there was no fever and the blood and urine came back totally negative). The brown skin? Oh, post-inflammatory hyperpigmentation. Never mind that post-inflammatory hyperpigmentation lasts for months and does not flake off.
Needless to say, we never saw that doctor again.
And I still deeply resent the hospital's incompetence with regard to the ultrasound. At the very minimum, they shoudl have offered me a pump, but they should also have been more on top of things. If he needed to fast for 4 hours before an u/s, they shoudl have known when the doctor was coming in and not made him fast 7 hours. I still shudder remembering that night of endless rocking and screaming and no where to put him but right by my leaking breasts.