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Old 07-03-2012, 06:23 PM   #41
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Re: Would it make a difference to you? (picking a pediatrician)

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Originally Posted by jbug_4 View Post
oh- have you asked about limiting shots per visits rather than an all out delay. Our doc's office does not accept (and will not refer) patients who don't vax. they also require vaxing on schedule, but they will let you split up shots so they aren't all in one day- as long as they get in during the recommended age period.
This. If you plan to vac. then I would take that off the measure, but this is very important. We started on a regular schedule and we got fevers and cranky that were enough to say, hey, lets slow this down and can we come monthly. Our peds were wonderful and had no issue and just said to come the normal every three months. It was no big deal and together we decided which ones we'd get each visit. I never imagined it would be an issue but if your child has a reaction, which most do, splitting them up, is a good idea.

I don't think anyone can answer this for you. Personality is a big deal to me and if she is that busy will she take the time to answer all those new mom questions or will she be so rushed as she is "so busy" that you aren't getting the help/advice you need.

We didn't interview peds/ We fell into our first ped. and she was a resident and was wonderful. Because she was a resident, we always got 2-3 opinions and always got a head ped. if there was an issue (and there were). She was amazing and took a lot of time to explain everything, answer questions and do a great job. She then recommended our next ped, and one of them was the working with us on shot issue as well as other issues, and its been a non-issue. The new one is really easy to talk to, very comfortable to deal with and never has an issue if I just waste a visit being that worrier mom. She's fine with our choices and will "educate" us but never pushes. She even worked with us before we got on her panel and never cared. Don't underestimate personality/good fit.

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Old 07-03-2012, 07:57 PM   #42
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Re: Would it make a difference to you? (picking a pediatrician)

The vaccination thing would be a deal breaker for me
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Old 07-03-2012, 08:52 PM   #43
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The "my way or the highway" attitude would be a deal-breaker for me. I won't deal with someone telling me what I *have* to do with/for/to my kids.
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Old 07-03-2012, 09:44 PM   #44
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Re: Would it make a difference to you? (picking a pediatrician)

I think this all depends on what type of patient you are. I think this doc is clearly a 'my way and no other way' doc. If that suits you, I think she's probably great. If she is very medically competent then that is also great if you have a child with huge medical needs.

I have personally had a doc like that before and although I thought it was fine at the time, I much prefer my new doc. I really have no way of knowing who is the 'better' doc, but I generally feel that the doc who listens to me and seems to care how I feel has a better chance of making me better in a way that I want.

My kids also do not have medical needs beyond the norm. In fact, we don't need a doctor. A RN would be just fine for every visit we've ever had, but that isn't how it works!
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Old 07-03-2012, 09:49 PM   #45
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Re: Would it make a difference to you? (picking a pediatrician)

I work in a hospital and some of the best doctors have the worst personality/bedside manner. That being said, I'd want them in a heartbeat if I ever needed medical treatment.

The no delaying/declining vax thing wouldn't bother me since I vax on schedule anyways. I'd suck up hating her personality, knowing that she's good in her field of work.
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Old 07-03-2012, 10:16 PM   #46
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If she's not willing to discuss vaccine options, and it must be done per her requirements/"the schedule", it makes me think...

1) Is she strictly practicing medicine by the books she learned from on EVERYTHING? Does she assess or evaluate YOUR child or is it the same 1-size-fits all medicine?
No 2 babies are alike. There's a general box of things it USUALLY is. What if it's not?

Example: I have 1 child with a severe pollen allergies that started at 3 months old. That's unusual, as most children don't develop pollen allergies until after 1 year (a full year of exposure to the seasons). This threw the pediatrician covering our doctor's vacation into a whirlwind as she very unwillingly sent us to a specialist with her "it's not normal" attitude. She was right, it wasn't "normal", and whether it's that she didn't want to do anything because a book didn't tell her it was okay to think for herself or not, she didn't address DD's obvious issue {swollen face & eyes... think lion face super-bad!} without us asking for an doctor on staff to evaluate our child before we left.

2) Cookie cutter medicine is not a great approach. Very shortsighted or very strict views don't allow for the treatment of the patient, but rather just the ailment/issue.

