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Old 08-13-2010, 01:34 AM   #31
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Re: how to get off the "well-child" radar

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So how do I politely but firmly tell them AGAIN that we choose not to do these and, should we choose otherwise, we will let them know?
I have not read all the responses but I think if you are going to use a Medical doctor then you need to understand their POV. If you do not want to do well child visits, then perhaps you should take your kids to an alternative practitioner, like a naturopath, or just suck it up and deal with the calls to do well child visits. They mean well. They see it from their POV and they just want to do right by your kid. So, if you continue with an MD, then just continue to decline them.

Think of it as a game. If you are going to be on their team, then understand the rules and play by them. Put up with the calls to go to well child visits because they deem them important. If you don't agree, either politely decline or see a different kind of health practitioner.

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Old 08-13-2010, 01:37 AM   #32
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Re: how to get off the "well-child" radar

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go to a general practice or "family" doctor instead of a pediatrician and you should not have this problem.
I see a family doc and they still want to do well child visits and they still push vaccines. I take my kids to the well child visits as they are free to me. Insurance covers them and I like to get their stats and talk to docs about their POV with regards to my kid's needs. But when they push the vaxes, which we selectively chose, I just listen politely, take the paperwork, and agree to think about it. Respect breeds respect.
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Old 08-13-2010, 01:38 AM   #33
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Re: how to get off the "well-child" radar

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For the most part everything is good, but the hounding about the well-child visits, the frequent vax reminders, and the vax upselling trophy things are getting to become the norm.
Just listen politely and tell them you will think about it. That is all you need to do.
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Old 08-13-2010, 05:19 AM   #34
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Re: how to get off the "well-child" radar

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<-- also fascinated. Can't imagine skipping well-baby visits. What a nice time to interact with someone who did 10 years of college studying baby development.

OTOH, if I had 6 kids like the OP, I might be able to imagine skipping them. :-) Something about walking a mile in someone else's moccasins.
See, the baby visits we do. Once they hit 3 years old or so I don't see the need anymore. Their development is very easy to determine at that point. We also have very articulate children who are speaking full sentences by 2. I do see the point in them when the kids are very young and you need that trained eye. When the kids get a bit older, not so much. I've also had one kid on the high end of the autism spectrum (very high functioning Asperger's...coincidentally the one kid who had all of his vaccines), and the pediatricians missed it. The schools missed it. Even after I told them to look for it, they missed it. So my faith that the professionals are going to catch something I am missing, even when I am telling them to look for it, has dwindled substantially.

I guess I see the pediatrician as a specialist, and I only seek out specialists when they are needed.
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Old 08-13-2010, 05:40 AM   #35
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Re: how to get off the "well-child" radar

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What a nice time to interact with someone who did 10 years of college studying baby development.
It should be this way, but it is not always a relaxed time to ask all of your questions and be reassured by an MD. Then because they specialized in baby development, they expect yours to fit in a percentile for everything. I love how we've been told to reduce a 1.5 month old's night feedings to every 4 hours or else let her CIO when she wakes up until then. I know better than to go against my child's cues, but what about the parents who don't know better or worse... are looking for an excuse to be neglectful? This one-size fits all information is harmful.

Anyways, I am happy that a lot of you have wonderful peds. I also think it's great that you have such a choice selection. These are the vents of those whose family gets treated like a system that must have scheduled maintenance because it can't know a problem before it breaks down.
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Old 08-13-2010, 05:49 AM   #36
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Re: how to get off the "well-child" radar

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I don't know but I hear all of these bad things about all these doctors. I am just glad I love my doctor. We do all of our visits and am glad to do so but we never get anything about being over due or anything of the sort. Also my ped is not pushy or anything he usually just says they look great and that is that. We do vaccinate but my ped is pretty open with delayed vac etc, I think because he is very young maybe that helps. He also encourages rear facing until at least 2 so I think that is great. IDK I would really just say find a different doctor who is more in line with how you think.
Yep. Different office.
At my DD's 6 month "check-up" (she's my first baby, I took her in at 6 weeks and 6 months and probably will again at 1 year) her doctor asked "Do you want to discuss getting any vaccines today?" I said no. He said "okay, keep up the good work. Your baby is healthy and happy!"
I had this big speech all worked up in my defense and I didn't even get to use it
There are doctors out there who respect a parent-led approach to you kids' health... you just have to find them.

