The 7th grade reading level thing was in response to a specific comment where you (serenbat) felt I was being offensive by suggesting the average American reading level is 6th grade. I was not meaning to be offensive, I was stating a fact. If you want to be offended by my juice and rice cereal comment, feel free, I don't have data for that.
is the official guide for when bloodwork and urine tests are recommended in childhood. This is considered standard of practice for Any provider who is either a pediatrician, pediatric NP, family practice doc, or family practice NP, or a P A working with one of those fields. It recommends no screening (ie routine) Urine tests, screenin
g of metabolic disorders per state law which us the newborn screening exam, typically done with a heel prick, and lead/anemia screening which is routinely done with a finger prick NOT vein puncture (abnormal and persistent levels on finger prick tests may lead to venipuncture but that is no longer "routine". Yes, HIV testing in teens and adults is routine but not pertinent to, say a time when you could just add on a titer to see if a 2nd MMR is needed. So if your pedi is doing routine urine and blood tests on your pre-teen, it is willy nilly.
Regarding Lyme, I am in New England, in an area considered endemic for it. I grew up a few towns over from East and Old Lyme, and have had Lyme disease myself. I did not have a rash, just suspicious symptoms, so I had bloodwork done. That matches the CDC recommended guidelines, as you posted for a link, and my post about testing doesn't contradict those cdc guidelines. This whole Lyme thing is OT, but since we both are discussing it there are plenty of similarities: 1) bloodwork is not done routinely for testing (ie titers for all vaccinated kids or Lyme testing for all in an endemic area or who have no symptoms but have been bitten by a tick) 2) testing can be done in specific situations (ie pregnant women and hep b, unclear cause of symptoms that might be Lyme) and 3) you can choose to go online and get tested for either out of pocket, but IMO just because a person CAN doesn't mean everyone SHOULD. I typically had 10 or so deer ticks on me per summer, and my parents could have had me tested many times per year (per your recommendations I guess?); it would have been painful, inappropriate, and costly. Thankfully the CDC does not recommend testing like that. I got tested once when I was sick with fever and aches.