Example: Kid #2, DS, was 4 months old & 18 lbs. a giant of a baby in length as well! Our beloved pediatrician failed us. She advised giving him (1) 4oz bottle of water a day instead of letting him nurse at that meal, because he's off the growth chart and "too big". She was new school on many things, but followed the old school convention of all infants conforming to size no greater than 90-95th percentile. Once again, we heard the "i've never seen a baby that big before. He barely fits on the scale." We asked for a referral to a Peds GI specialist before we took any drastic measures, like her suggested water diet. The GI noted his extreme length & sheer girth, calculated his caloric needs and viola!... He's had the same growth pattern, and is an above average kid in height and weight, thus he has above average caloric needs. (Duh!). We still see the pediatrician, as on all other marks, she's a great fit for the kids.


Make the decision you are most comfortable with, but be willing to re-evaluate your needs. Doctors are as good as they want to be. And even the best doctor, doesn't always make the right decision. Good luck!

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Old 07-03-2012, 11:08 PM   #47
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I didn't read all of the other comments yet (I will go back in a few mins), but I used to work at a peds practice, and I can tell you that if a doctor informs you up front that she is THAT busy, that is not a good sign.
Everyone is talking about the vax issue, but it is really only a small part of what peds do. If she has already told you that she schedules well visits a month out, then IME, she is too busy to be taking new patients. What she isn't telling you is that during high-volume time for physicals (spring and fall, and sometimes over winter break), if you are firm on seeing only your doc for well visits, you will need to schedule 8-10 weeks out (sometimes more). Heaven help you if you have to reschedule. Also, the kind of doctor you describe is far more likely to expect you to simply follow her instructions without question. Be prepared for a lecture if your instincts ever prompt you to do anything other than what she advises. This does not just apply to vaccines, but to all of the issues that come up in the process of parenting.

I have worked for doctors like what you describe, and when DS was an infant, this is the kind of doctor we had. Greats credentials, very popular, very strict with their policies, and very inflexible. They always, always went with the mainstream ideas on everything (didn't usually have/take the time to look deeper), and often seemed to be operating under the assumption that parents are uninformed. If I had left it up their busy schedule and inflexible attitude, DS' sleep issues (later diagnosed @ Vanderbilt) would have gone completely undiagnosed. Like, ever.
I'd look for another doctor who can give you great care AND a great attitude. They are out there. We have a fantastic ped now, who doesn't beat around the bush, but is also kind to me and the children, and demonstrates respect for my instincts.
Exactly!

It's the "I didn't read it in my textbook/I can only do it one way/if it doesn't fall in the 'box' I don't know how to think for myself/I'll tell them babies are 'supposed to cry'" attitude. My babies didn't cry unless there WAS something wrong. Add block feeding for nursing mothers and the notion babies should sleep 10-12 hours to conform to parental lifestyles, and there's your recipe for failure to thrive. Grrr!
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Old 07-03-2012, 11:14 PM   #48
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Re: Would it make a difference to you? (picking a pediatrician)

I wouldn't do it either.

As far as the Endocrinologist at Children's, I believe that any Ped can make that referral, or you can just call directly.
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Old 07-03-2012, 11:19 PM   #49
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Re: Would it make a difference to you? (picking a pediatrician)

Personality is my first line of screening. I want a ped who makes an effort to talk to my kids, know their names, and make them feel comfortable going to the dr. I only saw our first ped twice before I switched because he didn't acknowledge my ds the whole appointment. Yes he was only an infant, but no hi, or smile or anything. Just business. That didn't work for me. 2nd most important is I feel free to ask questions and clarify anything I don't understand. I like our docs manner... Even if he already knows what he wants to do, he talks us through the options and makes us feel like it was our idea. this works for me.
I do think it's important to be able to get same day appointments. This is another reason I love our ped. He has a policy of seeing any sick baby. This means he is often running way Kate for appointments, but I'm willing to accept that knowing when my kid is sick he's the one that will get squeezed in.
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Old 07-04-2012, 03:41 PM   #50
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Re: Would it make a difference to you? (picking a pediatrician)

The vaxxng issue would be a pro in my book. But the busy-ness would be a con.
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