ETA: Just went back and read more responses so wanted to add...
Our ped is great but I still received a "reminder" phone call when it would have been time to schedule DD's next appointment. The number was not from the ped's office so I think they farm it out... Maybe yours does too?
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Old 08-13-2010, 10:33 AM   #37
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Re: how to get off the "well-child" radar

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I should also mention that the reminders only come when they want them to. My son has not been seen for four years for a well-child, and all of a sudden there is a problem, but they were not concerned the last four years whatsoever.
There are two possible reasons for this.

1.) your doc has probably either bought a new computer system or has upgraded to a point where reminders is an available function. Now you will get these regularly since it should be less labor-intensive to do them.

2.) The recovery act passed in 2009 requires docs to send out reminders of preventive medicine visits in order to qualify for incentive money from the government. I can't think of a doc or hospital around the country that does not want some part of those incentive funds. So you will start to see reminders more and more.
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Old 08-13-2010, 12:26 PM   #38
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Re: how to get off the "well-child" radar

If you are getting calls, say "No thankyou, bye" and hang up. If you are getting mail, just recycle it/throw it away. Don't pay any mind to it.

I know that while in PERSON if they are harassing you, that is awful. I hate that too. I usually smile and nod and act like I might go when they say "you need a well baby when he's (insert age)". Me: smile and nod. They don't put up a fuss, and I just don't go to the next one if I don't want to.I skipped the 4 month visit. They asked about it at the 6 month one and didn't like my answer. They then just told me to come back at 9 months. I skipped the 9 month one. I'm going to the 12 month one, though. I know they'll ask, but I just will say he was healthy, he was advanced in his milestones, he wasn't sick so he didn't need a doctor.
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Old 08-13-2010, 12:43 PM   #39
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Re: how to get off the "well-child" radar

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<-- also fascinated. Can't imagine skipping well-baby visits. What a nice time to interact with someone who did 10 years of college studying baby development.

OTOH, if I had 6 kids like the OP, I might be able to imagine skipping them. :-) Something about walking a mile in someone else's moccasins.
ITA,...couldnt imagine not bringing my children to the dr once a year...I dont fancy myself a dr or nurse or a medical professional... and Im not going to trust that I would KNOW when something was wrong..sometimes its not about going when your sick...sometimes your sick and you dont know it...the little things that we think/thought were our childs quirks could be symptoms of serious illness...taking your child to the dr once a year allows them to build a medical profile of your child so that if/when they DO get sick, if it is something huge they have some history to look at... I work in a field where historical data (not medical, statistical data) is SOOO Important to understanding the present and the future...so I apply this thought process to medicine as well...what seems like an innocent rash today, or the long healing bruise tomorrow could be serious illness...Im not going to take that risk...a lot of stuff happens in one year...and a lot could change in one year...why take the risk of missing something? So you dont have to be inconvenienced by a nurse pushing vaccines? If your content to not vaccinate and you stand by your convictions...then no nurse should be able to sway your or ruffle your feathers, after all, you know whats best for your child right? (not being snarky here, being serious)...If the office environment is not working out..find another doctor. I had a good doctor years ago I left because his office staff was terrible...nasty snarky witches...he seemed to thnk they were ok...well..thats not ok with me...and for the record I go to the dr once a year for physicals too...so why wouldnt I take my children? just seems so odd...
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Old 08-13-2010, 08:56 PM   #40
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Re: how to get off the "well-child" radar

All I had to do was ignore their first few phone calls, and they got the hint. They know me there, and that I am a force to be reckoned with! Its so nice to have that mutual respect, its empowering as a parent. I know he'll be there when I need a doctor (hardly EVER) and they know I am not a pushover for unnecessary medical care. If you can't get that from your doctor, find another. The doctor's office shouldn't be a regular place to visit, its just one more thing our society pushes on us to dumb us down. Trust in your instincts, and they will serve you well.
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