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First real doctor's appt (16mo) Questions...

post #1 of 14
Thread Starter 
Okay, I haven't taken DS to the doctor since he was 2mo for a variety of reasons. (I can expound if I need to)

I recently made him his first doctor's appt. He has a rash on his face I'd like to get looked at and also develop a bit of a record for growth and whatnot.

He's circ'd and we don't vax (they know the latter and accepted us)

What questions do I need to ask the doctor? I mostly made this first appt to see how he takes to her and how DH and I like her. Those are the big things but I want to make it worthwhile.

Thoughts/
post #2 of 14
Quite honestly, she will be asking YOU most of the questions. She will ask about developmental stuff. Probably what he is eating, how he is sleeping, walking, talking, and the like.

What you ask HER depends on what you want to know. They will probably give all his measurments on a sheet with his developmental expectations for his age. Talk to her about any concerns you have regaurding his health. DO NOT talk to her about sleep (I cant remember if your little guy even has sleep issues) other then that, just relax. You might find you really like her!

I love my kids ped. She is awsome. Laid back, easy going, doesnt harp on me about the no vaxxing thing, although she is pro, she just doest push those who dont. I feel so comfortable just calling her when one of my kids is having some sort of health issue. I have waddled my way through quite a few illnesses without setting foot in her office!
post #3 of 14
Thread Starter 
Quote:
Originally Posted by Barbie64g View Post
Quite honestly, she will be asking YOU most of the questions. She will ask about developmental stuff. Probably what he is eating, how he is sleeping, walking, talking, and the like.

What you ask HER depends on what you want to know. They will probably give all his measurments on a sheet with his developmental expectations for his age. Talk to her about any concerns you have regaurding his health. DO NOT talk to her about sleep (I cant remember if your little guy even has sleep issues) other then that, just relax. You might find you really like her!
He fights going down for sleep but is STTN just fine... I'm worried about any doctor thinking he's behind on speech (He says "mama" and "dada" and 4-5 other words if he feels like it)
post #4 of 14
Quote:
Originally Posted by AFWife View Post
He fights going down for sleep but is STTN just fine... I'm worried about any doctor thinking he's behind on speech (He says "mama" and "dada" and 4-5 other words if he feels like it)
she may give you some advice to help him become more verbal (read to him, how to talk to him, etc) but I don't think they would insist on EI or anything until 18 months-2 years. I would be honest with her about everything (except sleep, but you said he sleeps fine ) and you can take or leave any advice she has. If you like what she has to say, great!
post #5 of 14
Quote:
Originally Posted by Barbie64g View Post
Quite honestly, she will be asking YOU most of the questions. She will ask about developmental stuff. Probably what he is eating, how he is sleeping, walking, talking, and the like.

What you ask HER depends on what you want to know. They will probably give all his measurments on a sheet with his developmental expectations for his age. Talk to her about any concerns you have regaurding his health. DO NOT talk to her about sleep (I cant remember if your little guy even has sleep issues) other then that, just relax. You might find you really like her!
Ditto! I wouldn't worry if he's only saying 4-5 words. My DS is also 16mos and hasn't been to the dr in like 6mos (he had recurrent ear infections so he went for those). Most of the mamas that I know who's kid is the same age as him, know the same number of words yours knows. DS1 only said like 3 words until he was about 18/20mos and then spoke in phrases! He's a super smart kid now at 7yo. So, you really can never gauge at this age. Some kids are just more verbal. How is he/she communicating? Have you tried sign language?
post #6 of 14
Thread Starter 
Quote:
Originally Posted by 4 Butterflies View Post
Ditto! I wouldn't worry if he's only saying 4-5 words. My DS is also 16mos and hasn't been to the dr in like 6mos (he had recurrent ear infections so he went for those). Most of the mamas that I know who's kid is the same age as him, know the same number of words yours knows. DS1 only said like 3 words until he was about 18/20mos and then spoke in phrases! He's a super smart kid now at 7yo. So, you really can never gauge at this age. Some kids are just more verbal. How is he/she communicating? Have you tried sign language?
We did try signing and he never picked it up. He would look at me, look at my hand, and then get a look like, "WTF?" and never even try...*shrugs*
post #7 of 14
I doubt any doc would worry about language as long as he's saying a word or two. It's (supposedly) very normal for boys to talk later & not say much until age 2 or so. But you can bring it up if you're concerned (particularly if you suspect another issue like a hearing problem or poor comprehension).

Anyway...

My doc really doesn't ask us much. He assumes everything is fine & normal and we tell him if there's anything we're particularly worried about. We went to his 18mo appt (he hadn't been in 6mos) and all he did was weigh him & check his head circumference. I gave him an estimate for his height and he asked if there were any problems & we went on our way. But the doc knows us pretty well (I was in there a lot a few months ago for my own medical issues) and he's seen DS at all my appointments so I think his informal observations were enough to know he's fine. I honestly wish we'd just skipped the 18mo appt too, it just wasn't worth our time & we know he's on track/ahead physically, developmentally, etc.

