I'm not sure how much time I'll have to post right now, but the result of my talk ***with our pedi about retraction is that he found a part of the AAP that says that doctors are supposed to gently retract to visualize the meatus-- just once is all that is necessary- so once it is done it doesn't need to be done ever again.
*** editing to add for clarity: I KNOW it is wrong and unnecessary to gently retract... but I asked him what he does during my DAUGHTERs checkup because I wanted to see if I was going to switch to him. We had a good conversation. He's very pro-intact. He was trained to do a gentle retraction yet seemed open to new info, but seemed puzzled that it was a big deal. I offered to give him info and I brought it in before our next appt. He read it and he went to the aap website he foudn somethign that indicated they still recommend a gentle retraction.
He said he only does this once, and would not do it if the parent requested him not to. He compared it to the exam he would do for a baby girl.
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Now I know I have seen something like this before but the AAP search has changed in the last years and the new search has sucked. So he didn't save the link for me,and I can't find it. He was going to try to copy it for me at our next visit for dd in November, but I hate to wait that long.
Does anyone know what he is referring to? Can anyone find it? I have the feeling that when I saw something it was in an obscure part- either on well baby exam procedures, or in a generic section (like on penis or genitals and not specifically about intact/circ). It was not an area that a parent would normally see.
Anyways, the docor, who I like very much, said that he does just one exam and is super extremely careful about being gentle-- as per the aap. Even though he was open to the information I gave him, he still doesn't want to give up the one look rule--- I guess to make sure the meatus is properly placed. He is pro-intact, otherwise, and a very laid back doctor that actually likes to talk to parents and seems to be open-minded. I mean, he took a 4 page thing from me and actually read it and looked stuff up.
Perhaps, docs these days see more problems with the meatis (due to circumcision) they feel they need ot be more vigilant about checking it out- even on intact boys??
Anyways, I'm not sure what to do-- this doctor is likely to be the best we have around here. My son is over 1 year, so he wouldn't be doing this anyways, and he already told me that if a parent requested him not to do this, he wouldn't. But I won't be recommending him w/o an explanation in this area.
I find it hard to blame the doctor if the AAP states this. He was willing to consider that things had changed since his training.... but since he could find this info on the AAP seemed to want to stick with the way things are. Now, I cannot really blame him on that, even though I disagree with the AAP on many issues.
I so was hoping he'd come back with a different answer.
Jessica
*** editing to add for clarity: I KNOW it is wrong and unnecessary to gently retract... but I asked him what he does during my DAUGHTERs checkup because I wanted to see if I was going to switch to him. We had a good conversation. He's very pro-intact. He was trained to do a gentle retraction yet seemed open to new info, but seemed puzzled that it was a big deal. I offered to give him info and I brought it in before our next appt. He read it and he went to the aap website he foudn somethign that indicated they still recommend a gentle retraction.
He said he only does this once, and would not do it if the parent requested him not to. He compared it to the exam he would do for a baby girl.
----
Now I know I have seen something like this before but the AAP search has changed in the last years and the new search has sucked. So he didn't save the link for me,and I can't find it. He was going to try to copy it for me at our next visit for dd in November, but I hate to wait that long.
Does anyone know what he is referring to? Can anyone find it? I have the feeling that when I saw something it was in an obscure part- either on well baby exam procedures, or in a generic section (like on penis or genitals and not specifically about intact/circ). It was not an area that a parent would normally see.
Anyways, the docor, who I like very much, said that he does just one exam and is super extremely careful about being gentle-- as per the aap. Even though he was open to the information I gave him, he still doesn't want to give up the one look rule--- I guess to make sure the meatus is properly placed. He is pro-intact, otherwise, and a very laid back doctor that actually likes to talk to parents and seems to be open-minded. I mean, he took a 4 page thing from me and actually read it and looked stuff up.
Perhaps, docs these days see more problems with the meatis (due to circumcision) they feel they need ot be more vigilant about checking it out- even on intact boys??
Anyways, I'm not sure what to do-- this doctor is likely to be the best we have around here. My son is over 1 year, so he wouldn't be doing this anyways, and he already told me that if a parent requested him not to do this, he wouldn't. But I won't be recommending him w/o an explanation in this area.
I find it hard to blame the doctor if the AAP states this. He was willing to consider that things had changed since his training.... but since he could find this info on the AAP seemed to want to stick with the way things are. Now, I cannot really blame him on that, even though I disagree with the AAP on many issues.
I so was hoping he'd come back with a different answer.
Jessica
). If some doctor pulled it back that far, I don't doubt he could tear the skin.
)
: The way she phrased it - "making sure there isn't anything in there that shouldn't be" really threw me off. WTF is she looking for, broccoli?
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