One Sunday morning, Judy Ames, RN, Pediatrics, made a phone call to follow up on a discharged patient. As patient call monitor, she asked the mom how the child was doing and she soon surmised that the patient was displaying symptoms not normal to recuperation. The mom said that she was going to call the doctor on Monday for an appointment. However, Judy sensed the seriousness of the symptoms and urged the mom to not wait, but to call the physician immediately. Which she did. Hearing the child’s symptoms, the doctor directed the mom to the emergency department.  Soon after, the patient was re-admitted to Pediatrics and taken into surgery that same day for debridement, later going home with a wound vac. Judy demonstrated keen observations and the importance of follow up calls to check on patients. Her persistence in getting the mom to act more immediately made the difference between a critical situation and a manageable one.