But as far as what to ask her... think of it like an interview. What would you like to know about this doc? Do you want someone who will be knowledgeable with extended breastfeeding, for example, and able to provide advice on that? Do you want her to be up-to-date on any specific medical issues that run in the family? Do you want her to be familiar with alternative medicine? Do you just want her to be able to check for ear infections and strep throat? It really all depends what you're looking for in a doc.

I think our first appointment, I told the doc (who's also a homeopath & family doc) about our family, our choices (vegan, no vax, avoid mainstream medicine, ext. BF, family bed, etc.) and just discussed these things with him. It was really easy to gauge where he stood on most of those issues -- though I already knew from other MDC mamas that he was largely supportive of most of them anyway. I love that we can be totally open with our doc & he will look at our whole family picture. I don't have to hide that DS sleeps poorly or is incredibly high-needs, and I know he won't over-react or tell us to do things that go against our instincts & beliefs. To me this was sooo important in a doctor, because I have had A LOT of trouble with doctors in the past.

But if you just want someone who can prescribe occasional antibiotics when necessary or something, then you might not need to know much besides, "What will you do if he has an ear infection" etc. I know some people don't want to discuss anything with the doc except true medical issue (like that rash)... and if the doc is very mainstream, yeah you probably want to avoid discussing sleep. Also if you have any questions about the practice as a whole -- scheduling appointments, what number to call in an emergency, how soon can she see a sick kid... then you can ask those as well -- or arrive a little early and ask the receptionist or nurse (if she has either, mine doesn't!!).
post #8 of 14
Quote:
Originally Posted by AFWife View Post
We did try signing and he never picked it up. He would look at me, look at my hand, and then get a look like, "WTF?" and never even try...*shrugs*
DS2, my jabber mouth, used to do the same thing!! It was so funny. I was teaching him since 4mos and he didn't do his first sign til like 13mos!! Keep trying. One day he may surprise you.
post #9 of 14
Have you been really clear with the doc about what you want? Because at an appointment to look at a rash they might not do the whole well-baby thing (height, weight, checking eyes and ears, etc.).
post #10 of 14
Thread Starter 
Quote:
Originally Posted by claras_mom View Post
Have you been really clear with the doc about what you want? Because at an appointment to look at a rash they might not do the whole well-baby thing (height, weight, checking eyes and ears, etc.).
No, I told the receptionist that I wanted to meet the doctor to see how my son took to her. That's when she made this appt...originally she was telling me Oct (?) I have no idea why...
post #11 of 14
Something to think about: they may want to do bloodwork (or write a script for you to go have it done) to check for lead exposure and anemia, which are common tests at the 12 month visit. So you may want to decide what you'll respond to that.

Our ped is great about non-vaxing and often recommends something natural when possible (like garlic oil in the ears to stave off ear infection during a cold), but she's been surprisingly mainstream when it comes to skin stuff. In the early days she declared there was yeast in the diaper and scribed a strong powder antifungal that gave DS a painful rash. Recently he has a bit of ezcema or contact dermatitis on his legs and she went straight for the steroid cream. So be prepared to talk about treatments for the rash and what their side effects can be and maybe even state your preference for mild solutions at first, if that's possible.
post #12 of 14
Thread Starter 
Quote:
Originally Posted by oolongtea View Post
Something to think about: they may want to do bloodwork (or write a script for you to go have it done) to check for lead exposure and anemia, which are common tests at the 12 month visit. So you may want to decide what you'll respond to that.

I've thought about the tests (I thought about whether or not to take him in for those) and figured 1) He lives in a new apt (like, REALLY new) and doesn't spend time in old homes (DH just said, "If there's lead in here I'm suing someone.") and doesn't play with old toys...and MIL refuses to buy toys made in China. 2) He eats plenty of meats and green veggies (even if they're pureed into sauces...he doesn't like them as "leaves") So I'm already planning on politely refusing anything invasive.
post #13 of 14
Quote:
Originally Posted by AFWife View Post
No, I told the receptionist that I wanted to meet the doctor to see how my son took to her. That's when she made this appt...originally she was telling me Oct (?) I have no idea why...
I think you have to be prepared for an appointment that has nothing in it at all except what you specifically asked for: to see how your son likes the pediatrician. Because it wouldn't be unusual for someone with a fairly busy practice to be scheduling well-baby visits two months out. A call specifically about the rash probably would have gotten you a much sooner appointment, but then she probably wouldn't do the well-baby stuff.
post #14 of 14
Thread Starter 
Quote:
Originally Posted by claras_mom View Post
I think you have to be prepared for an appointment that has nothing in it at all except what you specifically asked for: to see how your son likes the pediatrician. Because it wouldn't be unusual for someone with a fairly busy practice to be scheduling well-baby visits two months out. A call specifically about the rash probably would have gotten you a much sooner appointment, but then she probably wouldn't do the well-baby stuff.
Honestly, I'm hoping for this. A quick visit to see if he likes her (and he either takes to people instantly or not lately) It will also be a chance to see if they'll hand me the Bad Mommy form or not.
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