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Old 08-13-2010, 11:26 PM   #51
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Re: how to get off the "well-child" radar

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Originally Posted by FaeryGnomeHome View Post
agreed, HOWEVER, if you can't even get past the clerical staff on the phone, chances are y ou won't like the practice's "tone" in general.
If I made a judgment about every company by the receptionist they employed... I wouldn't do business with very many people.

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Old 08-13-2010, 11:52 PM   #52
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Re: how to get off the "well-child" radar

I only bring my kids in if they have something that I can't fix at home. My oldest DD has been to the doctor for her 2 week check up (only because I wanted to see if she was back up to birthweight) once at 3 weeks old with RSV (was hospitalized for 5 days) and once at about age 1 1/2 because I couldn't get her excema to clear up (milk allergy...who knew?), once at age 3 1/2 for a bladder infection that didn't get better with cranberry and once at about age 5 for an upper respiratory problem that turned out to be her dad's cigarrettes (my exH who I repeatedly asked to NOT smoke around her!!!! idiot!)

Little DD has went in at 4 days old...just got out of the NICU, once at about 5 months for RSV (didn't have to be hospitalized but she couldn't breathe, poor thing) and just about a month ago for a spider bite? to her hand that made her hand swell up to the point of being shiney with pitting edema.

I guess the doctor just knows that I am not bringing my kids in for well baby visits or shots so they don't ask. I know the doc and his nurse personally though so that probably helps. I would just tell your doc, "I will bring the kids in if I feel they have a problem and will seek medical attention when medical attention is needed"

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Old 08-14-2010, 07:32 AM   #53
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Re: how to get off the "well-child" radar

I would talk to the doc and have the kids removed from their reminder service.

Most parents do not skip on purpose. Most people that don't go are just lazy parents or parents who can't afford it. They probably aren't used to someone who his choosing not to come.
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Old 08-14-2010, 09:17 AM   #54
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Re: how to get off the "well-child" radar

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I love the doctor, but it is the office that is the problem. The one year when I dared to say we were still deciding what we were doing with vaccinations, the nurse literally ordered me to do them. I found out the next year that there was a competition between the different locations of this practice to see who get get the most vaccinations administered. I found this out because they won a TROPHY that was proudly displayed at the front desk, and it also stated the time frame that the competition was going on; same time that the nurse ordered me to do the vaccinations. (She didn't recommend, she just barked out the order). To me that is simply wrong. It is one thing to try to upsell soft drinks at a fast food restaurant, but trying to upsell vaccinations for a trophy?

I'm fine with clinical recommendations, but I simply do not like the manipulation I'm seeing and see these competitions as clouding the quality of care we are receiving. I really love this doctor, but their office staff needs to back off. I hate to have to leave her though.
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Old 08-14-2010, 10:08 AM   #55
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Re: how to get off the "well-child" radar

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If I made a judgment about every company by the receptionist they employed... I wouldn't do business with very many people.
well i'm quite sorry you feel that way. it was just a suggestion. i don't see the OP jumping all over me.
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Old 08-14-2010, 10:37 AM   #56
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Re: how to get off the "well-child" radar

DH and I were discussing this this morning and it dawned on me why I am so against regular medical appointments. We actually used to do them. I believe the last one my daughter had was at age 5 or 6 or so. My sons I'm not entirely sure, but I'd have to say around 12ish (because it would have been to re-establish care up here).

Here is what they missed.
DD-Two different doctors missed that she pronates significantly (needs significant arch supports in her footwear--the ice skate shop noticed this!) and that she needs glasses. She has a +7.25 prescription! She also has ambylopia, so they should have noticed the asymmetry in her pupil location on examination. We (her parents) noticed the need for glasses at age 4 and the ice skate shop noticed the pronation at age 8.
DS-He was showing many signs of high-functioning Asperger's and sensory disorders, and the doctor's never caught on to this either.

Now it really dawns on me. Most of the "exam" is an intake of the PARENTS' OBSERVATIONS and the doctor's interpreting them. So why are we miraculously expecting the doctors to find something on examination that we did not already observe because the majority of the well-child "exam" is a taking of subjective history and parental education, not an actual examination of the patient. They do an exam, but the majority is spent in history and counseling.

They certainly didn't identify major things going on with my children. We did, or the people we interact in daily life did, at which point we then sought out specialists. As a matter of fact, when we did address things with the pediatricians, they did not follow through on them or dismissed them as insignificant. Food for thought...

Probably part of why I don't see doctors as all-knowing. I spent 20 years battling basilar migraines and ten years trying to get them diagnosed only to be told things like they are stress and they are all in my head. Finally found a fabulous doctor whom I see regularly give me explicit instructions on how to treat them and what I can and cannot take (like no vasoconstrictors because they can give me a stroke or cause death), only to have non-specialists tell me that my specialist is wrong and try to prescribe me vasoconstrictors. It is a very odd thing to sit in a medical appointment and have to educator an MD about the mechanism of your migraines. I told my specialist yesterday (a neurologist at Rush Presbyterian St. Luke's in Chicago who is the only specialist in this type of migraine) that I get tired of having to "fight these doctors to the death" about [refusing to take vasoconstrictors because of the contraindications], and he said "that's an interesting way to put it, because it would be your death, not theirs". Yeah, I guess he is right. Sometimes doctors just do not know. They aren't right 100% of the time and, based on many past experiences, I do have to trust my gut and not default to what any and every doctor says.

So, yeah, I take a lot of what they say with a grain of salt.
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Old 08-14-2010, 10:48 AM   #57
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Re: how to get off the "well-child" radar

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Originally Posted by FaeryGnomeHome View Post
well i'm quite sorry you feel that way. it was just a suggestion. i don't see the OP jumping all over me.
I actually do do business based on the people companies employ. I had one doctor's office in Texas (familiy practice) that would schedule you for a 10:00 appointment and you would be LUCKY to be seen by noon. This happened repeatedly. The norm was for your 15-minute appointment to take well over 2-3 hours. I finally corned the doctor himself on it (a doctor I absolutely loved at the time) and told him that it is absolutely unacceptable to have your patients waiting in the waiting room for an hour and then another hour in the exam room.

He had the nerve to tell me that the scheduler didn't know how to schedule appointment properly, so a 15-minute ear infection visit and a 45-minute complex diabetic patient visit would actually both get a 15-minute slot. He just chuckled it off like "well, she just doesn't know". I told him it is his responsibility to 1) hire people who DO know, 2) EDUCATE HER. It is unacceptable. Hiring unqualified people is actually not an excuse and the receptionist DOES represent their business.

Of course, this was the same office that fired their billing staff in an effort to save money. I then got a bill 1 1/2 years later and was told I could not schedule another appointment because my bill was due in full (the bill I never got). When I questioned it, I was told about the billing staff being fired.

Brilliant office, right? I took my business elsewhere. I have no patience for poor customer service and bad business practices.
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