Update: well around 6 while waiting in the waiting room his fever spiked back up to 106. I had taken my thermometer in case er was busy so I could keep an eye on his fever. They of course rushed us back. The Dr did a flu/rsv test which was negative. We stayed till 9:30pm the Dr wanted to make sure his fever went down. They ended up giving him an antibiotic shot to help with his little ear infection. The Dr said it was a sinus infection, virus and slight ear infection. We haven't had any more 106 fevers and the Dr had me change up how I was giving tylenol and motrin to rotating them every 3 hours instead of every 4. He is doing much better today.